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HomeMy WebLinkAbout065-310-013t5 Scott Shaw 1220 Northwo•'d, lot 48, PP#l, Magalia P ntr : Don .Darby, Magalia Permit #4759-77P,E(util.,MH) ELEC. GAS SUPPO'T qfRfTCTURE REQ. COMPACTIN TEST REQ. p C tr;' Paradise -'M dular, Paradise Permit ##'5097-77MHI Issued / -- 65-31-13 T :!Per ''t`i0476-78B;Cnew-, - overetd deck/MH') y -01Z ;Poo 65-31-13 Permit #5451-79B,E(new pri.det.garage & -carport)���� 06513'1M13 _ , ,PERMIT#95-2;63 (J REINEKEY;' Less 14830 Northwood Dr'.,,-Magali Cont; Tri -Flame, Gas Line/MH- 0 N I4 I M =, C.fll � .� � ice: r.,��....�: •.Y.rr�•.v�I9'T+m•rY,t • a•�(tj .... —p. �,.,R,ty....��lS•� •!!Fe"l�u;%.°.i..itr �. J'�,.�SSZzRi�eYP�c'Qe°rhuif'^�. ...:-'q'Ye'. ; � ,_ J - L 065=310-013 PERMIT#95-2363 REINEKE� Less r 14830 Northwood Dr.', Magalia Cont;�-Tri-Flame. f , Gas_. ine/MH r i l f E '1, • IN . 1¢G I i r � �F ` D,5 b COUNTY OF BUTTE- DEPARTMENT6F DEVELOPMENT SERVICES -BUILDING DIV SION 7 County Center Drive - Oroville, Ca ifornia 95965 - Telephone (916) 538-7 41 PERMIT NO. ... APPLICATION AND PERMIT �^ ASSESSOR PARCEL NUMBER ZONING BUILYING PERMIT OWNER RFTNPZ'F,, LESS TOLPhtNE SO. FT. OCC. BUILDING VALUATION _1 OWNER'S MAILING ADDRESS 14330 SORTIUMD DRII MAGALIA CONTRACTOR'S NAME TRI -FLAME TEL[PHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNK40WN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCEMSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 14830TORT�OOP PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISION'S NAME PARC_L MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 Each gas water heater or vent 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: GAS LINE TO SERVE MOBILE HOME Mobile Home I S I GI W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service / 000V OR LESS zooA oR LEss ) 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 1 9 (commencing with Section 7000) of Division 3 of the Business and Profes::ions Code, and my license is in full force and effect.EX. License Class Lic. No.' OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Cade for this reason NEW CONST. DWELLING OCCUP. sO. OR ADDNS. ( a ACC. BUDS. ) 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 BAL 30 Ex. Occup. OFIXEEDTs PLNS..j OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. t My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation :PERMITFEE $ Contractor Policy Number ! (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Cooe, I shall forthwith comply with those provisions. X ' '= Date _ _�_ Signature of Applicant - O' Owner ❑ Contractor ❑ Agenti An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC _ 3 CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES I IMP I FLOOD I CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By (r .`� �1 Date PERM ITEXPIRESON (pate) ReceiptNo.5 Cis WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-AFPLICANT .14 K COUNTY OF BUTTE- DEPARTMENT OF_DEVR_LOPMENTSERVICES - BUILDING DI ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 5� PERMIT RIT NO. APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER — 065-310-011 ZONING Drri BUILYNG PERMIT OWNER OWNER— NE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14830 NORTHWOOn ng, MAGALIA. CONTRACTOR'S NAME TRI—FLAM TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 11:830 0 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S LBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY Water piping 15.00 Each gas water heater or vent 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: GAS LINE TO SERVE MOBILE HOME Mobile Home S I G I W @20.00 PERMITFEE 35.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main ServicezOO2 'A ORoR LESS ( IFss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.so OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 8 POWER APPARATUS ( SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL .50 Ex. Occup.FIxED APPWS. OR (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Xof one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith co fy with those p vi ions. _ Date Y1� Sign ure of App icant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ �_ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. n BY (L �'l-�i��'1 Date Qr PERMITEXPIRESON 924;; (Date) Receipt No. L b J p0 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT QF DEVi,ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSORPAiE1 MB'y o O /L�JVC ZONING �� BUILDING PERMIT OWNER , TEUEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI�J 1��iJ�Z UDn ' , n AjQ� CONTRACTOR'S ME , _ W NE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS `_l1 ' t Xv 1� 3 O PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 IDT No. SUBDNISIONS NAME I PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome V Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ (J � }, Describe Work: ,X,l/y�JC, ,/tom �1.0/NLQ Mobile Home ISI GI W @20.00 ' PERMITFEE $ 36,0p Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service / s Ooov OtEs zoOA ORR LESS ) 23.00 Main Service ( 200A TO ,DOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP.s0. OR ADDNS. ( & ACC. BLDS. ) 3.52 FT. NEW CONST. / MULTI -OUTLET PION-RESID. \ BRANCH CIRCUITS ) 97.50 POWER APPARATUS (d SINGLE OUTLET CIq.) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .SOEx. APP'. Occup. OUTLETS ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 3 S', piJ HA2. I D. FEES IMP I FLOOD CDF PAgC0. PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^5451--;79B,E -SIERMIT NO. PERMIT EXPIRES, OWNER Scott, -,Shaw owner CONTR. LOCATION (A.P. 65-31-13 1220 Northwood Dr., lot 48, PP#l, Magalia yI rl Temp. Power Pole Called PG&E Temp. Elec. erv. Called PG&E Temp. GIs Serv. Caifed PG&E Y j B -3 INALED DD (Date (Signature Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels 3 v -,V- BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soli Plpin Forms Parapets 1st Floo Main Bldg. Restroom Finish,'. 2nd Flo Footings Windows 3rd Floo StemwaII Siding '5 To out Slab Roof Sheathing Water Ploina Piers Roofing Sewer Garage ti Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr Heaters SlabProv Carport p Footings for ph Cally handica ed Conformance f ex. structure A lian es Gas Pi n &Test Slab Final �i �—` -� $ Etat n Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h fQ Reinf. Steel Final I _ Fixtures Bond Beam, L_ FIRE SPRINKLERS Motors Stucco Final Subpanels 3 v -,V- Mesh MECHANICAL Grd. Fault Prot., Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final — 0 MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ro I y/C) -C ;� (NOTE: An entry must be made on this form each time you visit the job site.) IN COUNTY OF BUTTE — IJEPAR^rMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - TeLephone` 534-4541 APPLICATION AND PERMITAll BUILDING IV V Owner �Go "64 �� SQ. FT. OCC. BUILDING VALUATION 5Z ly I Mailing Address (ZZC) e)e7 o4aD 'Di.. 313 CIO ID 14e' A LA A Telephone No. Z$' I.� Contractor p LA. - Mai I i ng Mailing Address Fireplace Total Valuation 3 s Telephone No. Permit Fee 28 Building Address f Z�� �pRy-� Pa Plan Checking Fee &/or Penalty Permit Fee Z8 PLUMBING No.1 @ 1. FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Mn A&ALI A Repair drainage or vent piping 1.50 A. P. No. 15- I — j� P -rt Zoning & P nning Water piping 1.50 Each gas water heater or vent 1.50 Fe69r Wvd. S t on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Nicel Declaration Parcel Ma 60' R/W Improv is Each additional outlet .30 Building sewer 5.00 ���� Bldg. PIanS ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW Eg- ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,vp Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L foo AMP 2.50 ' C G Glo C n O Y IL. ` Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. (DWELLING OC,��J� Y 2PS ft OR ADDNS. \ACC. BLDG S.5j Fj q /r U CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of I Section3700 of the California Labor Heating Classification NON-RESID. %SINGLE OUTLET CIR EX. OCcuv(OUTLETS OR FIXTIIR EX. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) E Temporary service Mobile Home Facilities Misc. Wiring Code which requires every emp oyer 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. iii I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I 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. r r X Date Signature of ,ermitea or Agent Receipt No. !2S t,3 4 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling 2.00 10.00 15.00 6.25 1@ FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 3� 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. DIRECTO OF PUBLIC WORKS By / DateZ-)^' %f B \(ding permit expires Date -zJ 6b .a 4 PERMIT NO. 476-78B PERMIT EXPIRES OWNER Scntt Shaw CONTR. owner LOCATION (A.P. 65-31-13 �. 1220 Northwood, lot 48, PP#11 Magalia s r. 1 J Y I ti Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp)Gas Serv. Alled PG&E !C�B —FINALED ( 2/ 7 (Date) (Signature COUNTY OF BUTTE — DEPARTMENT OF PUB'L'IC WORKS w. BUILDING INSPECTION RECORD-' BUILDING BUILDING (Cont'd) PLUMBING. Setback - J 3 i 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 3 - 3 - 7 Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation. _ Water Htr. Heaters Slab Carport Footings Slab' Prov. for phsically handicap ed Conformance of ex. structure Final /1- Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS,' e (NOTE: An, entry must be made on this form each time you visit the job site.) ICOUNTY -OF E3UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ,.0roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT y7_Ad6 - 7? authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date SigAtu'refoiPevki%%rtee oor/Aggent Receipt No. /L (a ] (7 3 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO0 PUBLIC WORKS BY DateWding permit expires Date -7 ,� BUILDING OwnerSQ.,FT. OCC. BUILDING VALUATION '),0 Mailing Address 0 ` Tle ne No. Q-172,12 . Z Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee _ Building Address�'© PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �/ /� �� a TO / ` Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /t A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F VL.e! S i on ' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ParkinPlans Declaration Parcel Map 60' R/W Improvements `Lawn -sprinkler system 2.00 d Parcel Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ 60 Main service 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 /•/n ` v '. NEW CONST.DWELLING OCCUR. & OR ADDNS. ( ACC. BLDGS. ) 20sy ft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS & NON- R RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL 254 101 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7 11 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date SigAtu'refoiPevki%%rtee oor/Aggent Receipt No. /L (a ] (7 3 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO0 PUBLIC WORKS BY DateWding permit expires Date -7 ,� 023 I PERMIT NO. 4759-77P,E PERMIT EXPIRES OWNER Scott Shaw CONTR. Don Darby, Magalia LOCATION (A.P. 65-31-13 1220 Northwood, lot 48, PP#I, Maglia Temp. Power Pole v Called.PG&E Temp. Elec. Serv- Called PG&E � Temp s Serv. alled PG&E OB FINALED (Date) (Signature) „n 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum -of. -100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around -panels? Yes No C. Is power supply cord.,or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No_ 1. De -energize electrical wiring system of the mobilehome at -the pedestal. 2. Make sure that the power supply cord,or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on” position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts, of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from • such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA � // Manufacturer and/or Namestyle.�. i—('1, Length_ Width O Vehicle Serial No. /3613S State Identification No. [' k_ D Z Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required 'separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No , B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No A C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ Ne 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line iii=et without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-L4" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC *RKS BUILDING INSPECTION RLCORD BUILDING BUILDING (Cont'd) PLUMBING Setb#ck krewall Ski Piping Forrnx Phapets 1k Floor Main Idg. Resiloom Finish 2n loor Foo •n s Wind s 3rd F or Stem II Sidin To out Slab Roof Shhthlng Water PI in Piers x Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l x Garage Vent Insulation Water Htr. Heaters Slab Carport Footings Prov. for physi Ily handica ed Conformance of a structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRIkPLACE, Final Footings Footina LECTRICA Masonry Walls Throat Rou h Relnf. Ste Final •Flxtures Bond Be FIRE SPRINKLXRS Motors Framing Test Water Htr Stucco Final Sub an s Mesh MECHANICAL Grd. F ult Prot. Scrafch Healing Sery e Briwn Co ling TAMP. Pole Fifnish finderground I rior Lath tentilation Permanent oor CloserA fFinal MOBILEHOME UTILITIES ------------------ Elec_ Service ' - Elec. Pedestal ' �— Water Piping l- � 7 7 Sewer ? Gas Piping MORI LEMPME INSTALLATION - - - - - - - - - - - - Support ;.' - Elec. Continuit = Y - Water Piping? '2Drainage I ZZ Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, 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'` 4 E4S0?1•for7the following location: Owner Owner's Address Mobilehome Mfg. �­"!• Model Year % Insignia No.('/, 0)- -3 S fr 9 6 Serial No. 3 It is hereby certified for occupancy at the above described location and may be occupied. "o. -•., Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Oroyille, California 95965 Tel ephorie: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of 567nitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date d—/ 6 — 7.2 B i lding permit expires Date BUILDING OwSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Cont Total Valuation Mailing Address 64 (v 33 Permit Fee Plan Checking Fee &/or Penalty Tel hone o. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 ' Repair drainage or vent piping 1.50 Water piping 1.50 67- Each gas water heater or vent 1.50 A. P. No. 3/ f — / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 11y canitor.^^ 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. P ns Recd Parcel proval Plan proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home IBJ Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1,00 NEW CONST. OR ADDNS. ( DACCLBLDGS.LING CCUP, &) 2¢syft NEW CONSTR. MULTI.OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEWCONSTR. (POWER APPARATUS & NON •RESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name f• V Ex. Occup(OUTLETS OR FIXTURES) 5BOA@25C FIXED APPLNS, OR Ex. Occup.(OUTLETS OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 y / License NoA&E / 1y Classification LP Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo en's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of 567nitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date d—/ 6 — 7.2 B i lding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive^_-, . Oroville, California 95965 Telephone: 534-4541 APPLICATION AND, -.PERMIT authorize representatives of the County of Butte to enter upon the above-megk�pd propert�t-f inspeption purposes. X Date r �J Signature of Perm/V ite(e`,o(r,Agen �1 Receipt No. ?b �' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By 7Z7 Br�ding permit expires Date % - — 7 BUILDING Owner SC d S W .n SQ. FT. OCC. BUILDING VALUATION t ' Mailing Address Telephone No. Fireplace Contractor ioorA 0g4,A E) Total Valuation Mai Iing Address Eue N Permit Fee Plan Checking Fee &/or Penalty L yQ Tele hone No. _Q Permit Fee Building Address a o Nott,Tfl w 6 A 10 , PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 I / p �f j V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping &ning Verification Qnll Each gas water heater or vent 1.50 A. P. No. Zoe I �` '�o I Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. 1(S_af9k'_n'J FireDept. Fire Zone Use Permit Building sewer -3II0 C) EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r ements P Lawn sprinkler system 2.00 BI p9s Recd Pt �vT Prel 8 acApprov P ns Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,. 100 AMP OR LESS 19___ Main service 600V OR LESS 5,00 Main service EA. ADD•L 100 AMP 2.50 T_ Main service OVER 600V 00 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home\ Others ❑ Main service EA. ADD•L 100 AMP 1,00 SO ET_ MINIMUM NEW DWELLING OR ADDNST ( ACC. BLDGS. OCCUP. &) 20sgft NEW CONSTP- MULTI -OUTLET NON-RESID. % BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTNON-ESID, RESID. (SINGLE OUTLETPOWERTUSCIR.& 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: ZZ y Ex. Occup(OUTLETS OR FIXTURES) @@ BAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID•) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 j License NoA L2� r 3 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ _— WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby t� !� t✓U, Felp- TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-megk�pd propert�t-f inspeption purposes. X Date r �J Signature of Perm/V ite(e`,o(r,Agen �1 Receipt No. ?b �' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By 7Z7 Br�ding permit expires Date % - — 7