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Home My WebLink About065-190-030e- o s.-.,,,�•,�,,,,,,..,,•.s t� "..M tee►..'. - _ ,. -•i;,.,", -r+r- - 65-19-30 Stanton Clark ; 765 Ho mwood Dr., lot 427-N'2, Fir r Haven S b, Magalia O 05 P90 T. P ermit Y 6495-79P,E,(util. ,MH) t. ELEC. � _5 GAS7—[2 (7 ,••-SUPPRRT STOCTURE ,REQ. COMPACTION TE T REQ. 5-19 Permit. #6496-79MH Issued 65-19-30 ontr:_.-cMillan.MH Ser,Paradise c # x Per t#3954-80MHI �u p z T sed_ f a n }1 JAMIE PHELPS F. `65 V/ &/0 4 11 14591 Holmwood, Magalia Permit#3419-84MHi (existing site) Issued //= 29— 3� ' 065=19.-0.x;030 91=3645• , t .PONS•„;.KELL•Y &':`JANE --�° y, 14591 HOLMWOOD SDR, MAGAL I A �, "\\ ► INSTALL �MH. :065=190=030=., ,.- -PERMIT#,96-2703 PONS, Kelly..&.Janie '14591 Holmwood' Dr. -, Magalia Cov. Porch/MH' . . , (oIts(pi cflil (�Yd�i R,E DENTIAL 06 9 30 PERMIT#96-2703 'PONS, Kelly & Janie ,14591 Holmwood Dr., Magalia 'Cov Porch/MH y 161 7 E Y A,V 1 1 V JOB FINALED (Date — Signature rr' _ S ti QA4 ' ti" I . 27 x I ?, __' 5� 1 �- 63 PRO ED ButeCufiy Env iron n Health APPHOVED Butte County'al 'a Edvironm ntal Health r' -Signa re - ---- � 4 I Date { Signature �O � , Environm antal Health DEC 5 1996 -o Chico, aalftmia /9 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OroviHe, California 95965 - Telephone (916) 538-754 _� PERMIT, NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 65-19-030 RT1 ZONING BUILDING PERMIT PA OWNER KELLY & JANIE PONS TELEPHONE 877NE5044 SO. FT. OCC. BUILDING VAL ION OWNERS MAILING ADDRESS PO BOX 241 NGALIA, 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNINOWN Total Valuation Is 2,288.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 14591 HOLMWOOD DR PERMITFEE $ 109.10 IIAGALIA, 95954 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex, ❑ Mobilehome ❑ Other COV • PORCH SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ew IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 8' X 22, — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 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 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)0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FOCTURES ) 20 Q 1.00 BAL .00 PLNS.OR ) 5.00 Ex. Occup. (oFIXEt-Drs . Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith,compl ith those provisions. X Date Signat rare o�ant - Owner ❑ Contractor ❑ Agent An OSIHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $109.10 HAZ. D. FEES IMP FLOOD CDF �- PARCEL PD HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B ate G� ! O y // PERMITEXPIRESON l2 (Dat Receipt No. 209417 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P Q)Y't0LLVI, " )n OULr' ....,�;5....."TM,�'��...r�..1l=i„�rlc."�.r.�3.r.(�,.:-r`�"'."2�i?'�f�;f�"�"�`If�`�',...�„��(�,.;, ,',r'/l'� .1,,. ... ��.��'•i'true..n�...�v.ti+.�.,ci++r'y+�.e��`.�.1'►"a,�rW*...:r'o'.`iK'4k..tiy.,,^�;..+�ip� COUNTYOF BUTTE - DEPARTiMENTOF DEVE;tO MENTSERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER l i �- G�,,,i 2 (T �,'-' s P. No. 4 5-19-030 Proposed Building Use u-e��W ,02 o� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................... . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ...................... .:* ................... . 6. Energy Design Compliance and supporting documentation .\ .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of'$� ...................................... 11. Impact fees as shown on attached schedule. ...... .. 12. California Department of Forestry plan approval/fees..P�,.� ! 1'.g ... � , �3 Flood elevation letter (100 year flo0). py California Engineer. .. . . 14. Sanitation and plot plan approval o 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 td occupancy). ..... 20. Pre -inspection for Pta"tem°" req° P required. . . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. C4tificate of.Workmans Compensation Insurance . .......................... 23. Owner Builder Verification (Given to owner , Mail to owner _ ). ........... 17 . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ i 26. Copy of,recorded deed of parcel creation and 60 right of way to a public road. ..... ' 27. Letter,ofintent 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 . ............... 4'^� 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. a 34. / When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation /�v/ Acreage Applicant con= -_Date 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. __j Air Pollution Date Copy of plans sent, Health Dept. Fire Dept. ther Date By The following data must be submitted prior to permit issua i cle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _phone _mail---�ounter by _Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i 1 E.H. USE ONLY MPbw— Flwr Plan AMwW YC Sort to B.D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal, V.I� Water Supply: Public ✓ Private Well Clearance for bedrpom mobile home. Other (x A,2! Hold final -for: Final clearance O.K. for: NOTE: ` v Environmental Health Specialist F:fLY) �� - / Iz / i(l. Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 S A.P. #6S-177 `0�OWNER re //,1 -4a...,, � Z,-vC.) v / PROPOSED BUILDING USE ��✓2� e ,( DATE 1. SCHOOL DISTRICT FEES (paid at District Office) 2. SHERIFF FEES (paid at Building Division) Residential.... x =$ unit amt. Commercial (sq. ft.) . x = $ 3.. URBAN AREA FEES - . (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$_ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) - _ 5. THER-MALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) � ' SRA rM Ui SPECTION AND P ,ANT CHECK _ o. $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER REC. # ... DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT S DATE kx fi Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. k 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. 2. I HAVE[ J HAVE NOT[ J signed an application for a- building permit for' the proposed work. 3. I have contracted with the following person (firm) to provide. the proposed constructio ` nn NAME: O l Cmc. ADDRESS:. CITY: PHONE: (?7) —//a Q CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUM ER: DATE• 0�2 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. -Contractors are required by law to be licensed and bonded by the State of California and to have a business -license from the city or county. They are also required by law to put their license number on all permits for which they apply.- If pply.If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S�nc/lrely ` Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - OroviNe, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBEDZONING S-!7-030 2-rtA- BUILDING PERMIT OWNER �� l ( �� NAL �vNS TELEPHONE 877 -S�`!�f SO. FT. OCC BUILDING VALUATION OWNER'S o J O YCS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ � j " V, — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS PERMITFEE $ 0 Cl a PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE / SF ❑ Duplex ❑ Mobilehome ❑ Ot Cd✓-leJ, CYC UL svrclFv Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home --FTTG] W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service 000V OR LESS ( 200A OR LESS ) 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 in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLOB. ) SO. 3.5Q FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL 00 Ex. Occup.FIXED APPLNS. OR (OUTLETS (REBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling 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.) ❑ 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. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPEp TOTAL FEE $ L ! • �� HAZ. D. FEES IMP FLOOD COF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date) Receipt No. )� WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OK " ' ' - =NottRepadyble 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; Locetion-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / /"L'ft / /Nat. or/ / L"ft./ /LPG 7. Well Clearance & Disconnect Date 8. Utility Clearance Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandValve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 WS�PELLANEOUS Date DECKS, OVE , CARPORTS, GARAGES(Plans) OK except #'s ni Requirements -Setbacks -Easements tings; Soils-Size-DepthSpacing-Connectors-Steel s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns-ConnecdonsSplice-Decal-Enclosures Date Card B-1 Date Card B-1 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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, 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 Lghtgq. Boxes-Enclosures-Panelboards-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 O = Not o OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/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. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htc; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels-Motors-Mech. Epuip. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Taggec, Gas -Electric 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roH Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Ove,hang-Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Taggec, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: ' RESIDENTIAL 065-19-0-030 91-3645,' PONS, KELLY & JANE C CONTR: PMC 14591 HOLMWOOD DR, MAGALIA INSTALL MH I /d/2- y/�Z JOB FINALE Signature 100"", 1 J=OK 4'' O = Not OKNot =NoLReadyable 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 4 Zoning Requirements -Setbacks Easements R, Footings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector 4/Electricity; MH Test -Crossovers -Breakers -Clearances e Drain; MH Test -Fall -Flex Connector 61 Water; MH Test -Regulator -Connector Y. Water and Sewer Connected -C/O to Grade -HD Approval . Gas and Electricity Tagged xits; Insp.-Sketch 1 . Cert. of Occupancy Date ^ q�, Date Card B-1 Date Card B-1 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- Bea ms- 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 /JRO.5 e� /Sey ✓=OK O = Not OK = f ✓ Ready of Ready RESIDENTIAL (; = o Date UNDERFLOOR (Plans) OK except ft'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-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 -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 a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 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 Card B-1 Date Card B-1 --------------------------------------------- ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- --------------------------- -------- --------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- ----- ------------ - ---------------- ------------------- -------------- 24.-Size-Boxes ------------ 24.SizeBoxes & 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 SizerGFI ------------------------------------------------ ----- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At -------------------------------------------------------------------------------- 29. ---------- ----- --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-Mech. 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 fr'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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a'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 jingle & Duplex). Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root 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 p, 57. Glazing Area -Glass Protection -Skylights -Plastic ------------ ---------- 58. Shear Walls: Nailing -Belts 59. Insulation -Walls -Ceilings 60. Infiltration-Walls-Windcws Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date 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 -Meth. Protection --------- ------------- 64. Bedroom omExiting 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 -------------------------------- 7 1. -------...--------------------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 Flocr-Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -looked in Attic., ❑ Yes - ----------------------------------------- - 78. Guard Rails & Deck Construction -Post 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 ❑ 'No --------------------------------- ------------- ----------------------------------- 8L 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. -------- - - 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 ------ --------------------- DateCard 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 _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: ((99116) 538-7541 PERMIT NO. J � �` ��4h ♦rJ�R'o Address or location of mobilehome Owner's name KCS% -? J S -c C/ Owner's address ` / ��✓'� �' C, Insignia or hud number 3 6 a Manufacturer's name Serial number of-V.I.N. C- b gra/}Year of manufacture tial Approving Installation IF -THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBI4EHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 Whi-e - Owner, Yellow - Installer, Pink - D.P.W. CS) - 8i_�iit n 8[-p� y i2ro6,_ 1 CSL ur�►t 'S��i°�T. 7 1'4 A. . _ +K i.Ad� R . .. a��O�i �F r ya I Ccc-U j4 -5 OZ � �Zr_,4.• i I Lata�low7 7 { - "I, o .-6= 1 ?FT r, o.. i T - •\ W�'-�= a a3 --- 00 CD rdzl It S 7 A ' 1—Oi.v tt U,, r,—I ✓ jIY J�T—O 1'JIJCD � N(�`� �O E — I �� - M - 1 E .. � SL�7 J7lS •�CGij'� ca li P€ 1-7—D�` I'l O'ri. !moi' • � -� I ►-1 � 1-� v: • -- E — °- *� � 3 — � . ' Y—, rum+-� — �f—c�a ►�' ` �_ 3 ,� �— c. -� RJ �, r -►3—l0 � — 17 - o �- }g - {� - tlj� �j-� — 0-�x�3=�i 5 - � - we...csusl FDR F[ELD suppoi r 0ETA2l5. SEE D1TG' .crrr roo•ac sac 200041 04 D0� 36'X24 8000: 48 -X24— "" 0 >r West-- ��es i, CARPET LAYOUT' AND RIDGE �..'-�S�� ' �-��fr�_9� - � oME)s -BEAM FIELD SUPPORT PIERS Model 2500 S. Walnut - Albany, Oregon • 97321 0 ra w in g T i t1+e . DateRevisions TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,~> ownerLocation AP# Plan Approved for: Sewage Disposal Water Supply Water Supply Hold final for: / Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. Other �-1._ — Date Sanitaria, APPROVED e::� .:�� - Butte County ` :;�+ Environmental Health ,AY..L .int: 44:.TF4 :2.9.6 .SQ.- �T� . _ Date r Sign ture COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N P. 7 County Center Drive;-,O*f ville, Calif-"/ 1ornia 95965 - Telephone: 916/538-7541 9 1 - APPLICATION ANJP PkRMIT ASSESSO. _ L NUMBER ZONING BUILDING PERMIT O KELLY AND JANE PONS TELEPHONE 877-5044 SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 14591 HOLMWOOD DRIVE, MAGALIA, CA. CONTRACTOR'S NAME TELEPHONE CON IL eeNeEp T- s 877-9941 6633 SKYWAY PARADISE CA.95969 Fireplace CONSTRUCTION LENDER NA UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS NA Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NA LICENSE NO. Plan Checking Fee $ �D ARCHITECT OR ENGINEER'S MAILING ADDRESS NA Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14591 HOLMWOOD DR. MAGALAIA Permit fee $ S �� PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 30 NAME FIR HAVEN PARCEL MAP `L%- S Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeIR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ❑ InstallatioRA9 Other ❑ Describe work: _ 2 BEDROOM UNIT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ,40. 288714 Classification 47 ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. (DWELL OCCUP.6\ OR ADDNS. \ ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR ULTI.OUT LET NON -RE BRANCH CIRC ITS @ 5 00 POWER APPARATUS IN (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES A20 7611 Ex. Occup. OUTLETS FIXED P(RESI D,)RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating -.to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also•,agree to sa indemnify and keep harmless the County of Butte against all lia6'lities, j d encs, costs, and expenses which may in any way accrue against s � Co ty ' se nce of the granting of thits� rmit. //�� Date 1 1 "1 ) Si Haft o Applicant - Wner g PP ❑ Contractor � Agent An ermit is required for excavations over 5'0" deep and demolition or construct- ion of stru ures over 3 stories in height. Mobile Home Installation Fee $ �^ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD -- CDF PARCEL PD HD ISSUE 1 v i This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated bo for ich fees have been paid. D O PU IC WORKS By Date/U 7q� 9l PE MIT EXPIRE Date UD-7CJ�, / L /, Receipt No. _T � i(l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �:^`�i�,.y•.ry A.. �'aaj+..) 1.'I"�'a''•-WIy •iwv�}a'"1„�j ti "^��' �.i "�1^ T`�^�t i�'a.?:�t�R'n�"'{�:-. Sy�'i7 t:YM'�7 `1.Yy„�Jl.}��i�v't �'�� i" -r Jt�`• _.•I'_ -`7.' COUNTY OF BUTTE - DF�AgTMENT OF PULIC WORKS -BUILDING DIVISION ,^ 7 COUNTY CENTER �R1VE f3VILLE, CAiIFORNIA 95965 - TELEPHONE: 916/538-7541 N. A PERMIT, APPLICATION'DATA SHEET r< Permit No. OWNER _ .:+, «: P. No. --�-d ' 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 APPROVED 1. 2. All itAL have been submitted. ... ,:............... ... Plot- cans in duplicate/triplicate, by signed preparer of plans........-- 3. Complete plans in duplicateAriplicate, signed/by preparer. of plans . . 4. Complete engineered plans and calcs, with 'fsignature on plans .. 5. Hazardous Material Form ................................ ...... . 6. Energy Design Compliance and supporting documentation ........ 7'. Statement of Intent for Non -Heated and AC Buildings 8. Engineered truss details and layout in duplicate (required prior to plan check) ( Q- AS' `41 9. Mobilehome installation data including manufacturer's installation instructions............... ....................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ......... ............................ 12. 13. 14. . s paid to - l�-9/ Pa PAY* ........... ' ... District cool District fees paid . Sanitation from Health Mepartment Jn- 24- !�2/ i3w -L approval 15. City of Chico plumbing permit......., ...........� a ................ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: µ (B)- Park°Ing: ...... 18. Improvements may be required. Contact Land (Development Section DPW 19. 20. Driveway permit ( onsftiction a�proval required prior to occupancy) �tJ t% Pre request to Pre -Inspection for / required 21. ... Building Inspector (Date) Contrar, Nr's)icens�e`information (No., Name Style, Classification) ... 22. Cetfifieatelolf Warkmans Compensation Insurance .....:::........... r 23. X� ML --;24. Owner EQUiider Verification (Given to owner ❑, Mail to owner ❑) ..... ( 1 I Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. ' When u issue the ermit, �focess as follows: Ma-il-to owner. Mail to contractor. When OJLYy and hold for pickI3pat ,� office. Deliver w/inspector. Other Iv 1-'`-Kpp4r..ant ,Date Copy of Haz-Mat form sent Health Dep`r-_-_-__F-ixe�t. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. 1 2. Additional items required:: to permit issuance: (Circle new item not checked above). designer, owner, was advsedof above required data bphone�nail-counter by date Carttracti6r, designer, owner, was advised of above required data by -phone -mall --counter by date Plans checked by -Date,-41-7 17 '91 Plans approved by �' Date 101 Sets of plans on hold in File cabinet AF'folder Copy -DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit 11&9,'ae o4 -'ell- has been issued for the above property. t ell si ature date i. I o . , s++s-w.r.7..f"^`►7rI'i.r _ • r•—'•y-fP(�, '�,4;w•♦ath. ^*w�,4' r1y. � +�"�f� K`(ai` ' i' l �� " fi ''.��'°' �� 7�}��i��+��•..�q'+q•... yf BUTTE COUNTY SCHOOLS "-DEVELOPMENT FEE CERTIFICATION FORM (One Form_. per-.Build"ing) _ _ r A. P. NumberC�-(� �� - / -036' $uild'ing Department No. School DistrictCi�yCounty QJurisdiction Property. Owner -X..GQ Project Location/Address_�l r Subdivision �/`-lAv�i!„ r .,Lot ' Number 390 -Residential Development: Sq Footage . # of Living MHI '.Addition (.Group R) .Units J • I- Commercial/Industrial: , Sq. Footage a ` .;New Addition,(Including Exterior Roofed Areas) Bui ng Department •Representative'I'.• Date (Floor Plans reviewed by'School District Personnel) District Id No."'�O) School District certifies that Applicant Name) (Phone Number) Street Address City) (State has complied with.the requirements,of-Resolution No. by the p c:oae) I !' representing %.� 1p square feet. lei �dl l VP - Tl;4t PAID BY CHECK NO., BANK NO PAID BY CASH white -applicant, yellow -building department, pink=school district SCHOOL.FEE (8/88) 91-43586_ Kc1 urn i u 1) PW M RMILTURAL STAT1:MI:KT OF ACKNOWI,rDC:I•;MI•:N,r 1•011 RI:5 i 55; rI AL l*-.VI:I.0I,MI:N1' ti� r 1 inn .2G -N. 1 0l. 11,o IluLtc CounLy Cod(• t rc(loires Ibis arknowicdl;emciiL be recorded Itriur to issn;nrr'c of a bui (ding perm,L. The properly described hcrcin is adjacent I it I and . or included wiLhi n an area r.onc(l '91-043586 1 Rec Fee 5.00 I'ur ;igriculLural purposes, and residenLs I Cash 5.00 of Lh i s property may be • sub jcct Lu ancon_ Recorded 1 vcnicricc•s or discomfort arising . from Ahe Official Records I use. of :rl;ricullural chemicals, including, County of I;;rt 'lot. limited to herbicides, pesticides, Butte oml I'c!rlJ1I7_crs; and from the pursuit Candace J. Grubbs I of ngricu.lLural .operations including, Recorder I but noL Ii.ilti Led to culLivation, plowing, 2:59pm 15 -Oct -91 I XX 1 spraying;, pruning, Jand harvesting which occasiothally generate dust, smoke, noise, and odor. Butte County has estulrl ishr•lI Lural •roves wh.lch have as a priority use for productive ugr.icu.ltural purposrti, and r,•r;;,I,,,I,; within snid zones grid on ad•jacenL properLy or. discoororm from should be prepared Lo ncrepl Hitch lir, fonvr•„il•n,•,• normal, necessary .farm operations. A11. Lhu-t rcarl.p-ru.p.e-rty situate in the. County of Butte, SLote of Cal Ifi):rnlit, rlrsrrihc�l ;,;; ful.lows-: 65-19.�0_R3.0 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF.CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: THE NORTH HALF OF LOT 427, AS SHOWN ON THAT CERTAIN MAP ENTITLED "FIR HAVEN. SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY .OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGE(s) 31,32,33,34 AND 35: excepting 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 OPERATIONS THE SURFACE OF SAID LAND.WILL BE PROTECTED AGAINST DAMAGE., AND THAT DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF,TYE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEEDFROM CLARA.tJ. LEIGH TO EDGAR S. HURLEY,, A SINGLE MAN, DATED MARCH 21,19.57, DiLiRECORDED APRIL 10, 1957, INB00K 881, OF OF1n0JTJ 'YID 6&bS, AT - PG. 334. DATE /0 - OWNERS %Y I TNES 01- STATE OF CALIFOR IA COUNTY OF BUTTE �.� 1 �GEFiI QUdIYLE 888 NOTARYPUBLIC—CALIFORNIA an Butte O My Commission Explies Dee. 21, IM �. ss. On this 15th day of October . In the year 1991 before me, the undersigned; a Nolaty Public. In and for said Stale, personally appeared JOAN WENZEL--- , personally known to me (or proved to me on the oath/affirmation of ------ a credible witness personally known to me) to be the person whose name Is subscribed to the within instrument as a witness thereto, who, being by me duly sworn, deposes and says: That the Witness resides in Paradise, CA and that the Witness was present and saw . JANIE PONS ---- personally known to the Witness to be the same person described In, and whose name is subscribed to the within instrument as a Party thereto, execute II, and acknowledge to the Witness that she executed It, and that the Witness subscribed h -r name thereto as a witness. NESS m hand and official seal. ®� CUMENT f� fes, t+5•�., _'ite �. a DUTTISCOM Y DCPARTMPNT Or PUBLIC WORKS 1 Count Center DLivej Oroville CA PHONE; .• 14-4511 C. ' �f NODI C110ME INST'ALLAT ON S1iCL`r Owner's N8mg ,• �• '`"2,. Insta"Jler's Name: .err,'. ... d •, Is tha site currently under permit? Yes No Y• : '•ft• i - J __.... (tf yes, furnish permit number OR 500 SCS. FT. "MINIMUM 4 ' to the ,lite an existing site7 . Yes � -) No � FOR MOBILES R 4:1. _ • L (If -yii, furnish two plot plans Will the mobilehome be located at least 5 ft. away from eeptia tank and leach field's and clear.of all aQtbacks and eaeemelits7 Yea No `. {If no, etarif y ''5. What:"3e1lie mobilehome electrical rating.? --------- Its v°} Amps G. What ie the mobilehome site 'service itating7---------------� op 7. What is the mobilellom breaker :`•. a site circuit b rating? !i P� -�--- y Amps A ' tI. • IC thare'`artty o'tile'' electric ' load 'to by served by tilt p .. mobilehome site service? r-- -- •-- rw------------------- ------------------- Yea Ye ...IN (If yes, identify the load and aize: Load) . —•.,.._._( (Ampg� 9. What .is"tho 6obiiehome' site gas Pipe size? -------------- rn1�' (in.) rS . W114t is the tyre of gas service? ------._----- "`--- Natural ' I,pC •• r. What is the gas pipe length from meter or• tank to the, mobilei10111eZ ------------------------ ---- ------------------! ; 12.' Mjl 't is the a obilehome gas demand.?-' -- ----------- -, (BTU) r , ' *(This information_no-t-requ�iced if pipe length lege than 6 ft. .' n"aturgl gas or leas than SO�E- '^" on y. ;.. 3 V", co 013US HM9 to fl, T'l I i: • 'A 2= rj V", co 013US HM9 to fl, T'l I i: • 'A 2= 10 9891 191 916 Hobil.thocrt 1i(X;/�„„ f,(,, nish Scty fiHoael ----•�• p -• _ �- -5� _ Year—LL ._ jtidti.0ft.) Dox Length Tagaloul gr txpamdo Sito ft. (Siiaj SUPPORT DIMlib ntLOW) Oa all mobilehm,ex mAnufactuccd after October 7, 1973, fmrmish r%'"ufaaturer's int.tnllatiun mArval and btructural setyp ahects (if :sot op file, With the County of butte). a "loll center oupporto measured from front of -- 1 r mobilehome ualess otherwise specified, �= •� ootid # (check d IP Single I. stood either pressure treatcl �•. -�._ tour�dntion gtad y. {[t•)(�n.)' (in.) (in.) 2. Otbex (apeci.ty) F. Canter support , Center Support `9 . locations* :footing sizes — v ort (check oi �,. (in.) Concrete block. -2. Other. (npeci fy) (in.) (in.) F.LAcc- .(ft.)(ia.) -Foe r. OF' E Lt►.e Flaes In, in. 4•-- Tagntong or 1-,uwdo shoK .support detail cal Support ins Site Pier Spacing x� 8 t.center.plere are other thm e.c.-n above, ray: in locations, #pacing„ and ensions. � •� i��jv�13 �g�al►s►1�f � P�o int vV 's OulgWnId 'xr s ig u.to}wn .. � 04tul wsn pel}t� ci, ai;� t X� b, �•��gp.�d u a File. sg:pipwd a;at.:1... ..i • C pt4S d14suQu"Vt3 e L4;.,di�yy kyr--13iON VM. 10 4uewpcdoo 044 waif uo;ssluu4Q u04414► SIA ewo, uo o} lnpWjt ll it Y: F,Lt. Wt4r14 r!A idol W :1St11N s�os,�::: #:aodg pW suold ;o 4a$ SISJ r S31180W bCA ;t WnWINlw *14.03 Dos dv ,vww v 1 v�u�uasba Ilti �° �l� +•640o~aa * JO) 3 Ide me juoujdsAbe jo ta�nP ;o jeop eq 1ie4s oulPaWw pew 04} W0j3 ,401' 40 ec{�as q pug SQUII.At p". 044 wa4 •44 S #0=�! I 0 � •� i��jv�13 �g�al►s►1�f � P�o int vV 's OulgWnId 'xr s ig u.to}wn .. � 04tul wsn pel}t� ci, ai;� t X� b, �•��gp.�d u a File. sg:pipwd a;at.:1... ..i • C pt4S d14suQu"Vt3 e L4;.,di�yy kyr--13iON VM. 10 4uewpcdoo 044 waif uo;ssluu4Q u04414► SIA ewo, uo o} lnpWjt ll it Y: F,Lt. Wt4r14 r!A idol W :1St11N s�os,�::: #:aodg pW suold ;o 4a$ SISJ 13.2.00 0 0 0 433* 132. I7 Y.00 0 .4.35 434 432 0 O n,7 428- O 0 1 1 2.00 BOULDER 42.4 DR. 32 426 EAST 1 442 443 444 445 446 05 Ac. @ 438 439 440 0 44/ DR. 2,,0 56 R -JE if 172.00 132. 27 i 29 29 o O 0429 4,31 1 430 1 428- O 427' 1 1 2.00 I 42.4 132 32 426 EAST 1 442 443 444 445 446 05 Ac. @ (32.00 80ULLIER DR. if Q I T - EAST 706 ---4WS 464 463 462P 1 461 460' 459 457 456 455-- --4y4r-- 0 0 458 0 4,5Z. 0 6 0 42 IO • TA L L .. pltv!� DR. TALL P/AIES DR. .., r - — - " i In I P-001 I r -t "-Oc�j — EAST 470 -H 471 472 4 73 474 4n9 475 4 4qR 76 477 172.00 132.00 O O O 05 Ac. 42.4 423. 42201 426 425 1 1928 Ct .0 05 Ac. @ 80ULLIER DR. 2,,0 56 447 448 449 450 0 59 60 i 75 74 IS2.00 13200 Q I T - EAST 706 ---4WS 464 463 462P 1 461 460' 459 457 456 455-- --4y4r-- 0 0 458 0 4,5Z. 0 6 0 42 IO • TA L L .. pltv!� DR. TALL P/AIES DR. .., r - — - " i In I P-001 I r -t "-Oc�j — EAST 470 -H 471 472 4 73 474 4n9 475 4 4qR 76 477 PERMIT NO. n tic 3419-84MHI ex site 'PERMIT EXPIRES i OWNER JANIE PHELPS CONTR. owner ASSESSOR PARCEL 65-19-30 LOCATION. 14591 Holmwood, Magalia ' . I Temp. Power Pole y � Called PG&E Pity, t; Temp. Elec. Service I Called PG&E i F • ` Temp. Gas Service .' •F Called PG&E `'kJOB'FINALED (Date) i 'Signature , • �� ' F 1' '61 t i ' . I Temp. Power Pole y � Called PG&E Pity, t; Temp. Elec. Service I Called PG&E i F • ` Temp. Gas Service .' •F Called PG&E `'kJOB'FINALED (Date) i 'Signature , • �� ' F 1' '61 V = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES r } MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures tr 6. Gas; Location--Test—Wrap:/ /"L"ft./ P'Nat.ori /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date j%, Card -BI Date MOBI EHOME INSTALLATION (Plans) OK except N's Z 'ng Requirements—Setbacks—Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except Ws 1. Setbacks—Easements Fo s; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test— Dema nd;Yila Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Te rossovers—Breakers— learances 4. Elec.; Receptacles and Lighting; Distances—GFI rai •-MH Test—Fall— lex nector j 5. Elec.; Pool Lighting; 15 volts—GFI ater; H Te —R g or - onnector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. and Sg4ue Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E . , nsp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test E Card B-1 liDate and -BI Date Card -BI Date Card -BI Date Card B- Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3'-Chec< Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -wise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65• Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails & Deck Const,uction-Post Caps Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E) No; Planters ❑Yes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except k's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_g._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California. -Administrative Code, Title 25, Chapter 5, under permit number X for the following location: fl /Y(1/j//�CC,� rr.+ Owner : 4/L,/E Owner's Address t? y 4* y 2 e4 Mobilehome Mfg: -�%,), bv// (,e L- Model Year Insignia No. c')H J/ t 3 % 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. �0lT1t`I1lJ 05, �.� oo Q Inspector / Date % COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE syr i A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this !n0er, or need additional explanation, please contact this office Immediately. 111; A -� Inspector" Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION. AND PERMIT PERMIT NOS/ —O ASSESSOR PARCEL NUMBER --30 ZO ING 1BUILDING PERMIT OWNER �'� TT �L� S TELEPHONE SQ. FT. OCC. BUILDING VALUA OWN R'S MAILING ADDRESS 0, gD Z L/ CONTRACTOR•SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 60 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ TS. BUILDING ADDRESS Lei Dj_^ 140 PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 Solar Water Heater 20.00 ,�t� U)CO� �� rPW�'l� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome'�a Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: •E_ YJ _52: ZA IG X47-2 — 7_ —BAM/� ===�I � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2I/20sgit - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS &` NON -RES D. SINGLE OUTLET CIR, / Ex. Occu P�ourLETs OR FIXTURES 2005ee BAL@300 FIXED APPLNS, OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you rnust forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ � e Q�d 1C)_.9 � 9 A �-� � `�'�I__ Datesions Signa re of Applicant — Owner 52""'Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ e� TOTAL PERMIT FEE $ �D OCCUP. GROUP I TYPE OF CONST. I ZARCEL I PD HD ssu This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date /f — 7—�V_ h-- /—��1 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C!0{LPFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET / P �� Permit No. _ OWNER ___-32405 PZeLPS A. P. No. Proposed Building Use h9r 7y , ZE-7Yl _Q T10 G_,%� Permit Fee Based Upon: Complete Contract Price DPW Valuation I Other (Explain) Building Inspector / Date /Q/ At time of permit application, Uwas advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED J7^ n. All items have been submitted. . ;/� lot plans in duplicate. triplicate `.��-4-�'g 3. Complete plans in duplicate./triplicate... . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . Letter of signature authorization. fro . .%%,O��GE itation approval from �'14,2WLS--� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. , • • • • • obi lehome Installation Data. . . . . . •. —%' 17 Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date) QgL T". Other �E'U.�%`�5iEb - !9 civ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector: Other Applicant_`�t�,ti.,�e Q. l�t2'` Date Copy of plans sent Health Dept., Fire Dept., r Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ' of ap icatio , circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer caner as advised of above required data byTele hone Mail Oth r By Date Plans checked by Date Plans approved by Date Other: Copy—DPW 1'0 : Building Department= From: Environmental Health Subject: Sanitation Clearance Owner A.1/D� Location AP Flans approved for: !Sewage Disposal__ Water Supply__ Hold final for: Water Supply_ Final Clearance O.K. for: Water Supply_ Clearance for bedroom mobile home. Other Clearance for addition of 1-2 Ak,G41 )19<U..1 JJ e D 2�� an tar an. ate A lI 16"e-, /z/ 4� �.' Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT S-4-40052 OFF- N900JR0r Section 26-8.1 of the Butte County Code requir'es this .acknowledgement? be recorded prior to issuance of a building permit. Rf:'00008 REQUErjTt` 8;, PAS SH WN The property described herein is adjacent to land or included OCT ?5 246 198rl within an area zoned for agricultural purposes, and residents -of this property may be subject to inconveniences or discomfort arising from LFAN the use of agricultural chemicals, including, but not limited to herbicide oeai�Ct, and fertilizers; and from the pursuit of agricultural operations including, but not limit j: to cultivation,. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A.P. # 65-19-30. THE North half of lot 427, as shown on that certain Map enti "FIR HAVEN SUBDIVISION," which map was recorded in the *Office of the Recorder of the County of Butte, State of California, an May 19, 1953 in Book 21 of Maps, at pages -31,32,33, and 35. EXCEPTING THEREFROM all of the valuabel minerals beneath the surface of said lands will be prote against damage and that all such mining shall be carried on fran tunnels,shafts or drifts having their orifices outside of the surface area of the above described realty as excepting or reserved in Deed frcrn Clara J. Leigh to Edgar S. Hurley, a single man, Dated March 21,1957, recorded April 10, 1957 in Book 881 of Official Records, at page 334. DD Date:: NOT COMPARE NNntA QRt .jNAL DOCUMENT PROPE Y OWNERS: SGL �c.,�vLB rr� Robert H. Quintana State of CALIF.. ) On this the 25th day of October , 19 84 , before ) SS. me, the undersigned Notary Public, personally appeared. County of BUTTE ) ROBERT H. QUINTANA L/ Personally known to me. /X/ Proved.to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) is subscribed to the within instrument and acknowledged that. he executed the same for the purposes therein ontained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. CARR Notary Public Present A. P. No. �� 7 � ��" RENAE CARR NOTARY PUBLIC. CALIFORNIA s ` Butte County My Commission Expires May 2, 1966 9 'T l �;'{• PERMIT NO. 6495-79P',E PERMIT EXPIRES 1C:OWNER Stanton Clark ' owner CONTR. 65-19=30 LOCATION (A.P. ) 765 Holmwood Dr., lot 427 N2, Fir Haven S b, 7 Magal is �kJ Cow£u e'F �O�i�ec/ooa�� Lc,00alao,tci ... y' y k, .y 9 7, ' A 4 J 7. if Temp. Power Pole_ Called PG&E _ Temp. Elbe. Serv._ Called PG&E l Temp. Gas Serv. _ Called PG&E _ JOB FINALED MOBILEHOME INSTALLAT Y iVSPECTION CHECK LIST O/CIs the mobilehome-located with quired separation from lot lines and buildings and generally conform to plot plan? Yes_ o_ h mobilehome.have required clearances above ground? (Sec.5085) Yes_" No �,%L Does the q 04 -Are footings and supports properly sized, spaced, and braced as er roved plans? (Note r// possible variation at spring shackles.) (Sec. 50 2 & 5083) Yes o 611 Is the mobilehome level? (Seca 5088) Yes No_ r' If more,/than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No — &/&W A. Is flex �lt- connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes-,z�No_ .B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_ Bac - If coach is not State of California approved, does -station have backflow device and p re -relief valve? Yes_ No_ b/L-Waste's and Drains A. Is connection made.with Schedule 40,DWV and have flex connectors at each end? Yes__ B. Does it have minimum 4" per foot slope and is it properly supported? Yes on C. Are any leaks detected in drainage system after running 3-ga ons of water through each fixture including washing machine standpipe? .Yes_ No� r!r Ifc is not State of California approved,•does station have required trap and vent? ` Yeso_ , Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more tha 6 ft. long? Note: All piping is to be at least as larger e mobile ome gas line inlet without reductions other than the mobilehome conn�bt . Yes_ B. Test Ker follow ng p cedure? Yes_ No 1, pen a 1 appliance co ector valves. 2. Shut off appliance irner and pilot valves. 3. Air test with m omet r to 10"-14" water column, or test with slope gauge (minimum 6oz,-maximum 8 oz,) ca ibrated in tenth pound increments.,' Test for 10 min. without drop., 4. Connect g s meter to mo 'lehome with connector, turn on gas, test connections with soapy w er. ` C. -Are all appliance vents properly installed? Yes_ No. �1GElectrical ... . A. Is service large enough to provide - ate dmperage-to mobilehome'(must equal rating of mobilehome with a minimum o 1 amp) d other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes P- No_ C. Is power supply cord or feeder assembly properly fused? Yes o D.. Is continuity test satisfactory as per the following procedure? Yes 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. 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 DATAC �� / S' T7 Manufacturer and/or Namestyle N/ C �G S Length,_ Width__ /U X ZO ` �C Vehicle Serial No. State Identification No. Additional Information or Comments: 4 2010 A A &,ec 200A- ce 4C-4 a' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS s , BUILDING INSPECTION RECORD BUILDING • BUILDING (Cont'd) \�§etback Irewall �Sel %aln Bldg. Res oom Finish ootin s Windo s S mwaII Siding Sia Roof Shea In Pier Roofing Garage Fdn. Vents Footingx Stemwalix Garage Vents Insulation Slab Carport Footings Prov. for ph sicall handicaped Conformance of ex. structure Slab V Final Patio F EPL CE Footin s Footing isonry Walls Throat Reinf. Steel Final I Piping st Floor d Floor Ir Floor Sewer Fixtures Water Htr. Heaters Appliances Gas PIDino & T Final PLUMBfNO Oona eseam i JFIRE SPRINKLERS Motors Framing Test Water Htr. . Stucco Final Sub ane Mesh MECHANICAL Grd. F AIt Prot. Scrat Heati Servi Bro Cool g T mo. Pole FI sh Du s nder round Int for Lath V ntllation Permanent Mor Closer anal Inal MOBILEHOME UTILITIES {,r - � - - - • - Elec. Service�o ✓d 8Q � Elec . Pedestal ' Water Piping G' Sewer O - Gas Piping 1 EtWE INSTALLATION - - - - - - - - - - - - - - Support p - Elec. Continuity Water Piping b Ad, Drainage1�� j Gas Piping DATE REMARKS OR CORRECTIONS �l OK`+' _ w 9( ox 0 1z Acle r5i, � � `tart / l/1 � � CDS a•� a./1 G�,L dy / war./f� �o�.v�/ y f 4,49x, of (NOTE: An entry must be made on this form each time you visit the job site.) 14L �. COUNTY aF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211 , 1=xt. 70. 7 County Center Drive, Oroville — Phone 534=4541 Skyway and Elliott Road, Paradise — Phone 877-3435 c(D71IREC B I BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinande exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. S Tiil�i2s; /�, �I, ►.en d ume7L, •.� �� O Inspector ADate .7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY-Ci_NTEA'DRIVE' OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY" This mobilebome has beeninstalled in accordance with the relluirements of the alifornia Administrative Code, Title 25, Chapter- 5 un er permit I number, �55 e for/the following location: 7" "."0 a R Owner CX ? '14) 111' t' Owner's Address j e.) Mobilehome Mfg. ",/Z/ At/Z Model f Yearlall Insignia No.a 7S-1e'ri/" al No It is her6by certified for occupancy at the above described location and may be occupied. Director of -Public W--)rks r? Date By THIS CERTIFICATE IS VOID WHEN MOBIL EHOAFRS'R ELOCAT ED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — .. DEP4RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephon6: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XSCI l/'�....c �l.U� �� Date W `Z -;y Signature of Permitee or Agent ry Receipt No. dZ i (,-7 a 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. DIRECTORATF)PUBLIC WORKS By Date -7-7-7,-22 Buil rng permit expires Date 7-yz- I BUILDING Owner /y G/- 4 -)eh SO. FT. OCC. BUILDING VALJAVfkiN Mailing Address — 4',& Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan e�� Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. _ _ ,pT l� l)" Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FA,5-s 6-C. €iaai4a4en FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P 'n Recd Parcel A oval Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IR Permit Fee $ $ 6`7 q,P Li ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 10V OR L Main service 1000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home CR Others ❑ Main service EA. ADD'L 100 AMP 2.50 OV AMP Main service OVER eooORv LESS .25.00 Main service/ EA. ADD'L 100 AMP 1.00 .NEW CONST.OR ADDNS. C ACCDWELBLDGS.LING CCUP. Y) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR BRANCH CIR T NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. P 25C EX. OCCUO(OUTLETS OR FIXTI IRESil 50 @ BAL@1 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 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. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this 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 aboveeve information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby opmeilt e ` $ () be TOTAL PERMIT FEE $ bZ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XSCI l/'�....c �l.U� �� Date W `Z -;y Signature of Permitee or Agent ry Receipt No. dZ i (,-7 a 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. DIRECTORATF)PUBLIC WORKS By Date -7-7-7,-22 Buil rng permit expires Date 7-yz- I COUNTY OF'BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 • Telephone: 534-4541 • APPLICATION AND PERMIT n authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie6�J Date /D'—`Z Signature of Permltee or Agent - D Receipt No. Z &7 �o White-D.P.W. — Yellow-A--7eS ; A910, s -Inecto&)64 hrrad-Applicant This permit is hereby issued under the applicable provisl f °,(Zz the Butte County Code and/or resolutions to do work in a1'ed above f which fees have been paid. DI tEZjJWOF PU LIC WORKS By Date - Q�^ Building perms expires Date �U BUILDING Owner Jt GLS SQ. FT. OCC. BUILDING VALVA ON Mailing Address ' G v S3; 5_V IT No. Contractor enL Mailing Address Fireplace Total Valuation Telephone No. Permit Fee • Building Address px�,f .ni �p Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 f Repair drainage or vent piping 1.50 )�1� A. P. No. -� L �� /Zoning & PI n ng Water piping 1.50 D,OD Each gas water heater or vent 1.50 S on FireDept. FireZone Use Pknit Gas piping system 1 -5 outlets 1.50 EQA Parkin Parcel Plans Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Q, 00 Bldg. P ns Recd Parcewpprovol Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ,Cal 10t I ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ®G OR LE Main service 10000 AMP ORSLESS 5.00 ,® O Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 a SO OVER Main service OVER e 25.00 AMP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST %ACC. BLDGS.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 NEW CONSTR. BRANCH CIR T NON-RESID. � BRANCH CIRCUITS 2.50ea NEW CONSTR /POWER APPARATUS&J NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTI-RES) B L@; Ex. OCCU FIXED APPLNS. OR p.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Op License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $ J 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. ❑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 Land Development Fee $ 5.61 TOTAL PERMIT FE �� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie6�J Date /D'—`Z Signature of Permltee or Agent - D Receipt No. Z &7 �o White-D.P.W. — Yellow-A--7eS ; A910, s -Inecto&)64 hrrad-Applicant This permit is hereby issued under the applicable provisl f °,(Zz the Butte County Code and/or resolutions to do work in a1'ed above f which fees have been paid. DI tEZjJWOF PU LIC WORKS By Date - Q�^ Building perms expires Date �U - COUNTY OF BUTTE - DEPART14ENT,OF PUBLIC WORKS 7 County Center:Drive - Oroville, Californii) 95965 - Telephone 916/534-4541 " APPLICATION AND PERMIT PERMIT NO.�, ASSESS01 PARCEL NUMBER ..7 Z..�( BUILDING PERMI OWNER rCAI, TELEPHONE SQ. SQ. FT. OCC. BUILDING V ATION OWNER'S MAILING ADDRESS— 7 i r/a e,- CONTRACTOR'S NAME MCMUlion fnab,Je Nome Sec TELEPHONE 7 � � CONTRACTOR'S MAILING A DRE55 3 �z CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESSSS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty • $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Ll.ti 1• )PLUMBING mill r PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME C (j P CEL MAP Each qas water heater or vent 2.00 - Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeN Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 . Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW OR ADDNST ( ACCCONSLBLOGS.LING CCUP.&1 I/ 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions _Code and my license is in full force and effect. /� License No. 3yS� % C% Classification C. — to / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NNE WON -RES R. (POWER CIR / OUTLETTUS.&) so ac Ex. Occup(o OR FIXTURES BAL�10Q ITLETS FIXED APP LNS. OR Ex. (FIXED (RESID. EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granti.ng of this permit. X IJIC�II�•x �i^�Q' �� t�,�i1 X___1 Date 7—� 3 .— �I) Signature of Appli` ant — Owner ❑ Contractor II$ Agent ❑ An OSHA permit is required for excavations over 5'l)" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PO HD ISSUE (/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS n Date d' "� �"�i�D.P.W., FRept No.� /�?� YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 27 XY �6 z P -m. ALL STRUCTURES AND EMPMENT OVERHANGS SHALL BE CLEAR Or- ALL tASEMENTS. A 1' K rF Fy. FRCM THE SIDE AND �1� -Y LINE Ar-.; Es F,ROAD CENTERLINE SHAL' - TH— CLEAR OF STPUCTURE-S AND EQU!PMENT F:LXCLrs i rF0.RA2FT-EAVE'OVER hANG- > Lk lkat-' I f APPROVED Butte County En\, ironmental Health Z- 6 -- Date --t-Signature