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HomeMy WebLinkAbout065-310-021COMPLAINT TO INSPECTOR g/Z/�T 65-31-21 Robert E. Sehrt V00!9. Go ldcone Dr. Permit #3387-76P, util.,MH -existing site) ELEC. a O, S GAS 74*1."; ley 40— SUPP0`RtSTRUCTURE REQ. ,(/,p COMPACTION TEST REQ, yp 65-31-21 contr: Gene Schmitt MH Service, Chico Permit #=�6MHIf ssued - �_�� = 76 - 65-31-21 Contr: Behar Const, adise PErmit#3200-83 arport &.cov deckMH). ......6.5731 -21 - Cont Ken Brown_ _, FPermiO 3-84B, new private garage) 65-31-21 � Contr: Ken Brown res( Permit#2996-85B(lst enewal/29993-84)gar 4 .65-31-21 'ermitik2 -86B, E(chAnge contr from r en 65-31-21 aefrtr O c f )-> a r- 19 O 07 0 Permit#3673- (new covered deck/MH ` ----- -_ 06 10-021 02 031 HAL , ISTY 77 14869 G CONE, AGA CONT: MA PLOURD ! ? EX MH PERM F X SITE 7 C.fl M � �� � COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: MARVIN PLOURD ADDRESS: 1.584 WAGSTAFF ROAD CITY & STATE: PARADISE, CA 95969 DATE OF CLAIM: 2ND JAN. 2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE SATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT PE OW MIT CANCELLED: AP# 065-310-021, BP# 02-2031, RECEIPT# 360682DATED: ER: MISTY HALL TOTAL AMOUNT PAID: 7- 314.501 RETAIN BUILDING PERMIT FILING FEE: 20.00 ET 0.00 RETAIN PLAN CHECKING FEE& 23-00 TOTAL AMOUNT TO BE RETAINED: 88.00 TO -AL AMOUNT TO BE REFUNDED: TOTALI 226. 0. he undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true I correct as stared. gxpoted this day of I�%DlJ• , 1-9==, tat . Calif.1 t Signature of Claimant he undersigned hereby certify that, to the best of my knowledge, the services Bt there is a Budget Appropriation( I or Specific Board Approval( I (Check on ted this 2ND day of JAN ,X1$03" at OROVILLE .Calif. or de8vered and Head or Authorized Deputy !pt. Code 440-001 Exp. Code 4210500 PAYABLE FAOM BUILDING PERMITS- _FUND !pt. Code Exp. Code PAYABLE FROM FUN :pt Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROD. I SUB. OBJ. I CLAIM NO. I INV: NO. I INV. DATE I ENCUMB. I GROSS AMT. REFUND CLAIM APPLICATION �CL'A MANT'S NAME M &Z,y ( IU 'PLo UZa MAILING ADDRESS I S g- Ute 64�5�/�- Z� ' -ASSESSOR PARCEL #:, 5 /0 _ Z! RECEIPT NUMBERS) ` 3 o �O S 2 3l �f SD Request a refund of fees paid on the above receipt numbers) for the following reasons: G _9itZK " o i" DDXJ Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disaosition ofPlans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE -If DATE d'e 6 PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. 1 FOR BUILDING DIVISION USE.- Receipt SE:Receipt Information: Number. Date: Issued To: Amount: Fees Retained: Processing Fee: vl6dg Filing Fee: VPlbg Filing Fee: Elec Filing Fea: Mech Filing Fee: Energy P/C Fee: V Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE '7- q- . �Pl(qord ` j/Aso CPO Q=3 8 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARC0. NUMBER 065-310-021 ZONING BU -TINGPERMIT OWNER HAT TELEPHONE SO. FT, OCC. BUILDING VALUATION 1152 R . OWNER'S MA ADDRESS 148(;9 MIXONE, MAGAT TA, CA 95954 CONrRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 1584 WAGSTAFF RD PAPADISE, CA 95969 CONSTRUCTION LENDER , Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 473Z2 $ 916- 5C ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )I Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: EX. MH PFRM FND EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 9-017) ELECTRICAL PERMIT Fling Fee 20.00 600OR UE Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class (3 — Lic. No. 3 3 % % 3 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 Main Service TO t 46.00so WELL200A NEW CONST. DWEWNG OCCUP. U OR ADONS. & ACC. BLDS. SO 3.50FT. NEW RESID. MULTI.OUTLET 97,50 8PSINOWER APPARATUS GLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1.00 o .50 Ex. Occup. ounF s R IEs o.oEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier :5 ' -T7_e 1110 P. P A-) S t Policy Number It 7 7 (The above sections need riot be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th s3 provisions. p D X Date 6 _ Signature of Applicant - 0 Owner O-C-ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occCONST. TYPE TOTAL FEE $ 314.50 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD _ ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been aid. / .7 a [ l U Date Receipt No. o"L_'T WHITE-D.D.S.-B.D. CANAR -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'TMi`�{ij+'�bc�i,.i4�f�rr+..r��a�.� �lG.��•nr-�{�a'.,i.^.),,,_,,,d.,w.,�.itiT{'k41.,[ii"'."ik�M{'-•y'.'f+ncHP"f'i/'�ti7'1Z'�"�i.I'f.�`^�f�y."'-i�3'.ry`y�tC�}��GEz'�`1.���.-+.� AAAi COUNTY OF BUTTE -DEPARTMENT 0 DEVELOPMENT SERVICES -BUILD( '' /(VISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530) 3� 8- '40• " PERMIT APPLICATION DATA SHEET OWNER: &2� ,ASSEESSOR PARCEL NUMBER Proposed Bailding Use: �_/` Ioun er echnician: Date: Items required in order to apply for (permit. All boxes MUST be checked OR marked NA in order to apply. t 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Tha-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 faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. �6. (Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B)Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these musibe stamped and wet -signed by the engineer. Items required for initial plan review. If checked`'items have not been received, plan review cannottproceeld The permit will be indexed and returned to the plan review line-up when required items are received. Da e-Receixed By ❑ 8. Flcod Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................::. y- -4.. - ❑ 10. Letter of intent for non-residential buildings..............................................:,...':� r ❑ 11. Detached Accessory Building Form filled out by the owner ........................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other r Remaining items needed to issuethe permit. (May require additional plan review upon receipt'of the following items.) KIFees as shown on the attached Schedule of Fees Due Sheet........................................Statement of Intent for Non -heated and A/C Buildings.......................................`....."� ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... k 0.18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... V ❑ 19. Panning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage.............1;.................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior, o occupancy;). 22 P:e-Inspection for _U re uired�./, <.I.,,ll{f l-";�' :✓ /f' 3. Contractor's license inforrriaftion. (Num r, N me Style, Classification)Q..'°°..t ............. ❑ 24. Worker's Compensation 'Carrier and Policy Number ..............:............................. ❑ 25. Cwner-Builder Verification (❑ Given to,owner, ❑ Mailed to owner)........ I............ ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... n 28. Manufactured home utility clearance............................................................... ❑ 9. E" -x' s mg violations and/or expired permits .............. ............................... 30rant DeedH. Title/Statement of Facts,tter from Legal Owner, ❑ Check to H.C.D. $�Q ❑ 31. ether: Deed* '"' __ When issued Telephone } a /Q 2/ and hold for pickup. I have been informed of the above items a d requirements for obtaining a building permit. Applicant: Date: 1. Index.permit application for the above items numbered: 2. Additional items required Plan Check Letter Contractor, designer, owner, was advised cf the above data by ❑ . .phone, ❑ mail, O counter, by Date: Contrac-or, designer, w er, was advised of the ab ve lata by ❑phone, ❑mail, ❑counter, y Date: Plans reviewed by: Date: - Plans approved by: Date: s7 _Z_ Structural reviewed by: Date Structural -approved by: Date: Note transfer by: Date': Yellow: Building Division,- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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 hereon, uoon 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. MISTY HALL REAL PROPERTY OWNER/LESSOR 14869 GOLDCONE MAILING ADDRESS MAGALIA BUTTE CA 95969 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE,,CA 95965 _ CITY COUNTY STATE ZIP 02-2031 (530)538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GUERIDON 1976 DEVONDALE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B2703 48 X 24 MH121221/2 SERIAL NUMER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 065-310-021 SEE ATTACHED - HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. FOUNDATIONSYSTEM CERTIFICATE OF".00CUPANCY BUILDING PERMIT NUMBER: 02-2031 Address or location of unit: 14869 GOLDCONE, MAGALIA, CA. 95954 Legal Description of Real Property: A.P.# 065-310-021 SEE ATTACHED r (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MISTY HALL J Owner's address: 14869 GOLDCONE, MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: MH121221/2 SERIAL NUMBER OR V.I.N.: A/B2703 MANUFACTURER'S NAME: GUERDON YEAR: 1976 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C JUL. -22; 02 (MON) 15:40 UNTD NTL/JOHNSON RE. TEL:5308111428 P. 002 STATE Or CALIFORNIA - DEPAWl•MENT Or HOUSING AND COMMUNITY DEVELOPMENT REGISTI ATION CARD Manufaciured Rome Decal No: L.AU9477 Monulaoturer 101NamC Trade Name Motloi — 11_ -- DOM DFS RY , Exp. Date GU[FtDQN OMNDALC 00/00119T6T7/19/1876 Labownslgnia Number Wolght Lonob Width SPC SCC t:xOmpt USC Type A270,3 M1 -11212v 48' 12' 04 SFD tPT 82703 MH121222 48' 17 1921.1ed — Total Foos Paid May 9, 2000 S17o,90 Addressee _�— "`------ ---- �--- EVERETT CLIFFORD PEARCE P 0 BOX 2293 PARADISE, CA 95967 Registered owner(s) MISTY HALL 14669 GOLD CONE MAGALIA, CA 95954 Situs Address 14869 GOLDCONE DR MAGALIA. CA 95954 Legal Owners) EVERETT CLIFFORD PEARCE MARION ELIZABETH MA PEARCE Trustees FO BOX 2293 PARADISE, CA 95967 lien Perfected On: 05/08/00 15:22;27 Jonior, LlenhDlder(s) HOWARD &JOHNSON ,MAURINE R JOHNSON Trustees PO BX 370 PARADISE, CA 95667 Lion Parfootcd On: 05/08/00 15:25:12 LEGAL OWNER COPY INFORMATION ONLY IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL, LIENS RECORDED WITH THE DEPARTMENT OR HOUSINC AND -COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE: STATUS OF THE UNIT MAY BE CONFIRMED THROUGH TIME DEPARTMENT. JUL, -22' 02 (MON) 15:41 .?422f02 13:35' UNTD NTL/JOHNSON RE, TEL:5308777428 P. 004 BIDWELjL TITLE & ESCROW, PARADISE 4 8777428 NO.081 P03 �.J. X11 ORDER NO. BO-1.73884-2.VG DES CA=i�TZ QN THE LAM R.EVER.RED TO IN THIS REPORT IS SITUATED IN THE STATE OP CAI,IPORNZA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS; LOT 56, AS SHOWN ON THAT CERTAIN I►SAP ENTITLED, "PARADISE PINES MOBILE HOME ESTATES UNIT PO , 1 r , WHICH MAP WAS RECORDED IN THE OPFIC2 OF THE RECORDER OF THE COUNTY OF BUTT2, STATE OF CALIFORM, ON APRIL 10, 1970, IN HOOK 35 OF MAPS, AT PAGB(a) 65, 66, 67 AND 69, EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID U=S, WITH RIGHT TO MINE AND BXTRR.CT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD TKAT :N RLI, MINING OPERATIONS, T$F SURFACE. OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MININGi SHALL BE CARRIED OAT FROM TUNNRW, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AM OF THE ABOVE DESCRIBED REALTY, ALL AS EXC3PTED AND RESERVED IN 71ITr DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STdRTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 365, OFFICIATE RECORDS, 0 JUL. -24' O2 -(WED) 10:40 UNTD NTL/JOHNSON RE, • TEL:53O8777428 P. 002 July. 23, 2002 To Whom It May Concern: I give my permission for Misty Hall Michelet to have a permanent foundation installed under her mobile with serial numbers A2703 and 82703 at 14869 Goldcone in Magalia. Sincerely, _ Le der Date Lender pate i JUL. -26' 02 (FRI) 12: 1.1 UNTD NTL/JOHNSON RE. 'TEL:5308717428 P.002 July 23, 2002 To Whom It May Concern: I give my permission for Misty Hall Michelet to have a permanent foundation installed under her mobile with serial numbers A2703 and B27O3 at 14869 Goldcone in Magalia. Sincerely, Lender Date OALA" �- L&A :�,A Lender Date JU:L. -22' 02(MON) 15;40 07/22/02 13:35' )k UNTD NTL/JOHNSON RE. TEL:5308117428 P, 003 SIDWELL TITLE & ESCROW, PARADISE i 8777428 NO. 081 002 ------------------- PARIC 1 S"'S—WW4P07Sc3 RZC0 tDMGU4t0.►.63RD sv ReCordad I fe FEE le. Be MW VALLEY TITLE CO. QrEVid R nrds ; ,IND WMX 2=01MED MAIL TOi ��f+t�►',�,o 119IbiY HALL cam I' GLM 869 I 34(tgDCLi� DR IseAmar c IOumP=, G4. 9x954 A.P.N.; ego a le I of S .,.���&Pcoa Above This Lne Ibr Rtt;oedat's U� oaly Ewmw No.. 7MUVG GRANT DEED �5 X] mfQ► IO QA value aOP2C�Gpp THAT rVW&"ARY'!R►1 M TADS IS: C�oURrY 90 r wz 00 in, t� of lima or as �pbt' m ra ag at time of sole, atattxotpniated at,es; { J tory of MA UA ,silt EOR A VALUABLE CON=RRATZON, Rmdpt of %Ybkb W btmby as mawledged, ROWARD A. JOHNSON and MAURUM It, jMmON, Umiband aW W11a hCMY GRAM 0 to Mmy XULI as U=ar"W women the folloMag deacdbed pmpamy 14 tlm UNINCORPMTED AREA. County of Butte State of California; See t4fA dcsj*don Wacbed ha do and mde a pan bte W, ARD A. SON MAU)UNB R. Im td Aocam m! Data: mbar 29, 129P STATS OF CMXMNIA CaLmny OF a � 303-x' befllttr ear � .1�6R. ,A i�leram ex�wr i�.. P*Imlly 9paM 930M A• XPM AND ttAI ig, R _ kmwo m me (or pts ee rat as lttL bash of art y erideaee) to be to portorKe) wltoea Lamas) ware eumobw ams mft aea "kMWO14 td aye OW bellWbY aeseumd @le sift in Wftthb* eathtttzod mpW'y(Im) old out by b!lfierhhdr ti*wreCQ) an Ib tasaumem me petsWA or the ems up I beb9f d •blot+ dre petmNA amd; oaaotad tha IMUM U L WITNZO AY 4190 #A oM;g scat, , 9'etc otos for afftW LatarW tma v�Kl a�ssl: COMMIA6636 ni iFpr+wa► "' 0 e ur:ty O W Comf.4'Wuao Jdh 4i� IOOt v� Malt Tat 3tatememe to: SAME AS ABOVE or Address Noted Slow ZO( 6Q, O�7L� � 9� PERMIT NO. PERMIT EXPIRES OWNER BOB SEHRT CONTR.. Ken, Brown ASSESSOR PARCEL 65-31-21 LOCATION _ '1.5tfrg Goldc'one, Magalia Y Signature Y 4- r Temp. Power Pole Called PG&E r( �f Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E JOB FINALED (Date) Signature N OK' 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready z� MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Scils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. EBectricity; Location-Clearances-Grnd.-/ ' / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Z•ming Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except u's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. ELectricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Dain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. E{Its; Insp.-Sketch 10. Cart. 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 r' .Card -BI Date , M I t V = OK 0 = NW. OIK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date U DE LOOK Plans OK exce tq's Date FRAMING Continue Zoning requirements -Setbacks -Easements 48. Property Line firewall & Openings Ftg., Main; Soils-Steel-Elec. Grn .- / /" Ftg. Depth 49. Ext. Doors -0 a 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- /4W Ftg. Depth 50. Stairs; Widt Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood o Roof Overhang -Attic Vents -Rafter Outriggers 5. St mwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -N ling -Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco M sh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing rea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear alls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 4wollectric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card- B Z and -BI Date Date FINAL (Plans) OK except ll's Card -BI Card -BI Date PBING Date Permit) OK except 40s 56. Ext. Steps -Door & Sideli ht Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent- Access -VE bustion Air 58. Furnace; Vents-Cleara a -Comb. Air -Connector - In Garage; Above Floor Ducts-Mech. Protection 15. Water Pipe; Test & Anch s -Nail Protection 16. D.W.V.; Test-Fttngs & nchors-Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, Firig Floor -Tub Access 60. G.F.I. & Bath Fixture4& Tub Access 18. Test Tub & Shower, Ad Floor -Tub Access 61. Elec. Trim & Subpane , Breaker Sizes -Labels 19. Gas Pipe; Size & AAchors 62. Stairs & Rails 63. Fireplace or Stove; Iearances-Hearth 64. Elec. Outlets at Wo Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Applia Lce; Grnd.-Air Gap -Cooking Clearance Card -BI Date Caj%Bj Date 1 66. Elec. Outlets & R4ceptacles at Kit. Counter Date ELE TRI Pe min' t OK exce t q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Gar a -Dam er fixture & Transformer Clearance -I . Protection 69. Wtr. Htr.; Vents 4Clearance-Comb. Air-Connector-P.R.V.- In Garage; Abov Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & ch. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Recepta les in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Fm -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn, Vents Crawl Hole Door -Drainage & Wood -Earth Clearance Looked and r Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following stld.: Drive E] Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; own -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Un' ;Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78, Vents ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water ell; Disconnect, Electrical, Plumbing �� 80. Exter or Elec. Trim; G.F.I. Receptacle -Underground Card B-ICard 8-I Date ateate 81. Ven Iation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK exce t N's 82. GI s Protection 83. C rrections from Previous Inspections 84, Ps Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & S port 85.,tater & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above LAsulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Over ow; Size & Grade 34. Furnace -Vent; Access- omb. Air -Return Air Vent -115V outlet 35. Attic Access & Platfor if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & AnctLors O 37. Walls; Studs -Nailing, Spaci & Bracing -Plates -Sound 38. Bearing Walls over Girders t Floor Nailing 39. Draft Stop in Walls (rat pr f) 40. Fire Stops; Furred Ceili!is-Stairs-Chases-Tub 41. Header & Beam -Size & earing 42. Hangers -Post Caps- chors-Connectors 43. 44. Cing. Joist-Rflr. Ti -Purlin-Roof Brac.-Truss-Shthng_.-_Rfn_g_._ _ Fireplace Ties or T pe A Flue -Fireplace Throat 45. Attic Access; Sii & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) ,r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' / 196 Memorial Way, Chico — Phone: 891-2751 ; 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57„ / i CORRECTION NOTICE OWNER PERMIT NO. A rout/thebove on indicates that the following violations of County Ordinance exist address and should be corrected. Please notify this office when work is completed. If you have any question pertaining to this matterditional explanation, please contact this office immediately. oil AL--MAWI WI-A9.0�i ��1FmLa1 1 Inspector_ .. Date_ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville�,California 95965 - Telephone 916/534-4541 V/4r APPLICATION AND PERMIT PERMIT NNO_.r�/�/ ASSESSOR PARCELNUMBER).- Z IN G 1T`ELEPHdNE BUILDING PERMIT oWt�FRn SQ. FT. OCC. BUILDING VALVA I N OWNjER(/4 MING_,�DDRESSO o CON ALTO 'S NAME TELEPHONE 1-4 Ifn it) X2I CONTRACTOR'S A LING ADD ES Ir Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ (� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ d� BUI7L/G46DD ES PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE A _ �� SF ❑ Duplex❑ Mobilehome❑ Other /T� SPECIFY Building sewer 5.00 Mobile Home _FSFG W 10-00e EH TYPE OF WORK New Addition❑ Remodel El Utilities❑ Installation❑ Other❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCC OR ADDNS. ( ACC. BLDGS. 21h2sgft CONTRACTORS LICENSE LAW I decl a under penalty of perjury (Check Orle): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions. C e d y license is in full ce and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTL NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. /POWER APPARATUS &) NON -R ESI D. %SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES eALeaoQ SAL@30 FIXED A FIXED APPLNS, OR \ Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit 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 Countyot Butte to ente pon the above-mentioned property for inspection purposes. I also agree t save indemnify and keep harmless the County of Butte against all I'a ilitie. , 'udg ent c and expenses which may in any way accrue agai t ai C i nse a of the granting of this permit. X Date Signature of Applicant — wner ElContractor Jam- Agent F1 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 I TYPE OF CONST. PARCEL PO ND 19SU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECOF P to By / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. LIC WORKS Date Receipt No. l�Cl WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F - To: Building Department From: Environmental Health Subject: Sanitation Clearance Owner Location �s -?/- 7, _ AP Plans approved for: Sewage Disposal_ Water Supply Hold final for: Water Supp y Fi_nal`Clearance O.K. for: Water Supply. Clearance for bedroom mobile home. Other Clearance for addition of U/�l'lG� Zz 1CL r N it e,*i* .I /Sanitarian to COUNTY OF BUTTE-'DEPARTMEItAT.OE,~PUPLIeWORKS - BUILDING DIVISION t. i. 7 COUNTY CEP4T,ER_1 RIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 .� _PERMIT APPLICATION DATA SHEET Permit No. OWNER �H I 1 0� A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explair>`) Building Inspector_=-tDate 77 '��%a� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED V 1. All items have been submitted. . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . . . . . 9. Letter of signature authorization. . . . . . . 10. Sanitation approval from '10P41 Health Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12: Certificate of Workmen's Compensation Insurance. . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to ownerE] 15. Improvements may be required... . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector 18. Other (Dote) When you issue the permit, process as follows: -Mai l to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/.inspector Other Applicant e Dat ' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by_ Plans approved by Other: Copy—DPW Telephone Mail Date Da Other NOTE—All Materials & Workmanship Shall Be in This set of plans andpecif°ications MUST bF Accordance with Recognized Good Practices and kept on the icb at a�'times and int is �unlawfui }:, of a quality prescribed for the Specified use in th® � make any changes or ali-erations on same withou� Uniform Building, Plumbing & Mechanical Codes and +he National Electrical Code. wriVen permission from the Deportment of Pub, lic Works, County of Butted �f 0��� �Qb ion 7,6 '1 !_ _ 7�_ i _ Y ' A setback or 5 ft. from the d property lines and a setback (j of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. y &Y BUTTE BUTTE COUNTY N`\nk BUILDING DEPARTMENT APPROVED BUTTE COUNTY .DING DEPARTMENT t\ P P. W,) �o YED jT 0� �! dwz- 91N�s-'Tt-AE vz --sl —1 —u—n !It MI I - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 65-31-21 ZONING BUILDING PERMIT OWNER Bob Sehrt TELEPHONE S0. FT. OCC. BUILDING VALUATION 1St Renewal OWNER'S MAILING ADDRESS 14869 o a ' CONTRACTOR'S N AME Ken Brown TELEPHONE 873-1215 ' CONTRACTOR'S MAILING ADDRESS 14559 Skyway, Ma alfa Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee (Z of Original) $ 25.00 ARCHITECT OR ENGINEER None LICENSE NO., Plan Checking Fee $ Ener Plan Checkin Fee Energy 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14869 Goldcone Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Magalia Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other © Describe work.: Ist 1stR n wal of Permit #2993-84 Permit Fee $ - Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. (ACC. BLDGS. /z¢sgft NEW CONST R. OUTLET 2.50 ea NO N•RESID BRRAANNCCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 2ALO 30 ALO FIXED APPLNS. \ Ex. OCCUp. OUTLETS (RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject j� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, c ts, and expenses which may in any way accrue agains unt ' c qu7p of PO gr nting of this permit. X d �-� ��-�� r �Date o Signature of Applicant — OwnerA Contractor ❑ Agent ❑ An OSHA permit is required for excova 'ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 35.00 OCCUP. CONST.TYP! I IFLOODIPARCELI PD ND se1E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRE C OR UBLIC WORKS By Date PERMIT EXPIRES Date 9-25-86 Receipt No. Z-12—Cep �� WNIT!-D.P.W.. YELLOW -ASS (9SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT / COUNTY OF BUTTE - D PARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, CaOifornia 95965 - Telephone 916/534-454;0 16/534-454 APPLICATION AND PERMIT CCCJJJ ASS OR_PARCEL'NUMBER kS� ZO IN BUILDING PERMIT OWNE -5-E,TELEPHONE 60ZOWNER'S SQ. FT. OCC. BUILDING VALUATION MAILING ADDRESS NTR C R'S N M ./'� TE EPHONE Y' O ACTO S M AFL N S Fireplace CONSTRUCTION LENDE14I rfNkNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ORENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / a 49PLUMBING Permit fee $ PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTIJFyE SF ❑ Duplex❑ Mobilehome❑ Other SPECIE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New F1 Addition El Remodel❑ Utilities Installation❑ Other Descri work: _ a ' — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 W - Main service 1101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.eI OR ADDNS. 1 ACC. BLDGS. 1/20Sq ft NEWCONSTR ULT' -OUTLET NON•R ESBRANCH CIRC ITS 2.50 ea /POWER APPARATUS e) (SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20050t 9AL®ao FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the abovmentioned property fr inspectio II also agree to save, ndemnfy and keep harmlesso othe Countynof Butte against all liabilities, judgments, costs, and expenses which may in any way accrue 1 agar Id Co my in .onse uenc of the granting of this permit. /�/ / X ;W Date ~����[� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE FLOaa PARCEL P11 ND 1580 This permit is hereby issued under sions of the Butte County Code and/or work indicated above fo which IRE F PUB B P I XPIRES Date the applicable provi- resolutions to do f have been paid. ORKS ol SD_ate 7 99-2 �/ Receipt No.!:�O( WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALfFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET • n �.. Permit No. r OWNER Proposed Building Use Permit Fee Based Upon Building Inspector wn�_ ip-- - _Complete Contract Price r (,Explain) A. P. No. `---- DPW Valuation Date'— At time of permit application, I was ad sed the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2— Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . ... . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , . . . , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. OwnPbr-Buitd%r VjiyicadenA(Gk) Iilicve�. tiro -owner❑, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Dote) 8 Recorded copy of Agricultural Acknowledgment Statement. . Other When you issue the permit, process as follows: Mail /to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant ��=-fid ACL% Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Date Plans approved by Date Other: Copy—DPW Date e�_s�.. �_ �Q.:.� _ _ �. s __e � _ _ u�.U,a_ �_ �..9.xi. �.�_s�.s: V� _ _ �_ _._ Y _.____ __ 8�3�12is ___: COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this. work, but I have hired the following person to coordinate, supervise, and provide the major, work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: �14 � � _---. Property Owner , Social Security Number _ Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 2996-85 2324-86 PERMIT NO. 3673-86B PERMIT EXPIRES - OWNER BOB SEHRT i,i Bert 4)arb� ow K C- V,-,, CONTR.- ASSESSOR PARCEL 65-31-21 LOCATION 14869 Goldcone, Magalia Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E . JOB FINALED (Date) Signature G�� /> J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date_ UNDERFLOOR (Plans) OK except N's Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. _ -3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. C 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7 Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Gard -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan:_ Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI 48. Date Card -BI Date Card -BI 49. Date Card -BI Date Date ELECTRICAL (Permit) OK except N's Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 20. Fixture & Transformer Clearance -Ins. Protection _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ - 21. Elec. Receptacles Spacing -Lights & Switches at Doors t 22. Size Boxes & No. of Conductors -Stapled Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ _ Glazing Area -Glass Protection -Skylights -Plastic 23. Romex Installed Close to Edge of Studs & C.J. Shear Walls; Nailing -Bolts 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At :e 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Date Card -BI Date Card -BI Date Insulated Neutral - Yes. %No _ 28. _ Service -Riser Conductors & Ground-MainDisconnect_ 4 29. Equip. Clearances: Panels-Motors-Mech_ Equip. 30. Clothes Closet Light -Shower Light Card B -I 60. Date Card -Bi Date Card B -I 61. Date Card -BI - Date -- - - Date MECHANICAL (Permit) OK except N'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 -Bl Date Card -BI Date Date FRAMING(Plans) OK except #'s 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. Insulation -Foam -Looked in Attic ❑Yes 73. 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 EJ -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. Glass Protection _ 83. 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 48. Property Line Firewall & Openings Date 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Card -BI 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ - 52. Siding -Nailing -Veneer i 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ _ 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 N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 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. Insulation -Foam -Looked in Attic ❑Yes 73. 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 EJ -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. Glass Protection _ 83. 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 Date Card -BI 7;:ta Card -BI Date Card -BI Date Card -BI Date i Com tents at Final. 36. Sills; Proper Material & Anchors 37. )Valls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rtir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) V_ -0K' O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MI ELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECK OV S, CARPORTS, ETC. (Plans) OK except x s 1 Zo gRequirements-Setbacks-Easements _ 1. Zoning Requirements -Setbacks -Easements 2. o 'ngs; Size -Depth -Spacing -Connectors _ 2. Soils; Special MH Support -Sketch b Decks; Girders—and/or Joisi8--5eGli + --B g-' a' 3. Sewer; Location -Test -Fall -C/0 -Concrete Aelfood Awn.; Pyetg-B-Cor>flee�Sf-RSg<8ra61rg 1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete - onn tions -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./"L"ft./ /"LPG rs 7. Utility Clearance -2fEc. Card -BI Date Card -BI Date Card -BI ate and -BI Date --lf Card -BI Date --1V -L`7 Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 3. Gas; MH Test -Demand -Valve -Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Elec.; Pool Lighting; 15 volts-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test -Regulator -Connector 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. 8. Gas and Electricity Tagged Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 9. Health Department Approval 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date r.,.a a_i nara Card -BI Date Card -BI Date ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534A541 Skyway and Elliott Road, Paradise — P.hone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corre n of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. CYClr%.-n.,i. ( Inspector—�/�!�'�/!/'" ' Date_ f �� COUNTY OF BUTTE - DERARTM,ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califor`n'ia 9596A - Telephone 916/534-4541 APPLICATION AND PERMIT ERM T NO. ASSESSOR PARCEL NUMBER LJ ZONING BUILDING PERMIY(' OWNER TELEPHONE SQ. FT. OCC. - BUILDING V UATION � COWNER' MA1 )W, DDRESS CONTRACTOR'S NAME TELEPHONE �e CO TRA ` R'S MA�5PLING ADDRESS- a / Fireplace CONSTRUCTION LENDER �-� UNKNOWN - Total Valuation I $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ � ARCHITECT OR ENGINEER 16/ L�F__ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /- Permit fee ` PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �7/6G Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P -RC EL MA Water piping 5.00 Each qas water heater or vent 5.00 USEOF STICTURE SF [:1Duplex❑ MobilehomeL_vJ/Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S1 GJWJ 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel/❑ Utilities❑ Installation4 Other Describe work: �f�(�d �/�fG`� (C�f� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license IS In full force and effect. L cense 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 ,d for sale. (Sec. 7044) ontract- © , as the owner, am exclusively contracting with licensed contract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ADDNS. ( ACC. BLOGS. , /2OSgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup 1.20050t p OUTLETS OR FIXTURES eAL&30 Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become -subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con equence of the granting of this permit. X� �� _ 9 ti� Date Q Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7C, OCCUP. CONST.T7PEJ I IFLOODIPARCELI PD I ND r ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By ! PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT b'1=.i�,UB6IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 i PERMIT APPLICATION DATA SHEET Permit No. OWNER ��� A. P. No. Proposed Building Use G� -V Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector owe Date 1.2, At time of permit application, I was advised4 following data must be submitted prior to..permit processing and./or i3suance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . " 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. S. Fees of $ ,1 "etter of signature authorizatiq#. . 9--tetter approval from 1114 - Health Dept. . . l > — 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 'Contractor's License Information (no., name style, classif.) 14.. Owner -Builder Verification (Given to owner alto owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector 13. Recorded copy of Agricultural Acknowledgment Statement . — Other s- 9E- ?9 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icanC�''v� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. ; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ontra or, Designer, Owner) was advised of above required data b i Plans checked by Plans approved by - Other: Copy—DPW Telephone Date Date -Mail Other Date/2 77el 1,0: Building Depa_rt!natht 1. ROM: EnvironmentalHealth , SUBJECT: SANITATION CLEARANCE ' OWNER , LOCATION AP p Plans approved for: Sewage Disposal Water Supply Hold final for: ',';'-l.' Water Supply Final Clearance O.K.wfors Water Supply Clearance for bedroom mobile home: Other ileara ce for addition o'g k lo t SANITARI z-� DATE U COUNTY OF BUTTE - Departm nt of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: 0 Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ,� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work.- Name ork:Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: t Name Address Phone Type of Work Signed: /�— Property Owner JCi����� Social Security Number Date /.2—���,�� NOTE:, This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our. office before we are per- mitted to issue the permit. 3387-76P,E PERMIT NO. PERMIT EXPIRES Z OWNER Robert E. Sehrt CONTR. owner LOCATION (A.P. 65-31-21 1405 Goldcone Dr., Magalia. Temp. Power Pole Called PG&E Temp. Elec. v - Called &E Z2 Temp. s Serv. m Called p * ' ' Eu ePG&E c Called I ed Temp. s 'r S v & E Serv. P & C ed PG&E J B INALED (Date) (S i g�K t u re) 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? YeOL 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 mabileliome supply conductor, including neuCral. S. 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 'g.hall 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'apprbved 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 Lergth,Width Vehicle Serial No. State Identification No.���1�(5Y} Additional:Informati_on or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located'w h 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) YesZNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes -A No 4. Is the mobilehome level? (Sec. 5088) Ye( No 5. If core than a single unit, are crossover connections properly installed? (Sec. 5088) Yeses` No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 0' No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes No C>an<ressure-relief low - If coach is not State of California approved, does station have backflow device valve? Yes No 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" per foot slope and is it properly supported? Ye No C. Are any leaks detected in drainage system after running�3-gallons of water through each fixture including washing machine standpipe? Yes N D.coach is not State of .California approved, does station have required trap and vent? Y No 8. Gaing and Gas Vents A. Conn for - Is mobilehome connected to the gas supply with an approved 3/4" mi . um mobileh a connector not more than 6 ft. long? Note: All piping is to b least as large as t mobilehome gas line inlet without reductions other than a mobilehome connector. Y No B. Test OK as per foling procedure? Yes No 1. Open all appliance onnector valves. / 2.. Shut off appliance burn and pilot lves. 3. Air test with manometer to 10" " water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) tali ted in th pound increments. Test for 10 min. without drop. 4. Connect ga eter to mobilehome with connecto turn on gas, test connections with soapy er. C.__Ar—all appliance vents properly installed? Yes No Setback Forms Main Bid . Footing StemwaI I Slab Piers COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) . t PLUMBING I Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer - Fdn. Vents Fixtures Garage Vents Insulation Insulation Water Htr. 7 - Heaters Slab Carport Footin s Footings Prov. for p ysically handica d Conform nce of ex- x. structurk Appliances �---� a Gas Piping & Test - Tem . Gas -" Slab Final . - Sanitation Patio FIREPLACE Final Footings V Footing ELECTRICAL Masonry Walls A Throat Rough - �``" Reinf. Steel Final Fixtures Bond Beam FI E SPRINKLERS Motors Framing Test y Water Htr. = Stucco Final Subpanels Mesh MEC ANIC L Grd. Fault Prot. Scratch Heating Service — Brown Cooling A Temp. Pole Finish Ducts Underground _ Interior Lah Ventilation Permanent�- Door Clod r Final Final . DATE REMARK R CORRECTIONS N 0 I (NOTE: An entry must be made on this form each time you visit the job site.) � yr COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number.` ?' '%� for the followinu lnrstinn- Owner's Address Mobilehome Model—,�// Year7 Insignia No.�1 el'" 3n, A f 7 Serial No. 2n? It is hereby certified for occupancy at the above described locati n and may be occupied. Director of Public Works Date ' 2 /By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — UEPAPrTMENT OF PUBLIC WORKS 7 County Center Drive -- 'Qrovrlle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X<r f `� Date 7�� " 7 igncture of Permitee or Agents Receipt No. TO3s'� White-D.P.W. - Yellow -Assessor - Pink -Inspector - G'oldenrod-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 RaLIC WORKS By- —^�� Date 7—/ X — 7,6 B�iing permit expires Date / Z 77 BUILDING Owner! �J SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. ' Fireplace Contractor G %� C•Q Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty " Cle) L 7z-! Permit Fee $ Building Address O S �D Ld v, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 is Li 4 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 jv`J— � c 2 ' — `� A. P. No. t J a� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Sati-tetieR. 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 Fr Bldg. Plans ecR d Parcel Ap al Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [��-- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /�� 4- f'Q� /ted 7_ '7 (� Main service soov OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ®� Others ❑ OVER Main service 00 AMP oR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGSCCUP. &) 20sgft NEWCONSTR. MULTI.OUTLET NON .RESID, ( BRANCH CIRCUITS) 12.50ea 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: �' ✓� S='�/%�,� '�%�/r l� il' Ex. Occup(OUTLETS OR FIXTURES)@25a 100 Ex. up ( FIXED APPLES, OR Occ OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 131;. .S � < Classification C 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. 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 12.00 Hood 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 ZZZ _7/157 CZ -4 7% ;✓ COUNTY OF BUTTE• — DEPARTMENT OF PUBLIC WORKS 7 County Center— rive : Oroville, California 95965 3y Q' �%A Teleph,)ne-:'534-4541 Q / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X — ^ 441- orDate Signature of Pee/mittee or Agent Receipt No. 7 �c+ / 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 paid. DIRECTOR OF BLIC WORKS BY Date�� uilding permit expires Date BUILDING Owner —�?- 5'1 SQ. FT. OCC. BUILDING VALUATION Mailing Address S c� Telephone No. 'l (-f'/3"L Fireplace Contractor SLaLJ Total Valuation Mai ling Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 L/ �— �' t0� �� Each Trap 1.50 Repair drainage or vent piping 1.50 _ p1 s� Z3n7ng Vorr`�,ica}ion Or Water piping .4-5& 0 -- f!Each gas water heater or vent 1.150 r S_ 2 I A. P. No.' lCa RT I 0 4__Each Gas piping system 1- 5 outlets 1.50 additional outlet .30 Fe Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA Ppla is Declarratio�n is Parcel ap 60' R/W Improvements Lawn sprinkler system 2.00 BldJ)W `�s Rec'd j �Facel1Approval Plans proval Permit Fee $ — 3 — NEW E]ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1 S i r ✓� c f'TE Main service 600V OR Q- 100 AMP ORLESS5.00 S1� Main service EA. ADD•L 100 AMP 2.50 -2ER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 .90 PT. NEW CONST. OR ADDNS. ( A/CCLBLDGLING OCCUP. &\ 20sq ft NEW R ( BRANCH CIRCUITS/) 2.50ea NON•RESID t�Syy0��R• "�M.,�1N11�U1� nd 7�iJa.;,'a NEW CONSTR. (POWER APPARATUS&J NON-RESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: .. Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. Occup. ( FIXED APLNS, OR P•OUTLETS (RESID.) EA) Z.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 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. 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 11 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 $ ,3 _ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X — ^ 441- orDate Signature of Pee/mittee or Agent Receipt No. 7 �c+ / 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 paid. DIRECTOR OF BLIC WORKS BY Date�� uilding permit expires Date � i► 3200-83B PERMIT -'No. PERMIT EXPIRES OWNER BOB SMRT CONTR. Behar Const, Paradise ASSESSOR PARCEL 65-31-21 LOCATION 14869 Goldcone, Magalia L -L— - j 1 F s . i. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E _ f Temp. Gas Service Cal led PG&E JOB FINALED (Date) Rf Signature J = OK ' 0 = Not OK = Not Applicable EN D� g p � = Not Ready RESL�:�i ATA-� �Srrn �e and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Fig. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage;,Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54, Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -61 Date Card -61 Date Card -BI Date Card -BI Date Card -61 Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Gas Pipe; Size & Anchors _ ___19_. 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -61 Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors _ 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E3 Yes - 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. _Insulat_ed Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish __- 29. Equip. Clearances: Pane IS-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- - Card B -I Card B -I ----------- ---- ------- _____Date- Card -BI -_ Date Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr!it) OK except N's 83. 84. 85. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval _ - 31_ A.C-.-Ducts: Insulation & Support - _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. Attic Access & Platform if Furnace in Attic -- -- Date_- Card -BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ _ 36. 37. 38. 39. Sills; Proper Material & Anchors Walls; _Studs -Nailing, Spacing & Bra cing-Plates_-Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) _ _ 40. 41. 42. 43. 44. 45 46. 47. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin - Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm._Win_do_ws or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) V = OK 0 = Not OK - = Not Applicable * = Not Ready 9' MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date CARPORTS, ETC. (Plans) OK except N's 1P -Z`6 ­q' g -Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2.�ngs; Size -Depth -Spacing -Connectors � ks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rig.-Bracing_ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - Card -BI Date Card -BI Date Card -BI ate Card -BI Date Z Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except fl's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK sept #'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-Lin.ng 4. Electricity; MH -Test-Crossovers-Breakers-Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI - 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval �- 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date P(& [b�-3 6u� - COUNTY 0� BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center DAZe - Oratville, California 95965 - Telephone 916/534-4541 .1'- 'APPLICAVOW ARD PERMIT } PERMIT NO. (JA ASSESSOR PARCELNUMBERN ZONING BUILDING PERMI OWNER TELEPHONE SO. FT, O(•i`C. BUILDING VALUA ION D0b) 6p, OWNE S MA _ING ADDRESS c P, CONT TOR'S NAME --s -Cov,� TELEPHONE CON ACTOR'SMAI ING ADDRESS �� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 7-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS idlq Permit fee $ — BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5. Gas piping system 1 - 5 outlets 5, USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other y Describe work ) 122646CE-0 .&.t Permit Fee $ Contractor ELECTRICAL PERMIT FflingFee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / t 2/20sgft CONTRACTORS LICENSE LAW I declare ler penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �/ LicenseNo.� 7d,��Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NON.REs o BRANCH CIRCUITS 2.50 ea NEW CONSTR (POWER APPARATUS &') NON.RESID. SINGLE OUTLET CIR, 20®s Ex. OCCUp(OUTLETS OR FIXTURES BAL 0 EX. OCCUp. OUTLETS FIXED P(RESID.)REA.� 2.00 Temporary service 10.00 ' Mobile Home Facilities 1 00 Misc. Wiring 15 00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. ur e. not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 Count in cansequence of the granting of this permit. 9 X - Date l ���/ Signature of Applicant — Owner ❑ . Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ O TOTAL PERMIT FEE $ OcCUP. GROUP M_�_ I _TOF co ST. IPA71 PD Issu �rl This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Q D qi�v v /��a Receipt No. lJ WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MORI 14, -7-1 cn e •tlux PIENS amore or wool1Z cac" 1�122 - JOUBLE WIDE MOBILE COACH Scale: I" - 10' FOR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP A ASSOC. FOR APPROVAL. vTANDARD PiER Jr FOOTING SPACING PER MOBILE HONE MANUFACTURER'S INSTALLATION MANUAL is n 2' DIA 4 - 3/Q' n BOLTS n O N ►'"M� ► � r~� rM� TO IW 0 n n fN-P�D� x ! tf !3 h 5/16' PLATE 5/8' X 1 1/4' VOLT I p Not to Scaie { M (I� LOJ L' -I !� cs u t� u of HOWLS colclt O •- SINGLE: WIDE 'TYPICAL u PLAN SINGLE WIDE MOBILtE Scab: 1• n 10' COACH NOTE: STANDARC PIER k KnTIM SPACi14C PER MOBILE NCWE iIANUFACTURER'S INSTALLATION MANUAL DOUBLE Y 1�122 - JOUBLE WIDE MOBILE COACH Scale: I" - 10' FOR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP A ASSOC. FOR APPROVAL. vTANDARD PiER Jr FOOTING SPACING PER MOBILE HONE MANUFACTURER'S INSTALLATION MANUAL ELEVATION NOT TO SCALE COACH 1 SEAN T X 3' PLATE RRrARRMAe CALU ONMA 000% OF 9JU39AATIOML T= 2S AND U -►C. 1994 SDT110N. 1. D�OSION LL�ALlA; ' 4 - 3/=71 AL IM LOAa -LATUAL Un IAAF MAX TUBE HEIGHT Ita.TZ•e• .1► -- 8• SHORT TUK V T 2' DIA 4 - 3/Q' STD PIPE BOLTS �ttlQelTMc Moelu� O N T IGHTEN 1 u � y y `'9 3/16' PLATE TO IW 0 CLAMP fN-P�D� x 3/4' THREADED 29 I 7F TYP Or 4 5/16' PLATE 5/8' X 1 1/4' VOLT I p Not to Scaie { M (I� LOJ L' -I suswic MRS A mulJDAP ON of HOWLS colclt O •- SINGLE: WIDE 'TYPICAL PLAN SINGLE WIDE MOBILtE Scab: 1• n 10' COACH NOTE: STANDARC PIER k KnTIM SPACi14C PER MOBILE NCWE iIANUFACTURER'S INSTALLATION MANUAL ELEVATION NOT TO SCALE COACH 1 SEAN T X 3' PLATE RRrARRMAe CALU ONMA 000% OF 9JU39AATIOML T= 2S AND U -►C. 1994 SDT110N. 1. D�OSION LL�ALlA; ' 4 - 3/=71 AL IM LOAa -LATUAL Un IAAF MAX TUBE HEIGHT Ita.TZ•e• .1► -- 8• SHORT TUK V 14' LONG TUSE 2' DIA 4 - 3/Q' STD PIPE BOLTS O N T IGHTEN 1 u � y y `'9 3/16' PLATE TO IW 0 CLAMP fN-P�D� 3/4' THREADED 3/16' PLATE LEGS ROD TYP Or 4 5/16' PLATE 5/8' X 1 1/4' VOLT WITH HARDENEQ VASHER SEISMIC PIER Not to Scaie C.P. SEISMIC PIER#1 - PATENT PENDING NOTE - 180 IN -POUNDS IS EQUIVALENT TO 15 rT-POUNDS 2 - 3/8' x V BOLTS FiELD DRILL HOLES OPTION OF 4 - 414 TEX STS COACH C OR J BEAN I/4'x2'x4'3. x 3' ANGLE 3' VIDE ZA/ PLATE BOLTS SCISNIC PIER . TYPICAL BEAM CONNECTIONS Not to Scale Ii to !w OVEMn ra CMV/IMG AMD a C MK"NK., Ims"I / 5/9' . 11/4' K1. 1 8' 24' L -- 36 112' -------•� SiWM1,19 sM! Aw.1w bust 1 ' --•rte-3.55' ,..-•.4 vvr I • _J i PRECAST CONCRETE. FOUNDATION PAD SCALE: V = 1.5' 3/4' PLYWUOD SHI.EiS SCRE'VED iL)GEIHER VITn 30'w32'x3/4' 8 '08 x 1 1/2• EHVS PI. YVCIOD 1 nl it 1. S i UR ` i8'x(.'4'xJ/4' ■� x PLYWOOD x x x i AI.,T 1I NATIVE PLYWOOD FOUNDATION PAI) S(.AIL E 1"=1.5' 4 THIS 096m fIQADM RABIC it OOlNlrlWr WrM AM EM LOA06 WIND VhAD► AND SWMIC ZQW AO Ii1TAMSPMXR>i1s4"ltlRMtXXLD i0WI'l WAWICPWLOCA1.11R>f+► >f. IM K1L>1'1DATMN 1S =no= 10 CWrMV: A!i'MMA AWT PIOLNDATM. 4. AIL P KMM AR T0='vLrP3 il6 BY P' K UNSAflMAIM UNOWTURM COMM SOLI, POOTIN100 ARE DOtis1MD POR IQW W TORAH. LOAD SOL >!Ri/MIRt AND WJ L M COMPATIOU WrM..LOCAL SOD. COPIDfflON�. !. tMUCIt)RAL I'voili a SBAm CONFORM TO ASTM Am r - 7A KA MD)t um w up.M BIC PANRICATM AOOOR" TO Atrc smwIcArow L S1L" RS WK= AC0ORD010 TO AWB / IC0WAT1O * L. . m L PLATM . Aldi AM ilL ANCHOR ISOLTSs A11U A317. N. /OUTS) . W Ott-A#IU AM! -ASTM A3:7 •. Ti Rum 900 COIF DRAWN LOW CARBON WItLOABL.A L ALL MRTALOOiigiQM RKUMM MAU A SCREWS ><M An TO ON FROTEC" OOATAR 6. 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