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Home My WebLink About065-400-028N 6�5-40- 28 Roy Kay s�/�/�� llTwin Pine Rd., of 129, PP13, MagaIL 05%tr:. R. G. Roberts, Paradise Permit #1473-80B,E(new pri.garage) 65-40-28 contr: Jan McGregor, Paradise Permit #1948-80\,E(Ltil., ) ELEC GAS_ SUPP5RT STRUCTURE REQ. COMPACTION TEST REQ,. n �y 65=40=28 Contr: Ga-ett's MH, Magalia Permit 52-80MHI I s s 65-40-28 Permit # 385 80B( ew deck/MH) 65-40-2B Roy & Joanne Kay 15061 Twin Pine Rd., Magalia Permit ��3 ..501-01B new cove/feddeck/ MH) 65-40-28 Contr: Ken Young, Paradise Permit#623-84B,E(new cabana MH) 7 f . a I a i o • J s ' S: 61 4 ` *s� ,i �N'or�Cmansh;p + hell �e t r s SamO i r 111,,'iE:AlIt+�l6terials :Gao !Pro 'All an `_� w i •- . �ff4 a �t''� 1'� corclance i �sg >I + rescribed; OV"t6 ,S+pifid - r dnt; i I I , ,of e,c ltt tp Bch Codes �{' r I lrjn`►fnat i18upiing' Plumb-1 i ani�dl -a---+ i ; . ; P1gt�anai �lecfriczal C . �_ . � •+_-. �.� t allbe--- -4 - ct4on sh eitlAer' L16t'cPn,��ehorrle� the rear H: - #I of # W ith e tehd ide'llQtj of _ el �nlythe +dads -I ;. , ! . 1 . '' ; u- :-✓ t � -, _ --, j'.Y -� ,+ .;. _ . ! . 11U1 7 } ! ' t , + +-r-� , . _ f 2�` t o -1:t-� _ - _ , .� c_• �, , ! . , - - ; 0 441 �' '�' g` :� } 4, Tvl 4-+ k /eq '41 i~;K''ntekt�`�t .or.a: ly at P iI<. +I r_,,,,.l,: 1 �-1 7!I�F_ ah ' , } i , I t !. _ i L -r 1261 1-4 P,1 N+r% R 11I'� , i i i j I FE, iii ~ i r` 1 - L4T1' L.��:'1 i L1,_i6U'}_1!1.�. .f��.?..i�! �_��Q1...L C �_T �.'`('[�j�4p1';X, I -;;� 160' LLIE BUILDING DEPARTMENT s COUNTY OF BUTTE• i DEPARTMENT OF PUBLIC WORKS 695. Oleander Avenue; Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE 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. 0 , r 0 r I i PERMITFNo. 4433j85--8OB PERMIT EXPIRES- XPIRES OWNER Roy OWNER & Joan Kay MUM- CONTR. owner L . 65-40-28 ASSESSOR PARCEL LOCATION 95 Twin Pine Rd., lot 129,PP#3, i Maga.lia _ ty ,all 7 1i i� :.i jI. K K Temp. Power Pole Called PG&E i # i Temp. Elec. Service i Called PG&E Temp: Gas Service Called P &E �0 L Ito ` JOB INALED (Date) Signature J = OK ► O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex). * = Not Ready Date UNDERFLOOR Plans OK except N'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- / _ /" F.tg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / ./" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 k'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. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails 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, 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 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. Receptacles Spacing -Lights &Switches at Doors 70. Plb ; Elec. & Mech. Equip. Listed for Location 22. Size Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic E] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents'& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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. Stucco; -Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-C.Irnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above,Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. 81. 82. 83. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection _ Corrections from Previous Inspections Card B -I Date _ Date Card -BI Date MECHANICAL (Permit) OK except k's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water &Sewer Connected -C/O to Grade -HD Approval _ 32 33. Vent Fan: Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34, Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors +. Comments at Final: 37. 38. 39. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Y 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.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ _ 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit,jobsite)f f' J OK 0 = Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Pldns) OK except N's 1. Zoning Requirements—Setbacks—Easements Date /0 D CKS, COVERS, CARPORTS, ETC. (Plans) OK except H's StNLoning Requirements—Setbacks—Easements �S 2. Soils; Special MH Support—Sketch 2 Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete_ p 2 / k Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; PdWA--BgTm's— s.—Co.-51;4hg.—PHc,- Br*rff_ . 5. Electricity; Location—Clearances-Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatidn--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-Blo( Of Dat (% %. r Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card-131 Date Date Card -BI Date POOLS (Plans) OK except N'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 6. Water; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 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 B. 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-1 Date Card -BI Date Card -BI Date Card -BI Date :S t •r. ' ca �S COUNTY OF BUTTE - DEPART-MENT OF) PUBLIC WORKS i 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESS R PARCEL UMBER `� CH/ BUILDING RMI OWNER TELEPHONE� SQ. FT. OCC. BUILDING VALUATION O NE MAILING ADDRES r CONTRACTOR'S NAME TELEP CONTRACTOR'S MAILING ADDRESS CONSTRUCTIOU�'NDER UNKNO N _-• Fireplace Total Valuation $ LENDER'S MAILING AOLTRESS _ Permit Fee $ (� , ARCHITECT ORS EER. Alt:ZI4 LICENS� I Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ O BUILDING ADDRESS � � e-0 V0 PERMIT Filing Fee 3.00 `�f � �/` `..77 Each Trap Each 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME - PARCEL MAP �%L� �jry i n e — (;+G+-�� E ch qas water heater or vent 2.00 iping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[—] Mobilehomeg Other SPECIFY Building sewer Lawn sprinkler system J_J2.00 ,• TYPE OF WORK Newx Addition[—Remodel[]UtilitiesInstallation : Other❑ Describe work: �.a� C s"�- d £%£ — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR0V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20sgft CONTRACTORS LICENSE LAW 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-tbe 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. ULT' -OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 50 @ 25a BAL@tos FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor , 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. `�fl 1 shall not employ any person in any manner so as to become subject 'P� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating. to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree save, indemnify and keep harmless the County of Butte against all liabi 'les judgments, costs, a d expenses which may in any way accrue a said ounty in con en of the gr nting of thi p rmit. X Dat � j t Signature of A ant — 0 ner nrracror ❑ Agent An OSHA perm tis required for excavations over 5'0" deep and demolition or construct- structures over 3 stori s in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ O occ0 `GROUP TYPE F CONST. PARS :1 V P✓ HD 55,E ✓ his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datec7�'� LReceiptNo. -D.P.W., YELLOW -ASSESSOR, PINK INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County.Center Drive, Oroville, CA. 95965 Phone: 916=534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name end bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing.and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) , 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name y�-C Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name p ' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prop Soci Date $- % NOTE This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. --�-1�;_ `[_ra::..:� (•� 1;;�_ � � r:i t I � ! � i L..I_. y I ._l.. i.i., a �.! -l_t:r�..(?''__ -f� y�- � _1..:-•1- -4--�:- ,_�--f-` I--1 `_ f- -1I -, L , , tt E• -:1E -r � .•! '' '.i: I _ _`-•� �� `r �--�-�' -, ,-� -� . - �.. t -."� - t--�-i- I. _ , _L.I--, _� _ . i...L.r-z-.I_: ;._l•'� I ,:,._ .i i �- - - (-.I `,'_'� �:_!�i r._....., •:,•r •�-��•-;;_--, .:�... -1 -f.u:--i--r'-^_.t_'j . 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I i t� �� .` .'1_I ' _L.! i' ` D_.�1:`. 1. .''� /-f , I I I I I` I t j I �_ i i i 'I � '�• I .I- �- i ((1• ' ;' f t I I �I� r, I' -•t i t i I .. �.�...�:. :., .' j i .' ., ! / ,�. I•'i;, _, - I ' i. _j , i i i I ' ..i. .t. ( I (. t ! .�...' 1. J- N I.,_. -• (;l�'T [s� I Zi:;:.j :! ,j: I :f. I �., !'�. I"j'i i L..; is �..j t I_ :�.� I_: t'..,.;-`—T.•I j• _ , ' 1. ' l i< ., • ; ., . t I i ; :i,.�_ • L-�_.'.�__; :�_ � I`-- i---'':-�- :::. I ..; ... I I I t � i �: • �. i I .. 1.: :.( I�•• � I• _I_ ' -... ._tom... .. 1 r5'p W : :I: I_I�•_ I I , + . I �I i ! t I ' -�I� -. �I_--'_1�1_ i .....__.,._i , IfA 1 iol I l (! ,'- ..t_1_.1.1.16�_(�� 40!: — — t 1f60 m M 23p Ps I� z- Mo b t �Jor�► e j 2x6' p�K, Ff Jo w 14 n Cr Roy W. Kay Riie .. Provide adequate bracing°Un:7` j —Laf /2.9 a 11:2 2 $UTE COUNT , -�?� 6 D1c 2--G� r�ler� BUILDING DEPART'MENt 19" =Posta i ' ------�{ .3-o7`" j Pa Vis_---- - Provide adequate bracing. x6 " R2 _ Alf x4� This set of plans and specifications MUST b& kept on .the iob at oll +ir ne4 and it is unlawful t® make any chances or r4crc+ions on same wi+hou+ written permission from the Department of Public 'Works, County of Butte. C'�1�Grcf St�,o 7 �-0- a 12,,��' 12� - ------ BUTTE CO,Uf�! BUILDING DEPARTMEN111 Provide adequate bracing. Top rail to be 36 in. high wlth intermediate rails to be not Over in. apart. �'x q Rai 1 2 at 3 0 # f rg ►� Rc� na Pe yx9 Posts _ 'yoyer' -Ra; b . �G' xk/4'x Provide adequate bracing. t jep Materials &Workmanship Shall Be in NOTE: Prn lees 0111d — Accordance with foie he Sneci4 �d Use In the o� a qualrtiy prescriber!plfo & Machanieal Codes and V��nn Budding. the National Electrical Code. Ro v W.- lea aAa 1'a. a. BUILDING DEPARTMENT, APPROVED �I, ze 4 ''PERMIT NO. 1473?80B,E //��lPERMIT EXPIRES tip:!OWNER Roy Kay -'CONTR. H- -C Rnhp-rt--, Paradise 65-40-28 LOCATION (A.P. 95 Twin Pine Rd., lot 129, PP#3, Magalia 6 Temp. Pow/e: Pole I Called G&E Temp. Elec 'Sery Call d PG&E Temp. Gas Serv. lied PG&E 1 0. 3 't/A L E D (Date) I FIRE SPRINKLERS Framing / b'Q'� COUNTY OF BUTTE — DEPARTMEX- 0E- PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. B ILDING BUILDING (Cont'd) Final etback Yly 1 Firewall Soil Piping Forms W Parapets 1st Floor Main Bldg. Restroom Finis 2nd Floor Footings Windows 3rd Floor StemwaI I Siding . To ou't Slab Roof Sheathin fQ Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l - Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for ph y'si Ily handica ed Conformance of a structure I I V Appliances Gas PI in & Temp. Gas Slab Final 02 4 Sanitation Patio FIREPLACE Final Footings Footinq /- FIRE SPRINKLERS Framing / b'Q'� Test Water Htr. Stucco Final Subpanels Mesh 'MEC ANICAL Grd. Fault I Scratch , Heating Service Brown Cooling Temp. Pc Finish Ducts Under roi Interior Lath Ventilation Perrnane Door Closer A Final Final MOBILEHOME'UTILITI ES - - - - - - ------ I - - - - - - Elec. Service Elec. Pedes{ t Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - I - - - - - - - Support Elec. Contint Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS IL PLUPMING u (NOTE: An entry must be made on this form each time you visit the job site.) j . w COUNTY OF BUTTE — DEF"POTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 R � Telephone: 534-4541 /� � � APPLICATION AND PERMIT Owner Mailing Add Contractor V1 Mai I i ng Address Building Address Telephone No. .0.i31�K 1136 Tle ho-e�No. I O f f r) �? A. P. 0. (ji s.7^" �/ ^�� Zoning & Plannini, FeLwl on Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' /W Im rovemen Plans Declaration p p Bldg. Pr. -n"'. Recd Parcel Approval Plans Appro"{'bl NEW X ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑, Duplex ❑ Mobil Home ❑ Others _ BUILDING SQ.FT. OCC. I BUILDING VAL ATION Fireplace Total Valuation (p0 Permit Fee` Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee NEW CONSTRES'.. (MULTI.OUT T NON-RESID. BRANCH CIRCUIT: ELECTRICAL No. PERMIT FILING FEE Main service 8001 OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS- DWELLING 0CCSd P�1 S'1 ACC. BLDGS. ['7 ) 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•/ �c n .b y,&qz (�' �ia - NEW CONSTRES'.. (MULTI.OUT T NON-RESID. BRANCH CIRCUIT: NEW CONSTR. (POWER APPARATUS I NON-RESID. SINGLE OUTLET CIR. EX. QccuD(OUTLETS OR FIXTIIRE FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA Temporary service �o lt3k� wl�i%�„ + Mobile Home Facilities - '�fG, License No. 1-7 .97q2) Classification /� Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. MECHANICAL PERMIT FILING FEE Heating Cooling @ $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 20sq ft 2.00 10.00 15.00 6.25 $3.00 FEE FEE r Lj I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X9 --K- 4v Date Signature of Permitee or Agent Receipt No. �) (o g/7 ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE Is (a 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 Building permit expires Date W J PERMIT NO. 3501-81B F n %. PERMIT EXPIRES'i OWNER Roy &'Joanne Kay CONTR. Owner ASSESSOR PARCEL 65-40-28 i LOCATION 15061 Twin Pine Rd., Magalia / A 1 t 1 Temp. Power Pole Called PG&E a Temp. Elec. Service Called PG&E Temp. Gas Service • . n Called PG&E JOB FIN/D(Date) A-2 Signature r yr t J = OK 0 = Not OK = Not Applicable * = Not Ready 1 RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings ` Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. 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. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 Date Card -BI Date FINAL (Plans) OK except N's 58,, Ext. Steps -Door & Sidelight Protection -Landings 57Y Smoke Detector Card -BI Date PLUMBING 14. Date Card -BI Date (Permit) OK except p's Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 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 , 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes [-]No: Walks ❑ Yes []No: Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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. GlassProtection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86, Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI - J 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 p's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub - 41. Header & Beam -Size & Bearing A 42. Hangers -Post Caps -Anchors -Connectors _ 43. 44. Cln_g. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Rfnq. _ Fireplace Ties or Type A Flue -Fireplace Throat -.45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ;A _ 46.__Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anenlrymust be made each time you visit job site) V =OK' 0 = Not OK — = Not Applicable MO&IL6HOMES MISCELLANEOUS Not Ready . Date MOBILEHOME UTILITIES (Plans)OK except'N's Dat ID IA .0 ' ,, COVERS; CARPORTS, ETC. la OK except k's 1. Zoning Requirements—Setbacks—Easementsrii g Requirements—Setbacks—Easements 2. Soils; Special MH Support—SketchF otings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete D ks; Girders and/or Joists—Decking—Bracirg—Stairs—Rails 4. Water; Location—Test—Easement Needed'(Sketch) k Wood Awn.;,Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.-/ / Amp—Concrete --«.Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; -Location—Test—Wrap: /"L"ft./ /"Nat: or/ /"L"ft./ /"LPG __.G.—imports; Windows—Doors .7. Utility Clearance _z--Eiec Card -BI Data Card -BI Date Card -BI , Date �� Yi Card -BI Date Card -BI Date Card -BI Date Card -BI Date >i� Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DOLS (Plans) OK except H'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' 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval 5. Elec.; Pool Lighting; 15 volts--GFI 6. Elect; Enclosures; Conduit Entries-Terminals—Listed 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool ', ghtg. 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 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card7B1 Date Card -BI Date Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95rf5 - Telephone 916/534-4541 ��8 / APPLICATIO,NAND PERMIT / .A ASSESSOR PARCEL NUMBER ZO ING U DING PERMIT • OWNS T LEPHONE SQ. FT. 0&-1 BUILDING VALUATION OWNE 'S MAI ING ADDRESS �� CO TRA TR' NAM TIELEPINE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER � UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � hp � Filin Fee 10.00 PLUMBING PERMIT 9 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME RCEL MAP Each Qas water heater Or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF ❑ Duplex❑ Mobilehomeo Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition B Remodel ❑ Utilities ❑ In tallation❑ Other ❑ Describe work: a�1P A ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,&) 20 sq OR ADDNS. ACC. BLDGS. / CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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. I.Ou LET 2.50 ea NON.RESI. BRA CHICIRC ITS NEW CONSTR. POWER APPARATUS &I\ NON-RESID. SINGLE OUTLET CIR. 1 150@2150 Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. QCCUp.�OFUT IXED ETS P(RESID )LINIS KEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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. ❑ 1 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 l a�bilit�es, judgments, .co ts, and expenses which may in any way accrue %St said Coun y,n con a uence oft�e granting of this permit. I tet' �C/� W.t' Dat a of .. plicant — Owner Contractor ❑ Agent rAnOSHA pei' it 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 $ occuP GROUP I ,l TYPE OF CONST. V—Al PARCEL P ND SSUE This permit is hereby issued under the applicable provi-sions of the Butte County Code and/or resolutions to dognotu, work indicated above for which fees have been paid. DIREC OF PUBLIC WORKS BY Date/7—�/ PE T EXPIRES Date 7— Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'COUNTY OF BUTTE'- DepaAment of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed prop ert improvement (yes or no) 2. I (have/have not) signed an applica ion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City . 4. I plan to provide portions of this work, but'I have hired the following person to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following 'persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Sec ity, NuAer— Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1 2001 ry v4 4, 'jcis; 'E }t� ,l. i � .t.J i� ' r . ro .;_:i t f'tcv S" j �q P rrl 'A 1-4 fill T -Mr, 1-41 Accc� IT —4- 04 at-qu AAR r. �11 5 m f h + 4- 4 urrL- in -1 T., TI I �4t -,r i T r - 4-4 01 T f_ v_ 60 f -I V 4-. LlA LI -i 1.41, 1 t '44 1 fv _44 - _Td - .4 all r, S -Ca lob -G .! -. Y L_ I cjpd if is, ful to n p4°IIrT iv%,On 1, 40' Oy N/ L457 2' 01 iAJ I N PiNil Rd 4 j Raj pi, I A I A 16� (, r '1 of 1948-80P E • - PERMIT'NO. PERMIT EXPIRES { 'DOWNER Roy, Kay Jan.McGregor, Paradise f CONTR. �+ 65-40-28 LOCATION (A.P. ) 95 Twin Pine Rd., Lot 129,PP#3, Magalia i J �? Temp. Power Pole 'i Called PG&E Temp. Elec. Serv. S ! — y^ Called PG&E — Temp. Gas Serv" Called PG&E 5 JOB • ( FINALED o ¢ (Dat nature) i f+ COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S11back F ewaII Soixpiping Fo s Par ets Ils loor M n Bldg. Rest om Finish 2nd Xloor onn s �araFootinA Stemwa I I Slab Carport Footings Slab Patio Footi nas Stucco IpArlor Lath or Closer MOBILEHOME UTILII Water Piping OBILEHOME INSTA Water Piping �._. s DATE Windo Siding Roof She hin Roofing Fdn. Vents Garage Vents Insulation Prov. for ph sica handicapped Conformance of ex. structure Final I Footing IRE SPRINKLE Heatlqffi CooAng Du s V ntilation anal i--------------- Elec_ Service, <J11A L t /,j^ ti iKSewer (�%7,��:;' G � t lON--------- ----Support Drainage _ REMARKS OR CORRECTIONS 3rd F or To out Water Pi in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Water Htr. Subpanel/ Grd. F It Prot. Servl T p. Pole nder round Permanent Inal Elec. Pedestal Gas Piping Elec. Continuity _ fts Piping (NOTE: An entry must be made -on this form each time you visit the job site.) z. r r' 9. Electrical ' A. Is service large enough to provide adequate.amperage-to mobilehome'(must equal rating of mobilehome with a minimum of 190 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeso_ B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes /No D. Is continuity test satisfactory'as per the following procedure? YesZ-No� 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation?� 11. If everything okay, sign off card and tag services. MOBILEHOME DATA - - - Manufacturer and/or Namestyle Length_ Width Vehicle Serial No. State Identification No. Additional Information -or Comments: 0 1* MOBILEHOME' INSTALLATION INSPECTION CHECK LIST 1.,. Is the mobilehome located with equ red separation from lot lines and buildings and generally conform to plot plan? Yes,. No_ 2...' D'oes.the.mobilehome have required clearances above ground? (Sec.5085) Yes o 3. Are footings and supports properly sized, spaced, and. braced as/No pproved plans? (Note possible variation at -spring shackles.,) (Sec. 082 &.5.083) Yes_ 4... Is th/mob*111ehome level? (Sec. 5088); Yes No_5. If mn a single unit, are crossover connections properly installed?(Sec. 5088)Yes. 6. Water A. Is fl ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)' Yes NNo_ B. Test -;Does water piping withstand working pressure or 50 lbs.. air 'test? Yes G. Backflow - If coach is not State California approved, does station have backflow device and pressure -relief valve? Yes 9- 7. Wastes and Drains A. 'Is connection made with Schedul 40 DWV and have flex connectors at eachend? Y's'` No_ B. Does it have minimum '" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? .Yes_ No D: If c is not State of California approved, does station have required trap and vent? Yes c 8. Gas Pipin and Gas Vents A. Connector - Is mobil home conne d to the gas supply with an approved 314" minimum mobilehome co ne t not mo than 6`ft. long? Note: All piping is to be at least as large as the ob' me line inlet without reductions other than the mobilehome connector. es- No B.' Test OK as per 1 wing procedure? Yes, No 1. Open al ap e 'nnector valves. 2. Shut f 1 nce burner and pilot valves. i 3. Air t with manometer to.10"-14" water column, or test with slope gauge (minimum 6oz.- aximum 8 oz.) -calibrated in tenth pound increments. Test for 10 min. without drop 4.Co nect gas.meter to mobilehome with connector, turn on gas, test connections with s. apy water. C. Are 1-1 appliance vents properly installed? Yes_ No_ CERTIFICATE OF OCCUPANCY r This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -2 3.5-2 for the following location: Owner 1frsf,+J 4� Owner's Address'—; �j `j Mobilehome Mfg.i�/Ii+�� `'1 s*9 Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of , Public Works`�T Date j By�""�' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. T. ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaliforrPia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU ER 1ppf/�� -. ZO I / l BUILDING PERMI ;y OWNER - 0 T LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - CONTRACTOR'S ,NAME �/ % TELEPHONE CONTRAC R'S MAILI G ADDRESS CONSTRIJCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS • Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S AILING ADDRESS Permit fee . $ BUILDING ADDRESS -' - PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. pZ SNAME SNW3 PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome X Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK �/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation la Other ❑ Describe work: — 7{ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP - 2.50 NEW CONST DWELINGOR ADDNS. ( ACCLBLOGS.CCUP.6\ .. 20sgft I CONTRACTORS LICENSE LAW I declare u er penalty of perjury (check one): I am licensed under -provisions of Chapt. 9, Div. 3 of the Business and Professio Coe nd y license is in full force a d effect: _ License No. Classification J ❑ 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 TI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. ( POWERAPPARATUS &) NON-RESID. SINGLE OUTLET .CIR. 50 @aa Ex. Occup(o OR FIXTURES BAL@100 FIXED APPLNS FIXED TS (RES• OR Ex. Occup.(OUTLETS (RESID,) EA,� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring _ 6.25 Permit Fee $ Contractor 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. ®shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2:00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against, all liabi , ju ments, costs, 4nd expenses which may in any way accrue agains said o y • conseque a oft ing of this per it. XDate FU Signature of pplicant — Owner ❑ Contractor F�t Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ t), 00 OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERO EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -3_ � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOB ILEHOME-SUPPOLT DATA If other than singlewide I Mobilehome Mfr. furnish Setup Model . No. Z 2-04PYearOU ' -Width-gc/ (ft.) Box Lengt (.ft.) Tagalong or Expando Sizeft. - (SHOW SUPPORT DETAILS BELOW) On all mobil I ehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified., Footing-jR (check one) Single Wood ia-ither pressure treated or A foundation grade. 1-6 1: or/ 2. Other' (specify) (ft.)(in.) (in.) (in.) ❑ Center support Center support �s*(check one) locations* footing sizes Supports Concrete block; L Other (specify) *If center nter piers are other than drawn above, in. -locations,._ spacing, and dimensions. BUTTE T6 COUN I I 4UILDING DEPARTM6N A.P.PROVED <---7-Tagalong or Expando,' show.support,details. (in.) (in.) X,.-- Typical Support 101 (in.) (in.) Footing Size Z El (ft.)(in.) (in.) (in.) Max. Pier Spacing. 7 (ft.)(in.) Max. Overhang (ft.) I (in.) Cin. in. (ft.)(in *If center nter piers are other than drawn above, in. -locations,._ spacing, and dimensions. BUTTE T6 COUN I I 4UILDING DEPARTM6N A.P.PROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville., CA. PHONE: 534-4541 . MOBILEHOME INSTALLATION SHEET 1. Owner's name: V 2. Installer's name: s 3. Is the site currently under permit? Yep No (If yes, furnish permit number H73 —8y ) OR Is the site an existing site? Yes —1 No .. (If yes, furnish two (2) plot plana.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) ----------------------- Amps 5. What is the mobilehome electrical rating? �C�y Q Q 6. What is the mobilehome site service rating? --------------------- � ,r:Amps 7.. What is the mobilehome site circuit breaker rating?Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- % r (in.) 10. What is the type of gas service? ----------------------- -- Natural jt�- Lp 4 11. What is the gas pipe length from meter or tank to the mobilehome? -(f•') 12. :What is the mobilehome gas demand? ------ ------------------- -- (BTU) .(This information not required if pipe length less than 6 ft. on -natural gas'. or less than 50 ft. on LPG.) . AP # OWNER PERMIT # C 9V& - MH UTIL.CLEARANCE DATE INSPECTORy ELECTRIC GAS Support Struc. YES NO Compaction T.st Re . Service Size Other Load _ Type_-._ Pipe --- „-lze Len th YES NO :N COUNTY WBUTI-t — DEPARTMENT OF PUBLIC WORKS ati 7 County Center Drive - Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / �Zf_ 1__� authorize representatives of the County of Butte to enter upon the above-mentioned proper t -or inspection purposes. 99 X �� Date 4'- (7 -Si ature of Permitee or Age _',, Receipt No. PIS 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 aboveor which fees have been paid. JAR OF PUBLIC WORKS �)//' '66�� DateIt Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VAL TIO Mailing Address �,()yA /,U ,Telephone No. Contractor Mailing Address /Ggj; Pl"` Fireplace Total Valuation Telephone No. ? Permit Fee Building Address'� /f �, iNL "'� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 i Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. •.(QJ b • r& �-�- Zo P ann g Water piping 1.50 /401-00 �p • Each gas water heater or vent 1.50 Fomes' WAC. ti n, Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pa celEach Plans Declaration Parcel ap 60' R/W Improv s additional outlet .30 Building sewer 5.00 D, O?� Bldg. Plans ec'd Parc A roval Plo Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 -Ob Main service 600V OR LESS 100 AMP OR LESS 5.00 OV / Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 NEW OR ADONST ( ADWECCLBLOGS.LING CCUP. �) 22sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: --�; �- /� °t �..1 Q (L NEW RESID.CONST% BRANMULTCH CIRCUITS) NON.RE51 D, 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARAS 9 NON.RES,ID. `SINGLE OUTLET CITUR, Ex. Occuv(OUTLETs OR FIXTURES) 5B Lam; Ex. Occup ( FIXED TS (RESAPPLINIS. OR OUTLETS (RESID.) EA 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2.7 60 7'S' Classification Misc. Wiring 6.25 ElI am exempt from the Contractors License Laws of the State of California. Permit Fee $ �j , $ S MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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 $ JT authorize representatives of the County of Butte to enter upon the above-mentioned proper t -or inspection purposes. 99 X �� Date 4'- (7 -Si ature of Permitee or Age _',, Receipt No. PIS 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 aboveor which fees have been paid. JAR OF PUBLIC WORKS �)//' '66�� DateIt Building permit expires Date 1 � P®,21MIT NO. 2 B E PERMIT EXPIRES i OWNER ROY & JOANN KAY CONTR- Ken Young, Paradise ASSESSOR PARCEL 15061 Twin Pine Rd, Magalia f I LOCATION 65-40-28 _ S =I rt ' f Z Temp. Power Pole Called PG&E- Temp. Elec. Service 1: Called PG&E Temp. Gas Service Cal led PG&E JOB FINALE Date) Signature r . 1 -V = OK 0 = Not OK '* - = Not Applicable MOBILEHOMES '" MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; 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.-Rig.-Bracing_ 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 7. Utility Clearance 6. Carports; Windows -Doors _ 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 b's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability - 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 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 Lghig. Boxes -Enc losures- Pane lboards-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 J=OK 0 = Not OK - = Not Applicable RESIDENTO.L..'(.Single and Duplex) = Not Ready Date UNDE 00 Plans OK except #'s Date FRAM Continued 1 o g requirements -Setbacks -Easements Prty Line Firewall & Openings 2. tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Ojk4ZII.—Ext. Doors -One 3' -Check Garage -3rd story, 2 exits s; Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemw Is, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. mwalls, Garage; Steel-Blockouts-Wrapped-Slab Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -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 to Card -BI Date Card -BI Date ; Card -BI Date Card -BI Date Card -BI Date Date FINAL,41ans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit), OK except q's Ex eps-Door & Sidelight Protection -Landings 57. Smoke Detector — 14. Water Ht.; Vent -Access -Combustion Air n—Fur-ace; 59�Bedr6om Vents -Clearance -Comb. Air -Connector - In G-arageAixove Floor-Ducts-Mech. Protection Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61 . Trim & Subpanel; Breaker Sizes -Labels 1.9. Gas Pipe; Size & Anchors airs & Rails _ 64.-/.Z-rec. e ceor Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Card -BJ, Date Card -BI Date Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date - e s & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's68arage-Damper ire oor; Swing -Landing -Closer 69 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- IGarage;ove Floor-Mech. Protection 20. cture & Transformer Clearance -Ins. Protection -- _F�Iec. Receptacles Spacing -Lights &Switches at Doors 7 Plb., Elec. & Mech. Equip. Listed for Location c eptacles in Garage; (G.F.I.)-Ropex'�rotec. Size Boxes & No. of Conductors -Stapled . Ro ex Installed Close to Edge of Studs & C.J. -- Equip. Ground made eners-Bond Gas & Water 7 ul ion-fmTooked in Attic Yes -- 25. nce Circuits in Kitchen & Conductor Size 7 G rd Rails & Deck Construction -Post Caps o ainage & Wood -Earth Clearance Looked under Floor - --- a tze / ga." u or AI-A.C. Wire Size / / ga. Cu or At nge trc. / ga. Cu or AI -Oven Circ. / . / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 'n instlil.: Drive Yes ❑ No; Walks El Yes ❑ No; Planters No 2 ervtce-Riser Conductors & Ground -Main Disconnect _ 76 _moo; -grown -Finish 2e PBnces; Panels-Motors-Mech. Equip. tsconnect-Clrnces-Brkr. & Cond. Size -115V Outlet __ 30. Clothes Closet Light -Shower Light _ ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -------- --- a ell; Disconnect, Electrical, Plumbing Card B -I — Date + Card BI Date -- �— — 80./,offxjerior 8�!' Elec. Trim; G.F.I. Receptacle -Underground en�on throughout House Card B -I Date Card -BI Date 872Zoerass Protection Date__—.MECHANICAL (Permit) OK except N's _ rections from Previous Inspections est -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 8 a er & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan_Exhaust above Insulation _33. Condensate Drain _& Overilow; Size & Grade nergy Compliance Certificate -Other Certificates 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 Card -BI ---- ---------- ---- — -_ Date__-- —_Card -BI _ Date Date Card -BI Date Card Date L Card -BI Date Card -BI Date Card -BI Date Date F ING(Plans) OK except q's Comments at Final: _ 6. Is; Proper Material & Anchors _ tuds-Nailing, Spacing & Bracing -Plates -Sound _ Walls over Girders & Floor Nailing3 op in Walls (rat proof) R,Draft 4 _ops; Furred Ceilings -Stairs -Chases -Tub iaader &_Beam -Size &Bearing - 4?. H ers-Post Caps -Anchors -Connectors Cing. Joist-Rf_tr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Ring. 44 Flue -Fireplace Throat tze PRomex Protection -Draft Stop -Ins. Baffles —or 4 . Bdrm. Windows _Exiting Doors -Sill Hgt. & Dimensions 4a-Gar2g�Eice Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviJle, CaIiforniag� f -Telephone 916/534-4541 APPLICATION ARMIT PERMIT NO. ASSESSOR PARCEL NUMj3E�J a e �(�j ((x//66//^� zONING BUILDING PERMIT OWNER ,[AJ, TELEPHONE SO. FT. OCC. BUIL/DING VALUA ION OWNER'S MAIFL••'IIN)GADDRESS % t� (/ (Y CONTRACTOR'S E TELEPHONE ' CONTRACTO 'S MAILING RIDDRESS S A Ste- Fireplace C NSTRUCTIO LENDER UNKNOWN 77 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3v AR�qHITECT OR ENGINEER t LICENSE NO. Plan Checking Fee $ / Penalty $ ' AReHITFYCT OR ENGINEER'S MAILING ADDRESS Permit fee ¢ Li e $ V BUILDING ADDRESS PLUMBING- PERMIT Filin Fee 10.00 9 Each Trap . 2.00 Solar Water Heater 20.00 Water piping N 5.00 LOT NO. SUBDIVISION NA PARCEL MAP Each qas water.hei or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom%W" Other SPECIFY Building sewer 5.00 Mobile Home 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 EA. ADD'L 100DWELINGCAMP Main serviceNEW 2.50 CONST. ` OR ADONS. C ACCLBLDGS. i / 21�20sgft CONTRACTORS LICENSE LAW I declare tinder penalty of perjury (Check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d 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 forthis reason NEW CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES BA 5 0Q FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 15- Sfor 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. p 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. ❑ 1 shall not employ any person in any manner so as to become subjectVentilation 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 Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ndemnif and keep harmless the County of Butte against all °liabilitie dct ,and expenses which may in any way accrue again s ounty in cc a ence of the granting of this permit. X Date '- wner Contractor Agent ❑ Signature of At plican�Wred An OSHA permit isr exc ations over 5'0" deep and demolition or construct- ion of structures ov in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ e/� OCCUP. GROUP TYPE OF CONST. PARCEL PO N 550E This permit is hereby issued under Bions of the Butte County Code and/or hich work indicated above y DIR TO�UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. e% 7 622 D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . �• - � 3_�. �'r , / � � If r ' ` f fl � � �( it _ � , / � 4 1 / \4601r - SA, ve To - Fla ' y��c 6_�i'af�. �_a g ¢ - • . • - s - - I D-- - - p-�; . � . y�....,� / i �-.1. p_ „ • - I it_ G=�'c Cdr--S�c��ii� ; - 4�X6X/ �er;lCir1 q _ jbu r 2 _&C beT'fC�' —90 — 41,11aWf3—^ - V _ It `§7 r - o�-s l2( , I i lgn racing. M - . ' � •- i .-_ _ � � rnadequate b j .3- 4 I t '1� /.2xt2Y-)& Pfe�s 6 w wI mill ct aH�l,o✓s , 1 -- — `--FT:j / 0" /oaf ', ..+:-. -•.^: : K',.=r-4�ri'e- . :?='_aa: a+ wa-.,u •a.. 'F.r.....-a .,,., ;.e., r, •sy..«.r,^c'r1cw-..Y".."".:u _.. .. -7 Mix ' I y X y n Arof fc' BUTTE COUNTY .BUILDING DEPARTMENT APPROyED , Roy & Joanne Kay 15061 TWIN PINE ROAD MAGALIA. CA. 95954 (916) 873-4047 �J�T i r dd k7 r ii�i�luiiil�$►i1'rYi'�I1��FI�E{!'Hf�Y1'1'btttPYtWI'lYlflMff*1�AtYi49t1W'tYs�4n�wr*4waivar.�rwrirtuvt:.w..u....w.a.:...W..,.,..w.::..u._...,>..::4 __._._ .... �....:� .:_; ..-�:... � .. .� \ . 2 .� /. ° \ .\.<. �<\ ..;��— .�2�2��»�«\ � �. .� aay, - E � � :� � � � � . . �� , 2< <6 \ \ �. f � � � » � � . � �\~?�\��^�®�/�