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065-370-055
00, 65-37-55 • � de Stcvensun 148Y Denise Dr., lot 301,SDO#4,Maga contra -,John Henry Const;,•Magalia Permit 5-81P,E(util. ,MH) ELEC.GAS SUPPORT TRUCTURE COMPACTION TEST REQ,,,• A 65 -37-55 contr: Fe ffier River Tiomes,Yuba- `City Permit #2743-81MHI I led 65-37-55 , 14805 Denise Dr., Magalia Permit # 919 -82B, -E (pri ar a'd _ 2 covered decks)MH r - o�S-37o-o S5 O b -138 l alga - /-D," I ,, MIN ��� �� C£X�•�2-ob l i v Lo CV7 cc RECORDING RE01JESTED BY: d- . AND WHEN RECORDED MAIL. TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte I CAM ACE J. 6RlIBBS I County Clerk-Recorderl I I 09:13AM 13 -Jun -2086 I FEC FEE 10,00 CONdi=ORMB COPY 1.00 KL 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. ROBERT J. JR. AND FLORENCE M. CARDY REAL PROPERTY OWNER/LESSOR 14805 DENISE DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 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 20X60MCL2BR MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06- 530 538-7541 B DING PE O. TELEPHONE NUMBER SIGNATURE Olf LOCAL AbENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FARWEST HOMES INC. 1981 ' 20X60MCL2BR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B2976 63 x 20 219838/9 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-370-055 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 06/07/06 09:40 FAX BIDWELL TITLE U003 7' SCHEDULE C --io Order No. 3-170183 The land referred to herein is described as follows: .All that certain real property situate in the County of Butte, State of California, described as -follows: Lot 301, as shown on that certain Map entitled "SYERRA DEL ORO ESTATES UNIT NO. 4", which was recorded September 29, 1969 in Map Sook'35, at pages 48, 49 and 50. EXCEPTING THEREFROM all of the valuable minerals bcneath 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 vaid 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 need from Magalia Mining Company, a corporation, to E. D. Storts, at ux, recorded September 4, 1947 in Hook 423 of Butte County Official Records, at page 385. AP NO. 065-370-055 L kC:l��MP. L'NU OF DOCUMENT 06/0'i:-/06 . 09:40 FAX BIDWELL TITLE Q001 ^TATE OF CALIFORNIA -BUSINESS, TRANSPORTATION AND NOU5ING AGENCY ARNOLD SCHWARZENEGGER, Governor_ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �INc qti Division of Codes and Standards •� o a. OiZ 3G�4s Title Search Datc Printed : 05/24/2006 D� Decal #: LAC3668 Use Code: SFD Manufacturer: 25136 FARWEST HOMES TNC Original Price Code: AHY Tradename: FARWEST Rating Year: Model: 20X60NCK2BR Tax Type: LPT Manufactured Date: 07/21/1981 Last ILT Amount: Registration Exp: Date ILT Fee Paid: first Sold On: 07/31/1981 ILT Exemption: NONE Serial Number 82976 A2976 Record Conditions Registered Owner: HUD Label / Insignia 219839 219838 PPF Exempt Length Width 63' 10' 63' 10' ROBERT J CARDY JR FLORENCE M CARDY (Joint Tenants with Right of Survivorship) 14805 DENISE DR MAGALIA, CA 95954 Last Title Date: 10/12/1998 Last Reg Card: 10/12/1998 Sale/Transfer Info: Price $23,000.00 Tmnsferrcd on 06/06/1995 Situs Address: 14805 DENISE DR MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: NEW AMERJCA FINANCIAL, INC 4590 MACARTHUR BLVD #370 NEWPORT BEACH CA 92660 Lien Perfected On: 07/22/199819:23:39 Title Searches: BIDWELL TITLE 145 PEARSON RD PARADISE, CA 95969 Title File No: 226575 -JS * * * END OF TITLE SEARCH ** 06/07/06„ 09:40 FAX. gECORDINO REQUESTED BY BIDWELL TITLE & ESCROW CO. Order 3-170183 -MLB AND WHEN RECORDED MAIL TO Robert J. Cardy, Jr. 14805 Denise Drive Magalia, CA 95954 BIDWELL TITLE :_Je 95-18!19 95-0181-191 Rea Fee 9.00 1 DOC 74.80 Recorded I Check 83.80 Official Recorder I County of I Butte I Candace J. Grubbs Recorder I A.nn.m r,--Tun-95 I BWTC MP 2 [a 002 I SPACE ABOVE THIS UNE FOR RECORDER'S USE -- AF# 065-370-055 Grant Deed THIS FORM FURNISHED By 131DWFLL TITLE & ESCROW COMPANY The undersigned granlur(S) dCdilre(s): Documentary transfer tax i. S 74.80 ( x ) computed on full value of property conveyed, or ( ) computed an full value of liens and encumbrances rclnailling al time of sale. and ( X ) Unincorporated area: ( ) FOR A VALUABLE CONSIDE•RAnON,receipt of which is hereby acknowledged, BERTHA WEBB, a married woman dealing with her sole and separate property who acquired title as Bertha Co)onna, an unmarried WOMan hereby GRANT(S) to ROBERT J. LARDY, JR. and FLORENCE M. CARDY, husband and wile, as JOINT TENANTS the following described real property In doe Sults of Colifurnin: REE SCHEDULE C ATTACHED HERETO AND MADE A PART HEREUF unincorporated area Coomyur Butte Dated. May 31, 1995 "Bertha Nob!. 51uic of Cr;il'..rllio County 011 . --..Jvne '-'j It Notary Puhlie In Ilhd IUr Nuid CIIII.' iwl-gla11\ # � =B" tThI., area lir urI iC11A wtars:ll %x:111 I>CtMmully kpmvn In nlr lir IInulyd to Iue�un ole 1u��ls Itf auI>;IlwUlr}• evidClxe1toIxtheItenlm(s)telnlcnnulei+lirJ:u>:ubKrit><dalIIII within ilutnlnu of mol Ilcklalwledg; (I to lite t)lnl 1tC/Swilcy ez(vuled the MUM in hiWltrrhllCir Ill ditorirrd cupltclly(irs),Iuld dual by hi>,lltarldieir sigtwmrcts) nn the instnulwill the 1xi-mi l(s) ur 11w entity ulxno iviui ' of which dor IVIVIUn(K) IwI411 cxI;-clHnl dvc himinllnellt, Wl'INlstitiln),la/I,andnffhiulK{uh 5sgnnlurc G.��C�%t.�L` /b.,L��fGr'✓ MAiLTAx TATEMENTSTO SAMX; AS ABOVR Ill k ur.0-0 I Iut,10 471 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Jun -2006 2006-0030198 Has not been compared vith original BUTTE COUNTY 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. ROBERT J. JR. AND FLORENCE M. CARDY REAL PROPERTY OWNER/LESSOR 14805 DENISE DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY - COUNTY STATE ZIP 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 1 MAILING ADDRESS RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Jun -2006 2006-0030198 Has not been compared vith original BUTTE COUNTY 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. ROBERT J. JR. AND FLORENCE M. CARDY REAL PROPERTY OWNER/LESSOR 14805 DENISE DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY - COUNTY STATE ZIP 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 06- 530 538-7541 B ING PE O. TELEPHONE NUMBER S --NATURE LOCAL A CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FARWEST HOMES INC. 1981 20X60MCL2BR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER AJB2976 63 x 20 219838/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 065-370-055 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. 46/071/06 09:40 FMX - a BIDWELL TITLE •�V SCHEDULE C fa 003 Order No. 3-10183 The land referred to herein is described as follows: .All that certain real property situate in the County of Butte, State of California, described as -follows: Lot 301, 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 THEREFROM all of the valuable minerals bcneath the surface of the said land with the right to mine and extraot said minerals, it being agreed and understood that in all mining operations the surface of void 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, v ll Be xcepted end D. reserved in the need from Magalia Mining Company, Stoats, at ux, recorded September 4, 1947 in gook 423 of Butte County Official Records, at page 385. AP NO. 065-370-055 E kC:lMP. L'NU OF DOCUMENT FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1382 Address or location of unit: 14805 DENISE DRIVE, MAGLIA 95954 Legal Description of Real Property: 065-370-055 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ROBERT J. JR. AND FLORENCE M. CARDY Owner's address: 14805 DENISE DRIVE, MAGALIA, 95954 INSIGNIA OR HUD NUMBER: 219838/9 SERIAL NUMBER OR V.I.N.: A/B2976 MANUFACTURER'S NAME: FARWEST HOMES INC. AR: 1981 OFFICIAL APPROVING INSTALLATION: DATE: �,,-, PHONE: (530) 538-7541 H.C.D. 513C t Manufacturer FAI.1JCsj Date of Manufacture 19 g Serial Number(s) `-9'7(o � HUD Number(s) GAL 4.1983 C4 i.- 2 igf?39 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: l � Io r� SIGNATURE: CHECKED BY Butte County Department of Development Services NOTES 7 County Center Drive, Oroville, CA 95965 o (530) 538-7601 www,buttecaunly.negds RESIDENTIAL 3""0 - 0 S5' O� ^ 3 ' Z APN: Permit No. CAA t> f Owner. Site Address: 0 /.S,c P< Contractor. / C o iyl H S ¢�jRJ� [ IL r f�GH Type of Permit: / ' i/. XIS fl"4 /"i=jJrJ'C;wr?0. Ile . t 1 s t Manufacturer FAI.1JCsj Date of Manufacture 19 g Serial Number(s) `-9'7(o � HUD Number(s) GAL 4.1983 C4 i.- 2 igf?39 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: l � Io r� SIGNATURE: CHECKED BY RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftp Dpih 3 Ftg Garage; Soils-Steel-Elec Grnd Fig jppth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation 100- DATE 00 DATE JFAAMING 17 Sills Proper Materials & An 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 fir Nailing 20 Draft Stop in Walls (rat proof) , 21 Fire Stops; Furred CeilingsStalrs-Chasers-Tubs 22 Headers & BeamsSi &" Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Jolst-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frpic Ties or Type A Flue=Frplc Throat Clmc 26 Attic Acc; Sz4RMxPitctiiwbiaft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtcth Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rf& Outrgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrnr Acc 35 Glazing Area -Glass PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 1 nsultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz [:ICU or El AL AC Wire Sz oa ❑ CU or ❑ AL 48 Range Clrc ya ❑ CU or ❑ AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral EJ Yes [:j No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Alr Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping uA�t MECHANICAL 61 AC Ducts Insuitn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrtiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic aT41 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpni, Breaker Szs & Labels 73 Stairs, GuardlHandraiis 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fre Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insuitn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cirnc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown-FInish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous Inspetns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler - =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE ��E�ENTFOUNDATION SOFET gSebcks-Easements MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Clrncs-Grnd 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap NatE] or LPO Inch Sz Ft Lngth 7 Bi4ng; SzSpacing-Marriage Line as; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 3 10 Drain; MH Test -Fall -Flex Cnnctr 13 Tie Downs O Foundation Its 15 Cert of Occupancy6a 16 HUD Label/Insignia Numbers Serial Numbers -_DATE ECKVCOVERS'CARPORTS'GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; Soils Sz-0pthSpacing�nnctrsSteelSpecial 3 Decks, Girders/Joists-Ocking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpiice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4fts Tnuses 9 Siding; Nailing VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 40, DATE POOL S 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Ung; Distance-GFI 5 Elec Pool Lting; IS volts-GFI 6 Elec.Enclsrs; Conduit Entries TenninalsdJsted - 7 Elec Banding; Metal w/5'-Drcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboardsansultn to Main Conduit 9 Health Dept Appivl 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide _J' Pool Drawing Pool BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES. BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is In full force and effect. License Class : IceNu ber: Date: C O 0 Contractor: 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 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 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy #: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failur 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) . Address: PERMIT NO. BP061382 Issued Date: 06/09/2006 APN: 065-370-055-000 Site Address: 14805 DENISE DR MAG Map Index: Description: MH PERM FND EX SITE 1260 SQ.FT. Owner: CARDY ROBERT J JR & FLORENCE M 14805 DENISE DR MAGALIA, CA 95954 Applicant: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927-4121 530-895-1774 Contractor: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927-4121 530-895-1774 License #: 445103 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: t �1 �L 1 pit -Is hereby issued under ms tq do work indicated al provisions of the Butte County Code andlor fees have been paid. ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 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 stance f a y o icial form or document of Butte County. I hereby authorize represgntative�sloff Butte County to enter upon the above mentioned property for inspecti rpos Print Name: r ✓�-v� lSignature: Date: ❑ Ownerontractor ❑ (Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061382 B. C. Building Permit 01-16-04 pg 1 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: 06/09/2006 APN: 065-370-055-000 the Business and Professions Code, and my license is in full force and effect. (� y5 �-3 Site Address: 14805 DENISE DR MAG Licensee' Class: Lice Nu ber: Date: o contractor: Map Index: b Description: MH PERM FND EX SITE 1260 SQ.FT. OWNER -BUILD DE9iLARATION I hereby affirm under penalty or perju that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CARDY ROBERT J JR &FLORENCE M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 14805 DENISE DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 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 Applicant: DOREMUS, GERALD GLEN pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for P O BOX 4121 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95927-4121 proving that he or she did not build or improve for the purpose of 530-895-1774 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOREMUS, GERALD GLEN pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code P O BOX 4121 CHICO, CA 95927-4121 Date: Owner: 530-89571774 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 445103 ❑ 1 have and will maintain a certificate of consent to. self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: to WARNING: Failur to secure workers' compensation coverage is unlawful, and shall 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. l (716 7 51 -qd- - - CONSTRUCTION LENDING AGENCY This per 0s hereby issued under the p)(cable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu 'ons t do work indicated ab a fo which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: yQ Name: Date: Address: PERMIT EXPIRES ON: ,t�J ' �Z J / Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 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 stance f a y o ficial form or document of Butte County. I hereby authorize representatives Butte County to enter upon the above mentioned property for inspecti rpos //off Print Name: O� -0� �� Signature: Date: ❑ Owner 0,6ritractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 )='Foundation System Installation .Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Engineer Approval BUTTE COUNTY BUILDING DIVISION APPRO ED State Approval Xi2 Concrete System MANUFACTURED HOME/MOBTLE HOME FOUNDATION SYSTEM WALTR AND SAFETY CODE, SECTION I8531 APPROVED $USAICT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 0IISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLIWILB STATE LAWS AND REGULATIONS State of Califomis >DarakAW a[Rowini -d Com nw tp Dever ,—,Y OF COP48 AND STANDARDS . A, 30336 f _ _ TIE.` • X12 Foundation SyAdm I Installation Instructions for California A for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®� All * Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weath�rg sha11 have at resistance to weather deterioration at least equivalent to that provided by.a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 20 f 8 0 0 5901 Wheaton Drive *Atlanta GA,, 30336 TIE DOWN ENGINEERING } o o A 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided.. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4 Tube J -Bolt Nut & Washer Ip Lateral Struts Strut (flag end) °°° 1-112" Tube 4-#12x1" / Tek Screws 1 -Beam `' Figure 2 VI U -Bolt & mounting Figure 1 Bracket Nose end °f 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. . 15. Tighten all nuts and bolts on the struts and beam clamps. e •Atlanta GA, 303LO FAX (404) 349-0436 ; %/E • 01 _................................. i ENGINEERING; Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground System Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems 2 i It/vs✓ Page 4 of 8 { Installation of Xi2 Concrete Systems 1. Identity the number of systems to be used on the home- using the chart provided. s 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. -Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the01. AM �k grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over fi the top of the I-beam with the nut & washer provided. (Figure t next page) Y.. 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en ete brack t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac 11. Tighten all nuts and bolts on system. - y_ z. t r h f v.y Page 5 of 8 'DOWN,= ENGINEERING %' ;s Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 s Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 Lonc J Nut & Washer Beam Clamp Bracket Xi2 Installation Placement :Beam Longitudinal Strut Xi2 Concrete M �o Concrete Longitudinal Hardware Kit '.o ^w FiE(€FF , �' Page 6 of 8 m 0 L 0 I I 0 0 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems .{ Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631 Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS. 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 . 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc I� _ Page 8 of 8 3�. T/E.f' DOWN i. ENGINEERING y 0 L6 0 0 0 919-82B,E PERMIT NO. w __ PERMIT EXPIRES -4//a//�3 j. OWNER Wad a Stevenson CONTR. owner ASSESSOR PARCEL 65-37-55 LOCATION 14805 Denise Dr, Magalia 4y I 4. 'n y t• a ,Idd� 1� 3� ,4 I{A n 1' 1`5 (Y J. i f» Temp. Power Pole y' Called PG&E Temp. Elec. Service V Called PG&E M1t, Temp. Gas Service F >f t CalledPG&E V JOB FINALED (Date) i Signature J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOf " Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date;, - DECKS COVERS, CARPORTS; ETC. (Plans) O:. except #' Zoning Requirements—Setbacks—Easements ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—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. -Gracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1 . Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4, Elec.; Receptacles and Lighting; Distances—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/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10• Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 5�13�� i/ n = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL �(Sing,le 'and Duplex) " Date UN RF 6OR Plans OK exce t#'s Dale Fq(1 (Continued) 1. oning requirements -Setbacks -Easements 4 Pr�y Line Firewall & Openings 2. Ftg.,,Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 ' xt. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / "' Ftg. Depth -59:-ST�T�Width-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5*11�lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Sid' - at in - eneer emwalls, Garage; Steel-Blockouts-Wrapped- �-&3.._StWcse-Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel .54--C,la-zLing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55_349af-Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test J 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date rd -BI Date Date and -BI Date Card -BI Date Card -BI Date Card -BI natCard-BI Date Date FINA fans) OK except N's Card -BI Date _ _ Card -BI Date Date PLUMBING (Permit) OK except p's Ext. Steps -Door & Sidelight Protection -Landings or _ 14. Water Ht.; Vent -Access -Combustion Air 58 - mb_Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Tt &Anchors -Nail Protection 16. D.WAA,• Te - ttngs& Anchors -Nail Protection 5 . Bedro 17. Shower est, First Floor -Tub Access 60. 61. G.F.I. & Bath F xtuu,_g R Tub Access Fle Trim & Snhoanai_ Breaker Sizes -Labels 18. Testhower, 2nd Floor -Tub Access Pipe; 19. Ga Size &Anchors 62 c ..• c..•- 63. 64. Fireplace or stave; Clearances -Hearth anel; Int. & Ext. Card -BI Date Card -BI Date 65. 66. 68 Ki ; Grnd.-Air Gap -Cooking Clearance eceptacles at Kit. Counter rre Door; Swing -Landing -Closer " r' n.- i^ r-cago Damper Card -BI Date Card -BI Date Date ELECT AL Permit OK except q's 20. fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Locati - 21. Elec eceptacles Spacing h s & Switches a_t"DbArs 22. oxes & No. of Conductors -Stapled 23. ex Installed Close to Edge of Studs & C.J. j/t ec. Receptacles in Garage; (G. omex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E:) Yes ppliance Circuits in Kitc n & Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / g or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Yeats-Gfawl-klele-Door-Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, nsulate eutral ❑Yes ❑No 75. 7ra. Ilowin instld.: Drive E3 Yes E) No; Walks E] Yes C] No; Planters UYes ❑No Stucco; Brown -Finish 28. S vice -Riser Conductors & Ground -Main Disconnect 29. Equi . Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothe loset Light -Shower Light 78, -Appliance-Firep 1. -Clearance to Opngs. 79. t, Electrical, Plumbing Card B I ate and -BI Date 80 .Exter' ; G.F.I. Receptacle -Underground 81, g ou ouse Card B -I Date and -BI Date 82 . _Gias&-R*efeetraTr- Date MECHA CAL (Permit) OK except k's 83. 'CVnvctiene- rom Previous Inspections 84.5 85.`-IMatew& g0,Energv Gla-IR-sr-^^^ters Tagged; Gas -Electric S�onnected-C/O to Grade -HD Approval Gnmoliawr+raCertificate-Other Certificates 31. A.0 Ducts; Insulation & Support �_. 32. Vent an; Exhaust above Insulation _ 33. Cond sate Drain & Overflow; Size & Grade 34. Furnac -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic AcNess & Platform if Furnace in Attic Card -BI Date - - Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR Plans) OK except q's Comments at Final: 36P' _Sil roper Material & Anchors _ __;rrWalls 3 . _ alls; Studs -Nailing, Spacing & Bracing -Plates -Sound Baring alls over Girders & Floor Nailing_ (rat proof) pOrPTFto urred Ceilings -Stairs -Chases -Tub 41 t"ReadTr, -� 42:-"Tilers=Post 43/-�Ing. eam-Size & Bearing Caps -Anchors -_Connectors - Joist-Rftr. Ties-Purlin-Roo( Brac.-Truss-Shthnq.-Rfng. s or Type A Flue -Fireplace Throat - s; Size & Romex Protection -Draft Stop -Ins. Baffles _ __ _ __ s or Exiting Doors -Sill Hgt. & Dimensions rage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) 1 ! / P ` COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS + 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date //z1 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Orovil -, California 95965 - Telephone 916/534-45 sCA 1() —`$� APPLICATION' A9D PERMIT , A ASSESSOR PARCEL UMBER - —377 ZONING 4UILDING PERMIT OWNER Gv TELEPHONE SQ. FT. I OCC. BUILDING VALUATION o S OWNER'S MAILING ADDRESS l�80 e E HI CONTRACTOR'S NAME /I TELEPHONE CONTRACTOR'S MAILING ADDRESS t Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is O O z� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 3Z, 7:r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .Z BUILDING ADDRESS O C NL Iq � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME ls�, C>, 0 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo .Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [Y) Describe work: �' — 27 C©vc2e� nc=�>c�. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST ACCLB LDGS.LINGC �� ft (, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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 U OU LET NON •R ESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. NON-RESID. \ / SINGLE OUTLET CIR. /POWER APPARATUS fat Ex. Occup OUTLETS OR FIXTURES a �� IXED PNS APL, OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Z o0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. Date%h��� Signature of Applicant - Owner Contractor ❑ Agan An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -3 OCCUP, GROUP .� I TYPE F CONS PARS I/ PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Datte�y—;;'/-e L- Receipt No. k1 F9 V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. 2475-81P,E PERMIT EXPIRES —7/7ZU OWNER Wade Stevenson CONTR. John Henry Const., Magalia ASSESSOR PARCEL 65-37-55 LOCATION 14805 Denise Dr., lot 301,SD0IP4, Magalia j'-1 ,- temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service/ ,Called &E— B AALED (Date) Signature J I.rc -W dt i + = OK 1 , 0 = Noi OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBI HOME UTILITIES (Plans) OK except N's + Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's l_o Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements f� Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors - Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails er ater; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing . 't lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures oca ion— I est— rap:/ /"L"ft./ /"Nat. or/ /"L"ft:/ /"LPG 6. Carports; Windows—Doors /O Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBI HOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marria Line 2. Soils; Compaction—Structure Stability M -", MH Test—Dema 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI Dr ,.MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water- MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed �W�iter and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Q4VGas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit p.6ketelf IFZVCert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-I L Date L &1 Card -BI Date Card -BI Date Card -BI Date Card B -I L Dated 11CI Card -BI Date Card -BI Date Card -BI Date r { 1 J = OK 0 Not OK Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector 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. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrnit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters []Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32_ Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ---- Card -BI Date Card -BI Date Card -BI _ Date - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's 36. _Sills; Proper Material & Anchors _ 37. 38. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 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-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-1751 7 County Center Drive, Orovi Ile — Phone: 534-4541 , Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 - CORRECTION NOTICE n BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ' Inspector Date—'7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891- 751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 14 /,. 1 -A e r ^ 31 •\./ BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f ) �• � i / _ � lam, ' } i �i�" �JL .� /i {�►^� .� in' 41-N Inspector �L � �! 1 p : �� Date �' �•� :�% Y COUNTY OF BUTTE t\ DEPARTMENT OF PUBLIC WORKS — 7 COUNTYCENTER 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 -�r "for/t)he following location: l '4,4. r - Owner Owner's Address /1,A -- Mobilehome Mfg. 176L.. Model Year (-i Insignia No. Y 4 `+ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 1,12 .(4 i 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 PERMI NO. 7 County Center Drive - Oroville, California 9965 - Telephone 916/534-45 — APPLICATION AND PERMIT ASSESSOR, PARCEL NUMBER 77 55 ZONING BUILDING PE RMI OWNER, _A55PE AV TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C Nr TRACTOR'SNAME ME Rl V G k2 -111c Es '/ C A , J / T 7,7 �H 1 L!✓ CONTRACTOR'S MAILING ADDRESS �� Z sTo7r ,� ��/� cirY� Fireplace p CONSTRUCTION LENDERUIQKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ - Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI ADy.REss In)C—/%S ve f V�c.` PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 /7-ZIIe/71-1 4-- Water piping LOT NO. �Q SUBDIVISION NA � 506 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg--l"6ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel Uti ities ❑ stall `a�'on � her ❑ Describe wor : ple -V -77P �C 007,`f� ��7C 60� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. 2�sgft 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 Professio s Code and my license is in full,Jorce �nd effect. -�"1 ( 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 NE WCO NON.RESID R BRANCH CIRCUITS2.50 ea NEW CONSTR. ( POWER APPARATUS 6I NON-RESID. SINGLE OUTLET CIR. 500250 Ex. Occup OUTLETS OR FIXTURES BAL@100 Ex. OCCup.0 UT ETS XED P(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The rmit is for $100.00 (valuation)*or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate t 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws 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 again t said Co ty i consequwrce of t granting of this permit. X - Date V na e o plicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ CJO TOTAL PERMIT FEE $ 5-0. 00 OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD I ISSUE 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. DIRE TO F PUBLIC WORKS 7 By atteZe r �- 7-2-91 PERMIT EXPIRES Date --7 -7 r Z`-' — Z2 - L Receipt No. 3Z575 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �I „ • COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541L%7�-- / • APPLICATION -AND PERMIT T ASSESSOR PARCEL NUMBER 65— 37-515 Z NING BUILDING PERMIT OWNERWade Stevenson TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME John HenryConstruction TELEPHONE 1873-0668 CONTRACTOR'S MAILING ADDRESS P.O. Box 509 Ma ali.a Ca. Fireplace CONSTRUCTION LENDER ---95954 None UNKNOWN Total Valuation Is Filing Fee g $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 W Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping f,' LOT NO. Ol SUBDIVISION NAME Unit 4,Sierra De PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFE) Duplex❑ Mobilehome® Other SPECIFY Building sewer /0— V -^SF❑ Lawn sprinkler system 5.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities EN Installation ❑ Other ❑ Describe work: Lot devel n=mi?nt fnr mobile home Permit Fee $ JO — Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.pi\ OR ADDNS. ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑( I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 31 699 Classification A ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR "OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTFL POWER APPARATUS 6\ NON-RESID. %SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES A! @1 XED APPLNS. OR EX. Occup.(OUTILETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EX I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 again id County 'n•conse ud1Vc6 of the granting of this permit. X C�C,/�Cirs��DateG �� Date Signature of Applicant — Owner ❑ Contractor a Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE s0 OCCUP. GROUP I TYPE OF CONST. PAZCEJ PD H I IS5UE- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC By PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �7]'"� �� / —(/ Receipt No. .5- c/o o / WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'BUTTE COUNTY -BUILDING DEPARTMENT APPROVED , + 1, 0 f2 to —c-4 0 to O I O ' J to —c-4 0