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065-430-002
65-43-2 wn 190 Pinon Rd., lot 77, PP#3, Magalia contr: Para.Mod.Conc., Para. Permit #5000-79P,E(util.,MH)� ELEC.:, GAS SUPPORT STRUCTURE REQ. V1 COMPACTION TEST REQ. 65-43-2 contr: Paradise Modular Conc., Para. Permit #5001-79B,E(newpr:i.det,.garage/ 10 q 65-43-02 Contr. PGradi'se Modular Concepts Permit #53 0-79MHI Issued -2-7 —% cl 65-43-2 contr: Ken Young, Paradise F ermit #7395-79B(n`e #je5n deck/MH) 065-430-0021 #98-2619 , ,,BARNES -FAMILY-TRUST , - 15076 PINON ROAD, MAG_ ALIA DAVES AUTO ELECTRIC TANK X FUEL LINE =MR 0� cfli i � �t�i� a 065-430-002 #98-2619 BARNES FAMILY TRUST RESIDENTIAL 15076 PINON ROAD, MAGALIA DAVE AUTO ELECTRIC TANK & FUEL LINE�/Ii PERMIT NO. PERMIT EXPIRES 'OWNER ,CONTR. ASSESSOR PARCEL 1 LOCATION C 7., r CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY :s Temp. Power Pole .l k, Called PG&E r. Temp. Elec. Service + Called PG&E Temp; Gas Service Called PG&E J -OB FINALED (Date) I - Signature Y V=OK 0 = Not OK Not Applicable Not ReMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer; Location-Test-Fall-C/OConcrete 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / %Vft. / /Nat. or/ /"L°ft./ /LPG 11. Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 12. Braced Wall Panels 8. Utility Clearance Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements • 3. Pod Structure; SteelConnections-Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test-DemandVaheConnector S. Elec.; Pod Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/SCircutating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 7. Water and Sewer Connected -C/0 to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 11. Light Niche 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails Date Card B-1 Date Card B-1 4. Wood Awn.; Posts-Beams-Rttrs.Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability • 3. Pod Structure; SteelConnections-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/SCircutating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. 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 ✓ = OK O = Not OK i- = Not Applicable ` * = Not Ready Date UNDERFLOOR Marts) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ . /" Ftg. Depth I 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. O.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s - 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B stes & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas &Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued). 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 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 Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings ' 53. Ext. Doors -One &-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-Conector- In Garage; Above Floor -Ducts -Meth. 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 & Recepticales 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 (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes Q 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 Throught 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 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 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-430--0n2 ZONING rT-q BUILDING PERMIT OWNER RART!F'q FA�'ILY 'r'R1,,(')T TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15076 PT' 0'1 ROATI, !fArA►.TA ,nor CONTRACTOR'S NAME ?SAWS AM F'T,FrU TC TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ tt BUILDINGADDRESS 1 507'0 PT!l r`T POP, j 1WALTA 1 JV Ener Plan Checking Fee $ Energy g $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work. TAITT� F, 7TF'`L (�LTNTF FOR " R00, !r TTrA? -1, ifi1 i)�s,.�c �- 7"�%�-��r Gas piping system 1 - 5 outlets 15.00 i •' " Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ i7•rKti ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 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. —%QI, 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.) —,b. 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 forthwith comply with those provisions. X i , c-� Date Z, Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so WEE200A CCU000A NEW coNsr. OwET.uNG occuP. 3.5QF°: ORw D NSr. & ACCOU�ET NOµRESID.BRANCH CIRCUITS 97.50 POWER APPARATUS d SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @x,50 Ex. Occup. ouTLEE°T5A pa p,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 7 • t TOTAL FEE $ HAZ. p. FEES IMP/ (.rf FLaOD COF PARCEL Pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By .- _ ,. ,_ ��.. _ Date PERMIT EXPIRES ON ii �i E /1 -1 Date Receipt No. r`� 1 1( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DISION 7 County Center Drive • OroviL1e,, C�a,, fornia 95965 • Telephone (530) 538-7 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-430-002 ZONING FT -2 BUIL ING PERMIT OWNER ??,ARP! ,S FA 'ILY TI?TJST TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 15076 PINO`J ROAD ITAGALIA 95954 CONTRACTOR'S NAME DAVES AUTO ELFCTRIC TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 15076 PIPION TOAD, MAGALIA Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORKGas New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TANK & FUEL LINT FOR KEROSENE '??'ATFR . piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. License 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. -0 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. ❑ I 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.) 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 forthwith comply with those provisions. X Date //—,� -96 Sign a of Applicant - C_Owner ❑ Contractor ❑ Agent An O A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mein Service 200A TO lOooA 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. BLDS. 3.50FT. NpNR6IDT MULTI -O11 UTLETUI 97,50 FS APPARATUS a ouTL� C.. .00 EX. Occup. OUTLET OR FIXTURES SAL @ I.w Ex. Occup. onxuT R D OEA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 65. 00 L FEE HAZ. D. FEES IMP FLOOD COF I PARC I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByDate PERMIT E PIRES ON // / 2� ^f the applicable provisions Resolutions to do work been paid. } I gfe Receipt No. Q5 � � 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 COUNTY CENTER DRIVE - ORONgaIiB;' LIFORNIA 95965 - TELEPHONE (916) 538 541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Q 6S Proposed Building Use: uilding Inspector: (9 Q Date: At time of permit application, I was advised the following data must be submitted prior to permlrt pr6cessing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. 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 .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- 1117. --------------------- ❑17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1:11. 9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 13) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. --------------------------------------------- -------------------- El 27. ----------------------------------------- ---==="====-------------------------- ❑27. Manufactured Home utility clearance. ----------------------------------------------------- --------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, C1M.H. Title, C3 Check to H.C.D $ .--------------- 03'f0. Other: ,,rte -i t�Gti��.- ,K 4y �1 labile (L'ed 96 0---7--Y When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Telephone and hold for pickup at 6 ✓w office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above re 'red data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date:/' Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLItAVON AND PERMIT PERMIT NO. ASSESSORPARC NU — ZONING Z BUILDING PERMIT OWNER o - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG S ADDRESS/ 1% CONTRACTOR'S NAME es TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee a 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 07 6 p Energy Plan Checking Fee $ a PERMIT FEE $ IDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CZZ:/ �42,, /fir •o Scrc� �?A`�r Gas piping system 1 - 5 outlets 15.00 ,cv Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service s�o°avL oA LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 permitis 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over So' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO f000A 46.00 NEW CONST. OWELIJNG OCCUP. SO OR ADDNS. a ACC..0CC 3.50M NON -R SID T. MULTFOBRANCH UTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET cm Ex. Occup.OUTLET OR FLxruREs 2O ®'•00 Ex. Occup.LmE�A (R. D'EE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee b Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAL D IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date to ReceiptNo. ZITI%S WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ?^tl 'age 1 or V' y 1 I qy � 5 , d `� J `.1 :✓ ... ' . 1 It t A tt , ll!! �. .+. 'll�.t �l'l. LIC'., •t��I,r ,`l (1IC' 11+41' i(r .it.il+l.>+int' 1. Cil ,+.r :�+ t• .• ., ',�.-,:L•l.'L} i�:';T.t. f,'t '1 i'+ t«,:tl ��i�Ci ti.<7i li I t�li�lt}�i[3jtL•�'T + ,L9,t ,t':'' f gat � � yUU •y-� i PERMIT NO. 5001-7913-rR t i PERMIT EXPIRES OWNER Gene Brown CONTR. Paradise Modular Concepts, Paradise 65-43-2 LOCATION (A.P. (2 190 Pinon Rd., lot 77, PP#3, Magalia 1 1 r x j' - A • 7 _ U / 1 . r, r, r. - 4 ,k i i� r Temp Power Pole Called PG&E ` Temp. Elea Serv. r Called PG&E Z,2 Temp. Gas Serv. Called PG&E A r+ JOB y FINALED (Date) i. ` u (Signa e) b r r PF COUNTY OF BUTTE — DEPARTMENT OFA PUBLIC WORKS BUILDING INSPECTION RECORD " Stucco Final Mesh MECIIANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ----------------- Elec_ Service Water Piping Sewer MOBILEHOME INSTALLATION - V -----------Support Water Piping Drainage DATE � � REMARKS OR COR;I�ECTIO�N� iv J > Y �Z yea a� ?I f4 9( Grd. Fault Prot. Service Temp. Pole Underground 4 w Permanent Final f -- I Elec: Pedesta Gas Piping Elec. Conti uity Gas Piping( (NOTE: An entry must be made on this form each time you visit the job site.) BUILPING BUILDING (Cont'd) PLUMBING Setback Firewall 1 — Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows — -- 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I G fL Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab Final — % 'T O Sanitation Patio FIR LACE Final Footin s Footing E ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE PRINKLERS Motors Framina 7I c� I % i4 Tact Water Htr_ 1-1 Stucco Final Mesh MECIIANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ----------------- Elec_ Service Water Piping Sewer MOBILEHOME INSTALLATION - V -----------Support Water Piping Drainage DATE � � REMARKS OR COR;I�ECTIO�N� iv J > Y �Z yea a� ?I f4 9( Grd. Fault Prot. Service Temp. Pole Underground 4 w Permanent Final f -- I Elec: Pedesta Gas Piping Elec. Conti uity Gas Piping( (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, California 95965 Telephone: 534-4541 APPLICATION AND PERMITJV authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above- entioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Date �7 DIRECTO QF PUBLIC WORKS Signature of Permit.. or Agent BY Date�����_ Receipt No. 7 O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date '/Z(i BUILDING Owner ��)C SQ. FT. OCC. BUILDING VAL ATION �---' 3 Mailing Address T elephone No. Contractor eOAJ `t—/7'sl� Mailing Address 7(-P 5 Fireplace Total Valuation ele hone No. / Permit Fee Building Address ao PJ6,1 Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. ��� �U'Z Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fkebl SMC. S 't ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Pa el Declaration Parcel M 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg.Plan R c'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ ELECTRICAL No., @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1,00 NEW CONST. ! DWELLING OCCUP. i) 2PSq ft / 1 rev OR ADDNS. 1 ACC. BLDGS. .J 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: NEW CONSTR. MULTI.OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES 1 B250 AL@1 APPLNS ORD.) EA • ) 2.00 Ex. Occup.(FIXEDOUTLETS(RESI* Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. L Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for 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. 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Z authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above- entioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Date �7 DIRECTO QF PUBLIC WORKS Signature of Permit.. or Agent BY Date�����_ Receipt No. 7 O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date '/Z(i 00 epc system an location o build- STI ing drain stub -out to be as per Butte County Health Dept. Re- quirements. NOTE:—All Materials & On an Shall Be in t e Accordancae with Recognized ec! Goo ract'ces and of a qualify prescri�e] `3r V -ie Specifie 'n the Uniform Cui,ding, Plurn�i g y: �:iechanical Codes E r C`1 the National Electrical C68e. I N 6 ' C 3 : I �t - 1 t rti i T Q,�Se+back shallfrom they be 5 ft. si ,property line and 50 ft. from the `. centerline of the road, permitting a maxi- i MUM u of a 2 ft. eave overhang but entirely out ,of !all easements. r j C, rt,e� t a yr .e �' t pet set of plans and sp' ificafions MUST be �� thn jo'-) at all tirocs and it is unlawful to n ! nrr4i.,.. s g�. ?r11�1tCU% r^r' hn%y c �. s or r. t. son ame without 54o Cg h oa` v" tvnrorrnissior'f�`t!Ie•Dcpertment of Public Vfor!;t, rn-�v of 14 ��. � K BUfiTE� 60UW , �__ BUiLnln!� DEPARTMEI� PROVED • � � / aeJOVJ 000'T I I • • � � I it .Gor1 pasiT.i a� . Sf�i �1/,f,, I L o�ER �� ccs PLY wd -s HC6 14it .DETfliI�� © .?./ aXG 71Es Aloe BUTTE COU Y BUILDING DEPA APPROV D PERMIT NO. 7395-79B PERMIT XPIRES OWNER / can Brown CONTR. Ken Young. Paradise LOCATION (A.P. 190 Pinon Rd.. lot 77. PP#3 • Magal is Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Ca I I edsPG& E� 0B FINALED (Dat ge (Signature) � t t i i .. r �1 � , � P '� ./ .. , � R. ! ( 'JC f ,e �. .: Z f � t t �1 � , � ' .. , � R. ! COUNTY OF BUTTE — DEPARTMENT ORPUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING s etback I Fill Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents — — Fixtures Footincis Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handicaped Conformance of ex. structure Final % --0 Appliances Gas Piping & Te t Temp. Gas Sanitation Patio FIREPLACE Final Footings _ — Footing ELEC RICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE ORINKLERS Motors Framing 0 Test Water Htr. Stucco Final Subpanels Mesh MECAMICAL Gird. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES --------•--------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - 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 — DEPARTMENT OF PUBLIC WORKS 7`Count'q Center Drive — Oroville, California 95965 Telephone: 534-4541 9� APPLICATION AND PERMIT 4 aumonze represeniaisves or ine uounry or tsu((e (o enter upon me above-mentioned pro rty�for inspection purposes. X — �Date- 7 - Sia ature of Pe tee or Aa P Receipt No. White-D.P.W. -ellow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By z Date Buiing permit expires Date / —/1 ,8 v BUILDING Owner S0. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address1 40 Fireplace Total Valuation Telephone No. Permit Fee S% t90 Building Address [7 t/Y �/y� Plan Checking Fee&/or Penalty Permit Fee s, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 13 d— Li Repair drainage or vent piping 1.50 A. P. No. �p — " 0 � �) . /Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 f� 416. San Ion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 z --'Building sewer 5.00 J � Bldg. Pllln-s Rec'd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW J3 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 100 AMP OR LESS 25.00 , Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 51 2�sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor is Business & Professions Code under the name styl NEW CONSTR BRANCH CIRCUITS) NON.CRESID.ONST ` BRANCH CIRCUITS/ 2.50ea NEWCONSTR. POWER APPARATUS 9 NON .RESID. (SINGLE OUTLET CIR. Ex. OCCU[1(OUTLETe OR FIXTIIRES 5 L ,� Ex. Occup. (OUT ETS P(RESID )FIXED ALNSREA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -, License % Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Kcertify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE $ aumonze represeniaisves or ine uounry or tsu((e (o enter upon me above-mentioned pro rty�for inspection purposes. X — �Date- 7 - Sia ature of Pe tee or Aa P Receipt No. White-D.P.W. -ellow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By z Date Buiing permit expires Date / —/1 ,8 v This set kept on theaf plant ani _ \ / I� , Written r, Maka any °h rob at oft t; pecifi :Of�°ns MIA � A L I I E. L-. �. ` V A T) O A wOrksn Co nts on �ges o°►ril ter`ftEes Q s On is un pw U� be $e nb Y of Butt �e d eport o'ne w►tho Sia\\GeS• o - e• Ment Of Pub/;c 9 GA .� o0 Qa a Z °c B GO S@ec, - 66, • Q\S %'L�eGard vp c Id - G . . / ae Qc Q a\ o?X6 ToISiS @ a O.C. �bo�a�`�c�1\ �ea a ao v vat P4p, ok.o�` X G r lac rL. Xre • �o G► � �ol�k1 �2oAj T L�V�TId�1 w ,� 'Top rail fio �e 36 in. �igii i�ii STA 1 c c To ��AuR1 S - intermediate rails to be not /lO . —RLF over 9 in. apart. lr � /NluL't`/ TOP OF (,FHL -34' 4BO VE -t)Ec;4- Top rail to be IP in. high with MAX . e/{ -P I M RA i L I W-?) intermediate rails to be not rj 0,,er 9 in. apart. _ Provide ade a bracing. CONCRETE Foo-7i>L1(�-,5 (7 - BUILD - - 4 x x Wb -STS @ S' o, C_ 737-7 lie COUNTY DEPAR i MENT (), V F D Z 9. Electrical A. Is service large enough•to provide ad2quate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? des N B. Is there proper clearances around panels? �Yel-1 - No -' C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yeso 1. De -energize electrical wiring system of the mobilehome at the pede tal. 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 f ' Manufacturer and/or Namestyle Length Width_ 2J Vehicle Serial No. C'J / �/?J y, /,n, State Identification No. Additional Information or Comments: I U MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located T<it,required separation from lot lines and buildings and generally conform to plot plan? Yes o_ 2. Does the mobilehome have required.clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced aj�r`approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes / N�1 4. Is the mobilehome level? (Sec. 5088) Yes_ o 5. If more than a single unit, are crossover connections -properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible connector -of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes// No C. Backflow - If coach is not State of Qr4cornia approved, does station have backflow device -and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye/� � No B. Does it have minimum 4" per foot slope and is it properly supported? Yes o C. Are any leaks detected in drainage system after runni gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State o\conected ia approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehoto the s supply with an approved 3/4" minimum mobilehome connector non 6 ft. 1 ng? Note: All piping is to be at least as large as the mobilehomeinlet wi out reductions other than the mobilehome connector. Yes No B. Test OK as per'followingprocedureP 1. Open all appliance connector va 2. Shut off appliance burner and No S. loX valves. 3. Air test with manometer to "-14" w ter column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibr ted in ten h pound increments. Test for 10 min. without drop. 4. Connect gas meter to ilehome with con3,ector, turn on gas, test connections with soapy water. \ C. Are all appliance vents/properly installed? Yes No C- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title' 25, -Chapter 5, under permit number' - for the following location: Owner Owner's Address Mobilehome Mfg. f 1. +� Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �� By U/n THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. Z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING SeVack f Fir wall ftl Piping For Para ets t Floor Mak Bldg. Restr m Finish 2n Floor Fo tins Window 3rd loor Ste all Siding To out /f Slab Roof Sheat Ing Water PiArg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings X Prov. for physica1V physical handica pea Conformance of ex. structure V Appliances It Gas Piping & Testf Temp. Gas Slab Final A Sanitation Patio (RE ACE Final Footings Footing EUfECTR NAL Masonry Walls Throat Rnunh 0 Heinf. ste Final Fixtures Bond Bea /FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh i MECHANICAL Grd. Favft Prot. Scr ch Heati6q Servic B n Co in Te/hp. Pole F Ish D cts der round Intirlor Lath entilation ermanent oor Closer Final Inal MOBILEHOME U ILITES------------------ Elec. Service Elec. Pedestal Water Piping O ` Sewer Gas Piping ME INST L ATI N - - - - - - - - - - - - - - Support 4 Elec. Continuity Q Water Piping 10h A 4 --, Drainage V Gas Piping DATE REMARKS OR CORRECTIONS iV z� ©/ral tel' Iv / lVj A/ /4 (NOTE: An entry must be made on this form each time you visit the job site.) �i r' 5000-79P,E PERMIT NO. PERMIT EXPIRES /21 OWNER Gene Brown CONTR. Par -R. LOCATION (A.P. 65-43-2 190 Pinon Rd., lot 77, PP#3, Magalia k 1 i { i 4 /S Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) h (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '7 Counly Center Drive, - 'OroviIIe, California 95965 Telephone: 534-4541 %� �2, APPLICATION AND PERMIT v j authorize representatives of the County of Butte to enter upon the above-mentionedAroperty for inspection purposes. Receipt f White-D.P. Yellow -Assessor 1 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.QF PUBLIC WORKS By �� Date7- 75 Building permit expires Date rl' Z7 - ?;ZA BUILDING OwnerSQ. roe0W FT. OCC. BUILDING LUATI Mailing Address Telephone No. ContractorV49 f Mailing Address s 104 1/ Fireplace Total Valuation d on P"T le ho. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. - - tj &t - 0 �e� t Zona Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel eclaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan Recd Parc royal Pla proval Lawn sprinkler system 2.00 JN EW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ d 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 Main service 100 AMP OR LESS 25.00 100 AO Main service EA. ADO'L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBLDGS.CCUP. Si) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /� App p /��,� (�( NEW CONSTR. MULTI.OUTL T NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. 250 Ex. Occui)(OUTLETs OR FIXTURES B �@I Ex. Occup ( FIXED APPLNS. OR \ 2 00 OUTLETS (RESID.) EA Temporary service 10.00 Mobile Home Facilities 15.00 License No wy!� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability Wfor orkmen's Compensation. LJ have placed on file with the County of Butte a certificate of W orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee/7. $ '261o') I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTALPERMIT FEE $ '76 10d authorize representatives of the County of Butte to enter upon the above-mentionedAroperty for inspection purposes. Receipt f White-D.P. Yellow -Assessor 1 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.QF PUBLIC WORKS By �� Date7- 75 Building permit expires Date rl' Z7 - ?;ZA MOBILEHOME SUPPORT DATA If other than -single wide, Mobilehome Mfr6 furnish. Setup Model No 14.ki Width (ft.) Box Length (ft.) Tagalong -or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes 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. Footings (check one) Single0'1. Wood either AApressure treated or foundation grade. (ft.)(in:) (in.) (in.) El 2. Other (specify) .Center support Center support locations* footing sizes Supports (check one) (in.) �L Concrete block. 2: Other (specify) (ft.)(in.) (in.) (in.) �—Tagalong or Expando,' Zmf AY � ?j o show support details. (ft.)(in.) (in.) (in.) x30 -- Typical Support .) (in.) Footing Size (ft.)(in.) (in.) (in.) �� -- Max. Pier Spacing (ft.)(in.) rsE- /� -- Max. Overhang (ft.)l (in.) (in.) (in.) (ft.)(in.) �v *If center piers are other than drawn above, draw.in--locations, spacing, and dimensions. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the.site currently under permit? Yes / / No _k% (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No 577, (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? ----------------- ;------ fcl-0 Amps 6. What is the mobilehome site service rating? --------------------- ,Z- Q 0 Amps 't 7. What is the mobilehome site circuit breaker rating? ------------- Q Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9'. What _ e is the mobilehome site gas pipe size? 7oa- - =f.0------- (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? 40-- (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.) COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Driye. ROroville, California 95965 Telephone: 534-4541 l�O -29 APPLICATION AND PERMIT ``� BUILDING C OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address[ 7 y'Q t", p/U,9 E 7!� Telephone No. Contractor Mailing Address �+� �� Fireplace Total Valuation ephon�tjQ �,)7 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 &(� Each Trap 1.50 � -3 lerr q7 Repair drainage or vent piping 1.50 A. P. No. .- ��j� O ai /ater Zo ing & Plann' s piping 1.50 �, D Each gas water heater or vent 1.50 ids 40-t. S Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improveme Each additional outlet .30 Building sewer 5.00 149, 07.> Bldg. Plans 'd Parc roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ' OTHER E] permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� /a0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 7,t7v Main service OVER e00V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ! DWELLING OCCUP. S� 2¢Sgft OR ADDNS. 1 ACC. BLDGS. 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 of: NEW CONSTR /MOLT -OUTLET NON-RESID 1 BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. 250 Ex. OCCUP(OUTLETS OR FIXTURES a @L@1 APPstyle • \ 2.00 EX. Occup.(FIXEDOUTLETS(RE ( S. OR SIO.) EA RE Temporary service 10.00 Mobile Home Facilities 15.00 ply Misc. Wiring 6.25 License No. oaa Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z5 --SU $ 3-0 $ 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. ❑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 1 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. ate i ignature of Per itee or Agent 4 -sCC�� �,' Receipt No. �(L3 e White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ — TOTAL PERMIT FEE$ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By Date �/ r 79 �7 p Building permit expires Date -D