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HomeMy WebLinkAbout065-350-015, 65-35-_15_ George Smithey 58 Wood Dr., lot 27, SD01k2,' Magalia contr: Ph1 Moore, Magalia Permit 65-77P,E(util ,MH) ELEC . 7 -%Z] Qye A-7� a4 CA S SUPPORT 9TRUCTURE REQ. 'YLo C@PACTION_ TEST REQ.n 711 65-35-15 . e Contr: John W. Beutler, Yuba Cit, Permit #4496-77MHI Issued x/1/2% ^m f1 65-35-15 contr: Steve Sicke, afLco�l/ 7,A Permit #2587-78B;E(new deck & covered decks/MH)& Iri detached garage) 065-350-015 PERMIT#98-0429 SMITHEY, George_ 14852' Wood -Dr. , Magalia Cont: Morehouse Air`. Com any Gas' Line/MH .� 6:, j9 065-350-01-) 04-3342 S\11 HEY. GEORGE 14352 W-000 TDR, MAGALIA Cont: V 0j..FE ELFCTRIC go aAaf FLFC SERV CHANGE/MH W2 LO BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP 043342 ✓ LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/22/2004 APN• 065-350-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 8 Site Address: 14852 WOOD DR MAG Date: 11-2,Z-0 q* Contractor: Map Index: Description: ELE SER CHANGE/MH OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SMITHEY GEORGE L &CAROL J permit to construct, alter, improve, demolish, or repair any structure, prior I to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 5693 W CORONA AVE the Contractor's State License Law (Chapter 9 cordmencing.with Section 7000) of Division 3 of the Business and Professions Code) or that. he or FRESNO, CA she is exempt therefrom and the basis for the alleged exemption. Any 93722-3057 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or.improves thereon, and who does Applicant: WOLFE ELECTRIC pP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1300 PARK AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 9928 proving that he or she did not build or improve for the purpose of (530) 345-2800 sale.): ❑ I, as owner of the property, am exclusively contracting with 1 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: WOLFE ELECTRIC pursuant to the Contractors' State License Law.). j 1� O I am Exempt under Article 3 of the Business and Professions Code 1300 PARK AVE CHICO, CA 9928 Date: - Owner: (530) 345-2800 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I License #: 844427 ❑ 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. Architect: I have and will maintain workers' compensation insurance, as OFFICE DOPY Engineer:/�/Ythe required by Section 3700 the Labor Code, for the performance of work for which this permit is issued. My workers' compensation ss 1 / 0 ��insurance cardererand policcy number are:Carrier:/��N [EL Total Square Ft:ByPolicy #: /�`' �frt7 �� C3 T DateValuation:By Cee>tsus Code' Date/ ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor r 1 code, interest, and attorney's fees. CONSTRUCTION LENDINGAGENCY. ____-- I hereby affirm that there is a construction lending agency for the This aermit is hereby. issued under the applicable provisions of the Butte County CO&I ? d/Or Resoluli ns o do work i di ated a f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name'.- 2 Signature: /([� Date: --fl �T 0 Owner / Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043342 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/22/2004 APN- 065-350-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: / License Number: 8MV9Z7 Site Address: 14852 WOOD DR MAG Date: //-27_7-0 `% Contractor. �I�IC�T ��- ��� G Map Index: Description: ELE SER CHANGE/MH p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SMITHEY GEORGE L &CAROL J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 5693 W CORONA AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or FRESNO, CA she is exempt therefrom and the basis for the alleged exemption. Any 93722-3057 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WOLFE ELECTRIC pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1300 PARK AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 9928 proving that he or she did not build or improve for the purpose of (530) 345-2800 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: WOLFE ELECTRIC pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1300 PARD AVE CHICO, CA '9928 Date: Owner: (530) 345-2800 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 844427 ❑ I 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. Architect: I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ,1 Carrier: Total Square Ft: 0 S. F. Policy #: ��F"��l�Sa �� Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code': issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure works compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the- Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued -under the applicable provisions of the Butte County Code anrt/or Resoluti ns o do work id' ted a f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: f f Name: PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to�entteerr upon the above mentioned property for inspection purpose Print Name: �1 Signature: Date: ❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor 065-350-015 Permit Smithey, George 14852 Wood Dr., Magalia .. Cont: Morehouse Air Company r i { (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING RtiffI BUILDING PERMIT OWNER S11ITHEY, GEORGE TELEPHONE373-0673 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14852 WOOD DR., MARA%IA CONTRACTOR'S NAME MOREHOUSE AIR CMIPANY TE 1505 E91OO CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14852 WOOD DR. i*iAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioonoaLESS 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 i(1 full force and effect.� ^ � i License Class Lic. No. A OWNER -BUILDER DECLARA ION 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 ( 200A TO „GOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. so 3.50Ft, LTI-O97.50 NON•RESNDT U CIRCUITS POWER APPARATUS 8 SINGLE OUTLET S Ex. OCCU OUTLET OR FIXTURE zo p ,.00 BAL Q .50 Ex. Occup. OUETSD RESO TTEp 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. 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 ere: Carrier SlA-ff=. Cr�+l�pf � Tni► jAJS(tKA �{I�� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number�i Q`S +Q 7 (The above sections need no be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with c Ith t ose provisions. X ,�,=Date?Il_ Signature of A plicant -. ❑ Owner CWontractor ❑ 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 J !♦VV TOTAL FEE $ HAZ. I D. FEE IMP I FLOOD COF PARCEL PD HD I SS E` This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have i y F�7�(rvlr-t.-__ PERMIT EXPIRES ON i J the applicable provisions Resolutions to do work been paid. %„`A Date / ,. f, f Det, ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES tr 411 Main Street, Chico, CA - (916),891-2751 7 County Center Drive, Oroville,`CA - (916) 538-7541 CORRECTION NOTICE -# OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. : -4 4 Date 3h- 6 Inspector REV 10/92 / COUNTY OF BUTTE- DEPARTMENT OPDEVEIOPMENT SERVICES -BUILDING DTVI ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-350-015 ZONING RMH BYICDINGPERMIT OWNER SMITHEY, GEORGE TELEPHONE 873-0673 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14852 WOOD DR., MAGALIA CONTRACTOR'S NAME MOREHOUSE AIR COMPANY TEf6!E9100 j� CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14852 WOOD DR., MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome .4 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities P1 Installation ❑ Other ❑ Describe Work: L_ Gas piping system 1 - 5 outlets t 5.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ) 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 isi—, n full orc� a and effect. License Class "� 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 LCCU000A 46.00so WE NEW CONST. / DWELLING UD& OR \ a Acc. sLos. SO 3.5¢F: CNS. NEW NON-RESID?C I -OUTLET Qa 7.50 POWER APPARATUS 8 SINGLE OUTLET LIR. Ex. Occu OUTLET OR FIXTURES BAS@' o Ex. Occup. ouiLEE' RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. �Wc1 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' comp eInion insurance carrier and policy number are: Carrier �'!1'�f� '� f' l e_&rJDA/ ]AJSQ9AAe, 6JAZO Policy Number ��2' ��-=� --!q -7 (The above sections need not b– a completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith cith se provisions. X r Date 91 Signature of A licant - ❑ Owner bcContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE J5 UU TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL PD HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1-tA� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. C� Date C� � Dale Receipt No. 236245 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 19 -PERMIT NO. 2587-78S,E PERMIT EXPIRES /I /79 'OWNER George Smithey CONTR. Steve Sicke, Chico LOCATION (A.P. 65-35-15 ) 58"Wood Dr.., lot 27,SDO#2, Magalia r r , i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E dB -3 - 2 v' �/FINALED (Date) (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . r. 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 Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure nzlTemp. Appliances Gas Piping 8 Test Gas Slab Final Sanitation Patio FIREPLA Final Footings Footing ELECTRICA Masonry Walls Throat Rou h -- 7 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing —! ° - Test Water Htr. Stucco VFinal Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole % Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 7 MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEWOME INSTALLATI N .............. 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.) P, lCOUNTY OFfBUTT.E — DE r-APT,MENT OF PUBLIC WORKS 7 County Center Drive , . Oicgille, California 95965 Telephone: 534-4541 f/ APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. //7 2©/ge 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. DIR,E,CTOR OF PUBLIC WORKS / — `f 73 By N Date 4_` — Building permit expires Date_ 6--1-� BUILDING Owner j SO. FT. OCC. BUILDING VALUATION 00 O Mailing Address /� O Telephone No. eJ Contractor Cei Mailing Address Fireplace Total Valuation Telephone No. Permit Fee p p Building Address P I an Checki ng Fee &/or Penalty Permit Fee Z PLUMBING No.1 @ FEE Id. PERMIT FILING FEE $3.00 Each Trap 1,50 77�� -¢Z7 `SOD 'A*0 Repair drainage or vent piping 1.50 A. P. No. ,s —2jj —/,S Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fepef S n' n F1 re Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking ParcelEach Plans Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. f5lons Recd I Parcelrovol PIpproval Lawn sprinkler system 2.00 NEW LSI ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L 100 AMP 2.50 / 1 c1c: OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST %ACCLBLDGLING O h) 2¢Sgft CONTRACTORS LIC NSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State/o/ California Business & Professions Code under the name Styl NEW CONSTR. MULTI -O LET NON-RESID, � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTI1RES g L2; FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 Classification 187 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ /j— 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 rkmen's Compensation. rI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit 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 relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. //7 2©/ge 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. DIR,E,CTOR OF PUBLIC WORKS / — `f 73 By N Date 4_` — Building permit expires Date_ 6--1-� ti r COUNTY- OF-BUTTE DEPRRTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY f This mobilehome has been installed in accordance with the requirements of the Californ � Administrative Code, Title 25, Chapter 5, under permit number ZG5/ 2.2 for the following location: Owner �f-c-o`• /!L.t >J Owner's Address Mobilehome Mfg. c Model Year 7 Insignia No. �A-/ 6'S S 0 5�7 S Serial No. /,5-) It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By rTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED y. �;i PERMIT NO. 2645-77 P;E-- .— PERMIT EXPIRES OWNER George Smithey CONTR. Phil Moore, Magalia LOCATION (A.P. 65-35-15 58 Wood Dr., Lot 27, SDO #2, Magalia Temp. Powe;Pole Called PG&E n.1 Tempi. Elf?c. Serv. Ca led PG&E !�2 Jew "k� Temp. Gas Serv. -- Called PG&E JOB FINALED (Date), (Signature, v PLUMBING ELECTRICAL stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) MECHANICAL 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 StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping& Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat I Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors PLUMBING ELECTRICAL stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final -MOBILEHOMEUTILITIES------------------ Elec. ServiceZ6" �-+ad Elec. Pedestal Water Piping i Sewer AL Gas Piping MO�BILEHOME INSTALLATION - - - - - - - - 4V - - - • Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7-n =71 lei e_� 4. (NOTE: An entry must be made on this form each time you visit the job site.) E 9. Electrical A Is service Large enoitgl. to provide .:ulequate umparage to mobileliome (must equal rating of mobilehome (aitlt a ::;irtu::um of 00 amp) and other facilitic., on lot, i.e., water pumps, ...arap,e, cabana, etc.? Yes of B. Is ther--� proper clearances Around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes v No_ D.. Is continuity test satisfactory as per the following procedure? Yes vNo_ 1. De -energize electrical wiring s.yste:u of the mobilehome at the pedestal. 2. D1ake sure that the power supply cord or feeder assembly conductors, including neutral conductor, havE: been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one le -.-id of a•test instrument to the mobilehome grounding conductor and 81,pLy Lire GLU.hI Luau to each itiuu.LCttuute Su i1 Cufl'i uticto, 11ic1iiQtttg YLet1Li ai. 5. All nor. -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 to -;t shall then be made between the grounding electrode and the chassis of the clobilehome. Upon satisfactory completion of theclectrical tests, the lot or site service equipment may be approved for energizing. is job card si-ned by Liealth Departmeat forewater and sanitation? 1.1j.. If everything okay, sign off card and tag services. iUBILEMME DATA Manufacturer and/or Namest'yleG✓L Length Width 1 - Vehicle Serial No. State Identification No. 4.del 4tional Info-nlla t:i.on or Cormnents: M0B1:kCai0ME` IISTALLA'1ION 1NSYF.CTION CHECK LISA' 1. Is the.rrmobilehomt located wi.Lih required separation from lot lines and buildings and general].), conform to plot plan? Yc!s No 2.Doe., the mobilehome have required clearances above ground? (Sec.5085) Yes 1i -"No 3. Are foot.in,s and supports properly sized, spaced, and braced as per 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) Yes No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID -min.)? (Sec. 5566) Yes ✓ No B. Test - Does water piping withstand working pressure or. 50 lbs, air test? Yes 4No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes (/ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes k", -No B. Does it have minimum per foot slope and is it properly supported?.Yes L____No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No V1, D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector,. turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes ✓ No V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center brive - 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 Date Signature f Permitee or/A/gent Receipt No. 16���7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R OFz,PUP�LIC WORKS �7 % By �� Z, 2//\o, Date —/ / permit expires Date 0 BUILDING Owner -�aCj11.4 1 APV SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address AotS+Permit :2 ot' Fee Plan Checking Fee &/or Penalty _WtE FT.I=e.No. Permit Fee Building AddressS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Mql gab AI Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -6,S— ,s--IcrGas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W Safti4etrorr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parcel Map P 60' R/W Improvements Lawn sprinkler system 2.00 ZlJtj­PTI Recd I Po*el pproval I PI royal Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L loo AMP 1.00 DWELLINGNEW CONST. OR ADDNS. ( ACCCUP. BLOGS.&) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON- (MULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: . - l �Q k o W 1 i&FIku rg Ex. Occup(OUTLETS OR FIXTURES)@25G BALI®1 Ex. Occup (OUT FIXED APP LNS, OR ) LETS (RESID,) EA 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License Noc2 8.7 2( / �87 Classification 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature f Permitee or/A/gent Receipt No. 16���7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R OFz,PUP�LIC WORKS �7 % By �� Z, 2//\o, Date —/ / permit expires Date 0 BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: " Ile 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the,site an existing site? Yes / / No L C/ (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 C/ No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? --------- --------- -- % Amps 0 6. What is the mobilehome site service rating? --------�-?- - --- Amps 7. What is the mobilehome site circuit breaker rating? ------------- ,� /,fir--�� Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- x. (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) A 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or: ie'ss' ahan ► 50 ft. on LPG.) (BTU) :pay MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. 2,///,Year 4 Width C�)V (ft.) Length (ft.) Ekpando Size ft.x ft. (Draw 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). 1. . . . . 1 Center Support Locations Center Support Footing Sizes (in.) r n, in. CSX ,�o t din) (in. )(in.) 1 K (in.) (in.) f• — Sin le - ® r Footings (check.one) t • 1. Wood..either . ",,A. pressure treated or fdn. grade. r: *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 2. Concrete pad. 3. Other,:specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify )t )Typical Support in.inx in. Footing Size n r.._.....__ ._-ir Max. Pier �n.) Spacing { i �� Max. i Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1�z NOTE: -All. Materials & .Workmanship Shall Be in �',....} '•r. Actordance, with. Recognized Good Practices and of: a quality;' rescribed for the Specified use in .the Uniform Building, Pl��mbing & AAechanical Codes .and x tiorial ElectricctY'Code: ? tT? f the No syq o{ lens' and s'A, UST be +a, ..IV2CY iI,is set p S kep+• on the fob at all times 'and iit is• �nlewful to ; P ` + J mc�' on same without k , writ p'fidram 'the Department of Pub- . ', 1 u fic Works, County -of Butte. � o 5.ft . from tai® The . Setback shall be from the side property' line and 50 ft.' .. permitting a maxi --fC-4A��.,�.��= center fthec overhang but entirely' • .. MUM of 0:2 out of all easements. .t ••.�: .. t ,, k.•. a� a ' Septic system . be as per Butte County Heaath Dept. Re- "�" quirements. r , � 7 C1�9 'tiny < 1 t�'e qtr► bi�eho e. �,�00i . . - q Zr `All %utility connections •• shall • ' •,� ���,.(.� L� located with''4 ft. outside the rear ray E ,. .. third sectNon':.o� the rrlobile. home on .the left (road) side'gf the mobile a ! home. ,.r r � i� � � f e'� e,�• i'p�"` ' � i� •• �-„,,�,� i � ,,,,,�ni.,,r;w'a,A, 1140) .': Rte+ r. j .a �o G ' � •i 1, 11 fi • •� e 90:.: �” es i 4i 'r r1 ^firs. G.. "' s. -r-.. ...�..:_. i.itci'Y�C• ° _ M S� r'[ j q`, �a `+4 is j� i '.I:y� + �O� ��" F/ :r ��j�p .S .''y�.!' Ya.•�'-'„".�r� �0 iJ T 1� - �r xi r �ro� ',„""y" •r' _1 .yam..- OJ 'C p va•� q' • � • Y�, /.�A�� Vol V.. �4. t i t� ' 4 f f �; 1 � IN f .,.. ... �•i�[%:r `' � � �• '. ..'.. � .1: • , } I 1 A i . r i . ... ... s` _�ti;^e iq,. ., .. It-��e� • M7:} :} • t. j. 11. (,.>� _ '.�I�, �„�� �11,�• pry' •1 .GfilJfi�;�GJfTi ?};�� 1G (iJr+UI�Ut2r1� t i t� ' 4 f f � f f � 1 I 1 A i . r i . 60UNTY OF. -BUTTE — DEPA-RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 1-7% Telephone: 534-4541 / APPLICATION AND PERMIT autnonze representatives OT the county OT tsutte to enter upon the above-mentioned property for inspection purposes. X Date ig"Per.ii..Agent Receipt No. 1(.17-7 n White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date-/`(- 77 Building permit expires Date BUILDING OwnerSQ. _//X14d27 Mailing Address FT. OCC. BUILDING VAL ATION Telephone No. Fireplace Contractor JefTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ,:�513&.�Teleab2.ae No. Permit Fee $ Building Addr s PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 t� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 11/ -- Zoning Verification Only Each gas water heater or vent 1.50 ^ �. .r A. P. No. S -- j �r ZonI ng &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Sa i io FireDept. I FireZone Use Permit Building sewer EQA Parking Parcel Plans Declaration parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 BI 6Rec'd Pa pproval Pla s proval Permit Fee $ -- $ 2 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �- Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 So Single Family ❑ Duplex ❑ Mobil Home D;. ---Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 SW SQ. Fr. MINIMUM NEW CONST.F OR AODNS. ( ACCDWELBLDGS.CCUP. &) 20 sq ft NEW CONSTR. (MULTI-OUT' NON-RESID, l BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of forn'a siness Professions Code under the name styleo 1 1�, 0 25C Ex. Occup(OUTLETS OR FIXTURES, BAL Ex. OCCU FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 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 $ $ ,un� 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. lave 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 $ $ 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 L14 TOTAL PERMIT FEE $ autnonze representatives OT the county OT tsutte to enter upon the above-mentioned property for inspection purposes. X Date ig"Per.ii..Agent Receipt No. 1(.17-7 n White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date-/`(- 77 Building permit expires Date