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066-220-021
66-22-21 .Charles Hat_z_n n 885 Andover Dr lot 150, PPCC#4, Maja contr Paradise Modular Conc., Paradise Permit #3763-79P,E util MH) HC.2 GASP_ SUPPORT STRUCTURE REQ.A,-z,,,e7 COMPACTION TEST REQ.,j 7� 66-22-21 Contr: Paradise modular Concepts Permit#,41554-79MHI i Issu� 66-22-21 contr: Paradise Modular Conc., Para. "#5()z 1- 79B E (iiew 'pr i &t. garage/ ra I g MH rmit ;-- e/' I - A ) 66-22- 21 Contr: Cal QAs, Paradise f g - Permit#5188-79P(gas piping/3763-79) yj 66-22-21 Permit 5985-79B(new open deck/MH) 66-22-21 Permit #3174-80B(new open decks/MH) ..066--22-0'-'021:- 3 7 6 3 M HATZMAN., CHARLES/ ARGE!. j CONTR:, 0 6 P 6 Permit 2 ks;l�qH F -HA T Z M CONTR:, R . �9CK; GLE 1 13558 ANDOVER%DR, MAGAL-1-A- C VER ER .�u VER EX I ST'DECK/MH- % ' 14 066-220-021' 06L0032 14AtZN4,AN FAM. I ILYTRUST.,: .13558AND0V.ER.DR;MAGALW, Cont` J b -,-F 0 R- D'S EL_ E C T R I C '00WER'P6 -n- 11z010 f Orr '0 v -7 t *2 n —_ Butte County Department of Development Services. eoTre, AREA N ®TES 7 County Center Drive, Oroville, CA 95965 y -* (530) 538-7601 _ www.buttecounty neydds RESIDENTIAL 066=220'02`l"" _ 06-0032—' . i Owner. HATZMAN PAtWLY TRUST_, t i 13555 ANDOVER DR, MAGAUAA t site Address: I_Cont:,J:GF.F.ORO'S.ELECTR[C. • POWER POLE C/O. ^� Contractor. Type of Permit: OFFICE COPY Address/ 3555 Amooyu 4� r.,AL 1/1 GAS Meter By Date ELECTRIC i- Z4.. D&Meter By Date SPECIAL CONDITIONS CHECKED BY a SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION REMS Q VERIFY D USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER 1Q1 �ENCROACHMENT PERMIT I I DCIAICDCr•TInN CCC DAM . =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossavers -Bre akers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID EC K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boices-Enclsrs=pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 40 a Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DAIL JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe, Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel -Bloc kouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1:1 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-Materia"upport4nsultn 61 AC Ducts Insultn & Support 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frpic Ties or Type A Flue-Frpic Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass P rtctn -SkyLts -Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 0� o'er �� 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert-0ther Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CUor❑AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or F-1 AL Oven Circ ga ❑CUor ❑AL Insulated Neutral ❑Yes 0 N o+' 41 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060032 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/09/2006 APN: 066-220-021-000 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 : C_/0 Licenssee Number: �402�0/ y� Site Address: 13558 ANDOVER DR MAG Date:/ -9 -&G Contractor: czee-a'1r Map Index: Description: REPLACE ELECTRICAL POWER POLE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HATZMAN FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior HATZMAN MARGE H TRUSTEE 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 1060 BUSCHMANN RD #52 the Contractor's State License Law (Chapter 9 commencing with Section PARADISE, CA 95969 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Applicant: JEFFORD'S ELECTRIC Code: The Contractors' State License Law does not apply to an 5456 BLACK OLIVE DR. owner of property who builds or improves thereon, and who does PARADISE, CA. such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95969 sale. If however, the building or improvements are sold within one 530-877-5319 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: JEFFORD'S ELECTRIC not apply to an owner of property who builds or improves thereon, 5456 BLACK OLIVE DR. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). PARADISE, CA. 9'5969 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-877-5319 Date: Owner: License #: 862048 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: 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' compensation laws of California, $5500 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 those provisions. /� 0 Date: ( r 1— O lV Applicant: WARNING: Failure to secure workers' compensation coverage is. unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: ;xb 1 CJ lD Name: ((``�� ht'7 PERMIT EXPIRES ON: — `1 y I Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage. handling and use of hazardous materials. ❑ . Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance9 official form or document of Butte County. I hereby authorize represen to a of Butte County to enter upon the above me' roperty for inspection purposes. 7Ad10'0"" Print Name: 11 o N.a �O�y P /C Signature Date: G d - �C- ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION . Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OR - CONTRACTOR OWNER INFORMATION Name G C Last Name -7- j? l C First r-, Address ! , 3_"S� O ,Q City Book StateC� Zi Phone Fax E-mail E-mail Lic. # 4 OR - CONTRACTOR ARCHITECT/ENGINEER Name G C Yo c/ -7- j? l C Address S- Y r-, Fax IJck ,Q City bd I Book Stag Zip�s� (,9 Phone7,7 _ 31 R State License Number Faxes 7 7 E-mail Lic. # 4 Class � e APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATU X For office use only: Zoning Property Address Flood Zone Cross Street SRA I ves No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\Fr1RMC\RI III nIN(; Fr)RhAR\RlrrnAnnl.CnhRnmtc rtnr. PERMIT NO. BPW003 BIN # rr PROJECTLOCATION AP# O lV — QZ — 02 Property Address Cily Cross Street 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 r Scope of Wor C' �P �J o y✓ �-P Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Paoe 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 6 , Amount: co Bldg I 1 SRA Receipt #:�`����� Sheriff SMIP -� Other Date: 1 — O .�� , 00 Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 RESIDENTIAL 066-22-0-021 9.1-3763 HATZMAN, CHARLES/MARGE CONTR: MOCK, GLEN 13558 ANDOVER DR, MAGALIA COVER EXIST DECK/MH t I JOB FINALE Signature J=OK O = Not OK Not A = Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 oning Requirements -Setbacks -Easements mgs; Soils -Size -Depth -Spacing -Connectors -Steel 3. 96ks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. ectric pl"Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9.,Siding; Nailing -Veneer -Stucco -Mesh ti6. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date ^ Card B- - Date Card B-1 Date Card B-1. Date Card B-1 Date 006LS (Plans) except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel -Elea Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 ti's 1E. Water Htr.: Vent -Access -Combustion Air -Baffle ------------ -------------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------------- -- ----------------- -- -- -19.-Shower Pan: Test. First Floor -Tub -Access ---- - 20. Test Tub & Shower. Second Floor -Tub Access - ----- ----------------- 21. Gas Pipe: Size & Anchors ---------- ------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------- ------------ -- -- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - ------------- -------- --------- ------- ------------- ----- -------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ---------------------- --------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------- -------------------------------------------------- 26. Equip. Ground made up w!Mech. Fasiners-Bond Gas & Water --------------------------------- ------ --- ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------------------- 28. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or AI 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- ------------------------------------------- 30. ----------- ------------- --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------- - 31. Equip_Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------------ 33. Smoke Detector ---------------------------------------------------------------------------- --- Date Card B-1 Date Card B-1 ------------------ ------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. -.A. -C.- Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation --------------------------------------------- ----------------------------------- 36. -------- ------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------- ------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ----- ----------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic •-------------------------------- ------------ ----- ----- - --- - - Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- ------------- - ----------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------- I.. Bearing Walls over Girders & Floor Nailing - --------------------- 42.-Draft Stop in Walls (rat proof) -------- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48.- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------------- 53. Stairs, Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------- --- 55. Siding -Nailing Veneer 56._Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57 Glazing Area -Glass Protection -Skylights -Plastic - ------------------- _ 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings -------------- - 60. Infiltration -Walls -Windows ----------------- Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ----------- -------------------- 64. Bedroom Exiting - - - ----------------- ------------- 65.__G.F.I. & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ------------ ---- ------------- 67. Stairs -&-Rai-Is 68. Fireplace or Stove: Clearances -Hearth --- ----------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance -71.- Elec. Outlets & Receptacles at Kit. Counter -------------------------------- ---- ----- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------ 9 -- p er -- a -Dam -------------- 73.----A.C. ----Duct in-------Gara--------- - - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------ 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------- 7. Insulation -Foam -Looked in Attic ❑ Yes ------ -------------- -- - - -- - 78. Guard Rails & Deck -Const ruct ion- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes 0- No----- ------- 81. Stucco: Brown -Finish ------------------------------ 82. ------- 82 A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plb A liance-Fire lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing .------------------------------ ---------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------------------------------------- 86. Ventilation Throughout House ----------------- •-------------------------------- 87. Glass Protection ------------------------------------------- 88. ------------88. Corrections from Previous Inspections -------- ---------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------------------ --------- ------------- ---------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. 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: �3 � COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541�� • 5��- APPLICATION AND PERMIT Ain Z ASSESSOR PARCEL NUMBER 66-22-21 ZONING RT 1 s j BUILDING PERMIT OWNER CHARLES & MARGE HATZMAN TELEPHONE .873-3192 SO, FT. OCC, BUILDING VALU ION 445 COV 2,670 OWNER'S MAILING ADDRESS 13558 ANDOVER MAGALIA 95954 CONTRACTOR'S NAME GLEN MOCK CONSTRUCTION TELEPHONE 872-4351 CONTRACTOR'S MAILING ADDRESS 265 ROE ROAD PARADISE 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2,670 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13558 ANDOVER DRIVE MAGALIA Permit fee $ 82.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 150 SUBDIVISION NAME P.P.C.C. UNITS PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: COVER EXISTING DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 2o0ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ����a �� Classification � F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.&\ NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. // 3.6Q sq.f[. NEW CONST Ft. MULTI -OUTLET NON -R ESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES\\ 20 761 00 46A FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID )REA./ ( 3.00 Temporary service 15.00 �- Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s� County in consequence of the granting of this permit. X �'�-� Date -Z Signature of Applicant — Owner❑ Contractorp;a"' Agent ❑ _ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 82.50 I I HAz 1 OFEES I IMP I FLOOD I CDF PARCEL PO HD IssUE/I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicate above which fees have been paid. IR T F PUBLIC WORKS By Date //-4-71- PERMI EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK•IN9PECTOR, GOLDENROD -APPLICANT OWNER _ ^ �' .. � . .,,,sc^... ,.-�O-K „`;T'inr+xk.r,,:a, �:*.C�: r px..�C���;i�rh'c7--.c--'-•�xw*.,p+� rr,,:�r�+dy, COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC, WORKS —BUILDING 7 COUNTY CENTER DRIVE -y ORQ.VILLE_=CALIFORNIA 95965:7,TELEPHONE: 916/538-7541 PERMIT APPLICATION DAT'I SHEET DIVISION = Permit No. x :;;, 4,1 SFS �%.B� y G /L�i�'�. /�� n/.�, f A. P'. No. 4G6- ,. G6- Proposed Building Use i",Je2 rXrso'tr/S Dock Bs uilding Inpector Date J o/Z 3l 9 / . At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 2. 3. 4. 5. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans ........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . Complete engineered plans acid calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Fees of $ Chico Urban Area fees paid ....................................... Parkfees paid ................................................ School District fees paid ............... Sanitation approval from /22!e111Q1Q/fC Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... When you issue the permit, process as follows Mail to owner. Mail to contractor. Telephone and hold for. pickup at office. Deliver w/inspector. Other Applicant Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitte :or to permit issuance: (Circle new item not checked above). 1., Index permit for above items No. 2. Additional items required: Contractor, designer, ffer as advised of above required data byvphone-_—rnaiI—counter by&/ ..date Contractor, designer, as advised of above required data by—phone —ma II—counter by date Plans checked by Ow Date Plans approved by 13W Date dI20 I9( Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. J I 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUR — 6 ZONING - Ar - , BUILDING PERMIT OWNER C 1-iAA `'rS m,R � E-/-/,J72-/"--1^J TELEPHOt•lE ��3 - 3 92 SO. FT, OCC. BUILDING ;,tp c� VALUATION) 26:77 ' OWNER'S MAILING ADDRESS /355-'B 11,-J 0 J 9_ 4,4'4.aur C4 95.55- CONTRACTOR'SNAME Ca Lr/;)06k Ca✓SrRvcIT��.J TELEPHONE 1372 - y3.- CONTRACTOR'S MAILING ADDRESS Z(,5- RoC- fj, !P4,e4,a S/ CA 95 9E' % Fireplace Total Valuation Filing Fee .'Z -G 70,, $ _ 15.00 ' CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Permit -Fee $ j-. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22,S-- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 192—so PLUMBING PERMIT Filing Fee 15.00 % 3 SS� %/J lio✓� �2 Each Trap 5.00 / / Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION S� NAME P' C_C- t) rl PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome101 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TY.JE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation[- Other ❑ Describe work: cbyc2 CN)SV-InL.�! 'Veek _ v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Vyl am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In fullforce and effect. License ,do. �CD 5��2 Classification /7 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING o. CCUP.h) ACDNS. ACC. BLD -GS 3.6E sq.ft.OR NEW CONSTR. MULTI.OUT LET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. EX. Occup( OUTLETS LETS OR FIXTURES 20 76d Ex. OCCUp. OUTLETS RESIDFIXED R )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I��ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saigtCounty in consequence of the granting of this permit. X Date '�� `� Signature pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEES g2 HAz DFEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6 WHITE•O.P,W., YELLOW•ASSCSSOR. PINx•INSPECTOR, COLD ENROD-APPLICANT r TO Buildinv Department �r FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for room mobile home. Other ---A �tlC—. / - NOTE *** PE14MIT NO. 3763- 79P -,E J, PERMIT EXPIRES Charles Hat fman OWNER CONTR. ParadiseModular Concepts, Paradise LOCATION (A.P. 66-99-91 885 Andover Dr., lot 150,,PPCC#4, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. X Called PG&E Temp. Gas Serv. a4 L -Cal I eclj?C��. JOB FIN4LED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBING MetbaXk firewall All piping Forms ra ets V Floor Main bjdg. IR4troom Finish 2 Floor Foote s in ows 3rd loor Stemwldin To out Slab Roof eathing Water Pi n Piers Roofing Sewer Garage Fdn. Venks Fixtures Footings Stemwal I Garage Ve is Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph cally handica ed Conformance structure A liances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio 1 N PfIDEPLACE Final Footings Footin ECTRI AL Masonry Walls Throat Rough Relnf. Sted Final Fixtures Bond Be FIRE SPRINK ERS Motors Framinq Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Prot. Scr ch Heat PqIt B wn Co Ing . Pole dor Closeranal final MOBILEHOMEUTILITI M ------ Elec- Service Elec. Pedestal Water Piping — ,, Sewer — — Q XPi ing 91-12—al --i-9. IRL6&U&ME INSTALLATION Support y Elec. Continuity Water Piping i✓1 Drainage Gas Piping S, ?j ✓ DATE REMARKS OR CORRECTIONS /-;7 91 'Or'; via/< <e r- 7�� ��,� 1.s4�T� �ih�£ -�' Q� .SL�i ✓�Ct C� �'�-/3 --%r/ O �6dszr /��c c�S �v-o�n✓p/ : �%'cy .���/b".s� --1 (NOTE: An entry must be made on this form each time you visit the job site.) !?.-J 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 4-/:T-,'5 41 -, for the following location: 1 n 1Y A C-_ A tit A Owner o ,'i i.�.S l LAt7w.�7.,,1 Owner's Address Mobilehome Mfg. 6= c-*- '. Model +-rf1 t ^0' Year r Insignia No. �' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By r - ~ - "� NF THIS CERTIFICATE IS VOID WH9N MOBILEHOME IS�RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of ; mobilehome with a minimum of•1Q0 amp) and other facilities on lot, i.e., water pumps, a garage, cabana, etc.? Yes h/No_ B. Is there proper clearances around panels? Yes2No C. Is power supply cord or feeder assembly properly fused? Yes_4,/No_ D. Is continuity test satisfactory as per the following procedure? Yes o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument,.to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts -of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be -tested for continuity from. such equipment and the grounding conductor. 6. Upon completion of the above procedure,. the power supply cord or feeder assembly conductors shall be connected to the 'site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot'or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_Zg,O Width _2V Vehicle Serial No. � Q' State Identification No. L'/+-(_ Additional Information or Comments: ` glow MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withrequired separation from lot lines and buildings and generally conform to plot plan? Yes_ No_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes -LZ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesc---,No 4. Is the mobilehome level? (Sec. 5088) Yes P/No_ 5. If mor than.a single unit, are crossover connections properly installed? (Sec. 5088) Yes No .6. Water A. Is fle*ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes t No B,. Test — Does water piping withstand working pressure or 50 lbs, air test? Yes / No C. Backflow - If coach is not State of Califor is approved, does station have backflow device and pressure -relief valve? Yes_ No_� 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes INO 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 -dons of water through each fixture including washing machine standpipe? Yes No �Vyes_ f coach is not State of Californiaapproved, does station have required trap and vent? No_ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes_ No_ B. Test OK as per following procedure? Yes No ,,a Open all appliance connector valves. .x Shut off appliance burner,.and pilot valves. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4 ems. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yeses �No Y� CQUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 34-45 le, California 95965 Telephone: 53,4-4541 APPLICATION AND PERMIT An authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date 6 Bui ding permit expires Date BUILDING Owner —SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor AK e, Mailing AddressFireplace � � Total Valuation Tephone o� 3 Permit Fee Building Address _, "� Plan Checking Fee&/or Penalty Permit Fee ,j PLUMBING No.1 @ FEE G PERMIT FILING FEE $3.00 -2 Each Trao 1.50 %opCU — /�� Repair drainage or vent piping 1.50 A. P. No. ) Zoning & nning Water piping 1.50 Each gas water heater or vent 1.50 Fes ation Fire Dept. Fire Zone . Use ermit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements, Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 4,30d $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S, Q Main service 600V OR LESS 100 AMP OR LESS 5.00 `0,.v Single Family ❑ Duplex ❑ Mobil Home isOthers ❑ Main service EA. ADD•L loo AMP 2.50 Main service OVER e00V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS,OCC up- '6)20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ,/� „n 09/1'/ NEW ..SID,CON MULTI -OUTLET NON-RESID BRANCH CIRCUITS/ 2.5Oea CIRCUITS) NEW CON STR /POWER APPARATUS 8 NON-RESID. \SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) 5 L� Ex. Occup. OUTLETS IXED P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S; 8 License No.42ES9 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $S'vl TOTAL PERMIT FEE % authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date 6 Bui ding permit expires Date N r Owner s- 4d. Mailing Address Contractor Mai I i ng Address COUNTY'OF BUTTE � — DtPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephond: 534-4541 . APPLICATION AND PERMIT 1 me A. P. No. — ' onin & Planning Rag'Sl 4XI Sa"UVa en I Fire Dept. Fire Zone I Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Bldg. P s Recd P a r c e rovaI Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ale- U71L- >��1* 373 7'11 Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State ofC lifornia Business & Professions Code under the name le of: �. t p, ///�, ( " 9 ce J License No.g Classification I 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 fo?,workmen's orkmen's Compensation. have placed on file with the County of Butte a certificate of 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. 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 repres atives of the County of Butte to enter upon the above- ntione oper y for inspection purposes. Date �a'Si;'natur�F3e'rrnitee Agenf Receipt N 7 White-D.P.W/- Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 5�-79 _ BUILDING .X SQ. FT. I OCC. I BUILDING VALUATION Fireplace I ' Z "¢ BAL@1 +_ Total Valuation 2.00 Permit Fee No. @ FEE Plan Checking Fee &/or Penalty PERMIT FILING FEE Permit Fee Main service 611V OR LESS 100 AMP OR LESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 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 NEW CONSTR. MULTI -OUTLET MnN.BRANCH CIRCUITS) Building sewer E2.O Lawn sprinkler system 0 Permit Fee ' Z "¢ BAL@1 EX. Occup. \0UTLETSP(RESID.)REA) 2.00 ELECTRICAL No. @ FEE Mobile Home Facilities PERMIT FILING FEE $3.00 Main service 611V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main servlce EA. ADD•L 100 AMP 1.00 ' NEW CONSDWELING OOR ADDNST ACCLBLDGS.CCUP. 9i) 20 sq ft NEW CONSTR. MULTI -OUTLET MnN.BRANCH CIRCUITS) 2.50RA EX. OCCUD(OUTLETS OR FIXTIIRES ' Z "¢ BAL@1 EX. Occup. \0UTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 $ $ d Land Development Fee $ TOTAL PERMIT FEE $ "m lao This permit is hereby issued under the applicable provisions of the B to County Code and/or resolutions to do work indicated abo r which fees have been paid. R OF UBLIC WORKS 1 Fa Date Building permit expires Date` BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541- MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / / No _ /tel ( If yes, furnish permit number ) , ' OR Is 'the site an existing site? Yes / / No / L4 - (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 7717 No / / ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 2C Cj Amps 7. What is the mobilehome site circuit breaker rating? -------------- /Q Q Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / � (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------ -- -----• �7 (in. 10. What is the type of gas service? ------------------ ---------- Natural / / LPG -7--7 11. What is the gas pipe length from meter or tan to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? -------`- -------------------- (BTU) (This information not required if pip length 1 ssfthan 6- t n natural gas or less than 50 ft. on LPG.) s �� tu MOBILEHOME SUPPORT DATA /If other than tingle wide, Mobilehome Mfr f�; furnish Setup Model No. �`���-� Year q/ Width -,Z _(ft.) Box Lengt(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single © 1: Wood either AA pressure treated or foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support . locations* footing sizes Supports (check one) (in.) Concrete block. x a 2�- Other (specify) (ft.)(in.) (in.) (in.) (---Tagalpng or Expando,' show support details. (ft.)(in.) (in.) (in.) x -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) 44 4-.0 . -= �c %o,6 'i too-,4x15o1-4 *Tf Fenter piers are other than drawn above, draw in--locatigns, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED %a- J COUNTY OF BUTTE — J'D.A>,RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address eel 6 wipm A_I Telephone No. Contractor ['AL — (per Mai I i ng Address re, ei�.. ('QC/ Q Building Address gEE5 E& A"yooe-tL A. P. No. Zo�g & Manning FV*4' I V&e. I SaniJaiiert� F1 re Dept. IFireZone Use Permit EOA I Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P Bldg. Plans Recd Parcel Approval Plans Approval NEW E] ADDITION E] UTILITIES ❑ OTHER Single Family Duplex Mobil Home 14 Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:%�� ) �-/(� L License No. % %9 / Classification E) I 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 empl"oyer 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. 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-rgentioed property for insp , tion purposes. su�y Date o%;t 7— Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each.additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 100 AMPP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 1i ACC. BLDGS. NEW CONSTR.(MULTI-OUTL Nn N.RFSID_ T ` BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 )2 sq ft ).50ea Ex. OCCUD(OUTLETS OR FIXTIiRES BAL�1 BALI Ex. Occup. (FIXED ALISIS OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i $3.00 FEE 5'.0 FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ -� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTOR OF PUBLIC WORKS By 0Date vvJ I Building per i expires Date -4l Q� 0© 5041-79B,E PERMIT NO. V7\ PERMIT EXPIRES OWNER Charles Hatzman -Para.Mod.Conc., Para. CONTR. 66-22-21 .,LOCATION (A.P. s 885 Andover Dr.,lot 150, PPCC#4, Magalia• a ,K } d t tt i 4, Temp. Power Pole Called PG&E Temp. Elec. Serv: {. Called PG&E Temp. Gas Serv. J Called PG&E y JOB �G FINALED (Date) (Signature) 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I .BUILDING INSPECTION RECORD P BUILDING BUILDING (Cont'd) Setback �,r , Firewall Forms -- �f Parapets Main Bldg. Restroom Finish Footings Windows Stemwall Sidi — 02 Slab of Sheathin Piers Roofing —� Garage Fdn. Vents Footings Stemwall _ _ 7 40 Garage Vents Insulation Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure +, Slab Final Patio FI EPLACE Footin s Footing Is Throat 5 Relnf. Steel '�,�� Final Bond Beam OIRE SPRINKLERS Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Pipin< Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Temp. Gas Sanitation Final PLUMB[ ELECTR J�V— 5;t*> Framing Test Water Htr. Stucco Final Subpanels Mesh M CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole / Finish Ducts Underground Interior Lath Ventilation Permanent ' Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - • - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E ME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �d/JoZ2 CIA - V(7 0 ItLc7a d p,1 0---'% IGGF/i o(E /lCW, ek/ (NOTE: An entry must be made on this form each time you visit the job site.) Owner Mai I i ng Address Contractor Mailing Address Building Address /4/7 _ LJ ` COUNTY L1,EPARTMENT OF PUBLIC WORKS rive — Oroville, California 95965 . Telephone: 534-4541 'APPLICATION AND PERMIT elephone No. A. P. No. CO/ 4_/" Zoni��n MP� g $ tanning P�e15s"ta ' Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg. Plans Parcel kpproval Plans pProval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a V Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification ❑ I 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. 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. 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 roperty for inspection purposes. Date 25 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING IV \ r'^ ' SQ. FT. OCC. BUILDING VALUATION / Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee BAL@1 AL@1 ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OC ACC. BLDGS. NEW CONSTR(MULTI-OUTLILT NON.REsIn_ BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE . 00 �. GR0 EX. OCCUP{OUTLETS OR FIXTURES BAL@1 AL@1 t FIXED APPLNS, OR EX. Occup \ OUTLETS (RESID.) EA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i $3.00 �r i Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 561 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 PUBLIC WORKS By'Date % Bu Iding permit expires Date po SI %-vrp for-, fc.., (Signature) 5985-79B PERMIT NO. PERMIT EXPIRES Charles Hatzman OWNER' CONTR. owner I I LOCATION (A.P 66.22-21 885 Andover Dr lot 150, PPCC#4, Magalia lii iY Temp. Power Pole Called PG&E Temp. E I ee Serv. CaUld PG&E f6ml?'Gas Serv. Called PG&E Called PG&E JOB .a (Signature) y 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 StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas -Slab Final Sanitation Patio / FIREPL CE Final ootin s - $� % Footin ELE TRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRIN ERS Motors Framing //-;, r - I w -.e. u.. Mesh MEC NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer L Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -4-7a e4 z VV IILlr.r £4 zi of wa o /fwval I)VS �30" moe ~,tr, 4,j�ou6 Meade p /C (� love T // .0 �� / F/s� , �y o .✓ �✓o� s i u/t o �C o�i�,t% �.✓al cd /��,� of �1V� �f�,�E /Jpl "I CoAle oer7 �9G�.✓J� v�G/! (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 - OroviIr6, Calif brnia 95965 ✓ ///jjj R � �V Telephone: 534-4541 IJ APPL&CATION AND PERMIT BUILDING IV Owne SQ. FT. OCC. BUILDING VALV TION Mailing Address ew /t Telephone No. Contractor./D 60 Rh -'L_ Mailing Address elephone No. Building Address E A. P. No. —zZ—zt IZoningT Planning s S n Fire, Dept. FireZone Use Permit EQA Parking P N reel Parcel Ma 60' R/W Im rovements Plans � Declaration P P Bldg. Plans Re`e /Parcel A proval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 Single Family ❑ Duplex ❑ Mobil Home X] Others ❑ CONTRACTORS -LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification J-4•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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o 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 constructioh, and hereby authorize representatives of the County of Butte to enter upon the, above-mentioned property for inspectio urposes. X Signature of Permitee or Agent Receipt No427 ;�g—C.) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet wilding sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L loo AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD•L loo AMP NEW CONST. / DWELLING OCCUP. S S $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 EX. OCCUpIOUTLETS OR FIXTIIRES1 gAL�,ay! LNS Ex. Occup. ( OUT ETS IXED AP(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling FEE FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE 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. DIRECTOR OF PUBLIC WORKS By Dateh ilding permit expires Date 3174-80B' HERMIT NO. PERMIT EXPIRES Charles W. Hax-t-zevan/��T�.ta OWNER CONTR. owner LOCATION (A.P. 66-92-21 1 885 Andover Dr., lot 150,PPCC#4, Mqplia Temp. Power Pole Called PG&E Temp. Elec;,,Serv. Calle d�PG&E Temp. as Serv. Iled PG&E /OB r FINALED/__L/•a� (Date9 (Signatur Framing `3 t It o Test Stucco Final Mesh MECHANICAI Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventlla on Door Closer Final MOBILEHOMEUT (TIES ------------------ Elec. S e Water Piping Sewer Mg§16EHQME INSTALLATION --------------Support Water Piping Drainage /. DATE REMARKS OR CORRECTIONS Sub ani Gird. Fa Service Penna ent Final Elec. Pe estal Gas Pipin Elec. Co inui Gas Pipi (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RECORD UI DING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipin Forms Parapets 1st F1 00 Main Bldg. Restroom F nish 2nd Flobr Footings Windows 3rd:Floor Stemwall Siding To out Slab Roof Sheatilling Water Pi! in Piers Roofing I Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Ve is Insulation I Water Htr. Heaters Slab Carport Footings P y --� Prov. for hysicall � handica ed Conformance of ex. structure) { A� liances has Pip_lnqJ& Test Temp. Gas Slab Final 1 7 Sanitation Patio I FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Framing `3 t It o Test Stucco Final Mesh MECHANICAI Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventlla on Door Closer Final MOBILEHOMEUT (TIES ------------------ Elec. S e Water Piping Sewer Mg§16EHQME INSTALLATION --------------Support Water Piping Drainage /. DATE REMARKS OR CORRECTIONS Sub ani Gird. Fa Service Penna ent Final Elec. Pe estal Gas Pipin Elec. Co inui Gas Pipi (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, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. &i 2 - ASSESSOR PARCEL NUMBER 4064 A0.7/—� ZONING %� .�� BUILDING PERMIT OWNER ��J��G,CG�4 TELEPHONES) SQ. FT. OCC. BUILDING VALUATION / ` OWNER'S MA LING ADD''E//SM�SAA CONTRACTOR'S NAME��// dG/ TELEPHONE CONTRACTOR'S MAIL NG ADDRESS CONSTRUCTION LENDER Na7N UNKNOWN Fireplace Total Valuations Q $ 7 a LENDER'S MAILING ADDRESS Permit Fee $ Z O p ARCHITECT OR ENGINEER At LICENSE NO. Plan Checking Fee $D , Penalty $ ARCHITECT OR ENGI AILING ADDRESS Permit fee $V,.7O BUILDING ADDRESS PLUMBING PERMIT FiIingFee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. ,,s® SUBDIVISION NAME /j %�/ G�O�N• f�� PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: DAdZ _Dre:� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Wr I, as the owner, or my employees with wages as their sole compen- I-Vsation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) el am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUT LET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR /POWER APPARATUS & 1 NON-RESID. SINGLE OUTLET CIR, / Ex. Occup(ouTLETs OR FIAPPLNSXTURES 50@� BAL@10¢ FIXED Ex. Occu FIXED TS (RES, OR (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, an xpenses which may in any way accrue against ou cons�qu�he granting of thi mit. X ot.-v Date S ,nature of Applicant — Owne Contractor ❑ A n ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ O;A4 Q0 OCCUP. GROUP TYPE OF CONST, V N PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By MIT EXPIRES Date_. the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.�S ,MY WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ENVIRONMENTAL HEALTH OCT 2 3 1991 Paradise, CaGiomias 959F' ao x a�1 :) R PC e rv�e 1 /0 ' A "`-� -k "*� - - o� ; �2 APPROVED Butte County Environmental Health Date nMwirte ..