HomeMy WebLinkAbout065-420-005ML
f �2�'i ppb 1-42-1
Charles Base PP��3, Maga
175 Columbine Rd., ort 43, Paradise
contr: J. T. McGregor,
Permit 8 0-77P,E(uti1�MH)
E1E C
GAS
SUPPORT STRUCTURE REQ• ��
COMPACT-JNTESTREQ.
Wit/ $0;P 65-42-5
Contr: John W.-Beutler, Yuba CitY
J ermit #4740-777/MHI _------_-_--_�
Issued -7
65-42-5 65-42-5
Permit #5953-77B(neO covered deck/MH)
'lYlr�h' l�a�'o U 65-42-05
Contr: Gorman Const
Permit#1652-88B,E(new detached garage)
065-420-005 00-2623
BASE, w
6351 COLUMBINE RD., MAGALIA
f, CONT: BRUCE BRODERICK'I'� I
1 EX MH ON PERM FND 1
I
N
.f
u
NOTES r RESIDENTIAL
PERMIT NO. __065-420-005..,. ,_ �., 00-2623 _
L
ASE
MBINE MAGALIA
UCE BRODERICK
PERM FND.
THE HCD FORM 433A FOR THIS MH CANNOT
BE RECORDED UNTIL ONE OF THE•FOLLOWING
HAVE BEEN TURNED IN TO THE BLDG DIV:
(1) LICENSE PLATE(S) or DECAL(THE
INSPECTOR MUST RETRIEVE) ;
(2) STATEMENT OF FACTS(ONLY ON
NEW MH'S)
_INSPECTOR TO VERIFY SERIAL &,LABEL #'S,
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOE
/=OK .
0 = Not OK
- = Not Applicable
• = Not Ready
MOBILE HOMES
Date '
MOBILE HOME UTILITIES (Plans) OK except #'s
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except N's
1.
Zoning Requirements -Setbacks -Easements
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Sewer; Location -Test -Fall -C/O -Concrete
Decks; Girders;agd/or Joists -Decking -Bracing -Stairs -Rails
4.
Water; Location -Test -Easement Needed (Sketch)
po
Wood Awn,.;t°Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Carports; Windows -Doors
7.
Well Clearance & Disconnect
Electric
8.
Utility Clearance
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
•
10.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
1.
5.
Drain; MH Test -Fall -Flex Connector
2.
6.
Water; MH Test -Regulator -Connector
3.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
4.
8.
Gas and Electricity Tagged
5.
9.
Tie Downs -Type -Installation Cert.
6.
10.
Exits; Insp.-Sketch
7.
11.
Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
r
} Boxes- Enclosure s- Pane lboards-Ins. to Main in Conduit
12.
Permanent Foundation Only; License Decal
Health Department Approval
10.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
`
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except N's
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders;agd/or Joists -Decking -Bracing -Stairs -Rails
4.
po
Wood Awn,.;t°Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
•
10.
Roof; Shthg-Roofing
11.
Ext; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except Ws
1.
Setbacks -Easements _PA"'
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
r
} Boxes- Enclosure s- Pane lboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
PLUMBING (Permit) OK except #'s
17.
0 = Not OK
18.
Water Pipe; Test & Anchur-Nail Protection
- = NotAppli°able
D.W.V.; Test Fittings & Anchor -Nail Protection
RESIDENTIAL (�
= Not Ready
21.
Test Tub & Shower, Second Floor -Tub Ar -
Date
Gas, Pipe; Sixe & Anchors _ t
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Fig., Main; Soils -Elea Grnd.-;J(. /" Fig. Depth
3.
Fig., Garage; :.oils-SteelPjj rnd.-/ P Fig. Depth
4.
Fig., Porches & De^ks; So"�?' .al-/ /- Fig. Depth
5.
Stemwalls, Main; Steel- Blockouts-Wrappe4
6.
Stemwalls, Garage; Steel- Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fail -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Date
12.
Electric Underground
Date
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Date
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Date
1F
_Access & Ventilation
Date
16.
!tion
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Date
39.
:ard B-1 Date Card B-1
Date
65.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchur-Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Flour -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Ar -
2;
Gas, Pipe; Sixe & Anchors _ t
Date
i
Card B-1 Date Card B-1
Date
46.
Card B-1 Date Card B-1
Date
47.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Meth Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or All
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral O Yes I] No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
60.
Brace Interior/Exterior Wall Panels
Date
61.
Card B-1 Date Card B-1
Date
62.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
35.
A.C. Ducts Insulation & Support
Date
36.
Vent Fan, Exhaust above insulation
Date
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
Date
67.
Card B-1 Date Card B-1
Date
68.
Card B-1 Date Card B-1
Date
69.
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Wails over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
single & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor U Yes
82.
Following Instld./Drive ❑ Yes p No/Walks,:] Yes ❑ No/Planters U Yes U No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date- Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -.BUILDING DIVISION
7 Co6nty Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P IT NO.
(Rev. 12/96) APPLICATION AND PERMIT ao'a�l�
ASSESSOR PARCEL NUMBER
065-420-065
ZONING
BU I LDING P ERM IT
OWNER MR. P'LRS. BAS:
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1440 R 77760.00
.OWNERS MAILING ADDRESS '
19465 =E FIN WAY, FREMONT CA 94918
CONTRACTOR'S NAME
:BRUCE B'ODERIC<
TELEPHONE
877-6432
CONTRACTORS MAILING ADDRESS
P.O. Box 2231 PARADISE CA 95967
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $ 77.760.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee 540.50/2 $
270.25
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $23-00
BUILDING ADDRESS
6351 COLUMBINE MAGALIA 95954
Energy Plan Checking Fee $
$
PERMIT FEE $
313.25
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump,,water heater
23.00
Water piping
15.0019!00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 24 X 60 EX nj OM PER\1 FND.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
Q20.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ".v 0o AR o^es
23=23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license i full force and effect. /
License Class Lic. No. 3�0�3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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
Ifo ith comp% with those provisions.
,,
X y Date �0� 010
Signature of Applicant - ❑ Owner ❑Contractor Agent
An OSHA permit is required for excavations over 5'0" d e and demolition or construction
of structures over 3 stories in height.
Main Service TO 10ooA
46.00
NEW CONST. DWELLING occuP. 3.52F°:
ORW:
A DNS. (
MUAiTICOV�TLET
NON-RESID. 7.50
POWER APPARATUS
BSINGLEOUTLET OR.
.00
EX. Occup. OUTLET OR FDITURES SAL ®I.S0
Ex. Occup. ounEis RE=.1 ERA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $ 43.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
ST. TYPE
TOTAL FEE $
OCC :.A
D. FEES IMP
X
FLOO
CDF PARCEL
X
PO HD S
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated abo a for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
to
Receipt No. MRR64 391.25
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1-1
COUNTY OF BUTTE - D'EPARTMkNT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER: D�07 TGC1 `SODS
Proposed Building Use: C --X 517 uilding Inspector: Z-1
Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
111. All items have been submitted.
L4)9t. Plot plans, 3/4 sets, signed by the preparer of plans.
113. Complete plans, 3/4 sets, signed by the preparer of plans.
104. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
06. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form.
9. Manufactured Home data and installation instructions including Tie Down Specifications.
P1Fees of $���
011"I.-
Impact fees as shown on the attached schedule.
❑ 12. California Department of Forestry plan approval/fees.
1113. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department.
1115. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
9. Encroachment Permit for driveway (construction approval prior to occupancy).
20. Pre -inspection for 1�"o LT required.
❑21. Contractor's license information. (Number, Name Style, Classification).
1122. Workers' Compensation carrier and policy number.
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
024. Letter of signature authorization.
025. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use.
1127. Manufactured Home utility clearance.
028. Existing vi ons and/or ed perr&s,
❑29. 0433 A, VyGrant Deed, WM.H. Title, 19'Check to H.C.D $ ,
❑30.Other:
When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor.
Telephone "7 and and hold for pickup at / 6 office. ❑Deliver with inspector.
Applicant: Date:
EXPIRATION OF APAICATIO
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
FACSIMILE - .'.
COVER SHEET
Date:
To:
From: Ila, "
Subject:
Number of pages (including this cover sheet):
Telephone Number of Receiving Telecopier:
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
Special Instructions:
o Review and respond accordingly.
o For your information only.
Sincerely,
CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain
privileged information. The information is intended only for the use of the individual or entity to whom it is addressed.
If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this
communications is strictly prohibited. If you have received this facsimile, in error, please notify us immediately by
telephone, and return toe original to us. Thank you.
PRE -INSPECTION REPORT
OWNER:
LOCATION
CONTRACTOR:
PRE-INSPETION
DATE TO
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
PERMIT HISTORY:( ) NONE
DATE:_
A.P.
JZONING:
AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Yes No Electric currently On Off
Condition of Electric
Gas:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
Sketch buildings on reverse and indicate location on property.
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
A°°!°°ORPARCdMJMa01
D- O
iowNo
BUILDING PERMIT
�Q S• S e—
SO. FT. OCC. BUILDING VALUATION
COlfr " tawTQ81gN!
c� e�
y3
o ,��° 3 l � ase
Ca 9'S
CONSTRUCTION LENDER
LENDER'° MAIL#4 ADDRESS
Fireplace
Total Valuation E
ARu,rtEcraR ENWNM
LICENSE No.
Filing Fee E
20.00
Permit Fee S.
7e ,
AReNITEcr OR ENONEER S MAILING ADDAM
Plan Checking Fee S
d
°1J ADD7U
/
�L
Energy Plan Checking Fee S
S
PERMIT FEE
LOT NO.
SU90MSgNT3NAAo?
PARCEL MAPPLUMBING
PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
1 /l�/
SF O Duplex O Mobilehome Other 191
SPWOY
Each Trap
7.00
Solar or hent um water heater
23.00
Water piping L15.00
/S-•—
Each gas water heater or vent
15.00
TYPE OF WORK
New O Addition O Rem�o/del�/0 Utilities 0 Instigation O Other O
Describe Work: pL'T /� UlO
Gas piping system t - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
Q20.00
PERMIT FEE !
3 Ol
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.A Da=s
23.00 .O6
n/
*PERMIT FEE PAID $ ,�9�pC
----SRA $
SHERIFF $
OTHER $
$
$
AMOUNT RECEIVED $ X/ y� ��
*RECEIPT NUMBER �6 S
* TO BE PVT INTO COMPUTER
Main Service IIIA To Ilow 46.00
NEW CONST.. DWELUNO OCCUP. 3.S¢FT,
OR ADDNS. A A. BIDS.
CC
NON.RESiO. MULTI -OUTLET @7.50
RAWN CIRCIM �l
POWER APPAAATUS
A SINGLE OUTLET q0.
EX. OCCU . OUTLET OR FIXTURES10 0 1.00
SAL .!0
Ex. Occup. s 610.1 EALNS 5.00
Temporary Service 23.00
Mobile Home Facilities 2000.
Misc. Wiring 23.00
PERMIT FEE
ECHANICAL PERMIT Fling Fee 20.00
Heating-
Cooling
Hood
ventilation
PERMIT FEi_ S
Mobile Home Installation Fee t
Energy Inspection Fee S i
Occ CONST. TrPE TOTAL FEES
PAL D. FEES WP RMO COF PARCEL PO
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which tees have been paid.
.
By Date
PERMIT EXPIRES ON
r�
65-42-5
Charles Base
175 Columbine Rd., lot 43, PP#3, Maga..
cootr; J. T. McGregor, Paradise
Permit # 860 77P,E(util*q MH)
^^"~
GAS
SUPPORT STRUCTURE REQ--#-f
65-42-5
Cootr: John W. Beotler, Yuba Citl,
� Permit #4/40
I000ec1
65-42-5 '
Permit #5953-77B(oew covered deck/DH)
p or,
.�
| b5-42-05
Cuotr: Gorman Const
Permit#1052-888,D(oew detached garage)
Oct -02-00 10:24A
f�-
I�
azo �/CC
,00'
Mf r�`�� � (. � � xis-�;,,� • 1
�.'1 t%r1'F x•�� �
60' jz,`!
t
v; l
60' I „ ' Id l
ao�..•�� - • .. .,± ^,:..:-�;, Sia'► �:• ;., �`' i��
40
•
20' f
Cnc�IF
20' 40' 60' ac' lw
• D�/��ir5 : /�1;� � /Ii,�� /fit se -
%'�d. ��07� �a� �o,� �P�iiYcnent �oGi'Olt �oit/, �•!�i�sll/Y'
120.
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
09 -Nov -2000 2000-0043455
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as
to its contents to all persons thereafter dealing with the real property.
CHARLES M. BASE AND BONNIE A. BASE
REAL PROPERTY OWNER/LESSOR
39465 BLUEFIN WAY
MAILING ADDRESS
FREMONT, ALAMEDA, CA 94538
CITY COUNTY STATE ZIP
6351 COLUMBINE
INSTALLATION MAILING ADDRESS, IF DIFFERENT
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write'SAME')
MAILING ADDRESS
cm• caxm MTM 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
00-2623 (530)538-7541
B LDINC�PERMIT Nl;,,4,4;�. TELEPHONE NUMBER
11/06/00
IG ATURE OF LOCAL AGOFFICAL DATE
NONE
DEALER NAME (if not a dealer sale, write 'NONE')
DEALER LICENSE NO.
FARWEST 1977 UNKNOWN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A/131938 60' X 24' CAL050493/4
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
SEE ATTACHED
A.P. # 065-420-005
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
BUILDING PERMIT NUMBER: 00-2623
Address or location of unit: 6351 COLUMBINE, MAGALIA, CA 95954
Legal Description of Real Property: A.P. #065-420-005
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: CHARLES M. & BONNIE A. BASE
Owner's address: 39465 BLUE FIN WAY, FREMONT, CA 94538
INSIGNIA OR HUD NUMBER: CAL050493/4
SERIAL NUMBER OR V.I.N.: A/131938 .
MANUFACTURER'S NAME: FARWEST YEAR: 1977 -
OFFICIAL APPROVING INSTALLATION:
DATE: '11/06/00
PHONE: (530) 538-7541
H.C.D. 513C
LEGAL DESCRIPTION
A.P. #065-420-005
All that certain real property situate in the County of Butte, State of California, described as follows:
Lot 43, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 3", which was
recorded in the Office of the Recorder of the County of Butte, State of California, on June 17,
1970 in Map Book 35 at Pages 78. 79, 81, 81, and 82.
Subject to covenants, conditions, restrictions, reservations, rights of way, easements, bonded
indebtedness, assessments, and other matters of record.
10/23/2000
MID VALLEY TITLE 13775104
81303A3A • ,
lt-ol w at the tgrest d
OADVILLL TITLE COKPABT
R.tula b
Qat C48ma �eElf
3mCMItRCOAei
6471E COON -CAQ
%rl, 7 t r 'miSt[1 OT
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JUL I I7
tOWS9 KIYc>rota
COAT If IltrOlDa
UP '
807
NO.041 D02
i
i
GRAST UVKU Wwfmaiiw;
fw valtsr nesi�ea .
PARADISE PIlIEB lfOBILS MOMS BSTAT88 IPC
CHARLES K. BASS cal Bonn 6. 81S!
bueloatl and wits, ,>t•191et Toe,ati
as tlbt teal prope.tr situate is tbs
Caunq of Butte SNuafCJdanit dtsmEtdalaCoios:
lot 43 , as ehown on that etu:'tain tip entit1k, "?,4jw= P=
UNIT 'W- 3"1 rhieh was recorded is the office of the CoU=7 Recordor
of A•itto County, on Junc 17, 1970 in hzp rack 35 at pages 78. 79,
80, 81 and 82..
Subject to cavenrrtt,, condition,, restrictions, rt:ser0atiooYss, vinbts of
t+ay, csa=onts, banded Intlebtednoas, asswsments, and otba natters of
record,
i%CVTIW all minerals, as excepted .. record.
"T6 wnamk"ed grontor ft!Occi
e�c1 js}
(s) c�'• • •: �_ . .. ::fr ton�0yed, a acetest sw '
JAIX Er STMU
Ct i:rn7 of tOr& ,� nocur MCC • CI MOM
i 1 Cily OF
tuntcotoer
� cma• �niaco/p:r::cs r.rcL•4to:rrOtWt.ICRt
UTI'M35 WHEREOF, a.:l4.gwa onfu-exmurai0esepmwnts4sittOftetstAet1aroo4j)raOlb0sinJ.
90 day of • July 1v.7.?�.....• P�tMOlSC _ T f�U �TAiFS, IAC.
"ATEoF KALIYpNNjA
,....__Butte o. By..Tff4-rL
a.,_.._.._._.........._.._.....-•�7y......_..,.,w7le.te,rr..,.daR.S...8T8LLE..__._ ��
_ _---�
s'MgrA1litrissdly�»�yN�d ..............._..,.,....... 1«u�wlairY./►.wrOr./pstN. .��%�i�_.��..���i___�,pf,
.�.M.+n►Afft�l._:fXt!!'SO�,---_.,..__...._.eu�n l�vM NAr .. .:. ., .. I4n:Mfsd qr _ -�
.Mr !•%111 tr�frtlin rMr-4IJtt••+lli•,•,h•�til,a•A�P.1•IY4p61. 1a _ _.. •—T
sN rN.rM.�,nt r. •1 qtr r}rs /•rP+ara�r r.r..rd ru l..r..M JMAn aiarrAJe+J 4 r�tlm�a ,rs WI a +s M4Yd swi ra,•nerr: �j
�tllfdM 6 rL I�Mvr+. aWtro•./U• IA�r/ �� Irob/w, r'_�— _
sr.m..rrwd'a.wAI•.gI•trrNi
- ..._ . ._ . _ _. _.........: . , . - --_ :END Of_ .�.00d�OfT,,,r.`y.. _• _ �_ _ . ��
10/23/2000 10:11 1,111) VALLEY TITLE + 8776167
NO. 041 003
wI-II-OW TUE. 12; 34 Pfl
FAX N0,
1131 P. 02/02
OCT -17.00 TUE 10:25 AI"
FAX NU,
r, l u 7 e
..r STATE OF CAWFORNIA
Y DEPARTMENT OF HOUSING AND COMMl1NtTV r1r:Vlrc,OP1
RPUISTRAMN CARD
IeN1'
hilmratturid 1101110
D41 No. AAV6916
m2m/ltmmtv%..
TgaeN.. Y04e4
DOM DF6 ft top. us
IA"IT
FARMIT
OOA ig" NKS;I0rr* to? ftokloo,
Ocr+:JNu�trrf
LaeHIMYIo�aNuMPI Wf4Lt Lao
VIM We See wKwo We rm
A,!!I A\��q
[ALolwo� CA�.CySph�j Ja'
: q AFN a
SID V
CALOI04U CALtJSpygy w
,1'
'
- rawd ToUIFo%Fad
'
6:at;soon p�oe
Addressee
Tor
CHARLES M BASE
'
3446E BLUE FIN VYY
f
FREMONT, CA 94538
it
Registered Owner(JI) '
CHARLES M BASE
BONNIE ABASE
�1 enOnK In Common Ot
39406 BLUE FIN WY
FREMONT, CA 94638
Situs Address
0331 COLUMBINE
MAOALIA, CA 95954
IIfIf.1Yf.II/N.11111f If11.11Y11f 11{+..If/1)1I�..I11 i. f. •
ATTENTION OWNER:
Tors Is 1910 RF.G1s"1'RA1'ION rADD lYIR TIIE UNIT
DLS(:PMU)A90VF PIXASEKEEPT11119CAR01NASAFE
PJAC1. WITIII►•nrs Il\tT.
w IN-M'AVCTIUNSFORRF.NEWAL;
RMISTRATION FORTIIW UNrr F7MIUS ON 11% DATE ,
INuJt ATI:0 ANIVE IN TIIR 0091.AREI111 "Far. Date".
THVW.ARE 6UBS7ANTIAI.PENAUnVR FOR
OF.t,INQUF 14C'1'. IF YOU 110 NO'r RFLEIVK A R6NLWAL
NOTICE WTTIIIN 10 0A0 PRIOR If) TILE WIRATION
IIATF: f'1>rfrAC1'It.(:.0. FOR RFNEWA1, INSUL TIONS.
I YYI If/1/1+.ffllf♦ii•.f•f.ft/.1.1.fYYff Ya111.Y/... f/1.H
IMWRTANT
TIIF.OWNER IN('ORMATION SHAWN ABOVE MAY NOT RBFLECT ALL LIENS RECORI?F:0 WITH Till:
F►F.PAl OIEN1' AP HOU-SING ANA COMMUNr1'Y uF.VF.iAIPMF.N'r AGAINST THE DUCK MED UNTI'.
TIIF C11I41trANT'rITLE ATATUB OF I'IIt UNIT MAY OF. CONFIRMEOTHROUCIL TI(t nrpAkTMEN'T,
us
ENVIRONMENTAL HWSINQS SOLUTIONS
BRUCE BRODERICK CDL A0860920 2416
EILEEN L BRODERICK CDL A0847762
PO BOX 2231 (530) 877-6432 11-35/1210
PARADISE, CA 9Date
967-2231 1 a 423
to the
ME/
Dollars
BankofJWerica.
Pamaise ®�� E o
�� CUSGer,Sinre
-
6285 Skyway 9 99 S
Paradise CA
530.877.4462L,/
For 0/1115--loZo 06� /sem o
1: 12 L000 3581: 24 L611104 238-033 5 611•
► p� B
PERMIT NO. 2$60 -77P --,E
u/ Y
PERMIT EXPIRES
f OWNER Charles Base
j CONTR. T. Mt-1Gregor Paradise
s LOCATION (A.P. 65-42-5 )
175 Columbine Rd., lot 43, PP#3, Maglia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. f' v
Called PG&E -7 %0
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
L
r
9. Electrical'
A. Is service large. feno�igl. to pr.ovidc r:idequarC amperage to mobilehome. (must equal rating of
nmobi.lelttome cditii a ::;in.ii-:um o.f 100 amp) and other faciliti_i!s on lot, i.e., water pump,
0:irat;e, ca�.lna, etc.? Yes No_
B.' Is there proper. clearances around panels? Yes tl"'No_
C. Is power supply cord or feeder assembly properly fused? Yes No_
D. Is continuity test satisfactory as per the following procedure? Yes N'o
1. be -energize electrical wiring, system of the mobilehome. at the pedestal+
2. Make sure that ti -ie 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 l :id of a test instrument to the mobilehome grounding conductor and
,..,,_,._..._
apply t1��e oi:i,.e 1.�ad i:u C-- niuuL.LCiwutt supply CunuuCtUi , lliuluuln� iieULrdt.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures andiappliances, 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 shah be connected to the site service equipment. A further continuity
te:t shall then be made between she grounding electrode and the chassis of. the
riobilehome. UDOn satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
Is job card li ned by health Department for' water and sanitation?
11.. If everything okay, sign off card and ta,- services.
MOBTLi:;I ME DATA
Manufacturer and/or Namestyle —
Length— Width -
2;Z -Vehicle Serial No. l
State Identification No. OJ G 5--.0 I
°.deiitional Information or Cormnents:
'NOBTi,*F1102ME' II1S7'AL-LA1'10N I1ISPECTION CHECK LIST
1 . Is the. mobilehome .located wi Lh required s-eparation from lot lines and buildings and_ gene ral].\
conform to plot plan? Ycs �/ No
2, Doe:; the m(-)bHeehome have required clearances above ground? (Sec.5085) Yes vl No
3. Are foot:irn--,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles'.) (Sec; 5082 & 5083) Yes_ No
4. Is the mobilehome level.? . (Sec. 5088) Yes V/ No+
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes L-/ No
h. Water.
A. Is fleexi_ble connector of adequate size and properly installed (1/.2" TD min.)? (Sec. 5566)
Yes ✓ No
B. Test;- Does water piping withstand working pressure. or 50 lbs, air test? Yes L-"' No
C. Backflow - If.coach is not State of California approved, does station have backflow device
: and pressure -relief valve? Xes No
7. Wastes and Drains
A, is connection made with Schedule 40 DWV and have flex connectors at each end? Yes.L' No
B. Does it have minimum•z;" per foot slope and is it properly supported? Yes- &--* No
-C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No <✓
D. If coach is not State of ,California approved, does station have required trap andjvent?
Yes No
4.
8. Gas Piping and Gas Vents
A. -Connector - Is mobilehome connected ,to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft.-1-ong? Note:. All piping is to be at least as
large as the mobilehome gas. line inlet without"`reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure?.,'Yes No
!-
1. Open all appliance connector valves.
2. Shut off appliance burner and.pilot valves: s
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are -all appliance vents properly installed? Yes'✓JNo
Stucco Final Sub a Is
Mesh/ MECHANICAL Grd.]fault Prot.
Scridch Heat Ser ce
B wn Co Ing femp. Pole
finish D cts Underground
I erior Lath entilation Permanent
Lor Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec_ Service x- t Elec. Pedestal
Water Piping Sewer Gas Piping
M0816EWOME INSTALLATION V - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DA TF REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING' (Cont'd)
PLUMBING
tback
Firlivall
11 Piping
F s
Para is
st Floor
in Bldg.
Restro Finish
2 Floor r
otin s
J Windows
3rdV Ioor
St wall
Siding
To ou
Slak
Roof SheathX9
Water Pi n
Pier
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footinh
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex.
structure X
Appliances
Gas Piping & Test
Temp. Gas
Slab
V Final
Sanitation
Patio
A REP L CE
Final
Footin s
Footino
ZLECTRkAl-
MasonryWalls
Throat
Rough
Relnf. Steeldf
X Final
Fixtures
Stucco Final Sub a Is
Mesh/ MECHANICAL Grd.]fault Prot.
Scridch Heat Ser ce
B wn Co Ing femp. Pole
finish D cts Underground
I erior Lath entilation Permanent
Lor Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec_ Service x- t Elec. Pedestal
Water Piping Sewer Gas Piping
M0816EWOME INSTALLATION V - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DA TF REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE,
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE,zCp'4LIF. - 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 L ZL) - ;Z � for the following location:
Owner
Owner's Address
f
Mobilehome Mfg_�G�u ��q- / Model Year') 7
Insignia No. �� �S3 /'7 Serial No.
It is hereby certified fore occupancy at the above described location and
may be occupied.
Directoblic Works
Date / —� By o Pu(V
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
Owner
Mailing Address
COUNTY OF BUTTE — DEPARTMENT OF. PUBLIC WORKS
7 County Center Drive —' Uroville, California 95965 ,[/D..
Telephone: 534-4541 r
7
APPLICATION AND PERMIT
BUILDING
I SQ. FT. I OCC. BUILDING VALUATION
Telephone No.
Contractor p
Mai I i ng Address �< !,v /D -'i, CZ' /`f ,
BuJlding Address
3 fortX3 V
A. P. No. ���/�^ Zoning & Planning
Fees W. SanitaLien- Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Im ro ments
Plans Declarati p p
Bldg. Plans Recd Parcel Apiroval Pla s Approval
NEW ❑ ADDITION ❑ UTILITIES
,,11❑ OTHER
Single Family ❑ Duplex ❑ Mobil Home Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: r-- J , - 1 o ti of iW , �l�cc rZZA0
License No.OPif-1 7Al2Classification 61 -
Fireplace
Total Valuation
Permit Fee _
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
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
ELECTRICAL
PERMIT FILING FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD•L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUP. &
ACC. BLOGS.
NEW CONSTR.
NON.RESID-
( MULTI -OUTLET
BRANCH CIRCUITS
FEE
$3.00
1.50
1.50-
1.50
1.50
1.50
.30
5.00
2.00
FEE
$3.00
5.00
2.50
25.00
1.00
22sq ft
2.50ea
Ex. OCCup(OUTLETS OR FIXTURES 109
FIXED APPLNS. OR
EX. Occup.( ( OUTLETS (RESIO.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
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 Cooling
Workmen's Compensation Insurance.
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
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.
X Dat
Signature Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
FEE
$3.00
2.00
Jo 00
TOTAL PERMIT FEE is ".40 --
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 P BLIC WORKS
BY Date — --,�
+g permit expires Date l '��' L O
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center. Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
E �Y l I 1 t...G• J �li�
Owner's name:.
+. 1
'
2.
Installer's-
name- _T LK)
3.
Is the
site currently under permit? Yes
No 7-7
(If yes, furnish permit number
) OR
Is the
site an existing site? Yes / /
No C/ �
(If yes, furnish two (2) plot plans.)
4.
Will
the mobilehome be located at least 5 ft. away
from septic tank
and leach fields and
clear
of all setbacks and easements? Yes / /
No
( If no, clarify
)
5.
What
is the mobilehome electrical rating? -----------------------
Amps
6.
What
is the mobilehome site service rating? -------------------
�_ Amps
7.
What
is the mobi-lehome site circuit breaker rating?
-------------
'Q7 OO Amps
8.
Is there
any other electric load to be served by the mobilehome
site
service?
Yes T-1 No 4F /
(If yes, identify the load..and size:
(Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? -----------------------
(in.)
10.
What
is the type of gas service? -----------------------------
Natural-/ / LPG,/ /
11.,
What
is the gas pipe length from meter or tank to the
mobilehome?
(ft.)
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.)
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. AW—xg Setup Model No. A0e—,-_2& Year*:' 7-7
Width .(ft.) Length', (ft.) .-EXP and*o,.Size ft.x ft.
(Draw 'ort details.. below)..
.. support
On all m6bilehomes manufactured after October 7,-1973, furnish manufa'dturer's installation
manual and. structural setup sheets. .(.if not on fil.e with the. . County of Butte).
a---- Footin&s(check,one)
1. Wood. either
pressure treated or
Center' Center Support fdn-. giade.
Support Footing Sizes
Locations l. (in.) J;L 2.. Concrete pad.
0 X 3. Other,:,specify
Uin.
Supports (check one)
-x-
-7
(in.) (in.)
103
_30J
(in.) (in.)
in. in.)
x 3,0
(in.) (in.) 41
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
1. Concrete block
2. concrete piers
P
T_/ 3. Steel piers
4. Other, 'specify
Typical Support
Footing Size
qj Max. Pier
Spacing
Max.
Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
A P I PROVED
COUNTY OF BUTTE.., — DEPARTMENT OF PUBLIC WORKS
7'County Center Drive ° Oroville, California 95965 /�
Telephone: 534-4541 4 to —
APPLICATION AND PERMIT AA - _L,_-"
�. 7
-
BUILDING
Owner
G 14ou (x-.$ ,,s
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor T0 -P,
Total Valuation
Mai l i ng Address 571 k. fo zoxG (� 15
Permit Fee
Plan Checking Fee &/or Penalty
Ids V'
le hone No
7-%71oZ
Permit Fee
Building Address
`
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
17 S' CO L (•t P^ dl r/16,Ad-
Each Trap 1.50
U f V -3r1 -613
Repair drainage or vent piping 1.50
Water piping -t.30
L Zoning Verification Aj)lv
Each gas water heater or vent 1.50
A. P. No. X17 �' �I 2•'
2T-
Zon' i
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W--�
I Fire Dept.
Fire Zone
Use Permit
Building sewer eC 0--
EQA
Parking
Plans
Parcel
Declaration
. Parcel Ma 0' R/W
p
lmroverits
p m
Lawn sprinkler system 2.00
BI 1(P%n ec'd
Parcel App,.,
Plans aprovol
•
Permit Fee $p
NEW ❑ ADDITION ❑ UTILITIES OTHER [:JELECTRICAL
No. @ FEE
PERMIT FILING FEE $3.00
Main service 1101 OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50 s�
Main service OVER 1111 25.00
• 100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 101 AMP 1.00
NEW CONS. 0 ELING OR ADDNST ( ACCLBLDGS.CGUP. &) 2¢sgft
NEW CONSTR. (MULTI -OUTLET
RESID. BRANCH CIRCUITS) 2.50ea
• -•
FOR MOBILES
-NON.
NEW CONSTNON.ESID. RESID. (SINGLE OUTLETPOWERTUSCIR.&
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
le of:
style
MCI�f.C'-�yV_
Ex. Occup(OUTLETS OR FIXTURES) BA@L@1
OR
Ex. Occup. FIXED APP LNS.D.) EA) 2.00
p•(OUTLETS (RESI
Temporary service 10.00
Mobile Home Facilities 15.00
v�
License No. 2:7 /ao T Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating -
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply,to all County Ordinances
and State Laws relating to building construction, and hereby
G. Pif7''(F-
TOTAL PERMIT FEE
GUIIIUIILe ICpfeSefIZGUVeS UI ule L.Uun1Y of dune 10 enter upon ine
above-mentioned propert r inspection purposes.
XDate
Si�ture f Permitee or Age
Receipt No. 7CI -x.,-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIREQ-TOR OF P BLIC WORKS ��
BY ' Date a�
,permit expires Date _-�
S'. ;!r. �Y_ N't.A _�' 't' I�A .\: . fV -�+� k r.,t ,y • .7 If
NOTE:ail -Mater"la!s A'... orkmanship Shall Bd in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
+he. National Electrical Code.
X001'"".'..._.....,.._..__ .....j.
ns MUST
sa#io- bF "PES"�.^ 15-'.: rgl,?4 'S
I his set of plans and #i
it is unlawful tc ,n,, r" � i QC's ;l. CON' �•f:OL COr:
PERMIT NO. 5953—,77B-.
PERMIT EXPIRES
a OWNER Chailes Base
CONTR. owner
LOCATION (A.P. 65-42-5
1 175 Columbine Rd., Magalia
j
/I4
f
• jtn`e'i t' F
5
f
r
1.
Temp. Power Pole
i Called PG&E
Temp. Elec. Serv.
Called PG&E
• Te p.Gas Serv.
Called PG&E
VFONALED
B f /
{ ! I
(Date) '
(Signature)
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footinas
i -
COUNTY OF BUTTE — DEPARTME,yT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING' (Cont'd)
— b Test
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for physically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping &
Temp. Gas
Final fR r!
Sanitation
FIREPLACE
Final
FIRE SPRINKLERS
PLUMBIN
ICA L
Framing 1 1
— b Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts .
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES --------•--------- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATIPN - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE- — DE,P-ARTMENT OF PUBLIC WORKS
J„Coun"iy Center Drive UroviIle, California 95965 � %
Telephone: 534-4541 /
APPLICATION AND PERMIT
BUILDING I
Owner -L,4A fZ L BAIZ) S ��
SQ. FT. OCC. BU LDING VALUATION
2. 7 V08
Mailing Address r^ Frt e oeN-r 1C•
�ele ho�ne�No,.
Fireplace
Contractor
Total Valuation JY0b
Mailing AddressPermit
i e -
Fee
PI an Checki ng Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address L �,
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
�--az U k_A� Vk-%
Each Trap 1.50
v i ,
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.S" 2^
Zoning & Planning
Gas piping system 1 - 5 out 1.50
Each additional outlet .30
F
S (on Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Bld�ans Recd
Parcel royal
Plans 4erporovaI
Permit Fee $
$
NEW tK ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER s 25.00
100 AMP O OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L too AMP 1.00
`S�(r//I ��
ILI�J
NEW CONST.DWELLING OCCUR. &
OR ADDNS. ( ACC. BLDGS. ) 20sgft
NEW CONSTR. MULTI -OUTLET
NON.(MULTI-OUTLET
BRANCH CIRCUITS) '2.50ea
NEW CONSTR. (POWER. -APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) @@1
109
Ex. Occu // FIXED APPLNS. OR
p•(OUT LETS (RESID.) EA) 2'00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
P-ra—m exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
_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
Cal i forni a.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
auuI0FIZe reNresentatives of the County or butte to enter upon the
above-mentioned property for inspection purposes.
X to /0 -17y 77
ignat re of Permitee or Agent
Receipt No. / �? (�D V
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 00PUBLIC WORKS
By Date_//�— 6 —77
Building permit expires Date 6 -7
210'!
t; ��•1'E•�v d C:;�,::. � � >V•1C ��E C%L.:aQ'c?i 1 i i',� .
.S: r AA4�,_pZ_-a S 'e.
110' ( TRACT. __C_ .L�-_----i �nyT
x.. APPROVED EY Y�/may
AD�ESS
160' f —` --- -^ 3 1��T
se' pl"dn's ands%'
kept the iob at all time and if +�'Sns MUST be
1 m ke > changes br alterations on sau�awful to
i wri ten �rti me w' ►�`Te.Bldg. setback sha(f 6 o5f t. from
the
140'W r �p .ion #rom the Department without side pro�erfy ine and a. a i-
`; s" faun° ,f Butte. p ment of Public �; a mitt�7�t
centerline c,� th road, p a tir ly
v ft. a ve over ang
;• mum of a �
of all �.\mse ents. ,
' n Qp d. p-qj
V'' " _ %cL�: ' ;, ""` ._.._. ._.,•, _____.. -•-�•1 :.�` Lai � 'O~
,100'
04
40i 1 o
a,
so' T' 1 ;� v o w
e � I CL
1CIR
4 60'
c
NOTE:—A 1 MateriaWs & /c` ,
fccao�'anc with R co Wo�°kmanship Shall Be inJ �L -� l` ('
i a c r ei gnized ' Good Practices and s
i p escrib�d for th� tor L4 c} '
Uniform Bui din Sqq'�ecified use in the �c �j
the Nationa . g' Plumbing & Mechanical Codes and
13
20' / BUILDING DEPARTMENT
�.� ---- ---
APPROVED
20' 40' 60' 80' . 100' 120' Tan' -1A01
,rM
lw
to .dam
, 4k
BUTTE COUNTY.
BUILDING DEPARTMENT
APPROVED
r
PARADISE MI -17S
/ r
KIAME
TRACT # 3�. LOT -X-3 `
DATE
APPROVED BY
ADDRESS �°S `
71 -33 LCA T
--PARADISE FIN"ES f
7NIAM
{[ � , 1. CWHTNI° c0'3i�: I m a �:E
BUTTE COUNTY -5� LOT
R` IJ)ING DEPARTMENT DATE
APPROVED
AFPFQu�Q BY _
ADDRESS
��-77_
• yw yn
N
Pt`,R��C@SP@@a7S
ARC@:: CJURAL COMTROL CONI ITT7.
NAME ee '—
BIME COUNTY TRACT LOT S
MING DEPARTMENT ' DATE
APPROVED BY
APPROVED" ADDRESS ,
a
PERMIT NO. 1652-$$B,E
PERMIT EXPIRES
� OWNER
CHARLES BASE
CONTR. Gorman Const
ASSESSOR PARCEL 65-42-05
A, LOCATIONO-51
"'Columbine, Magalia
f .
� r
Or 2-gA8,Y - &-0-
Temp.
-0--Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
t
JOB FINALED (Date) -
Signature
r.
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
:— -- 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
B,sG 14�5
z-
aING
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.
5�ze'y CC J S - ,tt 3 1-l.J 7nl rC r_- ,
4-
AoLa1l s Tc� �iA�^rr lis �rrS�
Inspector d l Date
lmmnpz @MK
��a�ci�ooa
5485 FOSTER ROAD ❑ PARADISE ❑ CALIFORNIA ❑ 95969
r,
(916) 872-8695
J
h" .
=OK •
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Single and Duplex)
' Not Ready
Date,,: ..UNDERFLOOR (Plans) OiCexcept #'s
Date
FRAMING (Contrnued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or;Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors 4 •
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Sup prt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -B1 Date
67. Stairs &Rails
Card -131
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights &Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -131
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing'
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
911. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
92. Roofing Certificate
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -131
Date Card -131 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
s
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
= OK
0"= Not,bK
- = Not Applicable
MOBILE HOMES
"
MISCELLANEOUS
= Not Ready
Date .
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS, GARAGES, (Plansy-OK exegpt #'s
'
1. Zoning Requirements-Setbacks-Easements
Zoning. Req uirements-Setbacks-Easements
2. Soils; Special MH Support-Sketch 1,1"'-'
Y. Footings; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O-Concrete
3 cks; Girders and/or Joists-Decking-Bracing-Stairs-Rails
4. Water; Location-Test= Easement -Needed (Sketch)
4 od . Awn.; Posts- Beams-Rftrs.-Connec.-
5. Electricity; Location-Clearances-Grnd.-/ % Amp-Concrete
Shthg.-Rfg,.-Bracing
6. Gas; Location-Test-Wrap:/ P L" ft.
5. Alum.. Awn.; Columns-Connections-Splice-Decal-Enclosures
/ /"Nat. or/ , PV ft./ i /'LPG
6. Carports;-Windows-Doors
7. Utility Clearancelec.
. Frmg; Sills-Anchors-Studs-Rftrs-Trusses•
-
Siding; Nailing-Veneer-Stucco-Mesh
Card-131
Date Card-61 Date .
10. Roof; Shthg-Roofing
Card-B1
Date Card-131 Datew
Ext.; Steps-Doors-Landings
Date
MOBILEHOME INSTALLATION (Plans),OK except.#'s
1. Zoning Requirements-Setbacks-Easements '
Card-Bl
(P, Date,0••(,'_,% Card-B1 e-� Date? $$
7
2. Footings; Size-Spacing-Marriage tine
, Card-B1
� u Card-B1 Date � ...
Date�3
�.�, e, '%
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
Date
POOLS (Plans) OK except #'s.
5. Drain; MH Test-Fall-Flex Connector
1. Setbacks-Easements
6. Water; MH Test-Regulator-Connector -
2. Soils; Compaction-Structure Stability
7. Water and Sewer Connected-C/O to Grade-HD Approval
3. Pool Structure; Steel-Connections-Thickness-
S.,Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Listed .
-
7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater
8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg.
Card-131
-
Date Card'B1 Date
Boxes- Enclosures-Panel board s-Ins. to Main in Conduit
Card-B1
, Date Card-B1 . Date
9. Health Department Approval
f
10. Plumb.; Cir. Test-Water Supply Test
Card-131
Date Card-B1 Date "
Card-61
Date Card-B1 Date
•9
y '
:J
r ,
4
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
APPLICATICN'AND PERMIT
ASSESSOR PA CEL NUMBER
ZONXEI
BUILDING PERMIT
OWNER �1 //�� Q
Cort LVES s�
TELON
SO. FT. OCC. BUILDING VALUATION
A
�V
OWNER'S MAILING ADDRESS
i►?s COL
CONTRACTOR'S NAMET LE HONE
Got?nl CoNsT ,fAC �'to.J S
CONTRACTOR'S MAILING ADDRESS
iL
Fireplace
CONSTRUCTION LENDER
L(svoo
N
UNKNOWN
Total Valuation $ 4V, oo
FilingFee "
$ - 10.00
LENDER' MAILING ADDRESS
Permit Fee
$ 6
ARCHITECT OR ENGINEER
MI✓6KS QL4Il.1,WG C"r-E
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
9 OS _ C KC n/6 CA 8,3 -64 c7G
Penalty
$
BUILDING ADDRESS �p �+ /�
1'75 L-(�fM N Z A f_I/j
Permit fee
$ 3-'] -5
PLUMBING PERMIT
Filing Fee 1 10.00
Each Trap
2.00
Solar or heat pump ter heater
0:00
LOT NO.
SUBDIV_I/SSIION NAME
w
PARCEL MAP
Water piping
5.00
Each qas water heater—OP44
5.00
USE OF STRUCTUR'.
SF:Jr Duplex ❑ Mobi lehome ❑ Other ^ /
SPECT - Y
Gas piping system -r- 5 outlets
5.00
Building sew r
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
Newo Additio ❑ Remodel❑ Utillii9tiAes�.❑ Installation❑ Other ❑ li
Describe work:
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
'
Main service eoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 4-12�
CONTRACTORS LICENSE LAW
1 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 f ce and effect.
License No. 533/'76 Classification
F] 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
'NEW CONST. DWELLING a1
OR ADONS. ACC. BLD
'/z¢sgft
NEW CONSTR. I.OU
NON-RESID .BRA CH CIRC ITS
2.50 ea
/ POWER APPARATUS e1
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR. FIXTURES
e�L930
Ex. OCCUp. OUTLETS FIXE P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin g
15.00
Penult Fee
$ 22,00
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.
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.
MECHANICAL PERMIT
FiIingFee 10.00
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 a4 keep harmless the County of Butte against
all liabilitie , judgments, cos And expenses which may in any way accrue'
against d ounty i course ce of the granting of this permit.
" �7.
X Date �
Signature of Applica t — caner❑ Contracto�Agent 1:1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $�-]�,
OCCUP.
Cox sr.TYPI
SCHOOL
✓
I FLLO TARCELVOD
ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date L ��
�-
�over f3 stories
Receipt No. v �Q
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�r��.A„dRNT^�y;,K�r'iV�!"}".'�r`1C'M�N �..ti �'�'' �.��yj�we •ri'�:4 r�•vy4'.�i. �.�;��+ ,;',C,M}.. q�'' 'w r
COUNTY OF BUTTE - DEPAATMENT, OFPUBLIC WORKS - BUILDING
7 COUNTY CENTER DRIVE - OROVILLE-t�GALIBORoIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER
C 4A Rc cS RASE-
Permit
qSE-
Permit No.
VISION
A. P. No. 6s- 42 S
Proposed Building Use ETAeMFtD �2AGF— Building Inspector G -G- Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted . .. . . . . . . . . . . —
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
9. Letter of signature authoriz iY n. . . . . . . . . . .
Sanitation approval from rl lfle�i_ Health -Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
—14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Dote)
17. Pre -Inspection for _ _. _ - _- _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. — —
22.--
Wher.16u issue t e permit, process as follows: Mall owner, Mail to contractor-
�0?_ 4y and hold for icku � office, Deliver w/ins ector.
Telephon p pla��� p
Other
Applican� ":�—Date 63
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to mit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised c? above required data by—phone —mai I—counter
by date
Plans checked by Date Plans approved by— Date
r
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner
(2
Location APO
Plan Approved for: Sewage Disposal _
Hold final for:
Final clearance O.R. for:
Clearance for
_ �bedroom mobile home. Other
Water Supply
Water Supply
Water.Supply
NOTE
SanitarianD to
Oct -02-00 10:244
160'
120'
&
C)\ /CIC
loo,
/-- x
40'1
m
40'
1,4
U S
i2s crd
201 1N
eO 6
201 40' 80, -�-1 20'
i2N"
0
IN—
0
0
ELEVATION
NOT TO SOLE
---LL-J, 1. ..1---
3'
_
3' X 3' PLATE °°ow
1A% TU SHORT IGH".
9.YUK
140 LOW YU
BOLTS
T1WEN
TO 160
IN -T DS
3/i1' Y ADEDD "
.
CH 16E
1.Lwmm- -- --
B' DIA
STD PIPE
3/16' PL/TE
CLAW
3/16' PLATE LEGS
TYP or 4
Sm
5/16' PLATE
WI1N HODENED W#SNER
SEISM -IC PIER Not to Sete
C.P.- SEISMIC PIER1 m PATENT PENDING
NOTE -
160 IN- DS 1S E(XJIVALENT 10 13 s'1 -P DS
0
is BOLTS
FIELD DRILL LADLES
OPTION OF
4 ® D14 TEX STS II COACH C
I/4'x2°$4'
ANGLE 3' WIDE
4 d 1/2'
BOLTS
CONNECTIONSTYPICAL BEAM
,t
30'x32'x3/4'
PLYWOOD
HOLES FOR
112' x
1�'x32'x3/4'
PLYWOOD
3/4' PLYWWD SHEETS
SCREWED YMETHER WITH
12 DD x 1 1/2' FHWS
6'
1S' 30'
r
6'
i
0
A