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065-175-015
r ' 65-175 7hsh : Robert Barton SMITH H F. _��•. -- 8-7-3-7. 2B,P,EM- ' 190 Elmwood Dr lot 386J,N2a. Fir ; �— Haven Sub, Magal is - -'contr:' Par-A-Dise •Const. ;` Paadige'" - -78P,E ) Permit # 71 (util. 3g7 Elmwood Dr:, Magalia ' ELEC. 6Z (new single family)—� U GAS _ SUPPO T S RUCTURE REQ . �s p �,�.�� i COMPACTION TEST REQ. ontr :- Clemons, DavisSM 75Chico - - - - - - - -- - permit`#3983-78NHI--- /� - - - --------- - --- _�_ --.--- ----�- _. _ -Issued —"' �'�-�--� - - - --- -- - -- 66-175-4-1y"' !`� ontr: .Cal GAs, Paradise A; 71� ermit #4218-78R(gas line) MH 65-175413r- contr: Northstate Aluminum, Chico Permit #6390-78B(new awnin�p/MH) , 'rItlol ' �� ?' 65-175-jr/Jo contr: Par-A-DiseJ06n°art., Paradise Permit 28-q=9'B'(w'.pr�gag/ ) PERMIT#95-0692;r ! i BARTON Ronald D.�js. 6582 'Elmwood; Magalial✓�" ;Conti "Chico '• Mobile Home4-Spec ` ;Perm Fnd'-u'nder.'Ex MH _ 'a: _ _ " > , 3 , i � 4 I I !m A fF I !m A 3644 RECORDING REQUESTED BY: 95-013644'1 Rec Fee .00 I Total .00 AND WHEN RECORDED MAIL TO: Recorded I Official Records I NAME BUILDING DIVISION County of I Butte I STREET 7 COUNTY CENTER DRIVE Candace J. Grubbs I ADDRESS OROVILLE CA 95965 Recorder I CITY 11:48am 26—Apr-95 I COMS XX 2 STATE and ZIP SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the dote 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. RONALD D BARTON BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6582 ELMWOOD DRIVE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA, BUTTE, CA 95954 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 95-0692 (916) 538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT BUILDING PERM/aJ4OYr /TELEPHONE NUMBER ��•L''i/ ��t1`f t! 4/20/95 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGE FFICIAL DATE UNIT OWNER (If also property owner, write "SAME'l DEALER NAME (If not a dealer sale, write "NONE'l SAME NONE MAILING ADDRESS DEALER LICENSE NO. CRY COUNTY STATE ZIP UNIT DESCRIPTION BENDIX 1979 BENDIX MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER RC1196A/B 24'X48' 102276/102277 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) 47; ::. Y REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER t A P • >#065=1.75-015 SEE ATTACHED LEGAL DESCRIPTION. _. �MENT OFhO i1y HCD FORM 433(A) Rev. 8/91 c���NNITY OE����� WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Budding Dept. 95-,13644 LEGAL DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: The North half of Lot 386, as shown on that certain map entitled, "FIR HAVEN SUBDIVISION," which map was filed in the office of the Recorder of the County of Butte, State of California, May 19, 1955 in Book 21 of Maps, at pages 31,32,33,34, and 35. , EXCEPTING and RESERVING THEREFROM all the valuable minerals beneath the surface of the said land, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said land 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 the Magalia Mining Company, a corporation , to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at page 385. 1 END OF DOCVOU1EW BUILDING PERMIT NUMBER: 95-0692 Address or location of unit: 6582 ELMWOOD DRIVE, MAGALIA Legal Description of Real Property: A.P. #065-175-015 SEE ATTACHED LEGAL DESCRIPTION. [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: RONALD D BARTON Owner's address: 6582 ELMWOOD DRIVE, MAGALIA, CA 95954 INSIGNIA OF HUD NUMBER: 102276/102277 SERIAL NUMBER OR V.I.N. RC1196A/B MANUFACTURER'S NAME: BENDIX YEAR ; 1979 OFFICIAL APPROVING INSTALLATION: DATE: 4/20/95 PHONE: (916) 538-7541 H.C.D. 513C a LEGAL DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: The North half of Lot 386, as shown on that certain map entitled, "FIR HAVEN SUBDIVISION," which map was filed in the office of the Recorder of the County of Butte, State of California, May 19, 1955 in Book 21 of Maps, at pages 31,32,33,34, and 35. EXCEPTING and RESERVING THEREFROM all the valuable minerals beneath the surface of the said land, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said land 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 the Magalia Mining Company, a corporation , to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at page 385. I . ........ z E 3 4 2tP.1:rf 0177 - - - w %F %a 13 i • a 11 00% i1i fll11 • ? � v ii t • w • " t� " i �t 1 � t' •wi L�� LE; 1'ii`wi?4�o • rte►+p r�r� .•..w Y �A+►• s� M p.p wy•..w ••� is •~�� an u ; F a O �' p ■ *�* A � •y� •••1 • + w i W • r r► 09 • Wk . - s . N cr cr 33J i ~ � •ten JAM w d � ! 0'+1n� • A �+ t7 to10 r w n? y . w w • 1 w a• ■ . �, i : V •+ Q R ✓ \nom • I tcr# i•z . »� � s i•�4 w w V1 2 L J c fll11 • 'r LE; tR��i. Se �. .•iceFs a 1 A -71 Aq i ~ � •ten JAM w d � CERTIFICATE OF DEATHl7�r�4�o� 000673 LAOwMA 4 ,,.ATL FILE NUM9aR Y/a �rACn /°( p<n^M oP CA1/NO q•/Yw/L MN.OYTa OS ALIMAnONS v/ -I I (n.1I. 7/.al LOCAL w.aaTNAT10N wvoww" DATE--AP-0-8-MS____-- -- - -- This is io certify that if b;&in9 tt* W* Lard of this office, lhi$ is a trite copy of the docufnsnt fried ` �~ Ah file Butt@ County Raoordar's OfMtoo. J G,ubIJe TO *d �6E2St72 01 t1S0�13GNOd ,d3> NUS _ 3MG-1o3 1.408-1 WdLS : `120 S66I-2.0-b0 I. NAF/ OF D.C.D.M-PIIIDT IW.aW 1 MIDDLE ]. L•/T (PAL/LTI Robert D. Barton A.DA42 OF .,NN/Do/cc.+ SACS IwL I ,r 1 . IF Yr.Gq]A NcY. e. NA 7. DAM Or Gun. rr/GG/ccr. ,O. NDYw 06/24/1911 82 � Male 04 24 1994 0112 9. DTAM or awrN 10. f - facua,w 110. 1 t. r tllAnr a"'ca 11. AUNITAL °TATE/ 13, MYC- -,.Awa Co..Lrrco PewiONAL �+ 348-09-8908 44 45 Married 12 19 TO 19_ Now DATA l< AAV 11. NIaIANIG-M.GV? 10. Y.VAa WRO.M Caucasian Bendix, Corporation TCD x ND 17.oeel�•rwLl 1e. AG.o 19. Taw/ w «CYFArow Assembly Technician Bendix Aircraft Corp. Unknown i0. MNo1MC°-nF/n •rN .W°M 00 LOCATOM ' P.O. Box 38 - 6582 Elmwood Drive USUAL RaSIOCNCa 21. CRT 22 cOYNTT 1& LP Coco Ea. Yw. w CDUNTT 1 15, -Ar. On FOn- C011NT11• Ma alis Butte 16 (A 20. NANL .aLAT""p- .95954 Z7. NAAPSQ ADOnaa. IAMan AND NUPIA&M ON wYRAL AOYTa MMOM, Cm On:rOIIM AYAM LH INFORMANT Olive Barton - Sp Spouse P.O. Box 38, Magalia; CA. 95954 m NAr OF awa-I.0 aaouaa-•-Pun Olive m. rIocut 30. LAn W.YD1. rare arOuee - Parks ANO PAREPlr it. rlxr OF F.Ts,aw--wwaT William as rinwa A7. un ? '� .rwr. 4aPORNAf10N - Barton ]!. MAra or WorNaa - yr 94L WCDLA 37, LAST M.004 30. *XTN M. - Gladys E. McDowell IA 29. DAM r N / 0 D / O C r r Aa NSC. OF FINAL an IDW130r. °'•P°""°P�•1 04/29/1994 Glenn Haven Cemetery, San Fernando, CA. PVNeRAL AI. "'Fa Or OISFOW"O"'31 BU0. 42- La.IA"AM 00 -ALraw 43 LICgai NO. 01RSCTOR ANO P 4784 LOCAL n A7. DATE NwDCCn 'Paladi FU_ DMCTO" A8' LICK""MO• A6 A D/ R/OIRTRAR Chapel of the Pines F 809 �. 04/25/1994 101. FLACS Go D.ATI. 102 IF NONITAI. SPCC- ONb 103 PACATn OTNp NO-- 1 COYNfl' , I'LACS Feather River Hospital ❑ „ ® .0- ❑DOA [i c ; ❑ „� ❑ Dr„a Butte I Dut11 A 108' .Tw.aT A9--480 -/AqT -0 r .Zft 01 LOCATION lO< Cm 5974 Pentz Road ' Paradise 107. O.ATN WAS CAY.M an (SIM N O1LT 0142 CAPS. PGR Ern Pon A. L C. AND 01 nra u.rq.Al 100. Dun..0-mar" TO COAONq AMENDED ❑ ru tYo CAMUG4DS�AT17 1A1 Congestive Heart Failure t OF2 nvgw•a TAA.W Minutes R94-372 109. a1D.n .grow.- ouaTO (0) Acute myocardial infarction Minutes ❑ rae No 110. AUTer/T P.wPOwrM CAUSN OF OUa TO 1Q Coronary Arteriosclerosis Years ❑ r.e ®NO oEArN 111. YOM M OVTVI aN0 CAUM Due TO u» ru NO, 112- OT"" 4IOwPIC4IrT COrDMONS Cartmeunrq TO OOATN /UT NOT RdATIM TO GAUSS 91r0/ IN 107 113 WAS OPSHAT10N PURPORITm FOR AM CONortDN w ROI 107 On 1117 V ISL LIST rVM orfr MIM" AND D.M. �:� • 1 IL 1 CaITT1/T TNA? TO TND Eft OP YT wNOY.LaDOS 110. ml -FIT. tL LlCO1/a M7. 117. OATf� Y r / p O /CC, T PNTDL O.ATM OCCURwO AT Two NOYIL °ATL AND PLAca NTAMID PwON FII. CAVA" /TAT.D. / %-{ 14 CIA" 'a O.O.D�.R A. T -M 0-a 1 D.DTRNINT LAST a - • - �. 32.-ScSsj 1 l CSRTIFICA• 1 Y ./00/ /DO/ call 110. TAP/ •rnwgN9 FInaIOAN'O N L r•A1Tw AGOF/M :IP "ON 01/03/1979 :04/08/1994 A.J. Brinckerhoff,M.D.P.O. Box 1570, Magalia,Ca.95954 1 MM•/ 1 w M DFIMON O/.ATN ocGuwwM TN/ 1,OLwl OAT. AAO FLACa /TAT- IIION 110. D.AIW AT W01YI 111. RUYwI o•./ Nr/00/COT. I= NOYw 173 PLACE OP -1WAl TM CAU040 TTAMD. 119. 11AM ANNIN Or O.1:1 rU NO 111 01=11" NOW 44", OCC-- 0 -ma r.I/CN w"YLT.0 a uLrunl IMTUIIAa ❑ ❑ eoROT.a1rE NONICIW re1.0I1/0 COLAO NOr .t USK ACCmo.T w.uT»ATaN❑ ornRN.a.O ONLY 12L LOCATION (0 -MW AAD MAT.aw OR LOCATION AND CfIT AN, Dr c00o 9. aloljA a OR t97. D•n -'W/CC- 121 T7rm N.ra TRLa w cowONaw ow wFVT. COw0FaY1 04/25/1994 Michael P.rGaukecl,Deputy Coro Iry !TATS A O C O S P D N PAS AUTN. S 196 REOIaTT1AR DATE--AP-0-8-MS____-- -- - -- This is io certify that if b;&in9 tt* W* Lard of this office, lhi$ is a trite copy of the docufnsnt fried ` �~ Ah file Butt@ County Raoordar's OfMtoo. J G,ubIJe TO *d �6E2St72 01 t1S0�13GNOd ,d3> NUS _ 3MG-1o3 1.408-1 WdLS : `120 S66I-2.0-b0 i I i 1. I STATE FILE NUMBER i g. AFFIDAVIT TO AMEND A RECORD -7/ BIRTH ' ® DEATH FETAL DEATH LOCAL RE ISTRATION 013TRICT AND CERTIFICATE NUMBER PART I INFORMATION ON ORIGINAL CERTIFICATE I D. MIDDLE Robert ' ; LAST (FAMIIr) TYPE OR D' ' Barton PRINT IN 2. SEX 3. DATE OF EVENT—MONTH. DAY. YEAR 4A. CITY OF OCCURRENCE i 46. COUNTY OF OCCURRENCE BLAOC `INK Male 04/24/1994 Paradise 'Butte S. FULL NAME OF FATHER 6. FULL MAIDEN NAME OF MOTHER William - Barton Gladys E. McDowell PART II STATEMENT OF CORRECTIONS �• BA. INCORRECT INFORMATION ON ORIGINAL CERTIFICATE CERTIFICATE SO. INFORMATION AS IT SHOULD BE STATED ITEM LIST ONE ITEM PER LINE REASON FOR[-!---- T ora hical Error CORkECT10N PART III !!SUPPORTING AFFIDAVITS 1 uuvvc ICI t3 anU /nal lne Intormahon given above is true and correct. FIRST 10A. SIG UR OF PE 50 CO LETT THE FFIOAVIT 1106. TITLE OR RELATIONSHIP TO PERSON IN ITEM 1 I IOC. DATE SIGNED SUPPORTING I 1 AFFIDAVIT ► ' Funeral Director 105/24/1994 100. AGE OF PERSON COM. FOE. ADDRESS OF PERSON COMPLETING THE AFFIDAVIT (STREET. CITY. STATE. ZIP) a�TINO THE AFFIDAVIT Il 5691 Almond Street Paradise CA. 95969 1 hereby certify under penalty of perjury that I have personal knowledge of the above facts and that the information given above is true and correct. SECOND Ell 2AG, TURE OF PERSON COMPLETING THE AFFIDAVIT' 116. TITLE OR RELATIONSHIP TO PERSON rN ITEM t IIIc. OATS SIGNED SUPPORTING I I 1 AFFIDAVIT ' Mortuary Co -Owner ' 05/24/1994 PERSON COM- 'I IE. ADDRESS OF PERSON COMPLETING THE AFFIDAVIT (STREET. CITY. STATE. ZIP) THE APPIOAVIT 12. OFFICE* of STATE OR LOCAL REGISTRAR d Street Paradise CA. 95969 STATE/LOCA13. DATE ACCEPTED FOR REGISTRATION REGISTRAR USE ONLY OFF . ( ; a1E +�VIJi1tHR 1 0-VITA1 STA 1STIC.S ,,UN 1 5 1994 STATE. OF CAL FORNIA. OEPARTMENT OF HEALTH SERVICES, OFFICE OF STATE REGISTRAR - _ _ •. _err casae APR.-26'95(WED) 09:18 BUTTE CO TITLE PARA. TEL:916 877 6268 All that certain real property situate in the County of Butte, State of California, described as follows: The North half of Lot 386, as shown on that certain Map entitled, pIR HAVEN St1BDIvsSION", which Map was filed in the Office of the Recorder of. the County of Butte, State of California, May -19, 1955 in Book 21 of Maps, at pages 31, 32, 33, 34 and 35. P \ EXCEPTING and RESERVING THEREFROM all the valuable minerals beneath the surface of said land, with the right to mine and extract said minerals, it being agreed and understood that in all mining opera- tions, the surface of said land will be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside the surface area of the above described realty, all as excepted and reserved in the Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947, in Book 423 of Butte County official Records, at page 385. M r APR. -26' 95 (WED) 09:17 BUTTE Co TITLE PARA. JAMES A. JOHNSON 7448 Skyway Paradise, CA 95969-3231 ATTCRrJEYrORrNemeJ: Ronald Barton TEL:916 877 6268 (916) 877-4986 SUPERIOR COURT OF CALIFORNIA. COUNTY OF BUTTE STREET ADDRESS: One Court Street MAILINr, ADDRESS: 25 Country Center Drive r ITV AND ZIP CODE: Orovllle, CA 95965-3375 9GIANCII NAME ESTATE OF INAME); ROBERT D. BARTON aka ROBERT BARTON aka ROBERT DEVERE BARTON DECEDENT LETTERSTESTAMENTARY OI- ADMINISTRATION U OF ADMINISTRATION WITH WILL ANNEXED O SPECIAL ADMINISTRASION LETTERS 1. M The last will of the decedent named above having boon proved, the court appoints (name): RONALD BARTON a. FX__1 Executor b. 0 Administrator with will annexed 2. u The court appoints (name): a. Administrator of the decedent's estate b. [ Special administrator of decede►�t's estate 11) with the Special po%uers specified in the Order for Probate (2) Q with the powers of a genaral administrator 3. = The personal representative is authorized;to admin- ister the estate under the Independent Administra- tion of Estates Act r�Xl with full authority = with limited authority Ino authority, without court supervision, to (1) sell or exchange real proper- ty or (2) grant an option to purchase real property or (3) borrow money with the loan secured by an encumbrance upon real property). WITNESS, clerk of the court. with seal of the court affixed. Date: JUN 3 (1 1994 Clerk, by _ K JOHNSON (SEAL) i 5EAL • • • • • , Deputy FJUN a o 1994 P. 002 CANDACE J. GRUBBS, Butte Co. Clerk: By K JOHNSON Deputy 31462 AFFIRMATION 1. U PUBLIC ADMINISTRATOR: No affirmation required (Prob. Code, 5 1140(b))- 2. U INDIVIDUAL; I solemnly affirm that I will perform the duties of personal representative according to law. 3. = INSTrrUT10NAL FIDUCIARY (nameJ: I solemnly affirm that the institution will perform the duties of personal representative according to law. I make this arfirmatlon for myself as an individual and on behalf of the institution as an officer. (Name and title): 4. Executed on (date) ; May 2 5, 19 9 4 at (place): Pal.tndale California. _.&-in't4l a RONALD BARTON CERTIFICATION certify that this document is a correct copy of the original on file in my office and the letters issued the personal representative appointed above have not been revoked, annulled, or set aside, and are still in full force and effect. ' Date; APA 2 0 1955 Clerk, by IDEPUTYI Form Approved by rhr. Probate Code, it 463. 465. 501. 507. 540 Judicial Council of C914ornill LETTERS Code or Civil Procedure. S 7015.9 OE•150111ev. JUN 1. 19881 (Probate I 1979 BENDIX SERIAL #4C1196A/B INSIGINIA #: 102276/102277 01, c AceC)/it ��.�. . • REOISTRATION EXPIRES TYPE LICENSE • UMBER TRAILER! JUL: 31 79 I 40 SL3 736 . , OWN�RSHIP CERTIrsEr! 1���':'"�r(" ve►"to. :.l,F•,: j}.. .. ..!%:�c'� i'�...':• EI DO'NO .CARj1 ,4 WIN V.C1.IiDLC RC1.196A/RC'1I96g :::.... ,.. �:.: :.....:;,:.- 1. V. , A YEAR MODEL SHOWN 16 BASED ONMANUFACTLI ER AN DEAL REPR[S8N DORY TYPE MODEL CYL9. GATE PMBT SOLD CLADS • YR. • r• ■wu . r +CCHMP2. I 1I07/26/78 �Er �. ATK]N ' MP • Q!/.26`_`^^_p7F�j8� I N 1 _.D _� .7.a:iu1 DATEIBBUED IAX. IwCI WEIp11T TAB NUMBER ;. TOTA FEES A 09/IS/TB.:' : IT94y6.4.13 I $ 3U Q BARTON RQHERT- DEVERE.. 1 wp T'190-ELMWOOD ,RF o MAGALT.A ., CA. 95.95.4-: • Lc. O' . PEN W T Ol ply �p t R%EA y �7iq�g• C C`. R ' UPOIN SALE, SELLIR MUAT1111W7 NOTI�E Of TIM9fEA A b E SUII TOTAL.. N. Yl .�C M ;7 UT �:; TnrAL ��'i ��,'IE. �'.t� 4 OW L7 L] .. in�• CmLK A 2. ' Z 6 8 SIONATURE(S RELEASES INTEREST IN VENICLE ` - _ • DATE V TL 30 �—T 10c� too n - -2713-78P,E PERMIT NO. PERMIT EXPIRES / Robert Barton' OWNER CONTR. Par—A—Dise Const., Paradise LOCATION (A.P. 65-175-3 ) 190 Elmwood Dr.,,lot 386/N2, Fir Haven Sub, Magalia J L. • r ;i f ; 4 lY. F. ,i • _ t, t Temp. Power Pole Called PG&E FZD • Temp. Elea Serv. Called PG&E Z? 12rf Temp. Gas Serv. Called PG&E V OB FINALED (Date) {Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RIECORD BUILDING BUILDING'(Cont'd) PLUMBING FIr all So Piping Para is 1 Floor g. N Restro Finish 2n loor s Windows3rd or al all Siding To out Slab Roof Sheat a Water Pi I Piers N Jr Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footin s Prov. for phsicall handica ed Conformance of ex.Gas structure A Appliances PI Ing & Test Temp. Gas Slab Final Sanitation Patio FIREP ACE Final Footin s Footing E CTRIC Masonry Walls Throat I Rough Reinf. Ste Final I Fixtures Bond BeAn FIRF SPRINKI I=& I Untnm MECHANICAL o wn LO Ing Inish D is erior Lath ntilation door Closer anal MOBILEHOME UTILITIES ------------------ Elec. Service =73 — Water Piping 6 $ Sewer BI E OME INSTALL TION - - - - - - Support Water Piping _ Drainage DATE REMARKS OR CORRECTIONS SubpanelQf Grd. Fa4t Prot. Servic T b. Pole anal 1`eePL Elec. Pedestal G �� Gas Piping —' Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) '<l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number t for the following location: Owner r r , '- — Owner's Address Mobilehome Mfg. •r Model Year Insignia No.1' ` % y r• Serial No. +'+ - - It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By / THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes No r 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes' No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4.' Is the mobilehome level? (Sec. 5088) Yesf/ No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes-L/—No 6. Water ' A. Is flex'ble connector of adequate size and properly installed (1/2" ID mdn.)? (Sec. 5566) Yes }- No 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 sand pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40.DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it properly supported?'Yes��No C. Are any leaks detected in drainage system after running 3- cellons of�water through each fixture including washing machine standpipe? Yes_ No D.' If coach is not State of Caiifornia approved, does station have required trap and vent? Yes No f 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 mobil home gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes= No 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. C. Are all appliance vents properly installed? Yes No 9. Electrical l A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of x,00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No , B. Is there proper clearances around panels? Yes C; No C. Is power supply cord,or feeder assembly properly fused? Yes 6--910- D. Is continuity test satisfactory as per the following procedure? Yes C�o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. 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. MOBILEHOME DATA Manufacturer and/or Namestyle &n i::�� Length Width Vehicle Serial No. �j9�• State Identification No.,ct Additional Information or Comments: COUNTY OF BUTTE,. - DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Orovitle, California 95965 Telephone: 534-4541 / !� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permiitteeer or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - DIRECTO.R OFPUBLIC WORKS BY Date_ 7-1 i- -7p Bu ding'permit expires Date 7-/ 7,- 7 BUILDING Owner dP,e-c ' SO. FT. OCC. BUILDING VALUATION Mai I i ng Address • Telep3hone No. 3Y-I9gi Contractor C �, t✓ v✓► O� S _ N • SA L65 Mai I ing Address �g -} 3 ESPLi1 M /J q L L (•+ +�- Fireplace Total Valuation Telephone No. 3y 3- 15 `Iq Permit Fee - Building AddressQ P•I:an Checking Fee &/or Penalty Permit Fee ® �LYvl L Joo 0 D, -c PLUMBING No.1 @ I FEE AO 3 8-b N / L I PERMIT FILING FEE $3.00 Each Trap 1.50 tr Repair drainage or vent piping 1,50 A. P. No. (0 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Febe W!e &amfterftn 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 Bldgs Recd Parcel rovalApproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ `,3" 74 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Sin le Family ❑ Duplex ❑ Mobil Home ❑ Others 9 Y ❑ Main service EA, ADD•L 100 AMP 2.50 Main service OvEAMP OR P OR LESS 25.00 100 Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS.CCUP. Y� 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: G (. 6moms - DAVIS ryLogi Lg., derma ;%Ai,6, T NEW CONST_ RANCH CIRCUITS NON.CONST BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.8 NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTURES BAL21 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. SS Classification C -(m � Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 53.00 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 ';0( is 3C7 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permiitteeer or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - DIRECTO.R OFPUBLIC WORKS BY Date_ 7-1 i- -7p Bu ding'permit expires Date 7-/ 7,- 7 J. COUNTY OF BUTTE- — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentionedSp oyerty�f�or I ction purposes. J Gu'rdJ !! /e r ZGT `va! X V -e-1- Date MPAN N ignature of7Per7mitee or Agent Receipt No. // 71,?0 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 0 PU C WORKS ,p BY Date Z- ?4 'B in ppermit expires Date _ 6 Z,— -7 BUILDING Owner `� SO. FT. OCC. BUILDING VALUATION. Mailing Address Telephone No. r Contractor ? �.r Mailin Address 4/GIz7' Fireplace Total Valuation Te phone No. Permit Fee Building Address Plan Checking Fee &/or Penalty -- Permit Fee p PLUMBING No. @ FEE PERMIT FILING FEE $3.00 6 Each Trap 1.50 / A 0, Repair drainage or vent piping 1.50 11- A. P. No. 5 - S Zoni Water piping Each gas water heater or vent 1.50 es Sa r' on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M p 60' R/W Improvements Each additional outlet .30 Building sewer � �— 6nA<. d Parc royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $_73.,00$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p Main service 600V OR LESS 100 AMP LESS 5.00 — Single Family Du lex Mobil Home Others ❑ P ❑ ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER 600V 25:00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING OJ OR ADDNST % ACCLBLDGS.CCUP. a) 2dsgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busine & Professions Code under the name style of: (Lid. 15 -e, (Li . NEW RESID. BRANCH UTL T NON.RESID. BRANCH CIRCUITS 2,50ea NEW C O,N ST R. f POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 1 5 X25 Ex. Occup.//FIXED APPLES, OR IDUTLET9 (RESID•) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 .Z 3 �// U Classification_A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License.Laws of the State of California. Permit Fee $ - $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. } I have placed on file with the County of Butte a certificate of '1 Workmen's Compensation Insurance. FI certify that in the performance of the work for which this -1permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N01 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ SLj� 11% TOTAL P PERMIT FEE 7 authorize representatives of the County of Butte to enter upon the above-mentionedSp oyerty�f�or I ction purposes. J Gu'rdJ !! /e r ZGT `va! X V -e-1- Date MPAN N ignature of7Per7mitee or Agent Receipt No. // 71,?0 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 0 PU C WORKS ,p BY Date Z- ?4 'B in ppermit expires Date _ 6 Z,— -7 " COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive – i_ California 95965 ' Telephoned 534-434-4 5411 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �(—f 4 t� �6�–i ,r.(i'dl Date 7–:f-2 d'%3' Signature ol Permitee or Agent Receipt No. /,S / F 'Y y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC = OR GF PUBLIC WORKS �1 (/ By l Date Zo ` d 9 permit expires Date . `0 042 BUILDING Owner _ SQ. FT. OCC. BUILDING VALUATION Mailing Address A Telephone No. Contractor Mailing Address0. Fireplace Total Valuation Telephone No. – Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 300 Each Trap 1.50 drainage or vent piping 1.50 /Repair A. P. No. (( Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees `w -c Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 0,0 6 EQA Parking Plans Parcel Declaration' Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla s Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Famil ❑ Duplex ❑ Mobil Home ® Others s y ❑ Main service 600V OR LESS 10o AMP OR LESS 5.00 Main service E.A. ADD•L 100 AMP 2.50 " Oy Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST *(DWELING OR ADDNS. ACCLBLDGS.CCUP. Y\ 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 st le of: y q r, 2f NEW CONSTR MULTI -OUTLET NON -REBID BRANCH CIRCUITS) 12.50ea NEWCONSTR. POWER APPARATUS 6 NON -RESID, SINGLE OUTLET CIR. Ex. Occui)(OUTLETs OR FIXTURES 150%� FIXEPPLNS, OR Ex. Occup. D AOUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 0 2& Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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 N0.1 @ FEEPERMIT 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 $ TOTAL PERMIT FEE $ O< /- 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �(—f 4 t� �6�–i ,r.(i'dl Date 7–:f-2 d'%3' Signature ol Permitee or Agent Receipt No. /,S / F 'Y y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC = OR GF PUBLIC WORKS �1 (/ By l Date Zo ` d 9 permit expires Date . `0 042 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET n n o 1. Owner's name: o aria T 2. Installer's name: GL &M oN 3. Is the site currently under permit? Yes No./ / (If yes, furnish.permit number ) OR Is the.site an ekisting 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 /X/ No (If no, clarify 5.. What is the mobilehome electrical rating? ------------- What is the'mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load'`to,be served by the mobilehome fav Amps service? --------------------------------------------------- Amps f U D Amps site service? --------------------------------------------------- Yes No /X / (If yes, identify the load and size: (Load) (Amp 9. What is the mobilehome site gas pipe size? ------------------ --- 10. What is the type of gas service? ------------------------- ---. Natural / / LPG Pel 11. What' is the gas pipe length from meter`or tank to.the mo ilehome? % s (ft.) 12. What is,the.mobilehome gas demand? -------------------- --------- .— (BTU) (This information not required if pipe length less han`6- r- as, or less than 50 ft..,on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, R Mobilehome Mfr. 6 END I X furnish Setup Model No. � '�� 48 �6 FD Year Jc7ff Width IH (ft.) Box Length L (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) Singles 1. Wood either pressure treated or foundation grade. © d `2y x 3v \• ; (ft.)(in.) (in.) (in.) ` ;� 2. Other (specify) Center support Center support �� I locations*footing sizes Supports (check one) �% f 1. Concrete block. 2 Other ( specify) (in.) (in.) r 5E` �'iCRS r i j 4—Tagalong or Expando, t show support details." (in.) (in.) ill. A4 -- Typical Support (in.) (in.) Footing Size (in.) (in.) Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) 1 BUTTE COUNTY BUILDING DEPARTMF.Nq APPROVED �- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. �6390-78B" ARMIT .i NO. PERMIT EXPIRES OWNER R. Barton B Northstate Aluminum, Chico, CONTR: 65-175% LOCATION (A.P. t 190 Elmwood, Magalia - a / 0/.Z 7p e { i 4 Y Temp. Power Pole Called PG&E Temp. Elea. Serv. Called/PG&E Temp. G�� Serv. Called PG&E J 0/ / PNALED — C (Dat (Signature) ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECO.RD , 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 Pipingi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. Gas Slab Final •- — ® Sanitation Patio f FIREPLACE Final Footings -- / —g Footing ELEC ARICAL - Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FfIRE SPRINKLERS Motors Framin — / — -4 Test Water Htr. Stucco Final Subpanels Mesh kCHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Waier Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /44AAA- CZ /7 w h IT, j (NOTE: An entry must be made on this form each time you visit the job site.) •'. ; COUNTY OF BUTTE"``— btPARTMENT"OF POBLIC WORKS 7 County Center Driv(F, )' Oroville, California 95965 Telephone: 5134-,4541 APPLICATION. AND* PERMIT authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X Si azure of Perm' a or Agent Receipt No. -- - - I W 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. D I R OR OF BLIC WORKS By___4/_4 I Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATIO Mailing Address ' Telephone No. . ContractoF Mailing Address (3 _ Fireplace Total Valuation Telephone No. Permit Fee Building Address 6� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees Sa ' n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking PI ns Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel oval Pion pproval Lawn sprinkler system 2.00 NEW Er ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 OR LESS 100 OROR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 y� OVER Main service 00 AMP oR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 J�/ � ` /Y OR ADDNSNEW T % ACCDWE. BLDGS.LING CCUP. Y\ •20 sq ft / CONTRACTORS LI NSE 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 CONSTRESID, -OUTLET NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS.6 NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD(DUTLETS OR FIXTIIRES 6 L@; Ex. Occup. ( OUTLETS IXED AP(RESID )LNS.REAP 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.d')LIQ Of Classification Misc. Wiring y•' n 6.25 �1�ytj t ❑ I am exempt from the Contractors License Laws of the State of California. rPermitMOCHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code whic equires every employer to be insured against liability for Wor en's Compensation.w'. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance.y ❑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. k -,AVIS No. N)@ FEE Rf 9ILINGiF,EE - 3,:00 Heating aQ Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X Si azure of Perm' a or Agent Receipt No. -- - - I W 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. D I R OR OF BLIC WORKS By___4/_4 I Date Building permit expires Date w�,01pl,01*ljl / o0 �U Npnoa 8Q 4 S' .0ENMIT NO. 2028-79B,E . PERMIT EXPIRES OVA; OWNER R. D. Barton :d Par-A-Dise Const., Paradise pj CONTR. 65-175-3 LOCATION (A.P. ) 190 Umwood, lot 386, Fir Haven Sub, Maga. r c , o n l.s •;S FJ pg i Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called JOB FINALED Setback Forms Main BI Footi Stemv Slab Piers Stemwa I I Slab i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC. WORKS BUILDING INSPECTION -RECORD ILDING BUILDING (Cont'd) PLUMPING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures J Garage Vents Insulation Water Htr. Heaters Prov. for phslcally handicapped Conformance of ex. / Appliances Gas PI in Test Slab -Final wL'/ Sanitation Patio FIRE LACE Final Footings Footing iI EUECTRICAL Bond Beam I FIRIt SPRINKLERS Motors Framing Test Water Htr. Stucco / Final Suboanels Brown Finish Interior La Door Closer MOBILEHOI Water Piping OBm Water Piping DATE MECHANICAL Gird. Fault Pr t. Heatino Service Cooling Temp. Pole Ducts Under ro nd 4'-1 Ventilatl n 4 Permanent Final Final - - - - - - - - - - - - Elec - ervice Elec. Pedest I Se r Gas Piping il0 - - - - - - - - - - - - - - Support Elec. Continui Drainage Gas Piping REMAR�K%S OR CORRECTIONS 914�4 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — 4ART101ENT OF PUBLIC WORKS ;.7 County Cen�zr Drive - Oroville, California 95965 r Tel epho.pe:,,534)f541D APPLICATION AND PERMIT M authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �O ^ 7 Signature of Permiteee�or Agent Receipt No. 1� ✓ a-0 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. DIRE OR OF $1BLIC WORKS �� By Date Building permit expires Date BUILDING Owner �- SQ. FT. OCC. BUILDING VALUATION n 3 a. 00 Mailing Address Telephone No. Contractor g �a Mailing Address - (� $ — �-^ Fireplace Total Valuation Q a O Telephone No. (,'©� Permit Fee ©p Building Address Plan Checking Fee Vor Penalty Permit Fee ,L7p PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ O ?jCp LL�j. Repair drainage or vent piping 1.50 A. P. No. 6S' 7\j - rAr g &Planning Water piping 1.50 Each gas water heater or vent 1.50 F s &At Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ans RecdParcel A rova. Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 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 CONST. // DWEL I CUP. Ei OR ADDNS. l ACC. ) -20 sq ft �(.. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name t style %� �. - �' r NEW CONSTRESID, BRANCH CIRCUITS) NON -REBID BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) B L@1 EX. QCCU FIXED APP LNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification / 3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4,14 L) $ 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. 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 Na @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE g $8 e authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �O ^ 7 Signature of Permiteee�or Agent Receipt No. 1� ✓ a-0 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. DIRE OR OF $1BLIC WORKS �� By Date Building permit expires Date _n. RE ENTIAL 1 065-175-015 PERMIT#95-0692 BARTON, Ronald. D. 6582 Elmwood, Magalia Cont: Chico Mobile Home Spec. ` Perm Fnd under ,Ex MH. ,.� 9 JOB FINALEO (Date) Signature �. i ' V=OK O = Not OK - = Not Applicable. Not Ready MOBILE HOMES ' =' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P L" ft. / /"Net. or/ /% "ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrepped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties -Puri In -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Fib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draingge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: A RESIDENTIAL r r r JOB FINALED (Date) �D — Signature �-- J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"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. Zoni equirements-Setbacks Easements Size-Spacing-Marriage Line / as; MH Test-Demand-Valve-6seReeieF-- 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK ' = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except it's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's tE. Water Htr.: Vent -Access -Combustion Air-Baff;e --------------- - --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------ -- - ------------------- 19. Shower Pan; Test. First Floor -Tub Access ------------ -- ------------------------ 20. Test -Tub & Shower. Second Floor -Tub Access ------------------------- ----------------- 21. Gas Pipe: Size & Anchors ---------------------------------------------------------------- Date -------------Date Card B-1 Date Card B-1 ------------------------ ------------------ -------------------------- Date Card B-1 Date Card B=1 Date ELECTRICAL (Permit) OK except a's 22. - Fixture & Transformer Clearance -Ins. -Protection ---------------------------------------------------------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------- -------------------------------------------------------------- _ 25. Romex Installed Close to Edge of Studs & C.J. -----------------------------------------------------------------------26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water -------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------'------------------------- 28. Subfeed Wire Size ! / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------------------------------------- -------------------------------- 31. Equip Clearances Pane Is- Equip. -------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ---------------------------------------------------------------------------------- --------------------------------------------------------------------- -- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------------------------------------------------- ------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------- - --- ---------------------------------- 36. ---------------------------- 36. Condensate Drain & Overflow: Size & Grade -------------------- -- - --- --- ------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- ------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic _------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --- ----------- --------------------------- --------------------------- ----- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - -- - - ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing -&-Bracing-Plates-Sound ---------------------------------------- --- 41. Bearing Walls over Girders & Floor Nailing -------------- ---- -- - - ------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsu lalion-W al Is -Ceilings 60. Infiltration -Walls -Windows ----- ---- - ------------ ------------ Date Card B-1 Date Card B-1 -------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------ 64. Bedroom Exiting ----------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------ 67. Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth -------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------- ----- - -- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ .-- - - ----------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Landing -Closer -- ----------- 73.--A.C.-Duct in Garage -Damper ------- ----- ----------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------------------------------- - 75. Plb., Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------77.--Insulation-Foam-Looked in -Attic ❑ Yes ----------------------------- -------------- 78. -Guard -Rails Rails & Deck -Co Caps ------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes C1 No -------------------- -- 81. Stucco Brown -Finish --------- - --- -- 82. A.C. Unit; Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings ------------------------------------------ ----- 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House . ------ -------------------------- 87. _Glass Protection 88. Corrections from Previous Inspections - - - - --- -- - - --- ---- --- ---------9g ---- ------------------ 89. Gas Test -Meters Tagged: Gas -Electric ----------------------------- -- ------------------------------ 90. --W-ater -- & Seer Connected -C/O to Grade -HD Approval -----------w------ ---- --- 91. Energy Compliance Certificate -Other Certificates ----- ---------------------- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ------------------ Date Card B-1 Date Card B-1 Date Card B-1 a COUNTY OF BUTTE- DEPARTMENT OF DEYeLOO)WENT SERVICES - BUILDI G DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. ?►, APPLICATION AND PERMIT ASSESSOR IPARCELNUMBER 065-175-015 ZONING BU I LD I NG P ER M IT OWNER RONALD D. BARTON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6582 ELMWOOD TIAGALIA 1152 R 62,208.00 CONTRACTORS NAME ENZN CHICO MOBILE HOME SPE TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuatio Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee 468/2 $ 234.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6582 ,i PERMITFEE $ 277.25 MAGALIA PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ]b Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work:—FkTD—UNIIER i,X MI -i Mobile Home I S I GI W 1 920.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a00V OR LESS ( 200A OR LESS ) 23.00 23,00 Main Service ( 200A TO 1000A ) 46.00 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 i full force5d effect. / License Class Lic. No. �sv3 C-�7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) So. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET us Ex. Occup. ( OUTLET OR FIXTURES ) zo 0 ,.00 �L Ex. Occup. OUTLETSP(RE o.°Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE t 43 00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the or s' compensation provisions of section 3700 of the Labor Code, I shall fo hwit comply with those provisions. __ Date �� __ Sign tune f Applicant - ❑ Owner Contractor ❑ Agent An SH ermit is required for excavations over 5'0" deep and demolition or construction of ruc res over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 385.25 HAZ. D. FEES IMP FLOOD CDF PARCEL .�� PD HD SUE This permit is hereby issued under the of the Butte County Code and/or indicated ab for which fees hav BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 175851 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OF D,EVEENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Y P No. Low - r-75 - 0 t Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items h e been submitted . ....................................... . 2. Plot plans 3y s ts, signed by preparer of plans . ......................... . 3. Complete plan-%,3//sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... .................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ° 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pn�4;sp-ecti-on- requ-eT- 20. Pre -inspection for required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ........•.{ ............................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... Plan check list . .............................. . I F Foitp-t ' Lty - - 34. Whey you issue the permit, process as follows: Mail to owner. Mail to contractor. i/ Telephone` 95- 1 °7`7L1 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date fid 2S Copy of Haz-Mat form sent Health Dept. Fire Dept.Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Othe, Date By The following data must be submitted prior two per it issuance: (Circle new item not checked above). 1. Index permit for above items No. L� 2. Additional items required: C r , designer, owner, was advised of above required data by _ phone _ mail Counter by _ ate ondesigner, owner, was advised of above required data by _ phone _ mail C to by _ Date Plans checked by Date Plans approved by Date - , -9.5 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works l�- 7 COUNTY OF BUTTE- DEPARTMENT OF DEVELQ;°MENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ZONING PERMIT NC. ASSESSOR PARCEL NUMBER 0 BUILDING PERMIT OWNER V TELEPHONE So. FT. OCC. BUILDING VALUATION t 1� fna 1)nV. MAILING MAILING Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee ',S`" $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS C ¢ ��) 1 PERMITFEE 1 $ LAT NO. I SUBONISIONSNAME (r.c� raver I USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 14 Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: J (.(ti,o a4c, 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 I 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 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 IS Building sewer 15.00 Mobile Home 920.00 PERMITFEE _ �, =• Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( 600v OR ) 200AAOR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) S0. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) I 87.50 PQWFR (8 S APPARATUS SINGLE OUTLETCIIR.) I EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 EX. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA ) 5.00 Temporary Service I 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMITFEE $ Q A7N Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood I 6.50 Ventilation 1 PERMITFEE 3 Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is DCC Co'!!!!TOTAL FEE $,�, HAZ. 1 0. FEES I IMP I FLOOD I COF I PARCEL I PO I HO 14SVE This permit is hereby issued under file applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. MZ95 1:7=� - I PERMITEXPIRESON WHITE-D.D.S.-8.0CANARY- SSESSO PINK.INSPECTOR GOLDENROD -APPLICANT 1 (Date)