HomeMy WebLinkAbout065-280-032d
1
AP 65-28-WO#2,
LEE PERRY 28 Magalia Dr., lot 97IMaga.
Permit# 960-75B(covereA deck MH) 1
065-280-032 PERMIT#95-1857
BRITTIN, Richard & Patricia
14848 Magalia Dr., Magalia /
Cont; Executive Homes
Mobilehome on Perm Fnd
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RECORDING REO,UESTED BY:
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AND WHEN RECORDED MAIL TO:
BUILDING DIVISION
NAME 7 COUNTY CENTER DRIVE
STREET OROVILLE CA 95965
ADDRESS
CITY,
STATE
and ZIP
95-029784 95-029784 95-02978
a
4 5-0P 3 7841 Rec Fee .00
I Total .00
91 ' Recorded
Official Records I
-..
County of I 1
Butte, I J
Candace J: Grubbs' I r
Recorder I
1:14pm 30�Aug-95 I COMS XX 1
SPACE ABOVE THIS UNE 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 18551. This document is evidence that such. local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RICHARD A AND PATRICIA L BRITTIN
REAL PROPERTY OWNER/LESSOR
14848 MAGALIA DRIVE
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME'l
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING'DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
95-1857 (916) 538-7541
BUILDING PERMIT t!g TELEPHONE NUMBER
8/30/95
SIGNATURE OF LOCAL AGENCYWFFICIAL DATE
EXECUTIVE HOMES
DEALER NAME (If not a dealer sale, write "NONE'l
92081
DEALER LICENSE NO.
FLEETWOOD HOMES 1995 560-3B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLS17A/B17822SH12 60'X26' RAD 840152/840153
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUM8ER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-28-0-032
LOT 97, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 1",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON AUGUST 23, 1963, IN BOOK 30 OF MAPS, AT PAGES 47, 48, AND 49.
`NENT OFyO
`ryc HCO FORM 433(A) Rev. 8/91
N ��0 WHITE—County Recorder CANARY—MCD PINK—Applicant GOLDENR00—Building Dept.
V
BUILDING PERMIT NUMBER: 95-1857
Address or location of unit: 14848 MAGALIA DRIVE, MAGALIA
Legal Description of Real Property: A.P. #065-28-0-032
LOT 97, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO
ESTATES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 23,
1963, IN.BOOK 30 OF MAPS, AT PAGES 47, 48, AND 49.
[X]Mobilehome/Manufactured Home
[ ]Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health .and Safety Code Section 18551.
Owner's name: RICHARD A AND PATRICIA L BRITTIN
'Owner's address: 14848 MAGALIA DRIVE, MAGALIA, CA 95954
INSIGNIA OF HUD NUMBER: RAD840152/840153
SERIAL NUMBER OR V.I.N. CAFLSI7A/B17822SH12
MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 1995
OFFICIAL APPROVING INSTALLATION:
DATE: 8/30/95 PHONE: (916) 538-7541
H.C.D. 513C
DEPARTMENT OF ROUSING AND COMMUNITY DEVELOPMENT
"DM10)
SION'OF CODES'AND STANDARDS Ly `
k .x REGISTRATION AND TITLING PROGRAM
STATEMENT OF FACTS
This unit is a: ❑ Mobilehome ❑ Commercial Coach ❑ Floating Home*. [� I I; Camper '
a .
Decal (License) No.(s) Trade Name Serial No.(s)
CAFLS17A1:7822SH12
Spring Hill CAFLS1'7217822SH12
I/We, the undersigned,:hereby. state:
THIS UNIT IS BEING PLACED ON A FOUNDATION SYSTEM IN ACCORDANCE
WITH SECTION 18551 OF THE HEALTH AND SAFETY CODE.
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, of from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on 7/31 /95at Chico CA
(Date) (City) (State)
Printed name(s)
• I Wendv Auer
Address 3042' Esplanade
Chico
City V State CA
HCD 476,6 (REV 9191)
V �
JUL 31 —15 12:29PM WEYERHAEUSER CHICO CA. ; "`."N P.1/1
h: , tstate Loans
xkaeusex 1074 East Avenue, Suite F A
. . eye�
Ramada Place
Mortgage Company Chico, California 95926 w;yerhaeuser
Tel (916) 896 2280
fax (916) 896 2290
B
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Date:July,31, 1995
To Whom It May Concern:
This is to certify that Weyerhaeuser Mortgage Company will be the
lender for a manufactured home and the property located at
14848 Magalia Drive, Magalia, CA 95954
Our permission is given to place said manufactured home on a
permanent foundation. In fact, this is required by Weyerhaeuser
,Iortgage. Company to secure both home and land with a Ist Deed of Trust.
S i.ucerely,
c
1°:ke Pearsall
I anch Manager
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RESIDENTIAL
065-280-032 PERMIT#95-1857
BRITTIN, Richard & Patricia
14848 Magalia Dr., Magalia
Cont; Executive Homes
Mobilehome on Perm Fnd
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JOB FINALED (Date)
Signature
J=OK
O=Not OK
=N t Readable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location-Test-Fall-C O Concrete
4. Water; Location-Test-Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap: ,' P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks Easements
2. Footings; Size-Spacing-Marriage Line
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crosscvers-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. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1 e
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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UND FLOOR (Plans) OK except ti's
Zoning -Setbacks -Easements -Flood -Slope
tg., Main; Soils-Elec. Grnd.-//'-i" Ftg. Depth
i3-FCg- Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
-4--F+g--Porches & Decks; Soils -Steel-/ /Ftg. Depth
5 e walls, Main; Steel -Bloc kouts-Wrapped
6. St walls, Garage; Steel-Blockouts-Wrapped
old Downs and Special Anchors
r. ; Steel -Wrapped
ers-Fireplace Ftg.-Steel
-L - .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
tb-QF-Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
tr?�ric; Underground
,13-Ptunums & Ducts; Clearance -Material -Support -Ins.
11"G-i'rders-Sills-Anchor Bolts -Joists -Vents -Cripples
1`67A-cc-�ss & Ventilation
16. Insulation
Date IR Z'f 4i Card B-1 L Date Card B-1
Date1 e 1/(, Card B-1 Date Card B-1
�
Date PLUMBING (Permit),OK except ti's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------
18. D.W.V : Test -Fittings & Anchor -Nail Protection
----------------------- - --------------------
19. Shower Pan: Test. First Floo-r-Tub Access
------- -----
--------- 20.- ----- -------
Test -- Tub & --Shower,-Second Floor -Tub Access
------------------- -----------------
21. Gas Pipe: Size & Anchors
------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------ ----------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
- ----------- ------- --------- --------------- ------------ ----------- --
23. Elec. Receptacles Spacing -Lights & Switches at Dors
----------- ------------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
-------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-------------------------------------------------------------
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
--------- - ---- -------------------- ---- - ---- -----------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
------------ ---------------------------------------------------------
28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
--------------------- - ------------------------------
29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--------------------------------------------
30.
-------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------- --------------------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------------------
------------- 33. -Smoke-Detector
------------------------- ----- --------------------------------------------------
Date Card B-1 Date Card B-1
------------------- ---------------------------------------------------- -----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
---------------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
-- ----- -- --- - -- ----------------- ----- --- ------------------
36.
---------------
36. Condensate Drain & Overflow: Size & Grade
--------------------------------------------------------------- --
---- -- -----
_________ 37. Furnance-Vent: -Access-Comb. Air -Return Air Vent -115 outlet
---------------------------------------- -- -
38. Attic Access & Platform if Furnance in Attic
---------------
------------------------------------------ ---------------------------------------
Date
-------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------- -
Date Card B-1 Date Card B -t
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
------ -- - -----------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sounc
----------------------------------------------------
41.
-------------------------------------------------41. Bearing Walls over Girders & Floor Nailing
- - - - - -- -----------------------------------------------------------
42. Draft Stop in Walls (rat proof)
----- - -------------------------------------
-------------
43.--Fire--Stops: Furred Ceilings -Stairs -Chases -Tub
-- ---------------- ----------------------------------------
44. Headers & Beam -Size & Bearing
'ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
------------ ----
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
--- ---
Siding -Nailing Veneer
--55.- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58.- Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
----------------
----------------------------- --
Date Card B-1 Date Card B-1
---------------
Date
-------------Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
------------------------ --- - -
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------------------
64. Bedroom Exiting
--------- -
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
--------------
---------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
- - ---------------------------- -
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door Swing -Landing -Closer
--------------------------------------
73. A.C. Duct in Garage -Damper
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
-------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7;. Insulation -Foam -Looked in Attic ❑ Yes
-------------------------------------------- --
_ 78. -Guard -Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No___
81. Stucco: Brown -Finish
---- -- -- - ---------------------------- - -
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - -------------------------- ---- p ---
83. Vents Above Roof: Plb9_ A liapp nce-Fire lace. -Clearance to
Openings
...... --..-- --------------------------- - ---
84. Water Well: Disconnect, Electrical, Plumbing
-------------- ------------------------------ ----
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-- - - - - - - - - -- - -----------------
87.
- --------------87. Glass Protection
- ---------------------------------------------
88. Corrections from Previous Inspections
------ ---- ----------------------------------------------
89. ----------------------Gas Test -Meters Tagged: Gas -Electric
- - - - - - - - -- ------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
----------------------------------
91. Energy Compliance Certificate -Other Certificates
------...-------------------------------- --
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:
r V
V/ COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califr*nia 95965 - Telephone (916) 538-7541 ERMIT NO.
_-JiAPPLICAT1.04 AND PERMIT
ASSESSOR PARCEL NU BER
ZONING -1
BUILDING PERMIT
OWN, ,/� Y �I1�I •I _• , ` ' ( 1
yl ,�1 L�./ •.•{al• ly /l`1(1�..
TELEPHONE 4
SO. FT, OCC. BUILDING VALUATION
84 , 240.00
OWNERS TUNG DRESS ^
CONIRACTOORR'S NAME V
EXECUTIVE HOMES
TELEPHONE
891-6992
CONTRACTORS MAILING ADDRESS
3042 ESPLANADE CHICO
Fireplace
CONSTRUCTION LENDER 41EYERHAUSER MIGUNKNOWN
Total Valuation $ 84, 240.00
LENDER'S MAIUNG ADDRESS
Filing Fee $
20,00
Permit Fee $
286.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
14848 MAGALIA DR
PERMITFEE $
329.00
MAGA IA
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome 0 Other
SPECIFY
Water piping
15.00 15.00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
t�Qiri'h
Mobile Home IS I GI W 1
20.00
PERMITFEE $
65.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 00OV OR LESS
( 200A OR LESS )
23.00 23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. / p
License Class ,4 C - y 4 -1 Lic. No. [a c,s b
' OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLOS. )
SO.
3.50 FT.
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
S
( POWER APPARATUS )
8 SINGLE OUTLET UCIR
Ex. Occup. (OUTLET OR FIXTURES)
sAL 20 Q 1.00
so
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
�{ performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My.workers'compen tign insurance carrier and policy number are:
Carrier 9(-XYa40 rc-A
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number - 1 U -)G 0
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with th .se provisions.
' 1� � - -
X I`�t�•�r►. Date -% ���� i�
Signature of Applica ❑ Owner ❑Contractor 1'q Agent
An OSHA permit is reqir d for excavations over 0" deep and demolition or con uction
of structures over 3 stories in eight.
Mobile Home Installation Fee $
Energy Inspection Fee is
Occ
457.0
CONST. TYPE
TOTAL FEE $ S'
HAZ.
D. FEES
IMP FLOOD
CDF PAR EL PD HD SU
This permit is hereby issued under the applicable
in the Butte County Code and/or Resolutions
indicated above for which fees have been
By ,(DDat
PERMITEXPIRESON V
provisions
to do work
paid.
G�
!� /9 66
at.)
Receipt No. Cf 13300
WHITE-D.D.S.-B.D. CANA Y- SSESSOR K-INSPECTO SOL ENR -APPLICANT
FIA
•ii- 'n'<y-...... . ,., .+xr, .:Y*• .:,.a✓:.. .� .,...,: p. .r ''r'tF' . ;f '�j'fv�;�.{,+'x +,'•���_:i. , k. ... .. s
COUNTYOF BUTTE -DEPARTMENT DEVF!4OPMfNTSERVICES -BUILDING DIVISION
7COUNTY CENTER DRIVE -OROVILLE,tiAL,�. NIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
Proposed Building Use
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings. ...... r ................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and mnufacturer's installation instructions, 2 sets. ...........
Feesof $ ......................................... .
Impact fees as shown on attached schedule. o. �.
California Department of Forestry plan approv I/fee..... Cs
13. Flood elevation letter (100 year flood) by Califor ' ngineer.
m ................
Sanitation and plot plan approval Ch'« o Health Department . ............
City - Chico plumbing permit. ...... ............................... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Dr+veway permit (construction approval required prior to occupancy). . • Prednspection reGue�
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of WorlZmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24. Recorded copy of (Agricultural Acknowledgement Statement . ..................
274. 4
25. Letter of signature uthorization.........................................
26. Copy of recorded ted of parcel creation and 60 right of way to a public road. ..... /
27. Letter of intent on 'bljilding use. '
28. Mobilehome utility c14 rance ...........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ............... 1�
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33. --
34.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone Q and hold for pickup at tf, office. Deliver with inspector.
Other
Parcel Creation I "1
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution ate
Copy of plans sent Health Dept. Fire Dept. Other ` Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date S, I a A5 Plans approved by G (& b aw-'% Date $--�
_� Sets of plans on hold in File cabinet )i AP folder
Copy - Department of Public Works
F.H. USE ONLY
Hot Plan Auachal a.
Pl,,or Pkm Auach.d •
Scat Io I1. U.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner oca oAP#
Plan Approved for: Sewage Disposal -Water Spply: Pblc Private W
ell
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE
Environme tal ealth S ecialist (D)to
8/92
• ter`.•
COUNTY OF BUTTE DEPAR174ENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA .95965 - TELEPHONE (916).'538-7541
OWNER �;� r 1 '�.-� A. P.
PROPOSED BUILDING USE �� 41 °.L DATE
c .f i S/T •v1 s r REC . # DATE REC
1. SCHOOL DISTRICT FEES
.(paid at District Office)..... ..................
2. SHERIFF FEES
(paid at Building Department)
Residential..... x =�
unit amt.
Commercial (sgft) x =
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =�
# units amt.
Commercial (per sq.ft) x =$
sq.ft amt.
4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
/ (Contact Land Development Division)., ............
V 6. SRA FIRE INSPECTION AND PLAN CHECK = 589.00 .......
(paid at Building Department)
NONNI •�".11r,
At time of permit application, I eras advised the above fees are required to be paid
prior to issuance of the permit.
C r
APPLICANT + , .�� ; . + n t. ; ; ; 1 DATE I I �
_.
Ir ly ` ;.,:' r7 Fri 'sir• "-vµ�r w � r ' n.w. is .,
i
BUTTE COUNTY SCHOOLS, IA11 '46T'FEE CERTIFICATION FORM
(One 1Form`Per Building)
School District-----�adifL ---
A. P. Number C'5'- ze ' 3Z Jurisdiction:
Property Owner R rrre•✓
Property Location/Address l- e 7 lc>
Building Department No. e - 4 L
City County
Subdivison _ _ _ Lot No.
Residential Footage S . Development e 6
p 0 � � q 9
No. of Living MHI Addition (Group R)
X0,)01,¢c. r-/ Units'
Commercial/Industrial 0 Sq. Footage
New Addition (Including Exterior
Roofed Areas)
RuRding Department Representative Date
Di rict dentification No.
F (Street Address)
(CI_
u
(Floor Plans reviewed by School District Personnel)
Mb
—.
School District certifies that
(Applicant)
has complied with the requirements of Resolutiori'No.
'rep sentin square feet.
I 9i.sFict epresentative
(State)
Paid by Check # RemarKs�' Q
Bank Number
Paid by Cash
i
(Phone Number)
(Zip Code)
�s
by payment Of .$
All 2926 $
FULL MITIGATION $
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality. Act (CE(aA), this project may be subject to
additional school fees to fully mitigate its impact on the school, district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkt (11/94)dmm
,. s
J
A
f
. c1
i PERMIT NO. 960=75B
ti
P
E
1; M
F
(, MH UTIL.
Y PERMIT NO.
't,
PERMIT EXPIRES 17[--,10-76
DOWNERLeeLee Perms
XCONTR.
LOCATION (A.P.65-28322`832
28 Magalia Dr., lot 97, SDO#2, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback ;
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish \
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings v
Garage Ven
Water Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
s ruc uw
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
(REPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SP KLERS
Motors
i Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M EC HA NJeAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under round
Interior Lath
Ventilation
Permanent
Door Closer "
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R
7 County Center Drive, — Orovi lie, California 95965
Telephone: 534-4541
✓APPLICATION AND PERMIT
�\I ;�ui�ldi=agDpermit
— � •�-- r J
Receipt No. 1 Z?o C/15— �Date_
o —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant expires Date ...................
... ...... ........7.....
BUILDfNG
Owner y
SQ. FT. OCC. BUILDING VALUATION
Z O
Mailing Address 614 04
Tee hon_ No.
AIA6AL 1AFireplace
Contractor 6
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Tel hone No
e �
Permit Fee $
$�
Building Address Z�IA L/
'-
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
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. —
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Wim!
Vtation
Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plops Recd
P a r c e 61fprovol I
PI s A al
Permit Fee
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others El
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bal� to
Receps., switches & fix outlets hal 010
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
1771 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California' Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
y�vl 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 1 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
\� CZVu_
X 1 Date
Sig oture of Permitee or Agent
TOTAL PERMIT FEE
$ — G4
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 OFBLIC WORKS
�
�\I ;�ui�ldi=agDpermit
— � •�-- r J
Receipt No. 1 Z?o C/15— �Date_
o —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant expires Date ...................
... ...... ........7.....
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