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Home My WebLink About065-173-01665-173-16 He bert Bledsoe�OadLt/�� 6f65 lmwood Dr., lot 373, Magalia Permi # 29`'- 78P,E(util.,MH) ELEC. bAl - GAS 3 a5 i SUPPO T T CTURE REQ. q) COMPACTION T T REQ. /O —073-16 Contr: Qualit� ervice, Chico Permit #2091-7 MHI Issued Gerald Cross r9 65E1 ood Dr., lot 373, aga is Permit #3469-78B(new covered.d k/MH) i ,65-173-16 ermit #4041-78B(new awning) MH `a Q ,gin/ 65-173-16 ( K. BattaQli 6565 Elmwood,. jot 3,73-S'k,FH Sub, Maga lia ��W �p/ contr:�"& E Const., Paradise Permit #661-81B(new ramada,carport & covered deck B07-1148 ' ' 065-173-016 RESIDENTIAL' SM -Mobile Home RET MH PERM FND EX SITE 1449 -T. I 6565 ELMWOOD D f4 STINGER VIVIAN 1,^ 0 4 tel: Pillow ri 0 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds Permit No: B07-1148 Issued: 05/25/2007 Address: 6565 ELMWOOD DR Area: MAGALIA Owner: STINGER VIVIAN I, APN: 065-173-016 Applicant: GERALD GLEN DOREMMap Page: Permit Type: SFD-Mobile Home RET Description: MH PERM FND EX SITE 1440 SQ.FT. Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Fin31s Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: 4-- /4 L (O 2 20 2 4— 7 Public Work Fina 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 P14 et -rrolect anal is a lRrnticate of Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy JI 17 STATE OF CALIFORNIA - DEPARTMENT OFT US NG AND COMMUNITY DEVELOPMENT Manufactured Home Decal No: AAZ3072 ffl,66UA acturer ID1Name Trade Name Model DOM OFS RY Exp. Date BENDOC 00!0011978 05/3011978 1978 May 31, 2006 rial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type CAL102202 64' 12' AEX 04 SFD ILT 64' 12' CALIC2203 Issued Total Fees Paid Oct 11, 2005 4 .277.00 Addressee VIVIAN INEZ STINGER 1831 GENEVA LANE ANTIOCH, CA 94509 Registered Owner(s) VIVIAN INEZ STINGER 1831 GENEVA LANE ANTIOCH, CA 94509 Situs Address 6565 ELMWOOD MAGALIA, CA 95954 ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE ® INDICATED ABOVE IN THE BOX LABELED "Exp. Date". ® THERE ARE SUBSTANTIAL PENALTIES FOR ® DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL ® NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. mmHg mim MM i� IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 10112005- 118 DTN: 4106407 £OOz SSSL LSS SZ6 YV3 ZO:9T LOOZ/EZ/90 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6565 ELMWOOD DR Owner: Permit No: B07-1148 APN: 065-173-016 STINGER VIVIAN I, Issued Date: 05/25/2007 By TMP Permit type: RESIDENTIAL 1831 GENEVA LN Subtype: SFD-Mobile Home RET ANTIOCH, CA 94509 Expiration Date: 05/24/2008 Description: MH PERM FND EX SITE 1440 SQ.F Occupancy: R-3 Zoning: RT -1A. Contractor Applicant: Square Footage: GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage Remdl/Addn PO BOX 4121 PO BOX 4121 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 895-1774 (530) 895-1774 FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B3238 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GERALD GLEN DOREMUS 445103 / C47 / 08/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/25/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the. Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section nee not a completed if the permit is or one hundred dollars ($100) or ess. ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/25/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 05/25/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 05/25/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; DAgent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State Zip 11de No. 07 -413187 -CH Locate No. CAFNT0958-0721-0020-0000413187 LEGAL DESCRIPTION EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNT( OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: The South -half of Lot 373, as shown on that certain Map entitled, "Fir Haven Subdivision", filed in the Office of the County Recorder of Butte County, California, on May 19, 1955, in Book 21, of Maps, at Page(s) 31, 32 33, 34 and 35. Excepting and reserving 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 drifts having their orifices outside of the surface area of the above described realty, 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, Page 385, of Official Records. APN: 065-173-016 2 CLTA preliminary Report Farts - Modified (11117106) — ---- - — ...— ...- zoo 18 SSSL L88 SZ8 %Vd Z0* -9T LOOZ/£Z/50 Order # -RECORDING REOUESTED BY AND WHEN RECORDED MAIL TO Vivian Stinger 1243 Lancashire Dr. Concord, CA .94518 1 998-00 1 493'3 Recorded I REC FEE 10.N Official Records i County Of I CMI ACEutte J. GRUBBS I I Maureen 09WIAM 17 -Apr -1998 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE AP# Interspousal Transfer Grant Deed (EXCLUDED FROM REAPPRAISAL UNDER CALIFORNIA CONSTITUTION ARTICLE 13 A § 1 ET. SEG.) THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY This is an Interspousal Transfer and not a change in ownership under § 63 of the Revenue and Taxation code and Grantor(s) has (have) checked the applicable exclusion from reappraisal: ❑ A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse of the trustor. A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of marriage or legal separation, or ❑ A creation, transfer, or termination, solely between spouses, of any co -owner's interest. ❑ The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal entity in connection with a property settlement agreement or a decree of dissolution of a marriage or legal separation. ❑ Other: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Donald A. Stinger hereby GRANT(S) to Vivian I. Stinger the following described real property in the City of Maga 1 i a ' County of Butte State of California: Commonly known and described as 6565 Elmwood Drive, APN # 065-173-016 legal description attached and made part hereof. See attached exhibit4 A. State of CaVQmia1 County of vin / ►- 4 C ` °�v+.� SS. On-� 0 i before me, the undersigned, a Notary Public in and for said State personally appeared ;C J D nl A L l0 R ( F A- ('Phis 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 he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/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 h d official seal. Signature Z )g," MAIL TAX STATEMENTS TO same as above STE-DED-07 (500 6/95) DENNIS L. ARSENAULT COMM. s »32775 QNotary Public CalAomia m r CONTRA COSTA COUNTY APR. 4 2001m My Comm. Exp' BUTTE COUNTY 0��0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o -='�=�- o A FEE WILL BE REQUIRED AT TIME OF APPLICATION c y Website: www.buttecounty.net/dds ®UN's **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name First Nam Mailing Address Phone City AI E-mail Statee Zi /L Phone Fi 2:1 Z Fax E-mail State License Number CONTRACTOR Name Address Lf.Z City State Zip S Phone Fax E-mail Lic. #Class 1-1 APPLICANT INFORMATION A RCI -ll TECTIENGI NEER Name City AddteSs - City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail I (--[ -,>. APPLICANT SIGNATURE R PERMIT NO. 607- %% BIN # . PROJECT LOCATION API _ 3 � / Property Address twv o City E WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: .S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-1148 Address or location of unit: 6565 ELMWOOD DR MAGALIA CA 95954 Legal Description of Real Property: 065-173-016 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: STINGER VIVIAN I, Owner's address: 1831 GENEVA LN ANTIOCH CA 94509 INSIGNIA OR HUD NUMBER: CAL102202/3 SERIAL NUMBER OR V.I.N.: RC1166A/B MANUFACTURER'S NAME: N/A YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: 1'1 2 `07 PHONE: (530) 538-7541 H.C.D. 513 661-81B PERMIT NO. ^ x11 3//!�J/ PERMIT EXPIRES K. Battaglin OWNER D & E Const., Paradise CONTR. 65-173-16 ASSESSOR PARCEL 6565 Elmwood, lot 373-S'k, LOCATION FH Sub, Mqplia i, 1: i .j F. Temp. Power Pole Called PG&E Temp. Elec. Service G Called PG&E Temp. Gas Service 1 Cal led PG&E i' JOB FINALED (Date) 8 I Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 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 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./ P'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 #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except U's 1. Setbacks -Easements t 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/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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) ,.•... Date UNDERFLOOR Plans OK except #'a Date FRAMING (Continued) 1. Zon X requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. g., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 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. Stem IIs, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. rs-Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test -� 11. Electric; Underground 10,96 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 -BIOS Date V11 Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -Bl Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 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 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails 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 q'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. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, 73. 74. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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 ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 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 Dale 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrnit) OK except N'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 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. AttiIp Access & Platform if Furnace in Attic - Card -B Dat ( Card -BI Date 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 FR ING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing ` 39. Draft Stop in Walls (rat proof) LI✓ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub CA 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 1 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) CO INTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT ASSE O�P,,ARCE U.MB ER pS NING 'U -A BUILDING PER OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS/ CO TOR'S8F ( �V1 S • TELEPHONE � v� �V�a t CON�37TRACTOR'S MAI G ADDRESS v W. Fireplace CON TRUCTION LENDER UNKNOWN Total Valuation $ I y p '� Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ (Q ARC%�IITTEEC�T OAR ENGINEER LICENSE NO. Plan Checking Fee ,$' 2 ^� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r— (QS(oJLdJ'j iNa0D, 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 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ys) Describe work: / ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.9) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and m license is in full foe and ffect. Y nforce e License No. Classification � •� ❑ I, as the owner, or m 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I-ou LET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS D NON-RESID. SINGLE OUTLET CIR. 50 @ 2150and Ex. OccupOUTLETS OR FIXTURES BAL01 Ex. Occup.(pUTLETIXED SP(RESID IKEA, 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. [�rI 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keepharmlessthe County of Butte against all liabilities, costs, and expenses which may in an wayaccrue againstsaid County inconsequenceof the granting of this permit. X T��C _ dL��s� Date 3�2 ZA'V � 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 $ r TOTAL PERMIT FEE $ O6 oec4`. f o0P �`JJ�vff!! TYPE of CONST. IPARCFLI ND Iss It This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU By PERMIT EXPIRES Date the applicable i- resolutions to to do fees have been paid. IC WORKS Date '� Receipt No. �7!oS WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 4041-78B PERMIT EXPIRES OWNER GERALD CROSS CONTR. owner LOCATION (A.P. 65-173-16 165 Elmwood Dr, lot 373, Magalia' Y I I I k I Temp. Power Pole' Called PG&E Temp. Elec. Serv. Called PG&E Temp Gas Serv. ailed PG&E I OB ^ FINALED 2 - (Date) (Signature) Stucco COUNTY OF BUTTE — DEPARTMO _NT, QF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels 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 Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final W' Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS , Motors Framing Test warar Hrr_ Stucco Final Subpanels Mesh MECHANICAL Gird. 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 BILEHOME INSTALLATION - - - - - - - - - - - - - - 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.) GOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4qy/ _ �� A4` f aUiIIUIILe represeniailvets of me County or Butte to enter upon the above-mentioned property for inspection purposes. X50A�a- Date 71111 /71) Signature Permitee or Agent -10 Receipt No. / 7e 023 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. DIRECTORS V GBLIC WORKS BY Date 7—ld-- 74 Building permit expires Date _ 7-1,P- 7 f BUILDING Owner C 5 SQ. FT. OCC. BUILDING VALUATION vo K� Mailing Address � r Telephone No. Contractor /-- Mailing Address Fireplace Total Valuation LOO, oC� Telephone No. Permit Fee Building Address 16 57tr Jo Plan Checking Fee &/or Penalty Permit Fee Z. 65 (a OC PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 L.ar— — �j Each Trap 1.50 Repair drainage or vent piping 1.50 �•• A. P. No. j -- 73 — % Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F� � ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map I 60' /W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. F41i`n5 Rec'd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW Q ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Duplex ❑ Mobil Home tZ Others Single Family ❑ ❑ Main service 600V OR LESS too AMP LESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST % ACCLBLDGS.DWELING CCUP. 1+) 2dsgft CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUT LET NO N.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &, . Ex. Occup{OUTLETS OR FIXTIIRES g L @ t Ex. OCCU (FIXED APPLNS. OR p. 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 $ 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 FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE Is aUiIIUIILe represeniailvets of me County or Butte to enter upon the above-mentioned property for inspection purposes. X50A�a- Date 71111 /71) Signature Permitee or Agent -10 Receipt No. / 7e 023 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. DIRECTORS V GBLIC WORKS BY Date 7—ld-- 74 Building permit expires Date _ 7-1,P- 7 f f PERMIT NO. 3469-78B PERMIT EXPIRES OWNER Gerald Cross �CONTR. nwnP r 65-173-16 LOCATION (A.P. ) 165 Elmwood Dr., lot 373, Fir Haven Sub, Maga. 4; Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED 7 (Date) (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS J BUILDING INSPECTION RECORD BUILDING Setback e/ Forms Main Bldg. Footings StemwaI l Slab Piers BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Pipinl Sewer Fixtures PLUMBING Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. / structure i Appliances Gas Piping &Test Temp. Gas Slab Final / y-7 Sanitation Patio FIREPLACIEV Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. 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 I Ducts Underground Interior Lath Ventilation Permanent Door Closer ` Final Final MOBILEHOME UTILITIES ------------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BILEH IME INSTALLAION - - - - - - - - - - - - - - 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.) 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �- 7 County Center Drive . OrdCville, California 95965 Telephone: 534-4541 j APPLICATION AND PERMIT lie,oma authorize representatives of the county of Butte to enter upon the above-mentioned property for ' pectio urposes. Dat�Ilzev 1/7 < 1 X Signature of ermiiee or Agent Receipt No. YJ� 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 aid. DIRECTOR PU LIC WORKS BY Date &I, B (ding permit expires Date G ?f—?i BUILDING i W III IT Jr OwnerQSS SO. FT. OCC. BUILDING VALUATION o Mailing Address D, ,'do,{ 71k, - elephone No. �lO W Contractor (�►'L Mailing Address Fireplace Total Valuation U G Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee W Q@ ee,, PLUMBING No. @ FEE S` 3 i p, r4S," PERMIT FILING FEE $3.00 Each Trap 1.50 //GL ps Repair drainage or vent piping 1.50 f 73 a / A. P. No.6 / G Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe S • tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EDA Parkin Plans arcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. F�iefSs Recd Parcel Approval Plans`Approval Lawn sprinkler system 2.00 NEW 14 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LE ss 5.00 Single Famil Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service// EA. AOD'L 100 AMP 1.00 OR ADDNSNEW CONST t ADWECCLBL GS.LING CCUP. S) 2¢Sgft 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 CONSTRES'D, MULTI.OUTLET NON.RESID ( BRANCH CIRCUITS)l 12.50ea NEW CONSTR POWER APPARATUS 0 NON-RESID. SINGLE OUTLET CIR. J. Ex. Occup{OUTLETS OR FIXTIIRES B L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 lam exempt from the Contractors License Laws of Ahe 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 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for ' pectio urposes. Dat�Ilzev 1/7 < 1 X Signature of ermiiee or Agent Receipt No. YJ� 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 aid. DIRECTOR PU LIC WORKS BY Date &I, B (ding permit expires Date G ?f—?i V P6AMIT NO. 1429=78P.E �/�/7PERMIT EXPIRES OWNER Herbert Bledsoe CONTR. owner LOCATION (A.P. 65-173-16 165 Elmwood Dr., lot 373, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E -5' T 'mp. Gas Serv. 4L41.#jZL Called PG&E JOB FINALED (Date) (Signar ) 9.' Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 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. t 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 electrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off -card and tag services. 1 C MOBILEHOME DATA Manufacturer and/or Namestyle Length , Width Vehicle Serial No. �4 State Identification No. C4 % vY0 Y X03 Additional Information or Comments: 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_ZNo 2. Does the mobilehome have.requ*ired clearances above ground? (Sec.5085) YesL/ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes v INo 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If mo a than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 7 No 6. Water A. Is fle 'ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes .XNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes !/ No_ C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains 'A. Is connection made with Schedule 40 DWV and have flex connectors at each endue? Yes No B. Does it have minimum " per foot slope and is it properly supported? Yesn/ No C. Are any leaks detected in drainage system after running 3llons of water through each fixture including washing machine standpipe? Yes No_ D If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes -INo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. /No. C. Are all appliance vents properly installed? Yes . • , o COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �� l''" for the following location: >. . .;�7 Owner'' Owner's Address 4,1- 11 Mobilehome Mfg. Model Year Insignia No.„ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. DateBy Director of Public Works THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 0 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING- ' Se ack Virewall Soil)Zaping Forrh krapets 1 st Vor Mai Bldg. ReNtroom Finish 2nd FI or Fo ins Win ws 3rd Floo Stem all Sidin To out Slab Roof Sh athin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal l Garage Ventx Insulation Water Htr. Heaters Slab Car ort p Footings Slab Prov. for ph SINY handica ed Conformance of ex structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIR LACE Final Footin s Footing LECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bord Bea FIRE SPRINKLE)tS Motors Fr ming Test Water Ht Stucco Final Sub an s Mesh MECHANICAL Gird. ult Prot. Scr ch X Heatilta. Servite B n Coo ng emp. Pole F nish Dults nder round In rior Lath ntilation Permanent or Closer Inal fFinal ------------------ MOBILEHOME UTILITIESElec-. Service y 1y g' Elec. Pedestal Piping �c/ ? Sewer G if �/�"1. Gas Piping ,��E Vt�er OME 1 STALLATI N --- ----Support r r6' Elec. Continuity r Piping TE Drainage REMARKS OR CORRECTIONS Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BU'T'TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 /l/��_�� Tel ephOne: 534-4541 / 1� APPLICATION AND PERMIT A .cr. c.a... �.+u v c o v� UIQ vvu.1 y vl OullG lU GIILCI u1JUII IIIc above-mentioned property for inspection purposes. X a, dd_, Date 3X9 Signature of Permitee or Agent Receipt No. / 7� 3 V 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 PUPILIC WORKS / BYJ E Date �(- Bug permit expires Date _ y ildin—7 f 1 BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 v`e Te e hone o7 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 J Z Z,+ -,g 7;d— `{iV e dpZhfy Repair drainage or vent piping 1.50 )77 _, // A. P. No. / 1 D Lo^i^s P Water piping �f-3@ Each gas water heater or vent 1.50 Fl,a s Sa on FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 110 EQA Parking Parcel Plans Declaration r 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 za Bldg. PYans Rec'd Parc roval Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Single Family Duplex Mobil Home �Others❑ ❑❑ Main service 600v OR LESS y 100 AMP LESS 5.00 J Main service EA. ADD -L loo AMP 2.50 50o SQ. FT. MINIMUM MR MOBMES ' OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCDWEL'BLDGS.LING CCUP. 91 2¢Sgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y T NEW CONSTR BRANCH CIRCUITS/1 NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.&J NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTI-RES 1 50@:1 BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 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 $ $ Jj WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $711' TOTALP ERMIT FEE $ .cr. c.a... �.+u v c o v� UIQ vvu.1 y vl OullG lU GIILCI u1JUII IIIc above-mentioned property for inspection purposes. X a, dd_, Date 3X9 Signature of Permitee or Agent Receipt No. / 7� 3 V 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 PUPILIC WORKS / BYJ E Date �(- Bug permit expires Date _ y ildin—7 f 1 -). -Ibis Set < kept en'tlie make any cl writ&en perr lic Works, t Thee Setk side property centerline of t mum ofa2ft. out of all eas NOTE:—All t Accordance v of a quality F Uniform Buildii the National f 'Iajns_and..spedfications -MUST-'bE- 3b alit all times and it is unlawful to r.,?s or alterations on same without ssion from the Department of Pub. >unty of Butte. I . ;k sall be 5 ft. from the ie tnd 50 ft. from the road, permitting a maxi ive loverhang but eritirdV d II utility connections shall be -aced within 4 ft. outside the rear ird I section of the mobile home i tWe left (road) side of the mobile Mme. Septic system and location ef- 94a6-atrF to be as per Butte County. Health Dept. Re- mrements la#ericals & 'Vorkmans'nip Shall Be in ith Recognized Good Practices and ,escribed for the Specified use in the g, Plumbing & Mechanical Codes and �ectriedl Code. 5e19Z1 L -t SNC- = 2 RbIC1140131L o o /2j1'/�o E/L c X; �'4s 2 •J I BUTTE COUNTY BUILDING. DEPARTME T APPROVED 19P 0615 /'7- 3 - 6 r � J,'�F'_V s%gid, s el, ,L/ COUNTY 0 U I I E — DEPARTMENfT OF PUBLIC WORKS 7 County Center Drive — Orgville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �09�8 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. `I X 0' Date 4'Z+- Signature -offLPeermitee or Agent Receipt No. % 7 ,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. WRECTOR OF PUBLIC WORKS B Date Building permit expires Date__/% / BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor c " Mailing AddressZ112- Fireplace Total Valuation /GQ Tele hone e_> Permit Fee Building Address43�%� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �. p Repair drainage or vent piping 1.50 A. P. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W:-@: Seftitatinn I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 1314b. Plans Rec'd Parc1loopproval P ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ -�'6' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS too AMP LESS 5.00 Single Family Duplex Mobil Home, Others ❑ P ❑ ❑ -L Main service EA. ADD'L too AMP 2.50 Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. Y) 22sgft 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 of: ♦ * 1" c 0-4- EW COSIDD, � BRANCH CIRCUITS) 12.50eal NNON REMULTI-OUTLET NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L2; Ex. Occup. ( UTLETS FIXED P(RESID.)REA) 2.00 Temporary service 10.00 ' Mobile Home Facilities 15.00 License No. i- Classification C, -CP I 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 a("O a 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 L fs��.C�G� $ TOTAL PERMIT FEE Is O authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. `I X 0' Date 4'Z+- Signature -offLPeermitee or Agent Receipt No. % 7 ,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. WRECTOR OF PUBLIC WORKS B Date Building permit expires Date__/% / MOBILEHOME SUPPORT DATA ((�� If other than single wide, Mobilehome Mfr. c�EnY�i x furnish Setup Model No. I aVID Year l lqrn Width a (ft.) Box teigth (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) BUTTE COUNTY BUILDING DEPARTMENT O/ y APPROVED (� *If center piers are other than drawn above, ' ` draw in. -locations, spacing, and dimensions. Single D-4,.Wood either A A pressure treated, or JIM a4 x.st ld foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (ft.)(in.) (in.) E2--_; Concrete block. F(p -1-CF] 2., Other (specify) (ft.)(in.) (in.) (in.) hk x,301 -- Typical Support BUTTE COUNTY BUILDING DEPARTMENT O/ y APPROVED (� *If center piers are other than drawn above, ' ` draw in. -locations, spacing, and dimensions. Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.), - hk x,301 -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) �,� -= Max. Pier Spacing �i � „ -- Max. Overhang (ft.)I (in.) (in.) (in.) i (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT O/ y APPROVED (� *If center piers are other than drawn above, ' ` draw in. -locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number �� z-9 — ) OR Is the site an existing site? Yes / / No ( If yes, furnish two ( 2). plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 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 / / No7;:_r (If yes identify the load and size: (Load) (Amps) (This information not required.if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (in.) 9. What is the mobilehome site gas pipe size? ------------------- ------ 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? l �� (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required.if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 'oritlw 9 Sro"-**,,)I. ko 12, 7 3 i uIVIh,1 ��, CSS-- 73 - o/� C v uIVIh,1 ��, CSS-- 73 - o/�