HomeMy WebLinkAbout066-050-005THOMAS DONNELLY 66-05-5 '
13845 Andover, lot` 26, CC��1, Magalia
Contr : _
aradise Modular Concepts-
Permit033-83P,E( til `
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66-05-5
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Permit#3341-83MHI"
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6605-;5
Contr: Paradise..,,
'Modular. Concepts. 4'•
Permit#1448-84B(new covered;,�dec.k�MH)
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PERMIT NO. 144$-84B
-PERMIT EXPIRES
OWNER THOMAS DONNELLY
CONTR.. Paradise Modular Concepts
ASSESSOR PARCEL 66-05-5
LOCATION 13845 Andover Dr, Magal:ia
f'
S
l.•
J�
L:
Temp. Power Pole
Called PG&E
Temp. Elec. Servi
Called PG&E
Temp. Gas Servici
d
t Called PG&E
f
JOB FINAL ED (Date) _ 2—
i�
Signature -
A• t
r
V = "OK , - I -
0 = Not OK
- = Not Applicable MOBILEHOMES MI LLANEOUS
= Not Ready „
AA
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, C9VERS, CARPORTS, ETC. (Plans) OK except N's
1 n equirements-Setbacks-.Easements
2. Soils; Special MH Support -Sketch
2. ooti s; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
c Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
ood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card-
Date / Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
to o
Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -Bi Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date `
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except p's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
75.
Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑Yes
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except Ws
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPAHTMENT OF PUBLIC WORKS PERM17 N
7 County Center Drive - Oroville, California 95965 ;;Telephone 916/534-4541 '7�1 /
APPLICATION AND�PERMIT
ASSES R A=CEL BER`
z y�rr�G
C� III
BUILDING PERMIT
OWNEELEPHONE
0 5 v
,SQ, FT. OCC.1 BUILDING VA UATIO
C tD
OWNER MJILING ADD/R`���SS I 1
/ V // V.
O TRACTO '$ N
17ELEPHONE
TRAC R' MAILIN ADDRESS
O 6e
w
Fireplace
CONSTRUCTION L NDE ,
UNKN WN
Total Valuation$ 0
Filing Fee
$ 10.00
LENDER'S MAILING AD RESS
Permit Fee
$ 7,5—
ARCHITECT
ARCHITECT OR ENGIN ER
LICENSE NO.
Plan Checking Fee
$ '
Penalty
$
ARCHITECT OR ENG EER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
J39466—
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NOSUBDIVISION
NAME PARCEL MAP'
C�
Each qas water. heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New 2/'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e0ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
21/YQsgft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (Check One):
I am licensed under provisions of Chapt. 91 Div. of t e Business
and Professi n C d and my license is in f I force and effect.
License N Classification /
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with, licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NOCONSTR., ULTI-OUHTLET
N.RESID BRANCIRC ITS
2,50 ea
NEW CONSTR. /POWER APPARATUS &)
NON-RESID, %SINGLE OUTLET CIR. /
Ex. Occup(o OR FIXTURES
Zo®SOC
9AL®ao
FIXED APPLNS. OR
IXED A
EX. Occup. OUTLETS (RESID,) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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
utte to enter upon the above-mentioned property for inspection purposes.
I a s ree to save, ind minify and keep harmless the County of Butte against
all liabi ' s, judgments costs, and expenses which may in any way accrue
against said unty ico sequence the granting of this permit.
X Date -'s ' /o-8
ignot0re of A li nt — Owi Contractor ❑ Agent
An SHA perm' s required for excavations over 5'0" deep and demolition or construct-
ion o es o er 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ g76.
OscoP.. GROUP
TYP oP CONST.
1�5fPARC L PD
ND
IS
%90
This permit is hereby, issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PWT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ,�
tr
��—f /'7 —,Al
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
rAr
lPERMIT NO. 13340-83P,E(MH)
•
PERMIT EXPIRES_ D '
i`OWNER THOMAS DONNELLY
Y. CONTR. Paradise Modular Concepts
ASSESSOR PARCEL 66-05-5 .
F ` LOCATION 13845 Andover, lot 26, CC#1, Mag
. . ;t•. .fit �/^ Fs��3 2 � M
.. Jemp.'Poiyy1!`Tn £ }-OFF E'COPYy p
•CalleCz
Address .�[� k
z Temp. Elec r F r kq!
AS r h Date
` ►T �+ ` '
r'
ti
Called I-,Meter By
• tv r TRIC r' .,,�,, pat���.—'�`
l�Me err..BY
Temp. Gas S 7zvrt,,,,
CailedPQ&E
JOB FINAL ED (Date) -/4/ 1 /�O�kF
Signature
J = OK = -
0 = Not OK
- = Not A.plcablc� RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
_
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B1
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
-
_
21.
Slee. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
_
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
-
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E3 Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes []No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes❑ No;
Planters Dyes ❑No
-
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
-_
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-_
30.
Clothes Closet Light -Shower Light _
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
Card B -I
------------
_
---
-------
_Date_ -- _ Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
_ -
MECHANICAL (Permit) OK except N's
31. A.C-.-Ducts: Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan_Exhaust above Insulation
Condensate Drain _& Overflow; Size & Grade _
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
Card -BI
35.
---
Attic Access & Platform if Furnace in Attic
Date - Card -BI - Date
Date Card -BI Date
Card-BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
Sills; Proper Material & Anchors ___ Plat__ _
Walls; Studs -Nailing, Spacing & Bracing -es -Sound
Bearing Walls over Girders & Floor Nailing _
Draft Stop in Walls (rat proof)
_
40.
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles
Bdrm_Windows or Exiting Doors -Sill Hgt. &_Dimensions --
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
.j
J = OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
F
Date MOBILEVelgiE UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1�;-�cgjvwgequirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
ils; S ial MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
er; L ion—Test—Fall-C/0—Concrete 1
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. er; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
Ela ' tty; ion—Clearan s /Amp—Concrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
as tion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPdj
----
6. Carports; Windows—Doors
tility Clearance
7. Elec.
Card -BI ate_ li and -BI Date
Card -BI
Date Card -BI Date
Card -BI ate Card -BI Date i
Card -BI
Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except N's
Date
_
POOLS (Plans) OK except N's
1 ning Requirements—Setbacks—Easements
1. Setbacks—Easements
Fo tings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gds; MH Test—Demand—Valve—Connector
3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
SEI tricity; MH Test—Crossovers—Breakers—Clearances a
5, r 'n; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6 ter; MH Test—Regulator—Connector j
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
G s and Electricity Tagged `+
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
bol't4s; Insp.—Sketch
1CVert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-IA,4V Dateff and -BI Date
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
G���
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541 ti
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number for the following location:
Owner
Owner's Address
Mobilehome Mfg. — - %= ' : �� ' ' 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
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White -Owner, Yellow - Installer, Pink - D.P.W.
,J ti COU,1TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cal�ornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
D�
ASSES- ARC EL I�,),.ABER�
ZON
BUILDING PERMIT•,,
OWNE
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
E
OWNER'S AILING DDRES
//
ON ACTORIS NAME
LEPHONE
FC TOR'S MAILJKG ADDRESS n
Fireplace
CO STRUCT N LE R
UNKNOWN
Total Valuation Is
Filing Fee
$ 1
LENDER'S MAILING DDRESS
Permit Fee
$
ARCHITECT OR GINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
J«•-
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT N SUBDIVISION NAME / �C /
C
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF SP6CTURE
SF ❑ Duplex ❑ Mobi lehome Other
5P,1ECI FY
Building sewer
5.00
Mobile Home
10.00 ea 30
TYPE OF WORK
New ❑ Addition [DRemodel El Utilities Installation ❑ Other ❑
Describe work:
Permit Fee
$ Q '—
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Q ^
Main service EA. ADD'L 100 AMP
2.50 1�
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. of the Business
and Professio s C de and -my license is in I force nd. effect.
License No. / Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULT' -OUTLET 2,50 ea
NO-- BRANCH CIRC ITS.
NEW CONSTR.POWER APPARATUS &'
NON.R ESID. (SINGLE OUTLET CIR.
20®50t
Ex. OccupOR FIXTURES BAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S r -
Misc. Wiring 15.00
Permit Fee $ 37
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ T 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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon he above-mentioned property for inspection purposes.
o agree to savendemnify and keep harmless the County of Butte against
all I ilities, judgme ts, costs, and expenses which may in any way accrue
against id County in consequen of the granting of this per it.
%� Date
ture plicant — %0 er Contractor ❑ Agent
�S�00p i is required for excavations over 5'0" deep and demolition or construct-
wctures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE of CONST.
ARCEL PD
VE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR�F BLIC
BY 4
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
PSHA
WORKS
Date Z9-6—
—
Receipt NO. 061S__%_he/�`
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�"Y•;.A.;t$.u�ca...f�^`a` '^3a,r.�w..`:r.n»�+nva.a.– r .. .. -:a.� .. ... _.,,y....—. 'l,y ,n..a:s'-ti- .._
y COUNTY OF BUTTE - DEPARTMENT OF -PUB'LrC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI:_LR (! eLIFORNIA 95965 - TELEPHONE: 916/534-4541
-._.PERMIT APPLICATIONDATA SHEET _ f
-` Permit No..
OWNER ,4_ A. P. No.
Proposed Building Use .�
Permit Fee Based Upon: Complete Contract Price DPW Valuation
O her xplain)
Building Inspector , ar Date
At time of permit application, I was advised the following data must be submi.'tted prior; to,permia, processing
and /or issuance: I( (tt : >; i t ,DATEaRECE1VED1 r` APPROVED
1. All items have been submitted. 1.
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorizatio . . . . . . . . .
Sanitation approvalfrom "' ,Health Dept. O
�.
X11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation�lrisurance.? .
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
Pre -Inspection for Required. Building Inspector (Date)
018_Other- —
When you`issue the permit rocess as follows: Mail to owner.. Mail to contractor.
Telephone/ %% and hold f�o p` kup at rofrficee Deliver w/inspector.
Other
A ant �.e-�i ! Q
p Date
t
Copy of plans sent Health Dept., Fixe Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at ' e of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
Contractor Designer, Owner) was advised of above required data by Telephone Mail _Other
ByA&?'/7W Date q� f3
Plans checked by r Date
Plans approved by iso Date %30
Other:
Copy—DPW
To: Building Department
From: Environmental Health
Subject: .Sanitation Clearance
Owner
..y
PP C,C _ A�.
ifs ►�� �I;� ��-os-os
Location AP#
Plans approved for: Sewage DisposalWater -Supply.
-.
Hold final for: Water Supply_
Final Clearance O.K. for: Water Supply -
Clearance for �� bedroom mobile home. Other_
Clearance for addition of
Note*
-2-ft fl
`itarian late
3342-83B
�. PERMIT NO. / 18-
4i— PERMIT EXPIRES 10h 8-jy-
OWNER THOMAS DONNELLY
CONTR. PMC
ASSESSOR PARCEL 66-05-5
LOCATION 13845 Andover, Magalia
t
i
I
t
Temp. Power Pole_
Called PG&E _
'Temp. Elec. Service
Called F- °
y
y Temp. Gas Sei
Called PG
JOB FINALE[
Signature
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
Date
DECS -OVERS, CARPORTS, ETC. (Plans) OK except It's
1. Zoning Requirements—Setbacks—Easements
ng Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch .
Foo ' gs; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports: Windows—Doors .•
7. Utility Clearance
Card-
7. Elec.
Dat Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.,—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. -Exits; Insp.—Sketch
10• Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK '
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N's
Dale
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
3.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
49.
50.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
B.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -B1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Dale
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
--
-
21.
Slee. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
_
22.
Size Boxes & No. of Conductors -Stapled
71.
72,
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -looked in Attic E] Yes
-- 23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
--_
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
-
26.
Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
__Insulated
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Neutral ❑Yes El No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
-
29.
Equip. Clearances; Panels-Motors-Mech. Equip_
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
------------------------
----
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
__
------.-
Date_ _-_ Card -BI _- Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (PerrT,it) OK except N's
83.
_
Corrections from Previous Inspections
84,
Gas Test -Meters Tagged; Gas -Electric
-
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain _& Overilow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Card -BI
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
------_-_ -_ - _- .----------------____---.___-_
- Date_ _ -,- Card -B I__ Date
Date ard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
_
Comments
at Final:
36.
37.
38.
Sills; Proper Material & Anchors
_Walls; Studs -Nailing, Spacing & B_racing-Plates-Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_
_39.
40.Fire
_
Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _
Bdrm. Windows or Exiting Doors-Sill_Hgt. & Dimensions__ _
Garage Fire Protection Framing
_
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTME44T OF PUBLIC WORKS
7 County Center Drive - Oroville,.Califorrtia 95965 - Telephone 916/534-4541
a
" APPLICATION 6.ND PERMIT
PERMIT NO.
AS S OR PARCEL NUMBER
— _ —
Z NG
/
BUILDING PERMIT
OWNER
4,0
TELEPHONE
SQ.FT. OCC. BUILDING VALVA I
`-
OWNER'S MA LI6 ADDRESS
CO RAC TO 'S NAME ^
O '
ELEPHONE
- �q1
O CTO'R'S-MAI IN ADDRESS -
Fireplace
CONSTRUCTION IN
UNKNOW
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADD ESS
Permit Fee
$ ,,
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENG( ER's MAILING ADDRESS
Permit fee
$ Q
BUILDING ADDR SS �.
J � 6LlitJ
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO
SUBDIVISION NAMEPARCEL
�G
MAP
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
USE OF STRUCTU!E� ' �, )
SF �] Duplex ❑ Mobi lehome ❑ Other_ -a SPECIFY
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New 2 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: —
1X�����
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10OV OR LESS
100 AMP OR LESS
10.00
T
'
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
21/20sq It
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Q e nd y license is in fu4, force 1-nd, effect.
I (� �
License No. 1 Classification
❑ i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC TS.
NEW CONSTR 1 POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
zo@sos
TS OR FIXTURES eAL®so
Ex. OcCUP.
FIXED APP LHS. OR
FIXED
EX. OCCUp. OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ T 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.
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.
agree to save, indemnify and keep harmless the County of Butte against
all I( lilies, judgments, costs, and expenses which may in any way accrue
oJJ
against s County in consequence o ,the granting of this permit.
X /L1—�$- $
Date
Znatureo licanr - Own Contractor ❑ Agent ❑
1'�
Anper is requiredfor excavations over 5'0" deep and demolition or construct-
ionctu: es over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $,�
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI=�O LIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
7, JP4
�%By
Receipt No. 4
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
83-33181
Section 2618.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building pergit. ' 0FfIC,AL qF ON ,.
The property described herein is adjacent to land or includedI
within an area zoned for agricultural purposes, and residents of this L, lsfv�C
property may be subject to inconveniences or discomfort arising from
the use of. agricultural chemicals, including, but not limited to herb esticides,
Li ra!p- key.
and fertilizers; and from'the pursuit of agricultural operations inclpii {g,P n �:t4 ;+ted
to cultivation, plowing, spraying, pruning, and harvesting which occasionally genera ust,
smoke, noise, and odor. Butte County has established agricultural zones which have a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept -such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
ALL that certain,real property -situate in the County of Butte,
State of California, described as follows';
Lot 26, as.shown.on that certain Map entitled, "PARADISE PINES
COUNTRY CLUB ESTATES UNIT NO. I" ,-recorded in the office of the
Recorder of the County of Butte, State of California, on
September 14, 1971 in Book 38 of Maps, at pages 57,58,59,and 60:
EXCEPTING THEREFROM all minerals, oil, asphaltum and other
hudrocarbon substances, with provision -that any and all mining
operations shall be done from orfices outside the surface area of
the land described herin and that no damage shall be done to the
surface of the said land.
DA.P. # 066-05-0-005 -0
Date: October 5, 1983 PROPERTY OWNERS:
State of California_) On this the 5th day of tober 19 83 befo e
Butte ) SS. me, the undersigned No Public, personally appeared
County of )
Maria Joan G. Wenzel who witnessed the.above
signatures.
XT Personally known to me. /_/ Proved to me on the basis
of satisfactory evidence.
to be the person(N) whose name(g) is subscribed to
the within instrument and acknowledged that she
executed the same 'for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
OFFICIAL. SEAL
ARLINE J OVERSTREET
NCTARY PUBLIC - CALIFORNIA
�`• „ Y
BUTTE C^"fITY
61Y COMM.e;:DLes f!0V 6, 1984
,Itvotary Public
Present A.P. No