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HomeMy WebLinkAbout066-190-010ALLAND M. WHITTEN 41+0 Andover Dr PPC6#3 Lot 1 m TCONTR: Ray N. Munjar, Paxa%6 L Permit 3922-73P,E (u utilities for -A.P. 66-19-10 ALLENE WHITTEN' %is I ciaw V-1 30 -7 S 440 Andover Dr., PPCC#3, Lot 18 L Permit 832-74b (deck for MH). 066--'190-010-. #98-2397. CA Li, -MARY ..13779 ANDOVER; MAGALIA ROM MOBILE HOME SERVICE MH 6MPERM FOUNDATION . 066-19=0=010`- 99-2526 iCAHILL, Ma'r'y 1.3779 -1 -And oy,er Dr, -mMagal a. �-(n e Court Const A c �t J 066-190-010 #98-2397 RESIDENTIAL CAHILL, MARY 13779 ANDOVER, MAGALIA _ RONS MOBILE HOME SERVICE MH ON PERM FOUNDATION PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION THE HCD'FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING �HAVE'BEEN TURNED IN TO THE BLDG DIV: (1)I-152 1MCENSE PLATE(S) or DECAL(THE 2) TATEMENT FSFACTS(ONLY) ' ON NEW MH'S) ;INSPECTOR TO VERIFY SERIAL & L EL #'S CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E_ Temp. Elec. Service ' Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) ^^ v � Signature V=%K O = Not OK Not 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 -CYO -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test•Wrap; / /Tft. / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBI HOME INSTALLATION (Plans) OK except #'s . Zon)iig Requirements- Setbacks Easements 2. gs; SizeSpacing-Marriage Line 3 U; MH Test -Demand Vale -Connector - 4. tricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector er; MH Test -Regulator -Connector 7. ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged Xe owns -Type -Installation Cert. 1 ts; Insp.-Sketch Gert of Occupancy YllPermanent Foundation Only: License Decal Date S Card B-1'�J Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s r 1. Zoning Requirements -Setbacks -Easements 1 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice•Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerShx=o-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 wX-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r 1 1 OK O = Not No RESIDENTIAL (Single & Duplex) - N 1' bl of App ica e Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / / Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 59. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 60. Brace Interior / Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size Bo es & No. of Conductors Stapled 75. 26. Romex Nstalled Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 77. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 78. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 79. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 80. 31. Service -Riser Conductors & Ground -Main Disconect 81. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade 91. 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 92. Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californ�aa 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND"PERMIT • ASSESSOR PARCEL NUMBER 066-190-010 R-1 ZONING BUILDING PERMIT OWNER CAHILL, MARY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1152 62 208.00 OWNERS "u"TtOCUST AVE. SAN RAFAEL CA 94901 CONTRACTOR'S NAME RONS MOBILE HOME SERVICE T3177�Nfj118 CONTRACTOR'S MAILIj"V RIVX 305 ANDERSON CA 96007 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 236.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS 13779 ANDOVER Energy Plan Checking Fee $ $ MAGALIA PERMIT FEE $ 279.50 LOT NO. 18 O SUBDIVIP '$fJj,LL�I SE PINES iLij((�jJ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IP Other SPECIFY Each Trap 7.00 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 ❑ Describe Work: &kVIET UP 24 X 48 MOBILE HOME ON PERMANENT FOUNDATION — OAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oA mss 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 11 force and effect. License Class e- �/ / Lic. No. 7O ZI 2 ? 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 worke%gompepation�insurance carrier and policy number are: Carrier e- %.-XN 5PERMIT Policy Number 2 ` (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 forthw' Tith those provisions. X ; Date ��_� 97 Sig tur f Applicant - O Owner ❑ Contractors Agent An OSHA permit is required for excavations over 60" deep and demolition or construc 'on of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. s0 OR ADONS. ( a ACC. BLOS. 3.5¢x. NO1yR°pT MULTI.OUTLET @7.50 POWER APPARATUS a sINGLE OUTLET CIR. .00 DR EX. Occup. OUTLET OR FURES SAL @ 1.50 Ex. Occup. oFlxu EDTSA PP M. I E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 329 , 50 HAZ. - FEES -IM/P 1 FLOOD CDF ._ P C PD ._ H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo e r w ich f shave been paid. By ate EXPIRES ON e ReceiptNo. S-dPERMIT WHITE-D.D.S.-B.D. CANAR -AS ESSOR PINK -INSPECTOR OLDENROD-A ICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califorhia 95965 • Telephone (530) 538-7541 _,'qNo. M (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERS O. SO. FT. OCC. BUILDING VALUATION i7 Ao CONTRACTOR'S NME TELEPHONE CONTRACTOR -9 NG ORES9 d CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENOINEER LICENSE NO. Filing Fee S 20.00 Permit Fee $ 8&,so ARCHRECT OR ENGINEERS MASING ADDRESS Plan Checkin Fee $ 1P 3 dD BUL DING ADDRES8 AiJ(�OlJrc/C L07 ii Energy Plan Checking Fee S a PERMIT FEE = 9-7 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities insiallation'� Other ❑ Describe Work: S�7 /.1/° ?`l k off' %OdJG£y/std VA) 61406.4,2"l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 j Mobile Home I S I G I WT— @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service so"'voA OR 22 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 fyll force and effect License Class / 7 �i7 Lic. No. -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 S 7y1,�g Policy Number / I/'?S"J 2-L — 5�, (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, 1 shall forth h omp�Oly with those provisions. X ,�Go7,... a /G l Signatu a of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60"d p and demolition or construction of structures over 3 stories in height Mein Service 200A TO 1000A L 46.00 NEW CONST. oWeuNo OCCUP. So OR ADONS. a Acc. eLos. 3.5¢fr: NEW NOWREOSIO. muLTFOUTLEr eG 7.50 POWER APPARATua a sNGLE oLRLer as Ex. Occup. ovnEr OR FKTURe8 ®'.00 OWNER A M OR Ex. Occup. 3 EEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. rrPE TOTAL FEE $ HAz D FEES IMP I R000 I COF PARCEL Po HD ss UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Te Receipt No. Z' 0J J-3 • WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DATA SHEET OWNER. Q- 1 ASSESSOR PARC ER: ©� Proposed Building Use: jawm 4,Aj Building Inspector: Date: to It 42 14/9 At time of permit application, I wA advised the following data must be submitted prior to permit p cess g and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ------------------------------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ Hazardous Material Form. anufactured Homda a eesof $ -9992L ----------------------------------------------------------------------------- . Impact fees as shown on the attached schedule.----��f�-r��---�� - ---------------------------------- El ----- --------- - -------------- - --- ❑ 12. California Department of Forestry plan approval/fees.-------------------------------------------------------- ❑ 13. Flood elevation certificate. --------------------------------------------- CoE 4. Sanitation and plot plan approval W Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- 1117. -- ❑17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). -- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 1124. Letter of signature authorization. -------------------------------------------- E125. ------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------- 7- 1] 26. Letter of intent on building use. -------------------------- ------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- ❑ 8. Existing vio_Wons and/or expired permits. --------- -- -----^------- --------- ❑433 A, Deed, ❑ M.H. Title,eck t�H. .D $ �a• VOther: M LAS-} ern you issue the permit, process as follows ❑ Mail to owner, ❑Mail toFpntractor. Uhl elephone ?&5_(Ot E and hold for pickup at OrD V t "`Q- office. Annlieant iG%�G�/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: �i} S --k-S with inspector. (Date) ... (0_(6_1R11? 1. Index permit application for the above items numbered: p ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: n Date: 1 , Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: l Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE O LY� Plot Plan Attached Floor Plan Attache Sent to B.D. 0 A114 y r -al . CI 1:3-179 Andover Dr. 066 - i90 - 610 caner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Y Private Well Clearance for — weiting. Other, f2en(ace 2 e4"bole-i.r/ me -w Z -4d, ev.o4r/e Hold final for: Final clearance O.K. for: e, NOTtit¢Tal 10 29- 19 Environmental Health Specialist Date 8/96 OCT, :? 38:S•. X; 14:51 nFce ::BTU 1TL: J� tti�0:� RE r i• v J _ L TEL:916 8" '.128 ELECTRICAL, MECHANIC AL, AND PLUMBING v /- CONSTRUCTION ( NOT PLAN CHECKED /,�31-IAL.L COMJOLY WITH CURRENT EDITION OF NEC, UMC AND UPC. of a Qi in tine Codes pial f ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 5 FT. FROM THE SIDE AND --15 FT. FROM T HE REAR PROPERTY .LINES AND 13o_ FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCFPT FOR A 2 FT. EAVE OVERHANG. Materials U Workmanship Shall Be In e with Recognized Gore Practices and y Prescribed for the Specified 4ase form Building, Plumbing & Mechanica: the National Electrical Code. set of plans and specifications MMT be 1 the job at all tines and it is unlawful to nY Changes or alterations on same with per,-nission from the Dopaxtment of public County of Butte. - 'E., a -I I e - Environmental Health OCT 29WS Chico, Callfomla APPROVED Butte County Environmental Health Date Signature �iLoOo.Sfv ��oy�cA.J PRIIIAE HIT 11,100ow'Pio del I 2VC40/0 104 98-e397 Cll nor AF yh�L qG�f► C�,4 Ss-s��� F ILE CO'Pv ,act -04-00 05.11A A Mobilehome Manufacturer: .SiL� � Manufacture Year: /983 If other than single vride, fjx� s; Seel Number: O NYidth:—ZV(ft.) Length:_� (ft.) Tagalong or Expando Size (fq x(ft.) On all mobUehomes manufactured after October 7, 1973, furnish man acturer's installation manual and structural setup sheets. FOOT -MS: Wood pressure treated or foundation grade[ )j Other: SUPPORTS: Concrete block[ ] Other: �o,W0,41-5,e iJ Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and ]Location snvcc,e wlvs � • Mttt.'rl-wins Lim 2 Ime 2 ........................................................_.................................... Main Stam; 2..............................................................................I................. 2 i�t+c L1 3 Line 2 ........ ........ ........ ......... Main$eon .................................................................... Line Lisa ............................................. ine S Tar or Tripk o4 ino I P.02 Line 1 Piers: Line 1 Openings k�8 s7�,�Ia�LAS Size minimum: i _ ft__ l., Size minimum: .[ ] X I J Ila) m:�K Spacing maximu' r� Each side of openings From ends -maximum:, - with width over: r Line 2 Piers: Line 4 Piers: Size minimur.:: IZ' x 1 30'. Size minimum: x [ Spacing maximum: 61Spacing maximum: ` From ends=maximum: From ends-maximumi. ` Line Roof Loads: 4 Size minimum Location. (from ;:cont): Line 5 Rous' Loads; Size minimum: Location (from front): gd cru OVER P. ��4, B LOIN, UI 1 j®' E k 1 QYSJI S Oct -G4-00 05:10A 1, Owner's Name' 2. Assessor's Psrcel Number: 3. Installer's Name; 4N s hf od let. fNohc r, si'd- ze-t✓ 4. Is the site currently under permit? Yes[ ] No[ jet Permit No. 5. Is the site an existing site? YesN Not j (if yes, furnish two plot plans). 6. What is the electrical rating of the, mobilehome? OO Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. S. What is the electrical rating of the mobilehome site? If D Amperes. 9. Is the main ser,,rice remote from the mobilehome site? Yes[ D NoV] If it is, what is the rating? Amperes. 10. Is there any other alectric load to be served by the mobilehome site electric service (i.e. well, garage etc,)? Yves[ ] NoM If yes, please identify the load and size: a) The mobile home site: Load- _ _ Amperes - b1 The main service: Load- _ Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[X] None[ ] 12. Size of as pipe at the mobilehome site from the meter or tank; 3 _inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?/0 (ft.). 4- 14. ft)4- 14. W' at is the mobilehome gas demand? B.T.0 * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet onprropane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 P.01 10 ' d 0 ' -=I Ni '31 =7 Environmental Health OCT 2 91998 Chico A,Pggf �Mj'a Butte County Environmental Health Date S!gpature �b0A A.4") 37'7 ED wJ ez:60 86-6z-100 31 •I , J % 1 U– • - 1/I" AD NSI INC 1141 Y15 0 w' -+{+- o ✓r' x'11 _L IT 1/7.1 1• PIM OR 1/7• } C.R. .S CNINC DOL1 6 IN1 )•vr ve• M TIP. RP2029/70295 PADS NO SCALE CAsr•1.-nKt .LYa In[.Iffj a E. ftAo.lu.nA1[• w t. RP209 PAO 141 Tlti •I RP2 2000 SERIES S7AN0 I e e YO RACE I� TOP VIEW _ END VIEW 16 IIP, SIDE VIEW �. - 1/7' AO JDSI INC RP202a PAD NUTS - TIP. IID SCACC 1/7• l 1• PIY OR III �u.s ILA[NIYc WE Q razaAaa • I o In6 / rn rill o. RP2029 PAO w 1 S�R I�S STAND _ riPl�00 I YO SCALE 6•-t 121•- M U =• T ANO Q,7N, DElICNLISTED AND IUito DI Is" I ASSOC IAIES ,AIME I. Pot —00. PE - tISTIMC N0. /01601051 /QRpf E S Slp�� C,���Or�� I n Z l.:. S 1 B ExIenslon A ' E:Ienston /7071 STANDS FOR AP7007 STAND FOR IEP7011 tql CML V 0. T' 1--�-i tijlj'(r��"ItI.-1.o v� _...•..:na.. .a.,.-.......- ...I.. w ... \ .AIM A,Am 7+RII COOL SECI.O+ .LL51 A P P R O V E D r....• �.A.�:A: r Beom Restroint-Clomp Doh SPA qb- lF _ c . o.._. SFA w..l . _NO.,-- --_-.. r16 , rto.,_A owl Em:I, . -c A7 2.6 2 OW IPr.lvl't In'.IPrL� % o�u...�- �P-P' - Ile one 1 0 .•a oro o o ..( >T 1 . r tti ..wa .:. Ah. Beom Restroinl Ciamp Ni. Beom Reslroint Clomp 10'�(I1II' N r l�.l r I fa I�. b• tl I A N LJ 1 1�+H r 1 7• Pr. - 1d q G USE RPS OZ96 PAD 5 (SEC NOTE IS) k r R1' l CJ 2 1 AM0 f: I> N0. !,S.i r- V . CAL �P_E RMA NENT--FOUNOA-T-ION-SYSTEM BOB POLYMER 2000 SYSTEMS j RP1900 SERIES STANDS RP2000 SERIES STANDS RP2028, RP2029 AND RP20290 POLYMER CON CRETE. PAOS WILLIAM A. SOMMERMEYER. CIVIL ENGINEER 1111-0 CL CAN INO REAL - ARR010 CRANOE. CA 11170-M% RCC 11616 "P.17/3I/D0 605/.65-5160 APRIL 199E SHEE I I OF: 7 SHEETS fL` L{S` p5H ATTACH SECURELY 10 0Y'Ip l•Q NOB I LC HOHC 5UP1'ON r I,v l� L. CIROER - TYP OY SS•GJw - I c. G� QHS IP VP fISPPOP S 4 I O yJ PPpP / V o WM 9/16' OTA. TYP. �t4^ P a� Mj1N r: ^ 1/3^ RDO LX 3-1/7" T• } 5• LET. PII7. CA .5 o^4,2� MIN.. WEL0EIT LT[II11M KBRESTRAINT ELT CLAMP DETAIL_ L No SCALE T - i— 6 0 CR pLA14. 1 - 3/6" CADMIUM - PLATED CR.5 NO TYP.. �I" O p ' 9/16" OIA. TYp. BEAM RESTRAINT BASE PLATE DETAIL PLATES FOR NO SCALE TYPICAL INSTALLATION DETAIL NO SCALE BEAN RESTRAINT CLAW, SEE DETAIL 1/2.16 —1/2" A 2" MB TYP. —BEAM RESTRAINT BASE PLATE - SEE DETAIL 1/T" x 5' THREADED ROD, IH' FILLET WELD BELOW OR PLUG WELD ABOVE TO BASE PLATE 2" 0.0. SCC AO PIPE WITH 1/2" HOLE 1/2" HOLE FOR LOCKING PIN - TYP 2-1/3. 0.0. SCH 80 PIPE 1-9/16" ROO WELDED TO GRIPPER BASE PLATE. -4-- 3" - 1 - 3/6" CADMIUM - PLATED CR.5 NO TYP.. 1/2' FILLET BELOW OR PLUG WELD ABOVE O C INTO CAST - IN-PLACE 1-3/A': 1-1/16" A fO-RME0.70 "U" 1/B" PL FERROL INSERTS PLATES FOR 1/4• FILLET; BOTH A -Ir' I t/2' MS CONNECTION - TYp. o g .y- SIS plp+0 ALL 13L P =_ O 1• rrp. 1/1• PLATE BASE PLATE DETAIL NO SCALE `T ti K. 9/16" 0 C(NI(RED ON PLATE -4-- 3" - 1 - 3/6" CADMIUM - PLATED CR.5 NO TYP.. e O C INTO CAST - IN-PLACE PLATE 1'1.(P FERROL INSERTS PLATES FOR 9/16" 0 C(NI(RED ON PLATE 3" -} • �— 1-Ih' m T _ - 9/ 16" 0 NOTE FOR 1/7" T10 PLATE PLATE GUSSET PLATES FOR SUPPORT GIRDER 1900 SERIES STANDS NO SCALE (BOTH ARE ACCEPTABLE) 9/16• DIA. TYP.-) PJ,1F- T _ - / 1" A 1" x 1/6." L - - - J R S• I A SEE VE ALO I t/2' MS CONNECTION - TYp. f ILL El g .y- SIS plp+0 ALL 13L P =_ O 1• rrp. 1/1• PLATE BASE PLATE DETAIL NO SCALE STANDARD BEAN RESTRAINT ASSEMBLY 2-1/2"A jX> 9/16' 0 -CENTERED ( SIDE VIEW FRONT VIEW ,9� RP2028 PAD WITH RP1900 SERIES STAND � p � °u.t NO SCALE rR2 DESIGN LISTED AHD IESR.D BY EISA L ASSULIAIIS .AY HE I. POL VADO, P( - 11511 NG. N0. f0,,,0, 01,3 Q!ikOf ESS/py. d0 NET . !' 0I L'l'\ Z cr l_j .1WA�:jAyi .011AllA Aw lrlr l.. ••tA1M ANO SAjTn COOS, SECTION 1813: A P P R O V f 0 V1 "cl To coft"cf.O"r1 •olio OTrlSN3.. 7r GCIJ[: v:r' S1 ..m:.T �S SPA NO. _=1 IV '�la'>lon ArClfavCl E)q irm L"1 LOOCi PERMANENT FOUNDATION SYSTEM BOB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS r RP2000 SERIESSTANDS .RP2028, RP2029 AND RP20296 POLYMER CONCRETE PADS WILLIAM A. SOMMERMEYER, CIVIL ENGINEER 1171-0 ELCAM IMO REAL - ARROYO GRANDE, CA 93370-2SS. RCE 11658 -p.12/31/00 805/389-5360 APRIL 1998 SHEET 2 OF 3 SHEETS 3" COLLAPSED (' // 9' STO. MA:. Y/ t" 12-1/2" [ 1/4• PLATE: 13• TALL NAA. 1/3" WELD TO BEAN RESTRAINT PLATE, BOTH SIDES OPTIONAL DIAGONAL BRACING - _ - / 1" A 1" x 1/6." L - - - LENGTH VARIES, 16—.2" 0• STO. I2• TALL 21• :TALL t/2' MS CONNECTION - TYp. ( SIDE VIEW FRONT VIEW ,9� RP2028 PAD WITH RP1900 SERIES STAND � p � °u.t NO SCALE rR2 DESIGN LISTED AHD IESR.D BY EISA L ASSULIAIIS .AY HE I. POL VADO, P( - 11511 NG. N0. f0,,,0, 01,3 Q!ikOf ESS/py. d0 NET . !' 0I L'l'\ Z cr l_j .1WA�:jAyi .011AllA Aw lrlr l.. ••tA1M ANO SAjTn COOS, SECTION 1813: A P P R O V f 0 V1 "cl To coft"cf.O"r1 •olio OTrlSN3.. 7r GCIJ[: v:r' S1 ..m:.T �S SPA NO. _=1 IV '�la'>lon ArClfavCl E)q irm L"1 LOOCi PERMANENT FOUNDATION SYSTEM BOB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS r RP2000 SERIESSTANDS .RP2028, RP2029 AND RP20296 POLYMER CONCRETE PADS WILLIAM A. SOMMERMEYER, CIVIL ENGINEER 1171-0 ELCAM IMO REAL - ARROYO GRANDE, CA 93370-2SS. RCE 11658 -p.12/31/00 805/389-5360 APRIL 1998 SHEET 2 OF 3 SHEETS GE-ERAL_ "OTES I. DESIGN LOADS: MIND LOAD. 70 MPH EXPOSURE -C- SEISMI&IONE. SNOW LOAD AS REQUIRED BY BUILDING OFFICIAL. - 1, THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE OESI GHED FOR 1000 psi ALLOWABLE SOIL PRESSURE. •. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILEMOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. S. W AREAS WHERE DIFFERENTIAL SETTLEMENT IO.S.) CAN OCCUR, MANU- FACTURED HOME SMALL BE READJUSTED WHEN O.S. EXCEEDS 1/A-, OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED NOME UNIT. 7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES, 370 PLATES, ASTM A36 BOLTS. SAE GR.S - ASTM AMS - ASTM A372S 7. ALL EXPOSED STEEL SURFACES OF COMPONENT PARTS TO BE FINISHED IN DURABLE INDUSTRIAL-CRAOE PAINT, OR CORROSION -RESISTANT PLATING, BEFORE DELIVERY TO THE MOBILEHOME SITE. NO STEEL SURFACES TO BE IN DIRECT CONTACT WITH SOIL SUBGRAOES. S. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY J SISK E ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 107SI. VERTICAL Sf701. 9. THESE STAND AND PAO N UNITS ARE DESIGNED TO BE USED WITH MOBILE - HOME CHASSIS BEAOF STANDARD SECTION EQUAL TO OR GREAT EA THAN W7X 10/. ANY OTHER SECTIONS SMALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES By INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. It. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF FOUNDATION UNITS MEETS THE REOUI REMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTAL FOLLOWED PROCEDURES ARE FOLLOWED PROPERLY. 12. FORLONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: 111.111.014COG TERM SNOW LOAD SIFT) X (ROOF AREA SQ.FT. 11 = S970. USE EVEN NUMBER -OF UNITS ARRANGED Sal EACH DIRECTION. (NOTE: DESIGN SNOW LOAD CAN BE REDUCED UP TO 7Sl WHEN APPROVED BY BUILDING OFF ICIALA 13. FOR POLYMER CONCRETE PADS. USE CONCRETE MATERIAL CONSISTING OF SAND AGGREGATE BOUND TOGETHER WITH POLYESTER RESIN AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUSPRODUCED MUST HAVE THE FOLLOWING MIMtMUM MECHANICAL PROPERTIES: COMPRESS Off STRENGTH 70,700 psi TENSILE STRENGTH 9.000 P" FLEXURAL MOOUL S.1 % 70 SEMSILE MOOULUS� S.f % 10' PAI IS. THE MANUFACTURER MUS CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO TINE REpUJO EiIEN rS OF ASTM METHOO O -All, SECTION 7• PROCEDURE 9 i S1�10 CERTIFIC TION! WILL GUARANTEE THAT THE CON- CRETE HAS CNDAICAL RFSISTANCE'ITGAINST THE FOLLOWING CHEMICALS IN THE CONCENTIEAT1ONSa"TE0 9 Soo" CNL'ORIDE %v0P ((5,1� SULFURIC ALIO-' r 10z SOOI UI SULFATE „a✓ IO.dn, HYDIIOCHLORIE.ACID�m 0.7NP SODIUM HYDRO%IDE,�O ACETIC ACID : 0' KERY11E_RA STM 0-543 TRAONE� PER ASTM 0 -SAI ' IS. IN LIEU OF RP70198 PAD,LNEj LCI.—� a -7a 1 G 1' YI.1 P. 91 OCT. -29' 99 1.11;; 1,:"., UNTU TEL 416 8...428 F INN OUTTE COUNMY SCHOCLIS IMPACT FEE CERTWICATION FORM !Ons farm per lfdidintgl School Disiriti l�-,C.,,(LL �_� n 1(-- tC.Aa'�_ guNding DaOertrnent No. _�� A.P. fyutnbar u-�G _ ��j 1,1 ' 1 C .q riedlcdun. Q City .06my ELL MITIGATION a _ — �!^ Data PropsrN Owner Property LotaNenrASer"s Subdivision t_et No. Residential 0bvele2mort 8a• Footega %� t+ No of Uving tln.lt Meelle Noche Inslallet-on A4ditlen C"46i l fYj q; ,qq 0 .,ne- j -�+ CcTr•wraet fn4usmel 5th. Footage Now Addition 11"C!vMng E■tener Roofed Aressr Builtfing OO�t-itllefK flepresentet ve Cwre Moor plans rev'eo+oo by Schoo: Dittriet Personnoll 0/1•ict Wentifcotiw► No. �(i�'%%_� School D,:trict ce-Ufise That / • / (Appl contl (sheet Addrest) (Phono Number) L16utef IZhp Code) nes enmP:led nr.th the raq�jiren,on:s of Rrall6vio! No.a y payment of 1 �_ T rogrosentmg J egos: a last. 6chool District Rag 1114ilctiv0 —_ ELL MITIGATION a _ — �!^ Data Paid by Check / _ �(..� ��� Pemorf;s: /LifliC �lr?V9� &Ike; Y" nNy praust the Ifnp0e1= of the fteo (dr, ic": above by evbrrtittlrty a wrlttsn protset to the 01etrtnt, In eornpeened berth+ Governmem Corp section 30020(e). within 90 tie -ors from 0% date leas are prod. Fellure to subfnit a timely written proWat will prow* YOU froth chananpin4 the Ierposltfan of the logo In sny eeurt action. ■ _� Y fit• If, subsequent to the School 01stdet Rspreantathre e4ping this 11-aw County 11choole Impea Fee Certification Farm. the School 0lstrler le nctllled by one epptiesets t srpt Han" Agency that Ota prooct Is being reviewed uftder the California Emdromtental OLWhy Act ICECA) thle Wel•et May bel to sddUlonaf school tees tv full ftthi is he act an the wham dlWat's schocle. ce teWhi(applicsrt). Yallow (buddng departmontl. Pink (school district) reeferrn.aft 121e 19eaw RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 22 -Jan -1999 1999-0003253 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. MARY B. CAHILL REAL PROPERTY OWNERILESSOR 209 LOCUST AVE. MAILING ADDRESS SAN RAFAEL, MARIN, CA 94901 CITY COUNTY STATE ZIP 13779 ANDOVER DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (tf also property owner, write 'SAME") 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 98-2397 (530)538-7541 BUILD G PE TELEPHONE NUMBER 1/.19/99 SIGNATURE OF LOCAL AGENCYeEqtUL,1 DATE NONE DEALER NAME ($not a dealer sale, write 'NONE") MAILING ADDRESS DEALER LICENSE NO. Cn7 COOHI'r Mrs W UNIT DESCRIPTION SKYLINE 1983 PALM SPRINGS MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 23700307A/BS 44'X 24' 258039/40 SERIAL NUMBER(S) LENGTH x WIDTH (NSIGN ALABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #066-190-010 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #066490-010 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 18, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE, PINES COUNTY CLUB ESTATES UNIT NO. 3". WHICH MAP WAS FILE DIN THE OFFICE OF TH RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 13, 1971 IN BOOK 38 OF MAPS, AT PAGES 64,65, 66,67 AND 68. CERTIFICATE OF CORRECTION RECORDED AUGUST -.24,1973 IN BOOK 1858 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 409. 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. AP NO. 066-190-010 PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F AND G (THE COMMON AREA) OF PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 3, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCOTBER 13, 1971 IN BOOK 38 OF MAPS, AT PAGES 64, 65, 66, 67 AND 68, AND THE LOTS DESIGNATED FOR COMMON AND RECREATIONAL AREAS AS DESCRIBED IN THE DECLARATIONS OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV AND COUNTRY CLUB ESTATES UNITS 1, 2 AND 3. BUILDING PERMIT NUMBER: 98-2397 Address or location of unit: 13779 ANDOVER DR., MAGALIA, CA 95954 Legal Description of Real Property: A.P. #066-190-016 SEE ATTACHED (x) Mobilehome/Manufactured Home . O Commercial Coach Has been affixed to the real property above by installation on a foundation system , pursuant to Health and Safety Code.Section 18551. - Owner's name: MARY BELLE CAHILL Owner's address: 209 LOCUST AVE., SAN RAFAEL, CA 94901 ti INSIGNIA OR HUD NUMBER:. 258039/40 { SERIAL NUMBER OR V.I.N.: 23700307A/BS V fx. • : ' a if Y.a MANUFACTURER'S NAME:SKYLINE YEAR: 1983 OFFICIAL APPROVING INSTALLATION: DATE:` - • - 1/19/99 PHONE: (530) 538-7541 H.C.D. 513C i SfATE OF CALIFORNIA -DEPARTMENT OF I-IOLJSING AND COMMUNItY DEVELOPMENT REGISTRATION CARD_MOBILEHOME u[CAI NO. LAD5566 1dAtIIIIAC'llllllR NAhil. 111 IRAUI :1Ah11. h1UULL 00)(4 W)I Of SET' LXI'IRAIIUII. SKYLIIIE/90002C PA LH SPRINGS PSP.8208 05/19/83 05/20/83 06/03/83 U SERIAL NUMBER IAIIILVINSIGNIA NUMBER R'EIGIII IfNrlll WIUIII ISS."I) Sff, EXLhII'I I1S[ IYPE 1237003078S 258039 6-13700 000528 000144 10/31/85 34 SFD LPT Z 23700307AS 258040 009% 000528 000144 3 TOTAL 4 FEES 5 PAID: G :30.00 A CAHILL MARY BELLE o 3950 MACK RD SP 74 o SACRAMENTO CA 95823 R e S s e R CAHILL MARY BELLE e O M I A 3950 MACK RD SP 74 s I T L e SACRAMENTO CA 95823 R e o o s 3950 MACK RD SP 74 w N T e u SACRNIENTO CA 95823 R S L 6K AER 1042 e . a A PO BX 8015 L o RNICHO CORDOVA CA 95670 w DATE: 10/18/85 12:00:00 N e R J U F N I I R O s R T L I e N s H e O C L O 0 H e o R I5 ItPORTANT 037302-00242 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. I THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300043 r: 7 :7.J: D -165", 0-9, OC7-13-1998 131: 07 91b 323 9244 P.1331'63 ?= Te'0F CALSOINA - AND NOUSNGAGM.�y RTMEW OF R0U$jWG— A N 0 C 0 m XUR fy �Vv k 61-2—m—a DhUtP -3f Codj and Suf1dards Title Search Dai Pxirted : 10;15;98 N wr LAB5566 Manufactuytr:, 90,002 SRyLjNqj US6 Code: SPO Trade-n=e. P A L 14 S PR_N C.,� OrighUl Price Code: ARF Model. Ratin-Year: p-sp $208 a �4ar'14Ctured Due: 03x;9,8, Tax Type: Lp., R1r--1;i,AraLr,0n Fxp. L I "'st IL' Amount: 'Fj--,st Sold Or: 'W03j8:4 Da td ILT FOe Paid: ILT Exeitgon: 'ON Serial NLInber RUD LabFl r1isipi z")700307$5253019 A-Mg1h Width -37003(!7AS 426F.'040 44' 12' R,gigiend C)�;,nel.: 44* 12, "W'y CABIL 3950 MACK RD S? 74 Last Title 'SACRAINMENT0, CAM23-40411 Date. 10,'31185 A09 card, SWe/Tnng.vej. !rlf,: -S'lus -4LIddress. Price S27,3 10. 00 Tralufc, r --d on 0610318; 354Y ESpL_A-N-4,Z)E 429 CJ'ICC), CA 95926 Sinn C' BUTTE Lega; 0wjj- wIty: 2AANX 0F.',MF_RjCA PC Ex 8015 RATC-10COP DQN Lien perfe t '"A, CA .93741 Title Searches: 10'1&/85 Go: 10'!6/85 B-IMNELL rITUIrSCROW CO 7126SKy-,WAy';z� A Twe File -,N'01 ?Ap"DIS,4, CA 95969 3.184337 END OF 1-17LE SE Av TnTA! rz.m.i P. 01 OCT -12-98 09:03 AM STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY `- a. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPME, t' t DMSION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM MTEM ENT OF FACTS This unit is a: CK Mobilehome, ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) b S"s .2; i o -0.702�f S UWe, the undersigned, hereby state: ' _D rG 0,w G,S r. r, I/We further agree to indemnify and save harmless the Director of Housing and Community Development. Statc of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from rcgistration of the above-described unit in California, or from issuance.of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing .is true and correct. Executed on 101op 84- pa(c) t-(Da(e) (City) (State) Signature(s) I Printed name(s) Address City State RtCtl ]No uQi18Sry8D BY XMMML MU m EgROW CoMYANV Orda 1 3-184337 AND V13M rte (MWED WUL TO MRY D. CAHILL 3549 HQP14nade 6428 ChiCo CA 95926 !P M% 10§11111MININOM 1'98—t�t0475S9 OPtic9m d ordo I TRECl ME 19681 Ca t Of i �'� Ca�roa J. MABS order � 1 09;MN 94 Net -1991 i 0 pay I of Z SPACS A80V8 TM UNS FOR RECOSMUR'S un APO age -190-010 Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE Qc ESCROW COMPANY Tde rmdasigimd tlUTt9) demos). Dmunmu y tm=fet to is f 3 -Go - (x) Computed on full valve of property =" yed, of ( COMPUW an NU (x) Um rated sr�e-�a-�-u-�e((hss liens and eacumDraaaa remw"02 at time of talo. FOR A VALUABLE CUri51R) ZNCMPMT8D AREA 1:RAT10N,, oe¢elpt of whktt is hereby aclQwwie4ged. md CORINNE 13ENEDMTA BUCCHIANERI PELFINI, TRUSTEE OF THZ JAMES PELFINI EXEMPTION TRUST, CREATED BY PELFINI LIVING TRUST hereby GRANT(S) to MARY B . CAHILL, an utmarried wmm .. Me fallawiog dead"' real property in " UMMORPORATED AREA County of BVM Stan of Califoaua: 888 ATTACH= 9CMULS C rOR &2= DRSCRZPTXCM Dated; October 23, 1998 i CORIM" BRME"A BVCCliIANER2 `�PELPI TROSTS$ Stare of Caurorab Cemsar or � a2G r 9 ee6oa are. dkc umkmpo. • Notary Pub's in cad rot acid Stue Peroonalty ePpCarea Cor -,nn¢, acnade a -CA,' ftae� Pt=RWY heo" so as (ry erideneo) wee w1 pjCd I } SUM t waw Wei mj%c w m dw ritbin ituwment cad ceimorledj� m me om kw aoh r eaemb ft soave in A ftriuwr -&orbw es"14W. and dine by Wp%wtthaitr aistt MWD) on tae itutro,uem >t PUMP) or 69 CW* %"a achw ohdtieh tree Pcnoet(el 400 eaeemwd Ae Umuoxm, 9ATMS my sand ud oW%W seat. NANCY OE BWOtt Commmon n i 173P61 NCttay Puck. CdEcntta Math Courly My Cornn. f>�ets Acv t% � �•. e�z `._ Obb area for cirm er eotow no) K*JL TAX 2Tmq6zMmZ:MTO S ��1 A9 C� _ -_ �� is • 7c !31 LWCLL 1 1 I Lt 6 tjl M,uw HHXRV 15E y 5382140 NO.386 D03 Order No, 3-ISM7 SCE EDULE C Tn IADREFERREDTO HEREIN 2S DESCRIBED AS FOLLOWS: ALLTEAT cERTAM RBA,. PROPERTY SITGATH IN THE Covay OF Bung. STATE OF CALIF'O�RNIA, DESCAIBM AS FOLLOWS: � i . PAR= 2 � 1 LOT 18, AS SHOSiN og THAT MIXT NO. 3" W8IC21 MAp ClOjlTAIN MAP ENTrrUM, "PARADISE PINES COUVTRy CLUB ESSTATE9 STATE OF CALIFORNIA WAS FILED IN THE OFFICE OF THE RECORDER OF TEM COUWY OF Bim, 68. ' OCTOBER 13, 1971 IN BOOK 38 OF MAPS, AT PAGES 6Q, 6S, 66, 67 AM l CERTIFICATE OF CORR$CTION RECORDED AUGUST 2s , 1973 IN BOOK 1858 OF SLttTf', COUl11'Y Oi4PICZAL RECORDS, AT PAGE 409. F.XCEPT2n T="F80q ALL MINERALS, OIL, CTAS, ASVMLTUM AND OTMM THEWITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL, BE ppmHYDROCUBOW ICS$ �gN� SUR SURFACE ARBA OP TQ8 LAND DESCRIBED }lERBIlO, AND THAT NO DAKh" SHALL RR DOR$ TO TUC SURFACE OF SAID LAND. AA NO. Ogg -190-010 PAR= ZZ A NON-RXCLVSXVB EASEMENT OVER LOTS A. B. C, D. B, F AND 0 (2'HE COMMM pxwzsE Pn= COUNTRY CLUB ESTATES UNIT NO. 3. WRICH MAP WAS BILEp IN AREAS) OF THE RRCORDRR OF THE coum OF BUTTS. STA?B OF CALIFORNIA, OFFICE OF OF IKAPS, AT pAGgS 64, GS ii 97 AND S AND OCTOBER l3FOR,IN 90OX AND Tz AREAS As DESCRIBED IN THE DBCLARAT�IOZig OPDEArME7CA IT ON FOR COMMON ' 38 I VIII, X, XI, XII, XII2, XIV, XV AND COUNTRY CLUB ESTATES UNITS 1,'2 AND 3. - "" r NOTES RESIDENTIAL { 066-19-0-010 99-2526—B- 13779 *r PERMIT NO., _CAHILL-, -Mary— —"'-"""""4- B 13779 Andover Dr, ' MagaTia (new _carport) Van Court Const 'a J 1 SPECIAL CONDITIONS CHECKED . BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I JOB FINALE[ Signature Y V= OK 0 = Not OK - = NotAppligable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Size -Spacing -Marriage Line 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Drain; MH Test -Fall -Flex Connector -3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 6 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Q0�� Date DECKS, AUaZARAGES (Plans) OK except #'s 2 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. De ; Girders and/or Joists -Decking -Bracing -Stairs -Rails AffWIN-ood T" 5. Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. g; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Date Card 6- Date Card B-1 Card B71 ' Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s , Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 9. D. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral U Yes U No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor U Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive :1 Yes NoMalks ] Yes No/Planters 0 Yes No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 82. Following Instld./Drive :1 Yes NoMalks ] Yes No/Planters 0 Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: `R c� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND -PERMIT �9 a� ASSESSOR PARCEL NUMBER 0 ZONING BUILDING PERMIT OWNER MAR � TELEPHO E SO, FT, OCC. BUILDING VALUATION 196 2496 . OWNERS MAILING ADDRESS 13779 ANDOVER CONTRACTOR'S NAME VAN COURT CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS 2-10 WALNUT ST, C-14-11 CHIC0 r.A 95928 CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.10 BUILDING ADDRESS 13779 ANDOVER DR, MAGAI-1A Energy Plan Checking Fee $ $ PERMIT FEE $ 99.10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Y] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OV LE Main Service . ' 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. ^ �O '/ License Class — Lic. No. /// �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. so 3.5¢Fr; NpµgESID. T. MULTI. C%. I CG 7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OunEr OR FMAES 20 @ 1'00 BAL @ .50 Ex. Occup. o E' ao ,oE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the work9m_' compensation'provisions of section 3700 of the Labor Code, I shall wR om tho a pr i s. X _ Date /� _ Signature of Applicant - ❑ Owner -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or bonstruction of structures over 3 stories in height. , Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 99.10 HAZ. O. FEES IMP FLOOD COF PARCEL �- PD HD This permit is hereby issued under of the Butte County Code and/or indicalad above f& which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Receip4No. 160 U5— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) wlCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION l. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) „ APPLICATION AND PERMIT z A � ASSEisOR PARCEL MUMMER /" 0 1,p b ZO~NG BUILDING PERMIT OWNER C19 x� z � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MOMUNG ADOREIO 3 '7 9 4,j 0 Do tz- CONTRACTONt'S HAMS VAFJ TELEPHONE CONln1ACT'OR'SMAUNG ADoaESB .230 (JAl_I�0r �7 e-1 3 Ntc� 4S 2 CONSTRUCTION WMER Fireplace LENDER'S MMUNG ADORESB Total Valuation $ I(q C ARCHITECT Oft &=NM uCENseNo. Filing FeeI $ 20.00 Permit Fee $ j ARCWECT OR ENGINEER'S MALUM ADDRESS Plan Checking Fee $ BUILDING ADOAMp 3?'7 -! Energy Plan Checking Fee S S ���n`'�• PERMIT FEE S i� LOT NO. PARCEL MAP PLUMBING PERMIT Fling*Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CAA le o2f' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or void 15.00 BFEoIFv TYPE OF WORK Gas piping system t - 5,06tiets, 15.00 New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other' ❑ Building sewer 14 Describe Work: —15.00 @20.0 Mobile Home G W 0 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoa oR ss 23.00 Main Service sooty T/ IOOOA 46.00 NEW COAST. OW OCCUR 3.52 so OR ADDNS. a BLOSMr.. NEW -O IO. LTFOLRLET @7.50 ' WEA APPARATl13 rLGLE OLRLET G0. ' OUTLET OR FIXTURES '0 ®I'� EX. OCCU BAS .50 Ex. Occup. pvTIETs iRD APPL 6.1 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ j MECHANIC PERMIT Fling Fee 20.00 Heating i Cooling Hood 6.50 Ventilation PERMIT Mobile Home Installation Fee$ Energy Inspection Fee IE °°` `°NST rF£TOTALo 'UZ. 0. TEES IM FLDP CEL PO 6s UE I 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 (O�rol CRY y'*.r ;M• .�. r:.�. -.N r� 4... Yr •T ^.xr, . ;w! F 'CtWUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION *► 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965'- TELEPHONE (530) 538-7541 PERMIT "PLICA TION DATA SHEET OWNER: ! "//aA 44 CA HI t. L. ASSESSOR PARCEL NUMBER: GG - / 9 O - O ( O Proposed Building Use: C?9Aj2-*ti r- Building Inspector: (�!_ Date: ?_ = N Oy, - /999 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted.------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------- ------ 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13 . lood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval G l `CIealth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------------------=-- ❑22. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑24. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ----------------------------------------------- 0 27. ---------------------------------------------.❑27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------- El 29. ❑433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. /Telephone and hold for pickup at De - v ith inspector. APP licant: (Date: �l Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divin counter, by Date: Plans reviewed by: Date: Plans approved by: c%- Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: r.I_1A__-,�,--•_. _ SUBJECT: Sanitation Clearance l c« 137 7 9 A Ower- -010 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for —dwelling. Other A � Ib` CAC'Qd r -f kc Alol n�it� Hold final for: Final clearance O.K. for: NOTE: i . e / U -s-99 Environmental Health Specialist Date 8/96 � a E.H. USE ONLY Plot Pion Attached PA Jr. r Floor Plan Attached GO ti� ►^: : L. Sant to B.D. 1 IA Department 9 TO: Building FROM: Environmental Health SUBJECT: Sanitation Clearance l c« 137 7 9 A Ower- -010 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for —dwelling. Other A � Ib` CAC'Qd r -f kc Alol n�it� Hold final for: Final clearance O.K. for: NOTE: i . e / U -s-99 Environmental Health Specialist Date 8/96 PERMIT NO. 832-74B -c;1-7 -7s P E M MH UTIL. PERMIT NO. . PERMIT EXPIRES -c!2-7-7c `/ c OWNER Allene Whitten CONTR. Owner t LOCATION (A.P. 66-19-10 ) 440 Andover Dr., PPCC#k3, Lot 18 i ' M • r 4 r F Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB V _ FINALED (Dat (Signature) DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings. Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 6 7 County Center Drive — Oroville, California 95965 + Telephone: 534-4541 APPLICATION AND PERMIT BUILDING OwnerSQ. mar 4rJX1177,ffFA1 FT. OCC. BUILDING VALUATION E 6 2 5-- Mailing MaiIing Address 430 1 Telephone No. Fireplace Contractor Total Valuation— Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address OPLUMBING N�Ov No. @ FEE PERMIT FILING FEE $2.00 L Each Trap 1.50 ��G L Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No./62 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 4-- Bldg. Plans Recd P.asa�4-.4ppw+wl Pla pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J* Main service incl. 1 meter • Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2U 1@2 0 Receps., switches & fix outlets 20002255 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to.enter upon the above-mentioned property for inspection purposes. X1_40-tt!Z4ZI�_ Date Signature of Permitee or Agent Receipt No. %/7S-D`T White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE $ 7 if"7111, 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 F P LIC WORKS By Date B ng permit expires Date...............1�'L�:. %�.... COUNTY OF BUTTE. = D,-PARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize re esentatives of the County of Butte to enter upon the above -men " n d property for inspection purposes. x Dat r% Signal e o Permite e or Age t Receipt No./f/✓� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli'cont 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 G Date ` Building permit expires Date ....f,�ie/7 BUILDING Owner • A. WHITTEN SQ. FT. OCC. BUILDING VALUATION Mailing Address 117.5.5 Gilmore St- 201 Telephone No. North Hollywood Ca 91606 Fireplace Contractor WOLFE ELECTRIC Total Valuation Mailing Address P.O.BOX 388 Permit Fee Checking Fee&/or Penalty Ma alio Calif. 1873-163.9 Telephone NoPlan Permit Fee $ $ Building Address 440 Andover DrivePLUMBING No. @ FEE PERMIT FILING FEE $2.00 Paradise Pines Ma alfa. Each Trap 1.50 Repair drainage or vent piping -1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. // l7 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 9enrtetren- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. ; @ FEE PERMIT FILING FEE $3.00 gain service incl. 1 meter Additional meters, each 1.00 SUb-panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol 410 Receps., switches & fix outlets b 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: Virg Wolfe Electric Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilitie 5.00 P 388 hTacral i a� Ca qr�95I Temp. Power Pole 5.00�-� _n _Rnx License No. 173O1 rj Classification C-10 Misc. wiring Exeh.Ov head to U. "r d •i i _CE ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 11.100 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. KI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize re esentatives of the County of Butte to enter upon the above -men " n d property for inspection purposes. x Dat r% Signal e o Permite e or Age t Receipt No./f/✓� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli'cont 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 G Date ` Building permit expires Date ....f,�ie/7 BUTTE COUNTY BUILDING DEPARTMENI PLANS AND SPECIFICATIONS IVCLUDED CLQR AND ROUGH GRADE PAD AND DRIVE AREAS A P 4 O V E D T11STALL STAIIDARD BUTTE COU11TY APPROACH INSTALL 1000 GALLON SEPTIC TANK SYSTEM LWITH 100' LEACH LINE rnSTALL 55' 3/41' MATER SERVICE WITH 1 -DBL BIB INSTALL 1440 SQ. FT COACH PAD VITH 3" CL2 3/4" AGGREGATE BASE ROCK" INSTALL 760 SQ. FT. DRIVE AND PARK AREA kJI'3'$ AGG. BASE ROCK INSTALL 240 S0. FT DRIVE (TO S.B.L.) WITH ASPHALTIC CONCRETE INSTALL 200AMP ELECT. SERVICE ON 25' POLE INCLUDES ALL PERMITS NECESSARY TO COMPLETE JOB. ALLAND 11. WHITTEN 11755 GILMORE APT #207 NO. HOLLYWOOD, CALIFORNIA 91606 PHONE: 213-762-0226 OWNERS APPROVAL: ���/j '�� �l � �/ �_��1��1� DATE: 0 G >���G�9 Z07T `d /cg All utility connections shall be located within 4 ft. outside the rear third section of the mobile .home on the left (road) side of the mobile home. h skptic system i to be as per Butte County Health Dept. Re- quirements. t MEMO N rpm I ON N I Ir mill M i iii � e ■ ES o � I ori ■ �i �aSei�i 0i ■ NEENDEM [MMEENFAmull NONNI of'W"WOMMEWMEMIN ENE MME 1i on No loffim 111111111101111 M 010 No OEM 1111 so 11 NONE 1 0 No 111 smog ME M s 11 0 M No No min �� Al �� 0101110 oMOI ���� NElei ■ ME M M BEESON MONOMER in. 11=1u. in 01"a 1011 NONE ME ONE 0 M MEIN No WEI min loin ��■c a ���� 1 ,COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 f APPLICATION AND PERMIT OUu IUIIcU IUPI UJCnlau VUa U1 L IU l�UUIIly Ui DUMC UJ C111e1 UPIJ. MU above-mentioned property for inspection purposes. X Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 4. By . �C/1 4, - Date % f- B r. ! •7 BUILDING Owner orf t 1 u /-r-7 — 1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor-�-,� . Total Valuation Mailing Address ,. A� VK" Permit Fee Plan Checking Fee &/or Penalty �Zn3S /r$ Permit Fee $ Building Address JCZ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 . 0 a ate•.. .1�1, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (p �J /� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. G', Sanitation- FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ 3 `� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �27 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol (di 0 Receps., switches & fix outlets 20 (d 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring X"I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this El permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �G �. OUu IUIIcU IUPI UJCnlau VUa U1 L IU l�UUIIly Ui DUMC UJ C111e1 UPIJ. MU above-mentioned property for inspection purposes. X Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 4. By . �C/1 4, - Date % f- B r. ! •7 • �" J •COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.,WORKa 7 County Center Drive — Orovi Ile, California 95965 / . Telephone: 53474541 -;. `S' A`PPL'ICATION AND PERMIT ' rw , 4i . ;• BUILDING Owner !�%i- iiJt,.✓1i- a:i>-'tf "�%<;t=,tjtTi SQ. FT. OCC. BUILDING VALUATION Mailing Address .00 '- Telephone No. Fireplace Contractor Total Valuation Mailing Address F /; G r; [: Permit Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee $ is Building Address-- I•.• /! -- /� ' - PLUMBING No. @ PERMIT FILING FEE / $2.00 +FEE p r F / Each Trap 1.50 ._- Repair drainage or vent piping 1.50 Water piping / 1.50 Each gas water heater or vent 1.50 A. P. No. - ,� / _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W.C. Sanitation Fire Dept. Fire Zone `Use Permit Building sewer / 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 .iiBldg. Plans Recd Parcel -Approval l •"'Plans Approval Permit Fee $ � $ NEW ❑ ADDITION ❑ UTILITIES Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE / $3.00 •- " Main service incl. 1 meter / —16, A, a Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q' Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures J30 l P20 Receps., switches & fix outlets 2u (01 Zb a 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:_ -Jf Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar, lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities / 5.00 .r�r0_• Temp. Power Pole 5.00 License No:"' %» i' `- Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of -Section 3700 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 Compentaation nsurah''�,ce. ❑ I certify that\in the, perfa mance)of,�the Dor: ktor which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. � MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have (re d"thi's�ap�phcation and state That the above information is correct. I agree i&loco a11'Count Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ' u icN�cacnaAu vco Vi lR to I,VUIILY U1 UULLQ rV C11LU1 UYU11 URC above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. �' - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS � f By -�%Y i Date 7;/ Permit: 3922-73'P, WRITTEN, -ALLMD M. 440 Andover Dr. PPCC #3 Lot 18 Magalia (Utilities for mbbile home) COUNTY OF BUTTE. — - [DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT {59Af73 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X-�a°�C� �L DatV —26-7` Signature of Permitee or Agent Receipt No. &W 0D 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 0 P BLIC WORKS)"7 By Date ,���6 . _? Building permit expires Date 7__2 4..,7. BUILDING Owner LE �� — SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address d. Permit Fee Plan Checking Fee &/or Penalty ^ Te hone No. Z� Permit Fee $ Building Address ( l) _ PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 , B a Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. - , �� /� ` Zoning &Planning Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 F ehTs W. -Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturespal_ io Receps., switches & fix outlets Zo fa 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 16 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 'Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ t m authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X-�a°�C� �L DatV —26-7` Signature of Permitee or Agent Receipt No. &W 0D 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 0 P BLIC WORKS)"7 By Date ,���6 . _? Building permit expires Date 7__2 4..,7. I COUNTY OF BUTTE •— -DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT QUU1011 ze Iep eser,IaIIveJ UI tree V of Butte to enter upon the above -mention property for in ection purposes. X Date.�O��6 Signature of Permitteeee o©Ag Receipt No. 14!! ` l7 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 nP PUBLIC WORKS BY Date 12-7-4 B ding permit expires Date BUILDING Owner- ,q .v Com../ SQ. FT. OCC. BUILDING VALUATION Mailing Address/// T� 1571Z/WOZ2C / G l!%Od 9��0 Telephone No. %6Z�aYY6 Fireplace Contractor �� cf 2 ��i2 Total Valuation Mailing Address �-s7 ��DOI, r Permit Fee PI an Checki ng Fee &/or Penalty T ephone No.. �3 11_ Permit Fee $ $ Building Address �� / PLUMBING No.1 @ FEE PERMIT FILING FEE / $2.00 ,2.0 0 (/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 IJ�'6 Each gas water heater or vent 1.50 A. P. No. / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sa . op FireDept. FireZon se ermit I ing sewer' 5.00 67,00O EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system2.00 g. Plans FCd'_ PTfTr;l Approval Plane Approval Permit Fee $ 50 $ L NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE ' $3.00 300 Main service incl. 1 meter / 3, 00 3,00 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1 1.00 Water Heater or Space Heater 1.00 Light fixtures baifo to Receps., switches & fix outlets Z67125 10 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 o'f'�- Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities / 5.00 6-,o C) Temp. Power Pole 5.00 �,��/ License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r00 l00 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. XI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ O QUU1011 ze Iep eser,IaIIveJ UI tree V of Butte to enter upon the above -mention property for in ection purposes. X Date.�O��6 Signature of Permitteeee o©Ag Receipt No. 14!! ` l7 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 nP PUBLIC WORKS BY Date 12-7-4 B ding permit expires Date ,' •D •• � ' Fir � ��� • vMI I T8N,ALLEN8 SANITATION Misc. (W.C.) 440 Andover Dr.ppcc ##3 lot 18 Magalia (deck" for mobil home) 0 C f The Hideout / P.O. Box 6 R.F.D. #1 Lake Ariel, Pennsylvania 18436 717/698-5607 ` Deka . ori, Bldg. I cin enclosing a note Aund on my nn6V e A'A' /424� /pa/tccdi oe Nnee, at 40 "veer Derive, Lot #/8. , f /?off Ande44wz. *reeted dice p�rnit jlo�c,tJra '� T4e, dii6VAg ,e heal ice ad `he .<a . caance4 ed dltiougA .i t y haa~ oo►ree;utinh hct ,4A revs.` , a uag I utin ted U" and rae aae 60A cbm a6oui : -i ;-,*i- T>.fie • ma oa . rw?ft L c e: dvrze' lroruevelr and on4. the m wA t(UAp wZU 6e .le,Li: #v 6e done, �,oa foa #l+at ,ma�itei; � 1i6 .l+w done#frenri hv, I dont ftwru ra4at tlt paocedrvice F,o ici `Mime. I an #er�p- oac4,i.(g out o� the .state vaciitivng.. ,,.Yod nsd# c ntact me cai the adove adaGceea in ca4e ... o -denn Ciro ere. 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