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065-340-004
�� �U,�.� \�� NOTES I RESIDENTIAL j065-340-004^ O1-0351 �� BRUNS-VMPER, ERICKA 14807 WOOD DR. MAGALIA CONTR- BRUCE BRODERICK EX MH ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED INTO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINA LED (Dat f /✓ �/ Signatur CHECKED BY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5Y_ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-340-004 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1080 R 58,320.00 . OWNER'S MAILING ADDRESS 14811 WMT) DR- MAGATTA, CA 99954 CONTRACTOR'S NAME BRUCE BROT)FIRTCR TELEPHONE 277-6439 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 58 320.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 455.00/2 $ 227.50 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 14807 WOOD DR. MAGALIA CA Energy Plan Checking Fee $ $ PERMIT FEE S 270.50 LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )p Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)p Describe Work: EX MH ON PM FM 24 X 45 = 1080 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full�orce and effect. License Class _ °l Lic. No. % /� �� L OWNER -BUILDER DELL R-ATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service Wow To 1000A 46.00so NEW CONST. DwEwNG occuP. ORR,,,,ADDNNssT. ( 3.52sFr°: MUL�rI o�tET NON-RESID. 97.50 PowER APPARATus 8 SINGLE OUTLET CIR. Ex. Occu . OUTLET OR ForruREs 20 Q''0° eAL Q .w Ex. Occup. ourELE°rsA REM.OFRA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) 2- 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall /forthwith coTfil5f ' lth th se provisions. X Date O 2 `2 I /' Signature of Applicant - ❑ Owner 12rContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 335.50 HAZ. D. FEES IMP —� FLOOD — CDF PARCEL �/ PD ✓ HD HD SSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON IfDate the applicable provisions Resolutions to do work been paid. Date Receipt No. cS WHITE-D.D.S.-D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -'7 (?0UNTY OF BUTTE - DEPPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 11 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT "PLICA TION DA TA SHEET .09 " OWNER: ASSESSOR PARCEL NUMBER: 0 --olf Proposed Building Use: 49V�r 064M. Building Inspector: /., _r Date: / 4V At time of permit application, I was advised the following data must be submitted prior to permit pro'cessmi'g and/or issuance: Date Received By El 1. All items have been submitted -------------------------------------------------------------------------------------- Vpt��- Plot plans, 3/4 sets, signed by the preparer of plans - ---------------------------- ------------- 03. Complete plans, 3/4 sets, signed by the prepafer of plans - --------------- ----------------- -------------------- JOUW. Engineered I , -------- plans, 3/4 sets with wet signatuie on plans. All engineering must be shown.on plans. 0 5. Engineered trus�,Zietailg and layout in duplicate (requir�d prior to plan review) No faxes! ------------------ 06. Energy Design Cbmpliance and sup�orting d�umentation. ------------------------------ k I I 1 -11, E-17. Statement of Intent for Ndn-H&ated ar�d A/C Buildings - --------------------------------------------------------- El 8. Hazardous Mat erial Form - ----- ------------------------------------------------------------------- 0 Q Manufactured Home data and 'installation 'instructions including Tie Down Specifications -------- --------- VA&�. Fees of $X�,6'64dd -------------- ------------------------------------------ 0 11. Impact fees as shown on the attached schedule - ---------------------- --------- -------- ------------------ 1 ------ ------ El 12. California Department of Forestry plan approval/feekl� ------------- I 0 13. Flood elevation certificate - ----------------------- 0 14. Sanitation and plot plan approval Health Dep�rtment - ------------------------------------------- 0 15. City of Chico plumbing pdrmit. -------------------------------------- 0 16. Plot plan and busiress- license approvIl from the CiVjof Biggs.% ----------------------------------------------- 0 17. Planning approval f8r, se: (B) Parking: -------------------------- 0 18. Contact Land Development about El Improvements, 0 Drainage, El Legal Parcel - ---------------------- El 1,9. Encroachment Permit for driveway (construction approval prior to occupancy) - --------------------- R(20. Pre -inspection for required. Request to Building Inspector on El 2 1. Contractor's license information. (Number, Name Style, Classification) - ----------------------------- El 22. Workers' Compensation carrier and policy number - ----------------------------------------------------- 1123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0). 024. Letter of signature authorization - ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement - ----------- 026. Letter of intent on building use - ----------------------------------------------------------------------------------- E127. Manufactured Home utility clearance ------- Z ---- ::::: ---------------------------------------- 028.Existing%. i6nsand/d' red p�t, I LIM --------------- 1129. 1143 3 A, rGrant Deed, �rm,.H. Title, Check to H. C.D $ 64 ---- --------------------------------- E130. other: ------- (Date) When you issuehe ocess as follows 0 Mail to owner, CIMpj to contractor. 0TeIep_____ and hold for pickup at 6, eliver with inspector. oflice Applicant: J Date: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date: By: Copy of plans sent 0 Health Department, o Fire Department, o Other: Date: By: 1. Index permit application for the above items numbered: 0 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by — Date: Contractor, designer, owner was adv'ised of the above r%equired data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner: was 41vised of the above required data by 13 phone, C) mail, 0 Building Division counter, by — Date: Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 �BuiL&Wivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 3 — 7-0 1 Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:— L /y_ ellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive a Orovillel California 95965 • Telephone (530) 538-75417��-/ERMrr No. APPLICATION AND PERMIT - BUILDING PERMIT ° Uw S �- C �iO1s SO. FT. OCC. BUILDING VALUATION Ate. /b ftq1-1 °°'ap'tcTo" VAL" AoOnos g LL1DT 9 e01/T1R1Cr10M isiooi 1Vcon Masai Fireplace Total Valuation = ASToa Damem ucr sc "M Filina Fee fi 20.00 ARCH UM 011 WOMM7 W1iAa AD011L1a Permit Foo 7 v2 = f �/,_0 Plan Chvckin Fee = 3.0 G s"LM10aD0"Es' .fd. ( -ber 4 Uf q6 -q5 Energy Plan Checking Fee i i PERMIT FEE _ C {pTM0. i1�OMt10Nt1N1t ` ►MCEL MAP PLUMBING PERMIT Filing Fes 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex O Mobilehomv �(Othor Water piping 15.00 ' Each gas water heater or vent 15.00 TYPE OF WORK Gas piping systern 1 -5 outlets 15.00 Now O Addition O Remodel 0 Utilities o` ln�s/hAstlon O Other O Building sewer 15.00 6---- / �p�! Mobile Home I S I G I W (920.00 Describe Work: IFA J ( � f' L4_ ��'j/7 PERMIT FEE t LECTRICAL PERMIT Filing Fee 20.00 Aakservice aoun°°ail 23.00 Main Se a loon TO 1~ 48.00 New CONST. owaiaa occur. . 011 ADOW. a Ace. silosN&W 3.St'a R. cum wol.wa�o. ' @7.50 vovvol Tu a Ex. Occup. cxm!T ow ReRm ew a Ise ovnxTsTO AM" M 011 Ex. Occup. oma. u 5.00 Temporary Service .00 Mobile Home FacflM93 20.00 Msc. Wiring 23.00 I PERMIT FEE _ ANICAL PERMIT Filing Fee 20.00 *PERMIT FEE PAID s /�J r �� Heating I SRA ' ' $ Cooiin S SHERIFF Hood 8.30 Ventilation OTHER $ PERMIT FEE t Mobile Home Installation Fee = Energy Inspection Fee _ °Ce CON".WK TOTAL FEE $ AMOUNT RECQVEO�S-� ""� a �a "°°° `°` "" '° '� This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutkms to do work / Indicated above for which fees have been paid. * RECEIPT NUMBER �/ (� * TO BE PUT INTO COMPUTER By Date �— PERMIT EXPIRES ON n ,RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 16 -Mar -2001 2001-0010357 Has not been compared vith 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. ERICKA J. BRUNS & GEARY W. BRUNS REAL PROPERTY OWNER/LESSOR 14811 WOOD DRIVE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP 14807 WOOD DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write'SAME") MAILING ADDRESS cay COLINn STATE LP 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 01-0351 (530)538-7541 BUIL.DFNG PERMIT N0. JV TELEPHONE NUMBER 14.4 03/13/2001 ASIGNXITUPE OF LOCAL AGENCYOPdAL DATE NONE DEALER NAME (if not a dealer sale, write 'NONE") DEALER LICENSE NO. UNIT DESCRIPTION FARWEST 1989 90091 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 4325A/B 45'X 24' RAD 494550/1 1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. # 065-340-004 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. BUILDING PERMIT NUMBER: 0 1-03 51 Address or location of unit: 14807 WOOD DRIVE, MAGALIA, CA 95954 ' Legal Description of Real Property: A.P. 065-340-004 SEE ATTACHED (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: GEARY W. & ERICKA J. BRUNS Owner's address: 14811 WOOD DRIVE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: RAD494550A t SERIAL NUMBER OR V.I.N.: 4325A/B MANUFACTURER'S NAME: SKYLINE YEAR: 1989 OFFICIAL APPROVING INSTALLATION: DATE: 03/13/01 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #065-340-004 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 11, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES UNIT NO. 2", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on October 19, 1965, in Book 34 of Maps, at Pages 27, 28 and 29. EXCEPTING AND RESERVING THEREFROM, all of the valuable minerals beneath the surface of the said lands, with the 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, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at Page 385. AP No. 065-340-004 . r1 IRNIIIIIIIIIIIIINIiItlfllllllll CJ jj RECORDATION REQUESTED 1 999-00ZZ686 Recorded I REC BY:61) BIDWELL TITLE & ESCROW CO. FEE 10.00 Official Records I TAX 36.85 County Of ESCROW NO. 3-184332 BUTTE CANnACE J.6RUBBS I WHEN RECORDED, MAIL TO: ROSEMARY DICKSON I Assistant I Maureen Ericka Bruns 09:00AM 28 -May -1999 I Page 1 of 2 14811 Wood Drive Magalia, CA 95954 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX: $36.85 as above AP #:065-340-004 BIDWELL TITLE & ESCROW CO. Agent determining tax TRUSTEE'S DEED FOR VALUE RECEIVED, Jeffry G. Locke, as duly appointed Trustee of the bankruptcy estate of Marilyn R. Murphy, Case No 99-12117, filed in the United States Bankruptcy Court, Northern District of California, and Jeffry G. Lo ke for non -debtor spouse, Richard R. Murphy does hereby sell, transfer and convey to ERICKXyBRUNS, A SINGLE WOMAN AND GEARY w.-.BRUNS, A MARRIED MAN AS HIS SEPARATE PROPERTY AS JOINT TENANTS, all of the estate's and Trustee's right, title and interest in and to that real property located in the unincorporated area, County of Butte, State of California, designated as A.P. No. 065-340-004, as more particularly described in Schedule C attached hereto and incorporated herein. Dated: May 26, 1999 1k4Z� JEFFRY G. LOOKE, Trustee for debtor, Marilyn R. Murphy and for non -debtor spouse, Richard R. Murphy State of California )SS County of Marin ) On 5/26 1999, before me, N. Latno personally appeared Jeffry G. Locke, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity and that by his signature on the instrument the person or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. N. LATNO ; Comm. #109675110 2 n NOTARY PUBLIC • CAUFORNVP-' MARIN COUNTY 401Ad Comm. ESP. Mmdl 22.2000a Sienature/ ' Order No. 3-184332 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965 IN BOOK 34 OF MAPS, AT PAGES 27, 28 AND 29. EXCEPTING AND RESERVING THEREFROM, ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE 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, ET UX, RECORDED SEPTEMBER 4, 1947 IN BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NO. 065-340-004 ROBERTA BRUNS WIFE OF GEARY W. BRUNS, CONSENTS TO THE CREATION OF THE WITHIN JOINT TENANCY IN THE GRANTEES HEREIN NAMED IN AND TO THE PROPERTY DDCRIBED ABOVE ' ROBERTA BAUM -0242 1 Return to DPW AGRICULTURAL STATEM OF ACKNOWLEDGEMENT X FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of .the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent . II. '' to land or included within an area zoned 91-002421 Rec ;Fee 5.00` "•; for agricultural purposes, and residents Cash , 5.,.:001s of this property may be subject to incon- Recorded •:. veniences or discomfort arising from the Of fe ieial Rc ords County use of agricultural chemicals, including, of but not limited to herbicides, pesticides, ' Butte s ' and fertilizers;. and from the pursuit Candace J. Grubbs of agriculturaloperations including, Recorder but not limited to cultivation, plowing, ?' S.Ban 18 -Jan -91 _ XX spraying, pruning, and harvesting which _ occasionally generate dust, smoke, noise, and odor. Butte County has established agricul— tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All That real .property: situate in the County of Butte, State of California, described as follows: Date: State of CALIFORNIA) County of NAPA ) PROPERTY On this the _n�� day of cC-e: 19'90 , before me, the SS. undersigned Notary Public, personally appeared RICHARD R. MURPHY and MARILYN R. MURPHY :Official Seal Personally known to me. M Proved to me on the basis K BRABY of satisfactory evidence. NOTARY OUNIITMLif-0RNIA to be the person(s) whose names) are omm.ExpiresWy28,1994 subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.L�-':=1)L� —�- -- ---� Notary ulic OF DOCUMENT I s4so-- I p STATE OF CALIFORNIA -: DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAS7067 Manufacturer ID/Name 90091 FARWEST HM Serial Number 4325A 43258 Addressee GEARY W BRUNS 14807 WOOD DR MAGALIA, CA 95954 Registered Owner(s) GEARY W BRUNS ERICKA J BRUNS ,JTRS 14807 WOOD DR MAGALIA, CA 95954 Situs Address 14807 WOOD DR MAGALIA, CA 95954 Trade Name IModel I DOM i DFS RY I Exp. Date FARWEST HM 124X458FD + 04/12/1989 02/18/1991 ' Label/Insignia Number Weight Length 1-7W, dth i SPC I SCC I Exempt Use Type RAD494550 17,200 45' 12' 04 j I LPT RAD494551 15,700 I 45' 12 I I i SFD Legal. Owner(s) GREENPOINT CREDIT CORP 10089 WILLOW CREEK RD' SAN DIEGO, CA 92131 Lien Perfected On: 06/02/99 09:26:41 IssuedI Total Fees Paid Jan 3, 2000 $148.00 4 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF.THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. y PERMIT NO. 1719=83.g //- PERMIT EXPIRES_��"7 OWNER L. KELLEY CONTR. owner ASSESSOR PARCEL 65-34-4 LOCATION 148077 Wood Dr. SD0YP2, Magalia g I 1 , }f a. i a i 1 Temp. Power Pole ` Called PG&E r Temp. Elec. Service $i Called PG&E Temp. Gas Service Cal led PG& E e7VY3JOB FINALED (Date) ` A? Signature _. 5 t J =7 0K ' ' q= = Not OK Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECK�OVER CARP R TC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 'OP—ZolljogRequirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2 ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Dec irders and/or Joists—Decking—Bracing—Stairs—Rails V 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rfirs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. AI . Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG Carports; Windows—Doors 7. Utility Clearance 7, Elec. Card -BI Card -BI Date Card -BI Date' Date. Card -BI Date Card -BI, Card -BI Dat Card -BI Date _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (mids) VGxcept N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers-Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances -GF1 5. Drain; MH Test-Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C•/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Card B-1 Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -Bl Date Date Card -BI Date J = OK 0 = Not OK ` = Not Applicable = Not Ready RESIDENTIAL4-Sign(Lle and Duplex) ` Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements. -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 52. 53. 54. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 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 Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - - - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -- _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al - _ - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive ❑Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish -_ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -----------.------_---- Card B-1 Card B -I Date - ----__ _Date_ _ Card -BI Date _-__- - Date Card -BI Date MECHANICAL (Pern!it) OK except #'s 31_ A.C_. Ducts; Insulation & Support - - 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection 83. _ Corrections 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 _ _Condensate Drain &. Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. 35. ---- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic ---- - - - ------ -- - -- -----------.-- Date - _Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailing____ Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Si 11 Hg 1. & D_i_mensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS • •-• 7 County Center Drive - Oroville,. California 95965 - Telephone 916/534-4541 APPLICATI NNNOPERMITm m UM! =� ANA ASSESSOR PARCEL NUM ER ZONING BUILDING PERMIT OW ER t L TELEPHONE SO. FT, OCC, BUILDING V A O OWNER'S MAILING AD RESS C;. 0 Y -C) SO "I w ►z. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ` UNKNOWN Total Valuation $ Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ' $ Penalty $ A CHI.TECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS D W 1700 � PLUMBING PERMIT Filing Fee 10.00 t4 ak,l in Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL IQ o a - MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 1 110.00 e TYPE OF WORK NewXF Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR AODNS, l ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y License No. Classification Kr 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 ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW -CONSTR. ( POWER APPARATUS &') NON R ESID, SINGLE OUTLET CIR. 20@602 Ex. Occup(o TS OR FIXTURES BAL®3OQ FIXXEEDD APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as 4o become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 consequen a of th granting of this permit. a X Date / /— /y—p Signature of Applicant — Owner ❑ ractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ s0 06 UP. GROUP _/ 17 OF t:D ST. F" PARe r a� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PU LIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate -� Receipt No. (/ & %?9 • WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT G JOB FINAL Slgneturt v=ok O=Not OK Not = Not Readyable M1061LI HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK exce t #'s 1 oping Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line 3 as; MHT t -Demand -Valve- onnector KdS� 4 •. lectricity; MH Test -Cross ers-Bre rs-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector ze-*ater and Sewer Connecta - tb Grade -HD Approval Gras' and Electricity Tagged y 9/ Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 10 0-06 00, 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O 1. Nvt`OK - ANot Applicable RESIDENTIAL (Single = Not Ready & Duplex) �-.� Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors v 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romeg P,rotectpn-pi raft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.: Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 - 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: i 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made MOBIL.EHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT aF Rj)BLIC WORKS — 7 COUNTY CENTER DRIVE " OROVILLE, CALIFORNIA — 534_4541 PERMIT N0. Address or location of mobilehome Owner's name Owner's address Insignia or hud number? _ Manufacturer's name ��" "'L Serial number of V.I.N. ar of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. •COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 emorial Way, Chico =Phone: 891-2751 ' 7C Canter Drive,'Orovl le — Phone: 538-7541 F 747. E l iott Road, Parad i se — Phone: 872-6307 CORRECTION NOTICE OWNER I PER _V NO. A routine inspection indicates that the following violations of County Ordinance exist at the above'ad*ss and should be corrected. Please notify this office when correction of work completed. If`you have any question pertaining toiths matter, or need additional explanation, please contact this office immedia{{telt'. Approved stepsand or porches shall be F I i S{ z I } It I Date i fspector I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cpunty Center Drive - Orovtlle, Californ"i�a 95965 - Telephone 916/534-4541 APPLICATI6N AND PERMIT PERMIT NO. 'AZ7 ASSESSOR PARCEL NUMBER 010/6 -®O ZONING GG BUILDING PERMIT ow R ° TELEPFJONE 2-55-6 q 1519 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS N ACTOR'S NAME TELEPHONE CONT CTOR' MAILING ADD ESS KV dA Fireplace CONSTRUCTION END R UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee dV1ii $ j�ar IS. V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2S� BUILDING ADDRESS10 PLUMBING PERMIT Filin Fee 10.0(] FilingFee Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDI VISION NAME PARCEL MAP 3+ •21?� Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome N Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ T:r.0::0eo TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lines ❑ Instal lation;K Other ❑ Describe work: ti' wi 5'-viib' nO► SfT D Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP.&) 21h0sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business ns and Professions Code and m license is in full force and effect. Y License No. '7')— 4 (�% Classification f� — i Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON -RE SID BRANCH CIRCUITS. NEW CONSTNON-R ESID. SINGLE OUTLET CIRCONSTR.POWER APPARATUS W ExZO®SO` . Occu p�OUTLETS OR FIXTURES 9AL@90 Ex. Occup. our ETS P(RESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The.permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating5,110 to building construction, and hereby authorize representatives of the County of 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 consequence of the granting of this permit. /� `2 ^ /_.) X CL,,- �i Datesions Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ S• TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. 151/ PARCEL PD HD 9SUE This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECTORO PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date cl �� Z / it: Receipt No. A 0456 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Apr COUNTY OF BUTTE - DEPART:.MENT_'OF;PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ` PERMIT APPLICATION DATA SHEET.,, _ � Permit No. OWNER &d ud rn&nm A. P. -No. 0 &S Proposed Building Use N/ 'UXcohi bf Building Inspector Date 12")2-9Q At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico. Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. Z- 1 Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) -0 Pre -Inspection for m44U required .. 21. Contractor's license information (No., Name Style, Classification) .. O� 2�,1�2 Certificate of Workmans Compensation Insurance .................. 12-'�-�-c1 D 3 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... (0 Recorded copy of Agricultural Acknowledgment Statement ......... i 25. Letter of signature authorization ....... ......................... . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. l/ Telephoneand hold for pickup at 61�0 office. Deliver w. /inspector. Other o21S el4(�, ► - q Applicant a.Date Copy of Haz-Mat•"form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri o it, issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: i Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by W Date J2-(9-90 Plans approved by &AJ Date I2- 19-90 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department G4cvv FROM: Environmental Health SUBJECT: Sanitation Clearance _` 1 Aga `� Owner Location APR g u Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for __Z_ bedroom mobile home. Other NO Sanitar' an__.Date •Ts--"f:�'�'"�Y'v�r��g3.T,+:pi!:rit'7��i[*si �.:f�+z'i�'"Y''iiPF �°"+'rY�i �vY�'1.19'r..r��f'r�iT...,ra: �,•'k,.;a�",..,-.:��c�{`*�,� it.r+.�.�v^,;'rf!'r�h�'Y'N�Cz,,. •�';4r�s»3.�,��'r int �-'��r;��k'—� BUTTE COUNTY SCHOOLS DEVELOPMENT: FEE CERTIFICATION FORM I., e (One Form pe Building) A.P. Number Building Department No. School District �j�,�� Q,�/1e City n County 0 Jurisdiction Property Owner Ytc�aj rnuApW , �h Project Location/Address 14grr, W (jj 1Qnu� f ma-VAain Subdivision Lot Number Residential Development: Sq. Footage 1psd # of Living MHI Addition (Group R) Units Commercial/Industrial: ;,� Sq. Footage New Addition (Including Exterior Roofed Areas) 2. W Buildintj Departmen= Representative Date (Floor Plans reviewed by School District Personnel) Distri.c Id No q 0 _� () J ^ School District certifies that Applican �( Street A n 1"0A City) Name) .dress ) (State) (Pnbn %L C 1[�(�e (Zip Code) has complied with the requirements of,Resolution No. by the payment of vJ representing �i� square feet. �► '116 School District Representative /Date' PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 'r Complaint Date C(,: Other Date BUTTE COUNTYGNT FORM OWNER YY1 t,�r,a w Address Gempla BUILDING = HEALTH Q -PLANNING COMPLAINT: PERMIT HISTORY ON FILE Q NONE L_j AS FOLLOWS: TENANT: FIELD INFORMATION Name Address Description of Violation A.P.# ,3 _Zoning LO Taken By: D OTHER OTHER COMMENTS: Approx. Bldg./MH Size V J -TG 1�yV J__ � 11 Approx. Bldg./MH Age Under Construction Built By./For -j= Present Owner 0 Previous Owner D Occupied Has Power Lf f[a Has Gas Q Has Sanitation Facilities QWritten Notice Given & Attached Person Contacted Describe Action Taken: lot) &nj Id :�D %� �%b• �1.� L rill-jJ I Vu�� - _ c-7� Afy 2r, t C �7 - :� o ,gyp , OEF a��,i2 fV ©S �%Ll ��� ,�� S Ga�N T� �� ?� SCI to,, ACTION RECOMMENDED: % 1`5e2 -U Information only, file Letter 10 Day Letter D L Hold for Days Other BY : DATE /C:1 'L COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: r 'L COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: