HomeMy WebLinkAbout065-350-042:co�:evio:lation 30 day p069lV�Date: `�
"I
�� 5-35-42
John 1G ersO
1255 Holmewood Dr., lot 105, SDO#2,
Magalia
contr: J T. McGregor, Paradise
Permit #4919-79P,E(util MH)
E LEC ,(7=GLI -7 9 �i�1 ,a .,.-0
GASB_ aI-��I .0 P �At ::�-ej
SUPPORT STRU TURE REQ, Ij,p
COMPACTION TEST REQ.- WD
65-35-42
Contr: Hlt0--4's Mobile Home, Mag.
hermit ##5 3-79MHI
Issueda <02 —7
\! 65-35-42
Permit 13487-80B(ngw ope deck/MH)
cont - 35-42�����/t
Fr -ed Cox Const.., Paradise
Permit ��4624-80B(new carport)
065-350=042 ' 02-32
WEIMERS, GLORIA
14839 HOLMWOOD DR., MA(
CONT: MARVIN PLOURD
EX MH PERM FND EX SITE
i
l
�� 5-35-42
John 1G ersO
1255 Holmewood Dr., lot 105, SDO#2,
Magalia
contr: J T. McGregor, Paradise
Permit #4919-79P,E(util MH)
E LEC ,(7=GLI -7 9 �i�1 ,a .,.-0
GASB_ aI-��I .0 P �At ::�-ej
SUPPORT STRU TURE REQ, Ij,p
COMPACTION TEST REQ.- WD
65-35-42
Contr: Hlt0--4's Mobile Home, Mag.
hermit ##5 3-79MHI
Issueda <02 —7
\! 65-35-42
Permit 13487-80B(ngw ope deck/MH)
cont - 35-42�����/t
Fr -ed Cox Const.., Paradise
Permit ��4624-80B(new carport)
065-350=042 ' 02-32
WEIMERS, GLORIA
14839 HOLMWOOD DR., MA(
CONT: MARVIN PLOURD
EX MH PERM FND EX SITE
i
Lc.ol Lgwj- Lo
N
January 7, 2003
Ms. Gloria Weimers
14839 Holmwood Dr.
Magalia CA 95954
RE: Building Code Violation
L A N D O F NATURAL WEALTH AND B E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
Location: 14839 Holmwood Dr., Magalia CA 95954
AP # 065-350-042
Dear Ms. Weimers:
This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -
referenced location, as follows:
Failure to obtain the required permits, inspections and approvals from this office for the
construction of a storage building.
Since permits and inspections arerequired for the above work, please submit three (3) complete sets of
plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits
are issued and you are authorized by our field inspector to proceed. The field 'authorization cannot be
made until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should
be advised that Butte County has an active Code Enforcement Program which provides an effective
means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the
issuance of citations, fines and the recording of a Notice of Violation including a description of the action
necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan
for abatement or corrective actions to be taken by you. Should you have any questions concerning this
matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number
listed above.
Sincerely,
Scott Rutherford
Chief, Building Inspector
SR:tp
cc: Assessor
NOTES
RESIDENTIAL
PERMIT NO. 1065-350-042 02-3284
WEIMERS, GLORIA
f 14839 HOLMWOOD DR., MAGALIA
CONT: MARVIN PLOURD
EX MH PERM FND EX SITE
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
11 SPECIAL CONDITIONS 11
_ SRA
_ FLOOD CERTIFICATE REQ.
_ FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
_ VERIFY
_ USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CA L (�r3sY
GAt. � L5 3
JOB FINALED (Date)
Signature
CHECKED
BY
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
►/
RESIDENTIAL ,(Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued) if
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
19. D.W.V.; Test Fittings & Anchor -Nail Protection
51.
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
Garage F: -.e Protection Framing -RC Channel
22. Gas Pipe; Sixe & Anchors
53.
23. Fire Sprinkler; Test
54.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
24. Fixture & Transformer Clearance -Ins. Protection
57.
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
27. Romex Installed Close to Edge of Studs & C.J.
59.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Brace Interior/Exterior Wall Panels
-31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
62.
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
Date
34. Clothes Closet Light -Shower Light -Spa Light
Card B-1 Date Card B-1
35. Smoke Detector
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Smoke Detector
36. A.C. Ducts Insulation & Support
66.
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
Bedroom Exiting
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
68.
40. 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
41. Sills Proper Materials & Anchors
Fireplace or Stove, Clearance -Hearth
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
72.
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
74.
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued) if
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage F: -.e Protection Framing -RC Channel
53.
PrC;-... Line,Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63. Infi ltration-Wal ls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
83.
Following Instld./Drive O Yes ❑ No/Walks Cl Yes ❑ No/Planters O Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90. Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = 1Vot OK
. = Not Readyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
11. Ext.; Steps -Doors -Landings
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
Braced Wall Panels
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.
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 Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
:e Decals
#'s with C
Date III ! f"✓Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
,(Rev.12/96) APPLICATION AND PERMIT
ASSESSORPARCEL NUMBA
0 6'5-350-049
ZONING
PT WWV
BUILDING PERMIT
OWNER
GT-DRIA
MO
SO. FT. OCC. BUILDING VALUATION
R77JS0.00
OWNl3i5 MAILING ADDRESS
CONTRACTOR'S NAME
M1872-1096
TELVK01tc
CONTRACTORS MAILING ADDRESS -
CONSTRUCTION LENDER '
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 540.50/2
$ 270.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BJILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$ e
LAT NO.
S UBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 a 5_00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities O Installation O Other O
Describe Work: EX MH PERM END EX SITE.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00 -
PERMIT FEE
Sro no
ELECTRICAL PERMIT
Filing Fee 20.00
000R LE
Main Service 200, 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 and effect.
License Class ((�� _q q 3 ! 7 -3
�/`I LIC. NO.
OWNUILDER DECLARATION
ER-B
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 2 TO
46.00so
E0
COU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
SO
3.5¢FT.
p°�IpT' MULTI.OUTLETITS
@7,50
POWER APPARATUS
8 SINGLE OVILET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL @ 1.00
. 0
FIXEDAPPLINS. OR
Ex. Occup. OUTLETS REBID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
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 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 t co �, t� `�'
Policy Number i I*AC 2 "D
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 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 ifI should become subject to the
` workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with tlTe provisions.
X Ui Date l / -.26 —O a
Signature of Applicant - ❑ Owner 01-ebntractor ❑ 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 $363.25
HAZ.HD ISS
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
`�a2
Date �y
/
to
Receipt No.
WHITE-D.D.S.-B. D. CANARY•A Sb PINK -INSPECTOR GOLDENROD -APPLICANT
4` COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
� �• a
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
4 '=y' PERMIT APPLICATION DATA SHEET
OWNER:[ /) ,� , r S ASSESSOR PARCEL NUMBER
Proposed Building Usei' H (M frl/] ,!eCounter Technician: 76 Date: I I - ;Z �o - G Z -
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the prepa`r'er 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.
106. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan,�ie 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.)
❑ 14. Fees as shown on the attached Schedule of FeeDue 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 ..............................?:.:,,-.° M:.
.............................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ......................
0 19. Planning approval for (A) Use: B)Parking: (C) Parcel Check: 2,-,2-- Q 2
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
V22. Pre -Inspection for %/e(I Ho � {� ,H1 ;7 required..?
Pe fV/ I i •-C ..
❑ 23. Contractor's license information1 jNumber, 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 ......... :.....................................................
�❑I29. Existing violatioijn 4nd/or expired permits .......:.......................................... du
k�N 30.-�irant Deed, ❑V94.H. Title/Statement of Facts, ❑ Letter from Legal Owne ('Check to H.C.D. $ .
❑ 31. Other: P .w, i 4- 54- v e-
When issued Telephone U- /) C oT and hold for,!pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:,t, l��e�� eP Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the abov dat by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: �„�. _Date: Plans approved by: (lam, Date:
Structural reviewed by: Date: Structural approved by: Date..
Note transfer by: Date:
Yellow: Building, Division
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 ° Telephone (530) 538-7541 PERMIT X10.
(Rev. 12/95) APPLICATION AND PERMIT -527�
ASSESSOR PARCELNUMBER _ - I G BUILDINGPERMIT
OWNER TELEPNON SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUN- ! LJ I Au n / *7
O
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20.00
Permit Fee I'-2 :- $ 25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ �O
SUILDINGADDRESS j
6/Energy
Plan Checking Fee
$
S')L�Q_A �t;t_ 2L) 45 ''
v
$
PERMIT FEE $ �-
LAT NO
� �
SUBDIVISIONS NAME A L MAP
SUBDIVISIONS
PLUMBING PERMIT Fling 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 ao
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel /❑ Utilities ❑ stallation ❑ er ❑
Describe Work: �% �(P
F L� (�7n
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 S -'
Mobile Home S G W @20.00
PERMIT FEE S Q
ELECTRICAL PERMIT Fling Fee 20.00
600VOR LESS
Main Service 200. OR LESS 23.00
I �P �Scn-1- 1 —a %_QZ �y ���p� �
'�J, �� ] h �J_ _ _ –lam J
SjY rj 'Vy `0 �I� r s�y - / �
FEE PAID
SRA $
SHERIFF $
OTHER $
_ - ®
AMOUNT RECEIVED $ . 2s
RECEIPT
_., ...
IWHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Service 200A TO I000. 46.00
OR DNST ( DaACC.BoicS. 3.52UR Fr.
NOW CONS MULTI.OUTLET
%.
5ONRESIDCCIRCUITS
APPARATUS
& SING UTET R.—JJ
20 @'.00
E. Occup. OUTLET OR BAL @ .SOMIT
TSPDDSAREx. Occup. OUTERESI.EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 2E3.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heatin
—Cooling
Hood 6.50
Ventilation
PERMIT F S
Mobile Home Installation Fee $
Energy Inspection Fee $ a
Occ
CONST. TYPE
TO AL FEE $ ZS
HAZ.
D. FEES
I
FLOOD
I CDFCEL
.
HD
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
PERMIT EXPIRES ON
(Date)
PRE -INSPECTION REPORT
OWNER,/g ' .
ffl9q-414-
coNTRAcTop-
t/a /moi iJ
PRE-WSPETIONFOR:_ P �9, Y n 11 !9�2(rr ) 4-M
DATE TO INSPECTO. PERMIT.HISTORY:( ) NONE
DATE:
A.P. #•
ZONING: -
(�S FOLLOWS:
BU LDING iNsp C rows RBPORT
Building Description: .
Ccmma+cial/Ilsnge:
ResidentialM of Units:
Currently Occupied '
Abandoned/Vacaat
Electric:
Yes a No Electric currently On Off
Condition of Electric
Gas:
Natural Propane None Currently On v Off
Obvious Problems:
Sanitation:
Plurnbin8 Workingt/!
Weu Working Potable Water.
Obvious SewageProblems _
Comments:
ACTION RECOMMEED: :SSUE:HOLDFOR
Inspector. Date
Sketch buildings on reverse and indicate location on properl
/3p -
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No.
(Rev.12/96) APPLICATION AND PERMIT
AS SESSOA PARCEL NUMBER
O:S
I G
BUILDING PERMIT
OWNER
TELEPHON
SO. FT. OCC. BUILDING VALUATION
OWNERS N E S
t
C"
CONTRACT 'S f
I
ELEPH°NE• /�
2- V
CONTRACTORS MAID G AD KESS
CONSTRUCTION LENDER
Fireplace
'
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
Permit Fee 5q6.50--2 = s
25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee s
�d
SUILDINGADDRESS j I J�
Energy Plan Checking Fee $
r - s
PERMIT FEE S
LOT NO.
SUB 13N5NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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 aas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel /❑ U(tiiliG,es ❑ slallation ❑ Id ❑ %
.�L%Describe Work: ► / 1(1�/ I�xTPA
Gas piping system i - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE $
150.0
ELECTRICAL PERMIT
Fling Fee 20.00
Main SeOR LESS
rvice 2o.A OR LESS
23.00
y� c ,.
t ( J� t cY1A� 11"a -o Z-
1 I
r �
PERMIT FEE PAID $ �, j, if���JJJJ
SRA $
SHERIFF $
OTHER $
AMOUNT RECEIVED $ 2J
���,%�%
RECEIPT # - - 1°� D ��
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Service 200A TO t000A 46.00
NEw c T. DWELLING OCCUP. S 3.5Q .
OR ADDNS. ( & ACC. BLDS.
NEW CONST'MULTI-OUTLET' @7.50
NON.RESID. C
APPARATUS
8 SWG UTLET 010.
°CCU OUTLET OR E9 � Q':50
Ex. Occup. °��°T��ID °EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heatin
Cooling
Hood 6.50
Ventilation
PERMIT F $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ ZS
HAZ
I D. FEES
IMP
I FLOOD
I COF
pARCEL
I 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
PERMIT EXPIRES ON
ate
i 3 /1 `'65-35-42
John �G er/d/14
o rJJ
1255 Holmewood Dr., lot 105, SDO#2,
Magalia
contr: J T. McGregor, Paradise
Permit #4919-79P,E(uti1MH)
E LEC .!= SL I -:Z q 'o�g�p - ,o
GAS$i _ a,-�9 .c a� n4c 2 e
SUPPORT STRU TURE REQ. ,Vo
COMPACTION TEST REQ.' ti
�tNtt► �1�65-35-42
H
Contr: iltoral Mobile Home, Mag.
ermit ##5 3-79MHI
Issued % ;S;Z_( 21 �7
65-35-42
Permit 7-80B( w ope deck/MH)
- --- ---- .. .wok
r;5-35-42&� Vze l
contr a Cox Const,., Paradise
t #4624-80B(new carport)
5
�w
,t
y�
N
i S
i
5
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'
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.+ ,F
PREM
fi wJkOU *
BURA�DERS "mak
.,ARVIN
DR
}r THISEOKISINP
1584-WAGSTAFF-ROAp ONTRACTOR y � T AYM rPT THEFOLLOWING.,.r 1,
,•_z $ ✓
PA59
(530) 872 1096
1 /1210
s'r �/J ^'
. 0 ` = F
T 71iE ORDER
OF `r
i f w r DOLLAR
a f DESC S
M+
1 RIP770N CH
¢ *J`EC
AMOUNT
.•h - i 3 •p GROSS, `yi: F �" t`�"
Y
•. r' _ .,,.. _
{ in�r PAYROLL . t' F I C A FED o r- i Q w
a 'i s'�. 4'r+,-:jt .n •- W/H ,4TE
'
[ ADV 4
BANK
Y
r- OFAMERICA G
_ :'. rc ; �•, �,.
ti `l t t. � r„aS ,•. ✓-_ '.r .-•. i ! y R� ,�,�
tk }r�i
V
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=00 19S8n. .� �. ��z
P:IL•2 1
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
31 -Dec -2002 2002-0072099
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
t 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
t to all persons thereafter dealing with the real property.
GLORIA M. WERvIERS
REAL PROPERTY OWNER/LESSOR
14839 HOLMWOOD DR
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS. IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
k UNIT OWNER (if also property owner. write "SAME')
SAME
MAIIa1G ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA -95965
CITY COUNTY STATE
ZIP
02-3284
(530)538-7541
B ING P TELEPHONE NUMBER
•�36'/1
SIGAA 0 LOCAL OFFICIAL
DATE
NONE (ICY
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
FAR WEST 1979 UNKNOWN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A/B2583" 57 X 20 165354/5
SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 065-350-042
) SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHR E - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
WAr�i�-.as. il� ..._.F .��fi�"
k
a � f FOIJNDATrION, SYSTEMSt-
'�.!
, ._�!� �
7.r+ �,T��3-a✓ � Y P Y'r�q`f #---ate rrcn�e "t4 4 Z i 7 fi
4 Sro'�5r 'G ♦.
'F�I�T�ECUPA
GERTICA
tet.
BUILDING PERMIT NUMBER: 02-3284
Address or location of unit: 14839 HOLMWOOD DR., MAGALIA, CA. 95954
Legal Description of Real Property: A.P.# 065-350-042
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: GLORIA M. WEIMERS
Owner's address: 14839 HOLMWOOD DR., MAGALIA, CA. 95954
INSIGNIA OR HUD NUMBER: 165354/5
SERIAL NUMBER OR V.I.N.: A/B2583
MANUFACTURER'S NAME: FAR WEST YEAR: 979
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE:
H.C.D. 513C
(530) 538-7541
LEGAL DESCRIPTION
A.P. # 065-350-042
All that certain real property situate in the County of Butte, State of California, described as follows:
LOT 105, 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
1965 IN BOOK 34 OF MAPS, AT PAGES 27, 28, AND 29.
EXCEPTING AND RESERVING THEREFROM ALL OF THE VALUABLE MINERALS
BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND
EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL
MINING OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED
AGAINST DAMAGE. AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM
TUNNELS, SHAFTS, OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE
SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND
RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION,
TO E.D. STORTS, ET.UX, RECORDED SEPTEMBER 4, 1947 IN BOOK 423 OF BUTTE
COUNTY OFFICIAL RECORDS, AT PAGE 385.
1
I
%t Record at Request of:
• CD111MO 08fthTthe&Escrow Co.
Order Ho.
'WO aa• P-30886
E NAO !ing by
Ommreiath Title & Escrow QXPWY
WHEN RECORDED MAIL TO:
Gloria M. Weimers
P.O. Box 206
MaVdia, Ca. 95954
.90-40133 / •_
90-040133 1 Roo Fee
5.00
1 DOC
38.50
Recorded 1 Check
49.50
Official Records 1
L,uunty ul
Butte
L.aj30auH a. uruttun ,
Recorder
8300am 19 -Sep -90 1
vs 1
I SPACE ABOVE THIS LINE FOR RtCOADER3 VSE
MAIL TAX STATEMENTS TO. Land Value $35,000.00 38 50
DOQXIENfARy TRANSFER TAX &J. 88:..-..-.....:.....
Same as above—caeputed on Ina corolduadon WVvU4 *l prottutp colyEl"; OFI
_.._ C/^IPrtad e^ the IorobRaTlon ytla I t»RmlbTantea
T ranatning at ema of wa C �I t_ a (t L lv
AXP O=mwealth Title sscrow
SyaAtuft Of DWIVOM at Apnt darmWag mI -FEW Time
AP ED. 065-35-0-042-0
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of Which la hereby acknowledged,
JOHN IVER GUB ESSON as Tnmtee of the JOHN 1VER GLIFDMSON LIVING TiiW crested cn May 16, 1999
hu* ORANTISI to
(QlJM M. 14EMN, a widow
the real property in the VRVW unincorporated
CoUW of BVtte
. State of Califarnia, docribed ea
Lot 105, as shown' on that certain Hap entitled. 'SIERRA DEL ORO
ESTATES UNIT NO. 2 which flap Inas recorded in the office of the
Recorder of the County of Butte, State of California, on October
1965 in Book 34 of flaps, at pages 27, 28, and 2".
EXCEPTING AND RESERVING THEREFROM all of the .valuable minerals,
beneath the surface of the said lands, vith the right to mine and
extract said minerals, it being agreed apd understood that, in nil .
mining operations the surface of said lands will be XOtected
against damage and that all such mining shall be carried on from
tunnels, shafts, or drifts having their orifices outside of the
surface area of the above described realty, all as excepted and
reserved in the Deed from flaga_i.a Ilining Company, a corporation, to
r: l). Storts, of ux, recorded September 4, 1947 in Dnok 423 of.
Butte County Official Records, at page 395.
Dated fq'Itamb= }?V 14"
t
etATFOFGIIFORNIA In
COUIRT OF t
n^ gWitt--lber 14, 1990
Moro a& e4 Wwea"tbd a Norah pone M ane IOr t"ara10. per
tonahYt+eatea .Tnitn Tvrar ritNiAYR�n
Gn ^,ytl. L
- ..A LIy V�uwa
war* VOW" to taa to praod to as on the bull of Eeeetaaaq p aVn: W -!H"
Bodoni sot* oto oww" rrlt0ed rlanaal War@ EubeWlbad to tM •�
aaF tame tv.Oal OL 1991
wma hmue am Bed aeroawoee to o$ that Wahen»r eaemted
1lrtfatt3leb ard�NetaF ^
i_JA arm oe rat otrt w aerurol teal
(Description: Butte, CA(Document-TeaF:rpocI(L)lgg .40l33rPage: 1 of11RECTEO ABOVE
Order. (RU Comment: E I ^e:: ^t^:.: 1. ,t a
_1 la�uz 1b:20 FIDELITY TITLE PARADISE 4 53027ES247
Nu. e�3r
STAT.£ OACAUFORNIA. &VmmgSS, Tit"Xp0FtTAr0N AND HOUSING AUNCY
GRAY OAVI9, Gevornor
DEP T ENT OF HOUSING AND COMMUNITY DEVELOPMENT
Dlvbtm of Coos and 3tndord6
,�lsatva
' '44'O
g �
Title Search
Ty pg4
Date Printed : 10/27/2002
Decal #: LASS 139 Use Code:
SIM
Manufacturer: FAR WEST HM Original Price Code:
AEZ
Trade-name: FAR WEST Rating Year:
Model: Tax Type:
LPT
Manufactured Date: 00/00/1979 Last ILT mount: .
Registration Exp: Date ILT Fee Paid:
First Sold On: 00/00/1979 ILT Exemption:
NONE
Serial Number 1TUD Label /Insignia Length
Width
A2583 165354 57,
10'
02583 Unknown
Record Conditions: YPF Exempt
VoluntMy Conversion to LPT
Registered Owner:
GLORIA M WEIMERS
14839 HOLMWOOD DR
MAGALIA, CA 95954
Last Title Date: 07/24/2000
Last Reg Card: 07/24/2000
salsffranifer W01 Price $11,500,00 Transfemd on 0920/1940
Situs Address: .
14839 HOLMWOOD OR
MAGALIA, CA 95954
Situs County: BUTTE
Inuefive Decal/DMV:
DMV SK5120, DECALAAZ4453
Title Searebes:
FIDELITY NATL TITLE CO
6141 CENTER ST
PARADISE, CA 95969
Title Fite No: 304239-WC
*** END OF TITLE SEARCH **'"
VU -3
°.
PERMIT NO. "4919=I9P,E
PERMIT EXPIRES
-OWNER John Gunderson
J. T. McGregor; Paradise
-CONTR.
LOCATION (A.P. fi5-35-42
1255 Holmwood Dr., lot 105, SDO#2, Magalia
4
,IIS
y
�I.
f°
6:T `
fr
t3
Temp. Power Pole
°+r Called PG&E
Temp. Elea Serv. 0
Called PG&E
Temp. Gas Serv.
Called PG&E
i;
JOB
FINALED o Z�
(Date)
(Sign ure)
i;
S '
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
` WP"" Conformance of ex. Gas PI in & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio REP CE Final
Footings Footing ELRECTRIChl
Fix
rrisminq 0
It Test if
BUILDING
BUILDING (Cont'd)
PLUMBING
Sl&back
FI wall
So Pipin
Fo s
Par ets
i sk,Floor
Ma Bldg.
Restr1lpm Finish
2nd loor
FADtings
Window
3rd F or
Ste all
SidingTo
out
Slab
Roof Shea in
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
_
Prov. for physical
handicaffed
Appliances
` WP"" Conformance of ex. Gas PI in & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio REP CE Final
Footings Footing ELRECTRIChl
Fix
rrisminq 0
It Test if
Water Htr.
Stucco
Final
Subpanels/
Med
MECHANICAL
Grd. FaA Prot.
Sc tch
Heati
Servic sf
B wn
Coo g
Te . Pole
nish
D s
der round
I erior Lath
ntilation
ermanent
for Closer
anal
nal
OBILEH IME U
ILI IES Elec_ Service
Elec. Pedestal
Water Piping
Sewer
c
Gas Piping f I.
E ME I
LATI N - - - - - - - - - - - - - Support i
Elec. Continuity
Water Piping
t1 Drainage
Gas Piping
PATE � ,1` E RKS OR JOkREqTlONR
rkl
--If rq
OL
?C*
o
.,
79 \AA L4
1
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service large'enough to provide adequate -amperage -to mobilehome (must equal rating of
mobilehome with a minimum.of.100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes No
C: Is power supply cord or feeder assembly properly fused? Yes No
D. Is continuity test satisfactory as per the following procedure? Yes. No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. -Switch all breakers'and switches in the mobilehome to the "on" position.
4.. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each 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 theelectrical 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:
1
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with 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) Yes No
3. Are footings 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
6. 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 No
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 No
B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. 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
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 t '• -z - - 4 for the following location:
-'A
Owner -
Owner's Address --A
Mobilehome Mfg. 0-, t'�/o Model Year �'-
Insignia No. ��� �� `) > Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
! Director of Public Works
Date 1 lI//1 ! By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephones 534-4541
APPLICATION AND PERMIT p/J�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Sign/lure o Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assess' r - 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.
DIRECTQR OF PUBLIC WORKS
By Date
wilding permit expires Date
BUILDING
Owner 14.0 C.t,II/0617f6®J
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address -77
1/
Fireplace
Total Valuation
Telephone No.
7g
Permit Fee
Building Address s �'���� '
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. t5 -3 Z—
Z Hing & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
d0
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
P reel
Declaration
Parcel Map
60' R/W
Improve is
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ 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
Main service O100 AMVER e0oPORv LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST OR ADDNS. ACCLBLDGS.WELING CCUP. S) 22 sq ft
(
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 O
T� ✓/V/ i � �e�'�/i�° �
/j ,ta , /✓ Op�e
-OUTLET
NEW CONSTR BRANCHCIRCUITS
NON•RESID (MULTI BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 6
SINGE OUTLET CIR.
NON.RESID. L
Ex. OCCUD(OUTLETS OR FIXTURES, g L@;
Ex. Occup ( FIXED APPLES. OR \ .Z 00
OUTLETS (R ESI EA) D.)
Temporary service 10.00
Mobile Home Facilities 15.00
c� f
License No. -?) 6 9l Classification C
Misc. Wiring6.25
❑ 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 Work"'en's Compensation.
placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued 1 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
TOTAL PERMIT FEE
$
$ -_�7
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Sign/lure o Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assess' r - 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.
DIRECTQR OF PUBLIC WORKS
By Date
wilding permit expires Date
! A
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
f 7 County Center Drive - Oroville, California 95965
Tel epho%)e: 934-4541
APPLICATION AND PERMIT
r.
�1/19-79
authorize representatives of the County of Butte to enter upon the
above-mentioned property r inspection purposes.
X—� C Date 10 71
ature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow-Assessork- 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 - PUBLIC WORKS
Byej Date -/ r-7 Y
Building permit expires Date
BUILDING
OwnerA P4 GLJNI? r 2 so to
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor ` RL Re GOR_
Mailing Address Ar! 0.0 EI- PIZ
Fireplace
Valuation
P-ATotal
114 n (�
Telephone No.
,} 2
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
OC
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 ,O
Each Trap 1.50
Repair drainage or vent piping 1.50
P��
A. No. l� ^ r "� d
yy�
Za my $ Ion ng
Water piping 1.50/000
Each gas water heater or vent 1.50
�P.
F9,es
q_fe
SaJ9n
I Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50 ®,00
EQA
Parking
Plans
Parcel
Declaration
Parcel p
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00D,�
Bldg. Plans Recd
Parcel roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $ ,d=dG
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 ,,dCU
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 100 AMP ORSLSSS5.00 !'7, 60
Main service EA. ADD'L 100 AMP 2.50 0�
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. 71) i 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: �
1 6`"Z P_ P_ C7 olt_
NEW CONSTR ( MULTI
BRANCH CIR T
NON-RESID, l BRANCH CIRCUITS) 2.50ea
•
'
NEW CONSTR. (POWER APPARATUS B
NON-RESID. ,SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTtIRES B L@;
FIXED APPLNS. OR
Ex. OCCUp.(OUTLETS (RESID,) EA) 2.00
Temporary service 110.00
Mobile Home Facilities 15.00 ,QU
License N0.23 &0 09.E Classification Q
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction• and hereby
Land Development Fee
$ --
TOTAL PERMIT FEE
$ "�
authorize representatives of the County of Butte to enter upon the
above-mentioned property r inspection purposes.
X—� C Date 10 71
ature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow-Assessork- 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 - PUBLIC WORKS
Byej Date -/ r-7 Y
Building permit expires Date
r PERMIT NO. '1497=$ng
PERMIT EXPIRES
OWNER John Gunderson
CONTR. owner
LOCATION (A.P. 65-35-42
49 Holmewood. Dr .., lot 105, SDO#2, Magalia
a
15,
d;
• }s
}
• 51 .
i
1 •
t
Temp. Power Pole
Called PG&E
¢ Temp. Elec. Serv.
�! Called PG&E,
Temp. Gas Sw
4 Called PG&E
JOB
FIN LED
(Date) n
(Signature
1;
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
C&
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Pipinci
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Sidina To out
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa I I Insulation Heaters
Slab Prov, for physically Appliances
handica ed
Carport Conformance of ex. Gas PipingTest
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Reinf. Steel I Final I Fixtures
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling µ Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - -. - Support Elec. Continuity
Water Piping Drainage Gas Piping
1
DATE REMARKS OR CORRECTIONS
JIyeP'
/
(NOTE: An entry must be made on this form each time you visit the job site.)
PERMIT NO.: 4624-80B
1 - PERMIT EXPIRES—
OWNER
XPIRES OWNER John Gunderson '
CONTR. Fred Cox Const., Para.
ASSESSOR PARCEL 65-35-42
f
LOCATION 1255 Holmwood Dr., Maga.lia
,i
jTemp. Power Pole
Called PG&E
x
Temp. Elec. Service
Called PG&E
i.
Temp. Gas Service
_ Cal led PG&E
JOB FINALED (Date)
C�
Signature
R
j
V = OK
0 = Not OK ,
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Sdils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on.Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Sid ing-Nailing=Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg:-Steel
54.
Glazing Area -'Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -61 Date
PLUMBING (Permit) OK except q's
Card -BI
Date' ' Card -BI Date
Card -BI Date Card -BI Date
Date FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim &.Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace, or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage;.Above Floor-Mech. Protection
20. Fixture &Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb:,-Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails.& Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn: Vents.&.Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes 0 N
75.
Following iristld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Oyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
30. Clothes Closet Light -Shower Light
__.
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
Date Card -BI Date
80.
Exterior Elec..Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
_
Card B -I Date Card -BI Date
Date
MECHANICAL (Perrr,it) OK except q's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts: Insulation & Support
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow: Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
_
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date - Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. Sills; Proper Material & Anchors
37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over -Girders & Floor Nailing___
39. Draft Stop in Walls (rat proof)
Comments at Final:
_
40.
_
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-P;riin-Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hqt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite) .:
= OK "
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
- s
MISCELLANEOUS
I
Date
MOBILEHOME UTILITIES (Plans) -OK except p's
DateCOV
CARPOR except #'s
1. Zoning Requirements -Setbacks -Easements
Z qui s -S cks-E ents
2. Soils; Special MH Support -Sketch
0 6 t i n De -Spa o n n e c t o r s )
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders'and/or Joists-Decking-Bracing=Stairs=Rails
4. Water; Location -Test -Easement. Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg —Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ /. Amp -Concrete
_
5. Alum. Awn.; Columns- onnections-Splice-Dec Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG
arpor• ; Windows -Do s
7. EI
7. Utility Clearance
Card -BI
Card -BI
Date
ate .- Card -BI Date
`Card -BI Date
"06OLS ( a s) OK except N's
1. Setbacks -Easements
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; -MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7.Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -BI
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Date - Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Lounty Center Drive - Oroville), California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT `
ASSESSOR PARCEL
`CNUMBER .4
Z rlww
BUILDI PE
Ic
IT /0. ob
owN R/TELEPHONE
SO. FT. OCC. LDING VALUATION
o
Od .
.0d
OWNER'S MAILING ADDRESS
CONTRA TOR' NAME ITELEPHONE
�&L R72-0276
CONTRACTOR'S MAILING ADD SS
7 I gra fo
CONSTRUCTION LENDER UNKNOWN
67 -CZ/ �� ��
Fireplace
Total Valuation $
0�ry
Vd.
LENDER'S MAILING ADDRESS
Permit Fee
$ 2Q, 00
ARCHITECT OR ENGINEER
"r
LICENSE NO.
Plan Checking Fee
$ - 40QI
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0- pC)
BUILDING ADDRESS
Z � � d' i
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
,$-1C-
Water piping
LOT NO.SUBDIVISION
NAME
PAR EL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURES
SF ❑ Duplex❑ Mobilehome❑ Other [�' Lcaf7
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New- Addition❑ Remodel❑ Utilities❑ Install tion❑ Other ❑
Describe work: 4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
V OR Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. LING
OR ADDNS. (DWEACCLBLDGS.CCUP.&)
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Q
License No..G� /� 1 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 CON5TR ULTI-OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTPOWER APPARATUS &)
NON- R RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@1o¢
FIXED APPLNS. OR
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.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgm costs, and expenses which may in any way accrue`
against said unt In nsequence of the granting of this permit.
X Date d
IL
Signature of Applicant/'Owner ❑ Contractor W 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 $
OCCUP. GROUP
I TYPE OF CONST,
�t
� 'f
PARCEL
PD
ND
SS IE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE C OF PUBLIC
By.
MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. o7r
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilld, California 95965 - Telephone 916/534-4541
�. APPLICATION AND PERMIT
PE 1 NO
ASSESSOR PARCEL NUMBER
W,4
BUILDING PERMI
c � s®M•
`J Lt y�Qc=
TELEPHONE
�73yu�
SO. FT. OCC. BUIL G VALUATION
-7 z
OWNER'S MAI LII
G ADDRESS D PI A
CON' 'R 9CAT,OR'S NAME
C) W l �t
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
W N bAQ
UNKNOWN
Fireplace
Total Valuation $ l
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
®� �` 0.,
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
BUILDING ADDRESS
PLUMBING PERMIT Filing Fee 3.00
O 0
Each Trap 2.00
Repair drainage or vent piping 2.00
_M 4 2 ql; 4— �
Water piping
LOT NO.SUBDIVISION
Q,5—
NAME
,.0, D 0#p
PARCEL MAP
Each qas water heater or vent 2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system 2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C Other K
Describe work:
pwN f/lb-Ira
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 3.00
Main service 00V OR LESS
100 AMP OR LESS 5•00
1
Main Service EA. ADD -L 100 AMP 2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP.&� 20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
Eland Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR ULTI-OUTLET 2.50 ea
NON-RESID. BRANCH CIRC ITS
NEW CONSTPOWER APPARATUS &\
NON- R RESID. (SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES BAL@10Q
FIXED APPLNS. OR
Ex. Occup. (0UTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fes( 1 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.
MECHANICAL PERMIT FiIingFee 3.00
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
ag st id ou in c _0 on Z, -,,quence of the granting of thi ermi
Date D
Xgn!�,-r- of Applicant — Owner P Contractor ❑ . A nr
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 $ "
Occ . GROUP
TYPE OP CONST.
v
PARCEL
PD
ND
SSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
10
By . Date ;7—/If— F0
7 /
PE EXPIRES Date //�
Receipt No. 3 93 �'Z.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-- - -- �..
18 1i1CN . KLTS COACH SIZE Q.
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3* MON IN _TO CLAMS n PLATE TRUU IMES 30 Put 140 Pst Uphl H 4