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HomeMy WebLinkAbout066-120-100B07-0111 066-120-001'1 Electric Panel MISCELLANEOUS REPLACE ELECTRICAL BOX 13749 S PARK DR. INE MACHUTA, ALBERT J & LORRA 708-0553• 066-120-001 MISCELLANEOUS' Gas Lines REPLACE GAS LINE EXTERIOR ON] 13749 PARK DR MACHUTA, ALBERT J & LORRAINE n t -- —__ ; `�'`. • ._ _ _ ....� _ - � ; Norman Crozier 66;12-1 3,Loika i ? 380 So.Park Dr., lot 1, PPCC#2, Magalia contr: Fuller Const., Magalia Permitf3023-79P,E(util.,MH) ELEC. ®�� P ad©i9sra. GAS SUPPORT STRUCTURE RQ. COMPACTION TEST REQ. 66-12-1 contr: Bruce Roethler..., Permi #3893-79B,E(new pri.det.garage) .�rrQ 66=12-01• Contr : SGS MH;. Sales, Chico Permit ##4287=79MHI Issued 2� -7 �7 066-120-001 02- ROSE, FRANK cLCE 13749 SOUTH PARK DR., CONT: MARVIN PLOURD EX MH PERM FND EX SITE 066-120-001 02-0571 ROSE, FRANK - �NALE� 13941 S. PARK DR MAG j0 -2y-0 REPLACE EX DECK B07-0160` 066-120-001 MISCELLANEOUS Patio Cover/Cvd Pch REPLACE DECKING DECKS & GARA- 13749 S PARK DR MACHUTA, ALBERT J & LORRAINE i a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 119* BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13749 S PARK DR Owner: Permit No: B07-0160 APN: 066-120-001 MACHUTA, ALBERT J & LORR Issued Date: 12/31/2008 By TMP Permit type: MISCELLANEOUS 13941 CHESTNUT CIR Subtype: Patio Cover/Cvd Pch MAGALIA, CA 95954 Expiration Date: 12/31/2009 Description: REPLACE DECKING DECKS & GA (530) 873-4581 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: DEWAYNE ALAVAZO Building Garage Remdl/Addn 6453 SHAW CIRCLE MAGALIA, CA 95954 Other Porch/Patio Total (530)873-4776 FEE INFORMATION DBMSC Deck (Wood) $109.98 Total Charged: $109.98 Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B1637 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 License Law [Chapter 9 (commencing with Section 7000) 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. 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 X 12/31/2008 the applicant to a civil penalty of not more than five hundred dollars [$500); Pleas eck one of the following: Contractors Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's Li a Law.). Cartier: Policy Number: Exp. Date: �) (This section need not be completed if the permit is or one hundred ($100) or less.) I AME _ MP rider Section �: & P.C. for this reason: ❑ 21`CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �' /' ISSUED, I shall n employ any person in any manner so as to become subject to the Workers' Compensation1'ws California, and agree that if I become to the f of ould subject workers' X compensaliop provisions of Section 3700 of the �r Code, I shall forthwith comply with those provisions -� r'sSignature �' Date X -., /� ""7:2/31/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building (i ."1_ Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned prop rty for inspection purposes. I hereby certify that I am the propertyowneroramauthorizedtoacA- r�propertyowner's behalf. CONSTRUCTION LENDING AGENCY / JG�G'a' � " 12/31/2008 Name of Permitt a [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) / - ❑ Owner. El Contractor OR; EjAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State zip 0 BUTTE.COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION. Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name First Name Mailing Address City State Zip Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. 0 BIN # I PROJECT LOCATION I AP# i°i�.,�n _ rin_ 17() i Property Address 4 �� " �Jy' WORKER'S COMPENSATION Policy Number Carrier 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: Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits ❑ Proposed Change of Occupancy j (Note previous use): For office use only: Zoning Flood Zone SRA Ye, do T Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0160 Date: 01/26/2007 Location: 13749 S PARK DR By: AAM . Parcel Number: 066-120-001 Sub Type: Patio Cover/Cvd Pch Owner Name: MACHUTA, ALBERT J & LORRAINE Phone: (530) 873-4581 Description: The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 R l M o PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 8464723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning De artme t, 3016 Sixth Street Biggs CA959117�- (530) 868-5447 Other: n/1 �I7ti �f/, TT 0 A , 11141-2.,On� Other: Other: Signature of Property Owner: FILE Date: 01/26/2007 January 31, 2007 Butte County Building Dept. Permits Oroville, CA FEB - 5 2007 DEVST s2mcEs I authorize Dewayne Alavazo to pull any needed permits for any of our properties located in the County of Butte. Robe6Mach 13941 Chestnut Circle Magalia, CA Robert/Marilyn Machuta Albert/Lorraine Machuta Cc: Carol Swart Office Manager January 25, 2007 'Butte County Building Dept. Permits Oroville, CA 1 authorize Dewayne Alavazo to pull the permit for deck repairs located at 13749 South Park Dr., Magalia, Ca. 95954 Robert Machuta 13941 Chestnut Circle Magalia, CA Carol Swart Office Manager December 30, 2008 Butte County Building Dept. Permits Oroville, CA I authorize Dewayne Alavazo to pick up the permit for deck repairs, front and back located at 13749 South Park Dr., Magalia, Ca. 95954 13941 Chestnut Circle Magalia, CA Carol Swart Office Manager ?tie County Department of Development Services SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR C(ilTi"1"Y v1( 1 County Center Drive Oroville, CA 75965 btu 530) 538-7601 Telephone DEVALMM T. (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. e If ynu are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including st= and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY IDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IlvIPROVEMEN YES 2. I (HAVE VE N ) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY, PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY. PHONE CONTRACTORS LICENSE NO— S. 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 Description Reference Number: B07-0160 Applicant Name: DEWAYNE ALAVA Signature of Property Owner: -772&6'rf£ Date: l/ G BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13749 PARK DR APN: 066-120-001 Owner: MACHUTA, ALBERT J & LORR Permit No: B08-0553 Issued Date: 3/27/2008 By GLB Expiration Date: 3/27/2009 Permit type: MISCELLANEOUS Subtype: Gas Lines 13941 CHESTNUT CIR MAGALIA, CA 95954 Description: REPLACE GAS LINE - EXTERIOR 1 (530) 873-4581 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: FERNEA CONSTRUCTION FERNEA CONSTRUCTION Building Garage RemdUAddn 135812 WITCHITA DR 135812 WITCHITA DR MAGALIA, CA 95954 (530) 216-7196 MAGALIA, CA 95954 (530) 216-7196 Other Porch/Patio Total FEE INFORMATION DBP Gas System (includes 1 out $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B6834 LICENSED CONT_ RACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires FERNEA CONSTRUCTION 894704 / B / 4/30/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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 I HEREBY AFFIRM UNDER PENALTY ERJURY that I am licensed under provisions of Chapter 9 (comma ing with Section 7000) of Di ' 3 of the Business and Professions Code, and my license is in full and effect. X /27/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signal Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the STATE FUND 229-0038842 Exp. Date 4/112008 Policy olicy Number: : (This section need not a completed if the permit is for one hundred dollars ($100) or less. Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' rnia, and agr at if I should become subject to the workers' X 3/27/2008 =action Section 370Labor Code, I shall forthwith comply with thoseOwners Signature Date X��-3/27/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Cou to enter the above mentio d property for inspection purposes. I hereby certify that I am the Prop er or am author act on the property owners behalf. 3/27/2008 Signature Date WARNING: FAILURE T ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( 1 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY - 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) N me o ermittee IG Print Date ❑ Owner ❑ Contractor OR; 0Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT �L NO. b% - BIN # "When fled, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Cl v V` Fiat Name u LO Mailing Address c e e i( r— City 1 i Statr /T Zip PhoneFax .� Zip E-mail I APPLICAAFV SIGNATURE I X PROJECT LOCATION API Property Address/3-7V/'3 ddress S City ru I WORKER'S COMPENSATION CONTRACTOR Name `Vl Address j .— JSta� City Statv,4 c Zip Pho 722/ Fax E-mail Fax Lic. # u476)Class State License Number I APPLICAAFV SIGNATURE I X PROJECT LOCATION API Property Address/3-7V/'3 ddress S City ru I WORKER'S COMPENSATION ARCHITECT/ENGINEER Name Flood Zone Address j .— JSta� City No State Zip Phone Jr ?ale —7 Fax E-mail State License Number I APPLICAAFV SIGNATURE I X PROJECT LOCATION API Property Address/3-7V/'3 ddress S City ru I WORKER'S COMPENSATION APPLICANT INFORMATION Name Flood Zone Address j .— JSta� Cit No Occ. Zi S P ho ne' Jr ?ale —7 Fax -mail I APPLICAAFV SIGNATURE I X PROJECT LOCATION API Property Address/3-7V/'3 ddress S City ru I WORKER'S COMPENSATION Policy Number .� q Carrier Flood Zone If hiring anyone other than licensed 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13749 S PARK DR Owner: Permit No: B07-0111 APN: 066-120-001 MACHUTA, ALBERT J & LORR Issued Date: 01/19/2007 By KCG Permit type: MISCELLANEOUS 13941 CHESTNUT CIR Subtype: Electric Panel MAGALIA, CA 95954 Expiration Date: 01/19/2008 Description: REPLACE ELECTRICAL BOX (530) 873-4581 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: JEFFORD LIGHTING AND ELECTRIC JEFFORD LIGHTING AND EI Building Garage Remdl/Addn 5456 BLACK OLIVE DRIVE 5456 BLACK OLIVE DRIVE PARADISE, CA 95969 PARADISE, CA 95969 (530)877-5319 (530)877-5319 Other Porch/Patio Total FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1547 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License JEFFORD LIGHTING AND ELE(862048 / C10 / 07/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full fo d effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil five 01/19/2007 penalty of not more than hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the 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 improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 Labor I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractofs License Law.). Carrier. Policy Number: Exp. Date: (This section need not be completed if the permit is or one a hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF TH-Y WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any man�5er so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/19/2007 comp!n:pl provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisi s. X 01/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, njury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro" owner or am authorized to act on the pro erty own is behalf. Z_Jti�/d Le �iai ire/ 01/19/2007 CONSTRUCTION LENDING AGENCY' 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee (SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner (1 Contractor OR; Agent for Owner Agent for Contractor �W FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (5.30) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Fi am Mailing Address 13 City /1' M A State Zip t'S1 S y Phoneg y Fax E-mail �— CONTRA/CTO/RR ARCHITECT/ENGINEER Name LJ -oo Addres�� Address Zip ��j G City Sta State Phone�� SlyFa119 x S��S E-mail Fax E-mail Lic.'69# 0,/, s4/� Clash APPLICANT INFORMATION ARCHITECT/ENGINEER Name City /� �b Address Zip ��j G City F 1,- J 7 State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name / o Address�3 City /� �b Statt� Zip ��j G Phone2-,77 , 1 F 1,- J 7 E-mail APPLICANT SIGNATURE X PERMIT NO. 807-oi 1 BIN ti PROJECT LOCATION AN U - Qc Property Address i 3-7qq S Park hr. City WORKER'S COMPENSATION Policy Number / �f Carrier 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: J Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning F Flood Zone SRA I Yes No Occ. Type Const. 455,00 NOTES RESIDENTIAL '066%120"001 ,} , T ` 02- 25711 } ;PERMIT NO - ROSEILFRANK 13941 !S PARK DR MAG �REPLACE''DECK EX f 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t f r 1 t JOB FINALED (Date)�i/���/%� Signature J = �)K 0 = Not OK . = NotReadyable DECI %COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Rot�,Shthg-Roofing xt.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card Date - Card B-1 1. Zoning Requirements -Setbacks -Easements Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and "Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals" 11. Verify #'s with Office ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECI %COVERS, CARPORTS, GARAGES (Plans) OK except #'s Z ing Requirements -Setbacks -Easements Fo Ings; Soils -Size -Depth -Spacing -Connectors -Steel ecks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Rot�,Shthg-Roofing xt.; Steps -Doors -Landings 12. Braced Wall Panels Dat Card Date - Card B-1 Date j�^de Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts=GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date 62. Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Infiltration -Walls -Windows Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation 64. 38. Condensate Drain & Overflow, Size & Grade 65. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 66. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Stairs & Rails 41. Sills Proper Materials & Anchors Fireplace or Stove, Clearance -Hearth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Elec. Outlets at Wood Panel, Int. & Ext. 43. Bearing Walls over Girders & Floor Nailing Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes Cl No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 3 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-2571 ASSESSOR PARCEL NUMBER 066-120-001 ZONING BUILDING PERMIT OWNER Rose. Frank TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13749 S_ P2rk Dr MaRalia CA 95954 98 0 1960,00 CONTRACTORS NAME Machuta Bob TELEPHONE CONTRACTORS MAILING ADDRESS 13941 Chestnut Circle Ma alfa CA CONSTRUCTION LENDER Fire I.ce LENDERS MAILING ADDRESS Total Valuation $ 1960.00 ARCHITECT OR ENGINEER LICENSE NO. Flip Fee $ 20.00 Permit Fee $45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $29,25 BUILDING ADDRESS 13749 South Park Drive Ma alfa Energy Plan Checking Fee $ $ PERMIT FEE $ 94,25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: replace deck Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 13"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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) Q' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the worker ' compensation provisions of section 3700 of the Labor Code, I shall fort it comply with th se pro ' ions. X Date Q Signature of Vicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS; SO N" �..ESDT' MULTI -OUTLET 97.50 POWERAP= ' 8 SINGLE OUfLEf CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ 1.50 MED APPLNS. OR Ex. Occup. ounETs RESID. E,5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ g4 , 25 HAZ. D. FEES IMP FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. QDate4,Y102- / 71 03 Dete ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO WHOM IT MY CONCERN: BOB M,ACHUTA HA .- JAY PERMISSION TO REp'-LACE THE DECK AT 13749 SOUTH PARK DRIVE IN MAGALIA. F ' K ROSE, OWNER SEPTEMBER 24, 2002 August 13, 2002 To whom it my consign: xBOB MACH-UT: Has My Frank Rose permission to handle and execute all repair work to be done on my House (13749 South Park Dr.., Magalia.) All contractor and workers to have Liability insurance and relieve the owner ( Frank Rose of all Liability for work is to be summated to. Escrow where there is enough on. deposit to pay bills. Frank Rose owner I HAVE RECEIVED A COPY OF THIS DOCUMENT Sigg gpre- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95,965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Q a 1,_,'1 X 11�; ASSESSOR PARCEL NUMBER 6Z —2a — / z Proposed Building Use: t.04 1 4& O 'k Counter Technician: Date: Items required in order o apply for a permit. All boxes MUST be checked OR marked NA in order to apply. FIr 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 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 faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) *14. Fees as shown on the attached Schedule of Fees Due Sheet............. ........................... m 15. Statement of Intent for Non -heated and A/C Buildings .......................................:... 1P6. Sanitation and plot plan approval from the Environmental Health Department in b D 7. City,._of,Chico Plumbing permit......................................................................'.. ❑ 18'%, �itfgmta pepartment of Forestry plan approval ❑ paid. Sent. by: ...................... ' �D�t93P1aAtitNtng approval for (A) Use: �_(B)Parking: _ (C) Parcel Check: OI - Ri2JA;Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 0 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (1) Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Peed, ❑ H. Titl Statement of Facts, Letter from Legal Owner, ❑ Check to H.C.D la,�I Other: When issued Telephone S" and hold for pickup. I have been infor ed of the above items and requirements for obtaining a buil �yrmit. Ap 'cant: Dat -� 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter by Date: Plans approved by: .�; Date: - S 2-L, _Structural approved by: Date: Yellow: Building Division E.N. U 0 7 Piot Plan Attached Mat Plan Attached S®nt to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1� M �t I&- <; 2-0 Owner Location AP# Plan Approved for: Sewa osal % Wate Supply: P blit Private Well tv �ox t Cle rance for dwell g. Other r 0 Hold final for: Final clearance O.K. for: f NOTE: Environmental Health Specialist 8/96 APPROVED sults County unvirohrrental. Heeiilh SEP 17-2002 Chico, CA D U) m KIM wwQ4. % *I,, a Net we w d.8e bZ40"IN to, .+ -111 P 6WA too PrAme .t k Av �l .G`�R i Nloci'ta�ltttJ . Environmental He SEP 17 2002 Chico, CA I rn 0 0 co C) vp C= tN 1dlt i' It I rn 0 0 co C) vp C= tN 0 rn Ln =� 3 O --j CD N CD N 0 O`VNER-BUILDER VERIFICATION Anencion Property Owner: An "owner -builder^ building permit has been applied for in your name and bearing your signaou+e. Please complete and return this information at your earliest opportunity to avoid nnneoeasary May in processing and issuing your building permit. No building permit will be issued Iiiia dais verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YE$�d NO E 2 I HAVE-,16"HAVE NOT C signed an application for a building permit for the pt+aposed w L ;. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ 4. ADDRESS: PH I plan to prov supervise, and N:INIE: ' CONTR4CTOR;S-LICENSE NO. of this work, but,Fhave hired the following person to coordinate, major work: ADDRESS: %\� CITY: PHONE: i CONTR,kCTOR'S LICENSE NO. 5. I will provide some off/the work but I have contracted (hired) the following persons to provide the work indicated;. NAME / ADDRESS PHONE \ TYPE OF WORK i SIGNED: PROPERTYOWNER: SOCIAL SE ER: DATE: XOTE: This Owner -Builder Perifieation is required by Section 198.31 and 19831 oVAW California Health and Safety Code. This verification trust be eotPleW and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION A.m application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as -owner-builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally perebrMh � &ir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. Ifyou plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ (f you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cam out these obligations, and these risks are especially serious w;th respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact he Department of Benefit Payments and the Division of Industrial Accidents. It the strucrtit is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pernit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 101-0 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these masers. The building permit will not be issued until the verification is returned. r rely, ivtie el C. Vi ira, C.B.O. of ger, Building Inspection NOTE: T/rir 0waer-Builder Information is required by Section 19810 of the California Health and Safely Cods OVER CIA I I -p- C -ML c) Ye- � Oe I a eo f::xxNj , 7 Li C\ ak, lz, lie, "00 IK, 2� � 'I rl C— CA- 1 '4 GeWeAa� I a �J-. L IR BUTTE COUNT Y 3CfILDING DEPARTMENT APPROW P Ppx) p cD s � L 'i wi r cA 'PN.e- (',.P— - L -o] 't \rN T-Ilsolz� BUTTE COUNTY WILDING DEPARTMCN7 ,IkPPPOVFP U a6 a (� S rrl N �J O c aZZ r C Q R V r v cal. y � w � ' o � 0 10 z z Ts 97 w d3 —D � 6 LA 113 A.CLA- 10 11J. ? � A tj -'Pe, % 9, s � 4-a t'e Fj ' � 8 di �! t AN liK- qq!1t iha � 1 i f v . 971j @3 t ® ®n �1 6� ggI }i m Fj ' � 8 di �! 9� e6 3 qq!1t 'i i f 971j @3 t �1 6� ggI }i Fj tri P CP -CLD 'O )VIP �j � r w OD pt 0 r 9 t9 �► N S` 00 a y' �s rn �Z NOTES RESIDENTIAL PERMIT NO. j 066-120-001 02-2366 ROSE, FRANK ---=--r- -- -- -- 1 13749 SOUTH PARK DR., MAGALIA CONT: MARVIN PLOURD 4 EX MH PERM FND EX SITE 1 THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL .ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: k (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL &`LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ca / is71clat3 JOB FINALED (Date) 9. Signature 2.�? _:�` r J=OK ' 0 '= Not OK Not . NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat.'or / ./" L "ft./ • /' LPG 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line . 1.' Setbacks -Easements 3.. Gas; MH Test -Demand -Valve -Connector Soils; Compaction -Structure Stability 4. Electricity; MH Test-Crossovers-Breakers>Clearances Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector Elec.; Receptacles and Lighting, Distance -GA .6. Water; MH Test -Regulator -Connector Elec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type- Instal lationCert. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 10. Exits; Insp.-Sketch Health Department Approval 11. Cert. of Occupancy Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. 'Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn,; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1.' Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotRESIDENTIAL - =Not AAppplicable ` . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2.; Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-CriDDies \S 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing \ i v Ingle & Duplez) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 83. Following Instld./Drive 0 Yes Cl No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water . 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing \ i v Ingle & Duplez) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 83. Following Instld./Drive 0 Yes Cl No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MAI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 J�PR/No� (Rev.12/96).. APPLICATION AND PERMIT AiSESSOR PARCEL NUMBER 066— ZONING BUILDING PERMIT / OWNER ROSE, TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1_563 R C72 944.00 . OWNERS UNG ADDRESS 13749 SOUTH PARK DR-, MAGATIA, CA 95954 CONTRACTOR'S NAME MAR879-1096 TELEPHONE CONTRACTORS MAILING ADORESS 1984 WAGST RD_ PARADISE, CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 82 944.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 563/2 $ 281.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDINGADDRESS 13749 SOUTH PARK DR. MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $324.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome OE Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ek Describe Work: EX MH PERM EVD EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 200gORlESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / "Z License Class I� -- / Lic. No. %J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ®/I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S7i4-`y— ? / act D + Policy Number to 7 (02,(�`r� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos pr isions. X 7d_40 Date 2 �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 46.00so CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( DV;"NG sLos. 3.5QFT: NEW FISID. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. zL p 1.00 EX. OCCU O.RXEDAUTLET R REs BAL .50 IVIS Ex. Occup. oFlxuntrs Aa OR5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation , PrC�"Ii1,s ECt X011 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 359.30 HAZ. P FLOOD COf pgRCEL PO HD I SU This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By PERMIT EXPIRES ON applicable provisions to do work been paid. �1 /1 D to V �� Dete Receipt No. ���C16 $ZSQ S(1 WHITE-D.D.S.-B. D. C�F�Y1-AS S OR PINK -INSPECTOR GOLDENROD -APPLICANT i r-+ne 7��P'iV,i,P6�.'i�v'Y�sJI•, :�:'v -.. �y�^.w.'��4�ya'�, �... ��` �+r•�r�-.y�r.�i,�ywrEilC �yi"'ti�T. -.r+n� COUNTY OF BUTTE -DEPART F DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orokille`, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIPAPPLICATION DATA SHEET OWNER:09� . ASSESSOR PARCEL NUMBER" Proposed Building Use: � 1 `A- Counter Technician: Date: Items required in order to apply f64 a permit. All boxes MUST be checked OR mar ed NA in order to apply. L. Plot plans, 3 or 4 sets, signed�y 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 faxes! ❑ 5. Energy compliance design and'supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner...........! ......................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................:.................. ❑ 15. Statement of Intent for Non -heated and A/C Buildings ....................... ..' .................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in _ ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... • ❑ 19. Pla ing approval for (A) Use: C3NIG (B)Parking: (C) Parcel Check: O 20. C tact Land Development about ❑ Improve nts, ❑ Drainage ............................... ncroachment Permit fo/rnd,�ri wa from the P�ic W rks Dept. (construction approval prior to occupancy). re -Inspection for 1 rt required ................ Contractor's license information. Number, Name Style, Classification); ..................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance................................................................ , ❑ 29. Existing viola A'ns and/or expired permits........... ❑ 30. __Grant Deed, Title/Statement of FactseL tter from Legal Owner, ❑ heck to H.C.D. $ LI ❑ 31. Other: When issued Telephone and hold for pickup. ' I have been informed of the above items and requirements for obtaining a buildingpermit. Applicant: 4��{.liuiL� Date: � t .J �G`�i 1. Index permit application .for the above items numbered: I +,G D 6�w N 5 `" li�"Plan ChecltpLetter 2. Additional items required ontfa , designer, owner, was advised cf the above data by phone, ❑ mail, ❑ counter, by Date: p Z Contractor, designer, owner, was advised of the ab ve to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: �, Date: / pL Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive III Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev 12/96) • APPLICATION AND PERMIT 6,-)- a31 ASSESSOR PARCEL NUMBER ZONN71 BUILDING PERMIT OWNERT�MOMe SO. FT. OCC. BUILDING VALUATION "e - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ��ARCHITECT OR ENGINEER ARCHITECT OR ENGWEERS MAILING ADDRESS BUILDING ADDRESS 1 n ^ 40 ( � �� f P .ele-- F,- - 2— LOT NO. SUBDNISIDNS NAME �� �f �� ►0-13-`7 i USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomw� Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 167ifiAs ❑ Install ation ❑ Describe Work: SN D W L-6 "t> 2_cn-�Ir3 Total Valuation Is U oI i I -Tt' --- Filin Fee $ 20.00 Permit Fee S 23.00 Plan Checkin Fee $ �- Energy Plan Checking Fee b 3.SQ $ FT. PERMIT FEE S 7.50 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1S.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 Ex. Occup.OUTLETS 61D.VeA 5.00 ' Temporary Service 23.00 Mobile Home Facilities I I --,2agol_ I-L PERMIT ftE I S MECHANICAL PERMIT I Fling Fee 1 20.00 1 Hood 6.50 Ventilation PERMIT FEI: 1 $ Mobile Home Installation Fee I S Energy Inspection F Is D`D CONST. TVPE TO AL FEES � v HAZ- 0. FE6 FLOOD COF NO SUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE = J — AL PERMIT Fling Fee 20.00 ce zouA OR IESS 23.00 ice VNON-RESID. 200A TO 1000A 46.00 (DWELLING OCCUP. 3.SQ 6 ACC. SLOT FT. MULTI.OUTLEr 7.50 / POWER APPARATUS Ex. Occup.OUTLETS 61D.VeA 5.00 ' Temporary Service 23.00 Mobile Home Facilities I I --,2agol_ I-L PERMIT ftE I S MECHANICAL PERMIT I Fling Fee 1 20.00 1 Hood 6.50 Ventilation PERMIT FEI: 1 $ Mobile Home Installation Fee I S Energy Inspection F Is D`D CONST. TVPE TO AL FEES � v HAZ- 0. FE6 FLOOD COF NO SUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON t w PRE -INSPECTION REPORT OWNER: KC) LOCATION: 1191 `I9� CONTRACTOR: DATE: ` 2 -1j AP. e -Z ZONING: PRE-IIdSPETION FOR , r�X YY� "� �1/`( \ DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: CornmcrciaUVsage: ResidentialM of Units: Currently Occupied Abandon ed/t scant Electric: Yes No ✓ Electric currently On Off Condition of Electric Gas: Natural Propane None - , ° Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOM. LADED: ISSUE: HOLD Inspector. e -e QU,%^e ,�- /?a Date Sketch buildings on. reverse and indicate location on proper .7 4k -44 1 MC F- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 1 aPERMIT NO. 2 l APPLICATION AND PERMIT A6sESSoaPARcliwrem mPna BUILDING PERMIT C�(o(o - ).9b- Q -)O j 0**"T�1ONe SO. FT. OCC. BUILDING VALUATION V,5f— IS(- OWNERSNRES O ADDS O r. CONT RI NAME N� CO TO� ADDRE88 CONSTRUCTION LENDER LENDER'S MAILM ADDRESS Fireplace Total Valuation S i ARCHITECT OR ENGINEER LICENSE NO. Filina Fee S 20.00 ARCHnCr OR ENGINEERS 1AAl1N3 ADDRESS Permit Fee S , Plan Checking Fee S �- SU DWOADDREss N6)--)4 1 C Energy Plan Checking Fee E PERMIT FEE _ LOT No SueON6DN8 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or hent pump water heater 23.00 SF 0 Duplex 0 MobllehomW;K Other Water piping 15.00 SPECOY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system t - 5 outlets 15.00 New 0 Addition 17 Remodel OL7 0 Ilnstalation O Building sewer 15.00 Describe Work: (i�1 di1 Mobile Home I S I G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service40=0A M. LESS 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. DWELLING OCCUR 3.50°80 OR ADDNS. A ACC. BIDS. 7, NEW COMT. NO"ESID. MULTI.OLRLET @7.50 ...-'�. POWER APPARATUS SMILE OVrLET CIR. 1.00 EX. Occup.oLmtT E.eAL10 0 .x Ex. Occup. 5.00 2)Cj:q 0Tem orar Service 23.00 v Mobile Home Facilities 0�v";I �e�;� MscAiro 23.00 S� * PERMIT ftE _ • MECHANICAL PERMIT Filing Fee 20.00 S�vtr # Heating O 40hH vr oo Hoodd 4t §,8050 Ventilation PERMIT FEP ! • � �� Moble Home Installation Fee 8 • Energy Inspection Fee = ommomme °" CONST. TYPE TOTAL FEES -3FEES IMP ftD00 COf PARC This permit Is hereby Issued under the applicable provisions �� • ��Q the Butte County Cods end/or been to do work in indicated above for which tees have been peid. By Date PERMIT EXPIRES ON SCALE %io = ��' . O 1'37 4 9 5ouri4 -�-P...o i< D� Q 14 Lt P 6bc>1 Co STATE OF CALMMM-BUOR18O0, TRANOPOWATiMN ANO HOUSING AGENO-N ew►r cAwe, oewma DEPARTMENT OF HOUSING AND COM MUNITY.DEVELOPMENT �� tHMbW of Cacho and SWWarda J Tithe Search °a Date Printed. 08/22/2002 Decal #: AAT3410 Manufacturer: LANCER Tmdename: ROYAL CHA'T'EAU Model: ILT Manufactured Date: oo/00/1979 Registration Exp: 07/31/2003 First Sold On: 00/00/1979 Serial Number 6398A 6398E Record Conditions: Registered Owner: HUD Label I Imignia CAL 151192 CAL157193 PPF Exempt Use Code: SFD Original Price Code: An Rating Year. 1979 Tax Type: ILT Lag ILT Amount: $33.00 Date ILT Fee Paid: 06/1312002 ILT Exemption: NONE Length Width 64' 12' 64' 12' FRANK E ROSE P 0 BOX 633 MAGALIA, CA 95954 Last Title Date: 09/13/1985 LOBt Ilea Card; 06/17/2002 Ssle/I'reaeter lefot Prkc $30,000.00 Trmsf8trad on 08/26/1983 Situs Address: 13749 S PARK DR MAGALIA, CA 95954.8802 Situs County: BUTTE Inactive DeeaMMV: DMV SS7923 Title Searches: BIDWELL TITLE 7126A SKYWAY P O BOX 490 PARADISE, CA 95967 Title PTTs No: 201244•MC FIDELITY NATL TITLE CO 6141 CENTER ST PARADISE, CA 95969 Title File No: 303972 *** END OF TITLE SEARCH *** Z0a t OV ' ON LVZ89480ES F 3S I auZ'dd 37.111 A1113a i d z0 : LT Z0-/ZZ/80 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01 -Oct -2002 2002-0051404 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK E. ROSE REAL PROPERTY OWNEMESSOR 13749 SOUTH PARK DR. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP 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 02-2366 (530)538-7541 B G PERM R NQ TELEPHONE NUMBER 9-30-02 GNATURE OF LOCAL tgpCfOFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNIT DESCRIPTION LANCER 1979 ROYAL CHATEAU MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 6398A/B 64 X 24 CAL157192/3 SERIAL NUMBER(S) LENGTH X WB)TH INSIGNIAILABEL NUMBER(S) • REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. # 066-120-001 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY . HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-2366 Address or location of unit: 13749 SOUTH PARK DR., MAGA LIA, CA. 95954 Legal Description of Real Property: A.P.# 066-120-001 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: FRANK E. ROSE Owner's address: 13749 SOUTH PARK DR., MAGALIA, CA. 95954 IF INSIGNIA OR'HUD NUMBER: CAL 157192/3 SERIAL NUMBER OR V.I.N.: 6398A/B MANUFACTURER'S NAME: LANCER YEAR: 1979 OFFICIAL APPROVING INSTALLATIO DATE: 9-30-02 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. # 066-120-001 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 2", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF 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. RECORDING REQUESTED BY 85-25752. Q'i11•TE COUNTY TITLE CO, a� AUG 2G ;:! !I: G8 : Qp r.T � t�5-2S'7`i2 C SPACE ABOVE THIS LINE PORRECORDER•A USE Documentary transfer til =.:7..l ..22 I .. 7Q Computed on full value of property conveyed, or p Computed On full value leas liens and encumbrances remaining thereon of Uma of sale. Ditte Co. Title Co. By �. w►�+J .................................................... 81,)nAtun of dnl.nnI or .sen: deteTmlah,v LAX—arm name 3rtbibibuacY Orattl Weeb TP,NSFE WESTERN TITLE FORM NO. t04TAX rNl FOR VALUE RECEIVED, NORMAN H. CROZIER and JANE G. CROZIgt, husband and wife GRANT—to F-'ANK E. ROSE, an unmarried man i all that real property situate in the Unincorporated area of the 2 1 County of Butte , State of California, described as follows: Lot 1, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTAMS UNIT NO. 2", which Map was filed in the office of the Recorder of the County of Butte, State of California, on October 13, 1971 in Book 38 of Maps, at pages 61, 62 and 63. 1 ERCEPMNG THEREFROM All minerals oil. ,gas, asphaltum and; ther hydrocarbon substances with provision that any and all mining operations shall be done from orifices outside the surface area of the land described her9ln, and that no damage shall be done to the surface of said land. Chonga of Owner. ship Stwoment NOT Filed. (Sec. 480 R d T Code) Sent to mailing oddreu on document. Dated _�jA st 16 1985 //x1-1leee"ly Ell Orman roz er, STATE OF CALIFORNIA _ ss. COUNTY OF BUTTE z i� i i a l;' r L ane G. frzior to est On this 20th day of AUGUST • In the year 19-L5. before m�ei.ders ned, a Notary Public In and for said State, personally appeared personally known to me �..>••••••■••°•••■•■■■e•■■ '6 COM) tope the person whose name Is subscribed to the • JULIANNE. PCT CRS within Instrument as awitness thereto. who: being by me duly sworn, deposes and says • alio CA • NOTnnv l•uI� ,�,.r.nurONNu. � That the lYi[ness resides In �_, __ _.... '�' 11.: ■ and that the Wltppe s wa¢¢ pre en nd saw I NORMAN H. CROZIER and M, „rmnrnsr. I. fury .IPI'. JA O. RbIgE I • ^ " • • "• • ~ * personally known to toe Witness to be the s meerson described in. and whose name Is • ■ ■. R a ■ ■ • " ` subscribed to the within Instrument as a Party Iherelt, execute itend acknowledge io the Witness [hat thYexecuted it. and That the Witness subscribed h's _ name thereto as a witness. 1 WI'NCSS my hand and official seal AC.MOW110441 Ni-a.DKnpn, MdMll -ebA[Onf Ipm )D7CA . pr f A] � � � J/ ve7wolceus INC IprE.rn"s71/Nater Pi ublic in and for saldState _ _ _ AND WHEN RECORDED MAIL TO r NAM■ FRANK E. ROSE Ace.... 13749 So. Park Drive CIT.. Magalia, CA 95954 .TAT. L J Title Or&r No. F•crow No. NAIL TAI .TAT.M.NT. TO Apo.m R Same as Above " CIT. . STATE I J 85-25752. Q'i11•TE COUNTY TITLE CO, a� AUG 2G ;:! !I: G8 : Qp r.T � t�5-2S'7`i2 C SPACE ABOVE THIS LINE PORRECORDER•A USE Documentary transfer til =.:7..l ..22 I .. 7Q Computed on full value of property conveyed, or p Computed On full value leas liens and encumbrances remaining thereon of Uma of sale. Ditte Co. Title Co. By �. w►�+J .................................................... 81,)nAtun of dnl.nnI or .sen: deteTmlah,v LAX—arm name 3rtbibibuacY Orattl Weeb TP,NSFE WESTERN TITLE FORM NO. t04TAX rNl FOR VALUE RECEIVED, NORMAN H. CROZIER and JANE G. CROZIgt, husband and wife GRANT—to F-'ANK E. ROSE, an unmarried man i all that real property situate in the Unincorporated area of the 2 1 County of Butte , State of California, described as follows: Lot 1, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTAMS UNIT NO. 2", which Map was filed in the office of the Recorder of the County of Butte, State of California, on October 13, 1971 in Book 38 of Maps, at pages 61, 62 and 63. 1 ERCEPMNG THEREFROM All minerals oil. ,gas, asphaltum and; ther hydrocarbon substances with provision that any and all mining operations shall be done from orifices outside the surface area of the land described her9ln, and that no damage shall be done to the surface of said land. Chonga of Owner. ship Stwoment NOT Filed. (Sec. 480 R d T Code) Sent to mailing oddreu on document. Dated _�jA st 16 1985 //x1-1leee"ly Ell Orman roz er, STATE OF CALIFORNIA _ ss. COUNTY OF BUTTE z i� i i a l;' r L ane G. frzior to est On this 20th day of AUGUST • In the year 19-L5. before m�ei.ders ned, a Notary Public In and for said State, personally appeared personally known to me �..>••••••■••°•••■•■■■e•■■ '6 COM) tope the person whose name Is subscribed to the • JULIANNE. PCT CRS within Instrument as awitness thereto. who: being by me duly sworn, deposes and says • alio CA • NOTnnv l•uI� ,�,.r.nurONNu. � That the lYi[ness resides In �_, __ _.... '�' 11.: ■ and that the Wltppe s wa¢¢ pre en nd saw I NORMAN H. CROZIER and M, „rmnrnsr. I. fury .IPI'. JA O. RbIgE I • ^ " • • "• • ~ * personally known to toe Witness to be the s meerson described in. and whose name Is • ■ ■. R a ■ ■ • " ` subscribed to the within Instrument as a Party Iherelt, execute itend acknowledge io the Witness [hat thYexecuted it. and That the Witness subscribed h's _ name thereto as a witness. 1 WI'NCSS my hand and official seal AC.MOW110441 Ni-a.DKnpn, MdMll -ebA[Onf Ipm )D7CA . pr f A] � � � J/ ve7wolceus INC IprE.rn"s71/Nater Pi ublic in and for saldState _ _ _ �' 4 ' .. i; 3023-79P,E PERMIT NO. PERMIT EXPIRES 'OWNER Norman Crozier CONTR. Faller Const; .TMagalia 66-12-1 ,LOCATION (A.P. ) 380 So.Park Dr., lot 1, PPCC#2,'Magalia } I y 1 e _ pf 'A • ni v .a y � t ��- Temp. Power Pole Called PG&E Temp. Elec. Serv. 7— Called Called PG&E i Temp. Gas Serv. Called PG&E JB �J 77,0PFONALED I�� ��' 1, (Date) (Signature) ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD • a - V e BUILDING BUILDING (Cont'd) PLUMBING NMaBlid FI wall S I Piping Par ets t Floor . Restr m Finish 2n Floor i s Windo 3rd loor ll Siding To out Slab Roof Shea%,hing Water Pi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physics Appliances Carport handicapped p Conformance of ex. Gas Piping &Test Footings y structure v Temp. Gas Slab Final A Sanitation li Patio F/R EkLACE Final Footin s Footing E ECTRIC L �_ Masonry Walls Throat Rough Reinf. Steel , Final Fixtures Bond Beanuf IRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Gird. Fa t Prot. Scrat4h Heatlngf Servic El4n C001194 T p. Pole F ish Duc der round In rior Lath V tilation ermanent 59or Closer nal CaI MOBILEHOME UTILITIES (� lec. Service ,/,' -/J, 7=0 Elec. Pedestal ® f}j, Water Piping Sewer 79 Gas Piping BI E OME INSTALLATION .4 - - - - - - Support — lec. Continuity Water Piping Drainage—Gas Piping DATE REMARKS OR CORRECTIONS ow -7�� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS., 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address - Mobilehome Mfg. l Model Year Insignia No. �'Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works. i Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. rical s 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 a' B. Is there proper clearances around panels? Yes V No_ ` C. Is power supply cord or feeder assembly properly fused? Yes o D. Is continuity test satisfactory as per the following procedure? Yes_.IZ'Ng 1. De-energizeeelectrical 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'1of the mobilehome (aluminum siding, gas fine, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. i 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? /l! 11. If everything okay, sign off card and tag services. �J f MOBILEHOME DATA Manufacturer and/or Namestyle Length 40 L Width_ Vehicle Serial No. ' �4 l!/ State Identification -No. Additional."A a f� tion or Comments: DiG oOle, a /�Ia�£s� � �° Aoq , ji-W !-�e✓r`f4 ),as��i/�� fo ra! AS qao�p 4- �� oma/ Q/E��� e.✓7 _ / zf- fu. S/l ir/oT o Qu/ . � 0/ z".. _ �� 7..2�J � f U�d � off• 6 - - - --, �- ..- _----- MOBILEHOME INSTALLATION INSPECTION CHECK LIST . Is the mobilehome located wio required separation from lot lines and buildings and generally conform to plot plan? Yes No , �./ Does the mobilehome have required clearances above ground? (Sec.5085) YesV No Vre footings and supports properly sized, spaced, and braced as per approved plans? ossible variation at spring shackles.) (Sec. 5082 & 5083) Yes ✓ No 's the mobilehome-level? (Sec. 5088) Yes ✓ No_ b/ If more than a single unit are crossover rossover connections properly installed. (Sec. 5088) Yes o_ 6� (Note Water A. Is flex' le connector of adequate size and properly installed\1/2" ID min.)? (Sec. 5566) Yes_ B. Test:- Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not Sta e o ifornia approved, does station have backflow device and pressure -relief valve? Yea Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors atNeach end?? YesZNo B. Does it have minimum 4' per foot slope and is it properly supported? Yes "No C. Are any leaks detected in drainage system after running 3-g ons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of �q/ rnia approved, does station have required trap and vent? Y e s No NG 8. Gas Piping and Gas Vents A. Connector - mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome conn for not more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following pro dure? Yes_ No 1. Open all appliance connector aloes. 2. Shut off appliance burner and pil\t valves. 3. Air test with manometer to 10"-14" ater column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in toth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with cc soapy water. C. Are all appliance vents properly installed? ctor, turn on gas, test`connect'ons with COUNTY OF BUTTE' I— DEPARTMENT OF PUBLIC WORKS �. 7 County -renter Dri,ve — broviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner MoF_M H'1V CeD�t E�ie_ Mai I i ng Address Telephone No. f Contractor P p, `j . MoatLr, tAL-SE'2JiLe Mailing Address 124 01w .0 -s-0 0-s-0 J t /Tt4e CiiiW , CA . C1911Z(10 IMP741q Building Address ] $® 5;0 . PP e -A4_ PPu -A. P. No. �V 1��� Zom'ng8, lanning F s SaRimierr FireDept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im roveme s PI ns Declaration p p Bldg. IVans Recd Parcel roval Plan 6150porovaI NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home ED--' Others ❑ CONTRACTORS. LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busin ss Profes ions Code under the name style�of: << s2ioe C2 License No. Classification 0 — 6 f7I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ;krcertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �A 5'gto of ermit`eee rr Agge Receipt No. /v& White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ��69;1 -2 19 _ BUILDING SQ. FT. I OCC. I BUILDING VALUAT Fireplace I $ i_ Total Valuation Permit Fee 0OR Main service 100 AMP ORSL=SS 5.00 Plan Checking Fee &/or Penalty Main service EA. ADD'L 100 AMP 2.50 Permit Fee Main service OVER 100 25,00 100 AMP OR LESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0OR Main service 100 AMP ORSL=SS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 25,00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP 6) 2P Sq ft ' • NEW CONSTR. MULTI.OUTL T NON.RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS 8 NON.RESID. \SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXT11RES1 50 @ 25C BAL @ 100 Ex. OCCU ( FIXED APPLNS. OR p•OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ . MECHANICAL No.i FEE PERMIT FILING FEE $3.00 Heating Cool Ventilation Hood 1 1 2.00 Permit Fee $ $ L e $ 3o eaa TOTAL PERMIT FEE $ O This permit is hereby issued under the applicable provisions of the Butte unty Code and/or resolutions to do work indicated above folf w ich fees have been paid. I F PUB IC WORKS By y Date � — ,0 Building permi expires Date _�=' iis✓1 —0� = MOB ILEHOME SUPPORT DATA If .other than single wid Mobilehome Mfr. M C' e �..` furnish..Setup,Model No. ,(,7�. Year Width (ft.) Box Length (ft.`)'.:, Tagalong 'or' Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 19.73; 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 1. Wood either AJoe Apressure treated'or •— foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1:'Concrete block. /A] 2: Other (specify) (in.) (in.) 4- tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) / _in.in.) •- Typical Support Footing Size (ft.)(in.) (in,) (in.) -- Max. Pier Spacing Fft.)(in.) x j� `'��`�j -• Max. Overhang (ft.)(in.) LV BUTTE COUNTY BUILDING DEPARTMERh *If o..epiers are .nter P other than drawn above � draw in. -locations, apacing, and dimensions. _ 1. Owner's name: 2. Installer's na I BUTTE COUNTY DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes 77/' No (If yes, furnish permit number ) 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 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- clear of all setbacks and easements? Yes/ No is the type of gas service? ----------------------------- Natural _7 LPG 11. ( If . no, clarify the mobilehome? (ft.) ) :What is the mobilehome gas demand? ------------------------------ (BTT) r 5. What is the mobilehome electrical rating? ----------------------- O1 J Amps 6. What is the mobilehome site service rating? --------------------- _� Q (� Amps 7. What is the mobilehome site circuit breaker rating? ------------- o�.LVO Amps 8. Is there any other electric load to be served'by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural _7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTT) r (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) n " COUNTY OF BUTTE �— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .-•Oroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property fo 'nspection purposes. Date May 23, 197 nature er iteeeor Agent Receipt No. z-4033 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 — Date�v S ,?f Bui'l'ding permit expires Date \ 0 ��� BUILDING OwnerNorman Crozier SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor`•.Fu1Ter Construction, Inc. Mailing Address P.O. BOX 509 Fireplace Total Valuation Magalia, Ca. 95954`5_0Obb$ Permit Fee Building AddressPlan 80 So. Pak Dr. Checking Fee&/or Penalty Permit Fee Ma alis Ca. PLUMBING No. @ FEE PERMIT FILING FEEX $3.00 00 Each TraD 1.50 CC2 Lot 1 Repair drainage or vent piping 1.50 A. P. No. 66-12-01 //JJ // /1toni�Fg & PI ning Water piping X 1.50 Each gas water heater or vent 1.50 es S t ion Fire Dept. Fire Zoe Use Permit Gas piping system 1 - 5 outlets 1.50 7 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer XX X 5.00 Idg. Plans Recd Parcel A val Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES -g OTHER ® Permit Fee $ 1: - ELECTRICAL No. @ FEE PERMIT FILING FEE X $3.00 00 600V OR LESS Main service 100 AMP OR LESS X 5.00 Yb� Single Family ❑ Duplex Mobil Home}Q Others ❑ Main service EA. ADD'L 100 AMP X 2.50 a Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGS.LING 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: Fuller Construction, Inc. NEW CONSTR BRANCH ILET CIRCU NON.RESID, (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (/POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIaES 1 g L 250 1� Ex. Occup. ( OUTLETS P(RESID )FIXED APLNS.REA) 2.00 Temporary service 10.00 P.O. BOX 509 Magalia, Ca. 95 '4 License No. ,36997 Classification A Mobile Home Facilities X 15.00 j5r,00 Mise. Wiring 6.25 El I am exempt from the Contractors License Laws of the State of California. Permit Fee $ „sii $ 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. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 i 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 FEET$ g -7j authorize representatives of the County of Butte to enter upon the above-mentioned property fo 'nspection purposes. Date May 23, 197 nature er iteeeor Agent Receipt No. z-4033 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 — Date�v S ,?f Bui'l'ding permit expires Date \ 0 ��� To Bui.ldi-n .Denjrtrierit . 30 From: :. Environmental Health`" Subs ect : Sanitation° Cleara.nce . 3f6 t;n,er_ 61, L•ocatin --.. Plans a.nnroved for: Sewa-e 'Disposal ✓ Water Supply Hold..final -f or:' Yater Supply Viral clearance 0..�?:: for: Water Supply. C1Parerce for a be-droon-r6TAle home. Other Clearance -for additi:or_ of - Note** 7an1i . n Daze s' :°-'-COUNTY OF BUTTE - DEPA'RTMENT OF PUBLIC WORKS - BUILDING DIVISION °�:.-• i?. t� 7 County Center Drive — O.u.601 e; C8'li.fornia 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET i Permit No. OWNERA.P. No. Proposed Building Use Permit fee based upon: Complete Contract Price G -'DPW Valuation Other (explain) Building InspE At time of pe issuance: 1. 2. 3. 4. 5. 6. 7. 8. 9. ©L✓x'10 11. 12. 13. 14 15 16 DATE RECEIVED All items have been submitted. APPROVED Plot plans in duplicate/triplicate....................................................:.......... Complete plans in duplicate/triplicate...:............................................... Complete engineered plans and calcs..................................................... { Plans with Energy Design Compliance Statement ............................ { State Energy Forms No. .................... Statementof Intent for Non -Heated & AC Buildings ................... ` Feesof $.................................................. Letter of signature authorization .................................... Sanitation approval from Health Dept.:.. Planning approval for Certificate of Workmen's Compensation Insurance Contractors License Information (no., name style, classification) ............................... Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)......................i......................................................................... Pre -inspection for required. Pre-inspec. request to bldg. -inspector (date) Other 1 _-t When you issue the permit, process as follows: Mail to ownery Telephone and hold for pickup at offic Mail to contractor. y e. Deliver w/inspection. Copy of plans sent Health Dept., Fire`/Dept., Other Date_ UUflny I.ne plan U!"IM King pfUUU55, Ule 1DIIDWIng aata must De suDmlttea prior to permit Issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 4Zr 2. Additional items required- (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by �E, Ae Date S"-:.2 y- Z q OTHER: Coov/DPW low _ aCrosier-w Fuller Con truction Inc. r. Cambridge Rd. + P.O. Eq_x 509 le §grings, Ca. 95682 1V1a i .. .� -95954 , I!'�'•3229 87 3-066$ Lot 1 380 S(X. Park Dr. Magalia Ca. y this set of plans and specifications t,,,jjF'- NOTE:—Ali Materials & Workmanship Shall Be in kept on the job at all tunes cn:! it is un!, Accordance wi•Ih Recognized Good 'Practices and make any changes or alerttions on sa:,,e of a quality prescribed for the Speci,:csl use in the Uniform Bui:ding, Plumbing & Mechanical Codes and I cri en Works, rmission from the County of Butte.Department of rub_ The National Electrical Code. m14 The D: Se}back shat silo property line ani centerline of fl -.c road, mum of c a ft. eave o"' out of all, easements. �t' e 6¢0o�„Gr �► ,M s 5 ft86om the 50 ft. fro- n� t ' no, outenne tirely A permit w ,l be rec aired for the ? '• , I installation of the rtobileho e, .a ' Al} utility connc. i)rts Faq h� + I ♦ ' I rY Located vti,ltin 4 .t• ei tsid t�:e reelp- , third section of ttll> moi� 1� home �0* p� `J O �' Q • �� on the left (road) side of is Amobtl P ` / �• 1; `Z � home. FT. MINIMU'. �- I nFC R Moll” 44- Butte ,U ,,q ve O �j vA loda}ran v ; J >t Fes^ o�bee : per d �, N b I h D Re- �►�, �.: kHeci � � a� � �-- /0 / M 11 / .d a /D O 9 �2 S• 411 BUILDING BUILDING DI*PARTMEN 1APPRQvF D e PARADISE PINES P.O.A. ARCHITECTURAL CONTROL COMMITTEE 77 TRACT ��._ LOT i DATE `T- / - APPROVED BY l ADDRESS D ��- SyS APPROVAL FOR OT DEVELOPMENT ONLY ' ELEVATIONS MUST BE SUBMITTED PRIOR TO STRUCTURAL APPROVAL. DATE t y ;",Or PERMIT NO. 3893-79B,E PERMIT EXPIRES -OWNER NU Norman Crozier all CONTR. Bruce Roethler, Paradise 66-12-1 LOCATION (A.P. ) 380 South Park Dr., lot 1, PPCC#2,. Magalia �r 3 r( • t- Temp. Power Pole ' ') Called PG&E-- Tern( Elec. Serv. Called PG&E T mp. Gas Serv. j Called PG&E i1 JOB p �� FINALED_ �J ) (Date) ( ignature) 4 Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab / Carport Footings Slab Patio Footings Masonry Wall: Reinf. Stee Bond Beam Framing Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUM Firewall -3-% Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor _ Siding T000ut Moot bneatningZZ Water Piping Roofing - Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. structure Final -% Appliances Gas Piping &Test Temp. Gas Sanitation FIREPLACE Final Footing EL Throat Rou h Final Fiwhirec. P_ T- % Suboanels JG Brown Cooling Temp. Pole Finish Ducts nder roun `/?- Interior Lath Ventilation Permanent Door Closer Final Final 'e-1,?- % MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer . Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping -OVIFo DATE REMARKS OR CORRECTIONS q/lo 6.4/t,L U - �£�0 eve fkc-> l/,`rt.F- A� t >cic A7- Np r C ;,1117 ,7- YX 719//y4 AI A �. ,Q �t/d T 41,6 rTa1 £ C10 Q �t. cotl&er p/C C vlovldl Jq4x . sjzs>•yc r Ir -fa -77 XheA"Y - Ap (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Ke 7 County Center Drive ,,- Oroville, California 95965 4 N Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for i pec fon purposes. X Date ? 179 Zt gnatureof Permitee orlAggent Reo. d� OL 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 abr which fees have been paid. 71. 19RE -AR OF PUBLIC WORKS Wei IF !fflflW)%wW_1ffA RZ Building permit expires .. s / / ' • BUILDING Owner Or`-�'� f n �f/G SQ. FT. OCC. BUILDING VALUATION O Mailing Address Telephone No. Contractor t? Mailing Address 'LL Wit Fireplace Total Valuation t� Tele hone o Permit Fee 9Y,p'O BuildingAddress �J' �� 6"` "rMz Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 MAIC—OW4 Repair drainage or vent piping 1.50 / A. P. No. �� G pZ -.c oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Ze FS6 tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg.6 i5ns Rec'd Parcel AeRroval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 co Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADO'L 100 AMP 2.50 Main service OVER e 25.00 100 AMP OO R LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW - CcUP. Y OR ADDNS. (A r3G9. 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the s & Profess' Code under the name style of: � State of CaliforniA42c.5; (� NEW CONSTR. M LTI.OUTL T NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS 0 NON.RESID. \SINGLEOUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIPES 50025 Ex. Occup. ( OUTETS FIXED P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. -913267Classification os ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $JOL,�`J $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. -1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is TOTAL PERMIT FEE $ b.l authorize representatives of the County of Butte to enter upon the above-mentioned property for i pec fon purposes. X Date ? 179 Zt gnatureof Permitee orlAggent Reo. d� OL 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 abr which fees have been paid. 71. 19RE -AR OF PUBLIC WORKS Wei IF !fflflW)%wW_1ffA RZ Building permit expires .. s / / ' • EB.rEm1_17. COMPANY License- No. 354,166; " P. 6. -,box-668" M099!io, CA 95954 (91). X373-0851 - Owner Location `1 COUNTY OF BUTTE Department of Public Works 7 County Center Drive .Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Mob ilehome Installat ion Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 JJ //Watts 1. Width a2 y x Box Length � � x 3 = L132 0. tor - 2. 2 Kitchen Appliance Circuits: ................. = 3,000 3. 1 Laundry Circuit 1,500 4. Ovens ........................................ _ Z4 O d 5. Cook Stove Top = 0 0 U 6. Hot Water Heater ......... O 7. Dishwasher & Disposal = 90/0 8. Clothes Dryer ................................ 9. Other (specify, i.e., motors, exhaust fans, etc.) 9s<Tsq Sub -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining nL ,ry watts @ 40% .......................... _ / Q dq 10. Air Conditioner watts @100%.'. = ) ,/ Largest Dt_ errand = ` Soo Central Heat System U O O watts_@765%.. = TOTAL DEMAND WATTS REQUIRED "Demand Watts Required" - 230 ......= T AMPS De -rate Mobilehome to .........'. 8UTTE.COUNTY. _ ...... , �� AMPS . BUILDING DEPARTMENT: APPROVED COUNTY OF BUTTE DEPT. OF PUBLIC WORKS JUL 241979 AM ?A 781911011111211 A 3141516