HomeMy WebLinkAbout066-080-039� E
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--------------- 66-,08-!~' .
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902 South Park Dr, lot 160, CC#l, Mu8, � � — CO-- 060
o�rParadise Modular Couoep�o
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Contr: Paradise Modular Con6epts
Permit#1939-84MHI F.
Issued 9
HALL: JaLk-
066 080-0391-` PERMIT#97-'0734
13903 Soutfi-Park Dr';., Mag�lia.%
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HALL�' Jack
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066 -OM, -03? 0573
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13903
Cont: Bruce - '
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NOTES RESIDENTIAL 'M
' 066-080-039 02-0573
' HALL, Jack
tF PERMIT NO.--13903`South Park'Dr.,_Magalia
Y Cont: Bruce Broderick
Ex MH on Perm Fnd
THE'HCD FORM 433A FOR THIS MH CANNOT BE a
RECORDED UNTIL ONE OF THE FOLLOWING HAS ,j
BEEN TURNED IN TO THE -BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL, (THE,
INSPECTOR -MUST RETREIVE.
(2) STATEMENT OF FACTS (ONLY ON NEW
MH'S). r
�,. 1NSPECTOR.TO VERIFY SERIAL & LABEL W.S.
1
j.
}
SPECIAL CONDITIONS
CHECKED
BY
SRA y
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
GA
y_
i
JOB FINALED (Date)
Signature
./=OK
0 = NOOK
Not AppliCable MOBILE HOMES
= Not Ready
Date. MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Soipport Sketch
d
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 -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rfirs.-Connectors
Shthg.-Frg-Braci
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
7.
Well Clearance 8 Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card -1 Date Card B-1
Date
MOBIL OME INSTALLATION (Plans) OK except #'s
Setbacks -Easements
. Zo mg.Requirements-Setbacks-Easements
Soils; Compaction -Structure Stability
o ,ngs; Size -Spacing -Marriage Line
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
3
as; MH Test -Demand -Valve -Connector
Elec.; Receptacles and Lighting, Distance-GFI
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Elec.; Pool Lighting; 15 Volts-GFI
S.
Drain; MH Test -Fall -Flex Connector
Elec.; Enclosures; Conduit Entries -Terminals -Listed
6.
Water; MH Test -Regulator -Connector
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
8.
Xs and Electricity Tagged
Health Department Approval
Tie Downs -Type -Installation Cert.
Plumb.; Cir. Test -Water Supply Test
10.
Exits; Insp.-Sketch
Light Niche
11.
C . of Occupancy
ermanent Foundation Only; License D&AI
Date
Date
LQ a Card B-1 Date Card B-1
Date
t
Card B-1 Date Card B-1
d
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 -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rfirs.-Connectors
Shthg.-Frg-Braci
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
./ = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
46.
Underfloor (Plans) OK except #'s
Date
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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
Date
8.
Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Date
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bglts-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
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.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
70.
Fireplace or Stove, Clearance -Hearth
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
_
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Meth Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
80.
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral p Yes ❑ No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
46.
Card B-1 Date Card B-1
Date
47.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Date
55.
Card B-1 Date Card B-1
Date
56.
Card B-1 Date Card B-1
Date
57.
FRAMING (Permit) 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
Tingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll 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 Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Cpenings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sideligl-t Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor C) Yes
82.
Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
29 -Har -2002 2002-0016209
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its
contents to all persons thereafter dealing with the real property.
JACK L HALL AND CAROLYN HALL BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
13903 SOUTH PARK DR. 7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE "ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (ifalso property owner, write "SAME")
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
02-0573 (530)538-7541
BUILD PERMI N TELEPHONE NUMBER
3-29-02
SIGNATURE OF LOCAL A Y OF CIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
MAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
GOLDEN WEST HOMES 1983 CANTERBURY CT566A8
? MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
GW6CALCT5520A/B 56 X 24 CAL274167/8
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 066-080-039
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
F_OUNDAT N, SYSTEM
CERTIFICATE OF 'OCCUPANCY
BUILDING PERMIT NUMBER: 02-0573
Address or location of unit: 13903 SOUTH PARK DR., MAGALIA, CA. 95954
Legal Description of Real Property: A.P. #066-080-039
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: JACK L. HALL AND CAROLYN HALL
Owner's address: 13903 SOUTH PARK DR., MAGALIA, CA. 95954
INSIGNIA OR HUD NUMBER: CAL274167/8
SERIAL NUMBER OR V.I.N.: GW6CALCT5520A/B
MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 1983
OFFICIAL APPROVING INSTALLATION:
DATE: 3-29-02
PHONE: (530) 538-7541
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ATTACHMENT
AP#066-080-039
All that certain real property situate in the County of Butte, State of California, described as
follows:
PARCEL .I:
Lot 160, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB
ESTATES UNIT 1", which Map was 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 Page(s) 57,
58, 59 and 60.
EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon
substances, with provision that any and all mining operations shall be done form orifices
outside the surface area of the land described herein, and that no damage shall be done to
surface of said land.
PARCEL II:
A non-exclusive easement over Lots A, B, C, D, E, F, *G, AND H (the common area) of
said Paradise Pines Country Club Estates Unit 1 and the Lots designated for common and
recreation areas as described in the Declaration of Annexation for Units IV, VI, VIII, X,
XI, XII, XIII, XIV, XV.
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �.�
RAOMsbn d CoMs •nd ltand•td• � �
Title Search `�, off,
Serial Number
GW6CALCTS520A
GW6CALCT55208
R,ccord Conditions:
Registered Owner:
HUD Label / Insignia Length
CAL274167 56'
CAL274168 56
PPF Exempt
Unclaimed Item Held in File
JACK L HALL
CAROLYN HALL (Joint Tenants with Right of Survivorship)
13903 S PARK DR
MAGALIA, CA 95954
Last Title Dater 02/27/1997
Last Reg Card: 02/27/1997
Sale/Transfer Into: Price $19,500.00 Transferred on 12/10/1996
Situs Address:
13903 S PARK DR
MAGALIA, CA 95954
Situs County: BUTTE
*•' END OF TITLE SEARCH «««
Width
12'
12'
, d b�'8S6tl.,0G'CN/ 0:01,'1 0:0, Z0OQ" Z, £ (3f 1) 3SIOVdVd 31ill A':1VA CIN iAOdi
Date Pnnted .
03/12/2002
Decal #:
LAF8456
Use Code:
SFD
Manufacturer:
09248 GOLDEN WEST HOMES
Orijzinal Price Code:
AHH
Tradename:
CANTERBURY
Rating Year.
Model:
CT566A8
Tax Type:
LPT
Manufactured Date: 12/14/1983
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On:
08/07/1984
ILT Exemption:
NONE
Serial Number
GW6CALCTS520A
GW6CALCT55208
R,ccord Conditions:
Registered Owner:
HUD Label / Insignia Length
CAL274167 56'
CAL274168 56
PPF Exempt
Unclaimed Item Held in File
JACK L HALL
CAROLYN HALL (Joint Tenants with Right of Survivorship)
13903 S PARK DR
MAGALIA, CA 95954
Last Title Dater 02/27/1997
Last Reg Card: 02/27/1997
Sale/Transfer Into: Price $19,500.00 Transferred on 12/10/1996
Situs Address:
13903 S PARK DR
MAGALIA, CA 95954
Situs County: BUTTE
*•' END OF TITLE SEARCH «««
Width
12'
12'
, d b�'8S6tl.,0G'CN/ 0:01,'1 0:0, Z0OQ" Z, £ (3f 1) 3SIOVdVd 31ill A':1VA CIN iAOdi
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DMakm of Gods* am stsrtasmu
Title Search
Dale Printed : 03/12/2002
Decal #:
LNF9456
Manufachuer:
09248 GOLDEN WEST HOMES
Tradename:
CANTERBURY
Model:
CT566A8
Manufactured Date: 12il4il983
Registration Exp:
First Sold On:
08/07/1984
Serial Number
OWGCALCTSs20A
GW6CALCT5520B
Record Conditions:
Registered Owner:
HUD Label / Insignia
CAL274167
CAL274168
PPF Exempt
Unclaimed them Held in File
Use Code-.
Original Price Code:
Rating Year:
Tax Type:
Last ILT Amount:
Date ILT Pee Paid:
ILT Exemption:
Length
56'
56
JACK L HALL
CAROLYN HALL (Joint Tenants with Right of Survivorship)
13903 S PARK DR
MAGALIA, CA 95954
Last Title Date: 02/'227/1997
Last leg Card: 02/27/1997
Sale/Transfer Ulm Price 519,500.00 Tmnsfetred on 12/10/1996
Situs Address:
13903 S PARK DR
MAGALIA, CA 95954
Situs County: BUTTE
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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 52,- 02Q -3
ASSESSOR PARCEL NUMBER
SIM 066-080-039
ZONING
BUILDING PERMIT
OWNER
HALL JACK
TELEPHONE
872-2573
SQ. FT. OCC. BUILDING VALUATION
1344 R 72 576.00
OWNERS MAILING ADDRESS
13903 South Park Ma alia 95954
CONTRACTORS NAME
Bruce Broderick
TELEPHONE
877-6432
CONTRACTORS MAILING ADDRESS
598 Elliot Rd. Paradise CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation _T__72 576.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee 518/2 $ 259.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 23.00
BUILDING ADDRESS
13903 Sou -Ch Park Ma alfa
Energy Plan Checking Fee $
$
PERMIT FEE $ 302.50
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Ek Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.0015.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)p
Describe Work: ex mh exsite 12erm fndn
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 15.00
Mobile Home ISI GI W1 @20.00
PERMIT FEE S 50, 00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service .OA 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 i 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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
with odQfly wit those provisions.
X Date _
Signa e o A nt - ❑ Owner Contractor ❑ Agt
An OSHA permit is required for excavations over 60" deep an demo ion or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEWNG OCCUP. s°
OR ADDNS. ( a ACC. Bins. 3•5¢FT.
NO" N.p°SID. MULTI -OUTLET CIRCUITS @7,50
POWER APPARATUS
b SINGLE OUTLET CIR.
OUTLET OR FDRURES 20 Q 1.00
Ex. Occup.BaL. p .50
Ex. Occup. O-,EF°,sA R D.°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $352.50
HAZ.
D. FEES IMP
_
FLOOD
CDF PARCEL pp
HD
S
This permit is hereby issued under the applicable provisions
of the utte Coun Code and/or Resolutions to do work
Indic e e fo .Mch fees have been paid.
By !"- Daae v
PERMIT EXPIRES ON !� Q
ate
Receipt No.
WHITE-D.D.S.-B.D.'CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO.
rlev.12/96) APPLICATION AND PERMIT
ASS ESSO R PARCEL NUMBER — ZONING BUILDINGPERMIT
OWNER LFPNONE _ SO. FT. OCC. BUILDING VALUATION
/ ee 1
OWNERS Mi,ILI""D I JC _L�_ % n /I/ A _ I I _ f--* e- � -, l
CONTRACTORS Mg1U ADD S$. I Y
CONSTRUCTION LENDER
Fireplace
LENDER'S MAULING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20.00
Permit Fee
$
.So
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee/
ee
$
BUU.DING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE $
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel
20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehoma Other
SPECIFY
Each Trap
1 7.00
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: )(
Gas piping system 1- 5 outlets
15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $ G
ELECTRICAL PERMIT
j
Fling Feej
20.00
LESS
Main Service zoOOoAOY oORA LEss
, 23.001
*PERMIT FEE PAlb •� -
SRA
SHERIFF
arm s
j� I,5�:)
AAi bVNT RECEMb J o�
Main Service 200A TO I000A
46.00]
_
NEW CONST. DW'311NG OCCUR 3 5,50.1
OR ADDNS. ( 6 ACC. aw FT.
NEW CONS MULTI -OUTLET
NON REslo. @7.501
POWER APPARATUS
& SINGLE OUTLET CIA.
EX. Occup. OUTLET OR FDcruREs p O I.00
BAL @
Ex. OCCU FIXED APPLNs. OR
OUTLETS RESID. EA. 5.00
Temporary Service \ 23.00
Mobile Home Facilities 0.00
Misc. W-rin 23.
_
j
P E $ .
MECHANICAL PERMIT Filing Fee
20.00
Heating
Cooling
Hood 6.50
Ventilation
—
PERMIT FFF S
Mobile Home installation Fee $
Energy Inspection Fee $
w AUVM occ CONST. TYPE TOTAL FEE $ C
TO N � � CONAZ. D. FEES IMP FLS CDF PARI PD HDI ISv
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
Receipt No. PERMIT EXPIRES ON
WHITE-O.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 0016
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET 6./
OWNER: ES OR PARCEL NUMBER J7
Proposed Building Use: 1" \�"1 -Q<-5 ZR m Counter Technician: Date: j
Items required in order to apply for a permit. All boa�e MUST be checked 6 ar ed NA in order to apply.
J
Z1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
N91 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
f/1�5 4. Engineered truss details and layouts in duplicate. No faxes!
f/41 5. Energy compliance design and supporting documentation in duplicate.
6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
NA 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... -
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department ot,Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. E 'sting violatio s and/or expired permits.........,�./ ..................... .
❑ 3 Grant Deed I.H. Title/Statement of FactA Letter from Legal Owner, eck to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been i ed of e a ve items and requirements for obtaining a building per it.
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner w advised of the abo d a by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: �.� Z- Plans approved by: X6. Date: 49Z
Structuralreviewed by: Date: Structural'approved by: Date:
Note transfer by: Date:
Yellow: Building Division
PRE -INSPECTION REPORT
OWNER: I 1
LOCATION:
CONTRACTORPJ,CGCL/k.i Gk-
PRE-INSPETION FOR: S -,K
v � o -e,. rc--) � -c\ ci/n
DATE:U�-
A.P. # ..
ZONING:
DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE (VAS FOLLOWS:
Building Description:
CommercialiUsage:
Electric:
Residential/# of Units:
Currently Occupied_
Abandoned/Vacant
Yes No
Condition of Electric
BUILDING INSPECTOR'S REPORT
Electric currently On Off _ \
Gas:
Natural Propane None Currently On
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water e
Obvious SewageProblems 0(
Comments:
1W
Cf-✓, d
c
r �-
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
[ 31
Sketch buildings on reverse and indicate location on property
iw
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT�NO
fi APPLICATION AND PERMIT ��-y7 i3
E -V
2ONi"°
BUILDING PERMIT
ASSESSOR PARCEL NUMBER)
J
LEPHoN EJ
SO. FT. O C. BUILDING VALUATION
owl' R
/
n
I
•
OWNERS M,, D�� c,t/
`�
9S9S
--
CONTRACTOR'
U�
CONTRACTOD SS l
c
—
CONSTRUCTION LENDER
_
Fireplace
___
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee _ $
20.00
Permit Fee $
Q_
_
ARCHITECT OR ENGINEERS MAILING ADDRESS$
Plan Checkin Fee
BUILDING ADDRESS ' n
Cti
< �U
Energy Plan Checking Fee $
$.
Q a
PERMIT FEE S
_
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee
20.00
Each Trap
7.001
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
Water piping
15.001
J
SF ❑ Duplex O Mobilehomo� Other
1 5.00 1
SPECIFY
Each gas water heater or vent
TYPE OF WORK
Gas piping system 1 - 5 outlets
15.001
sewer 1 1
15.001
_I
New ❑ Addition O Remodel ❑ Utilities ❑
Installation O Oth_rBuilding
Mobile Home I S I G 1 WT—'=92
0. 00 1
Describe Work:
PERMIT FEE S
U
ELECTRICAL PERMIT I Fling Fee;
20.00
Main Service z�oo� oA mss i
23.00
Main Service 200A To I000A I
46.00;
NEW CONST. DWELLING OCCUP. I i
0 ( I
3. Slr'so,
FT•
OR AD & ACC BLDS
I
_
NEW CONS MULTI.OLTTLET I
@7.50;
NON-RESIO.
--.
POWER APPARATUS
8 SINGLE OUTIET CIA.
1
Ex. Occup.ounET oR FaTVREs I
jp ;gq 1.00
B L .� I
_
r— C
•' l\� �j U
Fl7LED APPLNS. .OR I S.00
EX. OCCU OLmiTS RESID. EA
23.001
_
*PEPAIT FEE NUO
,
s J J
Temporary Service ;
"
Mobile Home Facilities
0.00;
_
RA
Misc. Wiring
2 3.'GQ__—
SHERIFF
PERMIT FEE S
OTHER
MECHANICAL PERMIT
Filing Fee
20.00
Heating
Cooling
_
��—�---
Hood I
6.50:
_
t. ^
��J1Q1
Ventilation
AR�uOIlUNT RQ�0
G
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
✓
°" CONST. TYPE TOTAL FEE $
*
L
� AMM���
Orn an OUT ""a CO#r nvR
HAZ. I D. FEES IMP FLOOD CDF
I PARCEL I PO
I HDI FS.
This permit is hereby issued under the applicable provision,
of the Butte County Code and/or Resolutions to do wort•
indicated above for which fees have been paid.
By
ReceiptNo.I PERMIT EXPIRES ON
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Date
66-08-39
RJORIE A. PERROSETT
13903 South Park Dr, lot 160, CC#1, Mag.
�ontr: Paradise Modular Concepps
Permit#1938-84P,E(util, MH)
n 77
—
,As -, P-•
3UPPCTRT STRUCTURE REQ n iV r
OMPACTION TEST REO f ]Ari
6.6-08-39
Contr: Paradise Modular Concept '—
Permit#1940-84B(new deck/MH4�'
66708-39
Contr: Paradise�Modular Concepts d0" •
Permit#1939-84MHI ,
Issued 7-6-- OV// 9��'}
066-080-039 PERMIT#97-0054 i;
HALL, Jack
13903 South Park Dr., Magal'a 8
1
Cont: Pete Fox o/
Cov Over Ex Deck/MH� d2/
066-080-039 PERMIT#97-073'4
HALL, J.
13903 South Park Dr., Magalia
Cont: Pete Fox
Open Deck/MH/�1�7'%%
066-080-039 PERMIT#_98-0908
HALL, Jack ����_��
13903 South Park Dr., Magalia
Cont: Peter Fox /oJ�
New Pri Det Garage / / 0
066-080-039 02-0573
HALL, Jack
13903 South Park Dr., Magalia
Cont: Bruce Broderick
Ex MH on Perm Fnd
/rA Pje
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14
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13.103 j
x
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14
V-
13.103 j
E4LDIN6 DEP R.
APPROVED
. 3�
Q ..
11-4-EWES"T FOR INSPECTION
Location :e.>C� V3
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10
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Comment:
N
Contractor:
V
a
BLDG.
PLUMB/MECH
ELECTRIC
M.H.IJM.H.U:
7PUNI'SPECTIO
Form
Rough
Rough
Fnd/Ftg
Frame/Underfloor
Top Out
Gas PipingrTest
Temp. Service
Main Service
Corrections
Job S a us
Permit Renewal
Stucco Lath
Stucco Brown
Temp. Gas
Underground
Final
4eftwmfia..
Woodstove
Sewer Piping
Well Circuit
Ex Mobile Site
Brace Panel
Water Piping
POOL
Insulation
Shower Pan
Nailing
Gunite
Demo
Bonding
Light Niche
Corrections
Corrections
Corrections
LRfor
Final
Final
Final
Corrections
Final
on:
_ _.. Date: Call Phone:
1
Mar 26 02 03:32p p.2
PKE-IN SPEC;TION REPORT
OWNER:
LOCATION:
CONTRACTOR�Gr�,2�1(�.�_
PRE•INSPETION FOR: -LX C
ra,�,.,, rs1 � o 6. n
DATE:
A.P. #-
ZONING:
DATE TO INSPECTOR:
PERMIT HISTORY:( ) NONE (OAS FOLLOWS:
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedNacant
Electric:
BUILDMG INSPECTOR'S REPORT
Yes No Electric currently On Off
Condition of Electric
Gas:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
Comments.
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
,"--,A C,
Sketch buildings on reverse and indicate location on property
Mar 26 02 03:32p p.3
• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'�— 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 MIT No
)2:96) APPLICATION AND PERMIT- ?`�3
A5SE2:0APARCELNVM8IA�
BUILDINGPERMIT
SO. FT. O C. BUILDING VALUATION
--
•.wr.ER i Wtl D `�'1_ % 1
Ll
C'j TMcTOR
coNTR�) ACIo�rA�wyD� oR€�
_
CONS TRUCTION LENOER
I
—"
Fireplace
Total Valuation is �(
CE NDERS MNUNO ADDRESS
_
ARC.n ECT OR ENGINEER
LICENSE NO
Filing Fee _ _ I S
20 C,-
Permit Fee t2l LLD, S
!C.ITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checkin Fee./S
_
rwnowcAooREss
-r
� n
AA 1
n
Ener Plan Checking Fee S
9Y 9
-
PERMIT FEE
__
LJTIq SUBDNISIONSNAYE
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
[SF ❑ Duplex O Mobilehom4 Other
sPEcaV
Each Trap I 1
7.00
Solar or heat pump water heater I
23.00j
Water piping I i
15.00, f -
Each es water heeler or vent 1
1 5.001
TYPE OF WORK
New G Addition ❑ Remodel O Utilities ❑ Installation O Other
Describe Work: �Y �� ��^� 1/1
Gas piping system 1 • 5 outlets
15.001
Buildingsewer 1
15.00:
Mobile Home S G W I
920.00'
PERMIT FEE i $
G'
ELECTRICAL PERMIT I I Fling Fee; 20.0,
OOOV OR U'.SS
Main Service �ollAORLEss Ii
23.00
/FlIIEO
I
*PERMIT FEE PAID s`►
SRA
SHERIFF
O
�
AMOUNT RECEMb : J
wRM
TO 06 PJT MTO COAA'VM
Main Service ( 2Q0A To 1000A ) l j
_
46.00 •
NEW CONST. OWc_LLLNO OCCUP .
OR ADONS. ( t ACC BIDS
3.5c'c
rr.';
NONEW C.ONST. YVLTI.OUTLET 1
N alo
I @7.50' --
POWER APPARATUS
A S WOIE OVTLET CIR.
Ex. Occup. ov— OR Fix-REs I
I1O '64 Z
6AL So ' —
APPlNS. OR
EX. Occup. (OUTLETS (REBID.) EA )_j
I 5.00I
Tem orar Service
...
23.00:
Mobile Home Facilities
•20.00^
Misc. Wiringi
23.
i
PERMIT FEE i
MECHANICAL PERMIT
Filing Fee i 20 0
Heating
Cooling
y
Hood I
Ventilation
I 6.50'--
I-_.•
1
---
PERMIT FEI I S
Mobile Home Installation Fee $
Energy InspectionFee b
°C0
CONST r1fTY°E TOTAL FEE S
i
i
NAZ i 0 FEES IYP
8000
CDr
I PARCEL PO j rD . `'
This permit is hereby issued under the applicable provislc
of the Butte County Code end/or Resolutions to do we
indicated above for which fees have been paid.
By Date
Receipt No.I PERMIT EXPIRES ON
WMTE•O.O.S.•9.0. CANARY -ASSESSOR PINK -INSPECTOR GOCOENROD - APP LICAWT_
Q
L
E _
66-08-39
i....-::._:•NARJORIE A. PERROSEIT
:13903 South Park Dr, lot 160, CC#1 Mag, id
-ontr: Paradise Modular Concepps 1A1
r•`. "
<.i _-:S`-:'-•r:;y st ' : I :i • r".ty
z:; y ?ermit#1938-84P,E(util, MH)
LEC
/ iL7�... .. C:.:'..,'"Y.1!i•i. :.i�`g4t''?- E
3U� P RT STR CTURE REQ 11
t3 ;OMPACTTTON TEST REO i4p:y ''
•T ti%wiic .i�iwy, •.'c•a. •.R� , °ti: 1 _>„Q•
6.6-08-39
.,.,:�..,r-��'_-`�. ,�•:�? ,; .,.• �.,.- Contr: Paradise Modular
- <_;��••�:; .•ro,• ::'.•`�•t5 .:. - ul r Concepts
-•� cc •.� ti Permit#1940-84B new d
Ri't? r•. -- .'� ,r- .G'• .SLK^`•'�.
t'r ,
-39
' �••: Contr: Paradise Modular Concepts'
Permit#1939-84MHI
Issued //�—iv-_ J/!yC
•;<«..; :,�s '-? �.;: i:',c, . 066-080-039 PERMIT#97-0054
j
HALL Jack
13903 South Park Dr Ma ala
Cont: Pete Fox
Cov Over Ex Deck/MH��'�
_�fT•
SFS f r .?•0 ! y ,� _ _ _ 1. 1' _
r...
,: �-: ;�� • -OG;: 080 039 ,RP9TT#97 0734
.�• HALL,
13903 South Park Dr., Magalia _ �,y: ;.< .•., -
•s,�k-• ,�':� Cont: Pete Fos
�`" �mv.•
Open Deck MH
.�P}� �A'K•' ,f�
066-080-039 PERMIT,#98-0908 .4,:`.: •,"
HALL, Jack �.y, �� i ; :::,.•,,.
�,zca.::fj�Y;". '�r^3:�:`.-' ?�. :•;:'" 13903 South Park Dr.,Magalia
Cont: Peter Fox ��; �1 il;� :d::
. _. MW,..:i New Pri Det Garage ;`e::.'r' 'r!•:I' r ,
02-0573
•••; ' Wit- x-' `�� '-' ` �,.
g : _, HALL, Jack
��t - 1•�'TY�l`,�j.•.?;�a�':�_'''-:,:.,'t .*sal ^
13903 South Park Dr., Magalia ..
Cont: Bruce Broderick
Ex MI I on Pcrm Fndvt
;"'•- i •::s:'� `fir..• z' '•C
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Mar 26 02 03:34p
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- RESIDENTIAL
066-080-039.^ y PERMIT#97-0734
HALL, J.
13903 South Park Dr., Magalia f
Cont: Pete Fox
Open Deck/MH
JOB FINALED Date
Signature
V=OK
O = Not OK
'=Not
t Applicable
NotNoMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location-Test0rap; / rUft.
/ /Nat. or/ P'L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
gate Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
,,--MISCELLANEOUS
Date
DECK VERS,.CARPORTS, GARAGES Plans OK exqept #'s
1. Zoning Requirements -Setbacks -Easements
ngs; Soils -Size -Depth -Spacing -Connect teel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
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. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL'(Sirrgle & Duplex)
Date
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
UNDERFLOOR (Plans) OK except #'s
Cling. Joist-Rftr. Ties-Pullin-roff Brac: Truss-Shting.-Ring.
1.
Zoning-Setbacks-Easments-Flood-Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth
52.
4.
Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
55.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Siding -Nailing Veneer
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Shear Walls; Nailing -Bolts
8.
Piers -Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Infiltration -Walls -Windows
10.
OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Card B-1 Date Card
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
80.
Guard rails & Deck Construction -Post Caps
Date
81.
Card B-1 Date Card B-1
Date
82.
Card B-1 Date Card E-1
Date
83.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19,
D.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
90.
Corrections from Previous Inspections
Date
91.
Card B-1 Date Card B-1
Date
92.
Card B-1 Date Card B-1
Date
93.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Date
25.
Size Boxes & No. of Conductors Stapled
Date
26.
Romex Installed Close to Edge of Studs & C.J.
Date
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Comments at Final:
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circ. / /_ga Cu or AI -Oven Circ. / / ga Cu o• Al
Insulated Neutral p Yes Q 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.
Furnance-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
Date
46.
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Pullin-roff Brac: Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Pro-ection-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 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
73.
Elec. Outlets & Recepticales at K I. Counter
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card
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-Mech. 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 K I. 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-Mech. 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 () Yes
82.
Following Instld./Drive 0 Yes 0 NorWalks 0 Yes Q No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Applia nce-Fireplace-C lea ra nce 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 DFLOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,`li Californiao95965 - Telephone (916) 538 -7541q? -(9
38-754 P RMITN
(Rev.12196)` % APPLICATION AND PERMIT -�
ASSESSOR PARCEL NUMBER
066-
ZONING
RT -1
BUILDING PERMIT
7 __�
OWNER
J. HALL
TELEPHONE
Sa.zo OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
SOUTH13903 PARK DRIVE, MAGALIA
700
CONTRACTOR'S NAME
PETE FOX
TELEPHONE '
873-3700
CONTRACTOR'S MAILING ADDRESS
BRIDGEPORT CIRCLE, MAGALIA
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 700
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ AW
Permit Fee $ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGA�p6ss>; SOUTH PARK DRIVE, MAGALIA
l 7VJ
Energy Plan Checking Fee $
$
PERMIT FEE $ 62.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other DECK
SPECIFY
Each Trap 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 R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 10 X 30 DECK/MH
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 000Y OR LE59
200A 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 fuVprce and effect.O
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.
❑ 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
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUR SO
OR ADDNS. ( g ACC. BLDS. 3.50Fr.
NEW CONST. MULTI.OUTLET
NON-RESID. C @7.50
PWA
ER APPARATUS
SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES 20 Q'.00
BAIL Q .50
Ex. Occup.OUTEtETS REs D.OEA 1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
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
700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation p visions of section 3700 of the Labor Code, I shell
rthwith con�ly with t o e si ns.
X Date
Signa a of Applicant - ❑ caner ❑ ontractor�Ag t
An A permit is required for excavations over 5'0" deep and demolition or construction
of t ctures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 62.0
=.AES
IMP FLO
_ _ D
DF
p L
A
pD
HD 5S4€
A
phis 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.
4/21/97
By Date
PERMIT EXPIRES ON 4/21/98
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L,::n7••,v.•n� w.�v1::.i5w:T�+'�+n"'+'n•""'""""'p"i'�`�L":d*.'4Y4i-%-+'ptii*irt.AS"r"ea".�.,,a:+'�a+'TM'.rfiUNlf=Y"+iav"".'...gy wi-."w:+.:L Vin.:-1ir�F'�+�11�'«±.�.-a
«. sem`_.
l ` COUNTYOF BUTTE 4- DEPARTMENT( FI R VELOPMENTSERVICES -BUILDING DIVISION
7COUNTY CENTER DRIVE -OROVIL"LE, CALIFORNIA 95965-TELEPHONE(916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER IL�A � A. . No o&o
Proposed Building Use'' Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted........................................ .
2. Plot plans, 3/4 sets, signed by preparer of plans.......... . .... .
3. Complete plans, 3/4 sets, signed by preparer of plans. ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............
5. Hazardous Material Form. ......................... ................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non-Heated and A/C Buildings. ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ......................................... .
11. Impact fees as shown on attached schedule. ...........
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. ............ : :: .
14. Sanitation and plot plan approval Health Department. . '
15. City of Chico plumbing permit...........................................
16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking: ..........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre-inspection for to Bussing Inspector
required. . to Building Inspedor (Date
21. Contractor's license information. (No., Name Style, Classification). ..............
22. Certificate of Workmans Compensation Insurance. ..........................
23. Owner-Builder Verification (Given to owner , Mail to owner _) ............-
24. Recorded copy of Agricultural Acknowledgement Statement. ..................
25. Letter of signature authorization.........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use...........................................
28. Mobilehome utility clearance....................................... :... -
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ...............
31. Existing violations/expired permits. ..t,:....................................
32. Plan check list . .................................................... .
33.
34.
When you issue thg- it pr cess as follows: Mail o,o er. Mail to contractor.
Telephone 0 1 > 49nd hold for pickup at office. Deliver with inspector.
Other
Parcel Creation .��.
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept.// Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Offier Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by CZ, Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
, E.H. USE ONLY
" 3 Plot Plan Attached
s
Floor Plan Attached >< i
Sent to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance '
Owner Location A #
Plan Approved for: Sewage Dis osal �-�Water Su9ply: Public Private Well
Clearance fqr dwelling. Other �[
Hold final for:
Final clearance O.K.•for:
NOTE:
/ i c/f S
Environment I Heal h Spe ialist Date
8/96
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AA AkQ"-!-CA-' 95954
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RESIDFNTI/,�
'0661080-039 PERMIT#98-0908
PERMIT NO. �, HALL, Jack - -- - ---- ---- -- - -- -!
,13903 South Park Dr., Magalia !
PERMIT EXPII,Cont: -Peter Fox'- - -'- - - - - - •-- .i
New Pri Det Garage I
OWNER . x
CONTR.
;ASSESSOR PARCEL
LOCATION
t
A/D r CSloo•vp e- %W/- �f� (e-19
t
' CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
+ FIRE SPRINKLERS REQ.
Vii► SPECIAL INSPECTION ITEMS
y VERIFY
I Temp. Power Pole
t
' Called PG&E
1 ,Temp. Elec. Service
R'. Called PG&E _
f
+ Temp. Gas Q-1—
i Called PGA
JOB FINALED
Signature
y I
f
•A
V=OK
O = Not OK
=Not
t able
NoReady
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location-Test-Fall-C)"oncrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location-TestAAUrap; / /Vft.
/ /Nat or/ /"L°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy .
12. Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, CO RS, CARPORTS, GARAGES lane OK except #'s
ing Requirements -Setbacks -Easements
ize-Depth-Spacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures
6. Ca ; Windows -Doors
Electric
8. Fnn .; Sils-AnchorsStuds-Rttrs-Trusses
ding; Nailing VeneerShx=o-Mesh
oof; Shthg-Roofing
jt:gd.; Steps -Doors -Landings
12. Braced Wall Panels
Date A xy (P 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. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/3-Circuladng Equip. -Heater
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Departrnent 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
� Not Applicable
Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
RESIDENTIAL (Single & Duplex)
2.
Ftg., Main; Soils-Elec. Gmd. / i Ftg. Depth
Date
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ P 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 CPO -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
13. Pienums & Ducts; Clearance -Material -Support -Ins.
56.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
57.
15. Access & Ventilation
16. Insulation
Glazing Area -Glass Protection -Skylights -Plastic
59.
Date
Card B-1 Date Card B-1
Date
61.
Card B-1 Date Card B-1
Date
62.
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
Card B-1 Date Card B-1
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Card B-1 Date Card B-1
20.
Shower Pan; Test, First Floor -Tub Access
FINAL (Plans) OK except #'s
21.
Test Tub & Shower, Second Floor -Tub Access
Ext Steps -Door & Sidelight Protection -Landings
22.
Gas Pipe; Sixe & Anchors
Smoke Detector
65.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
68.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Bo es & 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
Elec. Outlets & Recepticales at Kit. Counter
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Garage Fire Door; Swing -Landing -Closure
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
A.C. Duct in Garage -Damper
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
31.
Service -Riser Conductors & Ground -Main Disconect
Plb., Elec. & Mech. Equip. Listed for Location
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
33.
Clothes Closet Light -Shower Light -Spa Light
Insulation -Foam -Looked in Attic
34.
Smoke Detector
Guard rails & Deck Construction -Post Caps
81.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
A.C. Unit Disconnect, Electrical -Plumbing
35.
A.C. Ducts Insulation & Support
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
36.
Vent Fan, Exhaust above insulation
Water Well, Disconnect, Electrical, Plumbing
37.
Condensate Drain & Overflow, Size & Grade
Exterior Elec. Trim, G.F.I. Receptacle -Underground
38.
Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
Ventilation Throught House
39.
Attic Access & Platform if Furnace in Attic
Glass Protection
90.
Corrections from Previous Inspections
91.
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
Card B-1 Date Card B-1
42.
Bearing Walls over Girders & Floor Nailing
Card B-1 Date Card B-1
43.
Draft Stop in Walls (rat proof)
Card B-1 Date Card B-1
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
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 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
65.
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-Mech. 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-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 tD 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
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES'
411 Main Street *.Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA , (5 30)
30) 538-7541
CORRECTION NOTICE
OWNER RERMIT-NO.
A routine inspection indicates that the following violations of butte county Ordinances exist 3t..1he
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanatic"Ln,
please contact this office immediately.
F1 (21 ' -17
GAY v.402 f) 41AI
P S
Date 7"? 9b Inspector
REV10/92
tfi
N
a
,•..t .; , �`= "`• « WEIGHMASTER CERTIFICAPE hx�
THIS IS TO'd4ITIFYlh'it the following described commodity was weighed, measured, or counted,by a weighmaster, whose signature '
is otifnis certificate,'who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700 of Division
5 cf.the Califomia Business and Professlons'Code, administered by the Division of Measurement Standards of the CalAomia Department
of Food and Agriculture.
Paradise Ready Mix
�- 8321 �Skyway
Paradise, 568
916-877-6499
"•CHARGE❑ CASH❑' C.O.D.❑ TAG NO. P' 4778
DATE i - -i cid - - - SOLD TO`
CUST.
NI'
O. DELIVER t
JOB NO. w
NET WEIGHTS
P.O. N0. �
SAND gCpEMME�NTU < t MILEAGE
ROCK 3/4" WATER ADD TRUCK NO ?
ROCK 1 1/2" f� AT PLANT DRIVER �' �
ROCK 3/8' / FEATHER RI ER CONCRETE'PRODUCTS
�,.. '' DEPUTY
By %'� .., f : .. �
CODE DESCRIPTION
UNIT
ESC.
QUANITY
UNIT
PRICE
UNIT-
DISC.
-TOTAL
SK RK
YDS.
/.17_.
(PER LB.)
% CALCIUM CHLORIDE
4t•
ADMIXTURE
OZ.
.
EXPANSION
FT.
.
ACK CEMENT
SK
;-
CUI 1IbTIVE YDS.CASH
LEFT/ - A M ARRW M
a/ .c
P.M. JOB�L
A.M.
SALE AMT.PLAN-
SALES
START} ..�r A.M FINISH,Jyj
POU +� ',P.M. POUR> e.- P.M.
TAX
n
TOTAL
t J
J
LEFy% > gjyt ARRIVE A.M.
JOB - r- P.M. PLANT P.M.
i
-WA7ERDOEDATJOBATPURCHASERSOWN GALS.
R1 -SK
ADDED AUTHORIZED
� .
BY
In event o1 default in payment of this invoice and 4 i necessary for seller to retain the seivices of an attorney by reason therWfrth4-buy agrees to p,�yseller all
costs and ezpensos Incurred bjc by teasori thereof nclu ClrqittomeJs fee. TERMS: Net cash. Accounts due andpa le 10th of ngnth f,6 -ing date of yufchase. Past
due accounts sublech to -.a FINANCE (FlARG OF 1 1/2 PERCENTr PER MON fAfirival .eeicentane ratA el tA96 t
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
A routiQe inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date �- 0— 0.6
`(j Inspector t/
REV 10/92
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California ,95965 - Telephone (916) 538-754 V� PYTPO
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER JACK HALL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
660 U 11,880.
OWNER'S MAILING ADDRESS
CONTRACTOR'WM ER FOX
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation Is
11,880.
ARCHITECT OR ENGINEER
LICENSE NO.
Fills Fee
$ 20.00
—Permit Fee
$ 135.00
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS -
Plan Checking Fee
$ 87.75
BUILDING ADDRESS
13903 SOUTHPARK
Energy Plan Checking Fee
$
$
MAGALIA CA
PERMIT FEE
$ 242.75
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Each Trap
7.00
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:
Gas 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
Filing Fee 20.00
Main Service zoos oR'ss
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 licen is in,full force and effect.
License Cles 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.
❑ 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
Main Service 200A TO t000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLOS.
so
3•50FT. 23.10
NEW CONST.
NON-RESID. MAUNLCH CIRCETUITS
@7.50
POWER APPOUTLET ARATUS
8 SIN GLE CIR.
OUTLET OR Foc*uREs
Ex. Occup.PPLNSBAL
20 , 00
.50
Ex. Occup. ouTLEED-rs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S 43.10
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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
MECHANICAL PERMIT
Filing Fee 1 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
ver"s' compensation provisions of section 3700 of the Labor Code, I shall
forthth c$/with t ose provisions.
Q�
X Date
Sigp,dture of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" dee and demolition or construction
of structures over 3 stories in hei ht.
Mobile Home Installation Fee
$
Energy Inspection Fee $
PE
oc c A TOTAL FEE $ 285.85
HAZ
DBEs I
FLoo
cDP PAR�.EL D s
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 7 _
7 cx7i
D to
Receipt No. ?" Z5 Z� % 7�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -1 PECTOR G L ROD- PPLICANT
k. �ti $l�• r f -ry lfv; +Wwl I . e ry ` rtf i fNtM a1`Y�1`7�itliiit+�`*Wars .>• .:w : r ti.
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, 0�ALIF1O1WIA 95965 - TELEPHONE (916) 538-7541
j PERMIT APPLICATION DATA SHEET
OWNER: 'yc b `� J/ / . ASSESSOR PARCEL NUMBER: �' �' •
J
Proposed Building Use: /dam (/ Building Inspector: �— Date: /
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
111. All iiems 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! ---------
06. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
❑ 8. Hazardous Material Form.---------------------------------------------------------------------------------
Manufactured Home data and it
A. Fees of $ l Sg' l I-*?
k. Impact fees as shown on the attached schedule.
2. California Department of Forestry plan approv,
Flood elevation certificate.
including Tie Down Specifications. ------------------
and plot plan approval C t-1 I Z%Health Department.
❑ 15. City of Chico plumbing permit. ------------- I ----------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
0 20. Pre -inspection for required. Request to Building Inspector on
r.
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------
022. Workers' Compensation carrier and policy number. ----------------- =----------------------- ------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
024. Letter of signature authorization. ------------------------------------------------------------------=-------
025.
------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------
0 26.
-----------------------------------------
❑26. Letter of intent on building use. ----------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance.--------------------------------------------------------------------•
028. Existing violations and/or expired permits. ---------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
--------
030. Other:
When you issue the permit, process as follows ❑ Mail to owner,JJAail to contractor
(Date)
El
Telephone and hold for pickup at::
/moo ce. ❑ Deliver t 'th inspecto
7 15
Applican Date:
Copy of Hai -Mat form sent ❑ Health Department, ❑ Fire Department, ❑/Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, 11 Other: Date: By:
1. Index permit application for the above items numbered: ,% ❑ Plan Check List
2. Additional items required: IZ
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division cdulnter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi�ss* counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divfsion counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' ° 'vision counter, by le:
Plans reviewed by: Date: Plans approved by: e Date
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached t
Sent to B.D. "I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Zack All 1310-5 -so. uric 08 =39
Owner Location AP#.
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for *mg. Other ZZ ' Y 30 ,c. era a6414&.4r'�.Or
Hold final for:
Final clearance O.K. for:
NOTE: �(�vt%i.�. tyui+ . _S , .s �naryh ��'[rOe¢ir• _c �t n d- c�a rr.a�
%/-
/3���0
v
Environmental Health Specialist Date'
•.
L �\/. ---- -- Signature ,vL' 5 T
jApproved By
-'-- _----_ _----'___Irnpared 3y
-
_____________Y ^'~,.~~` ~..~' yms;Hvs^
.�|
/
'o"
/
• � ' `� _. • _. it . u` '
• PERMIT NO. 3 '19-3'884P,E (MH)
• PERMIT EXPIRES (� �✓ �C� J
OWNER MARJORIE-A. PERROSETT
CONTR.. PMC
ASSESSOR PARCEL 66-08-39
LOCATION 13903 South Park Dr, .lot 160, CC#1,Mag
jr� 7
r ,
y+. • �'1;� OFFICE-;COPY
.Temp. Po,'tAddress,
GAS
Meter By V°'— Date' r
Tem Ell:'
p'"EL•ECTRIC-t,=– /
Meter By Date�y /
Calle :I.r
Temp'. Gas Service
a Called PG&E "
27
JOB FINALED (Date)
Signature Je
V – OK
O =g Not OK
MVD1LCnVMCJ
= Not Ready
MIJC,tLLA14tVUJ
Date MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
Zoning Requirements–Setbacks–Easements
1" Zoning Requirements–Setbacks–.Easements
oils; Special MH Support–Sketch
2. Footings; Size–Depth–Spacing–Connectors
3. Sewer; Loon–Test– -C/O=Concrete
3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails
4. Water; L ion–T, asement Needed (Sketch)
4" Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing
5. Electricity; LocaUert'Clearances- –//Lp Amp–Con rete
5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures
6".Gas; LocatiorrT –W /"L"ft./ /"Nat.or/, L"ft./ "LPG
6. Carports; Windows–Doors
7. Utility Clearance
7. Elec. "
Card -BI
Date Card -BI Date
Card -BI Date –3�JffCard-BI Date
Card -BI Date Card -BI Date
Date MOBI EHOME INSTALLATION (Plans) OK except q's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
Zoning Requirements– s– em is
'
1. Setbacks–Easements
o ings; Size -S g–Mar ge ,ne Q
i
2. Soils; Compaction–Structure Stability
MH emand–Vgdk,e'–'Co ector /
3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining
ectricity; t–Cro s–Bre –Clearances
j
4. Elec.; Receptacles and Lighting; Distances–GFI
g-AYfa—in; MH Test–Fall--Flex Connector
I
5. Elec.; Pool Lighting; 15 volts–GFI
er; M est–Regulator–Connector
6. Elec.; Enclosures; Conduit Entries–Terminals–Listed
and Sewer Connected–C/0 to Grade–HD Approval
7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater
nd E tricity Tagged
8, Elec.; Grounding; Equip.w/5'–Circulating`Equip.–Pool Lghtg.
Boxes–Enclosures–Panel boards–Ins. to Main in Conduit
9 Ex!nsp.–Sketch
12f,4ert. of Occupancy
9. Health Department -Approve l
l
Card -BI
10. Plumb; Cir. Test–Water Supply Test
Date Card -BI Date
Card 13 -Date W and -BI Date
Card B -I Date – and -BI Date
Card -BI
Date Card -BI Date
s
(2,A,
= OK
= Not OK
= Not Applicable 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.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
53.
54.
55.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice 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 -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except p's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except N's
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
17. Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
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.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
73.
Insulation -Foam -Looked in Attic ❑Yes
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77,
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
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 q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas-Eleclric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate-Othe• 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
Date Card -BI Date
FRAMING Plans OK except q's
Card -BI
Date Card -BI Date
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.
42.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
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/ C72t, for the following location: 2%
Q�f w.4 .r l.�G]+]:Iv�f tTcr' ..4" At f.—'4 i 1_-A
Owner AIA1,0 --Tn...1` IF
Owner's Address 12A-) 04JW AN%JN .sad- 4%,e,IeVih R ITY �{ .
Mobilehome Mfg. Model ar
ilnsignia No.=72-2,4It,—/ --(,,-�Q Serial No.E?'�"
It is hereby certified for occupancy at the above described location and
'may be occupied. , %
Director of Public Works
Date ~% /0.1 $y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
.vc
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891=2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
.T-trL- &PP05�7`i
ER
T N—u - --
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
D /W
gayC /U�f LTJ TO f::7-lkhor,L
JIIS
Inspectors �-�"�'�'`� �� I Date_
.J
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
7 -7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
v r -
Inspectors ° Date
R
�
COUNTYVOF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
jA E PARCEL N BER
O=/
a/
BUILDING PERMIT
Mry o ^ o5e.
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S AILING A DRESS �` Wo
19 0 o Ara S T. (J /mac
TRACTOR'S E
All A
v
TELEPHONE
—8S 5�/
ACT 'S AILI G ADD S
1 e
Fireplace
CONSTRUCTION,4ENDEFf
UNKNOWN
Total Valuation $
Filing Fee
$ 4Q-09--)
LENDER'S MAILI ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT O ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
/
SD. C.
Each Trap
2.00
Solar Water Heater
20.00
G�
Water piping
5.00
LOT NO.
60
SUBDIVISION NAME
IO C
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USEOF S CTURE
SF ❑ Duplex❑ Mobilehome Other.
SPECIFY
Building sewer
5.00
Mobile Home
10.00 e
TYPE OF WORKPermit
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑
Describe work:
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00 ,00
L
Main service EA. ADD'L 100 AMP
2.50 a
`
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2 20sgft
CONTRACTORS LICENSE LAW
I deciar der penalty of perjury (check one):
I am licensed under provisions of Chapt. 91 Div. 3 of th Business
and ProfessI a an my license is in f force n 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
NON-RESID BRANCH CIRCUIT S
IRC ITS
NEW CONSTR. ( POWER APPARATUS IN
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu zo@50C
p�o FIXTURES 6AL®30
FIXED APPLNS. OR
FIXED APP
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 J00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Th rmit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
so agree to save, indemnify and keep harmless the County of Butte against
1"'M11'abilities, ju gm nts, costs, / -And expenses which may in any way accrue
again aid Coun y i conseque c of the granting of this ermit.
_ _
Dat
n ure f Applicant — r
pp Contractor Agent ❑
LAnOS permit is required for excavations over 5deep and demolition or construct-
St ctures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARC PD
ND
ISSD�
✓
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been aid.
p
DIRE O F PUBLIC WORKS
BY e
PERMIT EXPIRES Date IRS
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW>�?•1" ;.
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT .
NOT COMRA]tEp W1Fi FOR RESiDEI�FTIAT, DEVELOPMENT . ,0 AICs i
ORIGIAL DOCUMENT a , • i ,I �q 14
section 26-8.1 of the Butte County Code requires this acknowledgement
,.._ �`t
be recorded prior to issuance of a building permit. r(:.f•rE.?3)e, k; .t , . •
The property described herein is adjacent to land or included
within an area zoned for• agricultural purposes, and residents of this
property may be subject,to inconveniences or discomfort arising from
the use of agricultural -chemicals. Including, .but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit .,of agricultural operations including, .but,.not •limited
y to cultivation, ,.plowing, tprayIqg, pruning, and harvesting 4hich •occasionally generate :dust,
smoke, 'no4 e, and .odor.'`*Butte ,County "has 'established agricultural ,zones .which liave "as .a
priority' use for .productive agricultural purposes, -and .residents within said .zones and .nn
adjacent ad *property p pert
y should be .prepared to :accept such inconvenience or disconform -from normal,
necessary farm operations.
All that real property•situate in the -County
as follows of Butte, State of California, described
'
c AP- 66-08-039
ALL THAT CERTAIN RAI, PROPER'T'Y SITATE IN THE -COUNTY OF BUTTE, STATE OF CALIFRONAI,
AS DESCRIBED AS FOLLOWS:
LOT 160 , as shown on .that certain Map entitled, "PARADISE -PINES COUNTY CLUB ESTATES
UNIT NO. 1". 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 a, gas, ashpaltum and other hydrocarbon substances
with provision that any and••all mining operations shall be done from orivices outside
the surface area of the land described herein and that no damage shall be done to the'
surface of said land.
Date :
OWNERS :
MPY
State
of ) On this the
STATE OF CALIFORNIA
day of
19 before
COUNTY F cGG SS.
On ell before me,
the unde gned, a Notary Public in and for said County and State, per-
sonally appeared —712Atij 66"L
Z
personally known to me (or proved to me on the basis of satisfactory
d
evidence) to be the person whose name is subscribed to the within
Instrument (or proved to be such by the oath of a credible witness who
v
W
is personally known to me), as a subscribing Witness thereto, who
being by me duly sworn, deposes and says.
Z
a w
_
ShP
That - resides in Gi��'��%'�SE
—�
,',••: �
OFFICIAL SEAL
KATHY DANCE
Is vi
0 W
dl
and that Uc' was present and Saw
x%7/7 �' •Tb%'�C �. / 'Pjr OS ETT
:
NOTARY PUBLIC • CALIFORNIA
PRINCIPAL IN
FZ-
Z —
, personally known to;:'_
OFFICE
BUTTE COUNTY
to be the same person described in
and whose name 5 subscribed to the within and annexed
MY COMWSSION EXPIBLE OCTOaEP. 5, 1985
F-
p
Instruments as �� e Part Y thereto,
,
-C
execute and deliver the same, ands acknowledged to
'i; • �''
Z
said affiant that 5h executed the same; and that said
affiant subscribedco
name thereto as a Witness.
Signature
Name (Typed or Printed)l
Notary Public in and for said County and State
FOR NOTARY SEAL OR STAMP N
COUNTY OF BUTTE - DF�,PARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
w
ASSES R ARCEL
[�
Z '"G/
BUILDING PERMIT
OW ER
0
TELEPHONE
S0. FT. OCC. BUILDING VALYJATION
OWN 'SMA ING 7 DR SS
%12(.( ! ,
RACT R'S A
Q
TELEPHONE
- i
O RACTOR'S MAILING ADDRE
Fireplace
C ONSTR CTION DER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDE 'S MAI I ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITEC OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS '`
V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
O
NAME
'C /
PARCEL MAP
I
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
USE OF CTURE
SF ❑ Duplex ❑ Mobi lehome Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel[:]. Utilities ❑ InstallationOther ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LSS
100 AMP ORELESS
10.00
Z 2� v
IBJ Q
Main service EA. ADD'L 100 AMP
2:50
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. 3 of the Business
and Professi Code and my license is in ful force a d 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 CON5TR ULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &'1
NON.RESID. \SINGLE OUTLET CIR. 1
20@50a
Ex. Occup(OUTLETS OR FIXTURES BAL®30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA. 1 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 rmit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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
Filing Fee 10.00
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 the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
al iabilities, jud ments, costs, and expenses which may in any way accrue
again said Co nt in consequ ce of the granting of this peT it.
Date t�'t $
e f Applicant — er ❑ Contractor Agent ❑
ermit is required for excavations over 5'0" deep and demolition or construct-
Nionoruct es over3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Q i
OCCUP. GROUP
TYPE OF CONST.
IF
PARCEL PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TOR OF BLIC
BY 1
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
g�
Date - �
Receipt No. It
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 1940-84B
PERMIT EXPIRES /� ���✓
OWNER MARJORIE A. PERROSETT
CONTR.. PMC
ASSESSOR PARCEL .66-08-39
LOCATION 13903 S Park -Dr. Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Servi
Called PG&E
Temp. Gas Servici
Cal led PG&E
JOB FINALED (Date)
Signature
%/ = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
i
MISCELLANEOUS
i
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's
1. Zoning Requirements—Setbacks—Easements
ning Requirements—Setbacks—.Easements
2. Soils; Special MH Support—Sketchotin
s; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—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.—Rig.—Bracing
5. Electricity; Location—Clearances—Grnd.-/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date '!i Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except p's
1. Zoning Requirements—Setbacks—Easements
Date
DOM S (Plans) OK except k's
1, Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
6. Water; MH Test—Regulator—Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. 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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
O = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce tk'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-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except N's
66.
Elec. Outlets & Receptacles at Kit. Counter
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
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive E] Yes ❑ No; Walks E] Yes []No;
Planters El Yes El 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 Opn s.
79.
Water Well; Disconnect, Electricals, Plumbing
80.
Exterior Elec. Trim; G.F.I. Recep-.acle-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 p'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
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
38.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfn_q_._ _
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 - DEPA11T9AeNT OF PUBLIC WORKS PERMIT -i7/
7 County Center Drive - Oroville,'California 95965 - Telephone 916/534-4541
r APPLICATION'., ND PERMIT
AS%S PARCEL,MBER+ "'
16 -pJ` 19
- ING /
BUILDING PERMIT
OW ER
o v5
TELEPHONE
S0. FT. OCC. BUILDING VAL ATIO
OW'NER'S I, LING AD RESS
V i .v 04_
AMIE- /
6Du l o
TEL PHONE
V9 - tivv
O TRACTOR'S WAILING ADDR
64�3 61-9 J
Fireplace
CONSTRUCTION NDE UNKNOWN
Total Valuation $
Filing Fee
$, 10,00
LENDER'S MAILING AD RESS
Permit Fee
$ ,
ARCHITECT OR ENGIN ER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR EN INEER'S MAILING ADDRESS
Permit fee
$ ,
BUILDING ADDRESS O
So (`-
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
- 5.00
LOT NO. SUBDIVISION NAME
d CC /
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE \\ ,o
SF ❑ Duplex❑ Mobilehome❑ Other ALJ —CK.
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
s k
_ c
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROR SLESS
10.00
Main service EA. ADD•L too AMP
2:50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t/20sgff
CONTRACTORS LICENSE LAW
er penalty of perjury (check one):
I de;1�tlicensed under provisions of Chapt. 9, Div. 3 of the Business
and Prof essioyrsgtd and y license is in ful force d effect.
a�J
License No. / Classification /
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET
NON-RESID BRANCH CIRC ITS. 2.50 ea
NEW CONSTR POWER APPARATUS &'
NON-RESID. (SINGLE OUTLET CIR.
zo®soa
Ex. Occup(o TS OR FIXTURES BAL®3O
FIXED
FIXED APPLNS, OR
EX. Occup. OUTLETS (RESID.) EA.1 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.
ave placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
Iso agree to save, indemnify and keep harmless the County of Butte against
costs, and expenses which may in any way accrue
all •abilities, judgm%no,
again id Coun isequence of the granting of this permit.
Q
%� ate l-
Sig tore f Applicant — Own .r�onc1to{ enr ❑
An OS permit is required for excav tioroJ 0�� ep and demolition or construct-
I ctures over 3 stories in heig
Mobile Home Installation Fee $
TOTAL PERMIT FEE
occu P. GROUP
�_/
TTP OF co ST.
_
/�
PARC L
P
N
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE F PUBLIC
By
PERMIT EXPIRES Date ,�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
to
Receipt No. �'%
WHITE-D.P.W., TELL P -INSPECT R, GOLDENROD -APPLICANT
-RESIDENTIAL
066-080- 039 PERMIT#97-0054�i
HALL, Jack
13903 South Park Dr., Magalia
I Cont: Pete Fox
Cov Over Ex Deck/MH
in 1. % 1 _-V
IA
( v
JOB FINALED (Date) 1
Signature
✓=OK
O = Not OK
=tt adyble
NoReMOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /°L'ft.
/ /Nat. or/ /VttJ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Q r
Date I
') Card B-1 (] Date Card B-1
T I Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
Date
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
ELLANEOUS
Date DECW, COYERS, CARPORTS, GARAGES(Plans) OK except #'s
,_ Requirements -Setbacks -Easements
tings; SoilsSize-Depth-Spacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. tric
Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Xing; Nailing -Veneer -Stucco -Mesh
1 . Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Q r
Date I
') Card B-1 (] Date Card B-1
T I Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = NotOK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning-Setbacks-Easments-Flood-Slope
2.
Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ P 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/O -Sewer Test
10.
OF 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 Carc B-1
Date
Card B-1 Date Cara E-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.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
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/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 Al
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral p 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
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance-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
Comments at Final:
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
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-RfV. Ties-Purlin-Toff 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 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace 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 #Is
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.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor p Yes
82.
Following Instld./Drive 0 Yes 0 NeNValks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical-Flumbing
85.
Vents Above Roof, Pibg-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, CAlifovnia 95965 - Telephone (916) 538-7541 ERMIT NO.
APPLICATION AND PERMIT ��`p-�-
ASSESSOR PARCEL NUMBER
66-08-39
ZONING
BUILDING PERMIT
OWNER
JACK HALL 707
TELEPHONE
448-3881
SO. FT. OCC. BUILDING VALUATION
1 5 C 1885
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
PETE FOX
TELEPHONE
873-0378
CONTRACTORS MAILING ADDRESS
14601 BRIDGEPORT C.R, MAGALIA
Fireplace
CONSTRUCTION LENDER
UN -OWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
43.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
27.95
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
13903 SOUTH PARK MAGALIA
PERMITFEE $
90.95
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Ift Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: COVER OVER EXISTING DECK
Mobile Home S G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service a OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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 rce and effect. B3
License Class LIC. NO. n
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ ],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
NEIN CONST. DWELLING OCCUP.
OR NS. ( d ACC. )
SO.
3--- FT.
C
NEW CONST. MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER SINGLE APPARATUSOIf)
a TLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @° 1.00
BAL .50
Ex. Occup. ( OUTLEEDTS (RESID.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I 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.
a n insurance carrier a olicy number are:
My workers' SME
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be competed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation p ovisions of section 3700 of the Labor Code, I shall
folwith Comply_Wtt4,th
,pTe provisions.
> ,
X f k� __ ___ Date / 3 ��
Signa ure of Applicant - Owner —g Contractor ❑ Agent
AnXOSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 90.9
HA2. D. FEES
1
IMP
FLOOD
CDF PARCEL
_
PD HD Issu
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.
!� /� I� .�
BY Date
�iL�tr{.>YY� f 2
PERMITEXPIRESON 1-21 —9A _
I (Date)
ReceiptNog.[)QS27
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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COUNTYOF BUTTE - DEPARTMENTOF DEVEtOPMENTSERVICES -BUILDING DIVISION
7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER S� ��< <� LL A. P. No.
Proposed Building Use s . -.Building Inspector Cl13 UW_5 Date /-(3-97
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
. DATE RECENED BY
1. All items have been submitted . ........................ .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation. ................... .
7. Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. :{..........
10. Fees of $ ...........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ........•................ .
13. Flood elevation letter (100 year flood) by California Engineer. . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...
P�4".ecdO" requ-e-sr-
20. Pre -inspection for
required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Cl ssification).
Certificate of Workmans Compensation Insurance. L! c..... .
23. Owner -Builder Verification (Given to owner , Mail to owner _). ......... .
24. Recorded copy of Agricultural Acknowledgement Statement. ................... .
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ....... .............:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other / C ,.l
Parcel Creation
Acreage Applicanal� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by 6IS&AIS Date _L 21( -j
Sets of plans on hold in File cabinet _ AP folder
Copy - Department of Public Works
i I
I ,i . 13 PJA,W.L.1{721 tiMl
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SEISMC PIERS
1 FDLPMTIIBd
PADS
OUTLINE OF
MOBILE
COACH
3O'x31
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HOLES FOR
1/2' x 2 1/2' C.B.
1B'xP4'x3/4'
PLTVODD
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4
1n
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PLAN
I)OUBLE WIDE MOBILE COACH
Scala: 1" - 16'
SEISMIC PIER
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PADS
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OF MOBILE
COACH
3h/�4• PLYVOOD SHEETS
vrn tnrrrHER WITH
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ALTERNATIVE PLYWOOD
FOUNDATION PAD
NOT TO SCALE
14', OR I
PLAN
SINGLE WIDE MOBILE COACH
Scale: 1' - 16'
2 - 3/8' x V BOLTS
COACH I BEAM
3' X 3' PLATE
jw CODE OF RV=ATIONS, TITLE 25 AND U.B.C. 1994 =MN.
MAX TUNETS/B'
LP
8' SHIRT TUBE
COACH C
14' LEM TUBE
2' DIA
I/4'x2'x4'
STD PIPE
4 - 3/8'
BOLTS TIGHTEN
/161PLATE
TO 180
CLQ
Tim
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3/4' THREADED
3/16' PLATE LEGS
ROD
TYP OF 4
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3/16' PLATE
2. THE DIMON LOADS SMALL HE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD. ANDI
3/8' X 1 1/4' BOLT
VITH HARDENED WASHER
SEISMIC PIER
Not to Sca(e
C.P. SEISMIC PIERVI
— PATENT 05595366
AREA.
Sao at -Alms 0 CWWAW 'M D rf-PMM S
SINGLE WIDE MOBILE COACH
Scale: 1' - 16'
2 - 3/8' x V BOLTS
REVISIONS (
FIELD DRILL HOLES
jw CODE OF RV=ATIONS, TITLE 25 AND U.B.C. 1994 =MN.
OPTIQi OF
LP
4 - •14 TEX STS
COACH C
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OR BEAM
I/4'x2'x4'
3' x 3'
ANGLE T VIDE
PLATE
4 BOL
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0"
PIER
TYPICAL BEAM
CONNECTIONS
Not t0 Scale
12 SO IN OVERSIZE FOR CHIPPING
5/8' X 1 3/8' FLANGED
STAINLESS STEEL
ANCHOR INSERT
n
4x4 -4x4 VVF 1,
GENXRAL NOTES:
REVISIONS (
BY
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04/12/99
LP
1. LLES1Rf WADS:
05/18/00
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MMZ1330 Pd 40 Pd Y B 4
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WIDL9 ISO Pad 140 Pd RO UP14 B
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2. THE DIMON LOADS SMALL HE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD. ANDI
TQC ZONE AS ESL1 nMOO) FOR PERMANENT BUILDING WMM A SPECMC LOCAL
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AREA.
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S. TIM FOUNDATION SYSTEM IS CONSIDERED TO CONSTITUTE A PERMANENT FOUNDATION.
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4. AIS. FOOTINGS ARE Tb BE SUPPORTED BY P1Sr UINSATT a=3 UNDISTURBED COffi9IVE
9011. FOOlDi03 AIM DESIGNED FOR 1000 P97 TOTAL LOAD 9dIL PRESSURE
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AND SUM BE COMPAHIBIE WITH LOCAL SOM CONDITIONS.
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e. STRUCTURAL 802L.
a SHAIS. CO�OHI[ TO ASTM A98 !� 38 Yffi Mi3ID1tAi.
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D. SEMI- SIM 11AEWCATED ACCORDING TO AL9C SPECIFICATIONS.
WELDED SPDCIFICXTTONS:
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PLOWAM A36
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d. ALL IQTAL C 030MMMO INCLUDING NATE At SCREWS ETC. ARE Tv BE
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PR O172cun COAmm.
e. TIDE PitR SUPPORT AlmL"T"S SMALL, BE COATED WITH SHERMAN WILLIAMS E81 -RC2
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OR APCPRIOTEDD 2QUIVAA 101T.
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a ULTEEAL : 1700 LM ULTIMATE LOAD
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D. VAGAL : 19000 UL37M LTE LOAD
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e. THIS SUPPORT STSM 13 FOR MANUFACTURED BUILDINGS CONSTRUCTED
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9. THIS SUPPORT STUTEM PLN 19 DZM== TO BE CONSTRUCTED ON A FAIRLY LEVEL
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WITH NO MBTING SOIL PROBLEMS. 7 SETTLEMENT OCCURS DUE TO POOR SOIL
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THE LOAD L9 SHORN IIB THLZ IJOBIE HOME INSTALLATION INSTRUC-'SONB.
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11.131 AREAS WIOW D77ERERnAL Sl;i'I1A�NT (�.�.) CAN OCCUR. MANUFACTURED HOM
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SHALL BE RTADJU91 ID W.. D.9.EXCEEDSrIZMEN 1 4 , OR THEN IT WI L ADVERSELY AFFECT
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THE USE OF THE MANUFACTURED HOME.
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FOOTING SPACING PER NOW COACH MANUFACMWWS
12 S1 10]Alia FJEIt t IN
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DWAILTION MANUAL WITHOUT MANUFACTURERS DN13TAIL►TION MANUAL
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SPACING AND PAD SUPPORTS TO BE DETAMMI LED BY
SH PC
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13. THIS SYSTEM D ADAPTABLE WITH HOLLOW MASONRT III= P11M.
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��AMON P���:
1. THI FOUNDAIICIN PAD SHOWN ON THIS PLN 13 A PRECAST CONCRETE FOUNDATION PAD.
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THE PLYWOOD FOUNDATION PAD MAY BE USED AS AN 1LTERNATIL
2. FOUN DLTWH PAD® SHALL BE PLACED ON LVEI- UNDISTURBED SDI.
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3.SONCICOUEMMMA3SULZAR
A. 3000 PC AT 2a DAYS AS TESTED AND MAMM. BY STARLRZ WEIGHT CONCRE'M
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B. PRS PAD 03CERTAMON WHERE EVER POSSIBLE I8 THAT THE LONG DUMSION
OF THE PAD BE P1W7NDICULR TO THE COACH BEAN (AS SHOWN ON THE PLAN).
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C. WHERE 7WD CONDITIONS REQUIRE PAD ROTATION. NO MORE THAN BALM OF THE
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PADS IN A TRAVERSE LVOI CAN BE ROTATED 90 THAT THE LONG DDID BION
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OF TNI; PADS ARE PARALLEL70 ?NI; COACH BEAM
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COACH 5=.. NOTES:'L,'
1. MAEOfUM ISCNNGTB OF SINGLE WIDE COACH e8 FEET.
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2. MAXIMUM Ilfl = OF DOUBLE WIDE COACH � 70 I=.
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3. UNLESS APPROVED BY THARP A: A390C.. FLOOR TO RIDGE HEIGHT NOT TO EXCEED:
a:)
A. a FILET FOB SDI= WIDE COACHER.
B: 10 f2XT FOR EO FT -DOUBLE WIDE COACHIM
WIDE COACHES.
C. 12 FELT FOR 14. 25. t 28• FEL? DOUBLE
4. FOR TRIPLE WIDE CoAmm. FOLLOW SAME PLCMCMT PATTERN AS ASHOWN ON TIM
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DOUBLE WIDL MOBILE COACH PLN.
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0. FOR ANY COACH SIZE MM THAN AS SHOWN ON THIS PLN OR 8177 DICZD ABOVE,
LTOUT 1BLA12- BE RETMTE.D AND APPROVED BY THAM A A990C.. INC.
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PRECAST FOUNDATION PAD Nom: --�
Not to scale 1. SPACING SHOWN ON TSD PLN ARE FOR CDACSR9 WITH 10 INCH AND 12 INCH PZW
OR 8 INCH PACO CORRIIOATID BUM.
2. FOR AN 8 INCH BUM ADD AN ADDITIONAL ROW OF C.P. ANCHOR FUM. BEAM SFIOULD O O
NOT CANTBEVER MORLi THAM A - FEET. (_.,
ELEVATION
NOT TO SCALE
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APPROVED � _� _ S F rA i 1 N, A i(Y.�ScO
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S I AIT SI ill NIH -I A1..10 -5f
DATE- 09/08/97
SCALE- AS SHI7VN
DRAVN, YMV
JOB a, 95-36-80
SHEE:Ti
1 / A
OF 1 SHEETS