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HomeMy WebLinkAbout065-190-031=nilr 65-19-31 , M . Joh A 1 t on /O/1z�7% -���J .J !�01 V W/S H wood Dr., .250'S.of oodward Ae., lot 27, Fir Haven Sub, Magalia k, - ermit #3 -77P;E(util:,MH)S ELEC.. D GAS ,. a ' f .. SUPPORT' ST UCTURE RE /1/0 CGWTION TEST REQ. O ' U:.. 65-19-3 e# Contr: Beich Mobile Home C co ermit ##5245-77MHI Issued n / a.r Qcv�c,�J 65-19-31�7; dward Pacheco Y�"•'' 765 Holmwood Dr. lot .427 Fir H v �; -Sub'; Magali �/fef� Permit #446 -80B(new pri.garage) ' 65-19-31 . Edward Pacheco 14585 Holmwood, Magalk • Permit #937-82B,P,E(ramada, cabana & n f covered deck MH) e_ �i.'!•��:1t{ � a-'=�.c`.- 065 A 190-03P—;4 ;$,," ";PERMIT#95 .2762 y: z PACHECHOEd �� >• ;;^'rt..*.;• ; a#Z= ' "h .14585''Holmwood Dr , ,CI galla Cont,,,Armstrong Ieroof/Garage. `� I 065-190-031 h ; �_ ; ;�, , 06-0973 . y ,PACHECO TRUST, K; + ; 1 14585iI-4OLMWOOD; MAQALI .;tom - Cont: CHICO M:H: S. M/H PERM FND(EX) i , RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Count? of I CoButteof I CMDAU J. 6RLIBB8 I County Clerk-Recorderl I I 09:03M 04 -May -2006 I REC FEE 10.00 COVORNFD COPY 1.00 DD Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 1855 L. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owne_ of the real property and shall be deemed to give constructive notice as to its contents -to all persons thereafter dealing with the real property. PACHECO FAMILY TRUST EDWARD AND LUCILLE R. PACHECO TRUSTEES REAL PROPERTY OWNER/LESSOR 14585 HOLMWOOD DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0973 530 538-7541 ot�D IT NO. TELEPHO P NUMBER J SIGNA UR CAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. BUDDY 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAMEMUMBER A/B0329 56'X 24' CAL070668/9 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S P NRCEL NUMBER 065-190-031 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. y i(j •: .'� ; .; �-• �` ' ` '�k �.: sJ 4 �� ,1�� , ' + r rw+.w+r'+�wM.w�'+W..,..�...wwww..,...«..r,. ���.MY.1:.. 1. 1 ,r..++.r w• realiMsMit+w.+we+i:i`.. ``a r+.+.�M+wr M.rNwwrrw. i..ww:�+. f, i � .. � � r �' 90- 23564 EXHIBIT "A" j w z+• A.P.N. 065-19•-0-031-0 7 L� F. 4: All that certain real property situate in the County of Butte, 050290 r. 0680-1 ` State of California described as follows: , E r END OF DOCUMENT The South half of Lot 427, as shown on~that certain Map'entitled,J1 d} ,r� "Fir Haven Subdivision", which map was recorded in the office of 'y the Recorder of the County of Butte, State of California, on May r J 19,, 1953 in Book 21 of , Maps, at pages 31, 32, , 33, ,34 ,and 35.-- 5.--EXCEPTING O EXCEPTINGAND RESERVING THEREFROM all° -;of ,,,the valuable minerals beneath the surface of the said land,: with the• right' to mine and l� s' extract said minerals, it being agreed and understood that in all �;- 1 mining operations the 'surface of said lands• will be protected) against damage . and that all, such mining; shall• be carried on from tunnels, shafts or drifts having .their orifices outside '•of,q,the surface area of the above described realty, as excepted or reserved + i•;)+• , in Deed from Clara J. Leigh ,to Edgar S. Hurley,, a single man, dcted.. t March 21,. 1957 recorded April 10, _,1957, under Butte County, 1 Recorder's Serial No. 20399.:•_ + 1 1 ' r ♦ �• I 1�' r! �' o j 050290 r. 0680-1 ` i7 r END OF DOCUMENT U° y (f d} ,r� R.tCORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 4 -Play -2006 2006-0022856 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE nNI,V NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. PACHECO FAMILY TRUST EDWARD AND LUCILLE R. PACHECO TRUSTEES REAL PROPERTY OWNEMESSOR 14585 HOLMWOOD DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME mqu.arvv AUUftY;yS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS , OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0973_ 530 538-7541 T NO. TELEPH01 NUMBER J SIGNA CAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. BUDDY 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMLWUMBER A/B0329 56'X 24' CAL070668/ SERIAL, NUMBERS) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL D - R_1yU SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-190-031 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0973 Address or location of unit: 14585 HOLMWOOD DRIVE., MAGALIA CA 95954 Legal Description of Real Property: 065-190-031 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: PACHECO FAMILY TRUST EDWARD AND LUCILLE R. PACHECO TRUSTEES Owner's address: 14585 HOLMWOOD DRIVE, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL070668/9 SERIAL NUMBER OR V.I.N.: A/B0329 MANUFACTURER'S NAME: BUDDYAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: -/-3 PHONE: (530) 538-7541 H.C.D. 513C 5.�.'i.. F!:• t� � "; .•~' � ..'� v. i•'y + i' .. r. '*T11t xF,?'ri.�r' .t r1 +... .t, "' �y`"j•�""'6+w�>ay.�axaten...:w-.in.iv :•ref... .,a::..w4•t naawiir....,�. �..e. :.. � .- •• kl '� v.���`le "."sX �'^y3•+a�, •� '.`.'��!� K•`�F. �k�,�r� {�y <t�Mr r�' `�.:. t Js tr r r,.d ,,,, e r�r, s [ r' ....a^i f++ ..+.�akil1�45�i�k�;�y'`f�..�fy �_" S � -ei�iiaf;t•� 2..51i° C� �y� `C fin% 2 st�F z �t ; �' R '•, .,.. 1�. �� r• ' ° a Sr.i'a'r' � {7S,'�'r�iry r'ti �'i�'.. �� t.rri�� 'F�,''S-4 '� �� �r r • 0 -23564 M, a . � � �" ; _� ., }, .� Y.eq�r Ny'�•t'A'r_c1 Z,r•�. •.. Lv.... rt x� t �' �. Aa ;g ;, �,• � _ . ! ray ,� �t � .f �` (1,771\1-. M 'K •* :F� S" i e 5 1 .,;a��, `'•wNN . , . _ EXHIBIT A � z�• A . p . N • !. - � s�^•fA � ta� ,a ,��"},r..`}�-ya; trr2 ',a E,C"r'� A {' i� � r3.1 ✓ ; ,. "� - RR til C•.,,yi+..8? ��H '�- 'r�' ti �•' s a- a i L ...4 1 - t f_. i 0 065-19-0-031 ; ry 3 � i"' � ��+"�y,��..A•'���"r ts'�>�xt# €� r Y 3�, d .,^ , i ' - y r ,�: f•r r� Q ..Y . - -; e x7 ti f 1 r T a.. 15 :- < •^i • /'�. ::•.{ {` = a!k�'� '�"� -` �'J '{ T �-t% t'.; i � _ Al that certain real r. ' t State property situatey'in .the Count of r, of California described as follows r y Butte, gg ray p i'�.)h-s.+ 1 ti '�Q,j t ? T# 3� , r><` s •`E +..f• Yx'� RQ lf.`�RY. f44!'N�'A �•ni v : �SZ i. ]_ .�'. Y .:t t V t L; n ^� f]�i The South half of Lot 427, as shown• on..that certain, Ma entitled,t ` "Fir Haven Subdivision" which ma ,f. P •,, :' the Recorder of ; the Count P ;wa.s •record©d :in the office of: ;.' x,'319, 1953 in Book 21 `of Ma sof Butte,J'`State� of 'California, on May.; '> . , P p es 31'44, 32 � �i. , . , s z / ,d ` rFI shwy z.at ag33 , 34 and °•35 . x s rpt -i L1 a^' YZ Y:ak. �. :S::p ..y}A,ytS.�� ^c,;.� r r ..ft"•,/fl°lE v' §'A. r.- EXCEPTING ;.AND.,. RESERVING' THEREFROM�z��3�Of ''�s,"n beneath t ,w �all`the .:valuable z=minerals ;the ;surface` of "the said %'land'"1,0S'with -theri` `htR tomine "andx r A extract, said minerals, z' - bein .`a g read andk.understood-=that t in"all-� minin o erations t. g, g g`t P �< the,-' of; said"'1 '' against-i`idamage and that''alla"sucrigha h miriisll {+be Protected ; F r =tunnels,`w,shafts or'drifts„K,hading theirori_ficesta.outside"�'of jthe ,., '” +; ;;•surface' area of the above described, reair -O+'" " in -Deed. from Clara J:t..Leigh?to; Edgart 5. `>,'Hurles excepted or;:reserved, ,•': March' - 21,.'x- 1957 recorded Aril 8• w j k� a single man,' doted 10 '195 °r [ Recorder ;6 .Serial No 20399 yp - t�tt }; wa .r 7! under Butte ^ Covnty A • i fir t� �t q.� ,.. ,° +; T_ _',..Recorder.! t .i "S �1ti g,g; •w! Y d c 1 r y� y r �• f,. ,�.. `•C,t Fr rri , a af4 r .. S �, w 1�'.,y#' '�• � �y.'�53��A- Zi s �- �i✓ rr y 'f yam.. ror �f'} K ,,��•• k' C.. 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(�f +".: hira�i, ��aa+•"�,v.fy��.t�`1"jtjf pa% .�a,t t1�.• ,y.,'t; rP.1 ra t7��, . ,� t, r LA '� �'t i''�`i a t�.T7.'•iy7' 7'a t.. t �. of e M• f Yy '�L.'. . - ^t - i i• k�7ta't 'Yi rri nkea'i' �f'�S �:r4� a�j� i "b�kF {t t ;t. •rij ir �,, j ��b�•tTMit �' ti l.t `'`•/�' .i) F t t �.r+ .,t p i `1y'�jLi i Vit. r � '� ax >,.1�'xis"�•t�rf►.;ji',�1'S`�f-t���t�1� b`k',"P ct'r '>.°fry <> '�' 'C�� , •,��] 4,Y �,,Y�s.:.a t�'n t�',. `�i:� „f�.f�,x-�t4,,,,���,]�,�, y %fa ,,ty T t •„ �fr ?i yt�_ vv� � t;4yi,;, t�ii , �" tii"t,tn �Yy'•�ta•. .hR,`�� r� . �1•'�1. ? , , t- •�' .m 1 �'�• �'�`F. �''•�i-'moi '*�4+�kk t i++1•..��-i �'� �a�3 ,,'Y�rt{ � a c 3 -� �f t'1 � - ,,,�, X xiA - i r A; „ rr.ry, f� Y� }.' S 3 Y.• a• i •,/ i X r :" -: '? - .. ra• , 'ki'� i Y �`Y*adf" EtC ,,,�ee dp$r t.� •S^'..+x '7 '3.i• •'fr i Y �r� ,YAK F<V/. S• 1r '�. 0502 90 F.>.' ..0 0680-1 - . � � =ik'fi ' `+ ,.r "�S n,.{`- ih �A ~'":'•5.f.'�h� �* � -f. { `�se,� � ' ,t"�� i�pw,�' ! � �.a �: ,•- .,,,,r•.� 4 t ,�. '�' �"' &+ ' e �g�.�w"����`�''"'t t W` W,:�-•.°' Ma, t at: 'i''� zL 1.. ri iY i •xM y ] iwi .+a 'L t "Sa t OF lN[3 0C DOCUP111ENT '-�° �> _ .I-n.w.-K.i... �"{•tGG�.�'Sd• ';ie-° YIw+Y.K',:r+r' � �a � .c�at 'df - N [ �' ' '1 �t� •� 1S-s. +c.i:-`.•wsw'['.ww��..i%�Y.'�~ 1 ,:7 3!.n ..µ DATE INVOICE: AMOUNT 90-3504/1211 ` �' ". CH.I'C MOBILE HOME SPECIALIST . . ' .15'01. LIC. NO.;445103 ' P.O. BOX-4121 (530)895=1774: . CHICO, CA',9592Z. LLARS .. PAY DISC NET NT ROSS DESCRIPTION ?I^I KD DATE TO THE ORDER OF .. ...: .. gryl OUNT .,; Z�U ':' ' ';.- 'TRI COUNTIES BANK - 1-800.922-8742 _ II'OLSoLLill 1:12LL3SOL, SI: 1 2910 43 LII' x ��� Butte County Department of Development Services. I`! O T E S 7 County Center Drive, Oroville, CA 95965 _ } (530) 538-7601 vrwv.buq@county neidds c . RESIDENTIAL C� AP N: a � 190 031 Permit No. Owner- Site wnerSite Address l �j ub1 ���UUC.1 Contractor. 9 Type of Permit Y r t I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPEC71ON FEE PAID ENV HLTH CLEARANCE r DATE JOB FINALED: _ SIGNATURE: (,J tet = OK — nK� MANUFACTURED HOMES MISCELLANEOUS DATEERMANENT FOUNDATION SOFT -SET i Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIVC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctnilfncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CI rncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8, Sewer Connected -C/O to Grade 12 GG end Elec nci Tagged 1 �twns Foundation Q .Exits 15C Occupancy TT HUD Label/insignia Numbers Serial Numbers o'S a7 ti DATE D E C KS -C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftg§; Soils -Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brag 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rfirs-Trusses 9 Siding; Nailing-VeneerStucco4-ath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls { s s` ° :0 I DATE IPOOLS ( 1 Setbacks -Easements ' 2 Soils; Compaction -Structure Stability I 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr t 8 Elec Grndng; Eqp w/S' Crcltng Eqp-Pool lghtg Bdxes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide �_. �^ Pool Drawing OK Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; SoilsGrnd Fig Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 64 Hold Downs and Special Anchrs 59 Fire Sprinkler- Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw. Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-141ech Prtctn 22 Headers & Beams-Sz & Bearing — 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Tran & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Cliannel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc. 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rffr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prictn-Skylts-Plastic 81 Plmb• Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters QYes ❑No s oma• 0 0�. ° 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmcans Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prictn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-O/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga Q CU or ❑AL 98 Address Posted AC Wire Sz ga El cu or ❑AL 99. Fire Sprinkler 48 Range Circ 9a ❑ CU or ❑ AL "Oven Circ 9a Q CU or ❑ AL Insulated Neutral DYes ❑NoO p` 11 49 Service -Riser Cndctrs & Grnd Main Dscnnct O'er 0! 50 Eqp Cimcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under 065-190-031-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/02/2006 APN: the Business and Professions Code, and my license is in full force and effect. License Class: C 41! umber: LS /o� Site Address: 14585 HOLMWOOD DR MAG Date: _Z _G contractor. Map Index: Description: mh perm fnd ex site OWNER-BUILDER%DECLARATION I hereby affirm under penalty of Rbrjury that I am exempt from the Contractors' State License Law fof the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PACHECO FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PACHECO EDWARD & LUCILLE R signed statement that he or she is licensed pursuant to the provisions of TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 14585 HOLMWOOD DR she is exempt therefrom and the basis for the alleged exemption. Any MAGALIA, CA 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DOREMUS, GERALD GLEN such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for P 0 BOX 4121 sale. If however, the building or improvements are sold within one year, of completion, the owner -builder will have the burden of CHICO, CA 95927-4121 proving that he or she did not build or improve for the purpose of 530-895-1774 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOREMUS, GERALD GLEN pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code P 0 BOX 4121 CHICO, CA 95927-4121 Date: Owner: 530-895-1774 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 445103 ❑ I 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. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy#: 2---1 certiry 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Date: y /1 C 6 Applicant: WARNING: Failureo secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand /bollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. — - — CONSTRUCTION LENDING AGENCY This permit is h y iss e under a appllc le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions do work ndicated a ve for ich fees have been paid. Name: By: Date: PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the own e�duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the bsta ce o ny official form or document of Butte County. I hereby authorize repressentta ' s of Butte County enter upon the above mentioned property for inspectl n u S. /ttoo 2�i /� Print Name:v / &6 Signature: Date: ❑ OwnerContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BP060973 Issued Date: 05/02/2006 APN: 065-190-031-000 Site Address: 14585 HOLMWOOD DR MAG Map Index: Description: mh perm fnd ex site Owner: PACHECO FAMILY TRUST PACHECO EDWARD & LUCILLE R TRUSTEES 14585 HOLMWOOD DR MAGALIA, CA 95954 Applicant: DOREMUS, GERALD GLEN P 0 BOX 4121 CHICO, CA 95927-4121 530-895-1774 Contractor: DOREMUS, GERALD GLEN P 0 BOX 4121 CHICO, CA 95927-4121 530-895-1774 License #: 445103 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00. Census Code: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name� r- US ' t Name Address o CaCJ Z9 City E-mail State Zi Phone Fax Fax E-mail State License Number CONTRACTOR Name 6 6 G Address DX City G � Address Phone 5 7 4f �i Fax ��S J 7 E-mail Lic. #s �3 Clas?—,—/ APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For off i9fi use only: AP#o-03/ Zoning JW jA food Zone SRA JYeol No Occ. Policy Number Type Const Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS1BldgApplSubRgmts.doc PERMIT NO. , BP BIN # PROJECT LOCATION AP#o-03/ Propey dd ss / sd� ohmleoodo City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address S., Page 1 of 2 Description or Scope of Work: ,x Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: _7P Amount: �- Y �• In Bldg ��-4' SRA Receip(t�#: Sheriff SMIP Total I I Date: REV 8-12-05 SUBMITTAL & PERMIT REQUIREMERTS.' The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph .paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! . ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. ,(construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must, be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 06-09 17S �. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Cent&.Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PA C C PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Items required in order to apply for i permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Cl 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. f8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (� )_Tie down orfn_ ddplans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable El15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ A8. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. U] Legal description EM.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone-? 15 1/917�! and hold for pickup. I have beemi Armed of the above items and requirements for obtaining a building permit. Applicant: _ 1. Index permit Date: � • -7,7- U .L Plan Check Letter Contract esigner,(owner, was advised of the above data by >( phone, ❑ mail, ❑ counter, by i h . Date:_5 -1 CXD Con ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner w s 6 advised of the aboy ata by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: _ Date: t 'b Plans approved by: Date: tlu,. 1. Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: L o Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 J { 04/26/2006 14:47 FAX 530 899 9631 FIDELITY NATIONAL TITLE STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY_ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT EKVWen of Ceeae and StM&q Decal #: ABB4964 Manufacturer_ ADS Tradenamc: BUDDY Model: ILT Manufactured Date: 00/00/1978 ' Registration Exp: 10/31/2006 First Sold On: 00/00/1977 Serial Number A0329 B0329 Record Conditions Registered Owner: Title Search Date Printed: 04/26/2006 HUD Label / Insignia CAL070668 CAL070669 PPF Exempt EDWARD PACHECO LUCILLE P PACHECO Trustees 14585 HOLMWOOD DR MAGALIA, CA 95954-9345 Last Title Date: 08/21/1990 Last Reg Card: 11/18/2005 Sale/Transfer Info: Unknown Situs Address: IM002/003 ARNOLD SCHWARZENEGGEK Govern 8 � n �O Use Code: SFD Original Price Code: ADS Rating Year: 1977 Tax Type: ILT Last ILT Amount: $ 15.00 Date ILT Fee Paid: ILT Exemption: NONE Length Width Unknown Unknown Unknown Unknown 14585 HOLMWOOD DR MAGALIA, CA 95954-9345 Sims County: BUTTE Inactive Decal/DMV- DMV SF9172, DMV SF9173, DMV SS6865 Title Searches: FIDELITY NATIONAL TITLE CO 505 WALL ST CHICO, CA 95928 Title File No: None * * * END OF TITLE SEARCH 90-23564 Rr:Q;l12ST'ED BY: 90-023564 I Rec Fee 7.00 Check 7.00 Recorded I Official Records When recorded mail to: County of ; Butte LZWARD AND LUCILLE P. PACHECO Candace J. Grubbs 1 14585.HOLMWOOD DRIVE' Recorder MAGALIA, CA 95954, 8:02am 6 -Jun -90 I BG 2 Mail Tax Statements To: No consideration for transfer (Same as above) to RAvocable Living Trust Exempt: Section 62(d) & 11911 of California Code of Revenue and Taxation A.P.N. 065-•19-0-031-0 _ j / QUIT CLAIM DEED . By this instrument dated for no consideration, We, EDWARD PACHECO and LIICILLE P. PACHECO, do hereby remise, release and forever quitclaim unto EDWARD PACHECO and LUCILLE P. PACHECO, as Trustees of the PACHECO FAMI Y T UST, U:D.T: ("Under Declaration of Trust"), dated ALL that REAL PROPERTY situated in the OCityr of MAGALIA, County of BUTTE, State of California bounded and described as follows: See attached Exhibit A. DATED: Q EDWAR11 PAC ECO LUCILLE P. PACHECO ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF BUTTE On /92D , before me, the undersigned, a Notary Publ c, personally appeared EDWARD PACHECO and LIICILLE P. PACHECO, proved.to me on the basis of satisfactory evidence to be the persons whose names are subscribed to the within instrument and acknowledged that they executed the same. WITNESS my }sand and offic' seal. OFFICIAL SF L TER@SA i -FE ARMSTRONG NO RY ON t", SACAAMEn' f0 COUNTY 4TES;"Ar�LEE ARMSTRON , N ARY PUB IC MYCommiFB1p.�pres Nov. 30,1993 L@ OFFIf•IA;. SEAL 10 TERESA LFE 4FMSTRONG NOTARY PURUC•CALIFORNIA OMC EAL SACRAMENTO COUNTY 0 5 0 2 9 0 TERESA LEE ARMSTRONG ' My Ccmmm'..,on Expires Nuv: 30,1993 680-1 NOURY PUBLIC • CALOORMA SACRAhINTO COUNTY Ah Comm. EX01% Nov. 3f1.1993 ,z_ 3 PERMIT NO. 554-77P,E PERMIT EXPIRES OWNER John Alton CONTR. owner LOCATION (A.P. 65-19-31 W/S Holmwood Dr.; app.250'S.of Woodward Ave., lot 427, Fir Haven Sub, Magalia V .ti F.1 Temp. Power Pole Called PG&E q Temp. Elec. Serv. _7 Called PG&E Temp. Gas Serv. Called PG&E VJOB /^ FINALED (Date) (Signature) J 9. Electrical A. Is service I.aLge enoiigli to provide adequate ampc:�rage to mobileiiome. (must equal rating oL mobilehome caitli i ::;iri.i.u:um of .100 amp) and other facilities on lot, i.e., water pumps, .arae, caoana, etc.? Yes ---No_ B. Is ther.-� proper clearances around panels? Yes_ No C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory?as per the following procedure? Yes_ No 1. De -energize electrical wiring syste;a of the. mobilehome at the pedestal. 2. Make sure that rhe 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. Connei.t one lead of.. a test instrument to the mobilehome grounding conductor and. ' apply tine Gtu.e�.uau to each iiiuui.�cuume SUpply uuYiuuCtG'i, 11iclUulitg rleui.rdl. 5. All nor, -current, carrying metal parts of the mobilehome (aluminum siding, gas line, seater 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 shah: be connected to the site service equipment. A further' continuity tee;t shall then be made between the grounding electrode.and the chassis of the riobilehome. Upon•sate- sfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;.` ,s job card si-ned by Health Department for water and sanitation? L;.. If everything (A -ay, sign off card and to services. MOBILEI'10 L DATA Manufacturer and/or Namestyle Length !/ Width Vehicle Serial No. State Identif.icati.on No. r.de.i.tional Information er Comments: 3 i•0BIi,P;11OM1, INS`1'ALLATIDN INSPECTION CHECK LIST 1. Is the.. mobilehome loc*,tteil wi.�_1� required separation from lot lines and buildings and generally conform to plot plan? Yes No ?, Doc,_, the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot.in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5Q83) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes_ No' 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum -1," per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of 'California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No A 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 51 under permit number -7 for the following location:: L1 // Owner Owner's Address Mobilehome Mfg. l !- Model LX ���" Year Insignia Nofi , Serial No. 2 r It is hereby certified for occupancy at the above described location and may be occupied. Date Director, of Public Works By �./, 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED n Slab Piers crag_ Footings Stemwa I I Slab irport Footings Patio Footings isonry Walls Reinf. Steel Mesh COUNTY OF BUTTE}— .DEPARTIVIENT-OF PUBLIC WORKS f BUILDING INSPECTION RECORD BUILDING- BUILDING (Cont'd) Fir wall I SAW Pioi Restrobjn Finish Windows Siding Roof Sheath Roofing Fdn. Vents Garage Vents Insulation Prov. for phsically handicapped Conformance of ex. structure Final F FI HANICAL Brow Cooling/ Fin h Duct Int or Lath Veliffilation or Closer nal MOBILEHOME UTILITIES ----- Elec. Service r Water Piping I Sewer /y• 7 E OME INSTALLATION s" - - - - - - - Support Water Piping Drainage DATE REMARKS OR CORRECTIONS- -7 —XI 7) G 2nd loor 3rd FNpor To out Water Pipi Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault P10 Service Temp. ole IFyfa I Elec. Pedestal Gas Piping z Elec. Continuity Gas Piping (NOTE: -An entry must be made on this form each time you visit the job site.) PLUMBING ELECT tPi COUNTY=OF`BUTTE - DEPARTMENT OF PUBLIC WORKS n '7 County Center Drive* — Oroville, California 95965 _s1 Telephone: 534-4541 APPLICATION AND PERMIT 6�4r-/Z. A46 h BUILDING Owner 1� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee PIanCheck ingFee &/orPen aIty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 c� ff11 J `t Each Trap 1.50 Repair drainage or vent piping 1.50 qaL � I IF, r ff tw emso b Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 196614<_""a Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel Plans D claration Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. P Recd �P Parcel Approval Plans pproval Permit Fee $ $ NEWADDITION ❑ ❑ UTILITIE OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t r� �' �1� J��-1 "' Main service i°oo AMP LESSOR 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service VER 600V t0 0 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2(tsgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie Y 1 1 APIC� DL t l Sof Q S. Ex. Occup(OUTLETS OR FIXTURES) @L@1 BAL@t FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. t^ & i - Z �Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is 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. aced 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 ' b S+� 1 TOTAL PERMIT FEE $— 6 aut orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X //t,��,. �'` . _..,._ Date 0 Signature of Permittee or Agent Receipt No. 17n 31 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Applicont 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 bnpaid. DIRECTOR mF PUBLIC WORKS BY Date ZO - 7 wilding permit expires Date dam'«"�R ^ ka i COUNTY OF BUTTS DEPT. OF PUBl1C WORKS P�0 � 0 AM r 7 1971 71819110,1111211 12 P X8141516 ��. L t •- �`, PtUlil'I:.:dUMk. �urrl=K1 Ufi1H - � � : `� +o riago 20r Setup Model No. Lent (ft.) Expando Sita ft.x $� (Draw support details below) <„ a1s Ym6bilehomes manufactured after October 7, 1973, i:tirnish matwfaa%u�rer'`,=s.°�.h* 1 rind structural Setup sh ets ('f not on fi7.(.i with the County'of.'Itt�e). •.»Jr, 5/in Le 2.1 7,4 Mai SIR ►,� '; ' t Supjjort w r.. �C Tooti" Siwe r' �� ` r •ix�;z Sr �f Y � i + � l I 1 /fit �� •.. � �1 , ` , �T/' .i l�Y _ r R w ,.• 14 Vill- r s�'ya� ,eV �f',�''•1,ikt .�M :'�'�•, 4r. � •.•z ;"-- �_ •. ryR+� om, Y ' Y ,,.S;��q� 1^�Ir 1�". r : y •�" •. {F�c/s�...-- -;- Px+n♦►�►I,r su 'di ,4 ,,, �. •Y�S. ;. \ +� Y 011t'Ltf'_'� ,4 NI $`ky'.t ( - .. {I. `4•,` �;,; 1 1t r, F, , Rf�,a , + ioy r III., .-fir� {_ ` h�,"i;a •f�' `' ?,UJ!i` r ' 41 !j it _ ♦'� (7' A. s.^ ♦ t� �R�ri r r1.ter © t►votha"s , i% . •.1 ", *saCa Mora are other than drawn above, tions, spacing, and di -mon -;Ions. r r�•<T r { vf Wd4 °p°E°a°T°eI°II°0I°g°g°Z �aoM o178fj � � Q eine a+® ;U n®edaa MOhiltHOME INSTALLATION SHEET 1. Owner's name: ` .w Y f e? 42 � IbiZ %b h 2: Installer's name: 3. Is the site currently under permit? Yes / No (If yes, furnish permit number Is.the site an existing site? Yes f', No tea. � � � �.. ..• r OR 4 L 65 -1`l' -3l' (If yes, furnish two (2) plot plans.) 4." Will the mobilehome be located at least 5 £t. away rom septic tank and leach fields and clear of all setbacks and easements? Yes %/ No (If no, clarify ) 5. What is.the mobilehome electrical rating?• -------------------- y0 8" Amps 6. What is the mobilehome site service rating? ----------------- ----- Amps A.. 7. What is the mobilehome site circuit breaker rating? ------------- Lo -d Amps 8. Is there any other electric load to be served by the mobilehome r site service? ------------------------------------ - -------------- Yes / / No (If yes, identify the load and size: r(Load) (Amps) (r size? ---------------------- . _ 9. What is the mobilehome site gas pipe (in.) 10. What is the type of gas service? --------------------------- 7- Natural 7 LPG S�� 11. What is the gas pipe length from meter or tank to the mobilehome? � (ft.) 12. :What is the mobilehome gas demand?------�� ----- ���/tel (BTU) (This information not required if pipe length less than 6 ft. on natural as or less than 50 ft, on LPG.) Nd ZZ61 NY 0 0' SAVOI% ol78nd�o . a -ung dO -,UNnoo- COUNTY OF BUTTE — DEPAFIT-TENT OF PUBLIC WORKS f� 7 County Center Drive} Oroville, California 95965 7 Telephone: 534-4541 APPLICATION AND PERMIT Owner /fJ 64/AOti Mailing Address D n Contractor n^ //6 � Mai I i ng Address Building Address Sj�/p�WG s, �F l�ood�G�d az7� ZZ Ag_�,�� A. P. N9. (O(% -�1? —. -?/ _ BUILDING " I ' SQ.. FT. OCC. BUILDING VALUATION elephone No. 77 f)� Fireplace Total Valuation Permit Fee _ Plan Checki ng Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap j Repair drainage or vent piping Water piping Orill Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer ents Lawn sprinkler system /Z%1�� No. Ws VAC;. LSVi o ire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Im rov Plans Declaration P P 9M Bldg. Pla s Recd Pa c rov Plans pproval Permit Fee NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. NEW CONSTR. (MULTI -OUTLET NON-RESID. l BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURE! Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA Temporary service Mobile Home Facilities License No. Classification Misc. Wiring 1 am exempt from the Contractors License Laws of the State of California. Y_ Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ISI 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 PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -menti roperty for inspecion purposes. X Date 111719 SiJ gnature of Permitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 \ b 1.50 1.50 1.50 O .30 —6. O 2.00 $3.00 5.00 2.50 25.00 1.00 20sq it 2.50ea 2.00 10.00 15.00 6.25 @ $3.00 FEE FEE 11 v TOTAL PERYfT FEE $ leop This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR 0 P BLIC WORKSp"�' By Date ��/�_ B t ding permit expires Date Y--((— 7e im v i7 o V? -NOTE:��AI AMCMWP-ShZ Ca b T_ —A --r, - ig Good �Pmcfi= cc..6rdonc6 pQe�un En en C6-quolifj_,,Prikh$dd far e 0 an the Notion6l Electrical Code: ti I . 71N V 117 ".4 e, i -Tha-S& of-gans-, nd , --*F;, -MUST -AW 6n fSe oit: a!l ti 6 m"' -a4 it is 4' bT aite-ratont.on same wifhouf f P b- ' wr I 0 U 1i �� .,1.� ��, ��f� ;c t� _,;��1 . _ _ .. _> . ; _-: . �;� W'DA;.- Coilotr of -Buff Od kolt off' \�)e A wlk ev 4-, T -pro_lipInc!nd_ 0-1 t.- -7 to e T T_ loo,- L .T Y -vocto side of the -nio 4 -7- 7-1 -4- - =j Cou r*y T7 en T-1 4_1 f 4-1 A 1 I T ��lcpno' _4 , I - N Ty, I T .4 WILDING DEPARTMENT Cl A P P 0 V G. D-1. . 7 clK!...- ... . ` _. � .. "�S *'✓�SK:a•_ .LY3N, 'i'�'�'^`•y :.. :•ans :, .;� .+e. .ae:�a^s�.ct. .�:7.A9.r :,�-c W-. _. ..--y ...i _.- 065' 190-`031 + , ;:PERMIT#95 2762i2l' ' w. PkHECHO; Ed;'. 14585.-HolmwoodDr:"Ma`r:; _. galia s,'. Cont_;' Armstrongit 5 Reroof /Garage E ,.x • • a •r T _ r PLY ov�.� � 4 1 i s COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATI(5k A14D PERMIT -,� ---5 0-7 &_Q ASSESSOR PARCEL NUMBER 065-190-031 ZONING RT 1AW BUIL G PERMIT' OOWWNEE�iEL.�Q' ED TELEPHONE3225 CA7724 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14585 HOL MWOOD MAGALIA SO. 4,200 CONTRACTOR'S NAME AMSTRONG TELEPHONE 872-2943 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 14585iOL'�1WOODIAvALIA PERMITFEE $ 92,00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SFPr Duplex ❑ Mobilehome ❑ Other CTC, r el SPECT 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 New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: REROOF NWIAL Mobile Home IS I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service EOOV OR LESS ( 2ooA 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 wi ection 7000) of Division 3 of the Business and Professions Code, and my licen in II force and effect. License Class Lic. No� OWNER-BUILDEI D ARATION 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. ❑ 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 OCCUR. SO. OR NS. ( a ACC. BLDS. ) 3.50 FT. NEW CCONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 / POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B20 @ I.00 Ex. Occup. oFIXEeDrs (RESID.) ( ) 5.00 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' co ensation insurancEL.Carrier and policy number are: Carrier ....-� " MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the lTeriFit Is f r work of a faluation 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 emplo y person in any manner so as to become subject to workers' comp ati laws of Cal nla, nd agree that if I should become subject to the wo r ' ompensation prove ns of section 3700 of the Labor Code, I shall I ply with ose-provisions. /) X _ Date (/�J Si to f pp ica - ❑ er Ircontractor ❑ yent Alf OSHA permit is re uired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C T. TYPE TOTAL FEE $ (32 HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL RD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. Y B �'t K� Date/� 3/�qS" pp PERMITEXPIRESON e (Date) Receipt No. 1' s P j WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVI ON 7 County Center Drive - Oroville,T�Califwrnia 95965 -Telephone (916) 538-75 PERMIT No. APPLICA` N A,ND PERMIT ASSESSOR PARCEL NUMBER 065-190-031 ZONING RT 1AW BUIL NG PERMIT PACHECHO, ED T873—E3225 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14585 HOLMWOOD MAGALIA CONTRACTOR'S NAME ARMSTRONG TELEPHONE 872-2943 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14585 HOLMWOOD MAGALIA PERMITFEE $ 92,00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 -Q !{� / SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OFSTRUCTURE SF fr Duplex ❑ Mobilehome ❑ Other GQ V, dw e, SPE 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF METAL Mobile HomeS G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service( eoov oR LEss 200A oR LEss ) 1 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 wi ection 7000) of Division 3 of the Business and Professions Code, and my lice II force and effect. License ClassfplLic. NA&�4 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. ❑ 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 OCCUR \ SO - OR ( 8 ACC. BIDS. / 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIS. ) Ex. Occup. (OUTLET OR FIXTURES) 20 Q° 1.00 BAL .SO EX. OCCUp. OUTLETSED (RES D.) EAOWNER-BUILDATION ( ) 5.00 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' co pensation insuransaxarrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the ermit is f r work of a aluation 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 emplo person in an manner so as to become subject to workers' ' agree that if I should become subject to the C omp atl�Iwen� wo r penf section 3700 of the Labor Code, I shall ply s. X Date Si ppllca er-ntractor ❑ ent �^ A OSHA permit is re uired for excavations over 50" deep and demolition or construction of structures over 3 stories in height.L Mobile Home Installation Fee $ Energy Inspection Fee $ R3 c VtV q� " TOTAL FEE $ 92.0 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date //6 3I�f�S- PERMITEXPIRESON 10 - 3/-%( (Date) ReceiptNo. / Y/11/i6 % I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • � �� •� ^�PERMIT NO. 937-82B,P,E _ ` PERMIT EXPIRES Vila OWNER Edward Pacheco CONTR. owner ASSESSOR PARCEL 65-19-31 LOCATION 14585 Holinwood, Magalia 4 i 9` k Y. r 4 i 1 ' t 1 Temp. Power Pole Called PG&E Temp. Elec: Service Called PG&E f Tem Gas Service a�. Called PG&E JOB FINALED (Date) 1 k Signature V = OK , 0 = Not OK = Not Applicable MOB-ILEHOMES = Not Ready i v' MISCELLAREO"I", Date MOBILEHOME UTILITIEV(Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS; ETC. (Plans) 0!, oxcept N' 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) . 5. Electricity; Location-Clearances-Grnd.-/' / Amp -Concrete 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.--Bracing_ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatior-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except fl's 1. Setbacks -Easements Card -BI Date Card -Bl- Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. ,Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval ` 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card-BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable �k = Not Ready RESIDENTIAL'(Sing,le and - Duplex) Date UNDERFLOOR Plans OK except #'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' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -81 Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 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 ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps -- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground -- Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'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- Card -BI -- ------ --- - Date _ - - Card -BI _ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comme is at Final: Date FRAMING Plans OK except #'s 36. 37. _Walls; 38. 39. Sills; Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates_ -Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in Walls (rat proof) _ _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub - _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthnp.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic A_ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC .WORKS PE MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT - ASS S50 .PARCEL NUMBER ING ' BUILDING PERMIT 1 OWNER TrhL E PHo SQ. FT. OCC. BUILDING VALUATION .13 01 OWNER'S MAILING V D4,B , . (oo CONTRACTOR'S NAME Dw t1 T PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER IN &- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS~ Permit fee $ BUILDING ADDRESSIm Ulm ( PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 f7a, Water piping LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 55,00 Gas piping system 1 - 5 outlets USEOF ,STRUCTURE SF ❑ Duplex❑ MobilehomePother SPECIFY Building sewer Lawn sprinkler system 5.00 r TYPE OF WORK New ❑ AddItio �Remode I ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — Permit Fee $ 3 , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2;5'50 NEW CONST. DWECC. LLBILD CCP/NG .M\ 20� sq it OR ADDNs. A CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 I.o TLET NO N.RESID BRANCH CIRC TS 2.50 ea _ NEW W.C0NSTR / POWER APPARATUS hl NON RESID. ( SINGLE OUTLET CIR. so @ zs¢ Ex. OCCUp OUTLETS OR FIXTURES BALP1 FIXED APP LNs, OR EX. Occup. �OUTLETs (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 lq'' Permit Fee $ t 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. 1 shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid Count in of t e granting of this permit. X JJ//''��JJ 71 9E Date Signature of Applicant — OwnerN 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE CON T. PARC PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOBI OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date—�j�-3�Z Receipt No. (,-3 � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -....::per �� �1,�._ • - ... ' . M1 � � ✓_ moi•" .6i�.. ~•� ._.L� - ' Coun"'tel LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director �i,�::.i�+i`ii'.'�'•' 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD -r^=- Deputy Director 1pril 6, 1982 E: Building Permit Edward Pacheco� � R } g 143,85 HOIWJood Drive � � A.P. # 65.19.31 Masalia, CA 95954 Dear 2•:x. Pachaco : f With reference to the above subject, we have been advised -by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: i Constructed is awiln�,•deck and roof structure to a mobilo on your property located at 14565 Holmtaood Drive, Magalia.i Since permits and inspections' are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees, it0.G�i�o?•�tc�a,_ tag• All work must stop untilyouobtain these permits and are -authorized by •our field inspector to proceed. This field authorization cannot be made until'the existing work is inspected and approved. • x Your cooperation in resolving this matter would certainly lie appreciated. Should you have any questions concerning this matter, please contact this office. i r - ti _,,,,,,r_ .Yours very truly, ti, �. r�� T�^���• J� —_�� ' Clay Castleberry •• � ; Director of Public'Works JFG:dd cc: Building Inspector• Paradise Assessor . J.F. Glander Chief -Building -Inspector 0 4-, , - tzr File No. BUTTE COUNTY (For4cOon 1 3) Public Works Dept. (For I h— Director Information Dep, Dir. Sec. cf- & Sr. Mtce. Shop &. Yards BIcIg- Insp. Admin. D&C / Traffic Const.. Rd. Des. Sr. Des. Sur. & Loc. Tran sp. R/W Mapping Land Dev. Ref, Disp. Drng. / S.1. Sub. & PcI. Maps Permits BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT w Owner:_ Address• Tenant: - Building Type of -Inspection requested: 1. Housing L/ 2. Financing � 3. Change of.Occupancy to 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: •12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor conittuction: ,3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles:*, 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures 2. Gas water 3. Gas heating vents: 4. Comments: V connected and'vented: heater: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: /r -7A. Information only e file. B. Hold for ten (10) days, then write letter. C. Write letter. D. r: j /L . -�-�r --� w - IJuly 20, 1982 F - Edward Pacheco RE: Permits and Inspections 14585 Holmwood Dr, AP 65-19-31 Magalia, CA 95954 , Dear Mr. Pacheco: r With reference to the above subject, on April 19, 1982, you applied for a permit for a samada, cabana, and covered deck constructed on a mobile on=your property located at 14585 Holmwood, Drive,.Magalia., During the.plan checking process, we wrote you a letter requesting acceptance from the State of California, Department of Housing & Community Development, Division of = Codes and Standards, for alterations 'made to the mobileh'ome. x } Since these structures have been constructed without permits, inspections; and approvals from this of€ice,,;and since both permits and inspections are`=!required by both•State and County laws, please submit,the•above requested item so,that the permit can be issued, then,make-arrangements £or.the required inspections. ' Should you have any questions concerning this matter, please 'contact this office. Very truly'youis, - - ---- '� Clay Castleberry Director of Public Works J.F." Glander JFG:•dd Chief Building Inspector cc: Buiilding Inspector, Paradise r File No. BUTTE COUNTY (Fbr Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg, Insp. Admin. i D&C / Traffic Const. Rd. Des. Sr. Des. Sur. & Loc. Tra n sp. R/W Mapping Land Dev. Ref. Disp. Drng, / S. 1, Sub. & PcL Maps Perm its U r COUNTY yF BUTTE DEPARTMENT OF PUBLIC WORKS 7 Count Center Drive Oroville'CA.. 95965 �S PHONE: 916-534-4541 ;dward Pacheco 14585 Holmwood Drive. Magalia, CA 95954 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information OTHER DATE April 23, 1982 RE:Bldg. Permit Appin #937-82 for cabana.& covered deck. A.P. # 65-19-31 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information:. Permit application signed and completed -where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil architect. Engr. calcs. statement. engineer or sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 'Oroville, for Copy of recorded parcel declaration. Recorded copy of deed showing 7 County Center Drive, YXXOTHER Clearance or acceptance from State of California, Department of Housing and Community Development Division of Codes and Standards for alterations made to the mobile ome . The above clearance is necessary so that we may complete processing your application. Should you have any questions concerning the above, please contact this office.. JFG:dd (M ✓) Yours very truly, Clay Castleberry Director of Publi Works Glan er Chief Building Inspector 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 William(Bill) Chef f Deputy Director. July 20, 1982 Edward Pacheco RE: .Permits and.Inspections 14585 Holmwood Dr. AP 65-19-31 Magalia, CA 95954 Dear Mr. Pacheco: With reference to the above subject, on April 19, 1982, you applied.f.or a permit for a ramada, cabana, and covered deck constructed_ on a mobile.on your property located at 14585 Holmwood Drive, Magalia,. During the plan checking process, we wrote you a letter requesting acceptance from the State of California, Department of Housing & Community Development, Division of Codes and Standards, for alterations made to the mobilehome. Since these structures have been constructed without permits, inspections, and approvals. from this office, and since both permits and inspections are required by.both.State and County laws, please submit -the -above requested item so that the permit can be issued, then make arrangements for the required inspections. Should you have any questions. concerning this matter, please contact this office. Very truly yours, Clay Castleberry Director of_Public.Works. Glander' .JFG:dd hief Building Inspecto cc: Building Inspector, Paradise 4464-80B -PERMIT NO. ' 9— PERMIT EXPIRES Edward Pacheco OWNER' CONTR. Owner 65-19-31 ASSESSOR PARCEL 765 Holmwood Dr., lot 427, Fir LOCATION H/aven.Sub, Magalia . � S%a£ 0�!!f!✓aoc>(- aZoo � -� Ori C��od wuvL� i a: k 4 f'r j t J v P is l . Temp. Power Pole Called PG&E .1Zm Temp. Elec. Service Called PG&E Temp. G s Service al led PG&E f p JOB FINALED (Date) Signature J = OK ; O = Not OK - - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except q's Date FRAMING (Continued) 1. cks-E'cZISM6ntS -4B-PTDperty Line Firewall & Openings 2. Ftg., n; So tee lec. Grnd.- / /" Ftg. Depth li Ext. Doors -One 3' -Check Garage-3rd-&Wwy--2-exMr 3. FLer Gark115; So -Steel- Fig. Depth 58-1TJM; Width-Headroo -Rise-Run-Landing-Fire Protection .A--EAZ .Porches & Decks; Soils -Steel- / /" Ftg. Depth �Plflrood on Roof erhang-Attic Vents -Rafter Outriggers alls, Main; Steel-Blockouts-Wrapped-Slab • Sid-NaiWpgr \017- temwalls, Garage; Steel-Blockouts-Wrapped- --59.-3=co Mesh -Drip Screed-Fdn. Vents-Underflr. Access �f-ft2Fireplace Ftg. - Steel$e Fall -Fittings -Test -2 way C/O -Sewer Test I Glazing Area -GI - is 099-.6hear Walls; Nailing -Bolts J� Ipe; Size -Anchors 44-WM2r Mpe; Test -Anchors -Regulator -Service Test 44---E4eetr'rC` Underground 11 'P'I'ERORIB & Ducts; Clearance -Material -Support -Ins. `F6r-6irdeK Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI �, Date ( /Ward -BI Date Date FINAL (Plans) OK except q's d3 .�/0��e, Card -BI Dat jP--)L, �Card-BI Date Date PLUMBING (Permit)K except q's `S>!""e7t.-'SL2ps-Door &Sidelight Protection -Landings 'br. Ioke Detector 14. Water Ht.; Vent- A cess -Combustion Air -5Be--FDrnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection -68-Bedroom Exiting 15. Water Pipe; Test & nchors-Nail Protection 16. D.W.V.; Test-Fttng & Anchors -Nail Protection 17. Shower Pan; Tes irst Floor -Tub Access '68"'e P'1• & Bath Fixtures & Tub Access 18. Test Tub & Sh ter, 2nd Floor -Tub Access • GL-F,.LoQ.+Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size &Anchors 69r-6feirs& Rails 48, Freplece or Stove; Clearances-Hearth -61:--EFec'0utlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Wit. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 68-"E+ee:-0utlets & Receptacles at Kit. Counter Date ELECTRICAL Per OK except q's 6ir-@erage Fire Door; Swing -Landing -Closer -6e--AG-Duct in Garage -Damper 20. Fixture & Trans mer Clearance -Ins. Protection -6�' .' .; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles acing -Lights &Switches at Doors 76--P1tfE7gc. &Mech. Equip. Listed for Location 22. Size Boxes & No. of onductors-Stapled wee. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Clos4 to Edge of Studs & C.J. {ion -Foam -Looked in Attic [I Yes 79. 8 it d -Rails & Deck Construction -Post Caps 24. Equip. Ground made p w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance CircqAsin Kitchen & Conductor Size 74-•�-qts & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Siz / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutr El Yes ❑No ��L3 ollowing instld.: Drive Yes o; Walks ❑ Yes 09.AW, Planters ❑Yes 28. Service -Riser C kductors & Ground -Main Disconnect yfl--yam-grown-Finish 29. Equip. Clearance : Panels-Motors-Mech. Equip. 7-%--Am8--drit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light Ira--VeMS-Mbove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I Card B-1 _ _Date _ Card -BI Date Date Card -BI Date Disconnect, Electrical, Plumbing .88Elec. Trim; G.F.I. Receptacle -Underground .W--*e"1*ation throughout House s Protection Date MECHANICAL (Perrr.iAVOK except q's Corrections from Previous Inspeclicns st-Meters Tagged; Gas -Electric - 31. A.C. Ducts: InsufhkLon & Support 32. Vent Fan; Exhaust a ove Insulation _ 33. Condensate_Drain Overflow; Size &Grade g-ypatg}'$ewer Connected -C/O to Grade -HD Approval 'DBS--EAergy Compliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace _Vent ccess-Comb. Air -Return Air Vent -115V outlet 35.- Attic Access Platform if Furnace in Attic Date Card -BI Date Date Z -a -rd - B- F Date l _ Card -BI to Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Dale Date FRA N tans OK except q's Comments at Final: r�L3/GGalls: jj�Sills; Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound Walls r96r8�2ryag Walls over Girders & Floor Nailing 39-4i)ol-8top in Walls (rat proof) _ ps; Furred Ceilings -Stairs -Chases -Tub /4 He r & Beam -Size & Bearing %�-Post Caps -Anchors -Connectors - �-- -- e. ois RftrrPet4RP-Roof{rrac.-T.cree-Shtkffq. to . lace Ties or Type A Flue -Fireplace Throat ^49r -Attie Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles -46r-&dPMWW1ndows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing _ (NOTE: Anentrymust be made each time youvisit jobsite) V = OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES y 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 6. Gas; Location-Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except p's 1, Setbacks—Easements 2. Footings; Size—Spacing-Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date mI /.I/zr� E: 7lf, • Ad --vi is COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC WORKS PE O 7 County Center Drive - Orovilla, California 95965 - Telephone 916/534-454 � _ APPLICATION AND PERMIT ASSESSOR PAR EL NUMBER ,. _ Z/W % as BUILD PERMIT OWN A"• A c h& c 0 tn&C,0 TELEPHONE SO. FT. OCC. BUILDI NG V UATI b MS 7 L OWNER'S 11ILING DDRESS A��� en 7(,LAW'. wW ( " • I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CO STRUCTION LENDER UNKNOWN Fireplace Total Valuation $ 3 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .Penalty $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS / L, UrnLk)fjVpfu !2n14 ge� PLUMBING PERMIT Filing Fee .3.00 421 ' Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent - 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other I UA—rw GA4,A v ' SPECIFY Ir 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 OR01V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div.3 of the Business and Professions Code and my license is in full force and effect. n� License No. Classification DI 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) _/ ❑ I, as the owner, am. exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NO ESID BRANCH CIRC ITS NEW CONSTFL POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10¢ FIXED APP LNS: OR -Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 Filing Fee 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. 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 aid unty in u nce of a granting of this permi %� �� Date_JK Signature of. Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over/3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP l I TYPE OF CONST. U Al I PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT7 PUBLIC PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. y Ir WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load .Seismic 4 By Tie Down Engineering 06 - 0973 BUTTE COUNTY BUILDING DIVISION Xi2 Concrete'System Engineer Approval State Approval MANUFACTURED HOMEWBILE HOME FOUNDATION SYSTE4 11811%LTH AND SAFETY CODE, SECTION 18531 APPROVED RIBRICT TO CORRECTIONS NOTED APPUMAL DOBE NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF � APPLICABLE STATE LAWS AND REGULATIONS Siam Of Califon" Daparomw a[ROMMS and Commm tY OF c08s AND STANDARDS r _ h r..... f °� �---�- DATE '� (a) Page 1 of 8 91 0 �i 0 0 0 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls,marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. M3M> * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weath;r ng shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LO 0 7 7, t p1 1. .. � { ,� e.. 1m ♦3�: _� i s�t_'. -- it �.!a�: -� !- . c: ---r . pp i....y ,-r . +"'",;"`. -ti .. ;.. �"'•::.''" .� ,z {` ! ^'7 ir ...Y. ,.ar._. _.. � r. -e• _ t i` .r •F s ,-'k �' .�i: � .7-T J!' ��'.� �. 1�`�'ti-4 : } ` -�,.. .1 ..t,_-' i•. . i.. �r + � �� � . { �. 1 r t i.. . - k# 77, 77 17. ." 4. 'i -:� i j a 4" ` { i F 1 1 ! . . :. -.. _M. _t - ,•+c }_.i_ - va 2 /7 r APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INPECTIONS PA C 14 A:_6 o BUILDING PERMIT # 06 - 0973 ASSESSOR'S PARCEL # BUILDING DIVISION APP OVA 70 6 c,J rl to Cory RA Z f. too"? RA Z f. o