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066-120-012
LOT I BLOCK TYPE OF j PERMIT NO. I PLAN NO. PERMIT 1 PERMIT DESIGNATION DEPARTMENT OF BUILDING AND SAFETY ' AP 66-12-12 66-12-12 LIPIS Ro ert Wuerz 40 En i Circle, PPCC#2, lot 27 40 Endicott Cir., 1 27 C" contr: Panorama T 2' M�a'alia contr a Feathe fiver ons Maga. r permit ;'4908-78gAedc0Permit# 3454-74P,E open deck/MH)iAP 66-12-1230 , R LIPIS �c nr�:' H. Don Darby, Paradise 40 Endicot i of 27, PPCC#2 'Perm it #22-79B,E new contr• Par as Chico I ( pri.det.garage/MH) Permit# 4729-74P(for #3454-74) LEC . GAS SUPPORT STRUCTURE REQ. AD COMPACTION TEST REQ. jC) 66-12-12 66-12-12/ ' ALBERT SWARTH �'j � ///0 13-7-5-7 Endicott Circle,4agalia 111 'Permit#1436=87B(new patio'cover/Nffl) 4/ e t Cixde, lot 27, PPCC#2, ++Magalia .Contr: S. O. S., Para .Permit #71-76MHI Issued j= /�_-�/-•_'�_ -66-12-12 E ates 40 Endicott Cir:, lot 27,{ CC 2, Magalia codtr: -Iless -Backhoe_ Serv.(, Paradise Permit #717 ` P,E 14j, g e t3. .,due to fire/MH) ELEC. GAS SUPPORY StRfJCTURE REQ. t COMPACTION TEST REQ. 4VA.6-12-12 CEntr: SOS.., 'ervice, Paradise r� P rmit #169`7�-78MHI Issued 66-12-12 Contr: Cooper Electric, Magalia, P�'rmit #2369 78E(inst. now ser)MH sales lot Aaa rIS1'7g B—BUILDING P—PLUMBING T—TRAILER 066-120-012 .06-1244 SWARTOUT, MARY �. 13757 ENDICOT CIR, MAGALIA Cont: MARVIN PLOURD MH PERM FND(EX) r --•l riQI W1-0& E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT S/W—SIDEWALK NOTICE S_ SIGN PERMIT D — DEMOLITION 600.1 1 I 31Va DIS 31Va 'DIS 31Va 'CIS 31Va ''DIS 31Va 'flIS NOIIVNDIS3a im3ewnN llWN3d S7VAOUddV SIlOHNV773091 I 7VNId SN313 W S30NVI-lddV V 33Nf11Xld NI'HDf10N 31Va DIS 31Va DIS 31Va DIS 31Va DIS 31Va flIS SN38Wf1N 11WL13d S7VAOMddV rIV,91910373 1VNId S1N3A V S30NVI1ddV 3NIl N3M3S ONldld N31VM 1531 3unSS3Nd SVD NI•Honom 31VO 'flIS 31VO flIS 31Va DIS 31Va DIS 31Va 'DIS ltoew IN lIWN3d S7VA02IddV ONIHM137d SrIVAO?IddV ;9Mla7IQS atlO33H N011334SN 1 o mfii�q N 31Va 'flIS 31Va 'DIS 31Va 'DIS 31Va 'DIS 31Va 'DIS 31Va 'flIS 31Va 'DIS 31Va '018 31Va 'DIS 31.Va 'flIS 31Va I 'DIS 31Va D r l m m �0 D � r>.m r m0 r 00 7C� m m 19I --)c D 1 �A-1� I m0 1�I--z D 1 m0 z �c 5'1 =O z 5-4 -1� =O z D 3 z 0 M yZ -1�1 m0 r z a r C-10 z o 0 D3-4 -imp Q z z z p Om a3o3 m� SrIVAO?IddV ;9Mla7IQS atlO33H N011334SN 1 o mfii�q N WCORDINGREQUES;'PhAY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 .e Recorded I Official yRecords I CoU tButf te I CANDACE J. 6R11BBS I County Clerk-Recorderl I I 09:20M 02 -Jun -200b I REC FEE 10.00 CONFORMED COPY 1.00 JC Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM a• 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 J 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. ALBERT F. AND MARY J. SWARTOUT TRUSTEES REAL PROPERTY OWNER/LESSOR PO BOX 1429 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY - -COUNTY STATE ZIP 13757 ENDICOT CIR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY. BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1244 (530) 538-7541 BUI LDYqG PERMIT NO., ' TELEPHONE NUMBER SIGNATURE bYCOCACAQEI CY o%f cul DATE NONEy DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 61689A/B 60'X 24' 050924/5 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-120-012 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. Escrow No.: 06-308940-W8 Lome No,-. CAFNT0958-0958-0003-0000'08940 TWe No.: 06 -308940 -BD EXHIBIT „het. THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCELA: Lot 27, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit 2", Filed in the Office of the County Recorder of Butte County, California, on October 13, 1971, in Book 38, of Maps, at Pages) 61, 62 and 63. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL B: / A non-exclusive easement over Lots A, B, C and E (the common areas) of ParadM Pines Country Club Estates Unit 2, and the lots designated for common arid recreational areas as described in the Declarations of Annexation foi- Units IV, VI, VIII; X, Xi, XII, XIII, XIV, XV and Country•' lub Estates Units 1 and 2. Exh?Nt Page - Legai(exhlbltx8-02) :i ' COPY of Document Recorded r 2 -Jun -2006 2006-0028353 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. ALBERT F. AND MARY J. SWARTOUT TRUSTEES REAL PROPERTY OWNER/LESSOR PO BOX 1429 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 13757 ENDICOT CIR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1244 (530) 538-7541 BUILDING PERMIT NO., TELEPHONE NUMBER SIGN TuRE bY L)OCAI. AT T CYOTFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO GOLDEN WEST 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER - 61689A/B 60'X 24' 050924/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLA /LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-120-012 HCD FORM 433(A) REV. 8/91 Escrow No.: 06 -308940 -WB Lomme No,-. CAFNT0956-0958-0003-0000308940 Title No.: 06 -308940 -BD EXHIBIT fowl. THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: ' PARCEL A: Lot 27, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit 2", Filed in the Office of the County Recorder of Butte County, California, on October 13, 1971, in Book 38, of Maps, at Page(s) 61, 62 and 63. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL 8: A non-exclusive easement over Lots A, B, C and E (the common areas) of Paradise Pines Country Club Estates Unit 2, and the lots designated for common and recreational areas as described in the Declarations of Annexation for Units IV, VI, VIII: X, XI, XII, XIII, XIV, XV and Country..Club Estates Units i and 2. 4 for 11 WPM Page - Legaf(exhibitx8-02) FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1244 Address or location of unit: 13757 ENDICOT CIR., MAGALIA CA 95954 Legal Description of Real Property: 066-120-012 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: ALBERT F. AND MARY J. SWARTOUT TRUSTEES Owner's address: PO BOX 1429, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 050924/5 SERIAL NUMBER OR V.I.N.: 61689A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1978 OFFICIAL APPROVING INSTALLATION: �,A Lwp", DATE: CQ- I- DCD PHONE: (530) 538-7541 H.C.D. 513C 066-120-012 06-1244` �� ,• uT naEa NOTES y SWARTOUT, MARY 13757 ENDICOT CIRN, MAGALIA our Cont: MARVIN PLOURD. 1 MH�PERM FND(EX) r , 4 l APN: - Permit No. r Owner. Site Address: t Contractor. Type of Permit: R Q ab /3 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE. Cal C al 05o, ar DATE JOB FINALED: SIGNATURE: 1 0 ��y i . t i t i r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE. Cal C al 05o, ar DATE JOB FINALED: SIGNATURE: 1 0 ��y -OK 0 -Nei RESIDENTIAL (S1°rigle & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; SoilsSteel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr Nail Prion 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Biockouts Wrapped 58 Gas Pipe; Sz & Anchrs ' 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Pall -Fitting -Test -2 -way CIO -Sewer Test rya 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12. Elec Undrgmd DATE IM E C H A N"I C A L 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & VnUtn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Acc & Pitfrm H Furnace in attic 441 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE [FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SldeLt Prtctn-Landings 19 Bearing Walls over Girders 8 fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof)" 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops; Furred CellingsStairs-Chasers-Tubs In Garage; abv-flr-Ducts-Mach Prtctn 22 Headers & BeamsSi &'BearldIg 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-RAr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, GuardlHandraiis 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctri Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall .& Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Wails; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Drnge Planters Q Yes ❑ No 11�87 °t Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 VntItn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Ihspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or D AL 98 Address Posted AC Wire Sz ya D CU or[::] AL 99 Fire Sprinkler 48 Range Clic Qa QCU or DAL Oven Circ ya D CU or DAL Insulated Neutral ❑Yes DNo 40 0 00 0S` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o°' +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS-. DATE PERMANENT FOUNDATION jOFT.SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/0-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Clrncs-Gmd 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers ID E C K S•C O V E R S•C A R P O R T S'G ARA G ES 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs -Guard_ /Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Rooting 11 Ext; Steps -Doors --endings 12 Braced Wall pnls ao- 4, DATE 1POOLS. 1 Setbacks.Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Enclsrs-pnlbaardsansultn to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or. Slide 00 Pool Drawing BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061244 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 05/26/2006 APN: 066-120-012-000 the Business and Professions Code, and my license is In full force and effect. 3 � � Address: Site 13757 ENDICOT CIR MAG License class: License Number: Date: 0(c Contractor: #44""J Map Index: Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SWARTOUT ALBERT F & MARY J TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of SWARTOUT ALBERT F & MARY J the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Protessions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any P O BOX 1429 violation of Section 7031.5 by any applicant for a permit subjects the MAGALIA, CA 95954 applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 1, 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: PLOURD, MARVIN provided that such improvements are not intended or offered for DBA PREMIER BUILDERS sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1584 WAGSTAFF proving that he or she did not build or improve for the purpose of PARADISE, CA 95969 sale.). 530-872-1096 O I, as owner of the property, am exclusively contracting with licensed, contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: PLOURD, MARVIN ❑ lam Exempt under Article 3 of the Business and Professions Code DBA PREMIER BUILDERS 1584 WAGSTAFF Date: Owner: PARADISE, CA 95969 530-872-1096 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 License #: 343173 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit issued. a4s have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: J`�li c'� C tib !k4 ( 276 — Policy#: l -2 —00 Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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 4 5 j j ci ry O forthwith comply with those provisions. —j `� Date: S� 3 l ry Q� it 1� 0&7 U Applicant:_nil L `- O W WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for.in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu(Ionp to do work Indicated above for which fees have been paid. N performance of the work for which this permit is issued (Sec 3097 Civ.) , ' �.l^/ 1 pr: , .- J U�o Name: By: (T I R i c CA e Date: i` j=---�— EXPIRES Address: PERMIT ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 1-1 ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws ielating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize reprOsentatives of Butte County to enter upon the above mentioned property for inspection purposes. 61%10 P'Iwya Print Name: �� [ �% C Signature: o Date: r 3 z.- O Owner 13-166ntractor O Agent for Owner O Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 3 License Class : License Number: 3831 Date: � Otic Contractor: Mr4RV0u pw J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 /1s issued. �/ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: C q 04 9 Policy #: e ( �7 to .2 � — --00 to ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp)y with those provisions. Date: �� 3 Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP061244 Issued Date: 05/26/2006 APN: 066-120-012-000 Site Address: 13757 ENDICOT CIR MAG Map Index: Description: EX MH ON PERM FND Owner: SWARTOUT ALBERT F & MARY J TRUST SWARTOUT ALBERT F & MARY TRUSTEES P O BOX 1429 MAGALIA, CA 95954 Applicant: PLOURD, MARVIN DBA PREMIER BUILDERS 1584 WAGSTAFF PARADISE, CA 95969 530-872-1096 Contractor: PLOURD, MARVIN DBA PREMIER BUILDERS 1584 WAGSTAFF PARADISE, CA 95969 530-872-1096 License #: 343173 Architect: Engineer: Total Square Ft: Valuation: Census Code: 45�q q0 #�50Co`1`6 5-2�- 0 C) 0 S. F. $0.00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolution to do work.indicated above for which fees have been paid. C� Q s By:_1% I/�/i1i c Date: 5-51-0co PERMIT EXPIRES ON: ���� ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �ll(0 �-G Ft-d)1% Signature: Date: ❑ Owner S-15ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 ,�-k 9. qo BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name 'Swxpc�r o U G irst Name M/t Address F2556 i! 2 `? City StateZip�S— Phone 8 7X— /D 4 6 Phone Fax E-mail CONTRACTOR Name AAA-t2�)t A) [Pi-cw Cr -it Address SSS' `rp City ?"9_��D 15r State Zip s'3-9 G 9 Phone 8 7X— /D 4 6 Fax E-mail Lic. #3 93 !?3 Classl3 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City P,4 A-)� 15,00-- Address Zip '7x%� 9 City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT INFORMATION Name M r Address City P,4 A-)� 15,00-- State C)4 Zip '7x%� 9 Phone 9' %2 7 Fax E-mail APPLICANT SIGNATURE X 1,J6&ad� For office use only: Zoning Flood Zone City SRA JCYeg I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. /2 1P 1 BIN # PROJECT LOCATION AP# z - Property Address 9 9 7,9- 7 City Cross Street WORKER'S COMPENSATION Policy Number ri 27&2G Carrier S-YA—M,Cont r° If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 33/4 b7_Al vbi:P�_% axI Sr . A10 tel L'G� Sq FT- Living Garage Open Cov -.D- Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by'fF Amount: . ��-Y 7 Bldg SRA Receipt #:5Sheriff �K ' SMIP Date: Other Total I I REV 8-12-05 • % -4 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer , or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES-BU/LDING'1bIVISI01N� 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (� ASSESSOR PARCEL NUMBER 6 I -19 O (J 12 Proposed Building Use: H (m 77 Permit Technician: v Date:S"-'-2'7-6G Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply. %-- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 1 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (1 Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form Cl 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ _ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by _ ❑ 17. Soils Report and/or Engineered Foundation required ........................................... _ ❑ 18. Erosion Control Plan Required........................................................................ _ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. _ ❑ 20. City of Chico Plumbing permit........................................................................ _ ❑ 21. Site plan and business license approval from the City of Biggs .............................. _ ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. _ ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ _ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ _ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... _ ❑ 26. NPDES Form............................................................................................. _ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... _ ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... _ ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... _ ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... _ ❑ 31. Letter of Signature authorization.................................................................... _ ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. _ ❑ 33. Existing violations and/or expired permits......................................................... _ ❑ 34. Deed Restriction....................................................................................... ❑ 35. UF -Legal description, a.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone �.?' (0 q62 and hold for pickup. I have been informed of the above i ems and requirements for obtaining a building permit. Applicant/1 Date: `// G 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, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o .a advised of the above data ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: -3'110V Date: Plans approved by: 2G -4 Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: vd' Date: -" Yellow: Building Division Xi2 Ground System X12 Foundation System Installation Instructions for California for Ground A Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic '4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Doy UWM of Housing and Community Development OF CODES AND STANDARDS . e HATE ! � l' 0 Page 1 of 8 0 LO 0 05/23:2006 12:04 F -U 530 877 5214 FIDELITY PAPADISE STATE OF CALIFORNIA • BUSINESS. TRANSPORTATION AND HOUSING AGENCY OEPARTMENT'OF MOUSING AND COMMUNITY (DEVELOPMENT Dlvtelcn of Cad" and Stwulards to 001/UU2 p1Yq�NECdCCR, tiara •`" G "e a G p Title Search 'l�i�. D>` Dute. Printed : OV25/2006 Decal ##: AA55738 Use Code: SFC; Manufacturer: GOLDEN WEST Original. Price Code: AHR Tradename: KEY BISCAYNE ]Rating Yew: 1978 Model: Tax Type: 1LT Manufactured Date: 00/00/197S Last ILT Amount: $28.00 R gistration Exp; = Dec, MT Fee Paid: 07,01/2005 First Sold On. Ofzk/1978 `°;-' ' 1LT Exemption: NONE Serial Dumber HUD Label / Insignia Length Width 61689A 0509-4 60' 12' 616898 050925 60' 12, Record Conditions: PPF Extmpt Registered Owner: ALBERT F SVJARTOUT ` MARY 7 SWARTOUT Trustees PO BX 1429 MAGAL1A, CA 95954-1429 Lost Tide Date: 0329/1993 Last Reg Curd: 07/06/2005 Sale/'ilransfer Info: Unknown Sitaas Address: 13757 ENDICOTT C1R MAGALIA, CA 93934-9564 Situs County: BUTTE Inactive DecaUDMV: DNIV SL9053 Title Searches: FIDELI'T'Y NATL TITLE CO 6141 CENTER ST PARADISE, CA 95969 Title F le No: 308940.1N'B Renewal Fees: 2 **" END OF TITLE SEARCH*** Escrow No.: 06 -308940 -WB �^ LomOe No,-. CAFNT0958-0958-0003-0000308440 Me No.: 06 -308440 -BD EXHIBIT "All THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL A: Lot 27, as shown on that certain Map entitled, "Paradise Pines Country Club Estates Unit 2", flied in the Office of the County Recorder of Butte County, California, on October 13, 1971, in Book 38, of Maps, at Page(s) 61, 62 and 63. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of saidiand. PARCEL 8: A non-exclusive easement over; Lots A, B, C and E (the common areas) of Paradise Pines Country Club Estates Unit 2, and the lots designated for common and recreational areas as described in the Dedarations of Annexation for Units IV, VI, VIII; X, XI, XII, XIII, XIV, XV and Country Club Estates Units 1 and 2. a '1 PERMIT NO. Y PERMIT EXPIRES •d OWNER ALBERT SWARTOUT CONTR. owner r # t6' ASSESSOR PARCEL 66-12-12 . LOCATION 13757 Endicott Circle, Magalia i hemp. Power Polo Csllod PG&E 1 Temp. Eloc. Service Called PG&E Tomp. Gas Service Cal led PGA E JOO FINALEO (Jale) c do rtt, K.. . m Not Applicablo tt o Not Ready isvMOBIIEHOMES MISCELLANEOUS -6;,—,,MOB ILEHOME UTILITIES (Plane) OK except O's Date DECKS- ERS. CARPORTs. ETC. (Ore—nal OK except a'o 1. Zoning Requirements- Setbacks- Easomonls 14-112 0 n!g-Ryquirements Cke-ESSOOM Ts 2. Salle; Special MH Support -Sketch _ _ outings; Size-Dopth-Specing-Conneclots 3. Sewer; Location-Test-Falt-C/O-Concrelo � - 4. Weler; Location -Test -Easement Needed (Sketch) Wood Awn.: P - -R![Iaf 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete A a-Connections=Splice-Decal-EncIseuroe 6. Gas: Location-Tow-Wrep:/ /"L"it./ P'Nat.or/ /"L"It./ /"LPG t3.-"e8yp6fff1Wrn'Tows-Doors 7. Utility Clearance T ---c. --- — Card -BI Date Card -BI Date Cord-BIDate Card -BI Date Card -81 Date Cord -Bl Date Card -81 Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Data POOLS (Plans) OK except o'a 1. Zoning Requirements-Sotbacks-Easements 1. Setbacks -Easements 2. Footings: Size -Spacing -Marriage Line 2. Salle; Compaction -Structure Stability 9. Gas; MH Test-Dernend-Valve-Connector 3. Pool Structure: Steel-Connecilons-Thickness-Deed Men -Lining 4. Electricity; MH Teat-Croseovere-8reekera-Clearances 4. Elsc.; Receptetlos and Lighting: Oistarttes-GFI S. Drain;. MH Test -Fell -Flex Connector S. Elec.: Pool Lighting; 15 volts-GFI + 6. Water: MH Teat-Reputator-Connector 6.. Elec.: Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Eloc.: Bonding; Metal w/S'-Circulating Equipment-Heator S. Gas and Electricity Tagged - S. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. 9. Exits; Insp.-Sketch Boaea-Enclosures-Pensiboerds-ln5. to Main in Conduit 10. Cart. of Occupsmy 9. Health Department Approval 10. Plumb: Cir. Test -Water Supply Teel Card 8-1 Date Card -81 Date Card -Bt Date Card -81 Date Card B -I Date Card -81 Date Card -BI Date Card -81 Date v, s 01( 20. Fixture & Translormer Clearance -Ins. Protection (1 = Not OK 21. _ Elec. Receptacles Spacing-:1lghls & Switches at Doors - _ = Not Ready lc � Nal Ready RESIDENTIAL (�ingle and Duplox) ' � _22. 23. Date UNDERFLOOR Plans OK except to Data FRAMING Coniinupd -`- 1, Zoning req_uirermnia-Selba_cks-Easements - ---- 48. Property Line_F_uewail & 0pen1 a _ 2. Fi Mein; Soils-Steel-Elec. Grad.- /_ /" Ft Depth _ ' _ _ _ q • - g. p _ _ _ - - �9. E►1„Doors-One 3'-Ctteck`(�!_ovj 3rd story, 2 exits _ 50. Stairs; Midlh-Heodrearn 4qu�_�anding Fire Protection {� - Plywood on Roof OveRlanq-bills Vonls-Rafio� - 3. Ftp„ Garage; Stals -Steel- / /" Ftp Depth -__-4.._Ftg.,.P.orches & Oogks;,Solls-Sleet- / /" Fig. Depth "• - temwalls, Main: Sieol-Blockouls-Wrapped-Slab _ - _51. Outriggers. 52. Sid lrq-NarlIng -Veneer • •- - - _- - 6-SIe_mwalls, Garage; Slool-_Blockouls-Wrapped-Slab Insulated Neutral Yes ,No 53. Stucco Mesh-Drip,Screed_Fdn. V_enls-Underllr, 7. Piers -Fire lac_0 Ft Sleol - - P_ -•_-____-- _ ...., _ Service -Riser Conductors & Ground -Main Disconnect - - Access 54, Glazing Area -Glass PreteCtlOn-Skylights-Plastic - _--- 8. _D.W.V.: Fall-Fillings-7est-2 way C/O -Sewer Test-•• •- _ Equip. Clearances. Panels-Motors-Mech. Equip. - 55. Shear Malls; Nailing -Bolts -_ 9 Gas Pipe: Srzo-Anchors__ Clothes Closel Light -Shower LipM --------- 'aid B -I hater Pipe: Teat-Anchors-Regulator-Sorvico Test Date Cara -BI Date -• "aro 9-1 Electric; Underground - Dale - - 12. Plenums & Ducts: Clearance -Material -Support -Ins.' J 13. Girders -Sills -Anchor Bolts-Joists-Vents-Cripptas _ Cord -81 Data Card -BI Oate Vent Fan. Exhaust above Insulation Card-BI Date Card -81 Data Conacnsale Diain & Overflow. Size III Grade Card -81 Date Card -81 Date Card -BI Oate Card -BI Date I Date FINAL (Plansl OK AXCOMi e'a Card -BI Dale Card -BI Date Cate PLUMBING (Permit) OK except M's 14. Water HI.: Vent -Access -Combustion Alt 15. Water Pipe: Test & Anchors -Nail Protection 16. D.tY.V_., Test-Fltngs & Anchors -Nall Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Sh_owor 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card_BI - Date _ Card -81 Date Card -BI Date Card -BI Date Date _ ELECTRICAL (Permit) OK exceol a's C, ilr FRAMINGIPI.I1151 OK rkCept n';: it.. Silht. I'roovr M.uciiol & Anchors 37. Iy.i11•. Slut N.ulu,�, Sp,unn1 & O,aC un)-I,I,uoe-`-;nunrf 3ti. (tr un, l'i.all� „fir, (cud,•, &Plan, N.nlnu; :t9. Inuutl d0, fur Plop. forted Gv01.19S.-S6iu, -Cha.e,•.- 1uh .11 Ifi•.nl. i A li...ur. S,; r 6 1(,•.0 nib 1; . Il.unir... 1'„•,I ho- ,( omwt l- •I t. �. In,l, ,I,u •.1 1111,. 1 I%I, lm - Iluul 11i.µ. -7. u•.': ihlhnq.-tl!ul. .11 I „rpl.i, r 1 Ire u, 1 .pr A V hn•-Furpl ii'. •1 •.. All., A, , rv. 1,. r A it .......• I"olrr 0 -all Stull- 1,11. 0alft,•, J•.. Ir uu.. ,',u,.IVe), w ) .i1ni•) 11ii,u�-5,11 Ilyt. � lhmru�,u„i 56. Eat. Steps -Odor & Sidelight Protection -Landings 57. Smoka Detector 58. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Mash, Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 81. Elec. Trim & Subpanel: Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove: Clearances -Hearth 64. Elec, Outlets at Wood Panel: Int. & Ext. 65. Kit. Fixt. & Appliance: Grnd.-Air Gap-Cookino Clearance 68. Elec, Outlets & Receptaclos at Kit. Counter _ 67. Garage Fire Door: Swing -Landing -Closer 68, A.C. Duct in Garage -Damper 69. Wit. Hlt,: Vents-Clearonco-Comb. Air-Connector-P.R.V.- In Garage: Above Floor -Mach, Protection 70. Plb.. EleC. & Mech. Equip, Listed for Location 71. Elec. Receptacles In Garage: (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fan. Vents & Crawl Ho10 Door -Drainage & Wood -Earth Clearance _Looked under Ftoot --. Yes 75. Following inslld.: Drive ^Yes [ No: Walks [ Yes No: Planters '-'Yes J No 76. Stucco: Brown -Finish 77. A.C. Unit: Oisconnoct-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Root. Ptbg.-Appliance-Firepl.-Clearance to Opngs. _- 79. Water Well, Disconnect. Electrical. Plumbing 80. EitMior Ele_c. Trim: G.F.I. R_eceptacto- Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections -84. Gas Test-k_Mters Tagged; Gas -Electric __ ewer Connected 85. -C/OWattr &_i -C/O to_Grodo-HD Approval - 96. Energy Compliance Certilicate-Othor Certificates Caid-01 Card -01 Da Card•nl Date- - - --- Card -Bl--- _Data----- --- --- Cma'(31 Dale Card -01 Date Cmmncw, nt Final 20. Fixture & Translormer Clearance -Ins. Protection 21. _ Elec. Receptacles Spacing-:1lghls & Switches at Doors - Size Boxes & No, of Conductor s-Stspied _22. 23. R_omex instilled Close to Edge of Studs & C.J. 24 Equip. Ground made_ up w%Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subieea Wire Size % / ga. Cu or AI-A.C. Wire Size 27. Range Circ. / / ga. Cu or AI -Oven Cut. / / ga. Cu or Al, - Insulated Neutral Yes ,No 28. Service -Riser Conductors & Ground -Main Disconnect 29. _ Equip. Clearances. Panels-Motors-Mech. Equip. - 30. Clothes Closel Light -Shower LipM --------- 'aid B -I Date Cara -BI Date -• "aro 9-1 Dale Card -BI - Date - - ---- Dale MECHANICAL (Perry -rt) OK except 4's 31. A.G. Ducts Insulation & Support 32. Vent Fan. Exhaust above Insulation 33. Conacnsale Diain & Overflow. Size III Grade 34. Fwnace-Vent Access -Comb. Air -Return Air Vent- I.15V outlet 35. Ait,c Acrse & Plailorm if Furnaeu in Attic -- a Cala•DI D.liv Cala-RI Date Ca,d-DI_ D.1,,• Carn-RI Date• C, ilr FRAMINGIPI.I1151 OK rkCept n';: it.. Silht. I'roovr M.uciiol & Anchors 37. Iy.i11•. Slut N.ulu,�, Sp,unn1 & O,aC un)-I,I,uoe-`-;nunrf 3ti. (tr un, l'i.all� „fir, (cud,•, &Plan, N.nlnu; :t9. Inuutl d0, fur Plop. forted Gv01.19S.-S6iu, -Cha.e,•.- 1uh .11 Ifi•.nl. i A li...ur. S,; r 6 1(,•.0 nib 1; . Il.unir... 1'„•,I ho- ,( omwt l- •I t. �. In,l, ,I,u •.1 1111,. 1 I%I, lm - Iluul 11i.µ. -7. u•.': ihlhnq.-tl!ul. .11 I „rpl.i, r 1 Ire u, 1 .pr A V hn•-Furpl ii'. •1 •.. All., A, , rv. 1,. r A it .......• I"olrr 0 -all Stull- 1,11. 0alft,•, J•.. Ir uu.. ,',u,.IVe), w ) .i1ni•) 11ii,u�-5,11 Ilyt. � lhmru�,u„i 56. Eat. Steps -Odor & Sidelight Protection -Landings 57. Smoka Detector 58. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Mash, Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 81. Elec. Trim & Subpanel: Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove: Clearances -Hearth 64. Elec, Outlets at Wood Panel: Int. & Ext. 65. Kit. Fixt. & Appliance: Grnd.-Air Gap-Cookino Clearance 68. Elec, Outlets & Receptaclos at Kit. Counter _ 67. Garage Fire Door: Swing -Landing -Closer 68, A.C. Duct in Garage -Damper 69. Wit. Hlt,: Vents-Clearonco-Comb. Air-Connector-P.R.V.- In Garage: Above Floor -Mach, Protection 70. Plb.. EleC. & Mech. Equip, Listed for Location 71. Elec. Receptacles In Garage: (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fan. Vents & Crawl Ho10 Door -Drainage & Wood -Earth Clearance _Looked under Ftoot --. Yes 75. Following inslld.: Drive ^Yes [ No: Walks [ Yes No: Planters '-'Yes J No 76. Stucco: Brown -Finish 77. A.C. Unit: Oisconnoct-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Root. Ptbg.-Appliance-Firepl.-Clearance to Opngs. _- 79. Water Well, Disconnect. Electrical. Plumbing 80. EitMior Ele_c. Trim: G.F.I. R_eceptacto- Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections -84. Gas Test-k_Mters Tagged; Gas -Electric __ ewer Connected 85. -C/OWattr &_i -C/O to_Grodo-HD Approval - 96. Energy Compliance Certilicate-Othor Certificates Caid-01 Card -01 Da Card•nl Date- - - --- Card -Bl--- _Data----- --- --- Cma'(31 Dale Card -01 Date Cmmncw, nt Final NN COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMIT . OWN< / TELEPH�L 173v SQ. FT. OCC. BUILDING VALUATION v) OWNE S MAILING ADDRESS //� G C/ ^ / CO TRACTOR'S -NAME ELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ OO O Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ AR HITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 2-1-1a ,57 Solar or heat pump water heater 20.00 LOT NO. SU :D�NAME e ' PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUM '' SF❑ Duplex❑ Mobilehome❑ Other / ///7,� SP'CTFV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installat�ion❑ Other ❑ Describe work: � liu; �G/� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service ;Doo AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, 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 CONST. DWELLING OCCUP.& A New CONST , R.( ULTB OUTLET BRANCH CIRC ITS 2.50 ea .50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES zD ® 50C eAL(9 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject `K 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countio in conseque ce of the granting of this permit. Date S^S �% Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occ°P. COHST.TYPe I I LP�J PA L I PD H s u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE21CTOR OF PUBLIC BY PE IT EXPIRES Date_. the applicable provi- resolutions to do have been paid. WORKS Date _� �r3 5 i8 Receipt No. % L�� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT II {.a ti l iA k* s•�- - COUNTY OF BUTTE - DEPARTMENT OF PU,1PLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET t V Building Inspecto Permit No. A. P. No. 1(4 Date SS C �T At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitted. Plot plans ini3albitrioicate, signed by preparer of plans. . 3. Complete plans In duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. R. Fees of" $ . . . . . . . . 9. etter of signature authorizatio. . . . . . . _ 10. Sanitation approval from �� G•• Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name stylPail lassif.) 14. Owner -Builder Verification (Given to owner to owner ❑).S--s-2�� —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant l%� V �--C% Copy of plans sent Health Dept., Fire Dept., Other Date 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---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Yate Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. TO:' Building Department FROM:. Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LOCATION Akzelz, AP 4k Plans approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. 1A*��'OtherClearance for addition of ZAMOOM�� No4** ARIAN _ . DATE' r J LOCATION Akzelz, AP 4k Plans approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. 1A*��'OtherClearance for addition of ZAMOOM�� No4** ARIAN _ . DATE' COUNTY OF BUTTE - Department of Public Works 7 County Center. Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or, no) YI 2. I (have/have not)signed an application for a building permit for the proposed work. �4 3.- I have contracted wit the following person (firm) to provide the proposed construction: Name Address City Phone ,`� Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, rvise, and ,provide the major work: Name /� Address City Phone / Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social -Security Number Date NOTE: This Owner -Builder Verification is sent to you.as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must becompletedand returned to our office before we are per- mitted to issue the permit. O O O O OC C £vT I ( t I U ` o I. V) t This set of plans and specifications MUST bt A setback of 5 ft. from the kept on the job at all tim--s rind it is unlawful +o property lines and a setback make any changes or alter*;nns on same without of 50ft. from the road written permission from the Department of Public centerline shall be clear of Works, County of Butte. structuresnr equipment except S'u ARTo67 — for a 2 ft. eave overhang. 13r75� 'EriD�co1T ��,FcG� p�Rn�sc I�iNEs Lor-�w7 L g rPLAcCML:'H FOR[=)'Ii; WIi fZo�i r BUTTE COQWY T OUILDING_DEPARTMEN' _- APPROVE ��:.:._. -1436'97-. �� c ly O. O O O O O OC C £vT I ( t I U ` o I. V) t This set of plans and specifications MUST bt A setback of 5 ft. from the kept on the job at all tim--s rind it is unlawful +o property lines and a setback make any changes or alter*;nns on same without of 50ft. from the road written permission from the Department of Public centerline shall be clear of Works, County of Butte. structuresnr equipment except S'u ARTo67 — for a 2 ft. eave overhang. 13r75� 'EriD�co1T ��,FcG� p�Rn�sc I�iNEs Lor-�w7 L g rPLAcCML:'H FOR[=)'Ii; WIi fZo�i r BUTTE COQWY T OUILDING_DEPARTMEN' _- APPROVE ��:.:._. -1436'97-. �� tg:%,DZ n O 000 --, a CL m -► C Q 3Q I �� fl �• D _CL A G Fri Q' X33(DM, CLOw v► 0 0 3 rA N Im C) = IWO- ak � dD= gu.(m O W� 0 '3 Z , Art 0 D. tg:%,DZ n O 000 --, a CL m -► C Q 3Q I �� fl �• D _CL A G Fri Q' X33(DM, CLOw v► 0 0 3 rA N Im C) = IWO- ak � dD= gu.(m O W� 0 '3 Z , Art 0 n 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 ' / 7 k for the following location: ,Owner Owner's Address Mobilehome Mfg. f'• Model Year Insignia No. 11 ^' ' :- ` Serial No. It is hereby certified for occupancy at -the above described location and may be occupied. Director of Public Works Date r By\ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. i, V v PERMIT N,4 717-7EP,E PERMIT EXPIRES —R/3 ;7 OWNER Paradise Pines Mobile Home Estates CONTR. Hess Backhoe Service, Paradise LOCATION (A.P. 66-12-12 ) 40 Endicott Cir., lot 27, CC#2, Magalia y' 1i Temp. Power Pole Called PG&E Temp. Elec. Serv. Cal l edjPG& E Ar Tempus Serv. /JO/B ailed PG&E FINALED��(3a (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING 1NSPECION RECORD BUILDING BUILDING (Cont'd) F ewall S I PI in 1 t Floor 2n Floor 3rd oor To out Water Pipi Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test TemD. Gas Malk Bldg. Rest om Finish Fo ins WindowN Stem all Sldin Slab Roof Shea in Piers Roofing Garage Fdn. Vents Footin s Garage Vents Stemwal I Insulation Slab Carport Footings V Prov. for physical , Aandicapped Conformance of ex. structure Slab A Final Patio ' N I Footin s Footing isonry Walls Throat Reinf. Steel Final Bond Beam FIRE MECHANICAL Scra h Heatilig B n Coo ng ish D is In rior Lath entilation oor Closer Final MOBILEHOMEUTILITIES- - - - - -- Elec. Service .....� Water Piping � Sewer ✓/ IMOBILEHOME INSTALLATION - - - - - - - - - - - Support f` 3 Water Piping V11-3 2 g Drainage DATE REMARKS OR CORRECTIONS PLUMBING Final Grd. Failit Prot. Servs T p. Pole nder round Permanent anal Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) i kOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit. -required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes_` No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note passible variation at spring shackles.) (,Sec. 5082 & 5083) Yes ;-"No 4. Is the mobilehome level? (Sec. 5088) Yes�vc.No_ 5. If mor - than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water b A. Is'flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes / No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes t ----No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains U A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum " per foot slope and is it properly supported? Yes '--'No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No. . L , 9. Electrical ti A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on'lot, i.e., water pumps, garage, cabana, etc.? Yes ,/ No B. Is there proper clearances around panels? Yesy No C. Is power supply cord,or feeder assembly properly fused? Yes -1/140 D. Is continuity test satisfactory as per the following procedure? Yes INo 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. • 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to'the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA l Manufacturer and/or Namestyle Length— .T Width Vehicle Serial No. State Identification No. Additional Information or Comments: i OwnerParad-i P Mailing Address M Contractor Hess Mai I i ng Address P Paradise, Building Address lfiagi LOT_ s COUNTY OF..BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — , Uro%�Hle, California 95965 7/_ !��Telephone: 534-4541 . APPLICATION AND PERMIT 4 2. ephone No. Telephone No. A. P. No. (a Zoning & Planning s C. kgQ5joFire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovnts Plans Declaration p p eme BI eUnVRec'd Parcel Approval Plans Approval NEW ® ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hess Backhoe Serivice License No. 306577 Classification B _ BUILDING SQ.FT. I OCC. I BUILDING VALUA ION Fireplace BAL@1 Ex. Occup.(OUT ED. TS ((RESIiRE A) 2.00 Total Valuation 10.00 Mobile Home Facilities 15.00 .— Permit Fee 6.25 Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r/(:)) Repair drainage or vent piping 1.50 Water piping J16& r Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer Lawn sprinkler system 2.00 Permit Fee $ $ 7_TT__ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 r Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 OVER Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 IRC6ITS)2.50ea \RATUS &1 _ET CIR. // Ex. OCCUp(OUTLETS OR FIXTURES BAL@1 Ex. Occup.(OUT ED. TS ((RESIiRE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .— Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner Ventilation so as to become subject to the Workmen's Compensation Laws of Hood California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -men ' ned property for inspection purposes. l X XDate Signature ofd``� P,e�rmitee or Agent Receipt No. 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 2.00 $ .� TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORPUBLIC WORKS BY—,� Dated` `7d -c' 41 Building permit expires Date .. COUNTY OF B,lJTTE; — DEPARTMENT OF PUBLIC WORKS 7 Comity: Center Drive Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT 1� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� f ;a�_� Date Coo**' of Permi/tee or gent Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF BLIC WORKS By Date �� g permit expires Date /l •�� BUILDING Owner it VW 1 Se, 1 � (sS !� SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. J j Contractor S � �( ' Mailing Address i olu If,—�q Fireplace Valuation e h neTotal ���' Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE ��. e Z,, PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 rr A. P. No. `per %�s"" Z ' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe `/ W'C. Sawi4iica Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 // Bldg.d�ns Recd Parcel A oval PI pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ 0`> 9f? -7& ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00 Single Family Duplex ❑ Mobil Home C06 Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELLING OR ADDNST ( ACC. BLDGS.CCUP. Y) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: S, r4_' _MAii( __q! f 1. NEW c°NSTR BRANCH CIRCUITS) NON-RES'..(MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR, EX. OccuD(OUTLETS OR FIXTIIRES BAL@01 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..�D��� Classification G �J Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above$ information is correct. t agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 3� TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� f ;a�_� Date Coo**' of Permi/tee or gent Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF BLIC WORKS By Date �� g permit expires Date /l •�� BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? -----------------------'""-"" Natural / / LPG 2. Installer's name: is the gas pipe length from meter or tank to the mobilehome? (ft.) 3. Is the site currently under permit? Yes•- No mobilehome gas demand? --------------------------""'" (BTO) (If yes, furnish permit number �%/��-%� .__) OR information not required if pipe length less than 6 ft. on natural gas Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4: Will the mobilehome be located at least 5 ft. awayfrom septic tank and leach fields and clear of all setbacks and easements? Yes / F7 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- a�0 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7 What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) No _(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? -----------------------'""-"" Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? --------------------------""'" (BTO) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME'SUPPORT DATA If other than single wide, .Mobilehome Mfr. re,/4e a furnish Setup Model No. Year Width. or!Z _(ft.) Box Lengt(ft:) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS --"BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1511. Wood either Apressure treated or . foundation grade. *�a (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Egg: Concrete block. [:].2. Other ( specify) (ft.)(in.) (in.) (in.) Tagalong or Expando, show support details. Typical Support (in.) (in.) Footing Size (ft.)(in.) (iri.) (in.) / >i -- Max. Pier Spacing Max. Overhang (ft.)I (in.) &q 1 /�'X 30 BUTTE COUNTY BUILDING DEpgRTMM APPROVED *if center piers are other than drawn above, draw -in -locations, spacing, and dimensions. C/ 1 /� o T 1N3WidVd3(1 ONicri lg io - - -- ---- ; l -\r` - - --- --- - lNno:) 3-Lins M fu C E I '' 1 C C M Q ;Y as All utility ^connections shall be .� 8 located within 4 ft. outside the rear } P U) a� m ti� thir c ionl of the mobile home C E M s m i,- the le t (road) side of the mobile t c, - oo Jo home. . H o o a N a O C N t M• y� ., �. \ ���'r Yegct�re�► `, ,Septic syst�e � � m and location "' 1 \ ' to be as per The Setbac ;shall be 5 ft. fro Butte 'Co n ` , . . , .Health Dept. Re=1 the side pro f y line and 50 ft. fro Vis: uire ent . ►,. 1 the center�Y he road, permitting a maxi t y ft, eave overhang. N��' �'. �Ts LJ PARADISt ONTROL COMMITTEE SAM - ---- - .TRACT pAT t 22-7R'B° PERMIT N0. ;E PERMIT EXPIRES / <OWNER Rbrt H Wur2 H. Don Darby, Paradise CONTR. LOCATION (A.P. 66-12-12 '40 Endicott Cir., lot 27, PPCC#2, Magalia R, e. 1' e . C Q; ' yt • f b t. h" •i 7 i} Temp. Power Pole Called PG&E Temp. Eld'Serv. Call�'d PG&E Tempus Serv. alled PG&E INALED (Date) c (Sign v re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING.(Co i'd) PLUMBING Setback Firewall MECOANICAL Soil Piping Forms Parapets Heating 1st Floor Main Bldg. Restroom Finish Cooling 2nd Floor Footings Windows Ducts L 3rd Floor Stemwall Siding Ventilation To out Slab Roof Sheathing ZCr-. Water Piping Piers Roofing Sewer Garage Fdn. Vents A Fixtures Footings Stemwa I I JV 97 Garage Vents Insulation Y Water Htr. Heaters Slab Car ort p Footings Prov. for physically handicaped Conformance of ex. structureTem Gas Piping Appliances Gas PI In &Test . Gas Slab Final d Sanitation Patio I IFIREPLACE Final Footings Footina ELE TfIICAL Masonry Walls ThroatRou h Reinf. Steel Final Fixtures Bond Beam FIRE SPF INKLERS Motors Framing Test Water Htr. Stucco Final I Subpanels Mesh MECOANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---------------- Elec. Service Elec, Pedest I Water Piping Sewer Gas Piping M0016EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS f C (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye - .Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentio property for inspectio purposes. VVX Date �- rgnoture of Permiteeeoor Agent Receipt No. v Q 5 ''7� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO LIC WORKS BDate l y"-7 g ZyQ ing permit expires Date �0 BUILDING Owner �� SO. FT. OCC. BUILDING VALUA ON ;, 9176,10 Mailing Address Telephone No. Contractor Mailing Address Iq Fireplace Total Valuation -26 0,60 �ja�LSt ,¢ �SQS'SL Telephone No. _d371 Permit Fee a41 Building Address V,0 6-kAb 457 7- Lsi Plan Checking Fee&/or Penalty Permit Fee .7-4-4r.) $ ;Wdo PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 ,lb'T 9L. ice' Repair drainage or vent piping 1.50 A. P. No. GG "/1 2' /?1-/ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s a at' n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach Declaration Parcel Map 0' R/W Improve nts additional outlet .30 Building sewer 5.00 � � Bldg. aF't'ns Recd Parcel A al Planspproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 OC) 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING 0 OR ADDNST ( ACCLBLDGS. &) 20sgft 41,&0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CI T NON-RESID. (MULTI BRANCH CRCUITS) 12.5,Oea NEW CONSTR. ( POWER APPARATUS 6 NON -RES D. SINGLE OUTLET CIR. Ex. OccuV(OUTLETS OR FIXTI1RES B L19 0 Ex. Occup. (OUTLETSP(RESID )FIXED APLNS.REA� 2.00 Temporary service 10.00 C Mobile Home Facilities 15.00 License No..?/al i Ci (% Classification - / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /a '60 $ f P_ 16 C MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r I have placed on file with the County of Butte a certificate of \ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentio property for inspectio purposes. VVX Date �- rgnoture of Permiteeeoor Agent Receipt No. v Q 5 ''7� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO LIC WORKS BDate l y"-7 g ZyQ ing permit expires Date �0 ELECTRIC COMPANY License No. 354166 P.O. Box 663 Magolia, CA 95954 (916) 873-0851: COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES L Location__ Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x 3 =Tv V 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................ = 1,500 4. Ovens ........................................ _ 8OG 5. Cook Stove Top ............................... _ Y O O D 6. Hot Water Heater ............................. _ ZIS'O 40 7. Dishwasher & Disposal ........................ _ 8. Clothes Dryer ................................ _ 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts ..... �W First 10,000 watts @ 100% ................... ... = 10,000 Remaining watts @ 40% ....................... Or 10. Air Conditioner watts @100%.. _ ) Largest Demand = ,! CO Central Heat System 1 26,go . watts @ 65%.. _ ) 0 TOTAL DEMAND WATTS REQUIRED ........... .•,/ GFX 7 "Demand Watts Required" 230 .....t.,...... _ CAMPS De -rate Mobilehome to ... ..............:�................. . AMPS BUTTE COUNTY BUILDING DEPARTMENT APPROVED a30� j OAt C\? `�•' � ti Permit: 2369-78E Paradise Pines Mobile Home Sales 40 Endicott Circle Magalia HP: 66-12-12 (Install newelect. service 200 amp.) Properly install ground to neutral busse J.C. t 511478 Ok to PG& E. ' Final J.C. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 *r Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date I BUILDING Owner UJ J L 41� �' SQ. FT. OCC. BUILDING VALUATION Mai l Ing Address — Telephone No. Contractor Mailing Address .y �� yV� Fireplace Total Valuation Telephone No. • Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee _ - — PLUMBING No.1 @ FEE . • •«� 1 PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration I Parcel Map 160' R/W ,Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel Approval ' Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service io°o AMP ORV OR SLESS 5.00 3�. o,,u Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L too AMP 2.50 � ( I� Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING 0 CCUP. 'I)20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET NON-RESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON.RESID. `SINGLE OUTLET CIR. Ex. OCCUo(ouTLETs OR FIXTURES 5 L2tc FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 " Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -/� . • $ /( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date I f COUNTY.QF 6UrTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ...__ .___.... crit 011lall- UI ll IV I�UUllly UI OUllV lU CIIICI UPUII IIIC abovee--me/ioned property for inspection purposes. XcY / -J ' / ate Sy _;;V SS gnature of Permitee or Agent Receipt No./ _;77/2/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _. _-DIRECTOR OF PUBLIC WORKS By ����% �sl�v�-/ Date_ ✓ �7' /� E%ii% permit expires Date 5 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation lephone N .� SJ Permit Fee Buildi gAddress Plan Checking Fee&/or Penalty Permit Fee o✓ �. O C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. N Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s -W$: Sert� FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A provol I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERAnj Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Main service . sOov OR LESS a 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 f //�` ` G E /lj �O Main service OVER e0ov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW oCCUP. 7i) 2¢sgft OR ADDNST LING � CONSDWEACCLBLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCHCIRMULTI-OUTLET NON.RESI D. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS a NON . RES 1 D. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES1 50@25¢ BAL@? FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 _ / Mobile Home Facilities 15.00 License t1 ✓SI��� �fi Classification �. / Misc. Wiring 6.25� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Id s WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this K permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and -state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE 70 $ crit 011lall- UI ll IV I�UUllly UI OUllV lU CIIICI UPUII IIIC abovee--me/ioned property for inspection purposes. XcY / -J ' / ate Sy _;;V SS gnature of Permitee or Agent Receipt No./ _;77/2/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _. _-DIRECTOR OF PUBLIC WORKS By ����% �sl�v�-/ Date_ ✓ �7' /� E%ii% permit expires Date 5 .UNITY HOSPITAL + o Avenue ornia, 95965 SUMMARY WARD I AV AIL.1-� -PERMIT NO. P E M JQMH UTIL. PERMIT NO. 3454-74P,E PERMIT EXPIRES OWNER Rose Lipis �CONTR. Feather River Const., Magalia 4 -kOCATION (A.P. 66-12-12 40 Endicot Circle, lot 27, PPCC#2, Magalia e, Temp. Power Pole Called PG&E Temp. Elec. Serv. /(2 Called PG&E — Temp. as G Serv. c=-4 .Call ed PG&E JOB FINALED— /7 IZ:2 LA6Z� (Signatfy ig t• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Motors PLUMBING Setback Firewall Soil Piping Final Forms Parapets 1st Floor Grd. Fault Prot. Main Bldg. Restroom Finish 2nd Floor Brown Footings Windows 3rd Floor Ducts Stemwall Sidina To out Permanent Slab Roof Sheathing Water Piping= % — Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test / -577 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final `7 ., DATE REMARKS OR CORRECTIONS C -�� f 3U - 7 <� / / fi i9 r/vt c�-h Co,.�i c� v �v c! / z41 �`"` -7y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 LLCM, T Telephone: 534-4541JT APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i AL1' X Date - Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod-Applicwt This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS i Dateing permit expires Date ........................... +...... BUILDING Owner, SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address � , � 12 g Permit Fee Plan Checking Fee &/or Penalty }�a o / Tel�'�ne �aO Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 O `7 �^ Each Trap 1.50 Q Repair drainage or vent piping 1.50 Water piping 1.50 /,S -C) Each gas water heater or vent 1.50 A. P. No. p-- Z- % Z� Zoning & Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sani ri ire Dept. Fire Zone Use Permit Building sewer 5.00 e.7d EOA Parking Parcel Plans eclaration Parcel Ma p 60' R/W Im p Improvements Lawn sprinkler system 2.00 g. Ions Rec'd P pprovol Plans Approval Permit Fee $ S $S NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 •�� Main service incl. 1 meter ,vim Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) rM Single Family ❑ Duplex ❑ Mobil Home LA Others ❑ Range, Cook -top or Oven 1.00 SQ r7-�L SP'P''`CF Water Heater or Space Heater 1.00 Light fixtures al(6120 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: -�?! f%1. /J�- /i��.✓✓ �� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00S 49t7 Temp. Power Pole 5.00 License No. Classification / Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ da WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r% -A I have placed on file with the County of Butte a certificate of �t Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i AL1' X Date - Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod-Applicwt This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS i Dateing permit expires Date ........................... +...... COUNTY OF BUTTE — DERARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534 APPLICATION AND PERMIT;�Z authorize representatives of th ount f Butte to enter upon the above- m ntioned p per for ' e i n urposes. Date —ZAI* Signature of Permitee or Agent Receipt No. /.-2 il"�- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR QP, PUBLIC WORKS Date _//—/Y' -7'9C Building permit expires Date ........................................ BUILDING Owner f �S, F . �S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S Total Valuation Mailing Addresso, �� ,�s .�j 3� Permit Fee Plan Checking Fee &/or Penalty r / G O1-35 ele hone No. Permit Fee $ is Building Address_ PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 U/ O z m Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ��ij ��jj ,mac SCJ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 $—O Each additional outlet' .30 Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES & OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 / !40X/ — S C F ��jJ>;77 Main service incl. 1 meter s- Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_dl0 Receps., switches & fix outlets 20��22�5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring .M111111110am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3� authorize representatives of th ount f Butte to enter upon the above- m ntioned p per for ' e i n urposes. Date —ZAI* Signature of Permitee or Agent Receipt No. /.-2 il"�- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR QP, PUBLIC WORKS Date _//—/Y' -7'9C Building permit expires Date ........................................ Y ' 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: �f 3. Is the site currently under permit? Yes /r-/ No ( If yes, furnish permit number C14 I ! 'OR Is the site an existing site? Yes ,,—_� No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? __________________e___-) Amps 6. What is the mobilehome site service rating?---------------------©� Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) site service. -------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 6;Ze9 (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) MOBILEHOME SUPPOK'U DATA Mobilehome Mfr. 412 h L [ Setup Model No. Year Width C- (ft.) Lengthy (ft.) Expando'Size _ ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). jjwd&1,� SLile Footings - (check . one) <<•' i1. Wood either . A - pressure treated or Center Center Support fdn.-grade. Support Footing Sizes Locati (in.) / 2. Concrete pad. x / / 3. Other,'specify — — — _ Supports (check one) Concrete block 1 --� x 2. Concrete piers, (f��inl -(in:)-(in.) 3. Steel piers i 4. Other, specify -.1 r.4. .... ...... . Typical Support ��� Footing Size (� (In.)... ln. in.) in ............. ..... , MSaxacpirlier (in'.) (in.) �'� Max. )Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE C— of ...Y BUILDING DEPARTMENT APPROVED All. utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. O c d 0 c N � C 0 N CL c a, 0 i (D r: }-c to o ,° m 4 4 .0 0 CL o o A � c o u r: � 0 oil d a o ' S 157-15 ro(z L---1fo L�V L1*4) C Y --k o 7- o_ X . h'- C 0 OyaAt,01W The '. Setback' shall be 5 ft. from the side property line. and 50 ft. from the centerline of the road, permitting. a maximLif a 2 -ft. eave overhang/ ! i;� �' I .� I.,Ah : (oil I al { PARADISE PINES — TRA ` -----''_7T -2 7 I DATE.- _�S�!!y r•^"-.0 C, a- 1 .Z 3 q�. v tetAi o ' S 157-15 ro(z L---1fo L�V L1*4) C Y --k o 7- o_ X . h'- C 0 OyaAt,01W The '. Setback' shall be 5 ft. from the side property line. and 50 ft. from the centerline of the road, permitting. a maximLif a 2 -ft. eave overhang/ ! i;� �' I .� I.,Ah : (oil I al { PARADISE PINES — TRA ` -----''_7T -2 7 I DATE.- _�S�!!y r•^"-.0 C, '+Sr PERMIT NO. 71-76MH2 ' 1 P E M 'MH UTIL. !,PERMIT NO. t PERMIT EXPIRES�zz%� OWNER Cliff Carlson 4 .CONTR. S.O.S, Paradise ILOCATION (A.P. 66-12-12 ) X40 Endicot Cir.,lot 27, PPCC#2, Magalia • �1 . . r +i C � _ �l1 i i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E o2 Temp. Gas Serv. 'Called PG&E JOB FINALED_176 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD UICDING� BUILDING (Cont'd) Setback iv, Firewall y, Forms Parapets Main Bldg. Restroom F ish Footings Windows Stemwal l Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwall Slab Prov. for physical` handicapped Carport Footings Conformance of ex structure Slab Final 2 - Patio Footings Footin Masonry Walls Throat Reinf. Steel Final Framing Test Stucco Final\ Mesh \ Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final FIREPLA FIRE SPRIMKLERS ECHANICAL DATE REMARKS OR CORRECTIONS VO 1 PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ;2, z �- 'T v L ELECTRICAL Fixtures Motors Water Htr. Subpanels Grd. Fault Pro' Service " V Temp. Pole Underground Permaqerlt Final r, ' 'MOBILEHOME INSTALLATIbN INSPECTION CHECK LIST `" 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to.plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) yes -?—(-No 3. Are footings and supports properly sized, spaced, and braced as per per approved -plans? (Note possible variation at spring shackles.) (Sec., 5082 & 5083) YeS No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes i No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes, No B. Test - Does water piping withstand working pressure or 50 lbs. air test?-YesX_ No C ckflow - If coach is not State of California approved, does station have backflow device /Wd pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes"-/, No B. Does it have minimum 4" per foot slope and is it properly supported? Ye A No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No� Di;is coach is not State of California approved, does station have required trap and vent? ' No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves -1 J 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14"'water column, or test faith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9.. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeses( No B. Is there proper clearances around panels? Yes No C. Is power supply cord/or feeder assembly properly fused? Yes No� D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral, 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. r. 10. Is job card signed by Health Department for water and sanitation? I 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width E Vehicle Serial No. State Identification No. Additional.Information or Comments: COUNTY OF BUTTE = D&ARTMENT OF PUBLIC WORKS • 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541�� APPLICATION AND PERMIT c icN�cacnwuVVQ VI IIIA �,,Uull,y UI Duuc Lu UIRUI uNun uIe This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X c Date ��47 DIRECTO F PUBLIC WORKS Signature of Permitee or Agem B 19 - 7 Receipt No. `/ � — pate �_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date Z—/� 7% BUILDING Owner ASA SQ. FT. OCC. BUILDING VALUATION Mailing Address /G Le_-�G* Telephone No. Fireplace Contractor 6-7z9 Total Valuation Mailing Address 1 �� Permit Fee Plan Checking Fee &/or Penalty eo_ Teplo�e No o� j//eePermit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 F Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �j -- Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fed. W S FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES[] OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter _ .. Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — ingle Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures '2U�2 Receps., switches & fix outlets 20 P 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of W men's Compensation Insurance. certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesOTAL and State Laws relating to building construction, and hereby PERMIT FEE $ c icN�cacnwuVVQ VI IIIA �,,Uull,y UI Duuc Lu UIRUI uNun uIe This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X c Date ��47 DIRECTO F PUBLIC WORKS Signature of Permitee or Agem B 19 - 7 Receipt No. `/ � — pate �_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date Z—/� 7% yam. Q ► 4908-78B F�ERMIT NO. PERMIT EXPIRES- OWNER Robert Wuer-.z CONTR. Panorama MXYTN Awnings, Chino 66-12=12 LOCATION (A.P. ) 40 Endicott Cir., lot 27, CC#2, Magalia rt_ i �l Temp. Power Pole. %1 Called PG&E A qq Temp. Elec. Serv. N Called PG&E 4 Temp. Gas Serv. 1� Called PG&E I JOB FINALED G (Date) (Signature) COUNTY OF BUTTE -y DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILPING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finistc 2nd Floor Footings Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physical handicapped Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab Final - Sanitation d�lJ48t c/U 1REPLACE Finial ootin s lo Footing _ ELECT CAL. Reinf. Steel Final Fixtures Bond Beam FIR SPRINKLERS Motors Framing - G^' Test Water Htr. Stucco Final Subpanels Mesh M—EIW N I C A L Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish n—t. I I Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS d, o . - jj�,��t (NO otftb-e made on this form each time you visit the job site.) COUNTY OF BUTTE " DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-*Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representativesof the my of Butte to enter upon the above -me toned property for i pec purposes. �l X Date Signatures of PerQmiteeee or Agent Receipt No. ` Z- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/QBLIC WORKS By_ate,x ?r �,/ / y ding permit expires Date �' BUILDING Owner rw SO. FT. OCC. BUILDING VALUATION .3 -?,7Z, 00 Mailing Address O E Q, OCA Telephone No. Contractor 21� �;V_r Mailing Address Fireplace Total Valuation p Telephone No. i7lPermit Fee Q Q Building Address Plan Checking Fee&/or Penalty Permit Fee 0 2Gls . PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. N (p —�z — T/ Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fk es S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Impr ments Each additional outlet .30 Building sewer 5.00 g. Plans Recd �� Parcel A (oval PI ns Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 �f Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BL GSCCUP. 4) 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name StvI� f: �U`� NENO R NST W CONSTR MULTI -OUTLET N. ( BRANCH CIRCUITS) 2.50ea NEW CON STR (POWER APPARATUS.Si NON-RESID//. SINGLE OUTLET CIR, Ex. FIXTtIPES 50@� ) BAL@1 EX. OCCU FIXED APPLNS. OR p'(OUTLE.TS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No�lic7E.� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 01 ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ of authorize representativesof the my of Butte to enter upon the above -me toned property for i pec purposes. �l X Date Signatures of PerQmiteeee or Agent Receipt No. ` Z- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/QBLIC WORKS By_ate,x ?r �,/ / y ding permit expires Date �' r , C - , 9 Sri 2 (e I\A ip - k lei. iN LiC. - 34; Z S3 -l2 r jam_ NOTE:—All Materials & Workmanship Shall Be in Tht3 of plans and specifications MUST be Accordance ith Recoqnized Good Practices and ; of a quality Frescribed fat the Specified use -in- the --- kept on the job at all times, and it is unlawful -Jo. Uniform Buildi g, Plumbing & Machanieal Codes and make any changes or alterations on same without the National Electrical Code. written permisson from the Department of P4161;1 Works, County of B11ttA. l� (z1 .J Vag A,cJ 4A+./N /U C7 � !� The tback shall Abe 5 ft. from flo he property line an& 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave ovethang but entirely out a"easements. Siptic system .location of I tag�d+-*-fib-�' tube tea: Butte County Health Dept. ouirements.<Kl rk'��---+ _ DECK AllD f�uJ�liti1�, r ; R _ R BUTTE COUM Y WILDING DEPARTMENT APPROVED_1/4 X. ' C,oa rh Net Li h s. 10! .x 3s Deck LA Ton View Coach with Deck Z- 8 CCX TGPS Plywood (typ. ) x DF Std or better 3 1Q" x. 10" concrete pie ( t-� p' ) o (typ•.) 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PROYI: Nainc: Coldwell Banker Ponderosa Real Estate Address: 7020 Skyiiay Paradise, CA 95969 Attn: Phonc: 877—G244 Pax: 3*77-54GO TO: Butte County Building Division 7 County Ccnter Drivc Orovillc, CA 95965 Phonc (916) 538-7541 Fax (916) 538-2140 SUBJ: Request for Building, Pcrmit Information Request you research the building, permit records for the following, parcel: A.P. // ADDRT;SS OWNER'S NANTE 13 71,�;- 646C6�11 -�e Lzi /7 417 Plcasc research any building, permits applied for, issued and finaled on this property. I understand a research fee of $23.00 (minimum) is required by the Building Division. Research and report time in cxccss of 30 minutes will bc: biiicd is `$146.00/hour in 30.minutc intervals. (Butte County Ordinance //3075, cl-fcctivc 7/12/93, requires payment of this fcc.) Plcasc f Mail 0' Pax report to me at address/Pax // above. Signature of Requester Atch: Chcck for $23.00 17"(Payiblc tb•Dutte County Treasurer) 10 / -9 z I CO , OCh- .1 4-0 File Copy Owner .<�WAR'T OOr APN 66 - [10 - 012 y BP# d (0 ~ 11 Yej