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065-320-023
Carl Molis 1245 Goldcone, lot 68, PP#l, Magalia .• �_ :cont Aiken & Fairbanks Inc., Paradise Permit&349-76P,E(util.,MH) ELEC . kwup GAS SUPPORT STRUCINRE REQ. CO'�Ii PACTION TEST Q. 3 6 2-23 Contr : Aiken & Fairba . Permit #4750-76P(g piping) MH _ _------- -32-23 contr:..Beich Mob' Berne, Sales, Chico Permit IP4598-7 I �TSsued AP 65-32-23 Permit 5492-76B -.- (2 cov.decks/MH) .• 065-320-023 WILLIAMS, ROBERT 14803 GOLDCONE, M, CONT: SIERRA M01311 EX MH PERM FND El O • Cfll,�fM CN E 1 f. RECO.R, bIN64REQUESTEWBY:• _ AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2004-0068364 Recorded Official Records Count BUTV CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:08AM 08 -Nov -2004 REC FEE 10.00 CONFORM 1.00 Alyce 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 1,8551., This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT L. WILLIAMS AND CINDY L. WILLIAMS FAMILY TRUST REAL PROPERTY OWNER/LESSOR 14803 GOLDCONE DR. MAILING ADDRESS MAGALIA BUTTE CA. 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP ROBERT L. WILLIAMS AND CINDY L WILLIAMS UNIT OWNER (if also property owner. write "SAME") 14803 GOLDCONE DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION UNKNOWN 1976 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 04-309. 530 538-7541 BHI G MIT NO. T EPH FUMBER MB SIGNATU LOCAL AGENCY OFFICIAL , DATE NON DEALER NAME (if not a dealer sale. write "NONE") NONE DEALER LICENSE NO. BARRINGTON MANUFACTURER'S_ NAME DATE OF MANUFACTURE , MODEL NAME/NUMBER' SA/B7800 60'X 24' MH247856/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-320-023 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. t E•-. RECORD=NG REQUFSTF,'a BY: ROBERT L. WILLIAMS CINDY L. WILLIAMS 14803 GOLDCONE DRIVE MAUALIA, CA 95954 WHEN RECORDED, MAIL TO: SAME AS ABOVE - MAIL TAX STATEMENTS TO: SAKE AS ABOVE APN 065-320-023-000 NO'PICTs; "YETIS cONVlY7�'dcE IS AND IS EX )T FROM TAX AND T) 9 4-04119 3, Rec Fee 9.00 I Check 9.00 Recorded I Official Records I County of I Butte Candace J. Grubbs I 'S USE Recorder ! 8:02am 3-6ct-94 ! PUBL MP 2 TO A TRUST ORRUSTEE I40T PURS_TAr*T TOA SAIr iF UNDERSIGNED ARE THE f)FCF�ARANTS . " GRANT DEEP Re-recording to correct the legal description on document 94-016048 GRANTORS, ROBERT L. WILLIAMS AND CINDY L. WILLITiMS, HUSBAND AND WIFE, GRANTS TO GRANTEES, ROBERT L. WILLIAMS AND CINDY L. WILLIAMS, AS TRUSTEES Or THE ROBERT L. AND CINDY L. WILLIAMS FAMILY TP.UST, DATED the following described real property in the County of Butte, State of Califo-rnia: Lot 68. as shown on that certain Map entitled, "Paradise Pines Mobile Home Estates Unit No. 111, which Map was recorded in the office of the Recorder of the County of Buttc, Statc of California, on April 10, 1970 in Book 35 of',taaps, at pages 65, 66, 67 and 68. EXCEPTING all minerals, as excepted of record. i NE.:£ CUP, MIL14D THIS � DAY OF to ROBERT L. WILLI `u1S - CiNrj ' FT. IWILL•11LMS -- Page 3. of 2 i RECORDIN,9 REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 08-Kov-2004 2004-0068364 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT L. WILLIAMS AND CINDY L. WILLIAMS FAMILY TRUST REAL PROPERTY OWNER/LESSOR 14803 GOLDCONE DR. MAILING ADDRESS MAGALIA BUTTE CA. 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP ROBERT L. WILLIAMS AND CINDY L WILLIAMS UNIT OWNER (if also Property owner, write "SAME") 14803 GOLDCONE DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE BARRINGTON MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-3094, (530) 538-7541 NG NO. ,TFLEPH J-6 E NUMBER !MIT1 j 1-12 l SIGNATU LOCAL AGENCY OFFICIAL DATE NON DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO UNKNOWN 1976 BARRINGTON MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER SA/B7800 60'X 24' MH247856/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 065-320-023 SEE. ATTACHED HCD FORM 433(A) REV. 8/91 e0 RECORDING j.ZEQUSTED BY: ROBERT WILLIAMS CINDY L. WILLIAMS 14803 GOLDCONE DRIVE MAGALIA, CA,95954 WHEN RECORDED, MAIL 10: SAME. AS ABOVE - MAIL TAX STATEMENTS TO: SAME AS, ABOVE APN 065-320-023-000 NOTICE: "THIS CONVEYANCE IS AND IS EXEMPT FROM TAX AND TI 94-4!!93 9 4-041193 3, Rec Fee 9.00 I Check 9.00 Recorded I Official Records I County of ! Butte ! Candace J. Grubbs I 'S USE Recorder ! 8:02am 3 -Oct -94 ! FUSL MP 2 TO A TRUST ORRUSTEE IVO i PUR5,TAIv*T TOA SALP;_ IE UNDERSIGNED ATF. TNF. DECLARANTS . " G R A N T D R E D Re-recording to correct the legal description on document 94-016048 GRANTORS, ROBERT L. WILLIAKS AND CINDY L. WILLIAMS, HUS13AND AND WIVE, GRANTS TO GRANTEES, ROBERT L. WILLIAMS AND CINDY L. WILLIAMS, AS TRUSTEES OF THE ROBERT L. AND CINDY L. WILLIAMS FAMILY TP,UST, DATED the following described real property in the County of Butte, State of California: Lot 68, as shown on that certain Map entitled, "Paradise Pines Klobile Home Estates Unit No. 111, which Map was recorded in the office of the Recorder of the County of Butte, State of California, on April 10, 1970 in Book 35 of Maps, at pages 65, 66, 67 and 68. EXCEPTING 111 minerals, as excepted of record. 8�I1�dE.^.S CL -PUL — THIS � / i3OAY OF � 9 � ;f P•.OBIETIT L. IIILL•IL\SS' CINDY i;: I•JILL•IAT•fS Page 1 of 2 BUILDING PERMIT,NUMBER: 04-3094 Address or location of unit: 14803 GOLDCONE. DR. MAGALIA, CA. 95954 Legal Description of Real Property: AP#: 065-320-023• �SEE ATTACHED i(x) Mobilehome/Manufactured Home ; Commercial Coach Has„been affixed to the real property above by installation on_ a foundation system pursuant to Health and Safety Code Section 18551. ,Owner's name: ROBERT L. WILLIAMS AND CINDY L. WILLIAMS FAMILY i . TRUST Owner's address: 14803 GOLDCONE DR. MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: MH247856/7 SERIAL NUMBER OR V.I.N.: SA/117800 MANUFACTURER'S NAME: UNKNOWN YEAR: 1976 OFFICIAL APPROVING INSTALLATION: 1 DATE: ( 0. PHONE: (530) 538-7541 HJEb.' 513C e 9 RECORDING _RZQUFSTED BY: ROBERT L. WILLIAMS CINDY L. WILLIAMS 14803 GOLDCONE DRIVE MAGALIA, CA 95954 WHEN RECORDED, MAIL T0: SAME AS ABOVE - MAIL TAX STAT KBS N -TS TO: SAME AS ABOVE APN 065-320-023-000 NO'PICT: "THIS CONVIEYAAICE IS AND IS EXEMPT FROM TAX AND TI Sts -•4I 193 .q I 9 4-04 1 1 q) 31 Rec Fee 0.00 9. 00 I Check Recorded I Official Records I County of Butte 1 Candace J. Grubbs I IS USE Recorder I 8:02am 3 -Oct -94 I PUBL MP 2 TO TRUST OR TRU,S2EE 190T PURSUANT TO A SAID iF UNDERSIGNED ARE THE fNCLARANTS." G R A N T D E E D Re-recording to correct the legal description an document 94-016048 GRANTORS, ROBERT L. WILLIAMS AND CINDY L. WILLIAMS, HUSBAND AND WIFE, GRANTS TO'GRANTEES, ROBERT L. WILLIAMS AND CINDY L. WILLIAMS, AS TRUSTEES OF THE ROBERT L. AND CINDY L. WILLIAMS FAMILY TRUST, DATED the following described real property in the County of Butte, State of California: Lot 68, as shown on that certain Map entitled, "Paradise Pines Mobile Home Estates Unit No. 1", which Map was record -ad in the office of the Recorder of the County of Butte, Stctc of California, on April 10, 1970 in Book -35 of traps, at pages 65, 66, 67 and 68. EXCEPTING all minerals, as excepted of record. T.TPIESS CUR 111'LND THIS / / DAY OF _ ��i'_.f_ 1... _� 19 /� C r'f-'�' ter' 1 • /%N /f •"-/-'�._:at��.___� � L:i11� . � �_' �• '�_ - J __ Ro3ER:11 L. 41ILLI'u4S CInJrjy WILL'IAIMS Page 3. of 2 - - — - r`.�.��:i`• ..Tyr:���,�-��r,n�.•T!'^�,•�.'., ATTACHED ARE THE DECALS FOR AN 065 -3Zo -o 7-3 STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMIEN T DrnTtTDATTnN —Aen MnnTl eunluc MANUFACTUP.ER NAME/IU TRADE NAME MODEL DOM DOT DFS SPC FXPiaAfIUA BPRRINGTON 00/00/76 09/09/76 AE1 109/30/9; RY-76 .0 SERIAL NUMBER i S87800 LABEL/INSIGNIA NUMBER MH247857 WEIGHT 000000 LENGTH 000720 WIDTH 000144 ISSUED 10/06/93 SCC 04 EXEMr USE I TY: 2 SA7800 MH247856 000000 000720 000144 1SFD LL TOTAL 3 FEES 5 PAID: B $79.00 A WILLIAMS ROBERT L/ o CINDY L JTRS rD 14803 GOLDCONE DR R MAGALIA 'CA 95954-9331 E 8 8 E s R WILLIAMS ROBERT L/ � ��,aSae �� Fi T.J �' ex DUPLICATE COPY E CINDY L JTRS v M Ie � a +� a TO BE FILED WITH THE M08ILEMOME I A 14803 GOLDCONE DR PARK OPERATOR AS REQUIRED BY LAW E MAGALIA..^ 4<A 95954-9331 R . r` tea:. 1 .Y,`.<y_��._ D• s 14803 GOLDCONE WPI, s ��, �r<� s �Y W Z .k; k� �y �' ='Cf�31 s- •f s N T '� sFy s x 3z f4 2d k ye, l:. � f.•. 5 & 1 ...:-w^f+.aY. E U MAGALIA CA 95954-9332.,- R S :a L ,FST INTERSTATE 8K CALIF.� ..._.. ': ? � 1 '� � ;�� ,,� •�� j E ............. r G DIRECT LN CENTER .-.. — � } � i a. { " � � 9 PO BX 7866 .0 t f+. i �; ' A W FP DATE 0 CA 7-7866 3e, r. N £. . `•� i � � a t � `� � � � � s t< i. r'� :'rat • y E r�Rt � •S "yZ hl 411 �3 a a« O F i t p4 t P 3CY lkh N I 4 O 3 R T L Z E N S H E O C L O 0 N E D R ItOtTANT 03-274-00956 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300724 OCT -29-2004 11:39 FR011:CITI 5303458408 TO:5340709 P:1/1 citi f inancial CiriFinancial 2-185 Nutrc rlaiuc Bnulcvard Suite 220 Chico, CA 95928 T,q 5:50 345 7495 ti00 471 ?f;(;2 Fax 530 .345 808 10-2604 Mailing Addtmu P.O, box 3197 (:hic:u, (:A 9597,.7 TO WIIQ�4 IT MAY CONCERN, CITII:IN.t�tiCIAL WILL BE PAYING OFF ROBERT & CINDY WILLIAKS 1ST MORTGAGE WITH GREENTREE WITH LOAN PROCEEDS. GREENTREE BOUGHT OUT THEIR LOAN WITH WASHINGTOW MUTUAL AND WASHINGTON MUTUAL B0UGHT THEIR LOAD OUT WITH 1ST !NTERSTATE. IF YOU HAVE ANY QUESTIONS PLEASE CALI PdE AT PHONE NUMBER ABOVE. THANK YOU, f C17'I POLITO ASST, .HAAAGER A memberof citigra4i NOTES, 1'' RESIDENTIAL c - )4-5094- PERIV T06'S-3'1U-023 r . _ S �OBLRT - WILLIAM ONE> MAC,ALIA A MOBILE SERUIC 1 14803 GOLD-_ ` CONT: SIERR SITE . FND EX y .I EX M1-1 PERM TH! HCD FORM 433A FOR THIS MH CANNOT BE --RECORDED UNTIL ONE OF THE FOLLOWING HAS / BEAN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE): (2) STATEMENT, OF FACTS (ONLY ON NEW MH'S). I t INSPECTOR TO VERIFY SERIAL & LABEL #'S. \_ . lR :J P I° SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY :iJOB FINALED (Date) l O I Signature 1 CHECKED BY BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043094 LICENSED CONTRACTORS 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 Issued Date: 11/01/2004 APN: 065-320-023-000 the Business and Professions Code, and my license is in full force and effect.J J Cb License Class: �' License umber: Site Address: 14803 GOLDCONE DR MAG Date: 114, w Contractor: Map Index: Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner•' WILLIAMS ROBERT. L & CINDY L FAM permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or. she is licensed pursuant to the provisions of WILLIAMS ROBERT L & CINDY L TRS the Contractor's State License Law (Chapter 9 commencing with Section 14803 GOLDCONE DR 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 MAGALIA, CA 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: WILLIAMS ROBERT L & CINDY L FAM owner of property who builds or improves thereon, and who does TRUST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.)i ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SIERRA MOBILE SERVICE BILL REID ❑ I am Exempt under Article 3 of the Business and Professions Code 466 CIRCLE' DRIVE Date: Owner: OROVILLE, CA 95966 530-534-0599 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 License #: 470386 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance. of the work for which this permit is issued. Gi-�l have and will maintain workers' compensation insurance, as Architect'' required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier: S7 Policy #: ('2 Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: become subject to the 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, 1 shall forthwith comply with those provisions. Date: 713053 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY _. _ I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Bmtte County Cods anNor Resolutio s do work i],Wdfich fees have been paid. _ performance of the work for which this permit is issued (Sec 3097 Civ.) ` D By Date: Name: PERMIT EXPIRES ON: I Address: Da ❑ I 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 & 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 owner or the duly authorized 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 substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes G t 1� Print Name:' Signature: �� ( O Date: ❑ Owner ❑n ractor 0 Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK . = Not Readyabfe DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test-Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect. 8. 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle _ 18. Water Pipe; Test & Anchor -Nail Protection 67. Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 23. Fire Sprinkler; Test Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 76. 24. Fixture & Transformer Clearance -Ins. Protection 77. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 78. 26. Size Boxes & No. of Conductors Stapled 79. 27. Romex Installed Close to Edge of Studs & C.J. 80. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes U No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 93. 38. Condensate Drain & Overflow, Size & Grade 94. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 95. 40. Attic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive D Yes D No/Walks D Yes D No/Planters 0 Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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: License umber: G Date: 11 f Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 the Contractor's Slate License Law (Chapter 9 commencing with Section 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 penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 9'1 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 insurance carrier and policy number are: Carrier: J J �� A, 4' Policy #: cl'2 S7 ❑ 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 agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall,subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP043094 Issued Date: 11/01/2004 APN: 065-320-023-000 Site Address: 14803 GOLDCONE DR MAG Map Index: Description: EX MH ON PERM FND' Owner: WILLIAMS ROBERT L & CINDY L FAM TRUST WILLIAMS ROBERT L & CINDY L TRS 14803 GOLDCONE DR MAGALIA, CA 95954 Applicant: WILLIAMS ROBERT L & CINDY L FAM TRUST Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 � Yl3osj This permit is hereby issued under the applicable provisions of the Bntte County Code aneVor Resolutio s do y(ork Ind i d a for ich fees have been paid. By t Date: �L L PERMIT EXPIRES ON: 6V 111% ❑ 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 & 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 owner or the duly authorized 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 substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �E t Signature: �V Date: ❑ Owner ❑ -eoniractor ❑ Agent for Owner 0 Agent for Contractor i so C) f4�i3 2U-ls�ze (7 BUTTE COUNTY DEPARTMEN_ T,OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043094 LICENSED CONTRACTORS 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 Issued Date: 11/01/2004 APN: 065-320-023-000 the Business and Professions Code, and my license is in full force and effect. License Class : License umber: Site Address: 14803 GOLDCONE DR MAG Date: /l 64 Contractor. Map Index: 16 Description: EX MH ON PERM FND OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the fallowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WILLIAMS ROBERT L & CINDY L FAM permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of WILLIAMS ROBERT L & CINDY L TRS the Contractor's State License Law (Chapter 9 commencing with Section 14803 GOLDCONE DR 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 MAGALIA, CA 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: WILLIAMS ROBERT L & CINDY L FAM pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SIERRA MOBILE SERVICE BILL REID ❑ I am Exempt under Article 3 of the Business and Professions Code 466 CIRCLE DRIVE Date: Owner: OROVILLE, CA 95966 530-534-0599 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #• 470386 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrierand policy number are: Carrier. �2 S7 Policy #: Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued; I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: L.1l✓/2S o3 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall; subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. f CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Cody 2nrVor Resolutio s do Work in d a for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: PERMIT EXPIRES ON: Address: Da ❑ I 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 & 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 owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance ofaany� official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes (t� Print Name: Signature: � Date: 0 Owner ❑ n Tactor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last NameFirst twt f lAlvt<, Name I�d�lr.iir Address City Nl yC, t. h State City Phone Fax E-mail APPLICANT SIGNATURE X 16-1 For office use only: CONTRACTOR Name Flood Zone Address �66 a� City L�%c ►fie State �` Zip �Sf E6 Phone Shy oS9 9 Fax E-mail Planner Lic. # y765.6 Class APPLICANT SIGNATURE X 16-1 For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City L�%c ►fie State Zip Phone S-3 q 0S6 6 Fax E-mail Planner State License Number APPLICANT SIGNATURE X 16-1 For office use only: APPLICANT NAME Name Flood Zone Address SRA City L�%c ►fie State d ZP Phone S-3 q 0S6 6 Fax E-mail Planner APPLICANT SIGNATURE X 16-1 For office use only: Zoning Property Address 11103(j-qR DaCorv� Flood Zone Cross Street SRA Yes - No Occ._ Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NP' �Q BP BIN # LOCATION AP# Property Address 11103(j-qR DaCorv� City M46A%e'44 Cross Street WORKER'S COMPENSATION Policy Number yes � 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: Sq. Footage ❑ 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. Recei y:. Amount Bldg SRA Receipt #: Date: � 6 Sheriff SMIP Other Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Ph o e (530)538-7541 Fax (530)538-2140 PERM T APPLICATION TA SHEET CZA OWNER: 5 , `� V�� ASSESSOR PARCEL NUMBER `� - �� Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. R11 boxes MUS be checked OR marked NA in order f6apply. / 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 faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ], 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan Tie down or fnd plans, 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 engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other_ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ '19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit for driveway fr m the Public Works Dept....'.. 28. Pre Inspection for Q Al��" �-+-, q d....... ❑ 29. Contractor's license Information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits. ....... ermits..................,........... ❑ 36. Deed Restriction....................................................................................... l� 37. rant Deed 1Vl.H. Title/Statement of Facts f Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. ther: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ✓��Date: /G/.7Z (/10 t� 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contract esigner, owner, was advised of the above data by GKphone, C1 mail, C3 counter, by Date: 7(_- 2=6/ Contractor, designer, owner, was advised of the a ove to by ❑ phone, ❑ mail, 01 count , Date: Plans reviewed by: % Date: Plans approved by: Date : ' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Ph o (530)538-7541 Fax (530)538-2140 PER74,-ASSESSOR AP ATIO TA SHEET �u l,� � OWNER: �4, `� V �' V PARCEL NUMBER `� T r o Proposed Building Use: -i ounter Technician: Cz+�Date: lei - V Items required in order to apply for a permit. Kil boxes MUSI be check d OR marked NA in order 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 faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings, 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan,Tie down or fnd plans, all in duplicate, 119. 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 engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. ❑ 14. Hazardous Material Form. ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17.; Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ 20. Erosion Control Plan Required. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. ❑ 26. NPDES Form I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 161 27- �/_, y EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 28. Pre -Inspection for A/1required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ ❑ 36. 37. D ed Restriction. Grant Deedl M.H. Title/Statement of Facts,- Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 161 27- �/_, y EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant i11 Building Permit Number: Owner Name: W j t i d,'"� Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for -the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate WX also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade.. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Q a 1 Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 ti; =LS .Fire sprinklers are required in this structure. a The following parcel map requirements shall be met: All structures and equipment including overhangs� shall be clear of all easements. A, setback. of N eet from the side and' S�"-`f-eel from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. t S 2. 3. 4. 5. 6. 7. Owner's name: Installer's, na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Is the sitecurrently under permit? Yes /' T No (If yes, furnish permit number Is the site an existing site? Yes,/ / No (If yes, furnish two (2) plot plans.) OR J Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and.easements? Yes / / No ( --f .no, clarify ) What is the mobilehome' electrical rating? -----------------------s What Am What is the mobilehome site service rating? --------------------- Amps What is the mobilehome site circuit breaker rating? ------------- Apps _ 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) ([fps) 9. What is the mobilehome site gas pipe size? ---------------------- �. /.-- (in.) L0. What is the type of gas service? -----------------------=----- Natural/ / LPG / Ll. What is the gas pipe length from meter or"tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? --=--- as,(BTU) (This information not required if pipe length less than 6,ft. on natural gas or. less than 50 ft. on LPG.) �,- -• �, MOBILF.HOME SUPPORT DATA Mob it ehome Mf r. Setup Model No.. � � Year Width (ft.) Length (ft.) Expando. Size (Drawsu tails below. PP On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). Sin le r Footings (check.one) - 7441fo.00WZod either i pressure treated or enter Center Support fdn. grade. upport Footing Sizes ocations (in.) 2. Concrete pad. /3 4Q 3. Other, specify _n' . din. — - — -- -- _41 Supports (check one) / . oncfete block 3 6x 3 / / 2. Concrete piers -(in.)(in•) 3. Steel piers 4. Other, specify ical Su E ( �X� Footing Sizeort in. L� .hh(�J (in.) (in.) S r _ MSpacingr 't. in.) in. in. (in.)(in.) Max. - Overhang - in. f center piers are other than drawn above, raw in locations, spacing, and dimensions. BUTTE -COUNTY BUILDING DEPAPMA NT APPROVED r,^ Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/MOBII.BHOMs FOUNDATION SYSTEM REALTH AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 9/2/03 SUBJECT TO CORRECTIONS NOTED GENERAL INSTALLATION 3 9/2/03 ROVAL DOES NOT AUTHORIZE OR APPROVE ANY PARTS LIST 4 & 5 9/2/03 MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATELACSfornia ULATIONB PIER HEIGHTS 7 9/2/08 z dim and Community Devolopma t SET-UP INSTRUCTIONS 8 9/2/03 N DES ANDS?ANDARDo DATE (tipature) SPAI 0. FOOTER SIZES This lim AppmvatEvires 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 �oQRoFESSIOI�� - DOUBLE 14 9/2/03 M. wigs Fac - TRIPLE 15 9/2/03 No.6 245 C10 - V -DRIVE & PIER SYSTEMS 16 9/2/03 �� OF CAS-W�\P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 c3trTiE COUNTY AUILDING DEPARTM' COMPONENT PARTS AVAILABLE UPON REQUEST A p P R 0 V I s C•l rl- 00 L() M C) N O D) O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction 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 I, 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 o Page 2 California 9/2/0 6✓ GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 49/2/03 ..1 C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD Combine Vector Dynamics & LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) Note: Two struts = 1 L.S.D. system. 3. Longitudinal Strut (2 per system) Can be used on one pad or slipt on 4. Tie Bracket (2 per system) opposite ends of the home. Examples of PoSSible Placement: Wind Zone (Contact 77E DOWN for placment in other Wind Zones) I Triple Section Wind Zone I Single Section I 0o I I� I I . I I I I I I I I I I I I I I I I I I I o Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. • Forgreater widths use triple section design. Page 6 ® i Wind Zone T I Tag Section 1 48 Ft. Max. California <r.m:-- . c 9/2/03 ;j • 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double .section home high pier set instructions. 50 in max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". N Page 7 California 9/2/03 r Long U -Bolts r 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will 'rest. Place Attach the inside tie brackets to the U=bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the 'strap over opposite 1-beam&.down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket: Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around. bolt. Repeat with opposite strap. as shown. 3. Outside Tension. Bracket Attach outside tension bracket as shown to out side of pads. s . Page 8 Califor _ 9/2/03' 1 r 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will 'rest. Place Attach the inside tie brackets to the U=bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the 'strap over opposite 1-beam&.down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket: Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around. bolt. Repeat with opposite strap. as shown. 3. Outside Tension. Bracket Attach outside tension bracket as shown to out side of pads. s . Page 8 Califor _ 9/2/03' 1 CD CD C) WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for - Double Section Homes _ - " - _ ♦ ♦ ` (Materials Required)tion i1pme i " - ♦ ♦ i �` _ _ S _ \ _ I 00 b - 01 a�.. \ Ra ).. -..' \ ..J .. __la?c9 'ICF ., ..'�L.S-..c; •.,.-rt4 .,3 .0 _��-r. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum �,.,� Anchors Required': None ('Marriage wall anchors may be required by home manufacturer) No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier I instructions. Home Length. Vector Systems Required Anchors Required Per Side L.S.D. 0to40' 2 0 2 41' to 66' 3 0 3 67' to 84' - 4 0 4 85' to 90' S 01 4 Each Vector System requires one of the following:' 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. V� . . VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as -described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. - - 20x20 = 400 sq. in.or 16x18 = 288 sq. in. - - or 17x25=425 sq. in. -- _ EQUALS - _ EQUALS - 2 -Vector Pads # 59275 -- - 1 -Vector Pad # 59271 - - 288 sq. in, or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r tar with site condi ons 0* -XM Page 17 California 9/2/ PRE -INSPECTION REPORT OWNER: LOCATION: CONTRACTOR: :E�) e>'r-a'N REASON FOR PRE -INSPECTION DATE TO INSPECTOR: ( D / i -.-)G-) DATE: /0 A.P. ZONING: PERMIT HISTORY ( ) NONE SEE ATTACHED BUII.DING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: &V -j Mobile home # of Units: Currently Occupied (' ) Yes . WNo d `t Abandoned/Vacant: h) _N_1&A__ Electric: Electric Currently On ()Off ` Condition of Electric Gas: Currently ( '.KOn ( ) Off Condition S D D R, Sanitation: . r Plumbing Working ( Ves () No Obvious Sewage Problems ( ) Yes (y No ACTION RECOMMENDED: ISSUE ( es O No Hold for permits or verify: r Inspector• C -»,j Etz 4 .S o._r e (-1 1 am. �8�� Date: 65-32-23 Carl Molis 1245 Goldcone, lot 68, PP#1, Magalia cont Aiken & Fairbanks Inc., Paradise Permit 149-76P E(util., ) ELEC._ . !GAS SUPPORT STRUC' ' EQ 1COIviPACTION TEST .Q• . 6. 2-23 -rte Contr. Aiken & Fairba i ing) VE ' Permit #4750-76P (g___"_ P P 4 11 -32-23 {contr: Beich Mob's Home Sales, Chico Permit #4598-7 I T_Ssued -- f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name First Name Address City *) P6 a3 L t State �,, ZP Phone Fax E-mail APPLICANT SIGNATURE X For office usp nnty Zoning CONTRACTOR Name _ Address yes City Cho, L� State Zip 9Sf E6 Phone S3 y OSG 6 Fax - E -mail Date Approved: lac. # y76596 Class 4s APPLICANT SIGNATURE X For office usp nnty Zoning ARCHITECT/ENGINEER Name _ Address yes City L� State Zip Phone S3 y OSG 6 Fax Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X For office usp nnty Zoning APPLICANT NAME Name _ Address yes City L� State Zp 9S%66 Phone S3 y OSG 6 Fax E-mail Planner APPLICANT SIGNATURE X For office usp nnty Zoning Flood Zone _ _ SRA yes No _. Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: L, v F—m ruK Jutstvll I t AL_ Kt:UUIREMENTS AP# LOCATION PERMIT NO. BP BIN # Property Address City Cross Street_ _ . _ " __ __ LENDING_ AGENCY-- - - :::���. rAddres me s Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXY1RATION 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 required. 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. IReceived by: Amount Bldg I Receipt #: Sheriff SMTP Date: Other _ Tntat Zl./%�5 � g�� poo r S 7�0°' PERMIT NO. 5492-76B ' PERMIT EXPIRES OWNER Carl Molis CONTR. owner LOCATION (A.P. 65-32-23 1245 Goldcone Dr., Magalia A Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ° JOB FINALED (Date) (Signature) Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ° JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica ed, Conformance of ex. structure Final �� 2 - % T Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREPLA Final Footings Footing ELECTRICAL Masonry Walls Throat Rou 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 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 .County Center Drive,_ - Or`bville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,6_*?Q-76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. kX (� &,-4, Date AL4em Signcture of Permitee or Agent Receipt No. �� �J White-D.P.W. — Yellow-Assesso — 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 ilding permit expires Date 1/•—/'Z_7� BUILDING Owner /��L �.�L f c SQ. FT. OCC. BUILDING VALUATION Mailing Address12- YS—GD-4-0 `jpA/� / Z T 3 �� O /y� �J A6�� J �,,_; f ��//% +"`14' V % Telephone No. Fireplace Contractor i/2 Total Valuation 0 Mailing Address �� Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ O Building Address 2- _ �� ��� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �1 ,�% !v 17 ,4-/,4 , 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. 6g- -3 2- 3Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 05 Sa i ' n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plarrs' Declaration 5— a 60' R/W Im r p ovemerits Lawn sprinkler system 2.00 �., dg a Zltec�d P� of 1�pp Plan pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER [JELECTRICAL 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 iffl Others ❑ ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADC•L 100 AMP 1.00 / / 16 y (]EC- �- 9 v /r `,, A -/ '#X;7 /' d/ I� /� %V 'v LJ NEW CONST. DWELLING OCCUR. & OR ACDNS. ACC. BL � 2�sgft NEW CONSTR MULTI -OUTLET -OU 2.50ea CIRCUAPPARA D /J /� /C7 ge c ��'� !'�/ w/v/!v �7' NEW CON R POWERCH UIS &) 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)50 @25a 109 Ex. Occu FIXED APPLNS. OR P'(0UTLETS (RES(D:) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 X 0 1 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. F-1 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 x permit is issued I shall not employ any person in any manner o 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 $ 10( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. kX (� &,-4, Date AL4em Signcture of Permitee or Agent Receipt No. �� �J White-D.P.W. — Yellow-Assesso — 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 ilding permit expires Date 1/•—/'Z_7� Edd wv 961 TO 130 UU I A u � u � Q smoM onend do •tdaa suns do UNnoo o q.. p Edd wv 961 TO 130 UU I A u � u � Q smoM onend do •tdaa suns do UNnoo a 9v - - - —COU - bEpT OF OF �r pUeCICBU�� - - - - — - -----_ --- _ 1�. ,i-� �r O -- ---- W R SEP , --- --- - -- -- -- - �i� o- 1976- � - - -- --- -- = fl i 1 � 4 li _ COUNTY OF BUTTE d \ kFICIAL @ECEI" 413053 Received from Ile Sum of For Received: U - CASH ❑ CHECKNA DAVCO BUSINESS FORMS • (530) 743-8511 Form 75702 Received Title By UING RECEIPT I U' CALL L. A1OLIS COUNTY OF BU'TTB�=":DEPAkil[ENT OF PUBLIC WORKS 12- 5 oIdc.one Dr 7 County Center Drive, Oroville, California 95965 PHONE: 916-534-4541 KAga11a, Ca., 95954 DATE September 15, 1976 RE: Your request by mail for permits: to install decks, and awnings. With reference to the above subject: iX• Attached is: XXX Application for permit Building Plans Engr. Calcs.. OTHER Typical Plan Sheet Mobile Home Sheet List,of Codes Enforced /XXL: We need the following information: X Permit application signed and completed where indicated with all copies returned.. J vit �•o-i-7� Certificate of Workmen's Compensation Insurance. or indication of exemption. XXX Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & 119(9 10oVs and complete structural ,details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets of plans in accordance with changes marked in red. / X Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chicn_._._- 7 County Center Dr., Oroville. XXX Skyway & Elliott Rd..*;Paridise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. Verification of legally created parcel by deed. Deed for right of. way. Parcel map recorded. OTHER As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office.. jFG : dd Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Assistant Director Dc u NTY puoo , op /C /Vo P1'8,9 /10 4 `71-2161 �a Pu B r'� U ?i- ty ��q �r3 77 . �1Nri t 012" . ..S9Q7G�r1Elj'Lr•��Fq�' � � .X. t � v � e f November 10, 1976 Carl L. Molls RE: Building Permit Application 1245 Goldcone Dr. for decks & Awnings Magalia, CA. 95954 (AP 65-32-23) Dear Mr. Molls: With reference to the above subject.and previous correspondence, please be advised that we received the completed permit application and fees but you apparently neglected to submit plans and obtain approval from the Butte County Health Department as requested In our letter dated September 15, 1976 (copy attached), As soon as you comply with the above, we can process the necessary permit. Should you have any questions regarding the above, please contact us. Yours very truly, Clay Castleberry Director of Public Works .f L.D. Sweet LDSidd'' Supervising Building Inspector Attachment I , i ' S - + r A \ f 961 �1`IQndonO dna ,ant do PARADISE PINES ARCHITECTURAL CONTROL COMrAttEt NArJiE_ TRACT_ w� DATE APPROVED F3Y ADDRESS ���� E.�_��_ r, s j'o v i� a Qua �70od iQ c x i f bdS��►���i�� 9Z'l PT s4om 31-Ini, f7d -,o Jd3(7 C A f L - - utt,1.,MH 2349-76P,.E 9PERMIT NO. PERMIT EXPIRES3I— "OWNER Carl Molis CONTR: Aiken & F&banks Inc., Paradise ` LOCATION (A.P. 65-32-23 1245 Goldcone, lot 68, PP#l, Magalia r J A r ' ,i ail , t• k ole &E _ 7/1 . Serv. /eer G&E Serv. G&Eate) (Signatu 1 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? Yeses- No D. Is continuity test satisfactory as per the•foll'owing 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.m.obileliome supply conductor, including neutral. 5. All.non-current., carrying metal parts of 'the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. ' G. Upon completion of the above procedure, the power supply cord or feeder. assembly conductors. shall be connected to the site service equipment. A further continuity test °shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be.approved for energizing. 10. Is job card•signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacture`r� and/or Namestyle : Length l Width Vehicle Serial No. Zy I Y 5 State Identification No. 0 D C� Additional, Information or Comments: MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located�a' required separation from lot lines and buildings and generally conform to plot plan?' Yes o 2. Does the mobilehome have required clearances above ground? (Sec.508.5) Yes,/No 3. Are footings and supports properly sized, spaced, and braced a er approved plans? (Note possible variation at spring shackles.) (S c. 5082 & 5083) Yesk No 4. Is the mobilehome level? (Sec. 5088) Y No 5. I.f m than a single unit, are crossover connections properly installed? (Sec. 5088) Yes -\No 6. Water A. Is xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes�No r � C. Backflow - If coa s not State of California approved, does station have backflow device and pressure -rel' f valve? Yes No 7. Wastes and Drains �( A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Y@� 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 runn,n 3 -gallons of water through each fixture includ' g washing machine standpipe? Yes D. If coa not State of .California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the m°bAilehome gas line inlet without reductions other than the mobilehome connector. YesN No B. Test OK as per following procedure? Ye!K1 No . 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 xdith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn On gas, test connections with soapy water. C. Are all appliance vents properly installed? Ye No • �r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION RECORD .a UILDING BUILDING,(Cont'd) PLUMBING Setback Fir wall Soil Piping Forms .. Par ets 1st Floor Main Bldg. Rest om Finish 2nd Floor Footings Windo s 3rd Floor Stemwall SIdIngN To out Slab Roof Sh athlng Water Piping — Piers Roofing Sewer Garage Fdn. Ven Fixtures Footings Garage Ve is Water Htr. Stemwall Insulation Heaters Slab Prov, for ph Ically handicape Appliances Carport Conformance o 11X. Gas Piping & Footings structure Temp. Gas Slab Final Sanitation Patio IREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough RelnL Steel Final 1 Fixtures - Bond Beam FIRE SPR.KLERS Motors Framing Test Water Htr. Stucco Final '; Subpanels Mesh. MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling { Temp. Pole Finish Ducts I Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS J �yr�-Bic.• Gil-t:lG�7 �Li/ `� /�� �o� � ��-�. Gam.. •� �F/`�-9�" ��-/-•.>G',�/V� 9V s/u"� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE + DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the C iforrnia Administrative Code, Title 25, Chapter 5, under permit number �T c� for the following location: /,2 vs- mc, Owner- Owner's wner Owner's Address Mobilehome Mfg. _ Model Year 7(.• Insignia No. y %S 5 a'/ 7&- 7 Serial No.S4;"S8 7l, G Q It is hereby certified for occupancy at the above described location and may be occupied. s Director of Public Works Date/' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED V/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �J�/1 7( Telephgrie: 534-4541 / v APPLICATION AND PERMIT ,. �F', ,y Nu Date / Signature of Fermitee or Agent Receipt No. I S-/ s-/ �- 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. DI ECTOR OF PUBLIC WORKS By p e It 2 permit expires Date Q �r BUILDING Owner C'a42L. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace � Contractor 1 !et N �� ! it Total Valuation Mailing Address so� (9�© Permit Fee Plan Checking Fee &/or Penalty 12460cSeS le hone No. /III, Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 L Each Trap 1.50 AL t Repair drainage or vent piping 1.50 �n Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (p-3 Z Zoning &Planning Gas piping system 1 - 5 outlets / Each additional outlet .30 F ri1 _J_SaniSata•en Fire Dept. Fire Zone Use Permit Building sewer .5„09 EQA I Parkin I Declaration Parcel Map 60' R/W Improvements 2.00 Lawn sprinkler systemPlans d I Parcel Approval Plans Approval Permit Fee $ — $ 1_5 NEWADDITION ❑ ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.001 r Main service 600V OR LESS 100 AMP OR LESS 5.00 s41,2y3 7 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ obiI Home Others ❑ Main service 10 00E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22syft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CON5TR. 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 f: Ex. Occup(OUTLETS OR FIXTURES) @@1 109 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 li,fir`'! Mobile Home Facilities 15.00 `7 License No.���, �/ � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability �fo?rWrkmen's Compensation. have placed on file with the County of Butte a certificate of orkmen'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. 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 a hnvc_mcnfi nn c.l nb.�., f... --:_.. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of ,. �F', ,y Nu Date / Signature of Fermitee or Agent Receipt No. I S-/ s-/ �- 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. DI ECTOR OF PUBLIC WORKS By p e It 2 permit expires Date Q COUNTY OF BUTTE ',DF_PAEITMENT OF PUBLIC WORKS 7 County Center Drive U(,pville, California 95965 Telephone: 534-4.541 7� APPLICATION'AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned pro erty for inspection p rposes. / Date v Signatureof Permitee or Agent s Receipt No. ` 6 (_S_/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS li lding permit BUILDING Owner L O Lis SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor §Xra �qn c Total Valuation Mailing Address/7o. 6CI4 Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -2 t% ,-J C 0 Each Trap 1.50 /91 4LO Repair drainage or vent piping 1.50 Water piping 1.50 16— Each gas water heater or vent 1.50 A. P. No. -Ja -.23 � g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F n Fire Dept. Fire •one Use Permit Building sewer 5,00 p EQA Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Ken© c d Parcel Approval' Plan pproval Permit Fee $ $a-57-7 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 P9Others ❑ OVER 60 Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ]� C 'Fac�� // �V ,/ DNEW CONST. DWELLING OCCUP. & OR ADNS. ( ACC. BLDGS. ) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON - RES ID. (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 Stye f: /� � j Ex. Occup(OUTLETS OR FIXTURES)'LaC BAL�1 FIXED APP LNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i ense No. �7 Classification /S-/ Misc. Wiring 6.25 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. 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 $ k. authorize representatives of the county of Butte to enter upon the above-mentioned pro erty for inspection p rposes. / Date v Signatureof Permitee or Agent s Receipt No. ` 6 (_S_/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS li lding permit !� � ,- - • • Ps Iii y C ' COUNTY OF BUTTE = DEPARTME F BLIC WORKS • 7 County Center Drive — Or`cvi I I na'95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner (' �iL ,�M D L 1 S SQ. FT. OCC. BUILDING VALUATION 1 d Mailing Address Contractor ja S I G h X10 Mailing Address -25 u l h/6 O Building Address 19 -4s -- /4191,-0L_; 9-4/1/ 1,-0L_ .14 L, Telephone No. L >/i/o X4 -e- SA L es Telephone No. 'A ) 2- L L de w l) %,,-. Gk FA %it / A. P. No. lJ Zoning & Planning F W Galen Fire Dept. Fire Zone Use Permit EQA Parking Parcel parcel Ma 60' R/W Improvements Plans Declaration P P Bldg. P ans Recd Parcel Ap a Plan pprovol NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,L- 4-1-1 ✓ /:e::�r- /perk --re— J344. - Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Single Family ❑ Duplex ❑ Mobil Home Others ❑ C Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST, ( DWELLING OCCUP, &I OR ADDNS. ACC, BLDGS. NEW CONSTR- (MULTI -OUTLET t NON -REST D, (MULTI CIRCUITS: 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,g�`� Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS, OR EX. Occup. (OUTLETS (RESID.) EA) Temporary service Mobile Home Facilities License No.90 Classification Misc. Wiring ❑ 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 d h' MECHANICAL PERMIT FILING FEE Heating o e w Ich requires every employer to be Insured against liability for Workmen's Compensation. II 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. 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 -men ' ed property for inspection purposes. X Date Signature of Perrmmitee orbent Receipt No. IV 1 174 ' White-D.P.W. — Yellow -Assessor — P nk-Inspector — Goldenrod -Applicant Coo I i FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE $3.00 5.00 2.50 25.00 1,00 20sq ft 2.50ea 2.00 10,00 15.00 6.25 @ FEE $3.00 Ventilation I I . Hood 1 2.00 Permit Fee $ $ ZZY it/$ .AGL q'T-/ a k,- TOTAL PERMIT FEE $ . 30 Or?j 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. IREC R OF PUBLIC WORKS By Date 3 Building permit expires Date 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive, Oroville,'CA.- PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes /L–f%� No (If yes, furnish permit number,3 g° ' (p ) OR Is the site an existing site? Yes 7-1 No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields -and clear of iil– setbacks and .easements? Yes'/ / No / /• (If no;•••ciarify 5. What is the mobilehome'electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------ AmPsf 8. Is there any other electric load to be served -by the mobilehome site service? --------------------------------------==----------- Yes / / No (If yes, identify the load'and size: (Load) (Amps) 9. What is the mobilehome site as i e size. g pipe ?---------------------- .•-- (in.) 10. What is the type of gas service? ---------=------------------- Natural / / LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ---------------------------- - � � (BTU) (This(inforaiation not required if pipe length less than 6 ft. on natural gas -tor ;l,ess � than 50 ft. on LPG.) rc • .t •I , IOBMEMOME SUPPORT DATA ' Mobilehome Mfr.L' `Y Setup Model. No. - Year -74 Width_(ft.) Length(ft.) Expando Size (Draw support below On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). Sin le -► Footings (check.one) / Wood either LA pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. ���: 1 r _ /OQx 3. Other, specify in. in'Mn.d -- -- - Supports (check one) / oncrete block bx3 % / 2. Concrete piers 3. Steel piers } / / 4. Other, specify AMS Typical Support 4�rC � Footing Size L-..�x� in. t Max. Pier Snacing in. in.) � XOverhang *If center piers are other than drawn above, BUTTE COUNTY draw in locations, spacing, and dimensions. BUILDING DEPARTMENT APPROVED ,_�� y�i'.. ^iu �:'++..�.,NLL. y»�M2: a. -. :. +a._ ,f',.:i. u.r..�r.ri., .,, .+e •w .i _ _ y .. PARADISE PINES AIDai!yciva aL auroi_l I4 40 aPls (PL301. at au,• L.io ARCHITECTURAL CONTROL COMPJIIVEE u,oN ' al,yo a�14 o uoi ie a-1 a J i j_.)iu� j / a �1� "P!sino '4} 1� uI�� �n� ��:. `o NAME y IlLys suoi4aauuo� r �" sol r: . O F. 4n TRACT v DAT APPROVED BY d� 4 ;u AnQRESS 9g9 OJ N/ V W - O N Awl 0 fes. 1'•. � • �.1} O ,{ ..''t . � � �f A�C 'o J O.. o. ,a y(� 0 �} alk ►rn k!��3 !� — - - - \J �> O + C '110o auao�a� 0 74 oa�n�a q a ; ` ' a . a. 1 r .2 �1 O... �: C oo Q v� i2 O : c: r C5c, c GJ 5 b 1aaJ sua c aad se u�;eay Aruro u,aa►nb �� L �r 'j?i!nc oay od -�; ;O -Ci,,, . �.� a�rJ1Q / o j rrc �_Ic , L V. . `. -� # uo� 1 ��oF P_�► A dui fhe side P:•oIjer�y lin, rind 50 f r rn if. - " J r' _c 1.110 CenJt�`rlin6 o Hili:-?, i- _ It'1ClXIlhU)Y1 Of LY 2 5"f• Clive e le' t:C' nq. Q U O . ,r4. , ► w.ww�I°. t7 a O cri ::• �w 0 `off v ELEcTIRICAL, MECHANICAL, AND pLUNODNG COWNSTRUIC,TIOM, ( NOT PLAN CHECKE) SH,)4.11-COMPLY INITH GURRENIT EDITION OF NEC. umc AND UPC - NOTE: Seethe attached acpxg�,�*C4st! k Reouirements Pages I .......... -I tju 1 1 E (;OUNTV 1A 5% 00 'lUILDING DEPARTMF w4 r P R u, vi d -ah b -n of.",