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065-190-059
M , • \ W ..ems" _ —� . �•G e�+` .�. " a .— ._ - - •--r • ♦ .--r _ —_ - - �r ; �' 65-19-59 A` .A r Elmo Pearson ------6 5.-Hdl'lywdod;-l6t'447-52i"MagaT`i ;. `• � � .'�. contr Henry Const. , Ma gal is s.. Permit 6209-80P,E,iutil.,MH) : ELEC. 1-12- GAS -/2GAS SUPPORT STRUCTU SUPP027- A;Ce- K.�ih _ COMPACTIN TEST RE M'/V' MAy gE 11&2 ,.. { IIVSTo Pe Mcn�o s. 65- 9-59 �c�-noN" _ Contr s Le ' Mobile Home, Paradise D/ iA15/ - Permit �2`I6-81MHI s6L. M/ UT/L CLE/ZA�tJ M - 65-19-59i*s contr : 'Acro-Luine;' Oroville" "' '�'r-� Permit #2037-81B,E(new pri.gara-e� & open deck/MH) ������ �?^�`_�• il'BURNET ; �T; `HERBERTy, - „ , 6555ML•LYWOODRA MAGALI r CONT: MARVIN;PLOURD �¢ ,SEX MH PERM{FNDN EX SITE` JIDI - t Y LM NATES „a PERMIT NO. { RESIDENTIAL U6J-lyu-u�y v1-/-.717 BURNETT, HERBERT 6555 HOLLYWOOD RD, MAGALI CONT: MARVIN PLOURD EX MH PERM FNDN EX SITE � THE HCD FORM 433A -FOR THIS MH CANNOT, BE •. „ RECORDED UNTIL, ONE OF,THE FOLLOWING HAS f BEEN TURNED IN TO THE BUILDING DIVISION. �,. (1) LICENSE PLATE(S) OR DECAL (THE , -INSPECTOR MUST RETREIVE). ,. (2) STATEMENT OF FACTS (ONLY ON NEWMH'S) fa, INSPECTOR TO VERIFY, SERIAL & LABEL #'S. •rW , JOB FINALED (DateJ/0 Signature 1� - V = OK 0 = Not OK - = NotAppNcable MOBILE HOMES Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped Date 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Hangers -Post Caps -Anchors -Connectors 6a. Hold Downs and Special Anchors 48. 7. Slab, Steel -Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Piers -Fireplace Ftg.-Steel 51. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 12. Electric Underground 57. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 60. 15. Access & Ventilation 16. Insulation 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AkOven Circ. / / ga Cu or At Insulated Neutral 0 Yes I] No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 35. A.C. Ducts Insulation & Support Comments at Final: 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access -& Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive 0 Yes 17 No/Walks 0 Yes ] No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Cornected-C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUILDING -PERMIT -NUMBER: 01-2319.:., . Address or location of unit: 6555 HOLLYWOOD•ROAD, MAGALIA, CA 95954, Legal Description of Real Property: A.P.065-1.90-059 SEE ATTACHED (x) Mobilehome/Manufactured Home. , O 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: HERBERT L. BURNETT & HAZEL L. BURNETT Owner's address: P.O. BOX 1428, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: 205098/99 _ ti SERIAL NUMBER OR V.I.N.: 1951AB MANUFACTURER'S NAME: BARON HM, YEAR: 1981 OFFICIAL APPROVING INSTALLATIO DATE: 10/5/01 PHONE: (530) 5:38-7541 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document, Recorded N -Oct -2001 2001-0046494 Has not been compared with original BUTTE COUNTY RECORDER 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 1855:1. 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. HERBERT L. BURNETT & HAZEL L. BURNETT REAL PROPERTY OWNERILESSOR P.O. BOX 1428 MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP 6555 HOLLYWOOD ROAD INSTALLATION MAILING ADDRESS, IF DIFFEREN': MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write *SAME*) MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILRJG ADDRESS ' OROVILLE, BUTTE,.CA 95965 CITY n COUNTY 01-2319 / . I I. T STATE ZIP (530)538-7541 MAO fullm ER SIGNATURE OF LOCAL AGENCY OFFICIAIII DATE NONE V DEALER NAME (if trot a dealer sale, write 'NONE*) NONE DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION BARON HM 1981 TANA VILLA SAN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER N 1951 A/B 24'X 60' 205098/99 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-190-059 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept LEGAL DESCRIPTION A.P. #065-190-059 All that certain real property situate in the County of Butte, State of California, described as follows: THE SOUTH HALF OF LOT 447, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 19, 1955, IN MAP BOOK 21, AT PAGES 31, 32, 33,34 AND 35. EXCEPTING AND RESERVING THEREFROM, ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL, MINING OPFRATIONS 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 THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E.D. STORTZ, ET UX; RECORDED SEPTEMBER 4, 1947, IN BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS AT PAGE 185. w c and Ma I" Rcc:. F'ee . JAMTsS A: JOHNSQN. '�r:. •. r.:: .' Attor•nay'-.:&: c6un'i3 i6i-'�e; °I;�iw::;:: i:,°Ctie 74A©• kyw4y;:a.:',;.s:Reoordo` I,''r• 1 n,radi•a3`: .,:.:.,; "';i::'>:,:::.• :''J,';i••,; ; ''�,.'•',•, x.17 V••. �.i'+. ru �I �'. i^ a h. `o r' ..� � X •�-R •rfi.. •9 'Ifa~. i•J.. . .1+ •Y^ AT 065=190-05.9 ,00'0. a' :'ORAIiT'i'1lE `�• :RSV;OCAiII:E+.,..TAUBT�=;TRAPIBBER...� < s` :® r' ='doaum nta The u n d a r a � tie' `rn t"" :'a'::da `exe�fithir :�Er4nit.eY= �ie�>.ou>; e�c.�..t'y. 9 . a`4,.:. riot ,�, � .,Pi:,.. i trandfae: tax R 19. 'i i` 'eCnQ?'°idi`,ozal:uQed i.icom =en r4bal-< .AGT:S62. ,i r'. .t. FOR NO CONSZDtgM :TQ trq HERBRi2! HERBERT+ ,ii•' `r alld>:-I1A�,.k real' prop ir.t:'y --: Hur.no.tt":..g.ant 64khg::'doacxibod . Ya'torn a:: I- "App 4r 1 MR01 DURNETT Gran. t :0 d h W-ob-'-thait'. 4 tt in Lbt .4 he :s6ut, lt f ow.. MziHAVEN .--.'SUDP-IVI'S ION %4h 'ch-,.Map.vas.. r d6d... -:IbVit o'* f. t h' '-,-County,.' recorded' -in i e f�66* 6,,, an. "'ap- 2 1 "-.3-C-an .3-5.'-,: i!i�!- F Hobk. L' :*..""..'*':*:�IV4EXCEPTIN�..;46..,.A:sb'ERV-jNG..TH.Z .Oct. a C. a-.,:akn .,;..oxti- .0 d:�-uh cd'. A- a% - - d4r�;ed-i.ah Atood:%`.' 'a min".hc", Ji:i-.opdra ons e:�':,"pr t cte �:--Aga W-st'."'d.0age 'a' a p.. e d surf 6�6*'*�'::"6f'. "'s" -tun - 9::... A;'a rom.. ...that..rr e. .Q. and 'd6- of n 'i h, --n --:or. -ces' utsi .'oY Mining -- bra recorded -. septain at --'-'4z2-3lr,.o'f:-- BUtte' Cour)'. YOf f icia I . Reco.t.dii-*..::�a ... .. ... .... G ii�r it 1P -cr-19 1,14 36 - 'Ng rrhe 6z.' . ........ .. . . .. . . . . . . . FROM CENTURY 21 RESULTS REALTY PHONE NO. 5308770710 Aug. 27 2001 11:25AM P1 STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DCGTCTDATTnU C-ADn MnOTI eunMc DECAL NO. i Ai ER NAMVIO NAME—M e Dom DOT Svc EIIPIRAnoN BARON Hw VILLA SAN 00/00/81 00/00/81 MAGALIA U SERIAL NUMBER IABEUINSIGNIA NUMBER WEIGHT LENGTH WIOIN ISSUE S Y 1 1951A 205098 000000 000720 00144 05/26/88 04 SFO ILF 2 19518 205099 000000 000720 000144 3 TOTAL 4 FEES i PAID= i $33.00 A BURNETT HERBERT L/ oHAZEL L JTRS o PO BX 1428 R MAGALIA CA 95954 E s a BURNETT HERBERT L/ e BAZEL L JTRS G M I^ A PO ED 1428 s I T L E MAGALIA a E 0 ar Ala! - DUPLICATE COPY O +oR,FILED WITH THE MOSTLEHOME .PARK OPERATOR AS REQUIRED BY LAW o s 6555 HOLLYN00D RD W Z fa N T a u MAGALIA G R S L e G A L 0 N H E R 0 0 l � Z E N S ' N [ ' e e L 0 D N E D R IMPORTANT 01-144-00 THE OWNER INFORMATION SHOWN ABOVE MAY.HOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT .s TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH'THE DEPARTMENT. 0100034 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive Oroville, California 95965 Telephone (530) 5 -75_1@ �a ER No. (Rev. 12/96) APPLICATION AND PERMIT (j ASSESSOR PARCELNUMBER 065-190-059 ZONING RT -1A BUILDING PERMIT OWNER BURNEIT HERBERT TELEPHONE SO. FT. OCC. BUILDING VALUATION 400 .00 . OWNERS MAILING ADDRESS PO BOX 1428 CA 959_ CONTRACTOR'S NAME MARVIN PLOURD TELEPHONE 1279-1096 CONTRACTORS MAIUNG ADDRESS 158-4 HOLLYWQOD Rn MAGAT�_C95954 5�? 1 CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 540__5Q/2 $ 270-25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6555 HOLLYWOOD RD. MAGAL CA 9595 Energy Plan Checking Fee $ ; PERMIT FEE PLUMBING PERMIT $ Cr . Filing-r'e ^ 0 LOT NO. SUBDIVISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ]I Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015-00 Each gas water heater or vent 15.00 TYPE OF WORK New CX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM END EX SITE 24 X 60 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 oo Mobile Home S G W .15 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 500R LE Main Service 200A VOR 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 ' full f0ice and effect. —7 License Class Lic. No. 3 q 3_ 1 . / z OWNR-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNG OCCUP. OR ADDNS. ( a ACC. BLDS. S° 3.5¢x, T. FK)µR°ES,U MULTI.OIlTIEf 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. QCCU OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.DFlxuTLEt-DrsA Aa °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20:00 Misc. Wirino 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) of 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 thoseo isions. X Date © �_ Signature of Applicant - ❑ Owner F Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and d constructionof structures over 3 stories in hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 363.25 HAZ. — D. FEES IMP — FLOOD cDF PARCEL PD HD — 5SU po This permit is hereby issued under of the Butte County ode and/or s have indAz�� By PERMIT EXPIRES ON f the applicable provisions Resolutions to do work been paid. Date L,/ 0?� 0.re Receipt No. 332189/63. 00 3 00 • Z I WHITE-D.D.S.-B.D. CANARY -A SSOR PINK -I PECTOR GOLDENROD -APPLICANT v. 12/'96) . ssssee.,w,: ya ►more, a1 nlNcTmm IDOOJ rOW41 W^%mAMR urmtcr on ewouNO r NO. • • tvcr-rtn r aecm I OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive a Oroville California, 95965 - Telephone (530) 538-75 APPLICATIONAND PERMIT PiMIT NO. BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION USEOFSTRUCTURE 7 DupWt 1 Wobnenomo ❑ Other TYPE 0F WORK --�—� Pw O Addition O Remodel O Utl11fte O Ins-b—Md—on O Otlter O tscribe Work: r tT i r- CJ *PERMIT FEE PAlb � SRA ' SHERIFF OTHER s� MOUNT RECEIVEb C L , f * TECEiPT NVMS� c � O E PVT =NTO COWVTER G0 Fire lace PERMIT FEE _ ea ELECTRICAL Total Valuation i 5.00 Tem Dorar Service Rlin Fee = ' Permit Fee moa on uns 23.00 20.00 "2 mtaA TO IOOOA 40.00 1EW conk , »OR �� ( S Plan Checkin Fee = �� Energy Plan Checking Fee t: i PERMIT FEE _ z PLUMBING PERMIT Fling Fee Each Tr 20.00 7.00 Solar or heat um water heater 23.01 Water 1 in 15.00 co Each as water heater or vent 15.00 Gas 1 In stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W 020.00 CX. UCCU OUT Er Olt fDntlrtd PERMIT FEE _ ea ELECTRICAL PERMIT 5.00 Tem Dorar Service Filln Fee 20.00 Main Servicewov u ee moa on uns 23.00 Main .Service mtaA TO IOOOA 40.00 1EW conk , »OR �� ( Dv` . etas LAOp 3.St$—a CX. UCCU OUT Er Olt fDntlrtd Ex. Oeeu nlMO APPLM. oft ,o ovnErs eslo. a 5.00 Tem Dorar Service 23.00 Mobile Home Facilities 2000 Misc. Wirina PERMIT FEE 18 PERMIT I Filing Fee 1 20.00 6.50 PERMIT FEts 1 Mobile Home Inst n tion Fee i Energy Inspection Fee i T YAL FEES J o. net wco ►o 1 esu This permit is hereby Issued under the applicable prwhiions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. I By Date PERMIT EXPIRES ON "'W°f+«►,ae"s•.`'�`;�.,'�!�!s''+f+.'�'IJ�t�+1�<^r✓ '� �� 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: o ASSESSOR PARCEL NUMBER: Proposed wilding Use: Building Inspector: At time of permit application, I wag advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ----------------------------------------------------------------------- 7-------------- . Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- . Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 07. Statement of Intent. for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ . Hazardous Material Form. ----------------- a, Manufactured Home data and installation c; v u . -- -- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate.------------------------------- 1114. -----------------------------. ❑14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: O }< (B) Parking: -• ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage'�egal Parcel. ❑l 1�9. Encroachment Permit for driveway (construction approval prior to occupancy). ------------------ �-- - p0. Pre -inspection for 'L[- required Request to Building Inspector G (Dat 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ---------------=---------------------- - ❑ Letter of signature authorization. ------- ------------------------------------------------------------------------ 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- = 61 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utilityclearance. --------------------------------------------------------------------------- ❑28. Existing vio tions and/or ___________________-- H. Z -❑29. 0433 A, ant Deed M.Tk to H.C.D $�0_______________ ❑ 3 0. Other: Zelephone you issue the permit, process as follows 11 Mail to owner, Mail.to contractor. 7, 72- 10 9/ and hold for pickup at U(011 I I t e,, office. ❑ Del• with inspector. Applicant: Date: J % Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departmjr'- ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmen ❑ Date: By: 1. Index permit application for the above items numbered: ! ❑ Plan Check List 2. Additional items required: ontractor, esigner, owner, was advised of the above requireddatalb❑ ail, ❑ Building Division counter, by Date: 7' O l Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: `1 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divipion,� counter, by Date: Plans reviewed by: Date: Plans approved by: t L Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: O B.I.N. Location: 10 Ov Complaint. REQUEST FOR INSPECTION Permit No. td T c BLDG. PLUMB/MECH ELECTRIC M.FV ./M.H.U. PRE- =orm Rough Rough INSPECTI =rame/Underfloor Stucco Lath Stucco Brown Fireplace Bond Beam Insulation Top Out Gas Piping/Test Temp. Gas Sewer Piping Water Piping Shower Pan Temp. Service Service Underground Well Circuit Light Niche Corrections Final ousing Jo Permit Renewal Verify Utilities OTHER Nailing Corrections Corrections Corrections READY FOR A.M. IINSPEC.ON Final Final Final 19_ P.M. Date: Time: Note: PRE INSPECTION ' EPORT OWNER: LOCATION: CONTRACTOR: %� PRE-INSPETION DATE TO INSPECTOR: U PERMIT HISTORY:( ) NONE Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Yes No Condition of Electric Natural Propane, Obvious Problems: Sanitation: BUILDING GNSPECI'OR'S REPORT Electric currently On Off DATE: A.P. #. dl9S �Clf� - ps� ZONING: �. None Currently On Off Plumbing Working _ Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date / ��J� Sketch buildings on reverse and indicate location on property. ^ AL1 r- _-, ?.` �•f'�""�- i �r`'� r,. / �� „ �� '���+•'_- `a J _ 65-19-59 lmo Pearson 3 6 Hollywood, lot 447-Sk, Magali cont Henry Const., Magal is ' Permit 09-80P,Ekti1 ,MH 1 ELEC. /-1.2 200A _.._ G } GAS ar. SUPPORT STRUCTU COMPACTYld TEST 65- 9-59 770/J- : • ontr : Le ' Mobile Home, ParadiseAWIA _ " Permi 6-81MHI J -U s contr: Acro-Lume, Oroville '• Permit 42037•-81B,E(new pri.garaje�f & open deck/MH) BURNETT, HERBERT 6555 HOLLYWOOD RD, MAGALI � x -40 ° 4t . : j-ALVF CONT: MARVIN PLOURD _ EX MH PERM FNDN EX SITE T ..' 1. • � +� '+ i49 ; 1 • 1 ' S n �, c.� ell ., _ - .f: � • E Y v.12/gdi ter- &0CV=LVrMtry i )tnvlct5 - BUILDING DIVISION 7 County Center Drive • Oroville California 95965 o Telephone (530) 538-75 APPLICATION AND PERMIT _ PrwT NO. �01if pu_ �� BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION 30eT11UCT10N 1x001 Fire Inco Total Valustlon S Filin Foe Permit Fee .S�—Z= Plan Checkin Fee Energy Plan Checking Fee PERMIT FEE ----------- = i t i i , W 20.00 �v Pot" ��a *=Ras COMMt OR wonael _ cease No. u•rteTwaonmlewwNoAoorlas ac•+o Aoorws EX. Occup. OUTLET 011 FOrnow r No. susav w"to! � � MAP PLUMBING PERMIT Each TraD Filing Foe 7.00 20.00 U8EOF8TRUCTURE 3 Duplex. O Wobiienom• O Other Solar or heat um water heater Hood 23.0, Water piping 15.00 ome Installa Von Fee = TYPE OF WORK Fw O Addition O Romodol O UtliOes p hsiaWJon O Other O lscribe Work: p, x rn d rm .G' Gx S, ' Q= sem_ Each gas water heater or vent `O�" "� TQTAL FEE $ 15.00 Gas piping stem 1 - 5 outlets 15.00 Building sower 15.00 Nbbilo Homo S G W ®20.00 PERMIT FEE _ PERMIT FEE PAZO SRA SHERIFF OTHER AMOUNT RECEIVEb 20.00 23.00 40.00 23.00 20.00 Fee 1 20.00 0.50 / r '- "RECEIPT NV"ER (1u, Y�- " TO 0E PVT INTO COMPUTER r r it is hereby issued under the appkable provlsions tte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON ELECTRICAL PERMIT Main Service saw an uae 2001 011 LEet U' yEx. I �(L 1 1 C, C, a�- s 1c Main Service 20GA TO 1000A NEW CONST. OwaLPMo - ON BOONS. a AOC. alba. NONROO. YUI,TFOU}LET aPOV*" AFWMATUe EX. Occup. OUTLET 011 FOrnow Occup. D A°n M. on o1/TLLTf oro. CA Temporary Service Mobile Home Facilities Misc. Wirin PERMIT FEE t MECHANICAL PERMIT Heating Coolie Hood ventilation PERMIT FEIE S ome Installa Von Fee = Inspection Fee S REYH `O�" "� TQTAL FEE $ 20.00 23.00 40.00 23.00 20.00 Fee 1 20.00 0.50 / r '- "RECEIPT NV"ER (1u, Y�- " TO 0E PVT INTO COMPUTER r r it is hereby issued under the appkable provlsions tte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of D t0cument,, Recmk.ded 24 -Sep -2001 2001-0043854 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dusk smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The South half of Lot 447, as shown on that certain Map entitled, "FIR HAVEN SUBDIVISION", which Map was recorded in the'Office of the Recorder of the County of Butte, State of California, May 19, 1955, in Map Book 21, at Pages 31,32,33,34 and 35. EXCEPTING AND RESERVING THEREFROM, all of the valuable minerals beneath the surface of the said lands, with the right to mine and extract said minerals, it being �\ agreed and understood that in all mining operations the surface of said lands will be pro- tected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outide of the surface area of the above described realty, all as excepted and reserved in the Deed from Magalia Mining Company, a corporation, to, E. D. Storz, et ux, recorded September 4, 1947, in Book 423 of Butte County Official Records at page; 185. Date %% / PROPERTY OWNERS: NI 6t t3GR7- l 130 State of California ) County of 'ev #r ) yam/ before m, personally appeared ? Giry✓cI tu��Erl prJ�toe't�hepen�..(.l ersonally own to me (or proved to me on the basis of satisfactory evidence)hose name(s) X/are subscribed to the within instrument and acknowledged to me that,j�skAthey executed the same in.lkigkwr/their authorized capacity(ies), and that by bas'/flet7their signature(s) on the instrument, the person(s) or the entity up�f which:t a ers n s acted, executed the instrument DONAtD M, MC ABEE WITNESS my,hQ and official se Lot Comm. a . M rS3 NOTARY PUBLIC -CALIFORNIA Y! Signature �'� Los Anyales Caumy Seal' dq Comm. Fzpiras Match 1*� 2004 A.P.# (�,!Sr^ 1g'0 —067 PERMIT NO. 6209-80P,E:. " 3 PERMIT EXPIRES•„ Ti -j OWNER rrammo Pearson , CONTR. John Henry Const,.Magalia - ASSESSOR PARCEL 65-19-59 LOCATION 6555 Hollywood, lot 447 -SZ, .- Magalia yC /7 1,4,'14/ODd re t li i y• f / Temp. Power Pole Called PG&E r Temp. Elec. Service F 'Called � A--�}. PG&E - ' • ' �.' Temp.'Gas Serv'ce -�r7 le, C E , V`a� JOB F ALED (Date) Signature COUNTY OF,(BUTTE - DEPARTMENT OF PUBLIC RKS PERMIT NO. fr' - 7 County Center Drive - Oroville, California 95965 - Telephon 16/534-4541 APPLICATION AND PERMI AA ASSESSOR PARCEL NUMBER —/ —D •—,o -D ZONING I BUILDING PEVAITO OWNER Flmo Pearson ELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ide Road Redwood Cit , Ca. 94061 CONTR ACTOR'S NAME John Hq=yn struction TELEPHONE �` 0 CONTRACbe TOR'S AILING ADDRESS ox 509, Magalia; Ca. 95954 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is 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 Corner H ll ood and Holmwood, Ma alfa, Ca. PLUMBING PERMIT Filing Fee /0.00 6b5S Jls J Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping e+ LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outletslo— USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[� Other SPECIFY Building sewer 10�- Lawn sprinkler system 2.00 TYPE OF WORK/ New a Addition ❑ Remodel El utilities u InstallationC Other ❑ Describe work: 1 nt development _ Permit Fee $ Vo_ Contractor ELECTRICAL PERMIT Filing Fee Iff.0o Main service 1000 AMP ORV OR SLESS 5.00 �• Main service EA. ADD'L too AMP 2.50 Z NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): [3d � 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. 46 License No. �9�7 Classification A ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.-----.:--, Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2,50 ea NON.RESID, BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES BAL@1 AL@tOt FIXED PR Ex. Occup.(OUTLETS(RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Misc. Wiring 6.25 Permit Fee $ �... Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation ---d I 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 Iia04 s, judgme s, cost nd expenses,which may in any way accrue agai d C linty onse en of the granting of this permit. XFI0 Date 12 ���$0 Signature of Applicant — Owner ❑ Contractor [X Agent 1-1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 sttoriiessin heeght.ipt Mobile Home Installation Fee $ Land Development Fee $ a 2�. TOTAL PERMIT FEE o OCCUP. GROUP I TYPE OF CONST, PARC PD H ssu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIChl RE R OF PUBLIC MIT EX IBES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-D.P.W., /���2- Lion,Coff No. ��B YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT VJ* 0.rr ,S}•:..� �.. �. �. Lt - �Jr'i'F+'.vr. '.. • :.,-. 1f' ;.,FL},1r E�y� } '+•• *+A ,AA41p, •.rft Pea so ......r,.." �Y C•M�'!, tL ' ?E sr Mt...r Y "6 liG-L r �,W Q , ,+��.-Road. T'CI a d ' • I '_j, ` `* � �� LN x_ . t r 1. �..; � T,a.j�'•�c•. 1t � t iii �t ��,,,}••` rtn � <,�' ;A. :,e,.,+•i i,�i'rt ���,. E�, +tw �� '� t tyt .. tit 'rJRs�rlt+•,.,trl'� '` .. _► (��"r•r , {-t� � .41.:� �•e ,�y rr. +•,•+ r ,Cir • •��rj''�,,,'�yti�,� �. • l3 +, t• V�� t]�f1 � � t ..r.'olr c3 a' ��< •�i C✓�� tif: Y .•<�r�ts`•i:', rt)C.,". A.y •t' -t•�. lk ,� _r•�Ytr��S4� w,Q �" t.,(',it �}�ht,��a�t���•r?���, r•� �,,r jJ^i ,-�. •=. _+� •i .+ - (. Ya. S` ' r' t`CJ 6 'a:`j•ti fi li 3..„!rY • 1i R. �a 'r" ��:a:t%i ,.� V ,.'3'"> A� ra'U tI.M'W�'r�fc�y}�•r r �7vlr! 1 t .{- , I '^ .• • Q { ,` • -t rY riY•+<'T1 �, i•,• d6' wood and HolmwoodMagalia'� 'Ca, r45 - j `�. a�'• OAII.:'Via:erlalsWor pnp 1r, hlp..,�a ill `"e • cord nce,: wt#h`...Re1;4.gn1zerrc �j=.� olity • prercrll;6d • P1 if e. in the - i - ; � le 'N'. ' i±if irrr -Building, Plu6-ting ac anicim Gov;; fad N : r� t PgWe Na.ional '�le,4riCal Code. ; ` � ' � W � .�s��.�:� w. .CS� r i r �� FF ♦ j r}t ry �'�i ��R"�� NOV���;t� � � is _� 1 �-.� � _�.,.- � _ r -•.� , -._ • - �r',�, .J L7 �.� - - - , ' - • _/t ��j `• � j si�P ,hr �.' - .. wry ( i + . - �ti_` `�• x 1 / ?irrt�.pt iY Il°IiS' !t •;"w l' �Ilt][tL, CiITi 4_'1�11>r�*„Ki ".i'1?:; 4'+ 94` _t•�r'W••On $6., job at"0111f;rn" (i d if F� rya � s'YJtje}t 1� ! , R•d Vn "' „r. {{.�,.�._ 't r ,. �.rr+w••ffy9�i;h..�ir7 ' C'Kjtol.,r.t".9R4'^i"" t?'ii't'r� i �� .: • •".1� } (• �. -rr t:M1�#Cfl ^Ct:1iS5tt3R;TC!►11'f?'t��i3� dl�i°:ei'`P#`4«����"•r7 ..roti• �-^��i.. vitf�^,c'�Sr Jiiilt�! Lif �✓'iaC°. V ilk• + ' �j' X04 Vit. *� i •. � � ,, 50 SQ. FT. MINIM M j , I FOR MOBILE ?1* 40 Utility connectii ns shall be w. h' 4 ft. of the mooilehome, either ' I directly behincj or -within the rear half of the roadside (left) of the fmobilehome, i � � --=--'fir•- 1 from Ale ► {ry `Y, rj`' , A, set ack of 5 ft. , r a setbectt ..,prop rty lines and. it43$ pf 50�tr from the road lie clear of w cente line shall ` 3stru ores or equipment ex4ept -W, a2 ft. eave overhang. ,� • : t RW ,�.�_ • g •._T9�.• i(� I! . � . .� <` ._'<. 1 „.• ' K' , !�• r1 f I. 1�..+^a��� �•:� iR.rl s,�'-."1 C `�'d I%.. •• 'F ; �7�'1. K.. }V BUTT,t C * ��t'. t ��< ''N,r� i�t� x ,���1a;, Ft � �i�r•1t y,*� ��y}.�"�.y.�•t�'6s�i• S�� tr�r'' �.ayi•�c:�,/Jr•4���1 i�`�� S,{i'•7yt�+„ D l •`--�"''•/ '� �Y'it r '+t+i •y *ji't tY• p�Y -JS i7�i/1�.+�7r �� • + �t x tt� � s r 1, �r 'i;+rl /� >fr i t `”+ri�� � Y x 1 * • �. v ��� ' t - � �, fS�' i 7F'" r t £ ar '- r x`57. ��r�i�r� a e„ •n w�. t r� ¢ ki• �: iit+t^.'r�;-���i ' -a� .f. :r ..•,7�, 3' �? ,w,.'< t��A- y:St�,� kpS;y�.�n<.,• i�i�._1 d�y'�,.t�... .y^ *�d'u •'✓bh.�,.�`i. �r �F ..s �, k- .• 'f R r 4 r -,V • • vli.,vr. .j., y �� .r21 trY.? t; ir.�•Sr?_, r.- st tr _r� •�1, , I r, .��•+(�j�<yjy, tI'� �ti, ,7 • ' t' t F t l ef. '� l•Sf i:r• S"Y • ,rt < ,'Y: d �' . "j �'i r� y7.�t •�1R� ♦ �, �. �t�., t! ,il S7i't t'� o't •�. t'.r�'i�S ti L�+r' •. it oLL, rr r•' �, r. l9 �� y y 't � � FT' t � ;! � yt, r' j,,yY''f�= r 4' , t '� � 1 ^4•t.X •� r r �. t� r r�; Y, j4 � _{. a., w �►'• �rfi7 i, 5� • � r,.+>�;� , r.�n �•��,gvy�.,•'NJ�,�. ��'f�.�',�.� .hL�tyM �,: w >�.. •r +�r�� „5�,� •. f-1� ; r K.. ;;•�'��~ta�,," :"�.'r:;}JlY Iatt�...3t5'�t; r t> 1 ls,,},if� n �" .•..+.���• p y, � _ iA . i{K� � : , . ,e{ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone $34 -4541 - Skyway and Elliott Road, Paradise — Phone 877 -3435 - CORRECTION NOTICE BUILDING OR PROPERTY AD 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. A 17al-V17i Inspector _,� " ,'v / �U� Date/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number - for the following location: t Owner r Owner's Address f z Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date - By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J = OK O = Not OK - = Not Applicable = Not Ready MOBILEHOMES y MISCELLANEOUS - Date MOBILEHOME UTILITIE'S (Plans) OK except N's Date DECKS, COVERS, CARPORTS.; ETC. (P18ns) OK except N's 1. Zo i equirements-S cks-Eas6mv1Sts 1. Zoning Requirements -Setbacks -.Easements 2,- Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. S&verTocdUeff-'7 all -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. W r; Lo on -T s -E sement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Elec i y; Lon-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Ga , tion-Tdgt-%rap:/ /"L"ft./ /"Nat. ori• /"L"ft.Z%/"LPG, 6. Carports; Windows -Doors 7. U ' ty Clearance '- aj 7. Elec. Card -BI 1✓ Date ' Card -BI Date Y: Card -BI Date Card -BI Date Card -BI Date s Card -BI Date Card -BI Date Card -BI Date Date MOBILgHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's oning Requirements -Setbacks -Easements 1. Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability as; MH st-Dwrtaff6-Va -Conte 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining ectricity; MH Test-CrqwdV-ers-Bra-Clear�es 4, Elec.; Receptacles and Lighting; Distances-GFI rain; M t-Fa4--Flex Gnandctor 5. Elec.; Pool Lighting; 15 volts-GFI ater; MH-RegulatlfCon gw_%of— 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed and S&sr�onpgcpe6-C/O t de-Hb-�rppreveF 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Gas and Electricity Tagged Exits; Insp.-Sketch 1 Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I N Date A.7 2,0 Card -BI Date Card B -I Date Card -BI Date Card -BI Date, Card -BI Date a4 .20 12°/y dog �ib�z�� oFy r A la w/lw,4 awed /U U e,14 �2 Z,>_8'y cv t W V = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Sing.le and Duplex) Date UNDERFLOOR (Plans ) -OK except N's Date FRAMING (Continued) 1. Zoning requirements-Setbact..s-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. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 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 7. Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. 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 -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 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 At 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 El No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N Stucco; Brown -Finish 28. 29. 30. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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-1 Date Card -BI Date 82, Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _40. 39. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. 45.Attic Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 41 �//„ 4/ APPLICATION AND PERMIT i, i,� ��/4-M ASSESSOR PARCEL NUMBER ` % q- O- OS � ZONING BUILDING PERMIT OWNER E'L M,6 -'a ?,FA 2�sa A/ TELEPHONE 366 - SQ. FT. OCC.1 BUILDING V LUATION 1f^/ /L`/ OW ER'S MAI ING�RE A /CNe' r1�� �� 66/ CONL`TjRAFTOR'S NAME // GCE 1 MO,514e -rOmG 5-V T LEP H o,IE COTRAOR'SMAILING ADDR��AO��E C0d\ IONLEND���, OFF UN<NOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS C Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS OLL n'j�Q� i4c-/ PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ElDuplex❑ Mobilehome�f Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Fl Add ition [:1Remode1❑ Utilities F-1Installatio��nW Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 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 Coe id my license is in full rce 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. U TI -OUTLET 2,50 ea NON.RESID BRANCH CIC, IRC ITS NEW CONSTR ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10r" FIXED APP LNS. OR EX. QCCup.(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 FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County?icons ueice of the granting of this permit., / D X Dat !� �`7�'d / Signature of Applic nr – 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 I TYPE OP CONS, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date (-Zf �o ! I ^7-/ -v -%-- Receipt No. q_7361 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other -than single wide, Mobilehome Mfr. 46q�40AJ /%%E�' ' .... furnish Setup Model No. VS.:? 60 -, Year Width_(ft.) Box Length Q (ft.) '1dgalorig or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured.after October 7,, 197.3,:.£uraish manufacturer's installation manual and structural setup sheets''(if not on fire with'the'County of Butte). All center supports measured from front of mobilehome unless'otherwise specified': Footings (check one) Single 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) .. 2. Other (specify) • i Center support locations* Center support footing sizes- Supports (check one) (in.). 1: Concrete block.' 2*0 Other (specify) (ft.)(in.) - Cin.) (in..).. 4 ---Tagalong or Expando,' show support details. (in.) (in.) -- Typical Support ( in.')' (in'.) Footing Size �6a� .(ft..) (in.) (in.) -(in.) Max. Pier Spacing Max. Overhang (ft.) (in -) in. (in.) L Z /(0 BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn -above, `7 2 draw in -locations., snacina. and dimensions. BUTTE COUNTY DEPARTMENT ;OF PUBLIC WORKS '7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ` 1. owner's name: CZ-Mc--,�e P2F,4,-�kS6,,/ 2. Instal:ler's name: 3. Is the site currently under permit? Yes /�/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- /60 Amps 6. What is the mobilehome site service rating? --------------------- rg��w Amps 7.. What is the mobilehome site circuit breaker rating? ------------- /6z) Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe or less than 50 ft. on LPG.) th less than 6 ft. on natural gas I ,C.P. locQ D . site service? -------------------------------------------------- Yes No� 9. What (If yes, identify the load and size: is the mobilehome site gas pipe size? ----------------------- (Load) (Amps) - (in.) 10. What is the type,of gas service? ------=---------------------- Na ural T1_// LPG / 11. What is the gas pipe length from meter or tank to the mobile '— (ft.) 12. :What is the mobilehome gas demand. --- ----- ------- - ---- (BTU) (This information not required if pipe or less than 50 ft. on LPG.) th less than 6 ft. on natural gas I ,C.P. locQ D . .-k';-'-- PERMIT NO. 2037-81B,E PERMIT EXPIRES OWNER - Elmo Pearson CONTR. Acro-Lume, Oroville ASSESSOR PARCEL 65-19-59 LOCATION 6555 Hollywood, Magalia -4 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FI LED (Dat _�(1 /FS Signature J OK 0 = Not OK Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support-Sketcli 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete .N r 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4: Water; Location -Test -Easement Needed (Sketch;- 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except (l's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 .N r = OK = Not OK = Not Applicable Not Ready RESIDENTIAL,(Single and Duplex) Date UNDE LOOK Plans OK exce-t#'s Date FE4MING Continued Zoning requirements -Setbacks -Easements 48.1 Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 491 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Ste walls, Main; Steel -Bloc kouts-Wrapped-Slab 5 Siding -Nailing -Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 4. 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 1f --Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI : L Date .7 Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date E Date Card -BI Date CTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 201 Fixture & TransformerClearance-Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2j. Elec. Receptacles Spacing -Lights &Switches at Doors 2 . Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 4. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 5. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 6. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor E) Yes 7. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E] No; Planters ❑Yes Cl No Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 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 6- 'Or, Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N'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 Energy Compliance Cert.ficate-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 AtticIF Card -B Card -BI Dat Card -BI Date Date Card -BI Date Card -BI _- _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card BI Date Date FRAMING(Plans) OK except p's Comments at Final: 361 Sills; Proper Material & Anchors _ 31. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 30. Bearing Walls over Girders & Floor Nailing 3F Draft Stop in Walls (rat proof) _0. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ _ 1. 2. 3. 44. Header &Beam -_Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rf_tr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center -Drive - Oroville, California 95965 -Telephone 916/534 41 APPLICATION AND PERMIT A•SSE SOR PARCEL NUMBER S__ % 91 _T ( ZONING BUILDING PERMIT OWNER LP CSA t2S W • TELEPHONE SO. FT. OCC. BUILDING VALUATION — OWNER'S MAILING ADDRESS Yet zovy C ATTR AC TO 'S NAME li. C) � E�fLEPHIONE / i�2i� CONTRACTOR'S MAILING ADDRESS 737 (—V6� O / ErL�" Fireplace CONSTRUCTION LE ER UNKNOWN Total Valuation $ ISW 11/y Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ -3 b " ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ '— BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 (� Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ` r SF ❑ Duplex ❑ MobilehomeW Other 1 LJ A- CC- GAA -14C SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Describe work: p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and m license is in full force and effect. y License No. 7� ClassificationCIC 2 ❑ 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 -OUTLE 2.50 ea NO N.RESID BRANCH CIRC TS NEW CONSTR. /POWER APPARATUS D\ NON-RESID. %SINGLE OUTLET CIR, / @ 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR Ex. Occup.�OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ cl Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. `) I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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 liabilitis, juag ents, costs, and expenses which may in any way accrue againsa' Co Inc se nce of the granting of this permit. X Date - 8� Signature of Applicant — wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �� O OCCuP, GROUP M— TYPE 01- CONST. PARCH PD N/J 155D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ' DIRECTO"F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �— y� -I /iCn Receipt No. —" a / - WHITE-D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT