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065-340-009
M A,. 65-34-9 /Ke nardTrebil ��Q/ OVAPAP W�cod�Dr , lot 6, SDO#2, Maga Permit #5885-79P,E(util.�MH) ELEC.1 GAS // — (o -74 SUPPORT STRUCTURE HQ. COMPACTION TEST REQ._ --- 65-34-9 000*0- Con'�r : McMillan MH, Par Perm' t #6553-79;AHI /�/7 Issued /� l riQ/�/�► 65-34-9 contr: Hunter Const., Magalia Permit #3258-80B(new coved de lei 065-3,4Q-009 02-0074 PERRY, TER' 14783 WOOD DR -,MAGA IA:,� CONT: CHICO MHS EX MH EX SITE PERM FND 0 -340-009 02-007 PERK , ESTER 14783 WOOD AGAR 02 CONT: CHICO MHS ARBOR/COVERED DECK 540 - 009 r _ NOTES t 9 i RESIDENTIAL 'L PERMIT NO.._ 065-340-009 02-0075 PERRY; CHESTER -- 14783 WOOD DR, MAGALIA CONT: CHICO MHS ARBOR/COVERED DECK T= I II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS, SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �V Signature ,��%_ CHECKED .BY d • fti t c+� i t t 9 i RESIDENTIAL 'L PERMIT NO.._ 065-340-009 02-0075 PERRY; CHESTER -- 14783 WOOD DR, MAGALIA CONT: CHICO MHS ARBOR/COVERED DECK T= I II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS, SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �V Signature ,��%_ CHECKED .BY /= OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (� Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or AI Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following instld./Drive D Yes D No/Walks J Yes D No/Planters 0 Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. 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 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 Date FRAMING (Permit) OK except #'s Date 40. Sits 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 e jingle & 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 -Mach. 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 D Yes D No/Walks J Yes D No/Planters 0 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: V=OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE S, RPO GARAGES (Plans) OK except #'s Hing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car orts; Windows -Doors 7. Vctric §%. rmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels,. Date `j, A 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 Date Card B-1 Date Card B-1 „.BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive r10-oville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) _ APPLICATION AND PERMIT 02-0075 AS5 ,3 = y�=meq Z° j BUILDING PERMIT OWN== PFMT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN 1�y14M�(' {�D,f3j>�S� DR, MAGALIA 95954 ?3%. 0 4 -DO CONTL41jWISIiMcC TET4P1774 �SICCG°1uCH95927 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ % ARCHITECT OR ENGINEER LICENSE NO.- Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDy,4JpSWD DR, MAGALIA Energy Plan Checking Fee $ PERMIT FEE $ 123-95 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome'M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other BOR Describe Work: AR/COVERED DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service 200A 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 forcg nd effect. /t t r l L./ /Y i` \ License Class / Lic. No. V •J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWEWNG OCCUP. EE CU OR AODNS. a ACC. BLDS. SO- 3.50FT. R°ESIU T. MULTI.OUTLEr 97,50 PO0 APPAPATus a SINGLE ouTLET CIR. Ex. Occup. OUTLET OR FoITURES 20 @ 1.00 SAL @ .50 Ex. Occup. ouxTLEEDTSA Ralp,°ERq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wi , ring 23.00 PERMIT FEE $ / WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of conse,it to self -insure for workers' compensation, as provided for by section 370C• 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 worn for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) d 1 certify that in the performance of the work for whch 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 comply with those provisions. X Da -e G Z Signature of Applicant - ❑ Owner O'Contractor ❑ Agent An OSHA.permit is required for excavations over 60” 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $123.95 HAZ. - D.,LEES IMP •� FLOOD - CDF PARCEL PD D ISYE ,t 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. �(�� I By ` Date f r PERMIT EXPIRES ON x 31, ( we ReceiptNo. �'s�� �� L.itrl� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEC—OR GOLDENROD -APPLICANT NOTES n RESIDENTIAL t�065-340-009 0 0074 PERMIT NO'.I_k I PERRY, CHESTER — - _ 14783 WOOD DR, MAGALIA CONT: CHICO MHS 4 EX MH EX SITE PERM FNDN THE HCD FORM 433A FOR TFIIS MH CANNOT BE t RECORDED UNTIL ONE OF THE FOLLOWING HAS P ! BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE (S) OR -DECAL (CI -IE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON 'f NEW MI -I'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. i 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER It JOB FINALED (Date) Signature CHECKED BY V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Hangers -Post Caps -Anchors -Connectors r Underfloor (Plans) OK except #'s Cling. Joist-Rttr. Ties-Purlin-Roll Brac:-Truss-Shting.-Ring. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Clearance Looked under Floor O Yes 11. Water Pipe; Test -Anchors -Regulator -Service Test Following Instld./Drive U Yes U No/Walks 0 Yes U No/Planters ] Yes U No 12. Electric Underground Stucco Brown -Finish 1 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Unit Disconnect, Electrical -Plumbing 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 15. Access & Ventilation Water Well, Disconnect, Electrical, Plumbing 16. Insulation Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 17. Water Htr.; Vent -Access -Combustion Air Baffle Water & Sewer Connected -C/O to Grade -HD Approval 18. Water Pipe; Test & Anchor -Nail Protection Energy Compliance Certificate -Other Certificates 19. D.W.V.; Test Fittings & Anchor -Nail Protection Address Posted 20. Shower Pan; Test, First Floor -Tub Access _ 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 Date Date Comments at Final: Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes O 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits 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 Ungle &,QupI6x) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors r 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac:-Truss-Shting.-Ring. 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 X -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 71 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 U Yes U No/Walks 0 Yes U No/Planters ] Yes U No 83. Stucco Brown -Finish 1 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 B-1 Date Card B-1 Comments at Final: J = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES`` ° Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning �Require ments-Setbacks-Easements Zoning Requirements-Setbacks-Easemerits 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Columns-Connections-Spiice-Decal-Enclosures 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 4. Electricitv: MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easemerits 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns-Connections-Spiice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date Card B-1 Date Card B-1 12/28/01 FRI 12:51 FAX 530 8726899 C 21 SELECT [a 0.02 STATE OF CALIFORN A— DEPARTMENT OF HOUSING ANTU COMMUNITY DEVELOPMENT DFATSTDATTnm rAQO mnRILENOME o we. R Ausc A / ElID PERRY CHUM J/0 MOOEL 00!/00/78 °°' ROSE J JTRS GOWER W AAW 00!00/77 MAGALIA 95954 u SE"L Kmwfl i 21372A IAglimsom Nugioa CAL097413 WEMW 000000 HIM 000120 WIDTH 000144 SUEDptglyT 04104/91 04 SM = 213728 CAL097414 000000 60020 000144 r o s 14703 W000 DR TOTAL 4 _ u HAGALIA LAI 95954,E---, FUS ft e L UK NCR memo A PERRY CHESTER J/ o ROSE J JTRS 0 14783 WOOD DR R MAOALIA CA 95954 E 0 a E R PERRY CHUM J/0 F ROSE J JTRS = A sY 14783 wn OR E L MAGALIA 95954 IR r o s 14703 W000 DR _ u HAGALIA LAI 95954,E---, ft e L UK NCR E O A ,L O w N E R 0 V A N I I R 0 R T 11090 Mnmm RD RAM I� GATE 03/221 wvi.IcnTe carer ` TO ac num f4rw TwLkomomillj x oam'm AB RZOMED 6Y IAN; oll 410 ,�o�-a9l-00090 THE OWNER INFORMATTON SHOWN ABOVE MAY NOTT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF NO( VG AND COMMUNITY DEVELOPMENT AC NST THE DESCRIBED UNIT. .2 THE CURRENT TITLE pwATUS OF THE UNIT MAY BE CONFIRMbJTHROUGH THE DEPARTMENT, 030002 -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/9§) APPLICATION AND PERMIT 02-8871 ASSESSOR PARCEL NUMBER 065-340-909 ZONING RT1 BUILDING PERMIT OWNER PERRY,CHESTER TELEPHONE SO. FT. OCC. BUILDING VALUATION 144n R 77,760 00 . OWNERS MAILING ADDRESS 14783 WOOD DR MAGALIA 95954 CONTRACTOR'S NAME CHICO MHS TELEPHONE 895-1774 CONTRACTORS MAILING ADDRESS PO BOX 4121 CHICO 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 77171;0 00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee 540.5072 $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .00 BUILDING ADDRESS 14783 WOOD DR MA Energy Plan Checking Fee $ $ PERMIT FEE $ 313.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X3 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: EX MH EX SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home TSITG W @20.00 k -- PERMIT FEE $ 50,00 ELECTRICAL PERMIT Fling Fee 20.00 800V 0R LESS Main Service 20..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is.in full force a d effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5QFT: T. NOµgESlp MULT.1 CRR UT 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOCTURES SAL @ .SO Ex. Occup. OFlx s Aa D) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) ZI-10clertify 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 with comply with those p ovisions. X Date - - d Sig tur of Applicant - ❑ Owner Contractor ❑ A ent An SHA permit is required for excavations over 60" deep and demolition or construction o structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 363.25 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE 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 Date EXPIRES ON 01 ` zlJ (33 Def. eceiptNo. 337509 $363.25PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT county Center Drive • Oroville, California 95965 Telephone (530) 538-7541 L 12/961 APPLICATION AND PERMIT '1 PERMIT NG asessoAr.ncnw�a 20"Psa o� ?MNER —r—' BUILDING PERMIT T{lp.pw� S C •o s• BUIL I I AT Y. ' -, :0MMCTO4 f -Ne I 1 =0M4ACT �i 7i :OM ��+t.CT+OM uuoQ ' i f oERs"�° �OORCss Fire lets J+c.rTECTORENN04A Total Valuatlon E IICE�6! �+O Filing Fee $ 20 00 ac..TECT oR EHoa+esns r4a,w 4oa+[ss Permit Fee ,/ i Z`7 W�•+o+ooREss Plan Checkin Fee E �• 1 I Energy Pis Checking Fee i i o*"o susONGIONSNAW PARCEL MAP PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 C3 Duplex ❑ Mobilehoms O Other Solar or heat pump water heater 23.00 star i Ing 15.00 _. TYPE OF WORK Each gas water heater or vent 15.00 :ew O Addition O Remodel ❑ Utifrties InstIntl Gas piping stem 1 • 5 outlets 15.00 �1°r O Building sower 15.00 'escribe Work: Mobile Home S G W tg720.00 PERMIT FEE S ELECTRICAL PERMIT Fil Ing Fee 20.00 Mein Service •0CV OR L1 ioo4 OR IEss 23.00 Main Service »04 TO IOWA 48.00 NEW COWT. ( Ow"1 M OCCUP. OR 4OONS. a 4CC. eros. 3.52i° NEW COWT f�) wµREs,o N.!nOUT ET Q7.50 I POWER A VTIV d1 a 9 OUTLET 0. Ex. Occup. I OUTIET OR FUMAES 1.00 641 00 Ex. OCCU04DPI�' OR ovnero opo EA 5.00 Tem orar Service 23.00 D4)n � bile Home Facilities 20.00 M Wir 23.00 P R I E f MECHANICAL PERMIT Fling Fee 20.00 "PERA T FEE PA10 s �j Heating SRI • • Cooling Hood 8.50 SHERIFF Ventilation 0TH11ZR PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ ocC cowl Tr_ TOTAL FEE i Z /,,• 0. PEE7 ur► OOP P4RCEL PO 6S E AMOVN'T RECEIVEb This permit is hereby Issued under the apptkable provisions of the Butte County Code and/or Resolutlons to do work Indicated above for which fees have been paid. *R M By Date " TO so! Pir mwo Corm ER PERMIT EXPIRES ON n COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION i 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PE IT APPLICATION DATA SHEET OWNER ASSESSOR PARCEL Na 00 V�-- Proposed Building Us )�A Counter Technics Date: Items required in order to pply fora permit. All boxes MUST be checkmarked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. t ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans -AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculation`s=in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these muni be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received,plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. 1, 1Date Received By: ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed o issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... # ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in . ❑ 17. City of Chico Plumbing permit................:....................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ _ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 2 Contact Land Development about ❑Improve ents, ❑Drainage ............................... I 1. Encroachment Perm.nnitttf��o'•ryd�r�ive m the u lic orks Dept. (construction approval prior to occupancy). Pre -Inspection for W� 111. required ................("] I p Z ❑ 23. Contractor's license information. umber, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance ................................................... ........ ❑ 29. E ' ing violations and/or expired permits ......................................... ...... ❑ 3 . jVGt Deed, ❑ H. Title/State ent of Facts, Letter from Legal Owner, Check to H.C.D. 31. _t►. o /,d�k°� When ,selephone r and hold for p'ckup. have en inf rmed of the above items and requirements for obtaining a building permit. Applica `'�� f� Date: 1. Index permit application for the above items numbered:. 2. dd' 'onal items required Contr , designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Building Division Plan Check Letter [J' phone, ❑ email, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ countgr, by Date: _ Plans approved by: 211. Date:_ _Structural approved by: -Date:- 1Z L'] B.I.N. Location: .Owner. Complaint:_ (J,f v - /, BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H. . PRE - Form Rough Rough INSPE Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Undergro n Permit R ewal Fireplace Sewer Piping Well Circ it a Uti ies Bond Beam Water Piping Light Nic e O HER Insulation Shp Pan Nailing ^ / VI 11h Correcti ns Coe 'o Corrections Final F I Final READY FOR M. INSPEC. ON P M Date: Time: Note: OWNER: LOCATION: CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Condition of Electric Gas: BUILDING INSPFCrOR'S REPORT Electric currently On Off FOLLOWS: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLDFOR r Inspector: Date Z/5 Sketch buildings on reverse and indicate location on property. w 1219 6) A2 SEs/Olk•.MCCL ,USM 7MNcA >wNOLI NO AO 1t _o.nAAcroA s. Aa rlh.c*+ON tENDa Lirive • UrovIlle. callfornia 95965 • Telephone (530) 538-7541vrvry APPLICATION AND PERMIT PERMIT "C '! l BUILDING PERMIT TtLOONE $ C BUIL l AT � r � S rE ww0 AOOAE62 AC»ITER OA V-0-140% AC14TECT OR D—UMI MAA/Iq A0OA9Sf tia�«o AOOAES21 4� [ J�=� Yr1 Or'Q 1 OUeONe ONS ANE USEOFSTRUCTURE O Duplex O Mobilshome O Other TYPE OF WORK :ew ❑ Addition r❑ Remodel ❑ IUbllitiesPlinsita ascribe Work: 1 ,C / i� r {/ V' I Fol 40 Fila lace Total Valuation E Filin Fee E 20 OC Permit Fee _ Plan Checkin Fee E Energy Plan Checking Fee E i PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15-00 Gas i ing system I • 5 outlets 15.00 Building sewer 1S.00 Mobile Home S G' W Q20.00 PERMIT FEE 8 ELECTRICAL PERMIT Flln Fee 20.00 Main Service OOOV OA LASS 200A OR LESS 23.00 Main Service 20" TO 1000A 48.00 NEVI co.sr. ( OWFI,M Occu OCCUR OR ADONS. A ACG. OLDS. 3.5Q;° NEW COO . MULTLOIliLET Q7.50 vOWEA APPAMTLA A 9 0 dA. Ex. Occur). OVTL&T OA FLmAPJ a I.00 aAJ- .50 Ex. Occup.'0 A"Llq' 04 OLlrLtr7 oiO fA 5.00 Temporary Service 23.00 bile Home Facilities 20.00 M . WirNq .1 / L 1 23.00 _ may' " ! PI?RM FEE S MEC NICA1 PERMIT Fling Fee 1 20.00 *PBkAIT FEE 1PA1b s Heating SRA • • s Cooling Hood 8.50 SHERIFF Ventilation OTM PERMIT FEE S Mobile Home Installation Fee 7$ — Energy Inspection Fee I E TOTAL FEES (J -j lz-5� / ^ /'� O. rcE] W• GOP pRow4m 00 w as�c ItAAOVN'T REC s 'l�,/1 // �- This permit is hereby issued under the apptkable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. "RECEiA�' NVAAM A TO tie Pir � Co BY oats PERMIT EXPIRES ON 16 Cl. 11 Ar - 13 k � 1 n 65-34-9 t f RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: 13UT'1-I COUNTY BUILDING DIVISION 7 COUNTY CLN'I"ER DRIVE• OROVILEI C.'A 95965 COPY of Document Recorded 05 -Feb -2002 2002-0005987 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE, FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) Olt COMMERCIAL COACH, INSTALLATION ON A FOUNDA'T'ION SYSTEM Recording of this document at the request of the local agency indicated is in accordance \with California Health and SafetyJCode Section 18551. This document is evidence that such local agency has issued a certificate of occupancy Por 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 deeined to give constructive notice as to its contents to all persons thereafter dealing \vith the real property. CHESTER J. PERRY & ROSE.]. PERRY REAL PROPIXF OWNEWLESSOR 14783 WOOD DRIVE \I:ULI\G ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. II: DIFFERENT ( 11'\' COUNTY STATE 7.111 SAME 1;\I r OWNL'R Iii alas I pmy a -a. —a. "SA\IE") MAILING ADDRESS CI I'Y COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCYISSUING PIiRMIT and CERTIFIC.\ 1 r_ OI: OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 (TIN, COUNTY STATE %II' 2-0074 (530)538-7541 � 'ITI.EPHONI: NUMBER � t 2/1 /02 SIG\:\TU(I-. OF LOCAL. AGENCY 01TICIm. DA 1'17. NONE DEALER NAMI: 61'not a dealer sale. ,—ie "NO -NE") NONE DEALER LICENSE NO UNIT DESCRIPTION GOLDEN WEST 1977 VILLA WEST ,MAWFACTURER'S NAML DATE 01: MAN(TACIVRE MODIiL N:UII-/NI,:\IIl I:K 21372A/B 24'X 60' CAL097413/4 SI:RIAL NI.`NIIII:R(S) KI:Al. PROPERTY LFGAI. DESCRIP1 ION SEE ATTACHED 1.1:\GTI I N \1'11)('11 .\SSI:SSOR'S PARCEL NUMBER A.P. #065-340-009 110) rt)RNI 133(A) RIN. 8,'91 N'l IEEE - ('Dome Rccor&, CANARY-ii(A) PINK - -\ppli..,w GOLUIiNROD - IIuilJin� Urp1 INSIGNIA,I.ABlil. NC\IBP.ItIS) BUILDING PERMIT NUMBER: 02-0074 Address or location of unit: 14783 WOOD DRIVE, MAGALIA, CA 95954 Legal Description of Real Property: A.P.065-340-009 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CHESTER J. PERRY & ROSE J. PERRY Owner's address: 14783 WOOD DRIVE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL097413/4 SERIAL NUMBER OR V.I.N.: 21372A/B MANUFACTURER'S NAME: GOLDE WEST YEAR: 1977 OFFICIAL APPROVING INSTALLATION�r tt�-� DATE: 2/1/02 PHONE: (530) 538-7541 H.C.D. 513C J i -.10993 . W14EN RECORDED MAIL TO: f`L_- b N s. Chester J. Perry 14783 1,*W- Drive Ca. 95954 MAIL TAX STATEMENTS TO. Same as above 1. AP NO. 065-340-009-000 91-007933 Rec Fee 5.00 DOC 27.50 Recorded Check 32.50 Official Records ; County of Butte Candace J. Grubbs Recorder 8:00am 1 -Mar -91 FM I LAND VALUE $25,000.00 2 DOCLln'1ENTARY TRANSFER TAX 5...... ..7......50._.............fa............ •XXComputed on the condderallon or vacua of propeny eonveyod; OR toot.. Computed on the conaldenllo or valyl IW Ilene or encumbrwKft remtinlnp at tlme of /N.. l t—� `• , C n l .: Comronwealth Title acrCW C&npany Slanatur. of O.cler.nt or AWMI d.termin(nd as — f Irm Name-- GRANT DEED I'RANSFEtA FOR A VALUABLE CONSIDERATION, receipt of which it hereby acknowledged, TAX PAID BETTY L. NUN'P, an unmarried woman and LOWELL S. NIIMEROFF, an urttnarricd man, mother and son as Joint. Tenants hereby GRANT(S) to CIIESTER J. PERRY and ROSE J. PERRY, husband and wife, as Joint Tenants the real property in the unincorporated County of Butte StAtt of California, destribod as Lot 6, as shoran on that certain map entitled, "SIMIRA DEL ORO ESTATES UNIT NO. 2", which map was recorded in the office of the R --corder of the County of Butte, State of California, on October 19, 1.965 in Book 34 of Maps, at pages 27, 28 and 29. EXCEPTING TEIEREFR30M, all of the valuable minerals beneath the surface of the said lands, with die right to mine and P.xtract said minerals, it being agreed and understood that in all reining operations, the surface of said lands, will be protected against damage and dint 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 reser✓e(i in the Deed from Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded Sept.entber 4, 1947 in Book 423 of Butte County Official Reoords, at page 385. Dated _ Febntairy 20, 1991 1 4LAtr OI (;A1 a OI1N1A pa COUNTY OF-. _jLt� -." I l>n_ 'lls.�lJ1.111 21'.1991 below me, the unnn.a,uno(l a Nolary Pub,K In and In- sad Slate. Pat- tonally artonally aduetrnd 1111.17�1 I 1l1111)"yLilTq 11 c pareonalN an.yan 10 me (or p,Orod to n,a on the bows of aehaloclor, —donCnl In M Inn ne,aontal whoae nan,o(o) It/are oubaCrlbed hl Iho with,-,nanumml aM atarunal•111)ed to m. %hal hehhoAhey L/C,Aed 1". a.,na wl)NESS" hand u1l+d M/KI,al cyst — r �f� �s-r-•'t. ICAQF.].d, S• NT'TRifxlll'�`' :'V /-\ OrrICIAL LCAL /'•toot. 1; �, {'.DIIC�141o.Tla 1 tiurTE COUNTY ally. — In, off -0 nYla„al atoll rn••e SIV.. IA AIL TAX SvAfEMENTS AS DIRECTED ABOVE END OF DOCUMENT h' �' .%:�5..'n :H 1'•:. i!{�•4 \: �� a' a'' h ;'tfJ (; i`• '1:' a• :'i.P• f'• 1. ).• ,. tr.• ai :a".a•.h. LEGAL DESCRIP"r1ON A.P. 9065-340-009 All that certain real property situate in the County of Butte, State of California, described as 1611ows: LOT 6, 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 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. FROM CHICO MOBILE HOME SPECIALIST FAX N0: 530-895-1774 Jan. 18 2002 10:43AM P1 01/18/-02 09:18 FIDELITY TITLE KRODI5E 530 895 1774 STAW aF CJu6oWu► . GUSNOa, TU MaPOWAr M AMD 610LO f0 AOEMBY aPAV DOVW Gan W r DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENTG okule"or9vowend o wdha+ Atte' Title Search o� Date Punted : 01/ 17/L002 Decal #: LAW3"5 Moufacttuor.. GOLDEN WEST Trademame: VILLA WEST Model Mid Dm-- OQ m i 978 Rcoisbutioa Pap: First Sold Oct 0010011977 Serial Number 71372A 213728 Record Condffiom Registered Ownac: HUD lAbcl I Ioaignia CALA97413 CAL497414 Voluntary Coavasion ID LPT Me Coda: sP0 Origimal Price Code: ANY . Raft Year Tax Typo: LPT Last IT Amount: Daze IIT pee Paid: IIT Exemptio>L NONE Length Width 60' I Z' MY l2' CHBSTELJPERRY ROSE PE"y (Jour T-A—z Wi6 Right of sur Avorstip) 14793 WOOD OR MAGALIA, CA 95W Last Twe Dow. 07l01993 Last rtes Care: 01/w/ 1993 SawPrw aer irdo: Prlce S40,=00 Trs Mite& an 03/06/ 1991 Situ® Address: 16753 WOOD DR MAGALIA, CA 95934 Sites Cly BUTTE Inactive Decay IMM DMV ST6230, DECAL RAYS 147 Title Smucihes: FIDEUTY NATL TFTLS 00 6141 CV -=ST PA1tAMSE, CA 95%9 Tice M No: 303247•WC •** END OF Tr ME SLARCH �'• 4p- Ol�S- 3y0- c�o5 ' r I . b CHICO MOBILE HOME SPECIALIST LIC. NO. 445103 P.O. BOX 4121 (530) 895-1774 CHICO. GA 95927 NORTH STATE NATIONAL BANK STH & SALEM STREETS CHICO, CA 9592 1 8 11aoi3L23112 1:L2LL389611: 00 L. F. L& ? 13123 N' irs .1 T E.H. USE ONLY f R - I;t Mot Plan Attached " Q. Floor Plan Attached I Sant to B.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Porvrf A acl-Dr, Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Publico— Private Well Clearance for dwelling. Other r modf, ,r a--% 13 GA0 t� ) Hold final for: Final clearance O.K. for: NOTE: j�n. 1-7 2= Date Environmental Health ply 1 6 ZOOZ Chico, Callitomia. /� 16 APPROVED Butte County pti Environmental Health pate ;tVra v _Sign f f . gnqtVre. O�5- 3 �.v _ �a % (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 02-0075 PERMIT N0. ASSEU611SAJE41y_MM9 ZGK'P1 BUILDING PERMIT OWNNESTER PERRY _ TELEPHONE SO. FT. OCC. BUILDING VALUATION 234 cul 31042.00 OWNT478T DR, MAGALIA 95954 coMpgti7p�i,$ ""Ms TE 45-1774 CO MTOR'$ 'u4l L l ass CHICO 95927 CONSTRUCTIONLENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 9 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILD 4N / n'SWOOD DR, MAGALIA lL� Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U8lities ❑ Installation ❑ Other IN Describe Work: ARBOR/COVERED DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LESS Main Service 20.AORLESS 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 fOrC nd effect. License Class / Lic. No. Y�/C�� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00So CCU000A WEL200A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.50FT. NONEWLFRESIID MULTI -CUTLET RANCH CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES p .00 BAL Q I.SO Ex. Occup. oFIXUTELE A RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation "of one hundred dollars ($100) or less.) 2/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'HAZ. compensation laws of California, and agree that if I should become subject to the ars' compensation provisions of section 3700 of the Labor Code, I shall fo h ' h comply with those provisions. / Date / 1 3 ' Z _ jSignturTef Applicant - ❑ Owner ontractor ❑Agentit is required for excavations over 5'0" deep and demolition or construction3ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $123.95 — D. FEES IMP — — FLOOD — CDF — PARCEL �', PD — HD X ISSUE V 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 \ Date 4> PERMIT EXPIRES ON 3 U ale ReceiptNo. 337510/$123.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 16 I I ...ALL'. STRUCTURES AND EQUIPMENT INCWDIN.0 OVERHANGS SHALL BE CLEAR OF ALL EASENIET-37-S. A SET BACK OF FT. FROM THE S!DE AND F-Ir'-10'.viTHE REAR PROPERTY LINES AND jF,% THE ROAD CM:' 7EIRLINE.SHALL BE CUM WIENT EXCEPT Q. :::TURES AND EQUIP FOR A 2 FT, EAVE OVERKANU.- 7 rf�� 70 AP - 1 4, - - �l N� 13 '? ff 4-00 -7 I BUTTES COUNTY APPROVED III P'� ;--- P Ohl s _r� 17 Av v — •\ ! � � • \ .. >c a C1 4 1 4_ • a ., S y .-G.3AOZldd` ' N, :�,N3W12lVd3a .ONic to 'A:NnO:) lung , a- _w 12/96) _...,.a.N,..a 1wK� 77 wuI nD � :O -f TaucT+ON L&404 . WtA s w"04O •OORCIS nc.ntcT ON clg"l48t •�r`�t(:� County Center Drive • Oroville, California `95965 •Telephone (530) LI%JILUIN 7541SION APPLICATION AND PERMIT PERMIT NO' BUILDING PERMIT nlow..c ^ SQ. FT CC. BUILDING q ATI ON tH0«E17 tMIINO ADOAlss )T NO I Luemsomi W W USEOFSTRUCTURE O Duplex ❑ Mobilehome O Other TYPE OF WORK ew O Addition O Remod Utilitie O Installation O Other O ascribe Work: ���� fel i' "PERAIT FEE PAID SRI • . SHERIFF OTHER AA0VNT RECEIVEb .E.411RI" 6 * TO se h!T INTO tOMhlTER Fire lace PERMIT FEE S a,,°,9EA E]EE Total Valuation S Filin Fee 20.00 23.00 Filing Fee $ Misc. Wiring ¢ss 23.00 20 00 Permit Fee S :5 — Plan Checking Fee S Energy Plan Checking Fee = PERMIT FEE _ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat Pump water heater 23.00 Water piping 1S.00 Each ads water heater or vent 15.00 Gag piping system 1 . 5 Outlets .00 Buitdin sewer 15.00 Mobile Home S @20.00 E. OCCu . ourl eT OA nztvad PERMIT FEE S a,,°,9EA E]EE PERMIT Filin Fee 20.00 23.00 Mobile Home Facilities 20.00 Misc. Wiring ¢ss 23.00 WEICCAL qR aw 46.00 cup.s. 3.SCIfOlE7 Q7.50 - E. OCCu . ourl eT OA nztvad =0 7 �•� 64l !O a,,°,9EA E]EE S.00 Servic 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I _ MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling Hood 11.50 PERMIT FEE ! Mobile Home Installation Fee $ Energy Inspection Fee S acc CO Na T. " TOTAL FEE s NAZ O. ILEI tYP (1000 COP PO 6S�E 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 Date �— PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: J ASSESSOR PARCEL NU O( 6 546 P O� Proposed Building Use: W• OL c Counter Techni4dmarked Date: Items required in order to apply for a permit. All boxes MUST be checNA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3'. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 1/Fess shown on the attached Schedule of Fees Due Sheet....................................1ent of Intent for Non -heated and A/C Buildings .................................... .03 ion and plot plan approval from the Environmental Health Department in Z310'Z �� 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval El paid. Sent by: ......................,� ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: j ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... 4 ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ~� ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have begn in rmed of the above items and requirements for obtaining a building permit. Applicant:` -�� Date: % �3 O Z 1` 1. Index permit app ication for the above items numbered: 2. Additional/items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by . ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: bIJ Date: I ZZ D'Y Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: Date: Date: Date: Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Jan -22-02 3:57PM; Page 1/2 1� i � Rof Yba Aft�at� TO: Building Depsttment FROM: Environmental Health SUBJECT: Sanitation Clearance Locatign_ AP� Owner :.:e:.. Sj. 4 1.:. ..:z w;.• l ( C 1 ".... �:.:��•. Publ PH Well Plan Approved for: Sewage 019130841 VIl�ie� Supply: —W Cm � fpr :' welling. Oqter. +q<o SI�e Grr "HOId= :-fdr• :a M - IM ' NOTE:.:.•-::f.�.:w.... :� ';,.. . Envi ohinentaI Health Spic Date ..:esA��. ...,_ .•,.'_ .. .... .. __.... .. .._L.. Yv: .....--i.,.s.tr+:�tv.��1••ut.:alti�.�.-.m,.,.c:>ern.t_�.:of,L�!vIS.Y!'1'Y:E�4:�ti:.Sc^��l, lY�1:.�+is,+'S'•?y.4::S'iiii:._. Sent By: BUTTE CO ENVIRONMENTALHEALTH; oe rf A 530 895 6512; Jan -22-02 3:57PM; Page 2/2 Environmental Health JAN 1 6 2002//, ` C'J is o *L� Chico, Cabfotn `db 16 y �tvironir,Er,taJ NE�irE•, Q �l, ©ate �7Kkv .13 to f Oki 9. Electrical , A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of s mobilehome with a minimu 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? Ye�es No 1. De -energize electrical wiring system of the mobilehome at the ptal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. I. 'Switch all breakers and switches in the'inobilehome 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. 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: a 0 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locate w' h required separation from lot lines and buildings and generally conform to plot plan? Yes No' 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeas 'No 3. Are footings and supports properly sized, spaced, and braced -as approved plans? (Note possible variation at spring shackles.) (Sec,. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Y'(�� o_ 6. Water A. Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test -Does water piping withstand working pressure or 50 lbs. air test? es . No C. Backflow - If coach is no S at`e of California approved, does station have backflow device and pressure -relief valve? No 7. Wastes and Drains _ A. Is connection made with Schedule 40 DWV and have flex connectors at each end? es No B. Does it have minimum 4" per foot slope and is it properly supported? Yes\T o C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No �' 8. Gas Piping d Gas Vents A. Connector\appYia e ome connected to the gas supply with an -approved 3/4" minimum mobilehomnot more than 6 ft. long? Note: All piping is to be at least as large as ome gas line inlet without reductions other than the mobilehome connectoro_ B. Test OK awing procedure? Yes_ No 1. Open ce connector valves. 2. Shut off appliance\burner, and pilot valves. 3. Air test ith manome r to 10"-14" water column, or test with slope gauge (minimum 6oz.-max um 8 oz.) ca ibrated in tenth pound increments. Test for 10 min. without drop. 4. Conne gas meter to mobil ome with connector, turn on gas, test connections with soapy water. C. Are all ppliance vents properly ins Jed? Yes_ No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 ` 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE. 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. Inspector. Date—1 A, 2 571 5885-79P,E •PERMIT NO. PERMIT EXPIRES Kennard Trebil .OWNER ;CONTR. owner 65-34-9 ',,LOCATION (A.P. 1135 Wood Dr., SDO#2, lot 6, Magalia "7% A; f Temp Powe/rPeole Calle/dP6&E Temp. Elec. Serv. �Ili $17 C Ca'I'led PG&E I Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RECORD �4 BUILDING BUILDING (Cont'd) A PLUMBING S tbackrewall boll Piping Fo Pa ets st Floor M n Bldg. Rest om Finish 2 Floor F otin s Windo 3rd loor Ste wall Sidina To out Slab Roof SheakhIng Water Pi n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footincis Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for ph sica Appliances Carport handlca ed p Conformance of ex. X Gas PI Ing & Test Footings Y structure Temp. Gas Slab Final Sanitation Patio FIRE LACE Final Footings Footing LECTR AL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLEUS Motors Framing Test Water Htr Stucco Final Sub ane s Mesh MECHANICAL Grd. F ult Prot. Scratih HeatAg Servi e B n Co Ing T mo. Pole F nish D cis 4nderground In rior Lath entllatlon Permanent oor Closer tFinal I kinal MOBILEHOME UTIIT S------------------ Elec_ Service 3 Elec. Pedestal Water Piping J[ Sewer Gas Piping BI E OME INST ATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS oh! oil (NOTE: An entry must be made on this form each time you visit the job site.) a62 -Lt cvl� p COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE ' OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number i ' ' —'for the following location: Owner f I Owner's Address Lam. Mobilehome Mfg. CA,, Model Year Insignia No. f / Serial No. It is hereby certified for occupancy at the above described location and may be occupied. X Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WO KS 7 County Center Drive - (7roville, California 95965 Telephone: -534-4541 APPLICATION AND PERMIT d a i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection pure es. X av Date Signature o Permitee or Agent Receipt No.213c5- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 9 wilding permit expires Date BUILDING Owner �� N j��� SQ. FT. OCC. BUILDING VALUATION Mailing Address elephone No Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /G ��i9 ��� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 16110 Each Trap 1.50 — 4b Repair drainage or vent piping 1.50 A. P. No. 'p- s� '� — Zoning & Planni g Water piping 1.50 dZ� Each gas water heater or vent 1.50 F� v S ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Pa cel eclaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ c $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP ORSLESS 5.00 .6V Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLIN. OR ADDNS. ACC. BLDGS.CCUP. 7i) 20sgft 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: -OUTLET NEW CONSTR BRANCHCIRCUITS ON-RESID (MULTI BRANCH CIRCUITS/ 2.50ea ....RES,., NEW CONSTR. (POWER APPARATUS a NON-RESID. ,SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES) 5B L2; Ex. Occup. OUT ETP PRESID 1REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r� MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 relatino to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ Is A> - TOTAL PERMIT FEE $ 3j authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection pure es. X av Date Signature o Permitee or Agent Receipt No.213c5- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 9 wilding permit expires Date _COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7. ounty Center Drive — Oroville, California 95965 Telephone: 534-4541 �� APPLICATION AND PERMIT (/�/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "-C'00, Date Signature of Permitee oor2r Agent Receipt No. �o O 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 ahoy r which fees have been paid. IR C OR OF PUBLICWORKiS Date Building permit expires ate BUILDING Owner �(j,L SO. FT. OCC. BUILDING VALUATI Mailing Address Telephone No. Contractor n'lGIRI/L414,v /rx G �z(/l�- Mailing Address Fireplace Total Valuation Telephone No. 7_ 8 Permit Fee Building Address 3S iJe� 2 Planng Fee&/or Penalty Permit t Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zo ing 8 lanning Water piping 1.50 Each gas water heater or vent 1.50 Feesd -6arritatT� Fire Dept. Fire Zone Use Permit Gas.piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � T% Bldg. Plansc'd Parcel 4 royal Plans A roval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER EgPermit Fee $ $ �. f S r ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home 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 OR ADDNST % ACCLBLDGS,LING CCUP- 71) 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: NEW RESID. /BRANCH CIRCUITS) NON-RESID. l BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUR{OUTLETS OR FIXTIIRES 50eZ56 / BALE 10Q FIXED APLNS Ex. Occup -(OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �f�.? 7 R Classification c, Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby Laao_Dwv�TtFEe $ 75 C) -� TOTAL PERMIT FEE $ _12so authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "-C'00, Date Signature of Permitee oor2r Agent Receipt No. �o O 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 ahoy r which fees have been paid. IR C OR OF PUBLICWORKiS Date Building permit expires ate MOB ILEHOME SUPPORT DATA , If other than 'single wide, Mobilehome Mfr. furnish „Setup Model. No. ella / -V Year Width_ Z L (ft.) Box Length_(ft.) Tagalong or' Expando Size ft., x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7,,.1973; furnish manufacturer''s installation manual and structural setup sheets (if'not-on.file.with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single t1. Wood either pressure treated or foundation grade. (ft.)(in.) (in.) (in.) El 2. Other (specify) .Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block. 2 .x 0 2: Other (specify) (ft.)'(in. ) (in.) (in.) <—Tagalong or Expando,'. show•support details. (ft.)(in.) (in.) "(in.) L x3 0 -- Typical Support (in.) (in.) Footing Size (ft.)(in.) in. in. �� -- Max. Pier Spacing Max. Overhang (ft.) (in.) (ft.)(in.) BUTTE COUNTY 'BUILDING DEPARTMEN? APPROVF *If center piers are other than drawn above, draw in -locations. snacine. and dimensions. a . , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET l.- Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes,/li/' No (If yes, furnish permit number -.,7 91 0,7--) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be. located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes- No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- -z G D Amps 6. What is the mobilehome site service rating? --------------------- G Amps 7,. What is the mobilehome site circuit breaker rating? ------------- g• G O Amps 8. Is there any other electric load to be served by the mobilehome 9. 10. 11. siteservice? --------------------------------------------------- Yes / /.. No (If yes, identify the load and size: (Load) What is the mobilehome site gas pipe size? --------------- --X What is the type of gas service? --------------------- -- - What is the gas pipe length from meter or tank to the mobileh 12. What is the mobilehome gas demand? ------------------------ ----- (Amps) (in.) LPG (ft.) (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) •- J - 3258-80B x. 'PERMIT NO. PEF#M.IT EXPIRES I✓�/�/ Kennard Trebil OWNER CONTR. Hunter Const., Magalia LOCATION (A.P. 65-14-9 ) 27 Wood Dr., lot 6, SDO#2, Maggalia t 'i i l Temp. Power Pole Called Temp. Ele Called Temp. Ga: Called JOB FINALED (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY'OF BUTTE '— DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for phsicall handica ed Conformance of a structure A (lances Gas Piping &Test Temp. Gas Slab Final r D Sanitation Patio FIREPLACE Final Footin s Footing ELECT ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE JPRINKLE.RS Motors Fr ming / Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME TILITIES Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping . OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • . APPLICATION -AND PERMIT PERMIT O. ASS SOR PARC L NUMBER Z NTNG an BUILDING PER OWN R � �� � . TELEPHONE SO. FT. OCC. BUILDING VALUATION 72 cl O NER'S MAILING ADDREISS C TRACTOR'S NAM .�, S.3.1nyoS%. TELEPHONE C TRACTOR'S MAILING ADDRESS — - � • r3 J /1/ � FYI �- ,4�,, �1 CONSTRUCTION LENDER UNKNOWN Fireplace TOtaI Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ .z ARCHITECT OR ENGINEER N is IN ti LICENSE NO. Plan Checking Fee $ I Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 0 ,OA, PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. CO SUBDIVIScIO NAME .J �%Q PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome4 Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: — CoV D@-c_*—S. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10001 OF1 0 AMP ORRSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS.CCUP.&� 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Code and my license is in ful f rce and effect. License No G S 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 ULTI-OUTLET 2,50 ea NON.RESID, BRANCH CIRC ITS ' NEW CONSTR. ( POWER APPARATUS &) .NON -RESID, SINGLE OUTLET CIR. / 50 @ zsa OR FIXTURES gqL Lpi� Ex. Occup(o XED FIXED APP LNS, OR A Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. y� I have placed on file with the County of Butte Building Department a[� 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 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou ty i consequence of a granting of this permit. X Date ,% 5--'eEe Signature of pplicant — 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCu . GROUP _ % I TYPE OF CONST. ^/ Y I PARCEL t/ PD t� ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OF PUBLIC By. - PERI T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �3y-,r / L9 �����/ Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO --=4 Building Department Coc) ftY.l FROM: Environmental Health SUBJECT: Sanitation Clearance f. 1z47 Mao ��� ®(oS ^ No - az>9 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.R. for: Water Supply b clearance for om mobile home. other %lames NOTE Dates San-tarian