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065-180-024
_ Gerald Cross �/���'• SUP T TRUCTUKE RE Q. ORL COMPACTION 7ST REQ. 65-18=2 =P�rm'it*M-773(tnew-awning/MH) \ Carrell...B s..,--Chco_ ,� •:� _ , Permit #1587-78MHI "FJ :065-180-024 + I'ROKOSCH,' LYTIETTE '" 6633 WOO A ALIA, rt Cont: SKYC S RISES t s~ CNEW M RM FND L'., •'' yet �.-, t �• s llj , 3 , ' t ' is �o llj , 3 , ' t ' is BUILDING PERMITS NUMBER: 05-1785 Address or location of unit: 6632 WOODWARD DR MAGALIA CA, 95954• Legal Description of Real Property: 065-180-024 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: LYNETTE PROKOSCH Owner's address: 6633 WOODWARD DR MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: PFS916856/7 SERIAL NUMBER OR V.I.N.: 8V-70-0179-U-A/B MANUFACTURER'S NAME: SKYLINE HOMES INC YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: PHONE:, (530) 538-7541 I- H.C.D. 513C ` • r r ' 7. u FOUNDATION SYSTEM CERTI°FICATE `OF OCGUPANCYy ' -BUILDING PERMITS NUMBER: 05-1785 Address or location of unit: 6632 WOODWARD DR MAGALIA' CA, 95954 Legal Description of Real Property: 065-180-024, , 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: LYNETTE PROKOSCH + Owner's address: 6633 WOODWARD DR MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: PFS916856/7 SERIAL NUMBER OR V.I.N.: 8V-70-0179-U-A/B MANUFACTURER'S NAME: SKYLINE HOMES INC YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 , H.C.D. 513C ,, r T 0jr STATE OF CALIFORNIA NUMBER: e� BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8734432 a • m DIVISION OF CODES AND STANDARDS 3 `{$1 sd MANUFACTURED HOUSING PROGRAM c IY MANUFACTURER CERTIFICATE OF ORIGIN � t IjOO 0✓ `h ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: c OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 1720 EAST BEAMER STREET WOODLAND CA 95776 $ 66,219.10 Street Ci State Zi MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WESTBROOK 3702—CT 7/29/2005 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: SKYCREST ENTERPRISES/COUSIN GARY'S HOMES 8/3/2005 91265 DEALER OR TRANSFEREE ADDRESS: 13468 HW`Y 99 E CHICO CA 95973 street Ci state Zi INVENTORY CREDITOR NAME: GE CDF INVENTORY CREDITOR ADDRESS: P.O. BOX 94900 PALATINE IL 60094 Street C' State zip SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1b INCHES INCHES (POUNDS) 1 8V-70-0179—U—B PFS 916856 600 144 19,016 2 8V-70-0179—U—A PFS 916857 624 1,44 21,007 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 street C' state (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: NAME COUSIN GARY'S HOMES street 13468 HWY 99 E • ICO CA. state 95973 (Zip) I cendy under penalty of perjury urWer the laws of the State of California that the above fads aro true and correct Exceed on 3 / 2005 at WOODLAND YOLO CA _84 (Date)-�(Eity)/' 7 (County) (State) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828. WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051785 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/10/2005 APN: 065-180-024-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business androfessions Code, and my license is in full force and effect. Site Address: 6632 WOODWARD DR MAG License Clas License umber: Map Index: Date:;4_��,Contractor,. Description: NEW MH PERM FNDN EX SITE (1198) OWNER -BUILDER DE LARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PROKOSCH LYNETTE permit to construct, alter, improve, demolish, or repair any structure, prior 6633 WOODWARD DR to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's State License Law (Chapter 9 commencing with Section 95954 7000) 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Applicant: SKYCREST ENTERPRISES Code: The Contractors' State License Law does not apply to an COUSIN GARY'S HOMES owner of property who builds or improves thereon, and who does 13468 HWY 99 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one 530-342-2694 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SKYCREST ENTERPRISES not apply to an owner of property who builds or improves thereon, COUSIN GARY'S HOMES and who contracts for such projects with a contractor(s) licensed 13468 HWY 99 pursuant to the Contractors' State License Law.). CHICO, CA 95973 ❑ I am Exempt under Article 3 of the BusinessProfessions Code 530-342-2694 530-342-2694 Date: Owner: License #: 812930 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:�,Zt Total Square Ft: 1198 S.F. Valuation: $77,870.00 Policy M. -;?4:94 &iy Census Code: ❑ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro vi ' ns. Date: 1 Applic ARNING: Failure to secure work compensation coverage is unlaw , and shall subject an employer to criminal penalties and one undyed thousand dollars ($100,000), in addition to the cost of�1�_9�j compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY Tis permit is ereby issued under th a plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) esolution o , work indicated above fbr which ees have been paid. Name: B ' - /} Date: Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. r the duly authori d agent of the owner. I agree to comply with I hereby certify that I have read this application, that the above information is correct, and t*purpose all county and state laws relating to building construction. I acknowledge it is unlawful to alany official form r document of Butte County. I hereby authorize represent f Butte County t nter upon the above mentioned property for iPrint Name: /� G� Date: /11/ /i/ ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Na Fi t Nanle Address sr1 City Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City SN- ' State Phone _ f FCCax E mai L' Cr-:;, 7 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Subdivision Name Fax E-mail Page State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE r offic use only: Zoning A Flood Zone '( SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: -7 OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 05, 1 `1t BIN # LOCATION AP# Prop rty Address City Cross Street WORKER' COMPENSATION Policy Number Carrier 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 Pane 1 0t 2 Descriptio r Scope of Work: lo Sq. Footage ❑ Structure Built without rmits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: a ) `9 Y Bldg SRA Receipt #: , p Sheriff SMIP Other Date: jj a f_lotal REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed.calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan., (D) Tie down orfnd;plans; 4 la I in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must'be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required): ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5: Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if reqOired). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at .(530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written.request by the person who paid the fee. The request must be made within -two years from the date of fee payment on permits not issued, and. two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 .h COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS16N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax,(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSgR J l Sl P CEL NUMBERDate: 65" permit Technician: Building Use: �QA M\` � Items required in orderto apply for a permit. All boxes MUST be checked OR marked NA in orQ to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 8. Manufactured homes +)Installation p,cluding marriage line info) Floor Plan,ZTie down or fnd plans, all in duplicate. ❑, 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form :% 13. Acknowledgement of building permit application without required clearances. ' - ❑ 14. Other Re "inin items needed to issue the permit. (May require additional plan rEview upon receipt of the following items.) 5.' anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicabl68�_J6S 16. Fire Sprinklers............................................................................................ O 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 9. Erosion Control Plan Required........................................................................ 20 Fees as shown on the attached Schedule of Fees Due Sheet .............................. Lef 1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the Ci y of Biggs.... 23. California Department offorestry plan approvaIL4n paid. Sent by .......... C" I� 24. Planning approval for (A)'Use: -OY-(B)Parking: (C) Parcel Check:....... 0 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ T26. NPDES Form............................................................................................... MIA 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/ore Aired permits........................................................ ❑ 34. Deed Restriction...... ........................................... ........ D 35�Legal des ription, M.H. Title, title search gist'* , r MCO . ...................... l 36. Other:dc- ❑ 37. Other: When issued Telephone and hold for pickup. informed of the above items and requirements for obtaining a building permit. 1. Index/p6rmit application for the abVWe items numbered: 2. Additional items required Date: 7 5 Plan Check her Cdntrgctor, designer, owner, was advised of the above data by `0 phone, ❑ mail, ❑ counter, Date: GenlFaGtWdesigner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: ga Date: Plans approved by: Date: Structural review Ppi Date: fractural approved by: Date Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER -A cO PROP OSED BUILDING USE 1 `tq_J'VJ M tAl ly 1. BUILDING PERMIT FEES --- Balance Due ..................... $ ✓ o� 1 --- FEMA Flood elevation review ... $ -- Additional plan checking Fee.�/ ^( 2. SCHOOL DISTRICT FEES"'f (paid at School District Office) (form available after Plan eck) 3\Rsidential IFF FEES (paid at Building Division) ............ X $360.00 =$ Unitsercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. f VO4. RECREATION DISTRICT FEESO� (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHIC U AN AqA e ng) $ E I0 FI DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. #iLA&O 6 . ug+ BATE RECEIPT # `^ DATE REC. pllc 9 -61 --M 7. WATER TENDER FEES BATTALION # $200.00 (paid at Buildin Division) .� .� 8. SMIP 9. OTHER 10. OTHER 11. OTHER At time of per a plication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be chafted durfVg the plan check)hg process. APPLICA ��� QX� DATE Purs nt to Gove ent Code Section 66020, yotfare hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You. hav 90 da m the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a prot a specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) NOTES RESIDENTIAL ` V PERMIT NO. i+ 05-1785 E6524 ` LYNEITTEARD DR, MAGALIAES.T ENTERPRISESRM=F--N D 1 ' 1 SPECIAL CONDITIONS,-, CHECKEb ONDITIONS.rCHECKED BY SRA v Y FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER GAS Meter By Date ELECTRIC Date _ 2 i Meter By 1 —41 I I OB FINALED (Date) Signature ��-r 4=OK o =Not OK = NotRy ble MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. er, Location -Test -Easement Needed (Sketch) Electricity; Location-Clearances-Gmd4100/Amp-Concrete 6. Gas; Location -Test -Wrap;-/ P L'ft. (.\S'(1 P►� ' / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date 1f-2 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MO HOME INSTALLATION (Plans) OK except #'s VKning Requirements -Setbacks -Easements Footin s; Size -Spacing -Marriage Line gf!g:a:-j MH Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe ,Ze fVater and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged .'Tie Downs -Type -Installation Cert mac, c r Exits; Insp.-Sketch 11. Cert of Occu an �G ,�1��`.�'%h. UyC•,,.� G me g cy Date Q Card B-1 L-91- Date Card B-1 Date Card B-1 bs,.b S, Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Vic 1 el." -License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t� iLll�PIL=S O(L erg Ci I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8: Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=oK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Fib.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes D No/Walks D Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacie-Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Fib.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes D No/Walks D Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacie-Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM TT rr (One form per Building) v vJ� School District &"fo' Building Department No. A.P. Number V�D� ' 1 U 1 Jurisdiction: CityCounty Property Owner E c�co�� a Property Location/Address Subdivision Lot No. Residential Development Q Q Q € Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # ' . -(No foundation inspection) ,......._....._.........._..............................._.._._...._.. G Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq- Footage New Addition (Including Exterior (Roofed,4"as) Building Department Represa ti , Date .Distric ,Identification No. t School District certifies that r 1 IApplic no (Str t Address) (Pl4one Numb r) awto has complied with the requirements of Resolution No. representing 1 �� ,square feet. Representative Paid by Check # Remarks: (State) (Zip Code) by payment of $ 2926 $ FULL MRIGATION $ -- Date k No* You may protest the Imposition of the fess ktsntifled above by submitting a written protest to the District. In compliance with rwvwnn nt Cods Section 66020(a), wkhin 90 days from the date fess are paid. Failure to submit a tlm* written protest wlll'prohibit you from aheiisnging the Imposition of the fess In any court action. . N, subasgwnt to the Representative District Representatsigning this -Butte County Schools Impact Fee CaMScWon Form, the School District Is mw= by Ws applicable Local Planning Agency that this project Is being mwdswad under the Califomle Environmental Quality Act (CEQAh a" project may be subject to additional school fess to fully mkl9de.lts impact on the school dlstrlWo schools. e White (applicant), Yellow (building department), Pink (school district) feefwm.)ft (10/03)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) ,fi0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Ob 5' U Building Permit Number Property Owner (s) :r � U Project Location /Address tP�O Subdivision Name Assessable Sq. Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home —/Mobile bile home replacement verified by Assessor Department Demo Permit (date issued ) ✓ verified by Building Department Comments: P�) Building Departmeni RNpresentative ❑ FRRPD 0 CARD 1A PRPD 0 DRPD certifies that: ing Address Phone Number City eh 95g73 State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: per unit for a total of $ _ per sq foot for a total of $ 1,4 Paid by he k N: No1T Paid by C sh: N 14 Receipt No: dv Recreat nand Park District Representative Date UFORMSWILDING FORMS\park-rec standard form rev Ldoc a` 717�� � �� �:� �� . � '. ' rY� !��i � rte- I � /.i �' i '/ :Y ;�' �, �� ', r ��� ���.� ,z �-�� �. ,. �, ;� .��. VALUATION FEES PAID FEES 2 FEES 3 FEES 4 Comments: PERMIT LAST NAME CONTRACTJR STREILT NO 0 USE �l BP ® FLOOD RECEIPT _ RECEIPT 2 _ _ RZ CEIPT 3 _ _ RECZ7T.4 - STREET NAME TYPE Bin FIRST NAME APPLIED ISSUED FNALED CITY/CTY REMARKS National Pollutant Discharge Elimination System (NPDES) Phase ll Construction StormMater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS 7"HAN 1 ACRE1 Project Description: Project Location andlorParcelNumber: By signing below,.I, the project owner/owner's agent, certify that this project WILL NOT'DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that ,contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project• that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: �. 'Yy3U7+;�t-�' �� •.* ��.3ay.�;..T:� .C?�. Public • '�iorks �eparl-eic o o C t o B t N'I= . o u s y I� ). Michael Crump, DirectorStorm LAND DEVELOPMENT DIVISION Water I�tanagement Program �\' C 7 County Center Drive CA 95965 ,\\ Q U �� Oroville, A �S AUC ((30) 55387266 \A4 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction StormMater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS 7"HAN 1 ACRE1 Project Description: Project Location andlorParcelNumber: By signing below,.I, the project owner/owner's agent, certify that this project WILL NOT'DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that ,contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project• that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department of -Develop pent SerO'Ces o��rr�.o 7 County Center Drive t`.' ° Oroville, CA 95965 0 =t o (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. 'Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Building site address: �/St3 l,i/D���JV/' Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above; -referenced building permit application and my signature below: ATURE OF CANT DA E W Copy to Applicant/EH/File K:Forms/BldgPermitwithoutClearances 020705 E.H. use ONLY ! 'Plot Ren Attached _ Floor Ren Attached Sam to 8.0. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �4nclr 5J�►4 6,633 Wcodw4a/ 04 1c,V 06 ({ Owner Location AP# Plan Approved for: Sewage Disposal K • Water Supply: Public Private Well Clearance for x dwelling. Other 2 loeJiot) , D -e? fcO ik� e.•a,�, �� fi her+-ce . Hold final for: Final clearance O.K. for: NOTE: Environmental Health'Specialist Date .r 8/96 r ' .aia_...r.C_..:t ..n r"'.e .s�t,a.�i�..3is7::L-�;;. _.�..y�:n..�.,�:*xai?.�:»:i. �9.:, �.;,• 'K':ri:n .. _.:..wtta-: _? -,.>_3_.___. ..-.�...la.., t. _. ._.. _._. I I 1 IIomee for Siding le hoof age ft APPROVED 13utte Coun EnvfronMsntal go �S" CDF FIRE SAFE REQUIREMENTS AP# 065-180-024 PERMIT # 05-1785 NAME: Prokosch Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. c I P] F [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 T feet radius. x [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [XJ Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. E Q U I R E M E N T S f✓ Al Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of . properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. , [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for . the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [X] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: L3. Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [] 07/13/2005 Date c n F E Darren Read Signature . LJ r 'y ` 3605=77P,E 'NE1WIT NO. PERMIT EXPIRES OWNER Gerald:Cross ICONTR. owner LOCATION (A.P. 65-18-24 235 Woodward Dr., lot 418, Magalia .;4 0 ' I^ ' 1 • y. cn�. Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E J.O B l( 7 FINALED (Date) (Signatu COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Seirtack FI wall Soi Piping For Parahets is Floor Mai Bldg. 4FRestAlli;m Finish 2nd loor Window Siding Roof Sheat n Roofing Fdn. Vents Garage Vents Insulation Prov. for physicall handica ed Conformance of ex. structure UJ -.1, F REPL CE Footing Throat Final IRE SPRINKLEF Test Final MECHANICAL iplerior Lath I V ntilation oor Closer final MOBILEHOME UTILITIES ------------------ Elec. Service 7 7L 7 Water Piping Sewer 2.7 t7' XRPIWR=NS ALLATI N - - - - - - - - - - - - Support Water Piping cw Drainage DATE REMARKS OR CORRECTIONS 0 0 3rd FI r To out Water Pi in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final FI Grd. FaAlt Prot. Servl T p. Pole nder round Permanent final Elec. Pedestal I -P L t7. Gas Piping V- ,, ?), Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) TR MOBILEHOME INSTALLATION. INSPECTION CHECK LIST 1. Is the mobilehome located with,required separation from lot lines and buildings and generally conform to plot plan? Yes, -"'No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes' 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) Yes -/ No 5. Ifmo than a single unit; are crossover connections properly installed? (Sec. 5088) YesrNo_ 6. Water A. Is fleXible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes \/-' No B. Test Does water piping withstand working pressure or 50 lbs. air test? YesNo 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 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 running37gallons of water through each w fixture including washing machine standpipe? Yes_ No J 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 _✓ 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 66z. -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_ No 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 ✓o C. Is power supply cord•or feeder assembly properly fused? Yes--'No— D. No / D. Is continuity test satisfactory as per the following procedure? Yes // No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the 'site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical 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 Length C�� Width Vehicle Serial No. 1 v State Identification No, Additional Information or Comments: COUNTY OF BUTTE` DEPARUfENT 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 ' /'IVfor the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No., Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of -Public Works Date 'I," By ' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. I/ COUNTY OF_ BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0roville, California 95965 • Telephone' 534-4541 APPLICATION AND PERMIT 7 7 labove Aent onedeproperty for inspection purposes, to enter upon the XJQ 6��"7 Date r< Signature of Permiteee or Agent Receipt No. 1(6 ' LZ�/ / 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 'd. DIRECTOR 0 PU LIC WORKS By I-- Date.?—/— Bu ding permit expires Date v( —' F BUILDING Owner Q VCdd SQ. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address U ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 (J_� �J br Pa j) el in L --4,o1 %� �* g rer"ricaficm 0.1. Each gas water heater or vent 1.50 01 A. P. No. _, %!� Zonin - i Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. . Sa on Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans ParcelLawn Declaratio p P sprinkler system 2.00 Bldg. Plans Rec'd Parc Val Pla Approval Permit Fee 3,00 $ 33 aZ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE ' PERMIT FILING FEE $3.00 3106 Main service 600V OR 100 AMP ORLESS5.00 / Main service EA. ADD'L loo AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBDGSCOUP. &) 20Sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 109 Ex. Occu P• ( FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification' Misc. Wiring 6.25 1_�110'I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 Qz 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. MV I certify that in the performance of the work for which this —.:.iAJ 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 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 J•Q !L✓ir� TOTAL PERMIT FEE labove Aent onedeproperty for inspection purposes, to enter upon the XJQ 6��"7 Date r< Signature of Permiteee or Agent Receipt No. 1(6 ' LZ�/ / 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 'd. DIRECTOR 0 PU LIC WORKS By I-- Date.?—/— Bu ding permit expires Date v( —' F Xils_sat�oLpla n -s MUST bp ke : an toe job at a''s times and i' is �nl� i1�1 �Q ��- _ '--N4'tE All- Materials -t- Workmansni}� 3i�eii iin• - - - - rnai;e ars ► c'r,,.a!� �s c;r a .rlians car sus � M9ut-- —"� `—Accordance-withJRecns�ttized__Good Practices-, i t of a uali§ r6cribed fcr the- Spgc fied pse m ► g y P , i}rrcn rye- ;�! i ,� f : ;fie a s t�# ��r Ps+b- ' `�; kilec-h6n A ^ wJ Mj , , ni�r/r+ri B�liiisjrisurf.�.d__—_ . �s' C ♦ L t ; ' - .. _.-_._. _- __ i M '4t'MiIY i Fci CDYJR/ } +� t3 d �qo i o ! ►o . t �� ,� � , f in 41) ��� ! Ia',y-�•� r .� � J � L S !��— '___..- ' !V tI��I;T � ' ' I 1 �- •..'{,' {' TN, S' ', _ I ! _�-_. -_.._ i iii � � 11 _ . _ - � � j { ?j• -fit- I ? i N-��Yii�y-- ' i o¢ �q----- — the n�e4�ileiri5--;--; _.�►"e� i 1 -- ti r j rpP rty�@n pkd 5' {. fro '1 e i k: p o i 1i p f , All utilit,coe�ttactians-sll�_ ' j mum o f ,� . ! Q�+ ,� permittin ! la maxi- { - ,occited 'within 4; ft. ` '' ! outside the neaeIL ' -� ,! lout of {evil AasomeMts. ! i f ; T ir{e y l ( t ! . , -svio rio of a mo i e m- on tF, lefi (r_oad�s.ide-o. m ' ! Q A - — !Septic. 'sysfem&ft_41°°e1�"e------ �r' to i�'JB u , e . County ! ! { !0,1! i ! ! ! } � ! _ ! � t I it , 1 { , ! 1 i �• __',t j + .� tit F= Tffp 14 t t3 d �qo i o ! ►o . t �� ,� � , f in 41) ��� ! Ia',y-�•� r .� � J � L S !��— '___..- ' !V tI��I;T � ' ' I 1 .,J BOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone' 534-4541 APPLICATION AND PERMIT Lr` authorize representatives of the County of Butte to enter upon the above-mentioned property for ins pec ion purposes. X Date - —3-74 SignoVrfof Permiitteee or Agent Receipt No. f / Z/ ?,� IS✓ 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 f f-RUBLIC WORKS Building permit expires Date BUILDING Owner Mailing Address SQ. FT. OCC. BUILDING VALUA I Telephone No. Fireplace Contractor rt�� O S-- Total Valuation Mailing Address 3 0 ) Le .1V14� 6) Permit Fee Plan Checking Fee &/or Penalty fe Telephone Na. Permit Fee $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 !�,�.- ry /U�t ' 13 Each gas water heater or vent 1.50 A. P. Q— Z 1 "' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P ans Parcel' Declaration Parcel Ma p 60R/W Improvements_ Lawn sprinkler system 2.00 Bldg Ian ec'd Parcel A proval Plans pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER rpr ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �f 360 Main service 600V OR AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGOCCUP. &S.20 sq ft / NFW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON-RESID. t SINGLE OUTLET CIF. 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:Ex. l roeYL�J-Q' /'Y►® i Ex. Occup(OUTLETS OR FIXTURES) BAL @1 Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 'Temporary service 10.00 4 1� Mobile Home Facilities 15.00 License No. O LI Z n C.._` �/ 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 Wor en'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 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 f OIs/ a O a TOTALPERMIT FEE $ 30 /i authorize representatives of the County of Butte to enter upon the above-mentioned property for ins pec ion purposes. X Date - —3-74 SignoVrfof Permiitteee or Agent Receipt No. f / Z/ ?,� IS✓ 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 f f-RUBLIC WORKS Building permit expires Date COUNTY OF BUTTE DEPT. OF PUBLIC WORKS APP, 5 1910 RPS Pm 71819110111112111213141516 MOBILEHOME SUPPORT DATA , If other than single wide, Mobilehome Mfr. �/��/,(1 n/ furnish Setup Model No. (' y Year % 1 7 JI Width ,2�_(ft.) Box Length (ft:) Tagalong or .Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All eenter supports measured from front of mobilehome unless otherwise specified.. Footings (check..one) �a 1 N 6\Z �oS ingie , I��r-�- �� 1. Wood either ., pressure treated or t foundation grade. (ft.)(in:) (in.) (in.) ZJ— 2. Other (specify) Center support Center support '. locations* footing sizes Supports (check one) (in.) �Ii Concrete block. 1,2 2. Other (specify) (ft.)(in.) (in.) (in.) .....Tagalong or Expando, show support details. (ft.)(in.) in. in. lbw xZ -- Typical Support (in. (in.) Footing Size .(ft.) (in.) "(in.) (in.) / o _- Max. Pier Spacing Max: Overhang (ft.) (in,) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, /I draw in locations, spacing, and dimensions. (/ I 1. Owner's name: 2. Installer's na ..f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA. PHONE -:-534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes _T No (If yes, furnish permit number may-) OR Is the site an existing site? Yes / / No / y/ (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? ----------------------- /2 d Amps 6. What is the mobilehome site service rating? --------------------- D Amps 7. What is the mobilehome site circuit breaker rating? ------------- &0 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes./. / No 7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is .the type of gas service? ----------------------------- Natural / / LPG / L 11. What is the gas pipe length from meter or tank to the mobilehome? / G7 (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.) r C J 7 r PERMIT NO. 4122-77B PERMIT EXPIRES OWNER G. Cross CONTR. ower LOCATION (A.P. 65-18-24 .235 Woodward Dr., lot 418, Fir Haven Sub,Magal: Temp. Power Pole Called PG&E Temp. Elec. "Serv. Called PG&E Temp. Gas Serv. Called PG&E / JOB FINALED (Date) (Signatur s ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping •Forms Parapets list Floor Main Bldg. • Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping PiersRoofing Sewer. Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr.., Heaters Slab Carport Po ' Footings . Prov. for ph sically • handica edy Conformance of ex. structure Appliances, Gas Pipingg & Test Temp. Gas Slab Final Sanitation ' Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel" gni Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. . Stucco Final Sub anelsI 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 ; MOBILEHOME 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.) � .A•:� -- t ��..w.: a?:=- .v_c•> 'z. r ' . s t •..--:a-..,.,.-.a•.'.JJ:•Z__ y, SeX.; 'r'c r -r " .... ... ....,.:,y..,.;r�..... n 5y,-4+" en t. _ �+3` . wL- .,,.,.•n _,.•�'.".''(S.. - .RYL'..'YT• $•• 3-'%i "#%~X•_.� Y = .l •�—•.--ac•�ys:-'�R"�`c`C h'a^" -A4p;. 4,17 C i{.. • '3 .F 4 4i • i ` County M y ®f B +fit _ , W - f .. ea _.._®EPARTM-ENT ®F _ KS ,_} +� iiia t, ♦ ' � :.r '� - -� r " - � ._ p r&" ®TI C E TO Post job card in a safe, conspicuous place at front Do lot. 3.m of not remove until the -required inspections j m are made and- building is nd- 9 approved �' _ for occupancy by this department.' Plans must be - available on job. pa �;• ,�Y ;_ _ . - � .� i ...�..-.• .. - . , � o • ►� OWNER_.._ _. =• !. W C. Cr ss �r ' • _ _ m a A. P. N0. 18-2 - -- - 65- 4 _ _ _ m m - -� CONTRACTOR �� o er rt PERMIT NO. 4122-77B A fr , ------------ DATE 8/15/77 Approvals of Following Must Be o 1 - Dated Before Proceeding Ph r BUILDING PLUMBING Setback ELECTRICAL l .. m .d Rou h Forms Tem Pole To ut m A o Rein. Steel Rough rt m Water Piping Piers Underground -� oµ o Its - Gas Piping Bond Beam Subpanels - Sewer Framing Service Water Htr. • �` Stucco Mesh/Lath Final Fixtures T � Stucco Coats 1- MECHANICAL Water Supply. y_ /3- Heating = Se tic Tank Windows Coolie Final Q o Duct Siding FIREPLACE - Roofing Ventilation _ A Ib- Footing Final Insulati n Ce r . Throat r - p•� Final !! 7 Cd MH INSTALLATION F. Final ' CHICO — 695 Oleander Avenue i• ., � - 343-4211, Ext. 70. OROVILLE — 7 outa . - j Cente 1 Center -534-454 PARADISE — Skywaynd Elliott Road 877-3435 I COUNTY QF BUTTE -1 — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Oroville, California 95965 Telephone: 534=1541 APPLICATION AND PERMIT �_42,,27/7 auu"or ze representatives oI the bounty of Butte to enter upon the above -me ioned property for inspection purposes. X ae 9 Date Signature of Permitee or Agent Receipt No. / Co % S31. 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 ROF UBLIC WORKS 7BY Date e— -- Building permit expires Date BUILDING 1,1 Owner �� g S• SO. FT. OCC. BUILDING VALUA ION C� li 5 U Mailing Address 2 Q , ^ ` A dt Telephone No. Fireplace Contractor^il. Total Valuation fl} 0 Mailing Address Permit Fee-- P I an Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �. j��, V PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r �' F %F • SL, Each Trap 1.50 /lnnRepair 0 Y 1.,Water drainage or vent piping 1.50 piping 1.50 Each gas water heater or vent 1.50 A. P. No. S- •- A4 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&s1 UVcG! S n ire Dept. Fire Zone Use Permit Parking Parcel EOA ans Declaration Parcel 60' R/W Improvem s Building sewer 5.00 Lawn sprinkler system 2.00 I .'f Parcelproval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 V OR L 5.00 Main service 8000 AMP 0RSLESS Main service EA. ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home10 Others ❑ OVER Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 ' NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTPOWER APPARATUS & NON.RESI R. D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL Ex. Occup.(FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 0171 I am exempt from the Contractors License Laws of the State of California. - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE auu"or ze representatives oI the bounty of Butte to enter upon the above -me ioned property for inspection purposes. X ae 9 Date Signature of Permitee or Agent Receipt No. / Co % S31. 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 ROF UBLIC WORKS 7BY Date e— -- Building permit expires Date August 5, 2002 Lynette Prokosch 6633 Woodward Dr. Magalia,. CA. 95954 RE: Butte County Code Violation 6633 Woodward Dr., Magalia, CA. AN 065-180-024, Dear Prokosch: BEAUTY ..... ..... ... �... — vim. _--Q11 I or-MVR.t, 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 The Butte County Department of Development Services, Code Enf6rcement section has determined by inspection and research that there are currently code violations present on your property at the above - referenced location. Specifically, the violations include: The accumulation of junk in public view. This is an advisory notice that these uses are in violation of the Butte County Code,- as follows: Butte County Code, Chanter 24 Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24 Section 24-130 - The RT -1 (Residential Mobile Home) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the RT -1 zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code, Chapter 24 Section 24-305.240 -Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Lynette Prokosch August 5, 2002 Page 2 Butte County Code, Chapter 24, Section 24-305.451 - violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. in erely, E. Frank Cook Code Enforcement Officer EFC: kj cc: Department of Development Services, Code Enforcement { RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE C.A 95965 COPY of Document Recorded 18 -Oct -20051 2005-0063218 Has not been, compared with original BUTTE COUHTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUF.ACTURED'HOME QIVIOBILEHOME) OR COMM.E.RCIAL COACH, INSTA.LLA.TION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health. and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described. hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to'give constructive notice as to its contents to all persons thereafter dealing with the real property. LYNETTE PROKOSCH REAL PROPERTY OWNERILESSOR 6633 WOODWARD DR MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6632 WOODWARD DR INSTALLATION MAILING ADDRESS. IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propmy owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE NAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1785 530 538-7541 BUILIIT ta,0. • TELE DINGPHONE NUMBER S NA ' • OF LOCAL AGENCY OFFICIAL DATE SKYCREST ENTERPRISES/COUSIN GARY'S DEALER NAME; (if not a dealer sate, write TOME") 91265 DEALER LICENSE•NO SKYLINE HOMES INC 7/29/2005 3702 -CT MANUFACTURER'S NAME DATE OFMANUFACTUREMODEL NAMFiNU' fBER. 8V 70 -0179 -U -AIB 50X 12, 52 X 12 PFS916856/7 SERIALNUMBER(S) LENGTH WIDTI-I INSIGNIAILABELNUMBER(S) &F0L PROPERTY LEGAL D SCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-180-024 �. 04/04/20U5 UO: 1.7 FAX 53U 8!39 :1531 Vj01.-J.I I V NAI'LUNAL, I I."I.LL r l.UtiJtt\t;:it<f•� iyjUW'IiUk) - • • 90-tOttB. Order No, 3-118297 ' SCHEDULE C The lend referred to herein is deacribed as follotra: All that certain real property situate in the County of Butte, State of ' California, dsscsibod as follows: The South half of tot 418, as shown on that cartdin Map ee►titled, "Fir -Raven subdivision", which Map vac rLx=rded in the office of the Recorder of the county of Butte, State of California, on May 19, 1955 in MBP Book 21, at pages 31, 32,.33, 34 and 35. I BXCEPTXido AND "SE"ING"rBBREPROM all of. the valueble minerals beneath tate eurfncs of the said lands, with the right to wine dnd extract said minerals; it being agrred and understood that iii ill alining operations the surface of said lands will be Protected against da"go, and that all such mining shall be serried on from tunaele, shafts or •drifts having their orifices outside of the surface area of the abovd describetd realty, as excepted or reserved In Dead from Kagolia (lining Co., a corporation, to E. D. Storts, at ux, radorded September 4, 1947, in nook 423, Offitial. Records, at page 38, records of Butte County, California. AP No. 065-180-024 To f%Mc► c� 44T=R �' CC St�Aaer ftadi+iQuf) ,.rK W STATE OF CAIIPOL%gA a ODWN OF sl M � d I Ott 990 MW 30er.oen . Lby6W.Vd J��ii�k pK[(ir ` ` °� Nov" "fit to and tot Pa --Dy k4a m is we or Droned to nr ae t6i biw of NOWIMary eil tme 10 bt r4 Pi"D"—•fO'• attic 1*1M el totbn esttdevad tesutanrwt sed ar4wvkdsed rlrt y air B MPI1� Je esett. WYNESS my hind ud.(&id icr_ Senna.. ��`�f 00 (W DOCUMW lTl►eh►M oftla f rwrb aU Dsacriptioa: Butts,CA Docometnt_ rear. DoclD 1990.10178 Page: 1 of 2' Order: mon Comment: SITE PLAN .. .. ...... .. .... .. .. .. . .. .. _ .. ............. .. ...........:......: . ............. ............... -... _ . . .. .-...... .. -- .... �o . .. .... .. . ... . ........................... .... .. . .. .. .. .. _ .. .. .. .. ... .. .. .. .. .. ... .. ..... ... .. .. ... . ............ .. .. ... .. .. .. .. .. .. _...:.. .. .. .. .. ....... . ....-- air .. .. .. .. - . . ............ ...... ...... ...... .. ... .. .. ... .. .................- -- . l• ' .. .... .. .. ............. ... .. .. .'............................... .. ... .. . ............. ... ................ .. .. .. uF .>..... <............ ................... ............ G!... .. ............ .. . �. .. ................ .. .. -. .. .. _ a{X .. .. °Q.. .. .. .. .. .. .. . ..................,.------.. rLh S"RICTIiRES AND E�IU��.���.... ......••---.............................. 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