HomeMy WebLinkAbout065-172-007,
|
/
/
=
7—
r Lane, S half lot 3 F0
Maga 'a
GAJ.C. HARPER
135 Tikker Lane, S half 1 -bot
mit #4084-79P,E MH)
ELEC
GAS 2;
COMPACTION TEST RE
'SUPPORT STRUCTURE REQL����
Contr: Lon's MH Ser
.Issued 074L 1
contr: Jensen Const., Magalla
TO
65-172-7
65-172-007 99-13
5533 Tikker Lane agalia
�ontr: Br ick Constrcution
Fnd on Existing Site
'
�
^
�
^
'
_
69
M
`
^
[
|
,
/
|
| *
/
|
`
/ ^
`
�
�
.
`
�
,
|
/
/
=
7—
r Lane, S half lot 3 F0
Maga 'a
GAJ.C. HARPER
135 Tikker Lane, S half 1 -bot
mit #4084-79P,E MH)
ELEC
GAS 2;
COMPACTION TEST RE
'SUPPORT STRUCTURE REQL����
Contr: Lon's MH Ser
.Issued 074L 1
contr: Jensen Const., Magalla
TO
65-172-7
65-172-007 99-13
5533 Tikker Lane agalia
�ontr: Br ick Constrcution
Fnd on Existing Site
'
�
^
�
^
'
_
69
M
t:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 ;Anty Center Drive - Orville, California 95965 - Telephone (530) 538-7541« _ P€RMiTo.
(Rev. 12/96) APPLICATION AND PERMIT /�
ASSESSD(J �P CEL N=MBp�OD7
2ONING
BUILDING PIERMIT
OWNER
rc � Svc �i//E2
TEIFE
7 3�—%
8 7
SO. FT. OCC. BUILDING VALUATION
� ,-7�ORES
.OWNERS MAI NG^ / —
� � � l
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDE'R'S MAILING ADDRESS
Total Val ation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fill n 134 $ 20.00
Per i Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $ �.
T
BUILDING ADDRESS 53 3
/
orgy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBONISICN'S NAME
U
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 0( Other
SPECIFY XX
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
1itie ❑ Installation
New ❑ Addition Remodel ❑Ze
Describe Work: U
--
I l
73,;L I
❑ Other
V
—"
..
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zo.A OR LESS 23.00
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.5Qso.
OR ADDNS. ( & ACC. BLDS. FT.
NEW CONS MULTI.OUTLET -
NON-RESID. @7.50
POWEA APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FDCTURES 20 O 1.00
EX. OCCU BAL p .50
EX. Occup. DUTY RAID °EA 5.00
—Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee is
Energy Inspection Fee Is
occ
CONST. TYPE TOTAL FEE $ %S o
HAZ•
D. FEES MP
FLOOD
I CDF
PV�L I
PD
HD
ISSUE
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
PERMIT EXPIRES ON
ere
li
M
_
7-�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541qq� PER IT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 065-172-007
ZONING
BUILDING PERMIT
OWNER GREG & SUE MILLER
TETT-E7719
SO. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS 6533 TIKKER LANE, MAGALIA 95954
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 6533 TIKKER LANE, MAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 10 Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: COVERED DECK
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
V LESS
Main Service p0A Op LESS
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 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
L,qw Jor 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' compensation insurance carrier and policy number are:
Carrier
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
orkers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply w' those rovisions.
Sig ure of pplicant - 13Owner ❑ Contractorgent
X Yep
An OSHA permit is required for excavations over 5'0" dnd demolition or construction
of structures over 3 stories in height.
Main Service TO t 46.00
WEU200A
NEW CONST. OWEWNG OCCUP. SO
U
OR ADDNS. ( a ACC. BLD S. 3.5¢FT;
T.
NONRE Ip MULTI.OUTCIRLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTIET OR FIXTURES 20 @ I'00
Ex. Occup. BAL o .50
Ex. Occup. DLITtFrs gEswslD.°E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 273211/$15365
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
"fir.:!' 3r�+E ' `Q7V
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROII LE,CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: t `fASSESSOR PARC NUMBER:
Proposed Building Use: ow, J pnile— Building Inspector: Date:
At time of permit application, I was al wised the following data must be submitted prior to permit
❑ 111 All items have been submitted.---------------------------------------------------------------------
Q . Plot plans, D sets, signed by the preparer of plans. --------------------------------------------
WComplete plans33 sets, signed by the preparer of plans. --------------------------------------
11�04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes/_
❑ 6. Energy Design Compliance and supporting documentation.
E17. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form.
119. Manufactured Home data and installation instructions including Tie Down
1110. Fees of $
❑ 11. Impact fees as shown on the attached schedule.
❑ 12. California Department of Forestry plan approval/fees.
24. .Flood elevation certificate. -------------------------------
Sanitation and plot plan approval � Lj) Health
❑ 15. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of
❑ 17. Planning approval for (A) Use
:�;
❑ 18. Contact Land Development about ❑ Improvements E] Drainage, ❑ Legal Parcel. -----------------------
1. 9.
----------------------
1.9. Encroachment Permit for driveway (constructio napproval prior to occupancy). ----------------------------
❑20. Pre -inspection for N. ,' required Request to Building Inspector on
❑21. Contractor's license information. (Number; Name Style, Classification). ----------------------=-------------
02 Workers' Compensation carrier and policy number. —------------------ -------------------------------------
UZ3. Owner -Builder Verification (Given to owner ❑, Mailed to owner ). --------------------------------------
024. Letter of signature authorization
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
E126.
-------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑ 28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H.'Title, ❑ Check to H.C.D $ .---------------
030.
--------------
❑30. Other:I
-------
Rus
ssinj and/or issuance:
Date Received By
Wh you issuQ a rro-cess as follows ❑ Mail to owner, M
to contractor.
►J Telephone O �'" f�% and hold for pickup at office. ❑ Deliver with inspector.
,AtV~/,i1Date:
6/, Z_3� Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
Index permit application for the above items numbered:
2. Additional items required:
(Date)
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above re uired -by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: 5 Date: - — /,t Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
Susan Miller
6533 Tikker Ln.
Magalia, CA 95954
AP#: 065-172-007
June 22, 1999
Building Division
7 County Center Drive
Oroville, CA 95965
To Whom it May Concern:
I grant my permission for Eileen Broderick to act as my agent in order to open permits in my
name as an owner builder for a deck. If you need to discuss this issue with me, please call
me at 873-7719. Thank you for your cooperation in this matter.
Sincerely,
k,b I] Qf
Susan Miller
I2EC4ING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
00A ( 409-
flep1
�e,
III IIII II II IIII I
999-0m29470
III III III II III I III
Recorded
Official Records
Co9MEDf
1 REC FEE .00
I CONFORM .00
CANDACEEE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Vickie
10:09AN 13 -Jul -1999
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, Z '�
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.
GREGORY G. MILLER & SUSAN MARIE MILLER BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
6533 TIKKER LANE
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (dalso property owner, write "SAME")
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
99-1368 (530)538-7541
:EZFA9
TELEPHONE NUMBER
7/9/99
SI ATURE OF LOCAL AGENCY OFF C DATE
NONE
DEALER NAME (d'not a dealer sale, write "NONE)
MAILING ADDRESS DEALER LICENSE NO.
CRY MUM STATE ffi
UNIT DESCRIPTION
LANCER 1981 WOODRIDGE
MANUFACTURER'S NAME DATE OF MANUFACIURE MODEL NAME/NUMBER
A/BS26931 60'X 28' 214836/7
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-172-007
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
LEGAL DESCRIPTION
A.P. #065-172-007
All that certain real property situate in the County of Butte, State of California, described as follows:
THE SOUTH HALF OF LOT 353, AS SHOWN ON THAT CERTAIN MAP ENTITLED; "FIR
HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 19, 1955 IN
MAP BOOK 21, AT PAGES 31, 32, 33, 34, AND 35.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE
SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID
MINERALS IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING
OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST
DAMAGE, AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS,
SHAFTS OR DRAFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF
THE ABOVE S\DESCRIBED REAL PROPERTY ALL AS EXCEPTED AND RESERVED IN
THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E.D. STORTS,
ET UX, RECORDED SEPTEMBER 4, 1947 IN BOOK 423 OF BUTTE COUNTY
OFFICIALS RECORDS, AT PAGE 385.
AP NO. 065-172-007
NOTES
RESIDENTIAL
065-172-007 99-1368
PERMIT NO. _MILLER, Gregory & Susan
6533 Tikker Lane, Magalia
Contr: Broderick Constrcution
MH on Perm Fnd, on Existing Site
�UV
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ITE RECORDED UNTIL ONE OF THE FOLLOWING
HAVE BEEN TURNED IN TO THE BLDG DIV:
�l) LICENSE PLATEkS) or DECALkTHE
INSPECTOR MUST RETRIEVE)
k2) STATEMENT OF FACTS�ONLY ON
NEW MH'S)
INSPECTOR TO VERIFY SERIAL & LABEL #'S
JOB FINALED (Date) 711`0�7
Signature
V= OK
0 = Not OK
- = Not Applicable MOBILE 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./ /'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
12. Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
bate D'tCKS, 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
I
4.
Wood Awn.; Posts- Bea ms- 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
✓ = OK
0 = Not OK
- = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex)
Date Underfloor (Plans) OK except #'s
8.
1. Zoning -Setbacks -Easements -Flood -Slope
Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
10.
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Water Pipe; Test -Anchors -Regulator -Service Test
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
12.
6a. Hold Downs and Special Anchors
Property Line Firewall & Openings
7. Slab, Steel -Wrapped
Plenums & Ducts; Clearance -Material -Support -Ins.
Date
8.
Piers -Fireplace Ftg.-Steel
Hangers -Post Caps -Anchors -Connectors
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
48.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
11.
Water Pipe; Test -Anchors -Regulator -Service Test
51.
12.
Electric Underground
Property Line Firewall & Openings
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
54.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
15.
Access & Ventilation
57.
16.
Insulation
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
Date
Brace Interior/Exterior Wall Panels
Card B-1 Date Card B-1
Date
68.
Card B-1 Date Card B-1
Date
69.
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
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
77.
Card B-1 Date Card B-1
Date
78.
Card B-1 Date Card B-1
Date
79.
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 / /g Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ 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
91.
Gas Test -Meters Tagged, Gas -Electric
Date
92.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Address Posted
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
Card B-1 Date Card B-1
37.
Condensate Drain & Overflow, Size & Grade
Card B-1 Date Card B-1
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Card B-1 Date Card B-1
39.
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
40.
Sits 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
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex 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 -Mach. 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 O Yes
82.
Following Inslld./Drive 0 Yes ❑ No/Walks,:) Yes Z) No/Planters p Yes ❑ 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:
Susan Miller
6533 Tikker Ln.
Magalia, CA 95954
AP#: 065-172-007
June 22, 1999
To Whom it May Concern:
The license tag on our mobile is missing. It was removed by the previous owner for
painting and was misplaced.
Manufacturer:
Lancer/8079
Model:
Woodridge 180
DOM:
5/29/81
Decal No:
LAC4745
Serial Nos:
AS26931 & BS26931
Label/Insignia Nos:
214836 & 214837
Please call us at 530-873-7719 if you have any questions regarding this.
Sincerely,
Susan Miller
-"iniECOADING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
13 -Jul -1999 1999-0029470
Has not been compared with
original
BUTTE COUNTY RECORDER
' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBELEHOME) 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.
GREGORY G. MILLER & SUSAN MARIE MILLER
REAL PROPERTY OWNER/LESSOR
6533 TIKKER LANE
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE LP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE LP
SAME
UNIT OWNER (if also property owner, write 'SAME')
MAILING ADDRESS
CRT Mom STATS SID
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
99-1368 (530)538-7541
BUILD G PERMITNO. TELEPHONE NUMBER
7/9/99
Q16VA M TRE OF LOCAL AGENCY O_FM& DATE
NONE
DEALER NAME (f not a dealer sale, write'NONE')
DEALER LICENSE NO.
UNIT DESCRIPTION
LANCER
1981
WOODRIDGE
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEUNIUMBER
A/13S26931
60'X 28'
214836/7
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER A.P. #065-172-007
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY . HCD PINK - Applicant GOLDENROD- Bwldo% Dept.
LEGAL DESCRIPTION
A.P. #065-172-007
All that certain real property situate in the County of Butte, State of California, described as follows:
THE SOUTH HALF OF LOT 353, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR
HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 19, 1955 IN
MAP BOOK 21, AT PAGES 31, 32, 33, 34, AND 35.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE
SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID
MINERALS IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING
OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST
DAMAGE, AND THAT ALL SUCH NIINING SHALL BE CARRIED ON FROM TUNNELS,
SHAFTS OR DRAFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF
THE ABOVE S\DESCRIBED REAL PROPERTY ALL AS EXCEPTED AND RESERVED IN
THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E.D. STORTS,
ET UX, RECORDED SEPTEMBER 4, 1947 IN BOOK 423 OF BUTTE COUNTY
OFFICIALS RECORDS, AT PAGE 385.
AP NO. 065-172-007
,..
t
BUILDING PERMIT NUMBER: 99=1368
Address or location of unit: 6533 TICKER LANE, MAGALIA, CA 95954
Legal Description of Real Property: A.P. #065-172-007
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: GREGORY G. & SUSAN MARIE MILLER
Owner's address: 6533 TICKER LANE, MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: 214836/7
SERIAL NUMBER OR V.I.N.: AB26931
MANUFACTURER'S NAME: LANCER YEAR: 1981
OFFICIAL APPROVING INSTALLATION:
DATE: 7/9/99
PHONE: (530) 538-7541
H.C.D. 513C
STATE OF CALIFORNIA- DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
.win■rrn►n■efn unnrcunur ncrAl un
A MILLER GREGORY G/
D CADBY SUSAN MARIE JTRS
D 6533 TIKKER LN
R MAGALIA CA 95954
E
S
S
E
t
R HILLER GREGORY G/ DUPLICATE COPY
E CADBY SUSAN MARIE JTRS , fi�
�. Yr TO BE FILED Wa'TM TKiS Fiv6Ii.E1'iGiic'
G M
I A 6533 TIKKER LN
g I PARK OPERATOR AS REQUIRED BY LAW
T L
E MAGALIA CA • 95954
E
E
D 8 /
o s 6533 TIKKER LNC` ,.
W I
J....._...
E u MAGALIA + CA 95954.%,— ' I z
R S
..
E RUTH H HARPER TRUSTEE,,'A�.
A 66 MONTROSE<DR f g
ry4a4'i
o OROVILLE CA 95954 . ��
W DATE 09/2L94 14:09:1001 '� `'s `� '4
„ tt
#"g d
R
IT
U F B
N I
I R
O 8
R T
L
I
E
N 8
H E
O C
L O
D N
E D
R _ .
IMPORTANT 03-293-00666
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
.2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300483
nwaa
MANUFACTURER NAME/ID
TRADE NAME
MODEL
DOM
DOT
DFS
SPC
EXPIRATION
LANCER/8079
LANCER
WOODRIDGE180
05/29/81
05/29/81
07/14/81
U SERIAL NUMBER
LABEL/INSIGNIA NUMBER
WEIGHT
LENGTH
WIDTH
ISSU O
SC
EXEMPT
SE
TYP
I AS26931
214836
024000
000720
000168
10/2/94
OR
S
LP
2 BS26931
214837
024000
000720
000168
3
TOTAL
4
FEES
S
PAID:
6
$48.00
A MILLER GREGORY G/
D CADBY SUSAN MARIE JTRS
D 6533 TIKKER LN
R MAGALIA CA 95954
E
S
S
E
t
R HILLER GREGORY G/ DUPLICATE COPY
E CADBY SUSAN MARIE JTRS , fi�
�. Yr TO BE FILED Wa'TM TKiS Fiv6Ii.E1'iGiic'
G M
I A 6533 TIKKER LN
g I PARK OPERATOR AS REQUIRED BY LAW
T L
E MAGALIA CA • 95954
E
E
D 8 /
o s 6533 TIKKER LNC` ,.
W I
J....._...
E u MAGALIA + CA 95954.%,— ' I z
R S
..
E RUTH H HARPER TRUSTEE,,'A�.
A 66 MONTROSE<DR f g
ry4a4'i
o OROVILLE CA 95954 . ��
W DATE 09/2L94 14:09:1001 '� `'s `� '4
„ tt
#"g d
R
IT
U F B
N I
I R
O 8
R T
L
I
E
N 8
H E
O C
L O
D N
E D
R _ .
IMPORTANT 03-293-00666
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
.2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300483
94-39037
Recording Requested By
9 4-039 037
—�"
BIDWELL TITLE.& ESCROW CO.
9.00
order a
3-167849 -SML
Recorded 1 Check
59.05
AND WHEN RECORDED MAIL TO
F
Butte I
Name
Gregory G. Miller
Street
6533 Tikker Lane
8:00am 19 -Sep -94 1 BWTC
Address
Magalia, CA 95954
City &
State
L_
Ao*
nKR_1 i,_nn7
Grani
94-39037
9 4-039 037
1 Rec Fee
9.00
I DOC
50.05
Recorded 1 Check
59.05
Official Records 1
County of I
Butte I
Candace J. Grubbs I
Recorder 1
8:00am 19 -Sep -94 1 BWTC
FM 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned giantor(s)-declar50. 05 + I BILE
Documentary transfer tax is $
( x) computed on full value of property conveyed, or
( ) computed on full value of liens and encumbrances remaining at time of sale.
( x) Unincorporated area: ( ) ,and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, RUTH H. HARPER, as Trustee
of the RUTH H. HARPER REVOCABLE TRUST dated May 3, 1993
hereby GRANT(S) to GREGORY G. MILLER, an unmarried man and SUSAN MARIE CADBY, an
unmarried woman as Joint Tenants
the following described real property in the unincorporated County of Butte
State of California:
SEE SCHEDULE C ATTACHED HERETO AND MADE A PART HEREOF
Dated: September 8, 1994
0" < /
arper, Trifstee
State of California } SS.
County of Butte
On geptember 9, 1994 before me, the undersigned, a Notary Public in and for said State personally appeared
RUTH H. HARPER (This area for official notarial seal)
personally known to me (or proved to me on the basis of satisfactory
evidence) -to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that be/she/they executed the same in
his/her/their authorized capacity(ies), and that by hislher/their signature(s)
on the instrument the person(s) or the entity upon behalf of which the
person(s) acted executed the instrument.
WITNESS my 1}artd and official sea�_
_ n
Signa(ur��
MAIL TAX STATEMENTS
BTE•DED•05 (6194)
ABOVE
• —�' SANDRA M. LINVILLE
p COMM. #988551 n+
e NOTARY PUBLIC -CALIFORNIA O
BUTTE COUNTY
» r. My Comm. Expires March 3,1997
9.4 -.— 3 s o 3.z_______I
Order No. 3-167849
SCHEDULE C
LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
LL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
CALIFORNIA, DESCRIBED AS FOLLOWS:
OF
THE SOUTH HALF OF LOT 353, AS SHOWN ON THAT CERTAIN MAP ENTITLED
HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, "FIR
STATE OF CALIFORNIA, MAY 19, 1955 IN MAP BOOK 21,
AT PAGES 31, 32, 33, 34 AND 35.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE S
THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS
AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE S SURFACE OF
LANDS WILL BE PROTECTED AGAINST D IT BEING
CARRIED ON FROM TUNNELS, SHAFTS OR DRAFTS HAVING THEIR SURFACE OF SAID
DAMAGE, AND THAT ALL SUCH MINING SHALL BE
�F THE SURFACE AREA OF THE ABOVE DESCRIBED REAL PROPERTY ALL A
SND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY ORIFICES OUTSIDE
D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947 IN BOOK 423OF BUTTE
:OUNTY OFFICIAL RECORDS, AT PAGE 385. /
BUTTE
P NO. 065-172-007
END OF DOCUMENT
arra a e (4rdfli7 cdtc,,
3� '�, i _.mow•. `;�
tate o California_.� �� - o `�•� K
f C unto �f
//��f.r //r�Y
�ertifI that on - 19• -�
.. Mbnth ; ` Day
at _-C hy rc{� F� c rov e '.; :.__, :._...._...__....:
,-- > California, under authority
of a license issued by the County Clerk of the. County of I the
�
+
undersigned, as a —o rd i fled ministt- 1e- ChVITJ1 "OT 'C7UUd joined in marriage
��r�� a HOrzU �
and
o j
/n ,�,.-. , , 6A
in the ese a of ` ` , res clingy at: Y
and ,. _ .` residing at,v�-'
.. J ^J-; ter'•:. � �.. `•f, �� y� ,� r .il, 'lw,��� ` �j 't i A . ,fir• � J •
_ °; Yr Signature of Perso Sh olenmizing Marriage
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 CoQnty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 `� T
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 065-172-007
ZONING
BUILDING PERMIT
OWNER MILLER, GREGORY &SUSAN
.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
80 R
OWNERS "AILING ADDRESS6533TIKKER LANE, jviAGALIA 95954
CONTRACTOR'S NAME
BRODERICK CONSTRUCTION
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 299.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee
$ 93 00
BUILDINGADDRESS 6533 TIKKER LANE, MAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome l] Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 1 9 -on
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other F
Describe Work: MH ON PERM FND, ON EXISTING SITE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home ISI G1 W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service .0.OR LESS
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 's ' 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.
❑ 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
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADD S. ( 8 ACC. S.
SO
3.5Q�,
NONFRE°SID. MULTI -OUTLET
@7,50
POWER APPARATUS
8 SIN GLE OAP=
CIR.Ex.
Occup. OUTLET OR FIXTURES
BAL @ 1 .50
Ex. Occup. DUT ETS Ra D.°FIXE"
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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
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
orkers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wit ose provisions.
-�+
X !/ D to I6!L
Signature of Applicant - Owner ❑ Contractor *Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 392.50
HA2.
�
D�EES P FLOOD
-�
CDF
r�-
p
pg
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date 7
G
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P T
(Rev. 12/96) APPLICATION AND PERMIT 99
ASSESSOR PARCEL NUMBER (D — O
ZONING
BUILDING PERMIT
OWNER /� -
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING Ab#RESS I( `
r /1��71n1 i
�n/-C(/�j� /`---
L V / V
CO CTOR'S NAME /'( _
J
,CL I/.��' �-
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $ ;? : (A7
BUILDING ADDRESS r
Energy Plan Checking Fee $
l
$
PERMIT FEE $ :L)
LOT NO.
SUBDIVISIONS NAME
PARCEL
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome k 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 ❑rX Remodel ❑ Utilities ❑ Installation ❑
Describe Work: 44 P �' �VYi
f�
Other
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home S G W @20.00
PERMIT FEE t
ELECTRICAL PERMIT Fling Fee 20.00
Main Service p. oA Lss 23.00
- ....
U
Main Service sow To +000A 46.00
NEW CONST. DWELLINGOCCUR 3.5Qso.
OR ADONS. 6 ACC. S.FT.
NEW CONS MULTFOUTLET
NON -REBID. @7.50
POWER APPARATUS
8 SINGLE OUTLET C10.
Ex. Occup. OUTLET OR FIXTURES p O 1.00
BAL O .SO
Ex. Occup. OIIT ETS .a.°EA 5.00
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
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
°"
CONST.TYPE TOTAL FEE $ a, S
HA2.
D. FEES IMP
I FLOOD
COF
PARCEL I PG
ND ISSUE
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
PERMIT EXPIRES ON
Dere
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ► / `(N I ,eK ASSESSOR PARCEL ER: 6a -
Proposed Building Use: rr / Building Inspector: Date:
At time of permit application, I was a ed the following data must be submitted prior to pe ' process' g and/or issuance:
Date Received By
�❑ 1 All items have been submitted.-------------------------------------------------------------------------------------
2. Plot plans, sets, signed by the preparer of plans. ------------------------------------------------------------
V
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
C1 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------------------
1:18.
--------------------------------------------------------
❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. --------------------
❑ 12. California Department of Forestry plan approval/fees.--------------
❑ 13. Flood elevation certifica : ---------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---•
020. Pre -inspection for
required Request to Building Inspector on
112 1. Contractor's license information. (Number, Name Style, Classification). ----------------------=-
022. Workers' Compensation carrier and policy number. -----------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------
❑24. Letter of signature authorization. ---------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement.---------------------------------------
1126.
------------------------ `M---: --❑26. Letter of intent on building use. -----------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance. ------- :
Existing violations and/or expired permits. ----------------------------------------------.11
=----------
1:129. ❑433 A, C3 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
1130. Other:
Other:
(Date)
?en you issue thel�jermit, p o[ s as follows 11 Mail to owner, ❑Mail to ntractor.
uTelephone Z� I -' 4015L and hold for pickup at 061 i / office. ❑ Deliver with inspector.
Applicant: k�� A54�Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: G=/ Date:
Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
- 4084-79P,E
PERMIT NO.
PERMIT EXPIRES
OWNER J.C. HARPER
CONTR. owner
LOCATION (A.P. 65-172-7 )
135 Tikker Lane, S/half lot 353, Fir Haven Sub,
Magalia
i •
p
N
1
X:
{
k
1
i
i,
Temp. Power /e-
7E
Temp. EIeo/Serv.
r Calle I
Temp. as Serv.
I
ied PG&E
13
FINALED r
l0 o
(Date)
(Signatu )
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heatino Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOMEU ILITI S -----=------=----- Elec_ Service Elec. Pedestal
Water Piping (� re�/� Sewer Gas Piping
OB16EHOME fNSTAILILATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE / REMARKS OR CORRECTIONS
tAt
mA-40 AW,
NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
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 physically
handica ed
Conformance of ex.
structure
Appliances
Gas Pip ng & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heatino Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOMEU ILITI S -----=------=----- Elec_ Service Elec. Pedestal
Water Piping (� re�/� Sewer Gas Piping
OB16EHOME fNSTAILILATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE / REMARKS OR CORRECTIONS
tAt
mA-40 AW,
NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTM N>"0�F PUBLIC WORKS
7 County Center Drive S Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
'
BUILDING
Owner J C ,ea
SO. FT. OCC. BUILDING VA UATION
Mailing Address
Telephone -`4
�/
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
0 3s�
PLUMBING No. @ FEE
wweetz �&A
PERMIT FILING FEE $3.00 b
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. l!S~ —/ 72-7
Zoning & P n ing
Water piping 1.50 OrQQ
Each gas water heater or vent 1.50
FK
O.e
ni t'o
FireDept.
FireZone
Use ennit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel p
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00 , �f
g. Plans Recd
Parcel- roval I
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $ d0
$ OC
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 �QQ
0OR LE
Main service 100 AMP ORSLESS 5.00 __6-,,00
Single Family ❑ Duplex ❑ Mobil Home$a Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST %ACCLCCUP. BLDGS,'I)20sgft
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 RESID.CONSTBRANCHCIRMULTI-OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS.6,
NON-RESID. SINGLE OUTLET CIR.
EX. OCcui)(OUTLETS OR FIXTIIRES BAL07
�1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (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 $ Ar, S
$ :57_r
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.
1 certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$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
Land Development Fee
$ , 0
TOTAL PERMIT FEE
$ r% Z
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X. % 7
Date
ignature of Permi a or Agent
Receipt No. o�,5-0 7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By 14r Date /-1 d -
Bui I ing permit expires Date % J1 ��
N ate® 9 ..m A• 6 ®� e e e � �o a ® � e t� e
two
(�; •
tat 0 Rye p ids O o
_ _ ._. _1 1 -ggOI (mN•CpfM�e�)/••.'�° ��-i�U•w'4 n, ` CdryGomF$•+ ' Gaa O�f,� �' ro � g�o
'A' •W rro�0Oq®a� MyGyiprLa
Lp
p.
m V�
S
Qat
��' Q '$� Q@J o • �1.q� Cry Q��� ° _ 0. e;% Da0 �6w,(�� •
w.•�it .' . fY� li ! O X moi, i •M•Wl C-, a Ma`',►O w - l'1Yift
1 Oma•• •
01 Q
` •.� Cp�ha ��•qq //pP�t, ��yp _
O
'� '% � • �. 4a •� �� ' �� � � $•�. d•4 Cil `W •� � V � � G� Q�� a�
Ike
� ,��� ass ��• � � � � � �
� CJ � tl• (f� � � 6 • � Gk7
fb
p QA.
��.
goo.
4 p
aim
Dec
8 a @ 0
-moi- iJ SA -9
� oaA I roe/
a
�jl13y1�.
_ COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Cdunty Center DrLve - Oroville, California.995965 - Telephone 916/534 41 3 -6 /
�_ Q�
- APPLICATION'AND PERMIT c�
ASS SSOR PARCEL NUMBE
ONING
BUILDING PERMIT
OWN E
' C `
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER MAILING A_ RES
X33 E
l a
CONTRACTOR'S NAME �1 LEPHONE
0 CAD t^��
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
0_33
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Repair drainage or vent piping
5.00
a
Water piping
LOT NO.SUBDIVISION
NAME ARCEL MAP
Each plas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRU URE ��°°
SF ❑ Duplex❑ Mobilehome❑ Other -F \e�}7/Y— I
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Re"�odeI ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: �Gle4 �� ��%��
0� ��
EJ/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v DR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.DWELLI C P.y
ACC . B
NEW
6gft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
[� 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
CDR
ONST� OUTLET
NON•RESID BRANCH CIRCUITS)4 2.50 ea
NEW CONSTR. ( POWER APPARATUS eI
NON-RESID. SINGLE OUTLET CIR.
80 @ 250
Ex . OCCUp OUTLETS OR FIXTURES BAL@1
Ex. Occup.(O UTLETS PP
(RESID )KEA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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 ertificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
1 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
FiIingFee 10.00
Heating
Cooling
Hood
3,00
Ventilation
:::T
Permit Fee
S
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, judgme ts, costs, and expenses which may in any way accrue
a rrs i i consequence o the granting of this permit.
Date /—�
i afore of Applicant - caner Contractor ❑ Agent ❑
An OSHA permit is, required for excavations over 5'0" deep and demolition or construct-
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
HD
IseuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
^ RE�IT_F UBLIC
v'/
By. '
PERMIT EXPIRES Date --
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/ ��
'3
Receipt No. J c7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
~ PERMIT NO. 4529-81B
PERMIT EXPIRES��-��J... -
OWNER J• C. Harper
CONTR. Jensen Const., Maga.
ASSESSOR PARCEL 65-172-7
LOCATION 6533 Tikker Ln., Magalia
Temp. Power Pole
Called PG&E
Eq
Temp. Elec. Service
i
i, Called PG&E
Temp. Gas Service
Cal led PG&
r'
JOB FIOA ED (Date) —/-IZ 04
Signature
J = OK i
0 = Not OK ^
- = Not Applicable MOBILEHOMES� MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) G,, _�zcept n _x
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails V�
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs:-C6nnec.=Shthg.-R[9"'fTracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.,;sLfes
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors .
7. Utility Clearance
7. Elec. /
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'a
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's r
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
_
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/O 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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date ,
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
G
V = OK
0 = Not OK { `►�
Not Applicable RESI6ENTIAL (Single and Vuplex)
= Not Ready
Date
UND FLOOR (Plaps) OK except #'s
Date
XFRAMING Continued
. Zoning requirements -Setbacks -Easements
i 8.
Property Line Firewall & lOpenings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
k9.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
.
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.
mwalls, Main; Steel-Blockouts-Wrapped-Slab
5 .
Siding -Nailing -Veneer
9!Stemwalls,
Garage; Steel-Blockouts-Wrapped-Slab
5
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers- F place Ftg.-Steel
54
Glazing Area -Glass Protection -Skylights -Plastic
6. D.W.V.: Fa -Fittings-T st-2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe -Siz -Anch
10.
Water Pipe; Te chors-Regulator-Service Test
11.
Electric; Undergr nd
12.
Plenums & Duc arance-Material-Support-Ins.
13.
Girders -Sills Anchor oIts-Joists-Vents-Cripples
Card -BI
Date S M -Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FI AL (Plans) OK except H's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
14.
Water Ht.; ent- Access-Combyftion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Nst & Anchors- ail Protection
16.
D.W.V.; Test- gs & An ors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, 'rst Ioor-Tub Access
60
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2 Floor -Tub Access
61
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & An or
621
Stairs & Rails
631
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Nte Card -BI Date
6 •
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
OfN
Da Card -BI Date
61,
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL errr.it OK except q's
6t.
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
20.
Fixture & Tr sformer Clearance -Ins. rotection
9.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptac sSpacing-Lights witches at Doors
22.
Size Boxes & No.\f Conductors7Z0.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Clo a to Edgf Sttudsads & C.J.
1.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made u w/ h. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in then & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
_
26.
Subfeed Wire Size / g Cu or AI-A.C. Wire Size / / ga. Cu or Al'
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / Cu or I -Oven Circ. / / ga. Cu or Al,
Insulated Neutra ❑Yes [ o
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 1i No
28.
Service -Riser onductors & Gro d -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clea nces; Panels -Motors Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes C set Light -Shower Light
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
Card B -I
Date _ Card -BI Da
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICA (Perrr,it) OK ext t 0%
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Duct : Insulation & Apport
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32_
Vent Fan; OShaust aboV Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate D 'n & erflow; size & Grade
34.
Furnace -Vent; A ss -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access &?Tat_Ncrn if Furnace in Attic
Card -Blhrd
Dat%,, Card -BI Date
Card -BI
_
Date _ Card -BI Date
Car.
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
3
Sills; Proper Material & Anchors
3
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
3
Bearing Walls over Girders & Floor, Nailing___
Draft Stop in Walls (rat proof)
_39
_40
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_ 41,
42
43
44
_Header & Beam -Size & Bearing_ _
Hangers -Post Caps -Anchors -Connectors_
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45
Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
_ __4_6_Bdrm.
Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisil jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITNO
�. 7 County Center Drive - Oroville, Ca4ifornia'95965 - Telephone 916/534-4541
APPLICATION AND PERMIT , J
ASSESSOR _PAP
`.CEL NUMB�E-F(��
Uj7 J I - V � -
ZONING /�
n A-
BUILDING PERMIT
OWNF..,EL
• C • 2 e a..
TELEPHONE
SQ. FT. OCC. BUILDING VA UATION
OWN 'S MAILING ADDRESS
C T ACTOR'S NAME
TELEPHONE
CO ACTOR'S MAILING ADD ESS
CONCTIO LEND R UNKNOWN
Fireplace
Total Valuation $
Filing Fee
$ 10.00
LEN ER•S MAIL NG DDRESS
Permit Fee
$ �
ARCHITECTOR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Z�
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS -1 In , '
V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
ECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WO'RK
Newt' Addition❑ Remodel❑ Utilities[] Installation❑ Other F1
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC(L P
OR ADDNS. ACC. BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and my license is in full orce and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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 CONSTR 1-OUTL 2.50 ea
NON.RES ID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS IN)
NON-RESID. SINGLE OUTLET CIR. /
Ex. Occup o TLIso @ 250
FIXTURES BAL@1
IXED A PoR
LNS R
Ex. Occup.(OUTLETS (RESID )EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
rV I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Not ce 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.
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgment:f, costs, and expenses which may in any way accrue
again ai County ' c nsequence of the granting of this permit.
X Date-•'
Owner ❑ Contractor 9 Agent
Signature ApplicanU101
An OSHA permit is d for excavations over 5'0" deep and demolition or construct-
ion of struc/Iries in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occu`.IGROUP
M
1 TYPE of CONST.
JPARCFLJ
PD
ND
sSD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/;? --/J—,& 7
42-1 1 —T L_-
Receipt NO. 51b R In,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
PERMIT NO. 1969-81MHI (existing site)
j PERMIT EXPIRES
OWNER JESSE & RUTH HARPER
!
CONTR. Lon's Mobile Home Service
ASSESSOR PARCEL 65=172-7
LOCATION 6533 Tikker Lane, Magalia
d
I
Temp. Power Pole
Called PG&E
Temp.
l9 8
Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
i
J B FIN LED (Date)
Signature
J = OK
0 = Not OK
= Not Applicable = •MO'$ILEHOMES
* = Not Ready
MISCELLANEOUS .-4,
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORtS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; 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; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOB165HOME INSTALLATION (Plans) OK except N's
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except #'s
Zo 'ng Requirements -Setbacks -Easements
1. Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
�3 -Ga�NH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
rain; MH Test -Fall -Flex Co(enirc-tor
5. Elec.; Pool Lighting; 15 volts-GFI
® Water; MH Test-Riga<tor- ector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
a, -fa -ter and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
GU and Electricity Tagged
t.—Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
1 Cert. of Oc upancy
9. Health Department Approval
otl 071,
10. Plumb; Cir. Test -Water Supply Test
Card B-1
en.�-
Date p I'Card-BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
'1�1-6
�C
A w
J= OK
0 = Not OK
: = Not Ap licable
= Not Re dy
RESIDENTIAL JSingle and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., 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
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
-
12.
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
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
_
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-Fltngs & 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.
Elec. Trim & Subpanel; Breaker Sizes -Labels
1.9.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
-�
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 ❑Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
- _
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ,Yes []No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
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
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except #'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
_
32.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
__33.
34. -Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
------
Card -BI
Date Card -BI Date
Card -BI
Card -BI
_
Date _ Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except #'s
Comments at Final:
36.
_Sills; Proper Material & Anchors
37.--Walls:-Studs-Nailing,
38.
39.
_
Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_
40.
_
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Root i rac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
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 Cali#orniaSAdministrative Code, Title 25, Chapter 5, under permit
number ` _` for the following location:
+t
Owner
Owner's Address
Mobilehome Mfg. ►�-�� ' t- tt Model Year
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date
IA
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext 70 \� -
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise —
872-141./ X57
CORR" ECT IORON H®TICS
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinande
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation., please contact this office immediately.
ME
1 �72/kC! lS &P Ui 40--d-
Inspector._._`.
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovirle, Calittornia 95965 - Telephone 916/534-4541
APPLICATION ARID PERMIT
ERM(
ASSES OR PARCEL N MB ER
.— —
ZONING
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC. BUILDING VAL TION
OW S MAILING ADDRESS
C NTRAfTOR'S A E ^
TELEPHONE
9.2 c7ONTR
A CTO 'S MA L NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNK OWj�i
(/
Total Valuation $ '
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
'— 3PLUMBING
PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDI
VISION NAME
JPt�CEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑' MobilehomeV Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ emodel ❑ Uti lit'es ❑ Instal lat'on I� Other ❑
Describe work:'e
Building sewer
Lawn sprinkler system
5.00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
F!IingFee 10.00
Main service 100 AMP LESS
5.00
'
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (
OR ADDNS. ACCLBLOGS.LING CCUP.y)
20sgft
CO TRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
01YI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code a my license is in full foyye apd effect.
License No. Classification i r
❑ 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 CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRCUITS2.50 ea
NEW CONSTR (POWER APPARATUS 6I
NON-RESID. (SINGLE OUTLET CIR.
so is¢
Ex. Occup(OUTLETS OR FIXTURES BALe1
IXED APPLNS• OR
EX. OCCup.�OUTLETS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
f� I have placed on file with the County of Butte Building Department
1� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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
struction, and hereby authorize representatives of the County of
pon the above -menti perty for inspection purposes.
save, indemnify deep arml s the County of Butte against
judg and ens which may in any way accrue
unty in con en t ti of this permit.
Xo
Signature of Applicant — Own r ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 or
stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE 166
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PO ND 1550,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By 9
PEPO4 PFRES DateL--�-
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 6-207
Receipt No. �® %�
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
OA,
A
of 50ft.
for a 2
This set of plans and specifications MUST be
)TE =All MaAerials & Workmanshi Shall Be In kit on the job at alltime i and it is unlawful tc
cordance wilh Recagni_a co rac ices an a_>
a�;,a- th
w i r Sion -o^s
c. c'fic 1
if �s.� anica�tt�►LI...I���VAON
PARK n I.D.
NAME �"�� - �,eo N0. SPACE
TENANT _ � E � i� ADDRESS DRESS 6533/%, &6-e, -(,�u,4
CONTRACTOR GOAJ 'S ;4S/G E LICENSE CONTRACTOR 42-1 RoSEvlc-c,E Z0.
'SAME _ 11,10,6I St "10. ADDRESS A2V-7W 04<—
--------- --
o
Uttlltfw — �
k of 5 ft. flonutku
lines and a setba
From the road
e shall be clear of
s or equipment e:
LDT LINE
MO®ILEHOME
PLOT PLAN
TILITY SERVICES
GAS: NATURAL LPG �z--
RISER SIZE
DRAIll INLET: SIZE
WATER OUTLET: SIZE
ELECTRICAL:
EQUIPMENT RATINGS (amps)
CIRCUIT BREAKER
RATING c)� (amps)
fid PERMANENT 13 POWER SUPPLY
WIRING CONNECTION CORD CONNECTION
RECEPTACLE RATING
(amps)
O PERMANENT OR Or TEMPORARY STEPS
PROVIDED AT TIME OF INSTALLATION
kA
W
W
W
H
i
rE
PARTMENT
MO®ILEHOME DATA -
SIZE: LENGTH C--O_(ft) 'WIDTH
(ft
MANUFACTURER: b4A)245>
VEHICLE SERIAL N0: 6931
HCD INSIGNIA OR HUD LABEL NO:
GAS SUPPLY INLET SIZE: ��
GAS CONNECTOR:' MATERIAL ..--t—_.
CAPACITY ---z,
B UH
DRAIN CONNECTOR: MATERIAL '
MFG • W Z GO !4
WATER CONNECTOR: 1-4ATERI C+e,oP )CE --X
SIZE M
ELECTRICAL FEEDER ASSEMRL
RATING
(amps)
CONDUITSIZE•
WIRE SIZE & TYPE—`
ELECTRICAL.POWER SUP L CRD:
ATING �---.
(amps)
MOB LEHOME ELECTRICAL
NAMEPLATE RATING vPer.z��
(amps)
6/77 HCD 538 - MHI APPLICATION SUPPLEMENT -9- ��
iEP
SPAC"
COLUMN SUPPORTS
04)
o-----0-- ----{}- - - --�- - --C}- - --�- - - --0- - - --0
MOBILEHOME Syf$PORT PLAN
MOBILEHOME DATA
MANUFACTURER'S INSTALLATION
INSTRUCTIdNS
AVAILABLE? ,KI yes
❑ no7
DATE OF MANUFACTURE
DESIGN ROOF LIVE LOAD
r.
(psf)
DESIGN.WIND LOAD
,� s
(psf)
MAXIMUM ALLOWABLE PIER SPACI G
(ft)
REQUIRED-PI.ER CAPACITY rP
7ov
(lbs)
REQUIRED COLUMN CAPACITY —
-J:1(70 O
(lbs)
REQUIRED TIEDOWN SPACIryG
(ft)
REQUIRED TIEDOWN CAPACITY
(lbs)
S I TE DATA
LLOWABLE SOIL CG
/BLARING PRESSURE orC) (psf)
ESTABLISHED 1JI//N`D PRESSURE OF AREA � (psf)
TIEDOWNS REOUYRED? ❑ yes .8,� no
REQUIRED ROO LIVE LOAD a (psf)
SNOW LOAD INT. PROGRAM 0 yes 11 o
PARK APPROVAL
IINSTALLATI
PPROVED
OWNER/OPERA
7177 -10-
LOAD BEARING SUPPORTS
❑ MANUFACTURED SUPPORT
LISTED AND LABELED CAPACITY (lbs)
L�= FIELD ASSEMBLED SUPPORT
DESIGN CAPACITYd0 0•(lbs)
FOOTING MATERIALS
7
❑ 2x PRESSURE TREATED LUMBER
SIZE CAPACITY (lbs)
❑ 31a" THICK Cf lCRETE
SIZE _ CAPACITY (lbs)
OTHER APPROVED MATERIAL
MATERIAL
SIZE CAPACITY?a O (lbs)
TIEDOWNS
MANUFACTURER
RATED CAPACITY (lbs)
SPACING AL1 (ft)
4
'
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
JE5S ., /?0 +7J 447CYc-C
1.
Owner's name: IF
2.
Installer's name: L6 A) �� J LL% A"C
" 3.
Is the site currently under permit? Yes / / No 7/ /
(If yes, furnish permit number ) 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 7SZ77 No
i
(If no, clarify
)
5.
What is the mobilehome electrical rating?-----------------------
��
Amps
6.
'What is the mobilehome site service rating?---------------------
o
Amps
7..
What is the mobilehome site circuit breaker rating?-------------
3`00
Amps
8.
Is there any other electric load.to be served by the mobilehome
siteservice? ---------------------------------------------------
Yes No
-.
737
(If yes, identify the load and size: (Load)
(Amps)
/
9.
What is the mobilehome sitegaspipe size? ----------------------
/� !�
( iri.
10.
What is the type of gas service? ------------------------------ Natural / //% LPG
11.
What is the gas pipe length from meter or tank to the mobilehome?
12.
What is the mobilehome gas demand?------------------------------
/V
(BTU)
(This information not required if pipe length less than 6 ft.
on natural gas .
or less than 50 ft, on LPG.)
MOBILEHOME SUPPORT DATA
If other.. than single wide,
Mobilehome Mfr. furnish Setup Model No. ' Year /
Width—,,Q? .(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)
C
Single % - ,® 1. Wood eitmelt
pressure treated or
C�
foundation grade.
` O x�
(ft.)(in.) (in.) (in.) 2. 0 her: (specif )
Center support Center support
locations* footing sizes Support$ (check one)
(in.) IBJ, 1: Concrete block.
2: Other. (specify)
(ft.)(in.) (in.) (in.)
*—Tagalong or Expando,'
show support details.
3 6: -1_4
(in.) (in.) �(p%yXV-
x Z -- Typical Support
(in.) (in.) Footing Size
o ox Z(4
(ft.)(in.) (in.) (in.) -- Max. Pier Spacing
Max. Overhang
(ft.)I in.) (in.) (in.)
0 T �4X4
BUTTE COUNTY
BUILDING DEPARTMENT
*If center piers are other than drawn above, Z/7�
draw in locatigns, spacing,. and dimensions. A P P R O V E. _
41
4 4"1
t
7r
41!
—
—i4
4P . kr Ailiv�41 i I -v I I •L. t�.i
I IV _7A
WI
t7—"-
V-._,
T7-
-j
4- H4 44
f7T -L
90'
"" ��f � / •art _ /�/-' �j 7
A4�
MOBILEHOME SUPPORT DATA
I
If oNev. than single wide,
Mobilehome Mfr. furnish Setup Model No. Year
Width v? (ft.) Box Lengt(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 eit?
A
pressure.treated or
foundation grade.
(ft.)(in:)
(in.) (in.)
�
2.�her�,• (�sj� �yikc�y
b
;enter support
Center support
locations*
footing sizes
Supporte (check one)
(in.)
1. Concrete block.
/12 p
j x
E]
•2. Other ( specify)
(ft.)(in.)
(in.) (in.)
X23 a L�
(ft.)(in.) (in.) (in.)
;Z f 6 ox -Z4
(ft.)(in.) (in.) (in.)
C�� 3o x i
(ft.)j (in.) (in.) (in.)
L-! =0 TE=4Xqj
b-11 *
•If center piers are other than drawn above,
,a...... ,- ,-- -_- --_--- - - -- -- -
Tagalong or Expando,'
show support details.
/& x,1 X Z4
x Z -- Typical Support
1.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
r O -- Max. Overhang
(ft.)(in.)
V
k
r� x �, .n �• PLATE
{�y
'eee
O �
C A&
, r
COAC01 I BEAN
11E'1K CA VOOU Cola OF $10MAT04% TmS 311Axa tutF.1 fin'
t• DOWN tDAD4• _.
VritIVAL UV': Lo"
l.A'IUA1.11"I IAAD
40
4 - 3/>i' r �. I "tIf w>tiIro , arcus -
41 'l ix
MALI LUBE 11CIGHT .r.w•rr+
U�a1) �,,` 1. SHORT TUBE
4.. + �' TONG 1UIE 2' DIA , 1
sorc' 1 30 1 � 4 - 3/0, iTD PIP[ tx "".........- r0 x�:.. ��¢�: 4
LI i (�. o30
f �•l r�. C/ 1(7t iS 3/16' PLATE: <.s
YIClxITEnNs
�. ,„Wtit I►�t1 rylWiwy+ ANpow Mato As
"! 49 L�uV>4nn tt
AA
to leo j otn SHALL s CpA101NATNT1►�'�
Tilt
!o Iroe[4ar ~ 3/4' TiIREADED -+ 3/16: PLATE LEGS
PpUxpAnONI11CpNjWRXDi1QC7R
rommila moats i i ' Cm i ROD TVP Uf 1 y,
i eY Pgt1l, tltr/ATtecATt?I>► V�tulwtD pn(ir�vE Klii, l'wACtt� AttR
Ci } j Ito MOr�U ! 4 'a
A11KM A«1f iC1 BB Rl7TfCYKtit1� Pauv ANu IrlAu• t'ri O+DtAti6E K •Inl! tE•'
I!� ' C� r �s►M�,�... qJMIW KA
5/16' PLATE NS(a0H(Xitr� 1000W "1AL L6q
5/e• x ! v4sat
WITH HARDENEWA11.
SHE11i1A•rTFS1»
1 TO Ard ASf • 34 Kill 1
l
. w I1fAILCOTQR►CDI;yOC111W1
Ji, SIIAl 1.8 /ATIUATIUt tCA
LISMI 'Not to SC]te �°�W$
lHAanW
AlllA36DING
NT PEN
C.PiSM1r, A1tUAiD7
►A33!Nt. ANQ• W (315 -AMA M1 -An
(v. BAL1i1: I Co 11 V%AWN tnW CA.XW1 VII.,aABIS
NOTE, V. TiTAIAt7RD rtqu: � iC11t11$ iiiC. AUTO ba "m%tCrtVl> C1/JAT'IR
k10S IS ta11VAt ENi TO IS f T -POUNDS L /►tL1A>STALOUAi1�011ftN1� f1A)R1Q
1G I 160 IN Ptx
UP( ��`''1 ' Ille rM AND RW" "E'.AN $U "T "'F%*
lFr IRIAIAM I COARa� t r 1"11W Will
�� p j6t#t��tiiri
-� -
I Imo!" 41 u `�''� AI'PROVBT3 ptItAVA1 WT AiIO r11A11. TTI tlrtltll A14t?
I I I } I ( , saAvKu FIV) vx* IIIA t°oIiAWRiA
to SULTS. ImII* MAX
.AISM- (sono MAX
FIELD DR,II_I. HOLES t
U(' i l l ►N O1 n T k YRi<T1CA1
4 - 114 1.E x STS CRAG H E AN ° " t� A fiCN Ir Poa tt ACINQ ►�IFAiO` 't nuxNQ1 cot4R lY0 wml t rltJaUlA1L
pR�tT
T, , THrr PUUN>7
L1, � m GyUirr X�t$.11011.
J 3.X3• "+ c�r�
1 / 4' x 2' x 4 PLATE t� plB9 OC 1'01rA • 1 NiYT1r i.
I jl � � 1 Tittr p[x1NtlATicJN h AN M �� TO � L�I$tiU ICTT31� t7N A /AtRI.Y IsV11. ItiB WITH 1K1 Vol"
I ANGLE ,3` WIDE v ci IR�tirrlriltfUlPNT
�,) } r '� "� ., IN ARIAS TIYii1RR dPiE$RI'rnn>. riTil.!<UBN7' (Ix$ i CAM (xxim. lIANITIACEtrRIsO IIOUi'.r rrw4. Be
t j • atl B;HpJ If Wat Atrii>DI 11 AlPI<CT T1tlf urr ttllt
t i ( �/ouCC Fit � I � SE1sNtc m � IIr;Aan►$1>�n "E" Dr. tn�t:lr><Wi W
D><Iti1IIC rime I PADM 1 1 4 - 1 / �' ° � t,1ANUTAC1 MI11 iK�
<r rou>aaAPAoi\ I i — - ��/ ' � - BOL I S ITER r3 � +�
ly DWI* MIS
10. 11t1r gV s M 111 AITA"AW 1 To AN11A1D ItotUI�lArloll
pCXtTttxWt liUADr[lPlllrJFO.AK IKfWVIV1K D�)AVd11)(0111riIANSOforMAYrtItQU[KRT1� ��:
j� uoye►rIC ru�lir /lIOTV1I c>tI THTC AS "I UAtA1P*'1t*91 RigrAu.AMM NAx1(At-
j� 1rt 1 OUTU j �t, cs avADtxriiOWAr Ifi,4NAihAf�rAUu iiI M r1
"L1111 � i� L•J '-�� "' , COACH ! of m a 11 i T Y P I C A L BEAM .
or Mosta 1 `SING AATit1N Mf> TIM "'YWOOD
CJACH 1..�
81NG1�}� HIDE TYPICAr, n [Ci' ,
DOUBLE wlpE TYPICAL (7'"iSt1-1 CONN E CTI ❑ N S j► nl>t i"OVNDATTON PAD r110WVN ow TTM CLAN Is:A 1`11MA1I U Pott+
28' OR 28' ' K"IDATt1�1i PAD MAYasllrylA AN ALTWIliA1T1•
' Not t� S c a t e .� , pUlIIW11t(kI r yp11• �(>isrnAit3en
SIN,7 � M..
Of711.E
COA('111LA_ rI� W1t
l61J�1k`Wl_x
`_ _it sa is w[attzc vnw a+iovl►,a D A>IW'AL"fE�F�aBYtTAAI.r'11rWIX1rfT�� PAD scale: 1~ 10' _- _. eau ae CrAmp OK04KA ioo�o ry1 AT 11 DAY$ M TWT1ta
AND
N!