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065-310-015
w p " �65=31=15- - E. Elliott 1240 Northwood Dr., lot 50, PP#l, Mag contra Tri V Const., Paradise Permit14-76P,E(uti13l,MH)' ELEC , yt 1 GAS ( - ! SUPPO T T UCTURE REQ. 1U0 11� COMPACTION TEST REQ. A)Q 1011v\a` I,I` 1% �65-31-15 ntr: Cal Gas Permit #6184-76P(gas piping) MH 65-31-15 contr: Dick, Thorp MH, Anaheim {' Permit #6361-76MHI Issued //—c2,176p 65-31-15 ¢, E. R. E1 t 1 14842 Northwoo Dr., Magal h f contr: Fred Cox, Pa t dis Permi X402 -82B ace yyJ�/X �ing 65-31-15/�� co r: Fred.Cox, Paradise ermit #691-82B(add'l ftg.to 065-310-015 ELLIOTT MURIEL 05-2951 14842 NORTHW Cont: CHICO OOD, MAGALIA M/H PERM FIS (EX) a, Cfllis'� M RECORDING REQUESTED BY: '1 r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 --"�j%j• //�/fes, it Recorded I Official Records I County of I But I CANDACE J. GRUBBS I County Clerk-Recorderl I I 012:53PM 15 -Nov -2005 1 REC FEE 10.00 COPIES 2.50 CONFORMED COPY 1.00 BW Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 13551. 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 conterus to all persons thereafter dealing with the real property. MURIEL E. ELLIOT TRUSTEE REAL PROPERTY OWNER/LESSOR 14842 NORTHWOOD DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY ,. COUNTY STATE ZIP SAME OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE SAME 05-2951 530 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") DATE SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE LANCER MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2951 530 538-7541 BUILDfNG PERMIT NO. TELEPHONE NUMBER GNATURE OF LOCAL A ENCY 0 ICTAL DATE NONE . DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. LANCER 1977 LANCER MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER r SA/B25277 r 40 X 24 CAL0182622/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPEIRTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-310-015 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 10%26/05 14:25 FAX BIDWELL TITLE LXIBBIT "A" Legal Description 1@005/005 Lot 50, as shown on that coAain map entitled, "PARADISE PINES MOBILE HOME ESTATES UNIT NO. I", which was recorded in the office of the County Recorder of Butte County on April 10, 1970 in map Book 35, at pages 65, 66, 67 and 68/ EXCEPTING all minerals, as excepted of record. AP 065-310-015 Subject to: Covenants, conditions, restrictions, reservations, rights, rights of way, and easements of record. Page 2 of 2 10/26/05 14:24 FAX BIDWELL TITLE 0003/005 •l. �+���r�eeIAIJUN AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ARNOLD SCFIWARZ�HEGGER, Governor Division of Codes and Standards V51NG q tTitle Search t�aDate Printed: 10/21/2005' DE� Decal #; ABI5120 Manufacturer: Tradename: LANCER Model: Manufactured Date: 00/00/1977 Registration Exp: 12/31/2005 .First Sold On: 12/15/1976 Serial Number SA25277 S825277 Record Conditions: Registered Owner_ Use Code: SFD Original Price Code: ADN Rating Year: 1977 Tax Type: ILT Last ELT Amount: $14.00 Date ILT Fee Paid: 12/17/2004 ILT Exemption: NONE HUD Label / Insignia Length Width Unknown Q. 12' Unknown 40' 12' PPF Exempt MURTEL E ELLIOTT 2002 TRUST 1240913LACKWELL RD CENTRAL POINT, OR 97502 Last Title Date: 07/12/2005 Last Reg Card: 07/12/2005 Sale/Transfer info: Price S.00 Transferred on 06/18/2005 Situs Address: 14842 NORTHWOOD MAGALLA, CA 95954-9329 Situs County: BUT -r$ Inactive Deca1/D*MV: DMV NIi2346, DMV NH2347 Title Searches: Title File No: Renewal Fees: BIDWELL TITLE 145 PEARSON RD PARADISE, CA 95969 224884-7S $36.00 *** END OF TITLE SEARCH *** RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Nov -2005 2005-0069222 Has not been compared with - ---- - -- ---original._.._--- --- -- -- -- - - -- BUTTE COUNTY 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 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described :iereon, 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. MURIEL E. ELLIOT TRUSTEE REAL PROPER -Y OWNER/LESSOR 14842 NORTHWOOD DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY - STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE LANCER MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY ' COUNTY STATE ZIP 05-2951 530 538-7541 G PERMIT N0. TELEPHONE NUMBER (BUILD GNATURE OF LOCAL A ENCY 0 CIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. LANCER 1977 LANCER MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SA/B2`277 40 X 24 CAL0182622/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-310-015 HCD FORM 433(A) REV. 8/91 10/2%05 "`14:25 FAX BIDWELL TITLE 1]005/005 EXHIBIT "A» Legal Description Lot 50, as shown on that certain map entitled, "PARADISE PINES MOBILE HOME ESTATES UNIT NO. I", which was recorded in the office of the County recorder of Butte County on April 10, 1970 in map Book 35, at pages 65, 66, 67 and 68/ EX.—CEPTING all minerals, as excepted of record. AP 065-310-015 Su eject.to: Covenants, conditions, restrictions, reservations, rights, rights of way, and easements of record: Pane 2 of 2 10/'26/05 14:24 FAX BIDWELL TITLE 121004/005 • � _ �11111�11fI�E�lf�l�I�11f1�I�D Recording Requested by, ) Kenneth J. Brown ReCbrded j 11 REC FE Official RecDrds Attorney at Law Cod_ _y Of 6393 Skyway, Suite 2 j CRNDRM J. GRUBBS 1 Paxadise, CA 95969ROSWRY DICKSON 1 Recorder I When Recorded, Mail to, and ) (Wail Tax Statements to: ) Assistant I Barbara @9C0�+AM 10-JuI-2m I page 1 Muriel E. Elliott ) of 2 14842 Northwood Drive ) Magalia, CA 95954 ) A.P.IV- Obs 310.015 The undersigned Grantors) declare($): Documentary Transfer tax is s NONE'S (} computed on full value of property, or () computed on full value less value of liens and encumbrances remaining at time of sate GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Muriel E. Elliott, who acquired title to this property as her sole and separate property by AFFIDAVIT — DEATH OF JOINT TENANT, filed concurrently with this Grant Deed. hereby GRANT(S) to Muriel E. Elliott, Trustee of THE MURIEL E. ELLIOTT 2002 TRUST, for the benefit of Muriel E. Elliott and her issue under instrument dated May 30, 2002, separate property. The real property in the County of Butte, State of California, described as: SEE ATTACHED EXHIBIT "A" FOR LEGAL DESCRIPTION This conveyance is to a revocable trust created by the grantor and does not constitute a change of ownership and is not subject to reassessment putsuant to Revenue and Taxation Code § 62. *This conveyance is to a trust (TETE MURIEL E. ELLIOTT 2002 TRUST, Muriel E. Elliott, Trustee and Grantor) which is not pursuant to a sale and is exempt from documentary transfer tax. State of California County of On before me, personally appeared Muriel E. Elliott, personally known tom r prove to me on the basis of satisfactory evidence) to be the person w los r c is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument WITNESS my hind and official seat. Dated: Signature of Grantors) MURIEL E. ELLIOTT Mail Tax Statements to above address r K�INDIS D, EDWARDS O Comm. #1292604 NOTARY PUBLIC CAGFORNIA 0 BUTTE COUNTY 1 My Commisylon F�ptres Feb. 26, 2�5 page I of ? PERMIT NO. 402=82B PERMIT EXPIRES - OWNER E. R. Elliott et • CONTR. Fred Cox, Para. ASSESSOR PARCEL 65-31-15 LOCATION 14842 Northwood Dr., Magalia i i 9 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) C 1z f Signature V = OK 0 = Not OK - = Not Applicable * = Not Readv RESIDENTIAL (Sin,gle and Duplex) _Date UNDERFLOOR (Plans) OK except N's Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 1. Zoning requirements -Setbacks -Easements 53. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 54. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. =tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab , 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab Shear Walls; Nailing -Bolts 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground Card -BI 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date Card -BI Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI 66. Date Card -BI Date Card -BI 67. Date Card -BI Date Date ELECTRICAL (Permit) OK except p's A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 25. "e Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 76. 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 77. 28. Service -Riser Conductors & Ground -Main Disconnect 78. 29. Equip. Clearances; Panels-Motors-Mech. Equip. 79. 30. Clothes Closet Light -Shower Light 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Glass Protection Corrections from Previous Inspections Date Card -BI Date Card B -I Gas Test -Meters Tagged; Gas -Electric Date Card -BI Date Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation _ 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 -81 Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing $lit 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrn. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card -BI Date Card -BI Da Card -81 Date Card -BI Da Card -BI Date Card -BI Da Comments at Final: (NOTE:Anentrymust be made each time youvisit jobsite) 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. 73. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 74. Fdn.'Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Da Card -81 Date Card -BI Da Card -BI Date Card -BI Da Comments at Final: (NOTE:Anentrymust be made each time youvisit jobsite) J=OK 0 = Not OK — = Not Applicable M'OBILEHOMES = Not Ready { V, MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's I Date DEC COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 4--Z_o4ng Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch . Footings; Size—Depth—Spacing . Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ] 3. Deck ,rders and/or Joists—Decking—Bracing—Stairs—Rails 4.Water; Location—Test—Easement Needed (Sketch) ood 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./ /"L.PG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -B Date Zl Card -BI Date Card -BI Date Card -BI Date Card -BI Date Zf' /Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's i 1, Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector , 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 4. Electricity; MH Test—Crossovers—Breakers—Clearances j 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/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged , 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch ` 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date ! Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date G N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville,�Cal0iforn a 95965 - Telephone 916/534-45 APPLICATI-DN AND PERMIT AA ASSESSORRC NUMBER ,y7BER— ZONING BUILDING PERMIT OWNER c— 1 �` I0 ` TELEPHONE SO. FT. OCC. BUILDING VALUATION O r OO OWNER'S MAILING ADDRESS Cr �✓'S NA?//k W;Jv 0 / C OJJROR'S /�lDR (R7a- ✓ 6Y Fireplace CONSTUCTION LEEN Total Valuation $ .-Q Filing Fee $ 10.00 LENDER'S MAILVAG ADDRESS Permit Fee $ r00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BuyL�1G gREss ��Y'a 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 SF ❑ Duplex❑ MobilehomeQ�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe y'work: , C—P1, 46 /�}�-{�&�A0 Z)OA4446 A�/ / 1I%IAII� f/✓ laO0D , /-�1 //"I E IWMI/ vv Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR10V OR LESS5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST._IDWELLING OCCUP.DI\ OR ACDNS. ACC. BLDGS. I 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code wand my license is in full force and effect. License No.a ,?0 • 1 Classification /3 ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS 6\ NON-RESID. (SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES e IXEC APPLNS. OR j EX. OCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. Q 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. 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. 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 against said Co ty ' c sequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor Ps-, Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ tLLI—sv OCCUP. GROUP I TYPE OF CONST. I PARCEL PO J HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR O PUBLIC � By PERMIT EXPIRES Date�y the applicable provi- resolutions to do fees have been paid. WORKS Date 2 ; Receipt No. 99 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W KS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone /534-4541 .— APPLICATION AND PERMIT ASSESSOR RCEL NUMB�E.R ZONING V BUILDING PERMIT WR ClI ' ) ..'��--�'��---- . t o ' , TELEPHONE SQ'. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS QQ�� n -00 CONTRACTOR'S 1 _ NAM QK HONE CONT//R11A�CTOR'SMAILING ADDRESS 1�,�/ �// `'(" DE Pl'reAIDISE 6(Dq Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is _1090- 0-0 Filing Fee $ 10,00 LENDER'S MAILING ADDRIESS Permit Fee $ 0 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 10. 0 V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3 .oa BUILOINy ADq R SS `I'm—Z+�JOct> 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 SF ❑ Duplex❑ Mobilehome©�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition E"Remodel ❑ Uti Iitie.S Installation ❑ Other ❑ Describe work:. APD`4 _rQ �P 2—�'L Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 10.00 Main service 100 AMP OR01 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.51 OR AODNS. ACC. BLDGS. _ 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [9 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions de my license is in full f e 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.Ou LET 2,50 ea NO N•RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS 6) NON•RESID. (SINGLE OUTLET CIR. 50 @ 250 . OCCUp OUTLETS OR FIXTURES gAL�t ExII FIXED AP,P LNS. OR EX. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. Is71 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. Heating r Cooling t Hood 3.00 Ventilation Permit Fee S 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. 1 also agree to save, indemnify a pp harmless the County of Butte against all liabilities, judgments, co and xpenses which may in any way accrue against s id County m cons uence the granting of thifper t.Th' Date�� of pplicant- Owner Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or Construct-. ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE ermit is hereby issued under the applicable provi-X s' ns of the Butte County Code and/or resolutions to doSignature ork 'ndi ed above for which fees have been paid. EC -TOR OF PUBLIC WOR7/73 B Datatepp PERMIT EXPIRES Date Z_ 7v U Receipt No. 2d O WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INDEX PAGE NUMBER RELEASE DATE Approval MANUFACTURED HOME/MOBILE HOME 9/2/03 - TRIPLE 11 FOUNDATION SYSTEM - HIGH PIER 12 9/2/03 HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 APPROVED GENERAL INSTALLATION 3 9/2/03 8U=CTT0CORRECTIONS'NOTED PARTS LIST 4 & 5 9/2/03 ROYAL DOES NOT AUTHORIZE OR APPROVE ANY 17 9/2/03 CONCRETE INSTALLATION MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLBSTATE LAWS AND REGULATIONS PIER HEIGHTS 7 9/2/03 Stato of California �in and Community Dwelopmad SET-UP INSTRUCTIONS 8 9/2/03 / N ODES AND STANDARDS FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 j � �al8nainTO� This P Approval EXDires COMPONENT PARTS AVAILABLE UPON REQUEST t3!ffTE COIJNJI� co IQ co N O M O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction k These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone 1, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.. . These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. C\0 c Page 2 California 9/2/0 UW1b/'1005 09:02 916-374-0150 WESTLAND PAGE 01 �, i 1 Amm16 SP N ANn HOl1SMC AGEl1GY DF,pARTMiENT OF HOUSING AND COIVIMU NIn DEVELOPMENT 35ING D"10N OF CODES AND STANDARDSIrz NORTHERN AREA OFFICE S M 4 8911 Folsom Blvd_ CA 95826 w SACRAMENTO, q� (916) 255-2501 FAX (918) 255.2535 Y U9 From TDD Phones:.1-800-735-2929 From Voice Phones: 1-800-735-2922 September 16, 2005 Tiedwon Engineering 5901: Wheaton Drive Atlanta, GA 30336 RE: ° 'Foundation Standard Plan Approval (SPA) SPA 99-1F Dear Sir's: The purpose of this notification is to issue you an expiration extension for the above noted foundation SPA. Effective immediately for SPA 99-1F the expiration date has been extended: Applicant. Tiedown Engineering 5901 Wheaton Drive Atlanta, GA 30336 Design Engineer: Ray Tucker 3220 E. 59" Street Long Beach, CA 90805 SPA Number-: SPA 99-1F New Expiration Date: November 1, 2005 If you have any questions regarding this notification you may contact me at (916) 255-2501. Sin ' Dan Fi>"zgetald Northern California Field Operations Administrator 0 CC: File SPA 99-1F . BUTTE COUNTY - BUILDING DIVISION APPROVED BUILDING PERMITS NUMBER: 05-2951 Address or location of unit: 14842 NORTHWOOD DRIVE, MAGALIA 95954 Legal Description of Real Property: 065-310-015 SEE ATTACHED (h) 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 MURIEL E. ELLIOT TRUSTEE Owner's address: 14842 NORTHWOOD DRIVE, MAGALIA 95954 INSIGNIA OR HUD NUMBER: CAL0182622/3 SERIAL NUMBER OR V.I.N.: SA/B25277 MANUFACTURER'S NAME: LANCER YEAR: 197-7 OFFICIAL APPROVING INSTALLATION: JaM"� �LW DATE: //-/5-(J-,5 PHONE: (530) 538-7541 H.C.D. 513C AREA Butte County Department of Development Services. eurrfa N ® T E S 7 County Center Drive, 0rovilIe, CA 95965. (530) 538-7601 www.buttecountynetidds e RESIDENTIAL APN: Permit No. Owner: 5-31 Q1 ELLIOTT, MURIEL 05-2951 Site Address: 14842 NORTHWOOD, MAGALIA Contractor. Cont: CHICO M.H.S _ j MSH PERM FND (EX) Type of Permit: i CHECKED BY SRA _ FLOOD CERTIFICATE EQUIRED _ FIRE SPRINKLERS REQUIRED _ SPECIAL INSPECTION ITEMS _ VERIFY _ USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ ENCROACHMENT PERMIT _ REINSPECTION FEE PAID _ ENV HLTH CLEARANCE DATE JOB FINAL D: SIGNATURE: = OK 0 = Not OK RESIDENTIAL (Single & Duplex DATE JUNDERFLOOR UAIE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth- 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts -Wrapped 57. Test Tub & Shwr, 2nd fir - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test O'D O�`c °•� 0�`C 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists -Vnts -Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic S` 0`4 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pn1, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47' Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga F-1 cu or FAL Oven Circ ya ❑ CU or ❑AL Insulated Neutral ❑ Yes ❑ No °+`' o`�� o+' 0•� 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimes pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector MANUFACTURED HOMES MISCELLANEOUS DATE I LiPERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S -C A R P O R T S'GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Seams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °� 0`s DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvi 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o 4 0 Pool Drawing 09/16/2005 09:02 916-374-0150 WESTLAND PAGE 01 COMMUNra I)EVELOPMENT �ysiNc ,yam DEPARTMENT OF gpUSING AND . D"ION Of CODES AND STANDARDS NORTHERN ARCA OFFICE 8911 Folsom sw - SACRAMr:NTo. CA 95826 D6` (916)256-2501 FAX (916) 255-2535 From TDD Phones: i-800.735-2929 From Volae Phones: l -Na -735-2922 September 16, 2005 Tiedwon Engineering 5901 Wheaton Drive 4 Atlanta, GA 30336 RE: Foundation Standard Plan Approval (SPA) SPA 99-1F Dear Sir's: The purpose of flus notification is to issue you an expiration extension for the above noted foundation SPA. Effective irnmediatelY for SPA 99-1F the expiration date has been extended: AppUcant•. Design Engineer: Tiedown Engineering 5901 Wheaton Drive Atlanta, GA 30336 Ray Tucker 3220 E. 594' Street Long Beach, CA 90805 SPA Number: SPA 99-1F New EXPiration Date: November 1, 2005 if you have any quefions regarding this natification you.niay contact me at (916) 255-2501. Sin Dan 1{idgerald Northern California Field Operations Administrator 11 CC; File SPA 99-11: a PERMIT NO. 5148-76P,E ®/i .PERMIT EXPIRES OWNER E. Elliott CONTR. Tri V Const., Paradise 65-31-15 LOCATION (A.P. ) 1240 Northwood Dr.,lot 50,.PPIf1, Magalia :fl 1 ' 1 Temp. Power Pole Called PG&E Temp. Elec. Serv.T2 Called PG&E Temp. Gas Serv. Called PG&E ' JOB FINALED / �-� % % (Date) (Signature) ' V 9. Electrical A. Is service large enoiigl. to provide adequate amperage to mo'oileliome. (must equal rating of Tilobi_lehome caitiff a. ::;in.u:um of IP amp) 'and other faciliti_e:; on lot, i.e., water pumps, g arat,e, cab.-ina, ctu.. Yes No_ 1i Is ther-� proper. clearances around panels? Yes �o C. Is power supply. cord or feeder assembly properly fused? Yes P'�No` D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring syste:a of the mobilehome at the pedestal. 2. Make sure that' the power supply cord or feeder assembly conductors, including neutral conductor, havee been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one le.. -id' of a test instrument to the mobilehome grounding conductor and 2upiy clic oLi�.0 a.caii i:C cant niUul.-eiwuie supply conductor, lriiliiuLTtg Fte�lif31. 5. All nor. -current, carrying metal parts. of the mobilehome (aluminum siding, gas line, w:iter 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 te::;e ;hall then be made between the grounding electrode and the chassis of the Mobilehome. UDOii satisfactory completion of theolectrical tests, the lot or' site service equipment- may be approved for -energizing. I<, job card signed by Health Department for water and sanitation? 1. l.. If everything (A ay, sign off card and t.a; services. MOBILLMRE DATA ' t Manufacturer and/or Namestyle � 8 96VhL l;ergth,I Width Vehicle Serial No. State Identif.icati..on No. a/$ 262.=-OIg�6� ,.ddi.tional Info)---mat-Jon or Comments: I 'M0BT!,'E,R0`'V1E INSTAi` A'1'1QH INSPECTION CHECK LIST 1. Is the mobilehome located wi.i_h required .separation from lot lines and buildings and generall.y conform to plot plan? Y(!.s i,/No 2, Does the mobil.ehnme have required clearances above ground? (Sec.5085) Yes 1 --/No 3. Are foot:in--,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sect. 5082 & 5083) Yes 1ZNo 4. Is the mobilehome level.? (Sec. 5088) Yesl/ No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water. A. Is fle connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yese :)lNo B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes ✓ No C. Backflow - If � * s not State of California approved, does station have backflow device and pressure-reli_ valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes o B. Does i.t have minimum 4" per foot slope and is it properly supported? Yes P""/No-- C'. YNo C:. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes No D. If coach i t0tate of California arproved, 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 =t, long? Note: All piping is to be at least as large as the mobile me gas line irilez'without reductions other than the mobilehome connector. Yes No B. fest OK as per following procedure? Yes t" Pdo_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14', water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop, 4. Connect: gas meter to mobilehome with connector, turn. gas, test connections with soapy witter. C. Are all appliance vents properly installed? ,Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 6 i; BUILDING BUILDING (Cont'd) PLUMBING Setback Newall Sof l Piping F rms Par ets 1st Floor ,�- M 'n Bldg. Restr m Finish 2nd. Floor �--- F tins Window 3rd Floor ------- Stem all Siding To out Slab Roof SheathhU Water Piping -/ --76 Piers Roofing Sewer 0 -rZ. - 7,L 'low aq Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. =---- Heaters Slab V Carporton Footings Prov. for phyefcally handicappegv ConformaXce of ex. struct Appliances as Piping & Test Temp. Gas Slab Sanitation 0& G Patio -Finaf, FIREPLACE Final -- 2 3 7 rFoot ink ootin g ELECTRICAL Masonry Mils Th t Rough -f 7 Refnf. teeil Ffnal Fixtures Bon Beam FIRE SPRINKLE Motors ----- Fram a 'Test Water Htr. Stud o Final Subuanels ------• _ esh MRWANICAL Grd. Fault Prot. cratch Heating Service Brown Cooling Temp. Pole - Finfsh Ducts Underground 7 d /v#,8 ter1, Lath VentKation Permanent -- 7 4, oor Closer F al Final / 7 - .l 7 L,, DATE REMARKS OR CORRECTIONS � e;Zo a AU Ts'ge SA.,e vI C 'e- lee) e-/®© 7.3 - -7 c Th -0- 1P.0, I., .. W 7,_e4vs o . (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -Z/ 4/X- 7 6 for the following location: ! 'Z Ll b NC)r7`h 1V00d 6"r+ l i.y Owner L O 7- T Owner's Address �z yQ V 0 ;--/ jt Mobilehome Mfg. Fo `I N L Z A uGe t Model Year Ins ignia No. ^� s 2 4 Z_ _-_ 'I / Y Z- 4-2 Serial No. - 2 `? 7 -0-13 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By // 1 Ar✓r . THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS e , 7 County Center Drive — Orovi Ile, California 95965 Telephone: 5344541 APPLICATION AND PERMITzl___� 61P51 -7(o authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date.117 $i oture of Permitee orAgent Receipt No. (S 1 , 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 OF PUBLIC WORKS By Date %-0 /7 g permit expires Date BUILDING Owner �,^�[.� Q / SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor L /� (, • �s Total Valuation Mailing Address 10. 0, O 6 Yq 01 Permit Fee Plan Checking Fee &/or Penalty Pm-,, 0. T lephone No 7 7 ,--Vf Permit Fee $ Building Add/r'essO��� a jN o 0 �i PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ��- ®% �® /—J h, /'' � I' Each Trap 1.50 L / p t Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 / r.� f S^ A. P. No. (o 3/ Zoning & Planning Gas piping system 1 - 5 outlets 10— Each additional outlet .30 Fes . 4eni-!e*en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 B ahs ec'd I Parcel Approval I Plans Approval Permit Fee $ $ jr 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 ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR AD NS. ( ACCLBLDGS.LING OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON -RES,., BRANCH CIRCUITS) 2.50ea .•7 CONTRAC ORS 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: _ NEW CONSTR. POWER APPARATUS &) NON -RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES)50 @25�t 109 Ex. Occu FIXED APPLNS. OR P•(OUT LETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 � � License No.9 _/ 6 34D c1( Classification �� r�� 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 as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date.117 $i oture of Permitee orAgent Receipt No. (S 1 , 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 OF PUBLIC WORKS By Date %-0 /7 g permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephoner 534-4541 APPLICATION AND PERMIT r..vra., ay ,vi i IJU. 'w" NuiNuaeo. 0 X Date Signature o Permidee orAgent Receipt No. &3- d "f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY _ Date_ //— Z3 — 7 ui Iding permit expires Date L 3 - 7 BUILDING Owner_.- li SQ. FT. OCC. BUILDINI VALUATION Mailing Address Telephone No. Fireplace Contractor lel / Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty 1V Teephone No. r Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Ac 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 Saaiiatioa. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improve is P Lawn sprinkler system 2.00 Bldg. Plans RI,/.' Parcel pproval Plans Approval Permit Fee. $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP. &) 2tsgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: may- 91G� I�� /� 0 �t ��d'``� VUF 660-1-01,7— 10 ,rwit Ex. Occup(OUTLETS OR FIXTURES) BAL20510 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. c'l� 5 5_ 6 d 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 men's Compensation. for�1'0,�e ve placed on file with the County of Butte a certificate of Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Coolingorkmen's Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the .... .h, ._.,,o.,.;,,..oa .. : % Q� TOTAL PERMIT FEE $ G This permit is hereby issued under the applicable Drovisions of r..vra., ay ,vi i IJU. 'w" NuiNuaeo. 0 X Date Signature o Permidee orAgent Receipt No. &3- d "f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY _ Date_ //— Z3 — 7 ui Iding permit expires Date L 3 - 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephdne, 534-4541 APPLICATION AND PERMIT author) e eIn t(ves of the County of Butte to enter upon the above entio d property for inspection purposes. X /%-�v� ate r ignature of Permitee or Agent., 2r Receipt No.�1/? - 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 OP—PUBLIC WORKS By .���� Date ZO-!- ?6 B f Iding permit expires Date 77 BUILDING Owner LG. (r 0 l ✓ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace - Contractor Total Valuation Mailing Address / �� Permit Feer- Plan Checking Fee &/orPenalty Telephone No. 7 ? - .� J'� Permit Fee Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 �- /17 VID Each Trap 1.50 O 'O"a-C (, Repair drainage or vent piping 1.50 C, CL_t2dhi!' o Verifleafion Only Water piping —t -W Oe - Each gas water heater or vent 1.50 A. P. No.l!p — ��- Zo Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F epkfW. C. S io FireDept. FireZone Use Permit Building sewer ,age 0 EQA Parking'Parcel Plans Declaration el Ma 60' R/W Im r p ove nts Lawn sprinkler system 2.00 Bld .tel8njs Re d �" Parcel Approval Plans Approval Permit Fee $ 3 $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '- V OR L Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home �Z Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1,00 LOO ��� . FT. MINIMUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) ft NEW CONSTMULTI-OUTL�_T NON•RESNEW ID R. ( BRANCH CIRC UPOWER ITS)2.50ea FOR MOBIL, NON-RESID R (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: Y /��� Ex. Occup(OUTLETS OR FIXTURES)@25Q BAL@1 FIXED APP LNS• OR EX. OCCUp.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ! License No. 3 LQ - / 49 f Classification Misc. Wiring 6.25 ElI 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. 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.1 @ FEEPERMIT FILING FEE 1 $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 State -Laws relating to building construction, and hereby TOTAL PERMIT FEE $ author) e eIn t(ves of the County of Butte to enter upon the above entio d property for inspection purposes. X /%-�v� ate r ignature of Permitee or Agent., 2r Receipt No.�1/? - 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 OP—PUBLIC WORKS By .���� Date ZO-!- ?6 B f Iding permit expires Date 77 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #; (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052951 R r: 14361rlinn Pormif ni-ir-nd nn 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/03/2005 APN: 065-310-015-000 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. ; Site Address: 14842 NORTHWOOD DR MAG : License Class L e jNblk Date: �0 Contractor. 067— Map Index: Description: EX MH ON PERM FND, EX SITE OWNER -BUILDER cLA TION I hereby affirn under penally of pe fury t t I am exempt from the Contractors' State License Law for a fo wing reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ELLIOTT MURIEL E TRUST permit to construct, alter, improve, demolish, or repair any structure, prior ELLIOTT MURIEL E TRUSTEE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 14842 NORTHWOOD DRIVE the Contractors State License Law (Chapter 9 commencing with Section MAGALIA, CA 95954-9329 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DOREMUS, GERALD GLEN Code: -he Contractors' State License Law does not.apply to an owner of property who builds or improves thereon, and who does P O BOX 4121 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95927-4121 sale. If however, the building or improvements'are sold within one 530-895-1774 year of completion, the owner -builder will have the burden of proving hat he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and PrQfessions Code. The Contractors' State License Law does Contractor: DOREMUS, GERALD GLEN not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed P O BOX 4121 pursuantto the Contractors' State License Law.). CA 95927-4121 O I am ExemptCHICO, under Article 3 of the Business and Professions Code 530-895-1774 Date: Owner: License #: 445103 WDRKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by. Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuranc: carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Porcy u 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 workers' compensation laws of California, and agr=_e 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. Date: J Applicant: WARNING: ato secure workers' compensation coverage is shall unlawful, and shall subject an employer to criminal penalties and one hundred thousan dollars ($100,000), in addition to the cost of compensation, d ages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Count Cod andlor I hereby affirm that there is a construction lending agency for the Resolutions to do I toted above for which fees have been paid. performance cf the work for which this permit is issued (Sec 3097 Civ.) i Name: By: Date: )l 3 �' Address: PERMIT EXPIRES ON: ( ate) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling -and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the o er o he duly thorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa ce any o ' ial f or document of Butte County. I hereby authorize represent Ivens ofButte County to enter upon the above mentioned property for inspection purp se Print Name: ,A (ice Signature: Date: ❑ Owner ontractor ❑ Ag nt for Owner ❑ Agent for Contractor R r: 14361rlinn Pormif ni-ir-nd nn 1 �1jT��'�. BUTTE COUNTY PERMIT o O DEPARTMENT OF DEVELOPMENT SERVICES NO. O O BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS1 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 BPU Y-' 00 �`.88-y._fy .r o OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION BIN # �01A Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY"* ARCHITECT/ENGINEER Name Address OWNER INFORMATION Last Name��lotT, fCd 1pf` `/iC/i-IFirst Name e j L• Address A/0 kT City Phone 2 7 y, State Zip Phone Lic.'q L15lay ,i/5la, Cl s Fax E-mail ��'� Fax ARCHITECT/ENGINEER Name Address CONTRACTOR Name fCd 1pf` Address --f (ti / A01 9ox City C d State Zi Phone 2 7 y, Fax E-mail Address Lic.'q L15lay ,i/5la, Cl s ARCHITECT/ENGINEER Name Address NSO� City Flood Zone Phone }yOti� E-mail c, Occ. 5 O a rroN Subdivision Name AP" �: Name Lot # Address City ,� State Zip Phone ��'� Fax E-mail For off a us only: zoninj I Flood Zone Cross Street S SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: wr-r% ren o1I17An1TTAI oI—_riIuuL_nnL.AI I PROJECT/ LOCATION AP# o 1 :3/ _ L, Property Address 1 �� � City Cross Street S WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: _ X dy1 ons �Pot.wl �/Jir./ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. i ( I 1 /,� t `"1 C') t—, anq /]. / Received by: Amount: L0 A_Bldg �1 SRA Receipt #: 1�kj-;, Sheriff SMTP Other Date: t0 -`Z1 -Q Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERNUT APPLICATION DATA SHEET OWNER: El 1104 ASSESSOR PARCEL NUMBER 0 (6 5 e 3 in- o'5 Proposed Building Use: F -)(M N ctrl PEW V-0 Permit Technician: k-,. `"1. Date: 10-27-05 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. p / '. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. =N 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down o.fnrf d I�a�ns,,.all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en-gineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required ........................................ 1111...... .. . 19. Fees as shown on the attached Schedule of Fees Due Sheet 32,AA9............. ❑20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. beg-d�estriction......,...���......^....................................................... ❑ 35. C�' Cegal description, t�'M.H. Title, t le searc registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 5- I l y o n i . and hold for pickup. I have been-Rfoyined of the above items and requirements for obtaining a building permit. 1. Index pe Date: /f ' Z % Plan Check Letter C=tralfor,!desigr%r, owner, was advised of the above data by -46 phone, ❑ mail, ❑ counter, by M2 Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by;, Date. ructural approved by-. Date: Note transfer by: .Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 � I I i �/ L/� A/ dt p O FPermit# AP 65-3 -16 thwood Dr , ,Es, Pp �3¢ -51 y Munjar, Par Ise 968-74PE (uti.,) i ., .; LOT BLOCK GAS SUPPORT STRUCTURE R,j ` DATE' ON TEST R.EQ. Off ED REMARKS AP CONTR: Lancer,Uomes, Msvl�l Permit,# 41 0_75MHI g-7 Issued-�8y� 65-31-16 CO TR: Sierra obile Service, Paradise Permit #968-76B(new carport/MH) ermit �� 638-76�i(new deckl&lSteps/� JPs-, ) TYPE OF PERMIT PERMIT NO. -- PLAN N - PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING BUILDING AND SAFETY T -TRAILER E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING TV - RADIO -TV ANTENNA V - VARIANCE EP - ENCROACHMENT S/W-SIDEWALK NOTICE S_ SIGN PERMIT D - DEMOLITION 600. 1 INSPECTION RECORD BUILDING APPROVALS H w im W D aZ DESIGNATION SIG. z Z O O N F f iQ Q a D JIOiO LL ° z U J 0:w LL F W W Z O Z Q LL !C _O 2 W Z fr O 2x W fFf� ul �� O W CF W N 4 Za K� I 0 w aF W N Xa 41 W �U U O Um WJ (7Q �� ILI U g d W ul LL a Z It SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBER, DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBER, DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE i 4-'ERMIT NO. 968-76B PERMIT EXPIRES V OWNER R/ F. Chapin CONTR. Sierra Mobile Service, Paradisp LOCATION (A.P. 65-31A6 1250 Nort1wod Dr., lot 51, PP#I, Magalia Temp. Power Pole Called PG&E Temp. EVe/c. Se'rv- / Ca fed PG&E Te. Gas Serv. Called PG&E JOB FINALED (Date) (SignatuLly " COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION R -CORD BUILDING. BUILDING (Cont'd) PUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roug h 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 ' DATE REMARKS OR CORRECTIONS J e s: ^4Nil. D (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — IDEPAI TMENT OF PUBLIC WORKS 7 County Center Drive — Oroyille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au onze re esentatives or the Goun of Butte to enter upon the ab ve-mention d pro erty for inspecti purposes. �/ X to 7 ignature of �errmitee or Agent Receipt No. / 7 2 7 y 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 OF/%BLIC WORKS BY BZ'�� per mit expires Date 3 �'7 % BUILDING Owner Q, SQ. FT. OCC. BUILDING VALUATION Mailing Address v �- Telephone No, Fireplace Contractorr uJ , Total Valuation ao Mailing Address ,O/ V41A RIS-4Plan Permit Fee (� Checking Fee&/or Penalty ^,n% (0 • s elephone No. S2Y_'Permit Fee $ .2o— U Building AddressPLUMBING S W No. @ FEE PERMIT FILING FEE $3.00 [, fj /• Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 I A. 3/ (p _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FVs I W.& -,'J. Smit fi&. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Declare ion IBldg. Map 60' R/W Improvements Lawn sprinkler system 2.00 PlfI sof ec'd �Parc�el Parce'�I ApprovalPla�proval Permit Fee $ $ NEW'ER ADDITIONELECTRICAL ❑ UTILITIES F-1OTHER❑ No. @ FEE PERMIT FILING FEE $3.00 •�� li 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 Rj Others ❑ Main service OVER 600V }00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACCBDGS.CCUP. &\ 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. !PO'WER APPARATUS &' NON.RESID, %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: --( ��✓✓=— L Ex. Occup(OUTLETS OR FIXTURES) @L�54 BALh➢1 O a FIXED APPLES, OR Ex. Occup. p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. /G2-6 Classification - r 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 Work 's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any personin 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 �IB aws relating to building construction, and hereby TOTAL PERMIT FEE $ �Q au onze re esentatives or the Goun of Butte to enter upon the ab ve-mention d pro erty for inspecti purposes. �/ X to 7 ignature of �errmitee or Agent Receipt No. / 7 2 7 y 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 OF/%BLIC WORKS BY BZ'�� per mit expires Date 3 �'7 % f / 19 `PERMIT NO. P E M MH UTIL. PERMIT NO. 3968-74P,E PERMIT EXPIRES f✓ / `7� OWNER R.F. Chapin 'CONTR. Ray Munjar Const, Paradise ;,LOCATION (A.P. 65-31-16 ,r 1250 Northwood Dr., PP#1, lot 51, Magalia r„ �a `4 Fr tl� } It 1 .. tray �• Temp. Power Pole Called PG&E �j Temp. Elea Serv. l% i! Called PG&E .Q Temp. Gas Serv. Called OB FINALED Bond Beam ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD fixtures Motors BU!LDING BUILDING (Cont'd) PLUMBING Setback U77 jc—:g. — Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab ' I Roof Sheathing Water Piping _"Z Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test rj Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf Steel F' I F' Bond Beam ' ma FIRE SPRINKLERS fixtures Motors Framing Test Water Htr. y c$ Stucco Final Subpanels �qq Mesh• MECHANICAL Grd. Fault Prot. F Scratch ' ` HeatingService /.. c, Brown ,'' Cooling Temp. Pole Finish ' Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS _ Ele.e-trical ' Is service large enough to, rovide ade n,ate 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 Is there proper clearances around panels? Yes No �. Is power supply cord or feeder assembly -;properly fused? Yes No ft,1_61 4,,w Is continuity test satisfactory as per the following procedure? Y.es No De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in. he mobilehome to the "on" position, Connect one'lead of a -test instrument to the mobilehome grounding conductor and apply the other lead to each mobileWome supply conductor, including neutral. 5,l 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 thenbe 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. l0. Isjob card signed by health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME. DATA Manufacturer acid/or Name styIe �,�,a��cr� ��y9�s ��x✓,c Length__ Width Vehicle Serial No. State Identification No. Additional Information or Comments: 'MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yeses No Does the mobilehome have required clearances above ground? (Sec.5085) YesX No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Y?s No If mo e than a single unit, are crossover connections properly installed? (Sec. 5088) YeZ No Es Water f A"� Is flexible connector of adequate -Dize and properly installed (1/2" ID min.)? (Sec. 5566) Yes/ No ,�// Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes PV No W tes and Drains Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No ,B! Does it have minimum" per foot slope and is it properly supported? Yes e No Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?*, .Yes, No e, x. If c ach is not State of California approved, does station have required trap and vent? ' Yes - No $'. s Piping andGasVents / 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 liYlet without reductions other than the mobilehome connector. YesV No Test OK as per following procedure? Yes No_ Open all appliance connector valves. Shut off appliance burner and pilot valves. YAir test with manometer to 10"-14" water column, or'test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrates in tenth pound increments.. Test for 10 min. without drop. Connect gas meter to mobilehome with connector, turn on gas, test connections with i soapy water. Are all appliance vents properly installed? Yes No - •r ' COUNTY OF BUTTE —+ DEP, RTMENT OF PUBLIC WO KS 7 County Center Drive — OroviIle,' California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 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;eent�ioned pro erty for inspection purposes. 96 Date Signature of Permiitee or Agent Receipt No. 13 !� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1 14 Zo S =4 t: L /W -f0 �1 1 _i U — TOTAL PERMIT FEE $ 36 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS i Building permit expires Date�/'7„ BUIL NG Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S Total Valuation Mailing AddressPermit �o«00� Fee Plan Checking Fee&/or Penalty Telephone i Permit Fee $ BuildingAddr `�5` O� %t10 PLUMBING No. FEE PERMIT FILING FEE . $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — — / % Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 3afili Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Pdns Rec'd Parcel pprovol Plor/a0iipproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 (h N 1 n S LL j+'P t Main service incl. 1 meter .. LS Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home �(C Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (d2 10 Receps., switches & fix outlets 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: F� ift)c-eie_ 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. `>< C1 lir 77� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No• @ 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. R1 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 as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above;eent�ioned pro erty for inspection purposes. 96 Date Signature of Permiitee or Agent Receipt No. 13 !� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1 14 Zo S =4 t: L /W -f0 �1 1 _i U — TOTAL PERMIT FEE $ 36 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS i Building permit expires Date�/'7„ )W COUNTY OF BUTTE -� DEPARTMENT OF PUBLIC W R 10` 7 County Center Driv2 �Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v SifAt a of P mile or A�it / ��J���c� By Date Ad Receipt No. � — w_;te-o.P w, - Yel-la v -Assessor - Pink�tn5oe�t� —r--�� _.� �� wilding permit expires Date ................. -h — BUILDING Owner R.F. Chapin SQ. FT. OCC. BUILDING VALUATION Mailing Address 2131 East Alden Anaheim, CA 92806 (714)FT7g+h 57�� Fireplace Contractor Ray N. Munjar Const. Total Valuation Mailing Address 5248 Scottwood Rd. Permit Fee Plan Checking Fee &/or Penalty Paradise CA 9 969 T lephone No. -11 Permit Fee $ $ Building Address 1_51 PLUMBING No. @ FEE PERMIT FILING FEE 1 $2.00 2.00 n.t „ ,, Ma alio CA 95954 Each Trap 1.50 .� ®® Repair drainage or vent piping 1.50 Water piping 1 1.50 1.50 Each gas water heater or vent 1.50 A. P. No. / e Zoning"P a i�, Gas piping system 1 - 5 outlets 1 1.50 1.50 Each additional outlet 30 F s I .< Soni° Fire Dept. Fire Zone Use Permit Building sewer 1 5.00 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. P4.0 s Rec'd Porcjp<pprovol pproval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 .00 Main service incl. 1 meter 1 3.00 .00 Additional meters, each 1.00 Sub -panel (12 or less) (morethon l2) Single Family ❑ Duplex ❑ Mobil Home,® Others ❑ Range, Cook -top or Oven 1.00 OO F *tC/y FLr. Water Heater or Space Heater 1.00 Light fixtures pal a?o Receps., switches & fix outlets b al 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: Ray N. Munjar Const. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. c 7/ PI/C� Classification Iq Misc. wiring ri ❑ 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 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 1 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 authorize representatives of the Cou of Butte to enter upon the above -me tioned prop fo in ction p rposes. 3 Date TOTAL PERMIT FEE $ 21 00 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 OfiPUBLIC WORKS v SifAt a of P mile or A�it / ��J���c� By Date Ad Receipt No. � — w_;te-o.P w, - Yel-la v -Assessor - Pink�tn5oe�t� —r--�� _.� �� wilding permit expires Date ................. -h — PERMIT NO. 1638-76B PERMIT EXPIRES. 6'7 OWNER R. F. Chapin CONTR. owner LOCATION (A.P. 65-31-16 1250 Northwood Dr.,lot 51, PP#I, Magalia a Temp. Powe Pole_ Called PG&E Termp. lec. Sery ._ C.lied PG&E Tes Serv. Called PG&E JOB FINALED i (Date) (Signature) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i BUILDING INSPECTION ECORD .BUILDING' BUILDING (Cont'd) Setback % (p Firewall Forms Parapets I Main Bldg. Restroom Finish Footings Windows Stemwal I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents StemwalI Slab Prov. for physical handicapped Carport Footings Conformance f ex. structure Slab Final Patio- IRE LAC Footings Footing' ' Masonry Walls Throat Reinf. Steel Final Bond Be FIRE S INKLERS FramingTest Stucco T I Final Mesh ME Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilati Door Closer Final DATE REMARKS OR CORRECTIONS aA PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Final ELECTRATL Motors Subpanels Grd. Fault Prot. Service Temp. Pole Undernmi d Final -74 76 C:tq—i���—�� C (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE- — 1GER:ARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviTle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -76 4 ---- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XR,�r� n �4—? 6 Signatureof Permitee or Agent / Receipt No. / y S� � 7 ` 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 aid. DIRECTOR OF UBLIC WORKS BY Date uilding permit expires Date BUILDING Owner C' �� P��/ SQ. FT. OCC. BUI LDIN - VALUATION Mailing Address `j �dZp � �/Dd r ' T Ie �ne .7 �! Fireplace Contractor Total Valuation Y Mailing Address Permit Fee S '- PlanChecking Fee&/or Penalty Telephone No. Permit Fee $ -- Building Address '— % { vl/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 piping 1.50 /a c� �✓Water Each gas water heater or vent 1.50 A. P. No.(0s 3 -- Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F4651 C. o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Parcel Ma Declaration P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PtW-n—s--Rec'd Parcel pproval PlaApproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i L e Main service 610V OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil HomeYZAOthers ❑ Main service 1100EAMP OR LESS 25.00 EA. ADO'L 100 AMP 1.00 Main serviceNEW CONST/ WELLING OR ADDNS. ( ACC. BL GS.CCUP. &) 20sgft / NEW CONSTR. (MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name $t le of: Y Ex. Occup(OUTLETS OR FIXTURES)@L �C BALM 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 toI 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 as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ "� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XR,�r� n �4—? 6 Signatureof Permitee or Agent / Receipt No. / y S� � 7 ` 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 aid. DIRECTOR OF UBLIC WORKS BY Date uilding permit expires Date