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065-190-037
COMPLAINT TO INSPECTOR: J { r 65-19-37 Gerald Cross x o . ,r/gdHolm od Dr i,..,. .__.. '' Peru 1, L47 P,E(util.,MH) ELEC •/AOGAS 1' SUPP RT'STRUCTURE REQ._&: COMPACTION TEST •REQ, y'u 65-19-37 CONTR: Hansens Repair Service, ric "0'Permit #2818-76MHI "'- /_ Issued - .6-5-19-37 7MH) #3107-76B (new,deck-.u--avenin + a ' 7/,96/7, g/R ' •56-19-37 r JAMES MALLERY 14557 Holmwood, Magalia rJ Contr: Bay Area MH • -.041'7 + permit#51-87.MHI(e s-ting-,si ) ' Issued—/-/ �- YZ • � �, � "-.... �.......,,�•..�.._ ..., 1 i d 9 Contr.: He n erson Const F. ! Permit#95-87B,E(new_garage), t i 065-190-037" '99-2803 1 d� BIGHAM, SAM , 14557 HOLMWOOD DR, MAGALIA CONTR: JEFFORDS ELECTRIC NEW MAIN ELECTRIC o/�// R/ r CSI � � �I �� r -r- - t'.+.. -.vrn.� .�,:zcr•, .. �.� .:.ar.:'. ,r -,.;r. W...,Ya..� .. �,�N .. �.,•wc� fww.- .ez!►�_aan!-r'i"Vssy':c.�=f"K' 7. yt i 'j,F.BI5GHA, -190-037 99-2803, MSAM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95.965 • Telephone (530) 538-7541 MPR I', O. (Rev. 12/96) APPLICATION AND PERMIT Z ASSESSOR PARCEL NUMBER M 031 ZONING BUILDING PERMIT OWNER TELEPHONE 7 3 SO, FT. OCC. BUILDING VALUATION .OWNERS MANG ADDRESS WOIL G 11.0► rs CONTRACTOR'S M TELEPHONE Ur i lee- l; -5;1j CONTRACTORS MAILING ADDRESS jam. CONSTRUCTION LENDER ' r Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ (i IAA,* q$ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE f SF ❑ Duplex ❑ Mobilehome FY Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ®' Other ❑ Describe Work: �A.0 S 4A /I , 1 el- A501A 0 ; �/ 'a to r 1./ i c- r A /..s r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zI.A OR IESS 23.00 C'o LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 00 ^III do the work, and the structure is not intended or offered for sale. ,as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 gCU000A NEW CONST. OWElLING OCCUP. W OR ADDNS. ( a ACC. BLDS. SO 3.5QF.. MOLT NOWRESID. CIRCUT 97.50 APPARATUS a SINGLE OUTLET CI R. Ex. Occup. OUTLET OR FIXTURES ani p .501 FIXED APPLNS. OR Ex. Occup. ounFTs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S p -'o WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation ,of one hundred dollars ($100) or less.) El I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ 7 �_ G:• X - Date % Signature of Applicant - 0"Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAz. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSU 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. l Date By t 1 PERMIT EXPIRES N ��.. !/ l! / Z O G O Da ReceiptNo. .2 8 Q 4., 7 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,tW P-17 IT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 73 45� SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTORS M d e-4 TELEPHONE 7 a-5 .� 3 CONTRACTORS MAILING ADDRESS 6 A c 0111,i -c— a-,, -; S �'— CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14155 7 4 & O Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME Ci PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ®' Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0 -'Other ❑ Describe Work: 'iv S % %! tf- J(1 / n4 Q i f,/ e I e e -i- S r V 3 n A Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LE Main Service 200q OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, III 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 Main Service 200A TO I000A 46.00 NEW CONST. DWEWNG OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.5¢Fr. N"ONRESDT MULTI.OUTLET @7,50 8 OUTLET OWER APPARATUCIR.S Ex. Occup. olmEr DR FIXTURES 20 ° 1.00 BAL @ .50 Ex. Occup. D�xUTIEEDTS RM.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 0,07f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q , /�— /-j,_ 9,9 X /� Date Signature of Applica - 1210wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL Po HDISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By UZ J&19VVLU PERMIT EXPIRES N jL the applicable provisions Resolutions to do work been paid. Date Det Receipt No. at p O ta% 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PAR �> - .PERMIT NO. 95-87B,E PERMIT EXPIRES Ic;20 OWNER JIM MALLERY CONTR. _' Henderson Const, Magalia ASSESSOWPARCEL 65-19-37 LOCATION 14557 Holmwood, Magalia ` `40 wood a Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E�3. y Temp. Gas Service Cal led PG&E i t. COUNTY OF BUTTE c,Depa'r'-tment of Public Works 7`County Center Drive Oroville---=-534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner �� �dl /lel //r/e-lel Location l q$~S % Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS'l THRU 10 Watts 1. Width x Box Length x 3 = 347,657 2. 2 Kitchen Appliance Circuits ................. 3,000 3. 1 Laundry Circuit = 1,500 4. Ovens ........................................ 5. Cook Stove Top = (�S 6. Hot Water Heater = 7. Dishwasher & Disposal = 8. Clothes Dryer ................................. _ 40 52) 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts ..:.. / q6 F , First 10,000 watts @ 100% ............:................... = 10,000 Remaining watts @ 40% ..... _ 10. Air Conditioner 6watts @100%.: _ — ) Largest Demand = 7R®r Central Heat System, watts @ 65%.. = TOTAL DEMAND WATTS REQUIRED 6 l (p "Demand Watts Required" ; 230 .... _ ,S'•d AMPS De -rate Mobilehome to ..........................:. �� AMPS i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ° 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt or need additional explanation, please contact this office immediately. o ,41 7 � z d �ti�, FSS .2--f Inspector_- !� Dates — J = OK 0 = Not OK - = %lot Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERF R PI except #'s Date FRAMING (Continued) oning requirements -Se s-EasesaerrtT- 4 ings 2. F" 98iIAI- f----f�.Figrse�ih xt. Doors- -Chet e -3rd story, 2 exits - g., Garage; / /" Ftg. Depth Wid4h- - - rotection _Porellespt I -wood on Roof Overhang -Ater' CRs -Raft gers _ C tng Veneer IIs, Ga ;Steel -BI outs'1d- Vents-Underflr. Access ---- 8. - - - I _ lazing Area -Glass Protection -Skylights -Plastic `�_,�'t' -Bolts 1 Electric; Underground ns. _ 1 - -6 Card -BI Date Card -BI Date Card -BI Date , Card -BI Date Card -BI Date Card -BI Date Card -BI At Dat���X7 Card -BI Date Date FINA Plans) OK except Xs Gard -BI Date Card -BI Date Date PLUMBING (Permit) OK a N's Ext. Steps -Door & Sidelight Protection -Landings Card -BI Card -BI 14. Water Ht.: V_e_nt- Access -C mbustion Air 15. Water Pipe; Test & Ancho -Nail Protection 16. D.W.V. Test-Ft�n,_s nchors-Nail Protection 17. Shower Pan: Tesrst Floor -Tub Access 18. Test Tub & Sho r, 2nd Floor -Tub Access 19. Gas Pipe: Size_Anchors Date /-Card-BI Date Date Card -BI Date 5 ranee -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 5 fixtures & Tub Access 0�.Iec. Trim & Subpanel; Breaker Sizes -Labels e; Clearances -Hearth Panel; Int. & Ext. ante; Grnd.-Air Gap -Cooking Clearance 6 eceptacles at Kit. Counter Date ELEC AL Permit OK except p's -Landing-Closer - amper Card B-I� Card B -t 26?—Fixture & Tr ce- n ._ roe ion Elec. Receptacles Spat witc cing- fighes a . iz oxes & No. of Conductors -Stapled Romer Installed Close to Edge of Stu C.J. ?s3i quiu_ip. Ground made up w/Me asteners-Bead-Qes-& V Mer Fite Circuits in Kitchen & Conductor Size ubfeed Wire Size / I ga. Cu4SwW- ga. u or Al 27 RawQe 6irc-t� / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes �No _ _ _ 2 uctors Ground-_Main_Dis:onnect_ - qu,p. antes: P s- - ec qt ip. . . ght-Shower-Light - - --- -- -- - Date / Card -BI_ Date-- - -- C� Date Card -BI Date r.; en s- earance-Comb. Air-Connector-P.R.V.- Intion gler& MedL.-grrfr-L-fisted for Location Elec. Receptacles i age; (G!Lf, ome ec. 13. Guard Rails inage & W�1:Ear(ft Clearance L 7j!��wing instld.: Drr�ive', rf� Yes lks El Yes [�p,L ✓ planters El Yes tsconne t-Clrnces-Brkr. & Cond. Size -115V Outlet - Appliance-Firep 1. -Clearance to Opngs. ct, Electrical, Plumbing xterior El c, i .F _BeeePfecfe- r ut House Date MECHANICAL (Per OK except N's 83 Gerreations revious Inspections -* r c -ocr_Ua4ws Tagged; Gas -Electric Card -BI Card -Bi 31. A.C. Ducts. Insulat & Support - - -- 32. Vent Fan: Exhaust abo_ a Insulation _ 33, Condensate Drain & erflow: Size _& GradeAA- 34. Furnace -Vent: ess-Comb. Air -Return Air Vent -115V outlet - 35. Attic Access & latform if Furnace in Attic _ Date Card -BI Date - - Date Card -BI Date -8ew 8er Connected -C/O to Grade -HD Approval 8 pliance Certificate -Other Certificates 7r� -`r✓' --- Card -B Dat Card -BI Date Card-BIRE to Card -BI Date Card -BI Date--Card-BI Date Date FRAMI G(Plans) OK except H's Com tents at Final: Sills; roper Material & Anchors - a5s: Studs -Nailing, Spacing & Bracing-Plates-Semmf 3 a s over Girders & Floor Nailing 39,-&rR1TSTMrn Walls (rat proof) 4&.ops_-furred Ceilings-Stairs=Chases-Tub Bader & Beam -Size & Bearing 4£rnchors-Connectors 43�i:,ing. -Rfd✓Ties-ExF+n-Reel-Brec.-Toms -Sh ac roat _ - s w ions ,--- - -- - — - — -- -- --- --- ----.. .---- — --- -- ------ ----- ---- ------ --- -.- (NOTE'Anentrymust be made each time youvisit jobsite) J OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -Bl Date POOLS (Plans) OK except #'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 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w,5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date f .. COUNTY OF B DEPARTh1ENT OF PUBLIC WORKSP RMIT O. 7 County Center Drive - Oroville, California 9,965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER z0 ING BUILDING PER . OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER*7AILIING ADDRESS r d. Bb)( 16-2- 114 CONTRACTOR'S NAME d it r>'70 TELEPHONE C;, TRACTOR'S MAILING ADDRESS Qa Oho Fireplace ONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS �-- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 'a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS 117�5'7 Permit fee $ � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. VV6 SUBDIVISION NAMEPARCEL IA -/Z 6"FA) _ 57 MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF ST UC `� SF [:JDuplex❑ Mobilehome❑ Other %��GPE IFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New19Addition❑ Remodel❑ Utilities ❑ Installation[] Other ❑ Describe work: 1QeAJ n.fz 7U K'Z/J>w o/c' -7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): • I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code eand my license is in full force and effect. �(�y�l License No.S�/ J Classification M7 VE��/4 GO T ❑ 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, ani exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW 1 CONST. ( DWE COUP.&) yzQsgft OR ADDNS. ACC. NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR.e ) Ex. Occup(OUTLETS OR FIXTURES eALO 30 FIXED Ex. Occup. OUTLETS PK.) 2.00 (RESID ) EA Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. efJ1 I shall not employ any person in any manner so as to become subject }� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen s, costs, and expenses which may in any way accrue againscc y i consequence of the granting of this permit. X �C/ /� Date ! �y_ ,O % Signature of Applicant — Owner ❑ Contractor Nr Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structural over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TTPc I I FLOOD AR PD Na Sy This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dateg�� Z --,E,7 „��'� Receipt No. WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE . OWNER Plans approved for: LOCATION AP # Sewage Disposal Water Supply Water Su Hold final for: Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home: Other Clea ce for addition o t SANITARIAN L— DATE COUNTY OF BUTTE - DEPARTNFN.T-'1OF--y,tBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA�9596i - TELEPHONE: 916R6,'4�5ix 538-7541 ' _ r, PERMIT APPLICATION DATA SHEET �f /� Permit No. �+ —7 OWNER �� /' / A. P. No. �S� GI ' / Proposed Buildia�Use Building Inspector %C Date % �•S-� At time of permit application, I was advised the following data must be submitted prior to permit processing • andJor issuance: DATE RECEIVED APPROVED 1 v All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , . . , ,, V 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. 7mephone issue the permit, pr cess as follows: Mail to owner, Mail to contractor. and hold for pickup aXoffice, Deliver w/inspector. Other ���✓ 9(0� m% T73 Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: xxxxxxx 538-7541 xxxxxxx 538-7281 Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked Date Plans approved by Sets of plans on hold in File cabinet AP folder xxxxxxx 538-7601 =Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW (^ PERMIT NO. 51-87MHI ex -site.--. PERMIT EXPIRES OWNER JAMES MALLERY CONTR. Bay Area MH ASSESSOR PARCEL 65-19-37 LOCATION, 14557 Holmwood, .Magalia OFFICE COPY Address GAS DaT �l Meter y ELEC Meter. Temp. Power Pole Called.PG&E Y Temp'. Elec. Service Called PG&E / Temp: Gas Service Cal led PG&E JOB FINALED (Date) Signature _. I J OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS ` Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Epsements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's - 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Supp 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location a t— a I -C/0— oncrete 3. Decks; Girders and/or Joists—Decking—Bracing=Stairs—Rails 4. Water; L t n t—Easementheeded (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing, 5. Electrici ocation—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location Test—Wrap:/ /"L"it./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date;', Card -BI Date Date Card -BI Date MOBILEHO E INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date r POOLS (Plans) OK except N's oning R quirements—SetC s—Easement,— 1. Setbacks—Easements oo ings; Size— ng—Marriage Line ! 2. Soils; Compaction—Structure Stability as; DeR+errtl=V Cotineettsf 3. Pool Structure; Steel-Connections— Thickness—Dead:Me —_Lining " ectricity; MWyes(—Crossouers=g-reskoce—&Isaianees-- 4, Elec.; Receptacles and Lighting; Distances—GFI rain' st—Rb- Iex Eoarrector 5. Elec.; Pool Lighting; 15 volts—GFI ... .... ater; M —Reg — oWg,4e? 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed a nd Sew&_G,,Anected—C/13.1�de—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater d 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane [boards—Ins. to Main in Conduit k!§,; Sp. -Sketch �i I*.--"C—ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card 13-1,c&Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date � Card -BI . Date Card -Bi Date Card -BI Date Yae-f6/7,) v y S/7 C Y .�. ed J OK 0 Not OIC Not Applicable Not Ready RESIDENTIAL (Single and Duplex) _. Dale 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- / 4" Ftg. Depth 50. Stairs; Width-Headroom-Rise=Run- Land ing- Fire Protection 4. Ftg., Porches &.Decks•, Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang=Attic:Vents-Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6.Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7_ 8. Piers-Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. _ Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; size -Anchors - 10. Water Pipe: Test-Anchors-Regulator-Seryice Test _11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -IRs. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI _ Date _ Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's _ Gard -BI Date Card.BI Date Date PLUMBING (Permit) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -B1 Card -BI i4. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe': Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan:_ Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector-, In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access_.. .. _ .....-.. 61. Elec. Trim & Subpanel; Breaker Sizes -Labels. 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except Ws 67. Garage Fire Door; Swing -landing -Closer 68. A.C. Duct in Garage -Damper Card B-1 Card B•t 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30, Fixture & Transformer 'Clearance -ins. Protection Elec. Receptacles Spacing -Lights _& Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size < / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. •Cu or AP -Oven Circ. ga. Cu or AI, Insulated Neutral Yes -No -__ Service -Riser Conductors & Ground -Main Disconnect --_ Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower -Light _ -- - Date Card -Bi Date - - Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance=Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation- Foam- Lookec in Attic E) Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑'Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes F1 No; Planters Oyes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrrices-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except k's 83. _ Corrections from Previous Inspections 84. Gas -est-Meters Tagged; Gas -Electric trard•BI Card -BI 3i• 32. 33. '34. 35. 'A.C. Ducts. Insulation 8 Support _ - Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date - Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -" - --- - - --- - '- - -- Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com: tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Scads -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. 'Z' Address or location of mobilehome Owner's name S Owner's address Insignia or hud number Manufacturer's name_ Serial number of V.I.N. Year of manufacture' (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this. office immediately. Inspector _ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or nee"dditional explanation, please contact this office immediately. C'Zd o Inspector-� ��/�_�L Date =�_ COUNTY OF BUTTE - DEPARTM-ENT OF PUBLIC WORKS PERMIT , NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT �1 ASSESSOR PARCEL NUMBE - i? 3 Z 1 l A BUILDING PERMIT OWNER e2 TELEPHONE �13 X03 SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILIN ADDRESS C NT AC O 'S N MIE� TELEPHONE CONTdR CTOR'S MAILING ADDRESS /_• 0-1-10A 7/¢G/!1t/_1%9 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARC I ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS uLi+t wado Gy',L, iq Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (,.! G2hr�/✓ /yD��o wbOd /y��vtt !fid Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ElDuplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe work: /�1 fj`��� , C �d /`Jod,1 t4LO[ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V L Main service 100 AMP OR 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �CZ 2 G .? Classification C ElI, 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 CONST. DWELLING OCCUP.a+ , OR ACDNS. ACC. BLDGS. /zQsgft NEW CONSTR. U TI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS I!1 SINGLE OUTLET CIR. EX, OccU OUTLETS OR FIXTURES 2ALI30 p eALO 90 FIXED Ex. Occup. OUTLETS PLNS (RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. IlVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Vy a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequence of the granting of this permit. %� G Date Signatu of Applicant — Owner ❑ Contractor � Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ -on Energy Inspection Fee $ TOTAL PERMIT FEE $ O r v Occup. CONST,TYPEJ FLOo PA"IIL PD ND Is9D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTOR OF PUBLIC BY PERMI EXPIRES D te- the applicable provi- resolutions to do fees have been paid. WORKS Date '� '� l- �33 ��stories Receipt No.! / r� � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - / COUNTY OF BUTTE - DEPARTMENT.O:F,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53411541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Nu S �lf fiL A. P. No. / 9- Z? Proposed Building Use Permit Fee Based Upon: Complete Contract Price `DPW Valuation 0 her (Explain) Building Inspector Date At time of permit application, I was zivlse following data must be submitted prior to permit processing and:/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . ,j2 Plot plans in duplicate/tri licate. _1'14. Complete plans in�i ac te! iplicate.•M,"/4% 5,r /-16-42 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design. Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. e9l"". Fees of $ . . . . . . . . Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) ;.1 improvements may be required. . , .. . � .. .. .. . • .. . _€Z���y)Mobilehome Installation Data. re -fns ection for Required- request to (Date) p Q Building Inspecto ^ Recorded copy of Agricultural Acknowledgment Statement. /) 19. Other When y �rssue the ermit, process as follows: Mail/4o owner. Mail to contractor. !/ Telephone �%7�� Z�l9U and hold for pickup at/office. Deliver w/inspector. Other Applicant Date Z- f ' I'Z �r Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above c, Atime o application, circle item.) 1. Index permit for above Items No. �_ 2. Additional items required: V (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by ate Other: r Copy -DPW A. ZRIA 55 N. a �rra iG t it 4.' `�3�y ! Sh $1I6 1i-* t �sMMM((L�,:S -C 'i6a %i YCJbI'i e �.� i1Zt@ [ bid t l�ftiC�i r jr Y}S �•- t t t sj� i. 4 r k - y4 , + + i ,Vf fv2_T VIVI�fIr .µ7��7� t Y�QLr{f�� �Nr l # I....+ f i 4. _.:) I i z .1 Iii ! 1~• r t _�. L. ti� �t Vltii{rl►,Ufi'P�urb�rtg �echirnccrllcla:; ' ` ; , t 1 L f` f �ThTs sEt'o I' ns'iofis MUST be < �e f� ori,tiis�1�oF:�.:at gil::}�r�es ar' r -is unpwful to c4rl�igk�ie��'ny: i gins S.-:4r'alfi�ra#io is;gn"sizmie,without i�r�+iett'p� ►�ts��{i roml 6 Peparfinet)t of PN6lic Eio rit oaf U I f e► ; . _; . i ; .. ` . i. ( i t t.' .....-Aisetback of 5 ft. frorri the _ _ i. a • ' ' ... ......t peoperty lines and a setback ; of 50ftjrom the road i i t 1 centerline sha11 be clear of ' ` N,Jtthicmriecapns shall:be withih • , . structures or equipment except #t-�fhe3©bilehbtrt, either for -,a'.2 ft. eave overhang. f ; , irjc-ly e tri or.wiR►ir the rest # haIf'a flab. roa�siclE` (leff) p the T. N 51-87 BUTTE COyNTY BUILDING DEP 1T11ENfi .. J PPRP E BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 0•9y /5P't 3. Is the site currently under permit? Yes No F] (If yes, furnish permit number ) OR Is the site an existing site? - Yes © No F-1 (If yes, furnish two plot plans.) 4. Will the. mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes a No F] (If no, clarify E 5. What is the mobilehome electrical rating? --------------- /0--0 Amps 6. What is the mobilehome site service rating? ------------ Amps 7. What is the mobilehome site circuit breaker rating? ----- �_ Amps 8. Is there any other electric load to be served by the i -------------------------------- ti mobilehome site service. Yes � No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------=---- - 7 t (in.) 10. What is the t e of gas service. Natural F-1 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft, on natural gas or less than -50 ft. on LPG.) (BTU) BUTTE COUNTY BUILDING DEPARTMENT APPROVED �,- MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. ,$.yZ vim( GC furnish Setup Model No. C Year�� Width.2e, (ft.) Box Length��(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) l . Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)[ - Concrete block. 2. *Other (specify) -- Piet, Footing Sizes and Locations - SINGLE -WIDE MULTI -WIDE Lioc Line 1 � Line 2 Ma—in Beams Line 2• — — — — — — _ — Line 2 Line 1 Piers: Size -Min. ------------ Spacing -Max. From Ends -Max- ------- Line 2 Piers: Size -Min .------------ Spacing -Max---------- From Ends -Max .------- Line 3 Roof loads: Size -Min._------------ Location �) Main Beams — Tag or Triple Line 1 Openinits • Size -Min. ------------------ „x n Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- ,k „ Spacing -Max._______________ From Ends -Max.------------- __ ___ 7�„x 3e, X3 '. �A „x3p„ „x „ „A „ ,k � n_O n ,_ Line 4 Piers: Size -Min .------------ Spacing -Max---------- ,- From Ends -Max.------- (Under Size -Min ------------------- „x „ Spacing -Max.--------------- ._ n From Ends -Max .------------- Line 5 Roof loads Size-Min------------- nx Location (From Front) c 00 Q. E 0 U a� C 0 0) E rte Li ) STATE OF CALIFORNIA Butte iss. COUNTY OF ) On January 9, 1987 before me, the undersigned, a Notary Public in and for said State, personalty appeared LYLE LINSE , personally known to me (or proved to me on the basis of NO)k>S.af1Sfg t� e]CLCIPntrP a credible witness who is personally known tome) to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That he/she resides in California that he/she was present and saw .lames P_ MA I ]pry- & Jan Mallery , personally known to him/her to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her name as a witness thereto. WITNESS trt'�hand /official seal. Signature` /.�i21!G12, t. MARION L. BECKER d� NOTARY PUBLIGCA1JF0R:MA Butte County My Commission Expires Feb.18,1989 END (*td ftMg ipjjl notarial seal) tt,S�,�tf ,a r yr i,T��A ?pt�Yi. ^''.. :,: a • • : r, «,. .+ •.• � , ':5(' :\GRICUL`1LMAL 5i:\TF 113Tr OF ,\Cy:•CK- L.EDC0TNT FOR RESIDo- ,TrI?L DFA 'E LOR1'I��'I ,J.1'. t. i-ITY .Section .2'6-81 'of the Butte County Code requires this ackna�led cren OFFICIAL MOMS gy, be recorded prior to issuance of a building permit. 87— 1067 ti, r re,rpisopert `described herein is adjacent to land or included SART'{ SHOWN. Within:,, anArea,'zoned for agricultural purposes, and residents of 1987 JAN - A .4; 33 tl !s� pinpertY ': Y .be subject to inconveniences or discomfort arising , " afral the -,;use of , agricultural chernicals, including, but not limited to ticdes '.:and fertilizers; and f= the pursuit of agricultural or�era , MAYS. not-.1imited'to cultivation, plowing, spraying, pruning, and harvegt WOMR sionally; gener=ate dust,. w -oke, noise, and odor. Butte County has established 'agricvil tiiral ,zones � which have as a priority use for productive agricultural purposes, and ' ";;��• re. to said zones and on adjacent property should be prepared to accept such P inconvenience or discomfort from non -al, necessary farm operations. - All ; e4961' 06 17 C cy/ Aloaa '4/A r11-VleI" y £s U rvv 4:��l (� f --c- Alt 55C2,,1/ c OW June 24, 1985 Page 2 of 2 SUBJECT: Children's Shots Monday For kindergarten entry, at at least four doses of DTP or Td stand for diphtheria, tetanus and cough. The last dose of DTP and pol second birthday; if not, another measles, mumps and rubella vaccin( been received on or after the fir! another dose will be needed to me( Children entering first grade a health check-up in the past eigt one during summer, said a spokespE FIRE. REPORT FC -1811/80) r\ ORIGIN LOCATION SEC. TOWNSHIPO/N RANGE [9f Lam❑ Z e� Z. .3 El ? w 1 2 &/or 8 D""FWDIR ' TIMBER `&/OR NUMBER REG. I R.U. INCIDENT NO. _ START MO. DATE YEAR COUNTY. WILDLAND VEGETATION Z r y �' '4 FIRE NUMBER - FIRE NAME: 2EG. R U NO. thru DWELLINGS &/OR CONTENTS OTHER STRUCTURES .p, SEC. TOWNSHIPO/N RANGE [9f Lam❑ Z e� Z. .3 El ? w MILES DIRECTION�, .+IN. ❑ FROM U NATIONAL FOREST, FIRE DIST., CITY & STREET NO., K ETC. Number 3 CIDENT TYPE ACRES OF VEGETATION°• BURNED, IRE ❑ FALSE ALARM—GO TO ' $A _ ;:<i:2;iii:iSit;::::::i:,.;5:::::i::::,, ,.: \k, 44`+r ;ii<• `'c a' :•ik4^i:•iii>iiiiiii:::',•:•i:i:•:;v2i'v;{S{:+;:.. Y �Y4 4i 4 i �-�`\'•ii BLOCK 10 DIRECT i'.:. vfnrSo-° / , ' r.'<y` AGENCY PROTECTION * ACRES BURNED "• - "� <* ACRES,BURNED• 4 RESPONSIBILITY :' 4A 46 '" rT�YPE 1 -STATE ZONE STATUTORY coF to ; TIMBERM 02 �LDLAND BURNED OR THREATENED RESPONSIBILITY $ WOOD ' 30 ❑CDF LOCAL GOVT. CONTRACT O AT OjtIGIN) f 0❑ UNPROTECTED ATE OTHER ' LAND 0 ❑ ASSIST OTHER AGENCY (Not City) U.S.F.S. ir• M `BRUSH LOCAL ZONE ❑ '' TOTAL :{ ❑ BA.M. :. 4?: is `:.:i{>;::: ,,:;:•;;i:;:ii:;;:i; • � ' : 'GRASS S CDF LOCAL GOVT. CONTRACT r.: ;«:::;<;•ri:<•:;•:::V ::<?>sE#, v:;. 0 ❑ ❑ B.I.A. �}i:`:r:::f�:::iii.^•.:iiir::i•6;:;:y.:i>y;.r,..;;.�.::•,. .':`,•�ax:�v� 6Q 0 ASSIST OTHER AGENCY (Not City) c'`::or::.::.•`," •AGRIC.❑ OTHERFEDERAL a ::>;ii:;a>:::>.;:::: > 4x£ PROD. < - FEDERAL ZONE I' E] OTHER $B } CDF 0 Cl ASSIST FED. AGENCY (Not M SIZE CLASS 4 TOTAL ❑ CDF''LOCAL GOVT. CONTRACT MISC. 'AND OTHER ±`•.' 8D s ' i . r+,- ,. . '` • <W.. : 0 ❑ ASSIST. CITY, CONTRACT CO., MIL, OTHER >: ❑ A .25 ACRE OR LESS• }` `` A x. ATUT.. - RESPON O ACRES=BURNED - ❑ B .26 •9 ACRES OF ' CAUSE (STARTS IN T O 0 OR 8 ONLY) tK 5 ❑ LIGHTNING- ❑ DEBRIS ❑ PLAY W/FIRE # ❑ C 1!1`99 ACRES STATE ❑CAMPFIRE C3 ARSON OTHER/MISC. rs 100-299 ACRES { F ' S"EQUIPMENTSMOKING ' ❑ E 300-999 ACRES LAND USE'(STARTS IN 1 2 5 ORt' 8 ' ONLY) 2# ❑ if F 1000-4999 ACRES B.I.A" "; + , ' 6 5 DOMESTIC ' ❑ FOREST IN nl ❑ G MW ACRES; OR MORE BOR 1 ❑ RANCH -FARM ❑ RECREATION ';.• OTHER ❑ DUMP ❑ OTHER INDUSTRY-COMRCL.'?fErrw>,: FED +, Y ❑ ROAD ❑WILDLAND u Fii.ai;, of :fir; s` OTHERd- t :t.t • .x ❑ UTILITY, RAILROAD ElNON•WILDLAND ry \ tk1 •••?`'•:ii ;z:r4�+• a �' - ❑ UTILITY, ELECTRIC- ❑ OTHER " 'y'... �► '.w• .� ,?� £«,� �i�x• � �'�,'.�� TOTAL' p - a �+n•:s `� '{•'•'•�fo?;.3yJi:.�`r'•,��::o':'i)�r:ir.:ti:afQ•�� .y, DAMAGE (1 2 OR a ONLY) r 7 f DAMAGE \ ` Number '(Rw A off to Neared! 1100) 1 2 &/or 8 5 TIMBER `&/OR YOUNG GROWTH ti ' WILDLAND VEGETATION ` . •. Other-thon.T & Y Gw'shy '4 AGRICULTURAL PROD Other than T & Y G 'n $, DWELLINGS &/OR CONTENTS OTHER STRUCTURES a OR CONTENTS n �e'r. VEHICLES a CONTENTS OTHER : G .R0 w. TOTAL r' ;... S L>Or!t%tt47 ' ON ARRIVAL'4. VEGETATION ;FIRES7ONLY) , 9 SIZE' DISTANCE (Orijin,'to heod) ; ACRES �� FEET WEATHER ESTIMATE AT SCENE) ;* '"':'; •^s'.r `' \ - WIND SPEED (M.P.H.) DIRECTION •(FROM) TEMPERATURE (On sN`l Y L { 3 10 OVER PLEASE ' COF 7844130-01 18 ORDER NUMBER ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE 8 LOCAL GOVT. CONTRACT- CREW NAME 10 PERSON HOURS AIRCRAFT FLT. HRS. J CDF CREW [. / /I/il P� •l REG. •R.U. INCIDENT NO. YEAR FIRE REC RD DATE TIME ,4t .f�rt�-& > a11 OR 8 O 0 OUTSIDE 1 2F�a GO TO 12 FIRE STARTED Ender 1ST. CDFtchINSIDE l 2 R 8 ! tj FIRE DISCOVERED / 2 % , % LOOKOUT: If 1 ST. or 2ND. report made by Lookout r FIRST REPORT / 7 7 SITE NAME: SECOND REPORT ' r Sr ANE: FIRST ATTACK BY CDF %r 1e Yen FIRE CONTAINED /I I %.J -y.♦ r\ f DCV/ /A\/C12UCAn DCel^Dn 1Z CDF STATE & LOCAL GOVT CONTRACT CREW NAME♦ ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE 8 LOCAL GOVT. CONTRACT- CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. J CDF CREW [. / /I/il P� •l ,4t .f�rt�-& > ori 6 �Jtl,llfR4s• u�s� /�f� . 2 ' . t CDF OVERHEAD TOTAL ON 1 2 8 FIRES, ENTER TOTALS BELOW :.<.:>:{xfi .,, :: `<< x { 'o'#<#'• >•.4c }Q.$ NMI .,r•y,f%. ., :' <, �:: U.S.F.S. (Incl. Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTAL Y .0, FIRE DIST. b OTHER .LOCAL TOTAL ,b•,:iiir: • U•i . PAID HOURLY (E.F.F.) TOTALu?`: VOLUNTEERS (Unpaid) TOTAL .,` " ❑ FC -18B (Additional crew activity)'ATTACHED i1 ADI[_IAIAI DCDADT RV. i-%. f1nuuew1TC 138 MAP IS: ebNE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED cD 1J CC) c U -� u. C L•UW APPROVED BY: 14 SIGMA TITLE DATE INTL. DATE add . f ----�_ _ EAST _ �e 1 I �► „36.05 32.00 29 428 132.00 30 t3>t.00 r 1,52.00 ec " O No i, 50 O 460. 459 132.00 :0 o ; 38 152.00 32 436 4-35 434 433 ao 432 0 0 443 O ® 445 446 0 o . OR. isa.0o Qnirn n a nn - ® 0 ,0 I. 152.00 27 O 43/ I I � 28 430 j 429 29 428 132.00 30 ^27 r 1,52.00 48 49 50 46/ 460. 459 132.00 I o ; 38 152.00 32 O EAST 34 35 3S 0442 443 444 445 446 0 o . OR. isa.0o 182.00 T_ 56 - ® X2.00 IS7 -- 132.00 0 81 82 83 "' O 2 130.64 soa 132.00 r 1,52.00 48 49 50 46/ 460. 459 458 4570 o ; 38 39 �. 4/ 4210 0 in 53in d o 1 OR. isa.0o EAsr T_ 56 - ® 447 448 449 472 n 473 474 475 476 44 45 46 47 0 132.00 . M 132.00 132.00 IS7 -- 132.00 0 81 82 83 "' O 2 130.64 soa 132.00 r 1,52.00 48 49 50 5/ 425 424 423 J—�42:A2O 426 I 7/ 0 in 53in d It -a BOULDER OR. X2.®0 T_ 56 447 448 449 450 45/ O0 59 60 2 i 75 a. 74 � 132.00 132.00 . r 76 77 96 95 64 456452o 0 . ro 8 9 90 S79 rlm.acd TALL — PINES— —DR.— —I �R ------ ter— --- --- 1477 73 86 85 88 87 478 479 480 3 48/ IS7 -- 132.00 0 81 82 83 "' O 2 130.64 soa S'Fiv z9 y I 3107-76B PERMIT NO. PERMIT EXPIRES OWNER Gerald Cross dONTR. owner LOCATION (A.P. 65-19-37 440 Holmwood Dr., Magalia Temp. Power Pole Called PG&E Temp. Elec. Slerv. Called PG&E Temp. Gas Serv. Called PG&E JOB'2 FINALED Ot(Date) (Signat.ure) Reinf. 'teel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD Fixtures BUILDING BU DING (Cont'd) PLU 'BIND Setback Firewall Soil Piping Forms ' Parapets 1st Floor n Maln Bldg. Restroom Finish 2nd Floor . Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings" Garage Vents Water Htr. , StemwaI I X Insulation Heaters Slab Carport Footings Prov, for ph n ysical Conformance of x. structure Appliances Gas Piping & Test Temp. Gas Slab Final :4 Sanitation Patio FIREPLACE Final Footing Footing EL CTRICAL Reinf. 'teel \ Final Fixtures Bond Beam IRE SPRINKLERS Motors Framing Test Water Htr: Stucco Final Subpanels Mesh M CHANICA Grd. Fawl Prot. Scratch Heatina Servic Brown Cooling T9 p. Pole Finish Ducts Anderground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMAI K"R CORRECTIONS 4 1 l per �—� ,, of o -� �� C�, , �( .✓., (� .� r;, c, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Oroville, California 95965 Tel eplione: 534-4541 APPLICATION AND PERMIT YIiL/ - uatc 161 Receipt No. White-D.P.W. — Yellow -Ass ssor — Pink -Inspector— Goldenrod -Applicant ;uilding permit expires Date �-/,r ) �7 BUILDING Owner + SQ. FT. OCC. BUILDING VALUATION Mailing Address + �- I+(, V I0 elhone No 13 -x$10 Fireplace Contractor ui lv t k ,, Total Valuation --[— aluationMailing Mai I ingAddress Permit Fee Plan Checking Fee &/or Penalty Telephone No. `' c Permit Fee $ Cf/ U� 6 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r) = ^% . Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ' - ..C. Sidi n ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel eclaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 _ Bldg. PIs Recd Parcel Approval Pla" Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LIZ Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER so0V 10o AMP OR LESS 25.00 Main service EA. ADC'L 100 AMP 1,00 0 n����� 1 c, `c i /[,,� VV ` Dec, NEW CONST. DWELLING OCCUP. & OR ACDNS. ACC. B ) 20Sq ft I -OU NEW CONST R. (MULTI -OUTLET . NON-RESID, l 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 style of: Ex. OCcup(OUTLETS OR FIXTURES)50 @25a 109 Ex. Occup.(FIXED APPLNS. OR ) OUTLETS (RES(D.) EA 2.00 Temporary service '10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of men's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authoriz representatives of the County of Butte to enter upon the above- ntioned property for inspection purposes. X Date% Signature of Permitee or Agent TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PPIC WORKS — ; f/ % I1^ 7/ YIiL/ - uatc 161 Receipt No. White-D.P.W. — Yellow -Ass ssor — Pink -Inspector— Goldenrod -Applicant ;uilding permit expires Date �-/,r ) �7 G�'�2ALc1 �2a3s .A!Lff-, � Uj + CJ cl d e� �,�y ex-t� ©�"' I e.LT— 1u ei td.� W <. ASS 77#11ire /Z� _57Ci�� MOBILEHOME SUPPORT DATA Mobilehome Mfr.. Setup Model No. Year Width 6kowo. f.. - xpando Size ft.x ft. 1411 .• (Draw support_details • elow) . On all mobilehomes•manufactured after -October 7 1973 furnish manufacturer's installation Pimanual,,and structural setup sheets. ..(if,, not ;on file with the County of Butte) . .... S. * le .. , Footings- (check . one) / /A. Wood :either pressure treated or Center Center Support fdn:':grade.: Supp.rt Footing Sizes Locat'ons (in.) ....... &/2i*-.;..: Concrete pad. a j _003. %specify In. in.' in. — -7— c ) Supports (check one 1. Concrete block 13 2. Concrete piers ft� in(in in 3. 'Steel piers ' .. ........ :......... ........... / 4 Other, specify j Typical Support s x In Footing Size In %','If center piers are other than drawn above, draw in locations, spacing, and dimensions. RUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's n�m:/ - 3. - - - Is the site cu (If yes, furnish permit number ) OR Is the site an existing. site? Y s / /No Z 3 Z�! —"7 �o (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / V/ No (If no, clarify ) 11. What is the gas pipe length from meter or tank to.the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or/less ,tlianl50 ft. on LPG.) V (ft.) (BTU) 5. What is the mobilehome electrical rating? ----------------------- ® 0 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric loadto be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No --r (If yes, identify the'load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------=------------- A, (in.) 10. What is the type of gas service. Natural / LPG 11. What is the gas pipe length from meter or tank to.the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or/less ,tlianl50 ft. on LPG.) V (ft.) (BTU) The BlWg" Setback shall be 5 ft. from the side property line and 50 ff - from the centerline of the road, 'permitting 0. maximum of a 2 ft. eave overhang. el—V All utility conned located wifhin-4 ft. outside ffie e third section' of the mobile. hcrrtos� on the left (road) side of the mobff�. home. This set Of kept on the -MUST b 106 at all ftf-Res 'and'## p 'unlawFul, . to al�kkq�.,aro changiss-or alters wrhit31long Permissoni from fhe &0 \,V,itc of ®useQ. P OTE:—All Ma#ertals & Workmanship -Shell Be in f ccordance with Recognized '(�oocl P tacfic4 _6T a qualify prescribed 'for the S -pe-cified u- Opiform BqP41q, Plijmbinqnie & Mocha all Cc cJ AM, National Elt �cfticol Code. BUTTE COUNTS BUILDING DEPARTMENT APPROVED >1 A, 3 o Z� T 0 0 (D' CD o �y Septic system and location ation oqft hjM1* an&mlagmv to be as per Butte County Health Dept. Re- quirements. oil 7�7`1 el—V All utility conned located wifhin-4 ft. outside ffie e third section' of the mobile. hcrrtos� on the left (road) side of the mobff�. home. This set Of kept on the -MUST b 106 at all ftf-Res 'and'## p 'unlawFul, . to al�kkq�.,aro changiss-or alters wrhit31long Permissoni from fhe &0 \,V,itc of ®useQ. P OTE:—All Ma#ertals & Workmanship -Shell Be in f ccordance with Recognized '(�oocl P tacfic4 _6T a qualify prescribed 'for the S -pe-cified u- Opiform BqP41q, Plijmbinqnie & Mocha all Cc cJ AM, National Elt �cfticol Code. BUTTE COUNTS BUILDING DEPARTMENT APPROVED 1 util.,11H z 232+-76P,E -PERMIT NO. PERMIT EXPIRES OWNER Gerald Cross CONTR. owner t� r' LOCATION (A.P. 65-19-37 D }_ NW corner Holly Rd. & Holmwood -Dr., Magalia 4 ,i • rJ Temp. Power Pole Called PG&E ,lea. Elec. Serv. •Called &E G,1 -1D 121, &A Temp. as Serv. Iled PG&E rINALED ) (Date . (Signature) MOBIL EHOME INSTALLATION INSPECTION "CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes,u No 2. Does the mobilehome have required clearances above ground? (.Sec. 5085) Yes f�' No 3. Are footings and supports properly sized, spaced, ,and braced as,�'er approved plans? (Note possible variation at spring shackles..) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) YesX No 5. If m �e than a single unit, are crossover connections properly installed? -(Sec. 5088) Yes No 6. Water A. is. flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) - Yes_ No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes No Backflow - If ca e of Californiaapprove oes-ow-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 -,k, No B. Does it have minimum" per foot slope and is it properly supported? Yes No Q C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No If :coach is not State ed, does Gtar;n��E—rErqux-e�--�p��d venf? Yes No 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. YesNo B. Test OK as per following procedure? Yes No 1. Open all appliance connector valve . 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 411 appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a'minimum o 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? .Yes No B. Is there proper clearances around panels? Yes�No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome.at the pTe_'Ital. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each'm.obileiiome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon' completion of the above procedure, .the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test°9hall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card `signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA i Manufacturer and/or Namestyle Length Width > Vehicle. Serial No. _ �y A2Z X State Identification No. Additional,Information or Comments: F i Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Footings Slab Patio Footings Masonry Walls Reinf. Steel Mesh Scratch Brown Finish Interior Latl Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for phsically handicapped Conformance of ex. structure Final FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS 11 Piping 1st Floor 2nd Flooi 3rd Floor PLUMBING Water Pi in z,6 -. Sewer — Fixtures Water Htr. Heaters Appliances Gas Piping & Test S'%o Temo. Gas Final ELECTRICAL Rough Fixtures Motors Water Htr. Subpanels } Grd. Fault Prot. Service Temp. Pole Underground Permanent Final y zoo / R I vZo fi �, hwp (NOTE: An entry must be made on this form each time you visit the site.) CIM Arc-v,� - "I 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 C� iforni Administrative Code, Title 25, Chapter 5, under permit ' number .�L/`�G for the following location: /IW - . / - Y Owner-/ Owner's Address Mobilehome Mfg. + -o Model Insignia No. 1 . � /� Serial No. %2,?? J 7` k It is hereby certified for occupancy at the above described location and . may be occupied. Director /orf�Public Works . Date `� 7 By 1-/Z THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED t, AX -6, a...,. v COUNTY OF BUTTE —(MENT OF PUBLIC WORKS 7 County Center Drive royille, California 95965 _�� Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner _ S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Building Address 0 7—, Telephone No. A. P. No. �5 •— Zoning & Planning Fe W. ire Dept. Fire Zone Use Permit EQA Parking Parcel parcel Ma Plans Declaration p 60' R/W I Improvements Bldg. Plans Rec'd Parcel proval PIa pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 4zl-- 7 6' 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: License No. Classification Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR.LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. [DWELLING OR ADDNS. % OCCUP. a ACC. BLDGS. NEWCONSTR. NON .RESID. IMULTI-OUTLET % BRANCH CIRCUITS @ $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2(tsgftft 2.50ea EX. OCCUp(OUTLETS OR FIXTURES) BALC�1 EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE_ I am aware of the provisions of Section3700 of the California Labor Heating Code w ich requires every employer to be insured against liability for Wo men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certif a I have read this application and state that the above inform Mon correct. I agree to comply to all County Ordinances w and tate as relatin o building construction, and hereby auth rize epresentati the County of Butte to enter upon the abo - ntioned pr rt y or inspection purposes. Datev �y Signature of Permitee or Agent Receipt No. Y 71q. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee @ $3.00 2.00 FEE FEE FEE 22g/CL-'-wWg- �iYST. 3® TOTAL PERMIT FEE $Z30 464 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF V'UIiLIC WORKS BY Date � 1'3 � �% Iding permit expires Date -3-7 COUNTY OF BUTTE - DEF FrPFTMEN,T OF PUBLIC WORKS 7 County Center Drive'— Orouille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for in pecti n purposes. X Dat �eX� Signature Permit a or Agent Receipt No. y y (d %3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been )d. DIRECTOR OF/PIDBLIC WORKS BY ilding permit expires Date BUILDINVA7 ft -00' Owner �,� L 2 �S S SO. FT. OCC. BUILDING VALUATION Mailing Address S� A , Telephone No. Fireplace Contractor (1((7s/Z,• Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �` • �R.l 04 rvek, Q 4-�. � � Each Trap 1.50 C,lM W Q O ,�, t, r Repair drainage or vent piping 1.50 Water piping (� Each gas water heater or vent 1.50 A. P. No. 5 .- ! �_ 3 / • o, Z Gas piping system 1 - 5 outlets --l- zo— Each additional outlet .30 F W. . S io Fire Dept. Fire Zone Use Permit Building sewer ,� Q EQA PPprking lans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 BI �4c'd r Approval Plans pproval Permit Fee $ NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8000V OR 0 AMP ORLESS5.00 �- Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 _ _�/� NEW CONS. ( DDWELLIN GOCCUP. &) 20sgft OR ADDNST _ NON -NEW CONSTR. ( 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 style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. OCCU // FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. certify that in the performance of the work for which this Wplermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE -� authorize representatives of the County of Butte to enter upon the above-mentioned property for in pecti n purposes. X Dat �eX� Signature Permit a or Agent Receipt No. y y (d %3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been )d. DIRECTOR OF/PIDBLIC WORKS BY ilding permit expires Date d�J • \ :\t;RI�'I1L`lY1'�1i. 5":\TI:if7PC OF AC`K\'(V1ErX:I!-UNT POR R �I[�C iJTT?_L Df�'EIO!'�T11`ri' - --------- t . Sccr ion 26-81 of the Butte CountyCode reruires this ackno•rledcment aECORD' D BUTTE COUNTY be recorded prior to is ofa building perm87 106'i it. OFFICE RECORDS BY - -ibe property described herein is adjacent to land or included PART( SHOkl'; \l within an area zoned for agricultural purposes, and residents of 1387 JAN -9 PH 4= 33 this property may be subject to inconveniences or discomfort arising frau the use of agricultural chemicals, including, but not limited to ci�les rl t o pesticides, and fertilizers; and froru the puof, agricultural rnera �i,Lii „ Ww but not limited to cultivation, plonviistg, spraying, Pruning, and harveC R�b0 RgW:_1- sionally generate dust, _unoke, noise, and odor. Butte County has established agric-L tural zones wtdch have as a priority use for productive agricultural purposes, and residents %rithin said zones and on adjacent property should be prepared to accept such .R=t' ineonveni.c=— or discanfort frtaiu normal, necessary faun operations. All that real property situate in the County of Butte, State of California, described as follows: The South half of Lot 4469 as shovrn on that certain Map entitled, "FIR HASTEN SUBDIVISION", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on May 19: 1953, in Book 21 of baps, at pages 31, 32, 33, 34, and 35. EXCEPTING APID REQ TIEI'ROA'i all of the valuable minerals beneath the surface of the said lands, with the right to mine and extract said minerals; it beim agreed and understood that in all ming 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 thel orifices outside of the surface area of the above described realty, as exculAdd or reserved in Deed from Clara J. Leigh to Robert A. mall and 'Frances C. Heli, his wife, as Joint Tenants, dated March 29, 1957, re- corded April 10, 1957 under Butte County Re c rderis Serial No. 20398. Date: PRC P 2TX t(THMq: State of ) on this the day of , 19 111 I cam- tfi�,-, r.•>?_ the a ndersicned Notary Public, personally 1 STATE OF CALIFORNIA Butte 1ss. COUNTY OF 1 On January 9, 1987 before me, the undersigned, a Notary Public in and for said State, personally appeared_ LYLE LINSE _— personally known to me (or proved to me on the basis of ">)>Lh >i1)satisfactory evidence. a credible witness who is personally known tome) to be the person whose name is subscribed tothe within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That he/she resides in California that he/she was present and saw J.am.es-2—Valles-y & Jan Mallery personally known to him/her to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her name as a witness thereto. WITNESS my hand a d official seal. Signature— ��- MARION L. BECKER r/ r; NOTARY PUBLIC•CALirORNiA Butte County My Cor sCaion Expires 4b . Feb. 18. 19;18 (This area for official notarial seal )se nam. -(s) : and acknctvledged Le— purposes my hand and official >ubl is e. ;30