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065-320-029
0 Ever�tt Thomas �� /a 11A5 Goldcone Dr., lot 74, PP#I, aga�lia contr: Fuller Const., Magalia Permit #6275-79P,E(util.,MH-1 -nn ELEC . — f 7iC7.4rH N GAS UPPORT STRUCTUAE COMPACTION TEST REQ. /u6 �60-32-29 �� ontr : Carre-11 Bros, Chico e��rmit##7491-79MHI Is°�ued % 65-32-29 - -- Permit1149-80B,E(w pri.garage) 65-32-29 Permit #3868-81B,E(cov.decks, cabana 6 i stg . /MH) / 065-032-029 1-1734 TOGNETTI, RICH 14767 G LDC DR. MAGA CONT; CE BRODERICK L ' EX MH PERM FND NOTES r RESIDENTIAL 4 5-032-029 01-1734 TOGNETTI, RICH l 14767 GOLDCONE DR. MAGALIA j CONT; BRUCE BRODERICK EX MH PERM FND i THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE 4 BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE' INSPECTOR MUST RETREIVE) (2) STATEMENT OF FACTS (ONLY ON i NEW MH'S.) INSPECTOR TO VERIFY SERIAL & LABEL #'S.' 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ,_a14` Signature .'= OK 0 = Not OK - = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -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./ /LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche 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-Laridings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 bate Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. 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.-/ r' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing ,ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish .84- A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Comments at Final: BUILDING PERMIT NUMBER: 01=1734 ,Add ress or location of unit: 14767 GOLDCONE DRIVE, MAGALIA, CA 95954 Legal Description.of Real Property: A.P.065-320-029 SEE ATTACHED (x) Mobilehome/Ma nufactu red Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RICHARD TOGNETTI Owner's address: 14767 GOLDCONE DRIVE, MAGALIA, CA95954 INSIGNIA OR HUD NUMBER: 177707/08 SERIAL NUMBER OR V.I.N.: 02750463A/BN MANUFACTURER'S NAME: SKYLI JOZ;�1980 . 'OFFICIAL APPROVING INSTALLATION DATE: - 7/23/01 PHO&E: (5'30) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Jul -2001 2001-0032521 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. RICHARD TOGNETTI REAL PROPERTY OWNER/LESSOR 14767 GOLDCONE DRIVE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY - COUNTY STATE ZIP SAME UNIT OWNER (if alto property owner, write "SAME") MAILING ADDRESS 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 01-17342 (530)538-7541, UIL PE , TELEPHONE NUMBER 7/23/01 SIGNATURE OF LOCAL AGENCY OFFICI DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1980 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 02750463A/BN 24'X 40'9" 177707/08 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-320-029 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #065-320-029 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 74, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES MOBILE HOMES ESTATES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTT, STATE OF CALIFORNIA, ON APRIL 10, 1970, IN BOOK 35 OF MAPS; AT PAGES 65, 66, 67 AND 68. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LANDS, WITH RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED, AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST .DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, AT UX. RECORDED SEPTEMBER 4, 1947 IN BOOK 423, OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 305. J 5 RBCORDMO REQUFlTYD ST SIDWFAL TMX A LSMOW COWAM 0011WAP I.179112 AND WMW RECOLMD MAQ f0 R1Cbard Togmettl 14767 OoldeaAa Draw, Nagano, CA 95954 97-0385931 a.c Few IN. 00 1 DOC 32.80 ReCOrded o IHF' 2.00 wric,41 Record® 1 Check 62.$0 County of 1 Butts 1 Condece J. Grubbs 1 Recorder 1 91000% 13 -Oct -9? 1 BMTC MP 2 VACS ABOVE t" L04 POR RBCORDnl$ Vit APO 06S-320-029 Grwit Deed THIS FORM FURNISHED BY BIDWEL6 TM.E & ESCROw COMPANY The uod, ipw 6rmums) dec 2wi): Doaletmtaty trmsfm tan is Ssa •tt - (i ) C&OVutad ou full vAlue of PFOPerty envtyod, or emveud 00 lull vAltat 1f s 6ou wd saf:ualbnmoet mmakairt It tims of Ads. ( ) Iftwomofetod mu ( ) bvimCORPORATED ARS!! , ted AOR A VALL'AALR CONSIDERATIOW, tfxsipt of whkh is benty Aaao'wlodte8. GARY 8- SAN FILIPPO AND JANE A. SAN FILIPPO, HUSBAND AmD kIFE, hereby GUNT(S) to RICHARD TOGNBTTI , an irmarried emmn de &U—mt dowled leil prepmy in the UNIli00AP milm AM Covmy of Born Ams of califomia: an AtlACEM BtSImBLr C POR LBO116 BBQ=trll9s Dated: October 6, 1997 lar a c11aw><y Catatr of Butene $$, an ID -0-92 Iltlba tom. M ad -VFdt, to P10mry PUNK 0 &W tut Yal SYN Ot^aIWi aiVnro tG1 P_n s-I,rsIlppO apd 1AQQ s AADy lig= vfnmmx7 tatwn in mor (of "lm n mt M ftba111 N tvlefamoy fat�'e) to be be p�etlan(a) Www tamNU 1Jart snbetrtbe8 b Ow wifteo ieWtt Wm fim wftR ftgfd m mt tLLt fthft'awy #kw lta the I—$ in bib%.Vwo t4r tIpKIf1'(w11. and Incl Or OIIf flatV NfaaNNtt)noalt,aN,Yelm Or renum 11 as Olt cam, "tobdf of wMtn Ole pe mn(/1 areal etKvW eM tttahaNl�. - WnWESS my brad NI ( e yL86� t l'0N/UC'' i • '' '' 1 's i 1J:' :l sl7j; A. SAIL FILIPPO JODIE:INATO Ct]fAM: 1/113/i 1 1arOtt iwt f=cotm OF BUM Vr Cala^ krlfla qa. A leo tllln am lut tdfK1M la/unal aeall W C� Ne. Dl7flrl .SCEIED= C The Is" referred to herein fa: described as fel7.oae: All that mutein real properly situatt iA the Ceunty of Butte, State of California, described w# folleas� Lot 74, as shown on that Certain map entitled, •pARADISR pis MOBILM RCM Ranaftg DNIT NO. 10, which map was recorded L% the offitc of the Recorder of the Coumty of Butte, btwte of CalifOtsnia, on April 10, .1970, in Book 11, of zaps, at pages CS, 6i, 67 and 6®. RX=VT MG TMERRPaCIq all of the valuable on►nerale beneath the surface of said lands, •!th right to mine and extract said minerals, it being agreed and understood that in all mining operations, the eurface of acid lands will be protected against damn* and that all such mining &hall be carried on from tunnole, ahafte, or drift& having th*ir orifices outside of the surface area of the above described realty, ail ae esceptcA and reserved in the-Deed from Magalia mining ComQany, a corporation, to a. 6. Stoats, at uz. recorded September 4, 7947 in Book 423, of $utte County 0ific.ial D.eCOrnSs, at bag® 785. AP Mo. 064-3a0-029 s d 9SLHIP l',ICS '01�/001 .1 '18.11 Slur do 1 I ;:3�,NA 0;1,V N0�.l Registered owner. P1CHAXD TOGNEM 14767 GOLDCONIR DR MAGALIA, CA 95954 Last Title Date: 11/24/1997 Lost Reg Card: 11/2411497 S&I&Trmder Info-, Price 523,000.00 Tansfermd an 10115/1997 Situs Address: 14767 COLDCONE DR MAOALLk, CA 9S9S4 Situ Omty RUM Legal Owner. GARY B SANFRM JANE A &ANFM1PPO (joint Tenants with Rlgbt of Survivorship) 6361 GLEMALE DR MAGALLA, CA 95954 lues Pwacted On: 11105/1997 08:57:00 Inactive DecaVDMV: DMV M220. DECAL AAF2397 *** END OF TITLE SEARCH G� *164 d 9 S 4. 8 6 V 0 � '0 N/ G 0 .: I i DEPARTMEH-OUSING AND COM WWWWRLOPMENT 11de Search 6w Date PhatW: 0669/2001 Decal #: LA11129 Use Code: SFD Manufacturer. SKYLINE. Original Price Code: ADR Trade=e:, KQAX7MT Rating Year Model: HnLCRM Tax Type: LPT ManufacturW Date: 00100/1980 Last ILT Amount Registration Exp: Date ILT Fee Paid: First Sold On; 00/00/1980 MT ExcWtion: NONE Serial Number MUD Label Insignia Length vim 02110463AN 177707 40'9" 02750463BN 177708 40' 9" 12, Record Conditions: PPF Excmg i Whintary Caversift to LPT Registered owner. P1CHAXD TOGNEM 14767 GOLDCONIR DR MAGALIA, CA 95954 Last Title Date: 11/24/1997 Lost Reg Card: 11/2411497 S&I&Trmder Info-, Price 523,000.00 Tansfermd an 10115/1997 Situs Address: 14767 COLDCONE DR MAOALLk, CA 9S9S4 Situ Omty RUM Legal Owner. GARY B SANFRM JANE A &ANFM1PPO (joint Tenants with Rlgbt of Survivorship) 6361 GLEMALE DR MAGALLA, CA 95954 lues Pwacted On: 11105/1997 08:57:00 Inactive DecaVDMV: DMV M220. DECAL AAF2397 *** END OF TITLE SEARCH G� *164 d 9 S 4. 8 6 V 0 � '0 N/ G 0 .: I i � f � DUARTM OF HOUSING AND COMWJUFTY DraMMEM Oki** et Cert 0/e® SbAftwa o LI lift Search Datc Posted : 06/?,9/MC l Decal #: LAII I29 1740 Code: I SFD Manufacturer: 8KYLINE Original PriCe Code: ADR Tradaaame: H LLCRBST RjAinj Year: Model: KMIAM T Tax Type: LPT Manufactured Date: 00/00/1980 Last ELT AMOUnt: Registration Bxp: Date ILT pee Paid: Firg,Sold On: 00/00/19$0 ILT Exotnpdon: NONE Serial Number 02190"3AN OV50463BN Record Conditions: Register ed Owner: HUD Label / insignia LaWffi Width 17»07 4W9" 12' 177708 40' 9" 12+ pPF Bxemo Vohmtuy Caamnion to LPT RICHARD TOGNEM 14761 GOLDCONH DR MAOALIA, CA OS954 Lata Tale Date: 11WI997 Last Rog Card: 11/241997 SaleriYander Into: Peke 523.000.00 T=fam an 10/15/1997 Situs Addreu: 14767 GOIDCOM DR CA 9S9S4 SihcaC� BUM Legal Owner GARY B SANFQ.IP'PO JANE A &ANM2PO (Joint Tenants with RW of ftn ivorsuip) 6361 MMMALE DR MAGALIA, CA: 95954 Lao PerGetad Oo: 11105/1997 06:57:00 L=tive DMAWMV: DMV M220, DECAL AAF2387 END OF TITLE SEARCH "'•• d 9y��VrliOC Or�l00 << 1S/10 ►l iOCd 0► 1 ;3n1) 3S,Gdadd 311;1 .Q11VA G1W WHJ. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P (Rev. 12/9APPLICATION AND PERMIT ��� I j q ASSESSOR PARCEL NUMBER 065-320-029 ZONING RT -1 WP BUILDING PERMIT OWNER TOGNETT.I RICH TELEPHONE 877-6432 80, FT, OCC. BUILDING VALUATION 960 R 51 840.00 . OWNERS MAIUHG ADDRESS '14767 GOLDCONE MAGALIA CA CONTRACTOR'S NAME BRUCE BRODERICK TELEPHONE 877-6432 CONTRACTORS MAILING ADDRESS PO BOX 2231 PAMDISE, CA 95967 CONSTRUCTION LENDER LENDER'S MAIUI`G ADDRESS Fireplace Total Valuation $ 51 840.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee 423.50/2 $ 21.1.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 14767 ONE GOLDCONE DR. MAGALIA CA Energy Plan Checking Fee $ $ PERMIT FEE s 254.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome Cq Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: EX MH PERM FM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE 50. ELECTRICAL PERMIT Fling Fee 20.00 Main Service o A OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ !/ License Class Lic. No. 3 {o d 7 3 T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will co the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to ccnstruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWa .LNG OCCUP. OR ADDNS. ACC. S. s0 3.5QFr: I,DµR61DT. MULTI.O11 URCUITS TLET @7.50 POWER APPARATus 6 SINGLE OUTI Ei CIR. Ex. Occup. OUTLET OR FDMRES so @ ,.00 SAL p .50 ED Ex. Occup. Du�TTsRM .DA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the perfcrmance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver Policy Number (The above sections need not be completed if the permit is for work of a valuation ,A of ore hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with those provisions. X Xte % v Signature of Appli a - ❑ OwnerO ContractorAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ 304.75 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE X This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions een indicated b ve for which XDDI;te By PERMIT EXPIRES ON / provisions to do work paid. 0 ReceiptNo. 324945Z304.75 WHITE-D.D.&-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 1 P IT No. (Rev. 12/96), APPLICATION AND PERMIT ` c [AS SESSOR PARC NUMB 03 ZONING -&.2 -�- W BUILDING PERMIT OW R f p T ONE7 SO, Fr, /OJCC. BUILDING VALUATION OWN I�WIJNO AD �(O �Li C CONTRACTOR'S NAME Cv CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MMUNO ADDRESS 0 LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11311<her SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: p I ex 14 y ` *PERMIT FEE PAID SRA '- SHERIFF OTHER AMOVNT RECEIVED Fireplace Total Valuation S ruing ree , 0 2 $ -Perm it Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ $ %PERMIT PLUMBIEach Trap Solar or heat Water iping Each as water Gas piping system 1 - 5 outlets ouRaing sewer Mobile Home 20.00 =sling Fee 20.00 7.00 __i3_00 15-o0 15.00 15.00 15.00 420.00 :�oq PERMIT FEE S MECHANICAL PERMIT Heating Cooling Hood Ventilation Fee I 20.00 6.50 -------------- PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ }`J OCC NST. TYPE TOTAL FEES 3 Q "� - 75 MAZ. D. FEES IMP FLOOD CDF PARCEL I PO HD I ISSUE *RECEIPT NVMBER 2- `f * TO BE PVT INTO COMPUTER This permit is hereby Issued under the applicable provisions of" the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 - MaiM e OR LESS 200A zoa OR LESS 23.00 Maie 200A TO 1000A 46.00 NEW T0_NST OR A& pyypLFp OCCUP. ACC. SIRS. 3.5kt NEW NON•BRA MULTI -OUTLET 47.50 POWER APPARATUS A SINGLE OUTLET CIR. Ex. OUTLET OR FIXTURES 2O 1.00 BAL SO EX. FIXETS OUT R61D.OEA 5.00 TemService 23.00 MobFacilities 20.00 Misc. Wirin 23.00 :�oq PERMIT FEE S MECHANICAL PERMIT Heating Cooling Hood Ventilation Fee I 20.00 6.50 -------------- PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ }`J OCC NST. TYPE TOTAL FEES 3 Q "� - 75 MAZ. D. FEES IMP FLOOD CDF PARCEL I PO HD I ISSUE *RECEIPT NVMBER 2- `f * TO BE PVT INTO COMPUTER This permit is hereby Issued under the applicable provisions of" the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date n� ..--..c—+�....5�''Y+w'a;Tfi�ii'7�G�'�i�,yA,��A.�'+*�'":...4�c.,d�tS-v �'p''�i�►ryy$.+��'k'�a�°`� '�F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: RICX �(����T/ . ASSESSOR PARCEL NUMBER: Proposed Bu lding Use: t udding Inspector: Date: '7 — 1,15-0 At time of permit application, twat advised the following data must be submitted prior to permit processing and/or issuance: .All items have been submitted.------------------------------------------------- ------------------------------------ Date Received By 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ----------------------------------------=----------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112, ------ ❑12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate.------------------------------- 1114. ------------------------------ ❑14. Sanitation and plot plan approval Health Department. 1115. City of on plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: 118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- Eacroac ent Permit for vewpy (construction appro p or to occupancy). --------------------- 0. Pre -inspection for 9 t ; A P/,* �ed Request to Building Inspector on . Contractor's license' ormation. (Numb , N e Style, Classification). ----------------------------- 1122. Workers' Compensation carrier and policy number. ❑23. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ ❑ 25. R..,corded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- ❑ 28. Existing viq'a�-ions and/or ex ired permits. --------------------------- --)----------- -- ---------- 029. 0433 A, %rant Deedvl M.H. Title, ElCheck to H.C.D $ 0� ° 9y- -- - 030. O her: ------ (Date) youissue the permit, process as follows C3Mail to owner, ❑Mail to contractor. �en elephone 8 7 7— 6�(3y and hold for pickup at ©%d ���� r office. ❑ Deliver wi inspector. Applicant:ate: % /O Copy of-Iaz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of clans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D vision counter, by Dat Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil g ivision counter, by Da Plans reviewed by: Date: Plans approved by: Date: :gets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ie ' X / ' EO //-;A) /4719 Z-- 6 AlWe- rn6�i�e/t o tT � 9 y x �/d • T//✓� OA) ex(s *I I <i.'isi':i':<iiiiiYi::;z'i:``[:;ili;i;i;i;`:%:ii:isS;}:.%:i?i:'S>:i-.:::i:i;::;::::Si .PRE-INSPE�T'ION REPORT I� OWNER: LOCATION:4 76-7 (go e_D.v c h1L CONTRACTOR:_. & 0,� ` C_ DATE: 73. ` d A.P. # fZ Z6"-.3-2- ,2 ZONING: PRE-INSPETION FOR: ( I - DATE TO INSPECTOR: �� PERMIT HISTORY:( )NONE (Zj J19F'OLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: k� Inspector: TiOLD FOR 01 Date 711.4 Sketch buildings on reverse and indicate location on property. PE�MIT No. 6275-79P',E PERMIT EXPIRES '• `�� OWNER Everett Thomas CONTR.F,,ller Const., Maga1;a 65-32-29 ;LOCATION (A.P. ) r_ 1145 Golcmne Dr., lot 74, PP#l, Magalia 9 ' 4 � I i � If. Temp. Power Pole Called PG&E Temp. Elec. Serv. l' Called PG&E' l Temp. Gas Serv. Called PG&E JOB e15,4/7 [: FINALED T (Date) (Signature) I y MOBILEHOME INSTALLATION INSPECTION CHECKLIST. 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes--yl,''No r . 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as\ppr approved plana? (Note possible variation at spring shackles.)I/(Sec. 5082 & 5083) Yes No (n4 Is the mobilehome level? (Sec. 5088) Yes? No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Ye No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes l No B. Testa Does water piping withstand working pressure or 50 lbs. air test? Yeax No C. Backflow - If coach is not State of California.approved, does station have backflow dovieo and pressure-relie valve? Yes No 7. Wastes and Drains Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye No �. Does it have minimum 4" per foot slope and is it properly supported? Yip �No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. IE coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilhome conne mobilehome connector%ot more t large as the M'obilehome gas li connector. Yes No ed to the gas.supply with an approved 3/4" min Um i n 6 ft. long? Note: All piping is to.b s.at laa#t &at inlet without reductions other than th•�iAobillMcoa B.. Test OK as per followin procedure? Yes OW.- 'No 1. Open all appliance 1mpector valves. 2. Shut off appliance b"ner and pilot valves. Air test with manom'etbr to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas /metr to mdbilehome withconnector, turn on gas, test connections with soapy water. C. ere all appliancnts propF rly installed? Yes^ No. 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? Ye)�._ No C. Is power supply cord or feeder assembly properly fused? Yes/ No D. Is continuity test satisfactory as per the following procedure? Yes\ No 1. De -energize electrical wiring system of the mobilehome at the ped.stal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. -Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall,be tested for continuity from such equipment and,the grounding conductor. 11 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �695 Olaander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTIClN NOTICE �S 6 �p Ce A,(, - BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. :n- Inspector —� _� Date_'/%� ` 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 reqquirements of the California Administrative Code, Title 25, Chapter 57 undec permit, number 7`✓ -til- 1 rzefor the following location: Owner - a V �. .Owner's Address Mobilehome Mfg.`s%-1 `G Model Year Insignia No.2 .. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. ? .Director of Public Works -4 �. Date �� J Y By THIS CERTIFICATE IS VOID 'WHEft N MOBILEHOME IS RELOCATED - White - Owner, Yellow :Installer, Pink - D.P.W. Mesh I MECHANICAL Grd. F ult Prot. Scra h COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS a ' BUILDING INSPECTION RECjDRD ' He a tig BUILDING BUILDING (Cont'd) PLUMBING Aback FI wall Soi spin Fors Para ets 1st loor MAV Bldg. Restro0m Finish 2nd Noor F tins Window 3rd F1kr Ste wall Siding To out Slab Roof Sheat Ing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physicall handica ed Conformanceof ex. structure Y X Final 1 Appliances Gas Piping & Test Temp. Gas Sanitation Patio IREP ACE Final Footings Footing LECTRICA Masonr Walls Throat Rou h - Reinf. Steel Final Fixtures Bond Beamz FIRE SPRINKLE Motors Framing Test :;::�: ;:. Water Htr Stucco Final ' Sub ane Mesh I MECHANICAL Grd. F ult Prot. Scra h He a tig Servile B n Co Ing 14mo. Pole F lsh D is Anderground InJfrIor Lath entllation Permanent or Closer anal Final MOBILEHOMEUT LI IES ----------- ---- Elec. Service` Elec. Pedestal Water Piping ) Cf -\ t' Sewer Gas Piping MOBILEHOME INSTALLATION ... .... Support Elec. Continuity Water Piping 2, U Drainage I — Gas Piping DATE REMARKS OR CORRECTIONS C*ld aA.c i, 1 /Z/7 CL l� it OJT A - �is ,7/a6 (NOTE: An entry must be made on this form each time you visit the job site.) 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or outie to enter upon the above-mentioned property for inspection purposes. X -:��� /� Date Signature of Permii+tee or Agen Receipt No. 72 ` 7 It 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 abovPzD))RE ich fees have been paid. 0 OF P BLIC WORKS B e Date/ Building permit expires Date I� BUILDING Owner yC F TT NOMi95 SO. FT. OCC. BUILDING VALUATION Mailing Address ���0 vCinLG//GC Telephone No. Contractor 6ilol,?Aft�Ze 205 406;L.L LC' Mailing Address Fireplace Total Valuation a%�/Cv / C: . Telephone No. S 6_ Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 4--11 61 e i7 _ r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 . Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No./ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fv6s V. I Saffka n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 ���� Bldg. Planst ec'd Parce roval PI pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITI S 1:1 OTHER IZSI Permit Fee $ $ ,(✓r O�" LS —zz, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ MobilEHome Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTDWELING OR ADDNS. C ACCLBLDGS-CCUP. 4� 22sgft 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: t I lelc'CLL Z�4,5 NEW RESID,CONSTBRANCH CIRCUITS) NON.RESID 1 BRANCH CIRCUITS/ 2.50ea NEW CONST. (POWER APPARATUS .& NON- R RESID, `SINGLE OUTLET CIR, 251 Ex. Occuo(OUTLETS OR FIXTI1RES g L 1 Ex. Occup.( FIXED APPLNS, OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / License No. ti�/� 5� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby AI2- (& $ ou TOTAL PERMIT FEE $ autnorize representatives or the county or outie to enter upon the above-mentioned property for inspection purposes. X -:��� /� Date Signature of Permii+tee or Agen Receipt No. 72 ` 7 It 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 abovPzD))RE ich fees have been paid. 0 OF P BLIC WORKS B e Date/ Building permit expires Date I� MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. = ,�, -furnish Setup Model No: O % Year D Width `Tagalong o� (ft.) Box Length PIJ()ft;).- ,or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW). On all mobilehomes manufactured after October 7, 19731. furnish manufacturer's installation manual and structural setup sheets (if not on fi.le•with-the County of Butte). All center supports measured from front of 'un , mobilehome ess othe i:se s ecif Led. Footings (check one) - Single � m�A�!�ce�C 1. Wood, either pressure treated or ZI l�`1U no foundation grade. V (ft (in:) (in.) (in.) - 2. Other .(,specify) Center upport Center support locat ons* footing sizes Supports"(check one) 13 �1 1: Concrete block'..; x�(� - 2: Other (specify) (.in.) (in.) !r—Tagalong or Expando,' show support details. (ft.)( n.) (in.) (in.) �G x11# -- Typical Support ''Size (in.) in. Footing TAx3 b (ft; (in.) '(in.) (in.) Max. Pier Spacing Max. Overhang (in.) (in.) (ft.)(in.) 8UTTF- COUNTY BUILDING DEPARTKNi APPROVE® *If center piers are other than drawn above, `7 q .draw in -locations_ snacinz. and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille, CA. PHONE:" 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: -5 2. Instal:ler's name: 3. Is the site currently under permit? Yep / / No /X/ ' (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No />4( (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 all setbacks and easements? Yes /7Z/ No (If -no, clarify ) ( ) 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? ------------- ��y Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No / x / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ---------------------=------- Natural / ./ LPG1 •/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------- (BTU)- . , (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 O.'2�-7 Tel epf►onb:534-4541APPLICATION AND PERMIT A Owner Everett Thomas Mailing Address Telephone No. Contractor Fuller Construction, Inc. Mailing Address P.O. Box 509 Ma alia, Ca. 4 Tele,�73hon0668 Building Address of C ri �j Ma ali PP1 Lot 74 A. P. No. 2'-2 Zonirf & -Plan F4K I do Fire Dept. Fire Zone Use Pe t Parking Parcel EOA Plans Declaration Parcel M 60' R/W Improv ments Bldg. PlansbRo-ecd ParceA roval Pla Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: Fuller Construction, TnC- P.O. Box 509 Magalia, Ca. 95954 License No. 346997 Classification A E] I am exempt from the Contractors License Laws of the State of California. 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. IDI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �v�✓2Uv✓ Date 10-11-79 Signatur f ermitee or Agent Receipt Na. White-D.P.W. -Yellow-Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING I V \ SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping mer 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 e00v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVERe0o 100 AMP OvR LESS Main service EA. ADD -L 100 AMP NEW CONST. (DWELLING OR ADONS. OCCUP. S ACC. BLDGS. NEW CONSTR. NON.RESID. (MULTI.OUTL T BRANCH CIRCUITS NON.RESID. %SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRE EX. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Coolin @ FEE $3.00 1.50 1.50 1.50 10,4 1.50 1.50 .30 5.00 O, o, 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 FEE ov 1, Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ S ^ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date ��Idng permit expires Date / d - Zv' -?c) LTi � 1149-80B,E <--' F3ERMIT NO. r� PERMIT. EXPIRES OWNER Everett Thomas owner CON T R. LOCATION'(A.P. 65-32-29 1145 Goldcone Dr., lot 74, PP#I, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT-OF PUBLIC WORKS . BUILDING INSPECTIOI(RECORD u BUILDIN BUIL ING (Cont'd) PLU BING Setback 33 3,A Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor t Footings Windows 3rd Floor Stemwal l•A' SidingrU To out Slab Roof Sheathin C, • rte-- Water Piping Piers Roofing Sewer Garage \ Fdn. Vents Fixtures Footings` Garage VenA Water Htr. Stemwal I Insulation Heaters Slab Prov. forAShysically Appliances ` handica ed Carport Gas Piping Test Conforma ce of ex. Footings structureTem .Gas Slab Final $ v Sanitation I Patio' FIREPLACE Final ° • ' Fk Footings Footing ELECTRICAL Masonry Walls Throat Rough f� tu ell Reinf. Steel Final Fixtures Bond BeqnJ PIRE SPRINKLERS Motors Framinq Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL.• GM. Fault Pro Scratch Heating Service Brown Cooling _ Temp. Pol Finish Ducts Underground Interior Lath Ventilation Pennanen Door Closer Final Final G MOBILEHOME UTILITIES - - - - - - - - - - • - - Elec Service Elec. Pedestal Water PipingI Se er Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - Jupport Elec. Continuity Water PipingDrainage Gas Piping DATE REMARKS OR-CORRECTIONS `3 `/�4� •. ,.c�a�-moi �, �� r �� .. Cmc � e) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — D7EPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 Te�epMone' 534=4541 APPLICATION AND PERMIT Owner Mailing Address l/ 11f._,;— Contractor Mai I i ng Address Building Address I 04 �. CAS Telephone No. �1 CIS Q7 3_-=tZ G 0 L- d C_csx. Telephone No. 6 A. P. No. 3 — V5 Zohing & Planning FdwlS 4.'e 5Fq69t, on Fire Dept. Fire Zone Use Permit Parking Parcel EQA Plans Declaration Parcel Map 1 60' R/W Improvements Bldg. Plans RecdParcel Approval Plans Approval NEW iL� ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ Others i l 8. 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: _ BUILDING III SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I 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 $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 A •CZ�T�� miii Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,pD Main service e00v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OVER Main service s00v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ( ACCNEW CONST. D SV UP' �) 20sq ft t600 NEWCONSTR. MULTI.OUTL T NON -RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTIIRES) 50@259! BAL@1 Ex. Occup. ( OUT LETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification I am exerrpt from the Contractors License Laws of the State of California. Permit Fee Ink WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. $3.00 I vi I certify that in the performance of the work for which this Ventilation Vll�permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. Permit Fee $ I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date` Signature of Permitee or Agent Receipt No. �tu�14 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE is (P� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date B ilding permit expires Date _ 7— 7 �/ 3868-81B,E PERMIT NO. Y PERMIT EXPIRES f 0 AA OWNER Everett Thomas i CONTR. owner ASSESSOR PARCEL 65-32-29 LOCATION 14767 Goldcone Dr.,1ot 74,PP#1,Mag z { Temp. Power Pole S Called PG&E • Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V = OK 0 = Not.DK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready - Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTt•, _-FC. (Plans) :sept h 1. Zoning Requirements—Setbacks—Easements 1• Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2• Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. 13racing 5, Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc,js..ies 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements t _" 2. Footings; Size—Spacing—Marriage Line t 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men —Lining _ 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test-Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator-Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r = OK = Not OK = Not Applicable RESIDENTIAL (SingiNand Duplex) = Not Ready Date U RFLOOR Plans• OK except #'s Date FRAMING (Continued) 14. Zoning requirements -Setbacks -Easements 48. Pro erty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. F g., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 44g, Porches & Decks; Soils -Steel- / /" F.g. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers W. Stemwalls, Main; Steel-Blockouts-Wrapped-Slap 52. iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI �y Date �.r Card -BI Date Date FlUA_6,j%5ans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56p' Ext. Steps -Door & Sidelight Protection -Landings a ec Mr _ 14. Water Ht.; Vent -Access -Combustion Air 58 ace• Vents -Clearance -Comb. Air -Connector - In Garage; A oloor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59-6e4reem-&xitang _ Shower Pan; Test, First Floor -Tub Access 6th Fixtures & Tub Access _ _17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61 lec Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62k5tairs & Rails Ne; Clearances -Hearth 6 ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65-,'KT-FiRi`3r'ftPpftance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date c. u e s Receptacles at Kit. Counter Date E RICAL Permit OK except N's Door; Swing -Landing -Closer 68-.-A-.C-.VUc-r nn Garage -Damper F' ure &Transformer Clearance -Ins. Protection 6p-W�� Htr • Vents -Clearance -Comb. Air-Connector-P.R.V.- In Ge; Above Floor-Mech. Protection 2 c. Receptacles Spacing -Lights &Switches at Doors 70. Ib., Elec. & Mech. Equip. Listed for Location . S' es & No. of Conductors -Stapled c. eceptac es in Garage; (G.F.I.)-Romex Protec. 23 ex Installed Close to Edge of Studs & C.J. 2 Equi ade up w/Mech. Fasteners -Bond Gas & Water 72"-tn`sulation- Foam- Looked in Attic ❑Yes 2 Circuits in Kitc & Conductor Size R'arfs & Deck Construction -Post Caps 74,-�-u= Ls R C.rawl,Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes feed it 2 Subfeed Wire Size / g or AI-A.C. Wire Size / / ga. Cu or At 29�Ra / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutr Yes �No 75. Following instld.: Drive /❑ Yes ❑ No; Walks ED Yes No; Planters ❑Yes Irivo e -Riser Conductors & Ground -Main Disccnnect 76-3tVcoBrown-Finish -- 2 Equip. Clearances; Panels-Motors-Mech. Equip. 7Z.--A.Gr-WAi-t;-Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet fight -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --------- -- ------ -80 Card B -I Date Card -BI Date Card B -I Datel[� Card -BI Date r79:-WaT2F'GPeT7; Disconnect, Electrical, Plumbing nor Elec. Trim; G.F.I. Receptacle -Underground 81. dation throughout House 82. ass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support - 83. _ erections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates - 33. Condensate Drain & Overflow; Size & Grade _ Card -BI- Card -BI 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date __Card -BI__ Date Date Card -BI Date Card -BI Date -87�and-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI Plans) OK except q's Comments at Final: _ 3 tll Proper Material &Anchors v Je Studs -Nailing, Spacing & Bracing -Plates -Sound 3 Bearing Walls over Girders & Floor Nailing- _- 39_. raft Stop in Walls (rat proof) _ 4 tre tops; Furred Ceilings -Stairs -Chases -Tub 41. ad & Beam -Size & Bearing - 42 ang�Post Caps -Anchors -Connectors - 43. ng. Joist-Rftr. Ties-0urlin-Roof Brac.-TrJSS-Shthng.-Rfng 44. ir�ies or Type A Flue -Fireplace Throat 45,_6.u�ie-A�ese-3ize & Romex Protection -Draft Stop -Ins. Baffles 46..8d�m.WW„jpdows.or-Exiting Doors -Sill Hgt_&_Dimensions 47, barage Fire Protection Framing _ - - (NOTE: Anentrymusl be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMI No. 7 County Center brive - Oroville, California 95965 - Telephone 916/534-45 ` APPLICRTION AND PERMIT CCCAA Off JJJ A ASS SOR PARCEL NUMBER p S_- Z- 4 1T ZONING UILDING PERMIT owy5R C. �� LI R pin i9 J� TELEPHONE 2 -.3-2 a'� SQ. FT. OCC. BUILDING VALUATION 8 , (CV/0— MAILING ADDRES G ADO /L-/ �f & % �o t..o e t»t_-- 'arc -%a I.S IV% • i 14 ^' CONTRACTOR'S NAME _ W TELEPHONE CONTRAC OR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation is cto Filing Fee $ 10.00 LEN ER'S MAILING ADDRESS Permit Fee $-34— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ C. BUILDING ADDRESS 7G 7 PLUMBING PERMIT Filing Fee 10.00 N Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USOF STRUCTURE SF ❑ Duplex❑ Mobilehome , Other v SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Descri a work: ! V�2trJ ��, i S�.��e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING ., .!b) ADDNS. l ACC.BLDG 20 sq ft IJ, CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.OU L T 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. / Ex. OCCUp OUTLETS OR FIXTURES 50 @ as BAL@10C Ex. Occup.(OUT ETS FIXED P(RESID.)LNS REA.) 2.00 Temporary service, 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 39� Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ISI I shall not employ any person in any manner so as to become subject �4 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the.W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ a Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con equence of the granting of this permit. - O 8 X Date Signature of Applicant — Owner Contractor El ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -7 OCCUP. GROUP — I TYPE of CONST. ,/ �/� PARCEL r._�/ P11 ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC I By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z— ! 16 / /��/ 6- Receipt No. 7 f 'r K b WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I/ Owner: Address: 14 76, BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL TN$PFCTION REPORT OAN, c/ S --- A.P. Date of Inspection Tenant: O ce-- Inspector Building Location: Type of Inspection requested: U M, N '�/o. 7-�9�� �5 �� i�ra 1. Housing. ,L1 2. Financing L[ 3. Change of Occupancy to NJ 4. Other (specify) �®�•�- •^�� «c • Present use of buhdinR: A Sanitation (Housing) 1. Water closet: 2. Lavatory 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: -_ 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection. to sewage disposal: 12. Connection to watei.supply: 13. Rubbish and garbage facilities: 14. Com ents: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service -r.ie ground: 2. RecepL; c• es: 3. Fusi.ng:_ 4. Comients: D. Plumb inR 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Can ents E. .Other �. 11. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: -_-- 4. Weattrer protection: _ 5. 7jude:rfloor and attic ventilation: 6. Corme.nts: F. Commercial Buildings 1. Rcof covering: 2. Distance to property lines: 3. Physically handicapped: 4. :est-oom floors anal :galls: 5. Exits: 6. improvements: /. zor_-irg:_. _ 8. Commexit -: G. Field Problaas or_Vic.la; icjr,.s Problem -Yiolati.an (give ccinplete descriptio -n) 2. 3. What ac.Li.on reconmiended: 77A. -Infonaatioo. only - / / B. Hold for tc:i (10) dans, then wri-L. letter. I 19'Itb--��� •� -� W aa__ ,CL-� -�V