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065-360-053
R. Bryant ��p`L�7� 150 Crescent Dr.,lot 287,SDO#4, Magalia contr: Tri V Const., Paradise Permit :#61-76P,E(util. ,) ELEC. % S ?(p GAS i 5" ' .. O UPPORT STRUCTURE RM. AAAA COMPACTION TEST REQ. Nd 65-36-53 Contr: Shasta Trailer Sales Permit ##3817-77MEII Issued 65-36-53 contr: Lloyd R. Roberts, Magalia Permit #4789-.77B(new covered deck & open deck/M14 // /9/ 77 65-36-53 contr: H. Don Darby, Magalk Permit #726 793 yE(new pri..jdet. garage) tk 065-360-053 04-1583 BRYANT 14862 CRESCENT, MAGALIA Cont: JOEL FORRESTER 9R�ALE® EX MH PERM FND 7i? D I I i R. Bryant ��p`L�7� 150 Crescent Dr.,lot 287,SDO#4, Magalia contr: Tri V Const., Paradise Permit :#61-76P,E(util. ,) ELEC. % S ?(p GAS i 5" ' .. O UPPORT STRUCTURE RM. AAAA COMPACTION TEST REQ. Nd 65-36-53 Contr: Shasta Trailer Sales Permit ##3817-77MEII Issued 65-36-53 contr: Lloyd R. Roberts, Magalia Permit #4789-.77B(new covered deck & open deck/M14 // /9/ 77 65-36-53 contr: H. Don Darby, Magalk Permit #726 793 yE(new pri..jdet. garage) tk 065-360-053 04-1583 BRYANT 14862 CRESCENT, MAGALIA Cont: JOEL FORRESTER 9R�ALE® EX MH PERM FND 7i? D T T :. C.� M C, y, RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2004-0Qb38328 Recorded Official Records Count Df CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:02AM 24 -Jun -2004 I REC FEE 10.00 I CONFORM 1.00 I I I I I I Barbara I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RONALD D. BRYANT AND EUNICE V. BRYANT TRUSTEES BUTTE COUNTY BUILDING DIVISION REAL PROPER'L'Y OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 14862 CRESCENT DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME -1583 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT U i G T N LEPH NUM ER SAME CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DAT SAME NONE UNIT OWNER (if also property owner, write "SAME') DEALER NAME (if not a dealer sale, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION MOUNTAIN VALLEY HOME 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2569A/B 60'X 24' CAL063566/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-360-053 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD - Building Dept. Lot 287, as shown on that certain Map entitled "SIERRA DEL ORO ESTATES UNIT NO. 4", which was recorded September 29, 1969 in Map Book 35 at pages 48, 49 and 50. EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said land 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. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 GOPY of Document Recorded 24 -Jun -2004 2004-0038328 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RONALD D. BRYANT AND EUNICE V. BRYANT TRUSTEES REAL PROPERTY OWNER/LESSOR 14862 CRESCENT DR. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE Lir SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME 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 -1583 530 538-7541 RM, 110figur R SIGNATURE OF LOCAL AGENCY OFFICIAL DAT NONE DEALER NAME (if not a dealer sale, write "NONE") NONE . DEALER LICENSE NO MOUNTAIN VALLEY HOME 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER 2569A/B 60'X 24' CAL063566/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/I.ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION QFF ATTA(HF.n ASSESSOR'S PARCEL NUMBER 065-360-053 1,.,,...I of e1-1 oint Lot 287, as shown on that certain Map entitled "SIERRA DEL ORO ESTATES UNIT NO. 4", which was recorded September 29, 1969 in Map Book 35 at pages 48, 49 and 50. EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said land 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. C V i i V VJ 1\ 11 1 J IL 3 - } CERTIFICATE 01 OCCUPANCY BUILDING PERMIT NUMBER: 04-1583 Address or location of unit: 14862 CRESCENT DR. MAGALIA, CA. 95954 Legal Description of Real Property: SEE ATTACHED 065-360-053 (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RONALD D. BRYANT AND EUNICE V. BRYANT Owner's address: 14862 CRESCENT DR. MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: CAL063566/7 SERIAL NUMBER OR V.I.N.: 2569A/B MANUFACTURER'S NAME: MOUNTAIN V A ILEY HOME YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: 04 PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 'Pnrr=rr^rr «P rrr/r m»nnFVOME osr«L NO. AAX3055 MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION MOUNTAIN VALLEY HOMES/ MOUNTAIN HOME L 00100177 R 00100177 AFN 09/30/97 * - *.«) E R RELEASE U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED SE TYPE 1 2569A CAL063566 000000 000720 000144 07131197 js0c4C F�=DI L T 2 2569B CAL063567 000000 000720 000144 - 3 CITY ST S TOTAL T E L 4 FEES 5 E 1. PAID: ~^ o m . A RONALD D DRYANT/ 3. DEALER— D EUNICE V DRYANT TRUSTEES ^^^^~~^~ ** NEW nsmzsrcnso owwsx, FILL IN zrcms o - p ** D 14862 CRESCENT DR L R MAGALIA CA 95954 o * - *.«) E R RELEASE ~ o) SNAME E R xowmcu u ux,owx CURRENT::MAILING ADDRESSG I n 1*862 CxcSCcn/ u^ CITY ST S T E L n"""^^" E 1. ~^ o m 14862 CRESCENT -:DR W - N T I�.,��~� ��".,�~� .� . _ -- ---- ns 8. L E G « L o * - N E 2. A) R RELEASE C) «suzowmcwT ZIP cw7v ST zzp *** NEW uwo JR. LzcwooLosn, FILL IN I7sws za - zm *** za. NAME - PLEASE PRINT zr. ADDRESS ' za. CITY CNTY ST ZIP IMPORTANT 01-209-00 THIS CERTIFICATE' OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT DlUDl�2 TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 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NOTES RESIDENTIAL , PERMIT NO. — 065-360-053 04-1583 BRYANT 14862 CRESCENT, MAGALIA Cont: JOEL FORRESTER EX MH PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THEBUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE I INSPECTOR MUST RETREIVE). ! (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL -#'S. 11 SPECIAL CONDITIONS III SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER C�,n L 063.5_6-) JOB FINALED (Date) — -L/z Z/) Signature � . CHECKED BY J=OK 0 = Not OK . = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L `ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Car B-1 Date Card B-1 Date PER NENT END SYSTEM (ONLY) Card B-1 Date Card B-1 loving Requirements -Setbacks -Easements Card B-1 Date Card B-1 2.' 6tings; Size -Spacing -Marriage Line 3 locking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9 -'Exits 10�L'icense Decals 11. Verify #'s with Office Date [ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -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- Panel boards- 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 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 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle 52. 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 55. 20. Shower Pan; Test, First Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 21. Test Tub & Shower, Second Floor -Tub Access 58. 22. Gas Pipe; Sixe & Anchors Glazing Area -Glass Protection -Skylights -Plastic 23. Fire Sprinkler; Test 61. Brace Interior/Exterior Wall Panels Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 24. Fixture & Transformer Clearance -Ins. Protection Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 25. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets & Receptacles at Kit. Counter 26. Size Boxes & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 27. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Plb.; Elec. & Mech. Equip. Listed for Location 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Elec. Receptacles in Garage (FF.I.)-Romex Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral J Yes J No Insulation -Foam -Looked in Attic 32. Service -Riser Conductors & Ground Main Disconnect Guard Rails & Deck Construction -Post Caps 33. Equip. Clearances Panels-Motors-Mech. Equip. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 34. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor J Yes 35. Smoke Detector Following Instld./Drive O Yes J No/Walks U Yes D No/Planters ❑ Yes O No 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 87. 36. A.C. Ducts Insulation & Support 88. 37. Vent Fan, Exhaust above insulation 89. 38. Condensate Drain & Overflow, Size & Grade 90. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 91. 40. Attic Access & Platform if Furnace in Attic Date Gas Test -Meters Tagged, Gas -Electric Card B-1 Date Card B-1 Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Comments at Final: 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 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 Fire Protection Framing -RC Channel 53. Property 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. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 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 (FF.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 J Yes 83. Following Instld./Drive O Yes J No/Walks U Yes D No/Planters ❑ 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: 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.netWds PERMIT NO. BP04'1583 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: 06/21/2004 APN: 065-360-053-000 the Business and Professions Code, and my license is in full force and effect. IL`6 g6C6 License Class: License Number: 7 Site Address: 14862 CRESCENT DR MAG Date: —Z( v`F Contractor: Lt !��ao"Q 5 Map Index: Description: EX MH PERM FND EX SITE 1440 p OWNER -BUILDER p 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRYANT RONALD D & EUNICE V TR 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 the Contractor's State License Law (Chapter 9 commencing with Section BRYANT REVOCABLE LIVING TRUST 7000) of Division 3 of the Business and Professions Code) or that he or 14862 CRESCENT DR she is exempt therefrom and the basis for the alleged exemption. Any MAGALIA, CA 95954 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: BRYANT RONALD D & EUNICE V TR such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 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 pursuant to the Contractors' State License Law.). Contractor: LIFETIME EXTERIORS ❑ I am Exempt under Article 3 of the Business and Professions Code 6230 JACK HILL DRIVE Date: Owner: OROVILLE, CA 95966 530-228-3421 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 746808 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: &a' 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: 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: (' I -o 4 {)- Applicant: `Jch: L %e),4,P- e--r—,-Cd1 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 code, interest, and attorney's fees. 4-O& 2 3 $ 5 O to - Z - 40 4 - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrvor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: PERMIT EXPIRES ON: Address: Date ❑ I 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 & 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 r document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. �J �r Print Name: \X�f���( t� Signature: Date: 0 Owner tJ Contractor ❑ Agent for Owner ❑ Agent for Contractor YX, � o�UTTFO BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION o 0 AND SUBMITTAL REQUIREMENTS 00 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Name N c C.e _3l)"tAA1 Address Phone --fie. CityM,46AUA E-mail State Zip r5 f fil Phone x•73„ �,� �- Fax E-mail E-mail CONTRACTOR NameL F, edP Address I:- City 64.601,'U State Zip 7 Phone --fie. Fax E-mail Lic. #7"WIR C a CY-7 APPLICANT SIGNATURE X... P I For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X... P I For office use only: APPLICANT NAME Name Flood Zone Address SRA City I No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X... P I For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT�,� N. (P4_,". BIN # LOCATION Property Address Sq. Footage Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. _ �r Re c iv� Amount: Bldg SRA Receipt #: Sheriff '0 SMIP G II D1I/!(/ _Other I I Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: Cl 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 12 Engineered Tie,Downs or'Foundation plans. ❑ 6. Sanitation and site plan (approval from the Environmental Health Department. 1:17. 2 Flood Elevation Certificate,; wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7.. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of,intent. ❑ 10. Hazardous Material Form. ' ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like'additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. 1 1'' :' OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APP CATION DATA SHEET _ OWNER: S ESSOR PARCEL NUMB R 3l D-053 - 1 -vi-_ ro�osed Building Us ounter Technician: Date: "' L s required in order to a ply fora permit. i boxes MUST be checked OR marked NA in , der to apply. i 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor PIn, (D) 1ie�own or fnd plans, all in duplicate. ,,/ %` -� ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: " ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑/27. Encroachment Permi fo ivvAai fro ie Public Works Dept .......................... 28. Pre -Inspection fo required....... ❑ 29. Contractor's license I formation. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. D 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.. .................................................... X32 estrictio .......................................... /. tTitle/Statement of Facts,O ter from Legal Owner, eck to H.C.D. $ : ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the ab9ye items and requirements for obtaining a building permit. Applicant: �- �l Date: --CJ 1. Index perm' li ation for ove items numbered: / Plan Check etter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ownr, as advised of the apove ata by ❑ phone, ❑ mail, ❑ countnb�. Date: Co Plans reviewed by: Date: 6 �-t Plans approved by: t/ Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PRE-IN�PEC�°I®N SEP®F%i OWNER: DATE:--( - �/ D LOCATION: A.P. CONTRACTOR: Z G• REASON FOR PRE- PECTION DATE TO INSPECTOR PERMIT HISTORY ( ) NONE(AEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied es AbandonedNacant: Electric: Electric Currently ('�6n Condition of Electric , Gas: C- ( ) No ( ) Off Currently ( ) On (' ) Off Condition IN Sanitation: Plumbing Working (%,K'es ( ) No Obvious Sewage Problems ( ) Yes (\/No ,4( ACTION RECOMMENDED: ISSUE (.ries Hold for permits or verify: Inspector: ' Mobile home # of Units: ( ) No [rT7TT!"STT TlTTTT 1r\T1kT!" 1C 111LT "TTTTT)CT A 1kTT! TAT r%T!V A rz, z AV�, 3os"6' Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVH LE: (530) 538-7636 • CHIC 0: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE YVILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE � r f I For office use only: OWNER Name Address j CityfA-A6, I No State Zip r9 f fdlre�� Ph9p Fax E-mail E-mail APPLICANT SIGNATURE � r f I For office use only: CONTRACTOR Name-e� L. r ,A cf'i-.. Address j City I No State ' - Zip i P46 Phone Fax E-mail E-mail Lic. # 7eme C assn APPLICANT SIGNATURE � r f I For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA I City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE � r f I For office use only: APPLICANT NAME Name Flood Zone Address SRA I City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE � r f I For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT�� NO. I P BIN # LOCATION AP# Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: (n A a --AA F." Ss .'sa r Vv Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ReVv ft/ Receipt #: Amount: �— SRA Sheriff SMTP `Total i 2 s fi S r x �d o �,d 0 •o (D o G 3 rOr wn CL rt V o 00 I'< �o a V �) V tl o a, [�\ ;(D In !"iW 0 rt T O m 1 ul (D V1 - W 4 (D Deo V aF- v P3 x p F., r[1 H b C) n1`(7) M 1-d n 7d U2 (D p o C-- �> rq rD 0 vi b cn B S Com] rGr td (D F' h cam] rrr `C Si rt- .. HH �.. (D W H H m G # coO 'Z c�-j� rt o rt W �' F i 1% 01 H. N F- 00 v H - C rt H b z . �y ri F3 f Lei CrJ rt � G rt H P• (ll O r1r!"d N`�, ON H. (D W �� • :J W 00 d� W c ¢ rn \ � - r,C U1 Ln �oC Lo W (D ID En v w \� V Y• T T LQ 00 rn O`D ' p p H NJ 5Y1 D r F :0 Z o C) �,:: C 6 D Fi fi n ((D r (D U) O -I CM) ,A M C7 O D TC l L x Z -1 > C �O D ,. cn Ln t7 N t� D A ¢ " tY D tod N• � It O 1 r m 1� o C7 m Sv ((D � co> n Do r m m . n 0 O xi cn cn H f D > > mm N O m . 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All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. A Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. EdThe following parcel map requirements shall be met: All structures and � equipment including overhangs shall be clear of all easements. A setback of Ob 94eet from the side and 0 5W eet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. 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T. > �4 --q 0 M m M m 0 Z7-09 Z: LI) m z -A I W c z A 2 PAGE 03 ZN o r4 0 C: 13 OD "I C Z Q, m Q, > v 06 mm.(MLN . 0 LA F-. I Z m Ln 03 ca O L -i 00 U3 vi > Z7-09 Z: LI) m z -A I W c z A 2 PAGE 03 ZN 0 c M v 06 a 0 rn > Z 0 z M rn tA rn —Ln 0 M PERMIT NO 4789-71B PERMIT EXPIRES ?1, OWNER Ron Bryant CONTR. L1oyh,R. Roberts, Magalia LOCATION (A.P. 65-36-53 28 Crescent Dr., lot 287, SDO#4, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. C sled PG&E FINALED 7 (Date) (Signature) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r' BUILDING INSPECTION RECORD BUILDING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Firewall BUILDING (Cont'd) Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for physically handicapped Conformance of ex. Footin F FIREPLACE FIRE SPRINKLERS PLUMBIN, Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL btucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 1CIOJ,rwvty r REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) CeUNTY OF BJJTTE„ — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oro°rille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -7 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe io urposes. - Date Ignatury— Per Miittee or Agent Receipt No. ,J b White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date— ?,-7--27 (ding permit expires Date F BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 3 Mailing Address( Telephone No. Fireplace Contractor cC�f+��%`//�` Total Valuation Mailing Address P �, 7�� Permit Fee j Plan Checking Fee&/or Penalty C Tel hone Na.l� -Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 c� GES,✓ �J�� Each Trap 1.50 7 -S O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (0 —J '—� Zo ning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe NLS StP FI re Dept. Fire Zone Use Permit Building sewer 5.00 EGA Parkingcel Plans ation Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 BId9.�s Re Parcel tArfrovaI Pla pprovol Permit Fee $ $ NEWADDITION ❑ 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 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADC'L 100 AMP 1.00 NEW CONST.DWELG CCUP. OR ACDNS. ( LINO& ACC. DWELLING ) 20Sgft NEW CONSTR./MULTI-OUTLET NON-RESID. 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-^ r• �1 ���� Ex. Occup(OUTLETS OR FIXTURES)NL�E BAL@1 Ex. Occup. ( FIXED APPLNS. OR \ 2.QO OUTLETS (RESID.) EAI Temporary service 10.00 yee Mobile Home Facilities 15.00 License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code whic ,requires every employer to be insured against liability for Wor en's Compensation. have placed on file.with the County of Butte a certificate of Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permitis 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 TOTAL PERMIT FEE $ �' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe io urposes. - Date Ignatury— Per Miittee or Agent Receipt No. ,J b White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date— ?,-7--27 (ding permit expires Date F PERMIT NO. 5619-76P,E PERMIT EXPIRES ozazlz_ � OWNER R. Bryant J CONTR. __ Tri V Const., Paradise / LOCATION (A.P. 65-36-53 / 150 Crescent Dr., lot 287, SDO#4, Magalia w Temp. Power Pole Called PG&E Temp. EIec. Serv. Called PG&E Temp. Gas Serv. Called PG&E i �OB 2 q h� FINALED , (Date) (Signatur ) COUNTY OF' BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE . OROVILL_, CALIF. - 534-4541: OF OCCUPAK This mobilehoine has ,been installed in 'accordance- with the_ iequirements., of the California Administratiee' Code; Title 25;, Chapter ,5;' under` permit, numbei irl 1` ,1 for the following location: CA -Owner Owner's Address Mobilehome We,Model Year , Insignia No., f t., s) `�^•`•� .;El{"i • Serial No It is hereby certified for` occupancy at the above' described location and may be occupied. Director of Public Works Date t ,. 'By THIS CERTIFICATE IS.VOID WHEN MOBILEHOME:JS RELOCATED (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUM13ING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwai l Sidinq To out Slab Roof Sheathing Water Piping — —76 (gi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwai I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances — Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIR PLACE Final Footings Footing 1 ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP INKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh M CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent 'Door Closer Final Final -' r DATE REMARKS OR CORRECTIONS 0 , Ile (NOTE: An entry must be made on this form each time you visit the job site.) f iii)137: �';Ii0 1l3 INS'.I'ALI.A`I'1(9N -INSPECTION CHECK DIST 1. Is the. niobilehom�7.. 1oSr!tcd Wi;i),,i required separation from lot lines and buildings and generally conform to plot plan? 1.(,,.s,No v ?, l)oe:, the mobilehome have requited clearances above ground? (Sec.5085) Yes4No- 3. Are footin,s and supports properly sized, spaced, and bracedqs per approved plans? (Note possible variation at spring shackles.) (Sec. .5082 & 5083) Yes\ ,P; o_ 4. Is the mobilehome level.? (Sec. 5088) Yes No If no e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No— °i. Water A. Is `.1_IXible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes` No_A B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is nt.(c-- te of California approved, does station have backflow device and pressure -relief valve. No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it. have minimum 1�," per foot slope and is it properly supported? YesY No C''. Are any leaks detected in drainage system after running` 3- allons of water through each fixture including washing machine standpipe'? Yes No \/f' D. If coach is State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Ga Vents A. Connector - Is obilehome con ected to the gas supply with an approved 3/4" minimum mobilehome conn ctor not mor than 6 ft. long? Note: All piping is to be at least as large as the mob'leriome gas line inlet without reductions other than the mobilehome connector. Yes No B. 'gest OK as per fol�owin procedure? Yes_ No 1. Open all appli nc connector valves. 2. Shut off appliaAce burner and pilot valves. i. Air test wit /ma meter to 10"-14" water column, or test with slope gauge (minimum 6oz.-maxim 6 8 oz ) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter t mobilehome with connector, turn on gas, test connections with soapy 7atcr. C. Are all appliance vents pi\ perly installed? Yes— No l 9. Elcctrical r 4 li.,is service large e:.n.o<<gb to provide adequar_e amperage. to mobilehome (must equal rating of niobi.lelio:ie with :::ini:r.um of 100 amp)' and other facili_ti.as on lot, i.e., water pumps, g.:ra�;e, cab,�.na, cr c. Yes\r No 11. Is then,. proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? YeS No P. Is continuity test. satisfactory as per the following procedurr��e"?? Yes No 1. De -energize electrical wiring systeri of the mobilehome at the p destal. Z. Diake. sure that t:he power supply cord or feeder assembly conductors, including neutral conductor, b a.ve: been. discunnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one .ic>:d of a test instrument to the mobilehome grounding conductor and a,up, y the o c�i r' .l.c8 t. cacti Tivu.i.�eiiuiiie supp,ly cotiuuctor, ilieluuing neuLra' i. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, eater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completic.n of the above procedure, the power supply cord or feeder assembly conductors shah11 be connected to the site service equipment. A further continuity te;;L ;hall then be made between X11 grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service egrsipmcnt may be approved for energizing. r T; >b card si-ned by health Departmeat for water and sanitation? eve.r:ything c:�ir:ay, sign off card and t. t, services. MOBILE"10 -T i, UATA Manufacturer_ and/or Namest:yle Ler,gt.h �1 WidthZ I r Vehicle Serial No. State Identif icat:I..on No. -- ^ .dc' i_t:ional Infol-na, _)n or Convents: al° CDUNTY OF'BUTVTR, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive GroviIle, California 95965 Telephone: 534-4541 , APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. X Date ;74.9-2,7 Signature of Permitee or Agent Receipt No. 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 b en paid. DIRECTO OF PUBLIC WORKS By Date �� `' 7 7 BXding permit expires Date --7--r' % Y BUILDING Owner C7r �+ SQ. FT.' OCC. BUILDING VALUATION Mailing Address ' ' Telephone No. ' Fireplace Contractor ,y %. 1 Total Valuation Jrl Mailing Address P" Ir ." �� ." Permit Fee PI anCheckingFee &/orPenal ty t ' r ,e a on _ o. Zi�jPer Fee OE � � t Building, Address PLUMBING No: @ FEE PERMIT FILING FEE $3.00 A-_ , a Each. Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �, a �✓ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es €"ren FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plan Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 a Bldg. Plans Rec'd Parcel roval Plo pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ZIAtAle Main service incl, 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) .Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 1 Receps., switches & fix outlets 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 sty[ e,ei., Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.5 Z Classification U— 6 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires, every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of y� 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 State Laws relating to building construction, and hereby 6 TOTAL PERMIT FEE $ -70and Lac authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. X Date ;74.9-2,7 Signature of Permitee or Agent Receipt No. 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 b en paid. DIRECTO OF PUBLIC WORKS By Date �� `' 7 7 BXding permit expires Date --7--r' % Y - \' . f . r y - .' .1 a •`;� Yr �• .`,. ,fib is l d t 1 .. -- � � �: —r ''>1.� '1 �� �..i1. �•\ 1 ``4. .i� `J ®r+•.: _�\1 It � "�,..� t�'., `� .. t •. COUNTY OF BUTTE REPARTMENT OF PUBLIC WORKS 7 County Center Drib-' - 'Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT � � 1 4� X �� tel Signature of Permitee or Agent /(,o,) Receipt No. — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR 0 PU LIC WORKS R 9 Date /b -/t(-,74 B ' ding permit expires Date Y-77 BUILDING I Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ! / Contractor V Total Valuation Mailing Address _ Permit Fee Plan Checking Fee &/or Penalty -F:f:elephone No 3 Permit Fee Building Address PLUMBING No. @ FEE FILING FEE $3.00 dA,PERMIT • Each Trap 1.50 © &-r Repair drainage or vent piping 1.50 Water piping Zoning Verification Only a f2 Each gas water heater or vent 1.50 A. P. No. �`S %; z0 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. C. do FireDept. FireZone Use Pen -nit Building sewerb99- % v� EQA Parking Plans Parcel Declaration arcel Ma 60' R/W P Im P rove ents Lawn sprinkler system 2.00 Bldg G ec'd 46'z �9 �� Parcel Approval Pla Approval Permit Fee $ -� r $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 5.00 —� 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 FT. MINIMUM NEW CONST. DWEI-ING OR ADDNS. (ACCLBLDGS.OCCUP. &) 20sgft NFW CONSTR. MUTI.OUTLET NON.RESID. (LBRANCH 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 California Business & Professions Code under the name style of: _ Ex. Occup(OUTLETS OR FIXTURES)@25C BAL@1 FIXED APPLNS. OR EX. Occup. 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 $ $ S 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. certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ - $ 1 certify that ave read this application and state that the above information 's orrect. I agree to comply to all County Ordinances and Stat L ws relating to building construction, and hereby authori re esentatives of the County of Butte to enter upon the above- enti ned property for inspection purposes. If * - / /' / TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenjiWd. X �� tel Signature of Permitee or Agent /(,o,) Receipt No. — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR 0 PU LIC WORKS R 9 Date /b -/t(-,74 B ' ding permit expires Date Y-77 i VRMIT NO. 7.7.6-79B,E PERMIT EXPIRES OWNER Ronald Bryant CONTR. H. Don Darby, Magalia LOCATION (A.P. 28 Cresent Dr., lot 287,SDO#4, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Cal I ed°PG& E z JO8 /,FINALED Bond Beam I FIRE SPRINKLERS I Motors Test Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RE-C.ORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback 1 I -q,7 Firewall Soil Piping Forms Underground Parapets 1st Floor Main Bldg. Door Closer Restroom Finish 2nd Floor Footings Elec. Pedestal Windows 3rd Floor StemwaII Water Piping DATE / Siding /G To out Slab Roof Sheathing %. Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r pehysically handicap Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final tV 7 Sanitation Patio FIREPLACE = Final Footings Footing I ELECTRICAL Bond Beam I FIRE SPRINKLERS I Motors Test Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping OBILEHOME INSTALLATION Sewer - - - - - - - - - - - - - - Support Gas Piping Elec. Continuity Water Piping DATE / Drainage REMARKS OR CORRECTIONS Gas Piping r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC ., 7 County Center Drive - Oroville, California 95965 Telephone; 514-4541 APPLICATION AND PERMIT WO KS C7<- � — f authorize representatives of the County of Butte to enter upon the above-mentio roperty for ' ection purposes. Date--J� Ignature of Permitee or Agent Receipt No. pi 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. DIRECTO OF PUBLIC WORKS By Date 3-1-71 -7-) - JPo ilding permit expires Date BUILDING Owner& PA.ii'i✓1Zt1 4A., i SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor v K% .7 - ,Co (??"w, MaiIin Address g �'������ ���r Fireplace Total Valuation Telephone No. Permit Fee •Z St, c Building Address .S XJ.Y �2� C 2)`m' PI an Checki ng Fee &/or Penalty Permit Fee 25,.V%06 Ge PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,Lzx -S�9'7 / 1-7 Repair drainage or vent piping 1.50 2 A. P. No. e Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fj ion ire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PlansRec'd Parcel 46pedyal Plan proval Lawn sprinkler system 2.00 NEW E--� ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 -5c06 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD -L. 100 AMP 2.50 Main service OVER fioov 100 AMP OR 25.00 LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELLING O P OR ADDNS. ` ACC, BLDGS LLeyuS' ) 20sq ft FIZZ 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: �y-� f /� T; iVC) �% /1 i� `Q..� �[ 1 iyl, C, 6 �V NEW CONSTR. /MULTI.OUT T NON•RESID `BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID, SINGLE OUTLET CIR, J I 50 Ex. OccuQ(OUTLETS OR FIXT(IRES BAL I BAL002 Ex. Occup. (OUTL.ETS IXED P(RESI0 ORA) 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 Cal ifomia. 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. (j I have placed on file with the County of Butte a certificate of �l 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 Land Development Fee $ TOTAL PERMIT FEE $�� authorize representatives of the County of Butte to enter upon the above-mentio roperty for ' ection purposes. 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