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HomeMy WebLinkAbout066-240-007BUILDING CODE, OW 30 DAY /�-/�: uton�T N 66-24-7 Mr. & Mrs D. Jacobsen " David 62 Ct. , Maga]ia � Permit �k _ 76P,E(util. , ELEC . GAS SUPP T S RUCTURE REQ. > COMPACTION TEST 'REQ." /j I -ZD 66-24-7 const . Gene Schmitt Mobile Home Serv, chico Permit #6160-76 - ,,I sued A 0 A r 66-24-7 Permit #241-77B-(_n`ew,open deck/MH) co orthstate Aluminum, Chico Permit #2250-78B(new attached awning/ �s.�z0( 48 YA- 66-24-7 - - r Permit 1648-77B(new open.deck/MH) 66-24-7 Permit #723L- carport/NH) /72( ew pr had carport/MH)) („�• A. In a / alvlkl 4 Permit #1837=80B,E(conv.porch to cabana & inst.new deck/MH) 0 740-007 01-2408 SHELLEY, PAUL �7�\��A' p 13574 DAVID CT, MAGALIA 1 CONT: MARVIN PLOURD EX MH EX SITE PERM FNDN 066-240-007 01-2416 SHELLEY, PAUL 13574 DAVID CT, MAGALIA CONT: OSCAR LINDHOLM DECK STAIRS REPAIR �- r - � _ I, �� 1k AI � V i :� y ),,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 01-2416 ASSESSOR PARCEL NUMBER r 066-240-007 ZONING - BUILDING PERMIT OWNER PAUL SHELLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 13717 At OVA DR. MAG,.,IA U, 03,5954 1 720.00 CONTRACTORS NAME OSCAR T L T TELEPHONE CONTRACTORS "UNG ADDRESS .6010 KIRTRI22 PATRADISE CA 95969 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 1,720.00 ARCHITECT OR ENGINEER UCENSE NO. FilingFee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 1. � T O c Energy Plan Checking Fee $ PERMIT FEE S 84.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK STARS REPAIR DAY ROT -I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 ESS Main Service 20.A 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. ��Z 7 z Q License Class /3 Lic. No. / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWE111No OCOUP. OR ADONS. ( 8 ACC. BIDS. SO 3.50FT. T. OUTLET NON-REOSIo MULTI - 97,50 POWER APPARATUS a SINGLE GLmEr CIR. Ex. Occup.OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup.Oirr FIXEDrs AM D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / Date j�0/ Signat of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 84.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County a and/or Resolutions to do work indicated bove for hich ees have been paid. y Date g-2-2001 PERMIT EXPIRES ON 0/-26-2002 ata Receipt No. 281 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -2- ASSESSOR PARCEL NUMBER_ `1 BUILDING PERMIT OWNER tp TELEPHONESO. FT. OCC. BUILDING VALUATION OWNERS MAJu S CONTRACTORS CONTRACTORS AMSINO CONSTRUCTION LENDER LENOEA'S AWUNO ADDRESS ARCHITECT OR ENOINEER ARCHITECT OR ENGINEERS MAUINO ADDRESS BUUONO ADDRESS LOT NO. I SUBDIVISIONSNAME MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ `34Describe Work: A /r, P *PERAAIT FEE PAlb SRA �. SHERIFF OTHER AMOVNT RECEI4ft Total Valuation E PERMIT FEE t GU Filing Fee $ 20.00 Permit Fee $ co Plan Checking Fee $ C-� Energy Plan Checking Fee $ MW UUM NON•RESID. A ( BRANCH CIRCUITS \ S FLOOD PERMIT FEE t L PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 020.00 Ex. Occup. OUTLET OR FOM MES PERMIT FEE t OR Ex. Occup. OMO TSAPPI"SID6 ELECTRICAL PERMIT Fling Fee 20.00 Main Service OR LEss zoa► oR LEss 23.00 Main Service aoaA TO IOOOA 46.00 NEW CONST. ( OR ADONS. Dwa OLDS. 3,5¢so. r. MW UUM NON•RESID. A ( BRANCH CIRCUITS \ 97.50 Ex. Occup. OUTLET OR FOM MES 20 ® 1.00 SAL .SO OR Ex. Occup. OMO TSAPPI"SID6 5.00 Temporary Service Hood 8.50 Mobile Home Facilities J23.00 20.00 Misc. Wiring 23.00 1 s I PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEE: t Mobile Home Installation Fee S Energy Inspection Fee b occ CONST. TY1 TOTAL FEE Z� G . 0. FEES IMP FLOOD I COF PARCEL I PO I HD -7 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. * TO 0E PVT INTO COAAPVTER ip By PERMIT EXPIRES ON Date NOTES p PERMIT NO. RESIDENTIAL 1-'066-240-007 01-2408�� SHELLEY,PAUL 13574 DAVID CT, MAGALIA CONT: MARVIN PLOURD EX MH EX SITE PERM FNDN L-- LTHE HCD FORM 433A FOR THIS MH CANNOT BE ~RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: , (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON INEW MH'S). J1NSPECTOR TO VERIFY SERIAL & LABEL #'S. 3• I , 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ' JOB FINALED (Date) Signature M i t• 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ' JOB FINALED (Date) Signature M J = OK 0 = Not OK t - = Not Applicable = Not Ready; ' • . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1._ 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch 3. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. 4. Water; Location -Test -Easement Needed (Sketch) 5. 5. Electricity; location-Clearances-Grnd-/ /Amp -Concrete 6. 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. 7. Well Clearance & Disconnect 8. 8. Utility Clearance 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1._ Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails t 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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- Pan elboards-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.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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 T -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 -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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 -Mach. 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 At Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ❑ Yes ] No/Walks J Yes ] No/Planters ❑ 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 MECHANICAL (Permit) OK except #'s Ventilation Throughout 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 Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic 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 Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 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 T -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 -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 -Mach. 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 ❑ Yes 82. Following Instld./Drive ❑ Yes ] No/Walks J Yes ] No/Planters ❑ Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 Comments at Final: BUILDING PERMIT NUMBER: 01-2408 Address or location of unit:' 13574 DAVID COURT, MAGALIA, CA 95954 Legal Description of Real Property: . A.P.066-240-007 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: PAUL H. SHELLEY & MARY L. SHELLEY Owner's address: 13717 ANDOVER DRIVE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL022989/90 SERIAL NUMBER OR V.I.N.: WS1716A/B MANUFACTURER'S NAME: SILVE REST YE R: 1976 OFFICIAL APPROVING. INSTALLATIO:Z. DATE: 10/12/01' PHONE: (530) 538-7541 H.C.D. 513C 5 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 16 -Oct -2001 2001-0048032 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. PAUL H. SHELLEY & MARY L. SHELLEY REAL PROPERTY OWNER./LESSOR 13717 ANDOVER DRIVE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP 13574 DAVID COURT INSTALLATION MAILING ADDRESS. IF DIFFERENT MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner. write "SAME") MAILINU ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS --PROVILLE, BUTTE, CA 95965 ITY .1 COUNTYSTATE ZIP 1-2408 (530)538-7541 �( U L N R. IT: TELEPHONE Nl'AIUER 10/12/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale. write "NONE") NONE DEALER LICENSE NO. SILVERCREST 1976 SILVERCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEI- NAME/NUMBER WS1716A/B 24'X 60' CAL022989/90 SERIAL NUAIUER(S) LENGTH S WIDTH INSIGNIA LABEL NUMBER.SI REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #066-240-007 SEE ATTACHED NICD FORA 433(A) REV. 8/91. WHITE -County Recorder CANARY - 11C'D PINK -Applicant GOLDE\ROD - Building Dept LEGAL DESCRIPTION A.P. #066-240-007 All that certain real property situate in the County of Butte, State of California, described as follows: LOT-3) 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1971, IN BOOK 38 OF MAPS, AT PAGES 69, 70, 71, 72 AND 73. EXCEPTING THEREFROM ALL M NERALS, . O1L, 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. 0 ad 7-1-' � u.coem,No aounTEn w ' / Bidwell Title 6 Esctow Co. - .. 1 t. kV oAm,,, 3-144827 ANO WHEN RECOROEO MAK TO "a" r Paul and Nary Shelley an..t 13574 David Cti. ••• Megalis: Ca 95969 Ciro baa L MAIL TAX STATEUMS TO r�Isame as above e. -10085 1 89—p 140El3 1 Reoorded 1 ROO Foe I DOC 5.00 27.50 Ofllclal Records Total 32.50 COunty of t 1 Butte Ctandace J. Grubbs 810 WELL TITLE CO. Recorder 8100atp 23 -Mar -89 1 RB l SPACE ABOVE THIS LINE FOR RECORDER'S USE A.. 066-240-007 Individual Grant Deed ' TNIS FORM FURNISNFn nv sun t The undersigned gTantor(s) dcclarc(s): Documentary transfer tax is S 27.50 Ik4 � ( xx) computed on full value of property conveyed, or TRti p 4 ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( xx) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. DAGBERT IVAN JACOBSEN and NANCY L. JACOBSEN, husband and wife hereby GRANT(S) to PAUL H. SHELLEY and MARY L. SHELLEY, son and mother as JOINT TENANTS the following described real property in the unincorporated area of Magalia County of Butte , State of California. Lot 319, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 4", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on October 27, 1971, in Book 38 of Maps, ht pages 69, 70, 71, 72 and 73. EXCEPTING TRERE]FROM all minerals, oil, Ras, asphaltum and other hydrocarbon substances With provision that any and all mining operations shall be done front orifices outside the surface area of the land described herein and that no damage shall be done to the surface of said land. Dated: March 6, 1989 �( L BERT IV N STATE OF C31i1FAli�lt,� /iLAok4 COUNTYOF on Ph -1 ��� X989 before �[a�' 'e I7<-- me, the undcniBned•jj��N _ Public in and f �ai S tt NANCY L. JACOBSEN personally appeared %CJ �y I PcrsonJly owa to me or proved to me op the baait of ut• +'�� y tsfactory'evidence to be the person;J_whosc name t ` e+ wbt_2ed to the within instrument and actinowlcdged WI :/ fl*-- executed the tame. wITNB my hand and of ' al xal. j ?•` Sitnature Z0 n (This arla.fOr dirKlat ROL." Na)) • s,a FOAM 86114 toad Mn ••• ,•a... o,..eclwaretVlMtGItO ABOVE END OF DOCUMENT AUG -16-2001 THU 03;49 PM ' FAX N0, P. 01 STATE OF CALIFORNIA ---DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMEN REGISTRATION CARD MORILEHOMF DECALN0.1 p MANUfACfUNt - NAME/ID TRADE NAME MODEL DOM DOT ors SPC xPIRAlION STLVERCFESU SILVERCREST, 00/00/76 09129176 u WS1716A SERJNUMUE • CAL0229a9 LABLUINSIGNIA NUMBER 000000 000720 0010144 05/24/89 504 ExEMPT SFO TYPE LPT iWS17160 CAL022990 000000 000720 000144 Z 3 TOTAL FEES 1 PAID: 5 $30.00 A SHELLEY PAUL H/ D MARY L JTRS D 1976 NOPWOOD DR - R PARADISE CA 95969 E SHELLEY PAUL H// 1 ' DUPLICATE COPY R �;• r � ;, �', G M '; �'' TO BE FILED WITH THE MOBILEHOME I A 13574 LAVID CT S I " ',� ' pARK OPERATOR AS REQUIRED BY LAW T L i E HAGALIA '.'CA 95954 , O s 13574 DAVID CT E u HAGALIA CA 959.54 ,' t R S E ± I ! 9 I A , ; T ? T u E R ti R T IG'1 L E N S H E O C L O 0 N E D R IMPORTANT 01-139-005' THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100085 (Rev. 12/96) 4 iCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 538-7541 APPLICATION AND PERMIT 01-2408 PERMIT NO. ASSESSOR PARCEL NUMBER 066-240-007 ZONING R1 BUILDING PERMIT OWNER PAUL SHELLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 13717 ANDOVER DR MAGALIA 95954 1440 R 77,760.00 CONTRACTOR'S NAME MARVIN PLOURD TE LEPHONE 872-1096 CONTRACTORS MAILING ADDRESS - 1584 WAGSTAFF RD PARADISE 95969 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER f LICENSE No. Filing Fee $ 20.00 Permit Fee $ 270-2-5 ARCHITECT OR ENGINEERS KWUNG ADDRESS Plan Checkin Fee $ 00) BUILDING AD DRESS DAVID CT 13574 MAGALIA . Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT I ing ee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 00 Other SPECIFY__ Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other LA Describe Work: —B� !;:rTg $RRD4 IZNI)N Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 35-00 Mobile Home IS I GI W1 920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon oR 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 full force and effect.P License Class B—( Lic. No. 3 4f -6171 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELIJNG OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5QFT, NON-RESIIDDT. MULTI.Ou IIJI 97,50 TS OWER APPARATUS A SINGLE OUTLET CIR. EX. OCCU OUTLET OR FOCTURES B20 O 1.00 LNS Ex. Occup.DF"LUTI��°rs pES,D,°.sa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 S RECTI ON 9/24-01- 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 -574-r-45Ic 0 A,%7pAJ514 T-fgN ( 1) 1G I FOND MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number j :2 `] 2 _O 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those isions. / X 4 Date Z-). o ( Signat re f Applicant - ❑ Owner ❑ Con actor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 363.25 RAZ, D. FEES IMP FLooD CDF PARCEL PD HD 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic e f which fees have been paid. �0 By Date 6 �� PERMIT EXPIRES ON IO d fe Receipt No. 332265 63.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR/ PINK• NSP T R GOLDENROD -APPLICANT v ., •� r vv v.12/961 s ; I lesson ►ARCI amu"M wN011 tuurr0 ADalest JMRA�CqTpOJTe IMK OkIPACTIQ /VlGcfy i .� Rt WAL00 Ali )rOTRYCT1pN OI rOOM WARM ADDRESS cmfrm OR eNOINM "' ' " y � I I t - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • Oroviller California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 0, PERI 6 - O �DNMO BUILDING PERMIT SG �• OCC.' BUILDING VALUATION 5 ��Ld CHnCT OR SNON=111 MAIUMO ADORNS " ,Qup " 13 57Z TNo. I susaveeeeral! TE! r"ONE 87z -I&? ucasE No. I &��� c� N0. Fireplace Total Valuatlon S '-7-7"? �Z7 Filin Fee = 20.0( Permit Fee 5 D . 5 ©! a— i 7G+ . 2 Plan CheckingFee = Energy Plan Checking Fee t t PERMIT FEE S , Z PLUMBING PERMIT FIMg Fee 20.00 USEOF8TRUCTURE Each Trap 7.00 ' u Dupi>x O Mobiiehcros K Solar or heat um water herttpr I 23.00 sveerrr Water lin 15.00 s TYPE OFWORK Each as water heater or vent 15.00 rw O' Addition O Remodel O Lt els, O InsOtlation f� O Gas (In stem 1 - 5 outlet 15.00 lscribe Work: r�, f`� fD� Building sewer Mobile Home SEIW 15.00 Q20.00 LOW i 4,IV— PERMIT FEE S B ®cam ELECTRICAL PERMIT FM Fee 00 - — — ---- Main Service 900V 04 in 204A OR L" 23.00 Main Service 20" To 1000A 40.00 NEw core . DWRLM occur. OR ADONS. A ACC. Etbe 3.5CNEWFMT• NONIIOio.' MVLTFOIlTtr► Q7.50 • 4r' WFC MrARATUs l l Ex. occu . OvnFT OR FKT%m 64L .>0 Ex. Occup. fD'ED A°ru+soR ovnrTs ,,6 !A 5.00 I l Temporary Service 23.001 / Mobile Home Facilities 20 .00 Misc. Wirin 23.00 ZRMIT r FEE S *PERMIT FEE P.12 MECHANICAL PERMIT Fling Fee 20.00 SRA - Heating Coolie SHERIFF # Hood 0.50 OTHER ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee i o<c OOriT. TrvE TOTAL FEE _ (o >5 ,1� . AMOUNT RECEMb NAZ :3 , . o. Mengmoo. Roo ,o CM0,M&ro ro aYUE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work *RECEIPT NUILsWt Indicated above for which fees have been paid. * TO 8E PVT iNTo co MPVTER By Date PERMIT EXPIRES ON ?"�'�'"�i�� ir�•.p%`f �`�r'!'Y>Sf'a�.:.�P�,�•�1{�"'W t11�'+ ,Ty't' i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE _OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 I. PERMIT"PLICA TION DATA SHEET OWNER: P" ►'1 Q (le . � ASSESSOR PARCEL NUMBER: 4 /, — a q U — O b 7 Proposed Building Use o ,,,.j Building Inspector: Date: q— / -7 _ d 1 At time of permit appli ati , 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.------------------------------------------------------------------------------------- r - ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineeredplans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- f ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- E ❑ 8, Hazardous Material Form. ------------------------------------------------------------------------------------------ anufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $ ------------------------------------------------------------------------------------- 1. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12.'California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- + ❑ 14. Sanitation and plot plan approval Health Department.------------------------------------------- 0 ----------------------------------------- ❑ 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: ° Conta Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel; ----`'-------------------- ❑ 1 . croachment Permit for drivewayconstruction a 7,FL01^rbqti*ra val prior to occupancy) ------------------- 0. P -inspection for %g -e1 i 41-� a/-rw Request to Building Inspector on A� 4 - 9 ��'� -ai (Date) 02 ontractor's license • ormation. (Number, Name Style, Classification). --------- — X -----------}* ------= El 2,2. Workers' Compensation carrier and policy number. -----------------------------------'`----------- ---------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------- ------------------ i/ ❑ er of signature authorization.------------------------------------------------------'--- = {:------------------ , ,, rded copy of Agricultural Acknowledgment Statement. = �}-y-------- k----------------------- ❑ 6. Letter of intent on building use. ------------------------------------------------- --------- `_ -'' ❑27. Manufactured Home utility clearance. ------ ------------------------------------------------------------------- f ❑28. Existing do ir ermi ----------------------�-------------- ----------------------------- 029. 0433an Title,icktoH.C.D$ --------------- 1130. -------------- ' ❑ 3 0. Other. anItiN. ------- releypohonesA uisT,7,tj-, process as follows ❑ Mail to owner, ❑Mail to contractor. 9 and hold for pickup at r� �otffih�ce.01el' with inspector. Applicant: Date: 1 O Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire De t, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Dep r: 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 dialYry ❑ 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 visi n counter, by Date - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil din r ' ron counter, by Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE.- OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE BUILDING USE BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ..........................:.................. $ --Additional Fees Due ............................................. $ --Revised Plan Checking Fee ................................. $ &2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. -x-=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division)` 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # y S.Qb '9�(6 - w� DATE 9 0+'d) RECEIPT # DATE REC. *L 4A At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. oZ Q Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You' have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) October 18, 2001 Mr. Paul H. Shelly 13717 Andover Dr. Magalia CA 95954-8815 RE: Building Code Violation 13574 David Ct., Magalia CA 95954 AP # 066-240-007 Dear: Mr. Shelley: B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for deck repairs and construction of a Ramada over existing mobile home. Ramada's cannot be supported by the mobile home and thus must be removed or proper permits through the state of California. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, i aeI Viei Manager, Building Inspection MCV:tp cc: Assessor I-Asoloofiva main Assessor Name SHELLEY PAUL H �C ' DI Addrl IDBA BOOKS OF PARADISE Asmt # 1 Fee # 066 240 007 000 Status ACTIVE Status Date - p Tax 001 BUSINESS OWNERSHIP I TRA 093-014 Addr2 137.17 ANDOVER DR Situs 13574_DAVID_CT MAG Addr3 MAGALQA CA 95954-8815 Base Dt r-- - AgPres '� Etal r Notes �J Bonds Multi Situs Flagg 0J FIag2 �J Asmt PP Pen Q Tax PP Pen b Appeal Pending Split Pending HON ATT Land Structure Fixtures Growing Total L&I Fix. RP MH PP PP Exempt Net T1R Dti g/C Stat 1=1 MMUM _18,680' Addr4 1 • --- --- 10,58E Comments. 6624000700 CONVERTED 09!08!88 Creatin Doc# 1976192124589 9 �� Date[ J Current Doc# 200080003488 _ �� Date 01/28/2000 -Killing Doc# _ _ Date I AsmtDesc PPCC 4 LT 319 SuplCnt Zonin RTL II 9 Dwell'O---J Acre's 0.241 N/COF66-11 —Qj 330 0 29_,596; _ 0 ______O, 820, 7,000; I PHY OWN= EXP TAX AAPR. 'il PCL Vii► :_Find +2001 �sa, 07j25j2001 3_27;21 PM PRE -INSPECTION REPORT OWNER: LOCATION: V CONTRACTOR: UAV PRE-INSPETION FOR: DATE TO 1NSPEC Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: DATE: -3- D O 4C�- A.P. #. (p o O ZONING: 1� PERMIT HISTORY:( ) NONE NT BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently Obvious Problems: / Sanitation: Plumbing Working Well Working Potable ater Obvious SewaaeProblems Comments: '1011 RECOMMENDED: ISSUE: HOLDFOR T / "� l Spector / �i. i ell' q Sketch buildings on reverse and indicate location on property :. �7 aeon •AACR M111e01 • — —w1• o yr uEVELOPMEN T SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO O d7 aMiO BUILDINGS PERMIT S0. FT. I OCC.BUILDING VALUATIO 11 / f7 „ _ N arr►MAc1p1Te MM! !N A-) VAAIO AOOAlss )#4rF4 n MCD001 Noun 1 wwo A001kere1 e ""wT on ewaet r G r'e;� S59 5 '97)--- 109 5-5'Yt- 7 �.scr p1 ogMQ11. VAA Me AOOMg /357 sue0l C" MM! Fre lace Total Valuation Is ? Rfina Fee = Permit Fee Jr' D • 5 Q ! y = Plan Checkin Fee = Energy Plan Chackinn Fes = PERMIT FEE _ PLUMBING PERMIT USEOF8TRUCTURE 20.00 Each Trap O Dupes 0 Wbilshome "or Solar or heat ump water heeeter r Water in TYPE OF WORK / Each as water heater or vent — 1w O Addition O Remodel O Wilds O In t ktknfear OIhK p 0 Gas (in stem 1 - 5 outlets lscribe Work: 'FE�•. �` sewer 15.00 Nbbile Home S G W ®20.00 g_o iM F PERMIT FEE S 29.00 ELECTRICAL PERMIT - —'— ---- 3.5tDR Main Service'0OV oq 1198 sow oe Less @7.50 Main Service aooA To 100pA law wits . O =WLW4o oocu�. OA AD . a AOC. etas. • NDr1AOW. Mv�TFOYT�CT • rVWE71 AhAN1TtA Mom a i Ex. Occup. ovttaT-0s semen . Ex. Occup. `OMO ^FV ro G I I 1 Temporary Service Mobile Home Facilities *PERMIT FEE PAlb SRA • • SHERIFF s OTHER ; AMOUNT RECEXVEp *RECEIPT NV#SM ';J9 0 ZQ * TO k PVT INTO COMPUTER P'A 29.00 20.00 23.00 -T - P RMIT FEE I _ MECHANICAL PERMIT I Filino Fes 20.00 don PERMIT FELE I S 6.50 Mobile Homs Installation Fes = Energy Inspection Fes Is a<c co►sT. TTFJ1 TOTAL FEE $ 3 64 • } I11AL a. acts wo- ,tme oo. � w ss1Ar This permit is hereby Issued under the applicable provhiions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. I By oats PERMIT EXPIRES ON 20.00 76 • 2 Z 'lints Fes 20.00 7.00 23.00 15.00 � V 15.00 15.00 15.00 ®20.00 g_o iM F 29.00 46.00 3.5tDR @7.50 29.00 20.00 23.00 -T - P RMIT FEE I _ MECHANICAL PERMIT I Filino Fes 20.00 don PERMIT FELE I S 6.50 Mobile Homs Installation Fes = Energy Inspection Fes Is a<c co►sT. TTFJ1 TOTAL FEE $ 3 64 • } I11AL a. acts wo- ,tme oo. � w ss1Ar This permit is hereby Issued under the applicable provhiions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. I By oats PERMIT EXPIRES ON 66-24-7 c� Mr. & Mrs D. Jacobsen_' avid Ct . , MagaliaI r�/ Perm 62 76P,E(util. LE GAS SUPP T S RUCTURE REQ. COMPACTION TEST REQ. 66-24-7 co Gene Schmitt Mobile Home Serv, _ ch cc Permit #61 jj0-76 Fj° i ` ued /a 66-24-7 Permit #241-77B(new open deck/MI) 4 �J I� 66-24-7 Nl� contra d tllstate Aluminum, Chico F Permit #2250-78B(new attached awning/ , i 6.6-24-7 . _. - ., . _ ..'7 - I - .. . 1. _ Permit 41648-77B(new open deck/MH) { 66-24-7 Permit #723-7 ew pr h d 4 carport/MH)b let �%i / fid/ �✓�6 - 4 Permit 41837=80B,E(conv.porch to cabana & inst.new deck/MH) N Sep 18 01 09:16a 7 COPY of Document Recorded"' 24 -Sep -2001 2001=0043855 AND %4WEN RECORDED NIAM TO: Has not been compared with original BUTTE COL7iT1' BUILDING Dr%7SION 7 COUNTY CEN -TER DRIVE-----, z _ : _ BUTTECOUNTY RECORDER OROVILLE, CA 95%5 � s _ `-' ' � , I ,� -� � • � ��l `—'•— J i_ AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building pennit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides. Pesticides and fertilizers• and from the pursuit of agricultural operations including, but not limited to cultivation, ' plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as followF: Lot 319, as shown on that certain Hap entitled, "PARADISE PINES CDLMRY CLUB ESTATES UNIT NO. 4", which Hap was recorded in the Office of the Recorder of the (;bunty at Butte, State of California, on October 27, 1971, in Book 38 of Maps, at pages 69, 70, 71, 72 and 73. EXCEPTING TiltYMCH all minerals, oil, Ras, 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. Date APROPE Y 0 RS: PR -U C. H , S Ef C C r:- /Z State of California County of G30TTE On J,—/L7-0/ , before me, personally appeared G(. '.t_. l(� �' ersonally !mown to me (or proved to me on the basis of satisfactory evidence) to the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to we that hehhe/they executed the same in his/her/their authorized capacity(ies), and that by bis/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature MARSHA VIERRA Comm. #1278711 UJ NOTARY PUBLIC CALIFORNIA 0 // ,, j % , BUTTE COUNTY A.P. 4 V v vMy Commission Expires Oct. 26, 2004 u • ()9tj 7020 SKYWAY �+ PARADISE, CA 95969 BUS. (530) 877-6244 TOLL FREE 1-800-794-1199 PONDEROSA FAX (530)877-5460 REAL ESTATE October 22, 2001 Mr. Micheal Vieira - Butte County Building Division 7 County Center Drive Oroville, CA 95965-3397 RE: 13574 David Court, Magalia, C- AP #066-240-007 Dear Mr. Vieira: Per your letter of October 18, 2001, a copy of which is enclosed, please find herewith finals from the' County of Butte and State of California for deck repair and ramada roof construction. = 5 Please feel free to contact•me if I may be of further assistance. Thank you. Sincerely, Ronald G. Knauff, agent for Mr. Shelley Coldwell Banker Ponderosa RGK:df Enclosures U I✓BUTTE BUILDING DIV DIVISION Each Office Is Independently Owned And Operated. t,tt�'Vvr++..7.'uiw•`nS;cgw$rim.,..�.i1/`.SAF'GAN.P!}'^'f`�lr�„r�`��i"c'7'•c!�'wKP'/"'�76!TM '•F'GY'�=' �f_"� �+rwssr..aw\..ems...•...-,.v�sy-; r v- ...- �.cc...�q�;ti•.Y?Y7.�7•KK'-e+"-..""":�''t'+s�'^.: F °066=240-007 01-2416 SHELLEY,PAUL 13574 DAVID CT, MAGALIA CONT: OSCAR LINDHOLM " DECK STAIRS REPAIR COUNTY OF BUTTE - DEPARTMENT OF DILVELOOMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 01-2416PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-240-007 ZONING BUILDING PERMIT OWNER PAUL sHELLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13717 AiMM DR.2 WAiSA CA 10720.00 CONTRACTOR'S NAME OSCAR LMON TELEPHONE CONTRACTORS MAILING ADDRESS 'PARADISE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ e m oo ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS KWUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 13574 nAVID CT., ?!MrATJA CA 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ 84.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: DEM SMRS MAR DRY MIT Mr, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oa'Ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. .� 1 1 / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,' ( X t Date - -- / ' Signature of Applicant - ❑ Owner Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service YOGA TO 1000A 46.00NEW CONST. DWEUJNG OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.50M NpµpESlp ' MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRURES 2' ®"00 SAL @ .50 Ex. Occup.DPUTLEFDTS RES o,G� 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 PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 84.00 HAZ. p, FEES IMP FLOOD CDF PARCEL PD I HD ISSUE 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 v7„� , 9Ai i�i Date 9-26-2()01 P RMITIEXPIRES'ON 9-26-2002 ReceiptNo. 's'�'«��- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) COUNTY OF SUT"rr_ DEPARTMENT OF DEVELOPMENT SEWICES BUILDING DIVISIONNOTIeF I, Post titin fob carte in a safe, conspicuous place. Do not remove until all rnr;uired Inspections are made and buliditzg is appy -Weed far ocCuPancy. Plans trust be available on the lot .RM _ A. P. No. r) Owner_::}.�3.t_L. ..... ���].E.�1>�.Sr/--•_....... --- --- - Permit N0. r_ L...... _.__ 1= Pirec .PER t1. EE MUST CALL FOR INSPECTIONS 1NSPEC•f10N__—.—.UAH-- I _ INZWLt:lUti — Fn tmrs I i , rt.,or r9U... n Pre-GunitE { -Do Not paur Concrete Until �b -Signed' tln..... • ! it ,.ir:al Underfloor M ;Jhanicai Jnda't!orr hrant;n l Stab Dc P3o? tri- iTa floor or Stab Until" Above:Signed Roughr-Iumbir, ' Rouah Et drical I --- _ "- -..... .....................__.....;........................_ I -i_. Roug1, Ivlacharkal ! - --- — F .unino Shct�'er Pan ___ Jo Not insulal until Above Signed Insulation -_ _ — — DO Not Cover i n ii Above Signsd . Fire'�t?cE rcotings ��--�_ i Flret7laGe !hroa'•._~-- Jo Not Contipue f€r: iece.l3ntil Ahove'Signed _Slucco Lath - Scratch and Brown 0o Not Cover Lntif Above .S, nid` Sewer Serwicc _ ._.._..------.—...._.------ ..... _..... _.._J_—..__._. — kliwer service --- _.... _--._._........_..__— Poo! Final 1 Piumhin Ffaa1i __— .............._—... — Electrical Final i fe9eehanical r=ing! ' ---, -- - t DO NOT OCCIVY UNTIL ALL THE ABOW-- 1S SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses - InformMion :...:'2A=Hr. in ap Oroville - 7 Courtly Cert!er Cave1 538.7541 538-7636 -Chica�all L1aot Street 831.2834 ?EviseJ 7%� 10 18 ZdSM00 W10HUNI T I i 918 0£5 YVA 6S:09 TO/TZ/OT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this lob card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plane must be available on the lob site. A.P. No. Owner Contractor -� , ('f I C.... Liv v��l:"� Permit No. Lll_:2i"I%.(G_..____ Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit— Pre-Gunite Mechanical Final Building or M.H. Final Do Not Pour Concrete Until Above Signed Underfloor Plu_mb�_ Underfloor Electrical Underfloor Mechanical Underfloor Framing-- - -_ Slab Do Not Install Floor or Slab UntII:Above;Signed..: Rough Mechanical Framin ••--_----- __---_— Shower Pan Do Not Insulate Until Above Sighed Insulation Do Not Cover Until Above Signed. Fireplace Footings Fireplace Throat Do Not Continue Fireplace Until Above'Si ned Stucco Lath Scratch and Brown r?n Not Cover Until Above Sinned Sewer Service_ Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABQVI: IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses. InforMation;' ' 24 -Hr Ins p ::'_: Oroville - 7 County Center Drive 538.7541 538.7636 Chico - 411 Main Street 891.2751 891-2834 Revised 7/94 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT' SERVICES - BUILDING DIVISION I County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev.12/96) APPLICATION AND PERMIT 01-2h1 ASSESSOR PARCEL NUMBER 066-240-007066-240-007ZONING i) -BUILDING PERMIT . OWNER PAM. SIIF(.U.N TELEPHONE SO. FT: OCC. BUILDING VALUATION . owNEA9 NO ADDRESS 3717 At'IWVf R LIZ. RM . AL1.A CA. 95954 1,720.(Y) CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS `t. �l010K1131,'tni I S . 2A 95,969 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation E 1.9720.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee S 41,W ARCHITECT OR ENGwEER9 MAILING ADDRESS Plan Checking Fee $ 23.00 9UIDNG ADDRESS 4 DAVID CL. f•. 95,915 14 Energy Plan Checking Fee b $ PERMIT FEE $ �. IDT No. 9UBDNISpN'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome ❑ Other SPECIFY Soler or hent um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK S'TAZ.RS 11F AIR nRY R(71'I) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOOR LESS Main Service ..V ..as 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. - Class Lic. No. .` r ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em 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 permitis Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service 20M TO 1000A 46.00 NEW CO DWELLING OCCUP, s0 OR ADDNS. DWI =! Bins. 3.5¢Fr. NEW CONST NON-AESID. MULTFOvrLET 97.50 F.0wGLE APPAMTW a ovrtEr C'.License ounETonFwTuREs Occu eA20 ® 1:w FD(ED APe N9. OR S.00 Ex. Occup. ovnETs EsID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee L Energy Inspection Fee $ occ CONST. TYPE 34•QO TOTAL FEE s HAZ. D. FEESIMP FL000 CDF PARCEL PO Ara ISSUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. i '' ; i'� 9-26-2001 :" �" %, '':. (. By -. ; �./� • •, Date• PERMIT EXPIRES ON—i6-%2 I Palo) ReceiptNo.-'-�"' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT State of California + Business, Transportation and Housing Agency Department of Housing and Community Development A. Division of Codes and Standards m� jj..,, yy� / 8� APPLICATION FOR: jl�t/�Iteration/Conversion❑Approval to Remanufacture 11 Alternate Approval 1:1 Technical Services ❑ Replacement Insignia ❑ Coding Inspection // (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required /or Special Purpose Commercial Coaches or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commanring with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Olass tic. No. . 1 t �..3✓ 1- n,re STATE OF CALIFORNIA Department of Housing & Community Development 2 ° Division of Codes and Standards sr' FI TI N � IC///�/T�I�QJI�J Y-1 DAI6✓i (District 1 Representative) pD LABOR DATA: r AREA:I -1`111 ❑ £aulh County No I'CA/ACT CODE I- TR MILES _ 71ME: INSP/ACT TRAVEL TIME INSPECTION DATA: r vale Property ❑ MHRK q I10ME/UNIT FLOORS VIOLATION DATA: TOTAL CORRECTIONS: S_F_E_ M_P_G/O_NP_ FEE COLLECTION AND OTHER INFORMATION: FEES: $ CK# DATE ITEMS ISSUED: I4CD 59 ❑ Gas ❑ Electric 111. A. C. Al TACHMENTS: ❑ Tledown Cert. ❑ Other ' PERMIT NO: I —)fV 0 FILE CLOSED 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 ) 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (This section need not be completed if Ilia permit is for one hundred dollars ($ 100) or less). I I 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 becom 'su jg tt t workers' compensation provisions of Section 3700 of.th L bor) de, sh II„forthwith comply with those provisions. Applicant c. '� _ Date 7 f !� Ll I WARNING: PE149A76IT- COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 18100,000), IN ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). //� Lender's Name L- - 5. CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authori;e representatives of this county to enter upon the above-m6ntioniid'propeity f,6k Inppection purposes. or IICD 415, Date SECTION 1 - UNIT INFORMATION [/We are requesting services for the following unit(s): (Check Appropriate Box) ,[vlanulncturod HnmerMuld-Unit Manufactured (lousing �Ienulactured 11omo/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group _) Special Purpose Commercial Coach Decal or License No. Serial Numbers COL NO. ;ZV U I'I Q0 FEE RECD' '�-Q DATE -7 N AA NO. v RT TO RT B Manufacturer Name/ e Model Name ��t VCuZy C Jal'�7 Year of Manufacturer Ck(� Inslonin/1-Itin Lahel Number(s) �� U Z. _\i U SECTION 2 -[(- OWNER/APPLICANT INFORMATION 2^ (7 Owner �T,V t, J +moi u.L� Telephone No. l 30 C) 17 Address City _ MRC -,R( -IA County \) V kq:, Zip 4 Location of Unit if Different ' Than Above I1: / 71^t OhyiT) CT. rtrN=,ALjP 9)qy Applicant ” kU (Q-M)k 0 L1511 ( Address ". 0"� -7U?'h r , City <\ NL--, p, ' Zip yS LI Telephone No. 13 0 - !17 -1 - SECTION 3 - CONTRACTOR, ARGH9.E-eT-OR'ENGWEEAJNFORMA-Tf8N Contractor's Name_ �� ' `�) L -) b Q) V Address L 1 C��A Architect/Engineer Name License No. Address Describe the prpposed work/activity in detgjl. Attach additional pages if necessary. If structural alterations or remanufectu�lrig are proposed, complate`plans, specifications, details, erid calculations must accompany this form. Check box O if plans accompany this application. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or additions. C12.C-<!�-T -V6R" Qoo C ou -2 Li I`1 a f IL,.- 1E'( -,V ti.. . Indicate the Total Cost of the Work to be Performed 8 3 oc o - SECTION 5 - SIGNATURE AND CERTIFICATION I/We hereby make application for the services designated above. If applying fot replacement of a lost Insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would effect the unit's compliance with California or federal law or the rules and regulations of the Department. III alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature of unit must sign, when a Date ,t AI`PROVED-, []CONDITIONS (see reverse side) ❑ Disapproved (see reverse side) Signature of Department hepresdntative Date YELLOW - DEPARI-MENT Willi i II S 1'-26-2001 06 :29 P 1'I KffNE1F2UWN bawl! i'31115 r �� • r sualmass, fryneMratliit'end Hsu&# ANnay It " / r ,,,+`, ,KKK �j / . Mmegtt of Woo an� QORNmeri ty Development 1 /' • Id + a Wheaten N Gad" r,d aunrerM / APPLICATION FOR: I Iteration/ConversionOApproval to Rarrisnufaoturs D Alternate Approval D Technical Services O R.pleceme it Insignia 0 Coding Inspection (SER RIFVaftaa SIDS Or FORM FOR INITRUCTIONA AND ADDITIONAL INFORMATION► CONTRACTOR/OWNIIR WILDER DECLARATIONS Not required for $oee/e/ fLrpesp CommOMW coscbu o/ AaclearbMl WhkNe i, LICENSeD CONTRACTORS DECLARATION ' I hereby efflrm under penalty of patio" that 1 am Seansad Under pfevl.IeAP of Chapter 9 100mmenaing with 9601en 70004 of Divreien 3 of the Business and Prefeeaiens Code, 5M my license H in fun force and effect. 4 �1�/'� tlesnos Glass J Lie. No. \ 1`0 Exp. Dart Contractor : e.J_ ll? t,.) (t,QIL- T Date 17-: 11=U i P i. OWNER-SUILDIR DECLARATION I heresy affirm under penalty at piolury that I am .mem t from lhi Contractor* License Lsw for the follown0 reseon (Sac, 7031.61. 9uainsis and Prolesdone Cad■: Any city or county which requires a permit to construct, alter, Improve, demeEah, or repair any structure, Par to h■ b,au■nro. Pogo requlns the apptloant fat aueh pparrru1 o INC a alpnsd alssament that he or she ie licensed pursuant to Irma Pr dens drl the Cenlreetor* License Low (Chapter itaogmmeneing wllh f ail Sail -01r. 7000) of DW slon 3 of the Business and Pro/exNon Codat or that he or she t5 exempt therefrom and the balls for ifs alleged exemption. A1�ny viotatlon of Section 7031.5 by any applicant for a permit subjects Hie spndoarn to a dlvfl pmnehy of not in then five_ hundred detlapale6001.1, 1 11, as owner of the property, m my empleyaaa with wages as their Sola tanmpansatfon, will do the work, 5110 the atPUCIUM N net IAtand&d of offered for sale (Sae. 7064, Ru■Inoue and Prolassions Coder The Contractor* License Lew does net apply to PA owner of property w11o' bulkis or Improve, Mason, and who does such work himself or herself or thr"h Ne or her own employees, provided that such Improvements ere net ,mended er eNarod fnr veto. Il, however, the building of improvement Is sold within one year of completion, the owner-bulber . will have the burden of proving that he or she did not build or Improve fat the purpose of ala.). ( 11, as owns► of the property, am exclusively contracting with xca used contractors to Construct the project ISec. 7044, ouslrrex and Professions Code: The Cornncton Licari" Law does not apply to an Owner of property who builds or Improves "&on, and she e"pcta lot such projocts with a contramorle) Iloarod pureuenl to qs Camuaelnrs License law.). I , ..., exempt under Seo. _ e. a P.C. for tide reason: Owner Date_,,, 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury ons of the following decleratwns: 1 II Kaye and will maintain a certlllcete of consent to self-Ineure for workers' eempansation, so provided for by Section 37,00 of the Labor Code, for the performance of the work for which this permit Is Issued. I I 1 rave and will msintafrm workers' compsnaadon InSUMMea, as required by Section 9700 of the Labor Cods, for the perfermanee of the wark mit for which this perIs issued. My workers' compensation insurance carrier and policy number aa: Cwriw Polley Numbsr :v • .� r (This section nee no�mpT9 ed 'I pan'nl-t a for one hundred donors 111001 or legal. 1 11 certify that In the performance of the work for which this permlt Is Issued, I ghee net employ any person In any manner se as to become subject to wafkenl' compensation laws of California, and spree that If I ahoufd boee su t wen `s' cam ovnaNPn provleiens of 9attsan 3700 of, or , s rtheylth comply With dfoq proN4lem, Applieent ^'�•-�' Date ��f WARNING: W13RRl7t�"LrOM►lNIfXTfD1v `— C O V E ROE a UNLAWFUL, ANO 3HALL 3, tCT AN flMPIOVER TO CNIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100.000). IN ADDITION TO TIM COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LECTION 3706 OF THE LAEOR CODE, INTERNET, AND ATTORNCy'C FEE•. 4. CONSTRUCTION LENDING AGENCV 1 hereby affirm under penalty of pnrjury that there in a ennatructfon londino aoonoyy for the performance of the work for which Chia purmh to issued ISec,3097, Cry, C.1. Lona -•'e Name Lennan's Address SECTION.1 - UNIT.INF.ORMATION I/W}•,re requesting services for the following unitlst: f t Appfoorle" Box) nutsotured Horne/Muhl-Unh Manufaetu.ad Housing nufpctund Home/Multl-Unit Mfg. Hag. Component Structure nit"I Vehicle ni larelel Coach IOccupaney Group I cial Purpose Commercial Coach Deeel or License No. 3stlal Manufacturer None/ �yiodal P*,ns _ Yew of Manutictufar txrwwtasxnf Via vey�T /' COL.NO, 2-0 Lo n0 / FIN RiC'D, � � 2 ; DATE '1. 2,!A -lit AA NO. RT TO RT e Inslgnla/HUD Label NuMber(r) "� �/ % Z. 1 Ci ? ' SECTION 2-nOWNER/APPLICANT INFORMATION c �^ o Owner �T U L--7 -.�t I 1 Telephone No. . ] .. 0 1 A %---- C1 .3 1,i . Addrese ` 3 ! ( / ti City M layi RL -I A - comxmty Zip 4 u -,4 �nAb Above It Different '��-74 >Ayin tC'r- LleAL1H 9 [5`I Applicant -li 18 QIAwy ro Li -- Address' 17 -709,, - - City )' y1 G Aa<tP, Zip '1nL_QM_q Tstephane No. S3 0 - R7-1 - I ZI 6EC110N S - CONTRACTOR, N Contrector'e Nanta- J �\V l V M A% 13 J C Address Archltect/Engtneet Name w— aa UcanNo. Address __O 7r r r Dssedlis ens pr9pettd wark/sctivity In def1ll.� Attach additional pollee It necessary, R structural Mte+etlons 'orrem11/lufeetudnd are,pieposed. iornpleteplane, ■pedneitions, datelr, 5Ad es6lelbns muelsecW4any this fame. Cheek box Cl if plans accompany this epprloetion. Proyldt the make and model of any "94groos to be Installed end provide complete electrical edculatloro for any el■erdc5l alterations or additions. Indlesto the Total Cost of the Work to be rerformad s 3 wV 9 - TION VWs hereby make application for the service@ designated above. If epplyinO fair replacement of a lost Indonle far the unit described In LECTION t above, 11we comity that tis@ have been no alterstln s, adaltlona, at ma fiti,,00Ar to the unh that would effect the unh'a eempllenee with California at federal Iaw or the rules and noulatlonk of the Department. lot durations, additions, or modifications haw been made, a coding Inspection Must be ebtalned.) fllgnaturs Date — I emptily that I have read this applioetlon and *tete that the abovi DLFPAATMENT USC OINLY dnlnrrnaden is f:drtoct• 14orse to comply with all city and county I ordinances and little Iowa relating to building construction, and �y{�pROV 11►e reverse side) Q heleblr sulholita representatives of this county to enter upon the � ❑ CONDI ONS T7 Disapproved (see reveres Noel obewt-m milonld prep y ioq lryrpaotlon purposes. ` e- i \ , �,'r. r'�,,..�—� f 'Ci 1 6lgnsturp of Depahtinent RaprseA+,e�ii�e vete ., ., ...;..,•, _� mss— Ignetu a oApp(eem or Algent Cts ,N . �.::: "fes • 'I•L J1,:o ' October 18, 2001 Mr. Paul H. Shelly 13717 Andover Dr. Magalia CA 95954-8815 RE: Building Code Violation 13574 David Ct., Magalia CA 95954 AP # 066-240-007 Dear: Mr. Shelley: 1;utte Count I, P,I11_: ',I H,, 111!,r,I `",I ,.I I I1 .1!i-. p ,1: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for deck repairs and construction of a Ramada over existing mobile home. Ramada's cannot be supported by the mobile home and thus must be removed or proper permits through the state of California. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. - It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation: ' You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. *Sincerely, l Viei Manager, Building Inspection MCV:tp cc: Assessor p�, S -P-26-2001 06:29 QPM KENBR'OWN 753013731215 P'.02 j 1 • r't, Walnua, Y+M!Mstlii+'and Musing Agent>y t r -ter" , ?'/ , 7 /1 weetVnatM ofOom McWC d rmnhwhpntam y Da " 1 / K - • �� (� 1�f (/ �W+Aalgh CCod"and M atartllardl ' L �� k 1+ APPLICATION FOR: !/r ,p C7`' ` a Iteration/.ConvarsionC3Approval to fiemanufsoture © Altemale Approval G Technical Services O Replecum enYdl�iipnia D Codlnp Inspection"' . ei ISER RAViR6101 Or FORM FOR INSTRUCTIOW AND ADDfTIONAL INFORMATION `l,. 'f CpNYRACTORIOWNER WILDER DECLARATION9 SECTION -11 • UNIT.IFIFORMATIOfy , 1 ! Not requires for Specie/ Purpow Commarcis/ Qostabea at '. • . I Rsemribrw Vihklfa h .IM ......... p:are ± ?aqueeltng aervipq for the following unit(s):: 1 r LICENSED CONTRACTORS DECLARATION (iMq gppfoprl{ta 80111 1 hv4bY sfffrm under penalty of psrjttrythat I am 11dansed yndar j prbvixions o1 Chapter 0 (commani ing vtrlth Section 70001 Of Division 3 lniffaatured HOW/Multl-Unit MVWfO ured Noualnp I ; of the Business and Professions Code, end my license is in futl force an4 Cluad NomelMultWnit Mfg. Nap. Component Structure effect. 4 OR"riiUonal Vehme v Llt:ensB Glass' Lie. N0. `.Commerolal Coach J l l��✓ Eap, DBtO �•Q ,�r0,ntl11arC11) Coach (OCLLpaI1CY 6f011p �� + 111 i�BltaciN Purpose i ltd Connecta C� E.{_t.l1 u r✓,Q1:2a Date � f, ' _,„ ,, r 2, OWNER-SUILOER DECLARATION Oneal ret Llcenae No. - - �--� p r ;{ I hem6y affirm under penalty of perjury that I ■m exempt from the Contractors Uconsa Law fpr pa foilowing•Meaon ISac, 7031.61, Sarla) Nun)bpr(s) V % 1 ie wit, have the buMNn of proving that he or she did not build or Improve' Businses and Proteeeione Code: Any city or county whit h requires a 1 permit to conetntet, eller, lmprew, dinteliah, or repair arty attuature RT TO • i priar to its iasunneq, also requirse Ole applleent fa tush t to file a signed e12116mahl that he or she is 1loensed to Nle t i. (, contractors to construct the project tSac. 7044, "Arts and pursuant pre�ialena el Cornlaelore Ueanee Low (Chapter armallcln0 w Sec 'an, 7000) of DWiainn 3 of the Business and Wmssiata COQel or that he or Manufacturer Nowfife t Noe Cc R" k' ahs IN exempt thereffom and the basis for We alleged exemption. Any violation of Section 7031.5 by env applicant for a p&mlt subjects pie ar Yeof Manuticturer .1 I,. 00011641011 to a civil penalty of not mon then five "died dellatal'1600),)r inslgnlBMUD Label Numbar(s1 RL C '14 I 10. as owner of the property, Of MY employees with wages w the 6019 COmpanaatl0n, do '�^" '�^-•--- (s' will the work, and the structure la net Intended of offered for sale (See 70" 0 i f SECTI COL?!fp n (•�', V cele:' � d , us near ■ gra eserone Code: The Cantractom Llaenee Low doe& not apply to an owner et property Who T i f,; • i _,„ ,, I builds or Improves ttargon, and who does aueh work himself or herself or though his of her own Improvement' FEE K&D ji employees, provided that such ere net intended of offered for sole. If, however, the bullding or improvement Is sold within one year of cvmpbtion, the owner -bulkier Address + wit, have the buMNn of proving that he or she did not build or Improve' DATE' AA NO. •" v i� 1 RT TO • q I I 1 I, as owner of the property, exclusively contracting W"Rcaraed RT S t i. n (•�', V cele:' � d , us near ■ gra eserone Code: The Cantractom Llaenee Low doe& not apply to an owner et property Who ON Z - W NER/APPLICANT INFORMATION ^y _,„ ,, I builds or Improves ttargon, and who does aueh work himself or herself or though his of her own Improvement' Owryt ` O i_ Ti4phply No. � JV 1 II % � - "'1 .� � `•�. employees, provided that such ere net intended of offered for sole. If, however, the bullding or improvement Is sold within one year of cvmpbtion, the owner -bulkier Address + wit, have the buMNn of proving that he or she did not build or Improve' { noreby suthonze (eonsentatives of this county to enter upon the KirtPPROV ebaup-m ntiantl�d-l?,PP v l\4t'ryWoticrt purposes, \\ _;\.h. 01--x_ I �•'Q i//���///"' OCOND1170NG Iwo reverse side) �. Siynatur of Department Rgpn� 14 lot Zhu purpose of mala.). City M m e L .I A - County �� 4 G' -J,4- q I I 1 I, as owner of the property, exclusively contracting W"Rcaraed Location of Unit II Different Try„ Above 1 �� >A1/1n ---Zip (t�e,ALIN (, contractors to construct the project tSac. 7044, "Arts and 1 `+ (, f Professions Code: The Contractors Ucan" Law do" not apply to an I owner of proPony who builds w ro Impves ttv hereon, end who coraeta Applicant' �1�( Q_OwU r.A�� , IQ( such propcts with a contractor(e) lioartaW pursuant to these Canlraetors LicenseLaw.). N Address'_ so � Ug '�^" '�^-•--- (s' I I ,, exempt under Sec. __, B. S P.C. fa tws reason' �� Gly \`\ It G A� �A • 4 ��,., �(�,�j ^ �' io <<"` d owner.-- „ •. , ' • Otte 8ECTION 3 - CONTRAC70R, 3. WORKERS' COMPENSATION DECLARATION COnlrectOf'a Na I heteby affirm under penalty of perjury one of the following declaestiong: -' r ' 1 11 have and will maintain o certifi ate of consent to calf-Inewe for Address 11 wotkau' compensation, as provided for by Sectlen 37.00 at the Labor- Cbde, for the performance of the work fol' wNcn this p"t Is Itwed, ArchlteeUEnginder Name l I I have and will maintain workers' eomp"isdon ktsince, as Ams t{' 4u fad ured by Seetion 3700 of the Lebo? Cede, for the Peffeffnenee Of the T► work for which this permit Is issued. My workars' compensation = inourance carrier and policy number we: I 99MON 4 • DESCRIPTION OF WORK/AC7lV1 A D No. 530 - 27-1 - 12.1 License No cr x + i� �1 r ji,` 1 �•Y l ,.. U lot n Curler PNlcvNumber „I. t (This section need not be comp etedil 16a permit is for one hundred r dollars 111001 or legal. f f 1 1 I cartity that In the Performance of the wotx for which this permit is Issued, 1 shell net employ any IMreon in any mannst eo ad, to become subject to wakars• Compensation laws of California, and agree that H I 1 { should bacni w ' ;wor rs' campansetipn provisions of 96406A4700 of� or RhWjth Comply With those provbloru, ' Applicant ti. ' e+ Data WARNING: mWOMP1. Troia--- COVERAGE IS UNLAWFUL, ANO SMALLSUBJECT AM EMPLOYER TO !!!! I I+ CRIMINAL PENALTIES AND CIVIL PINES UP TO ONO HUNDRED THOUSAND DOLLARS (8100,000), IN ADDITION TO THE COST OF r ,I COMPENSATION, DAMAGES A6 PROVIDED FOR IN SECTION 3706 OF THE LABOR COOK, INTEREST, AND ATTORNSy'S RES, 4. CONSTRUCTION LENDING AGFNCV Ill . I hereby affirm under penalty of Perjury that than is a cnnatructlon' r lending agenoyy mor the performance of the work for which this permit u Ij issued Mec=7, Civ, CJ, t j Lehr 7,% Name Ldndal'a Address 1 I b. UMIPICATION (r I g I certify that I have road this applioetion and state that thu above Oeslalbe end prppesad wfxklactivltY Ina f�I, Attach additional papas It necessary. If structural dterdttQns or remiowtacrudtto oro Diopoaad,inpl4tswara, spedRciti ns, details, aAd eekuletblie mustge0offlWy We form. Cheek bar 0 if Plane accompany this appilostion. Provide the make and model of any. sp-sans\ ! to be installed and provide complete electrical ealculstlare to any elealr(cpi elteratlorwor additlons. '4.r,*�, T hi —� PyAMt�� 9.03 ht. indicale the Total Cost of the Work to be Performed, I/We harabY ranks application fa the services designated above. If applying 14"plaoament Of a loot iMSIORle for the unh described In SECTION 1 above, I/we certify that thele have been rte IHteretlory, additions, at medifiastions to the unit that would effect the unWs eomMlance with California at federal law or the rules and regulations of the Department. lit alterations, addition, or modilicatlone have been made, a coding Inspection Must be obtained,) Date d. i .1 Signature •*,• mformonan,s correct. 1 agree to Comply with all city and County • i = + odinaneos DEPARTMENT UN ONLY R1 mrd :fate taws relating to building construction, end �,(� { noreby suthonze (eonsentatives of this county to enter upon the KirtPPROV ebaup-m ntiantl�d-l?,PP v l\4t'ryWoticrt purposes, \\ _;\.h. 01--x_ I �•'Q i//���///"' OCOND1170NG Iwo reverse side) �. Siynatur of Department Rgpn� Disapproved pee revare9 am) _ , -d' - , j f ignetu s o Applr<snt nr' cent bats P eantee�ro Pete 1 ., L i h PERMIT NO. 7231-78B 1 t� PERMIT EXPIRES _� LJ OWNER D. Ivan Jacobsen CONTR. owner 66-24-7 LOCATION (A.P. ) 25 David Ct., lot 319, PPCCIP4, Magalia A -P/// ee 1X -#W r Y 4 - r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Y Called PG&E r JOB FINALED f (Date) (Signature) t • COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS BUILDING INSPECTION WORD BUILDING BUILDING (Cont'd) PLUMBING etback Firewall Soil PI in ` Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII 'Siding To out Slab Roof Sheathing Water Piping Piers Roofing — ,L p t^ Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica edy Conformance of ex. st cture Appliances Gas Piping & Test Temp. Gas Slab FI'nal Sanitation Patio f4REPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures -DQnd Beam FIRE SPR NKLERS Motors rami Test Water Htr. Stucco Final Subpanels Mesh ME NICAL Gird. 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 MOB16EHOM� E INSTALLATION - - - - - - - - - - • - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS AV C-4-61� cu-e,4A,-e CE L.�A ?Xl[) .7i Ooeo /��o41;d� (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 — O;oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT n _ •.i.. _ _ —�.� - -uate oma— �- Signature of Pe mitee or Agen Receipt No./ /716,7_66 By Date ` White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date L�� / BUILDING Owner GO sE-YJ SQ. FT. OCC. BUILDING VALUATION 2ao • ov Mai ling Address f;w, 1 ✓-� Telephone No. Contractor A,) wif Mailing Address Fireplace Total Valuation / 2 p-0 , Cy v Telephone No. Permit Fee /Z • v� Building Address ��V ` �- Plan Checking Fee&/or Penalty Permit Fee 2 • v ) 2 GG PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 e0l e r 3l $ Repair drainage or vent piping 1.50 A. P. No. lj C� — �+�� b �', f?'Loning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Aa I ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla/,s eed ,oval Parcel AW,." Plans A provol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10ov OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGSCCUP. 4� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR BRANCHCIR-OUTLET NON.RESID. (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTIIRES 5 L,2 Ex. Occu // FIXED APPLNS, OR Occup.(OUTLETS OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EQ 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. V /,.d_ _ __ q nx-d-• iGrfct Land Development Fee $ TOTAL PERMIT FEE $ b� 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_ PA13LIC WORKS n _ •.i.. _ _ —�.� - -uate oma— �- Signature of Pe mitee or Agen Receipt No./ /716,7_66 By Date ` White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date L�� / Suite &ufttu LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Tolophono: (916) 534-4541 H. W. McDONALD Deputy Director March 28, 1980 Ivan Jacobsen RE: Building Permit 25 David Ct., A.P. # 66.24.7 Magalia,.CA, 95954 Dear Mr. Jacobsen: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: On your property at the subject address, you have constructed a cabana adjacent to your mobilehome without permits, inspections, and approvals of this office. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and appvoved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact -this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd Chief Building Inspector cc: Building Inspector- Paradise rib l . a File No. ` BUTTE COUNTY. (For, Action 1, 2,3) ✓) Public Works Dept. (For Information•• � = J Director -.�! Dep' Dir." Sec. c F Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. e e D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I.- Sub. & Pcl. Maps Permits ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL LS.F2C'I°Ic1A; RTPORC Owner: Address: Tenant: itl F�;e Building Location: --.)S a' Type of Inspection requested: A.P. Date of Inspection /.�/� �O Inspector G)'l / 1. Housing L/ 2. Financing 3. Change of Occupancy to L/ 4. Other (specify)— - x Presexit use c:f A. Sanitation Halising 1. Vater closet:_ 2. Lava.tory: Bathtub or shower: — - 4.. Kitchen.. sink:____ `. Hot an cold v, —,r to fixtures: 6. Heating .fz.c::iiities:-- 7, Natural light and ventilation: -- 8. Rorm and space requirements: - 9„ Be�iroam wirdow or door for second exit: V) Infestation o,: msec—, 11. Connection to sewage dispos 12. Cox-%nec'E:.ion to grater supply: 13. Rubbish and garbage fac:ilit 14. Comments: B. Structural 1. Peers and footings: 2. Floor constnicti.on: 3. Wall construction: 4. Ceiling and roof cons tract i o -,-- 5. C. Electrical i . Sea: vica and s Found: 2. ReceDtacles: 3. Fu s iag : 4. D. Plumb ink 1. Flxlcures con—::.'ct. ,d and 2. H' a t R. 3. Cas heating ve t*s:__ 4. cr�srsenY s is E. Other ``` " F•. 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Continents F. Commercial_ Buildings 1.' Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls:_ S. Exits: 6. improvements: 7. Zoning: 8. Comments: G. Field Problens or Violations 1. PPPblcm �or *iolatnion (give co�/'plete description) : AK -1w/ /. /i%011ild l hC .-A 'f ell 2. What action taken (give complete descripti.oai) :11,�k— T OfiG •� ��! Saio7 3. What action recommended: 17A. T -tion only / B. Hold for ten (10) days, then writ: letter. / / C. Write letter. /7 D. Other: PERMIT J10. 2250-78B 1 I ) PERMIT EXPIRES !OWNER D/ Jacobson tCONTR. N_orthstate Aluminum, Chico 66-24-7 LOCATION (A.P. 25 David Ct., Magalia r s • r i .j li t 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E t JOB FINALED Xat 4'V e) COUNTY OF BUTTE — DEPARTM€SOT OF, PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback r %" 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 Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final .— Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL. Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. 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 OBILEH IME INSTALLALI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7� 7 (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivd Criroville,'California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /r- S X / _ + < A ' el-VDate 4/281M Signotu,r of Permi ttee or Agent Receipt No. 19200,9— 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 be aid. DIRECTOR F P BLIC WORKS BY AA�-� Date E//cling permit expires Date ����" 79 BUILDING OwnerSQ. Jacobson FT. OCC. BUILDING VALUATION Mai I i ng Address 25 David Ct. + Telephone No. 33 /4403 Contractor NorthState AlUMi,_MUM [Fireplace Mailing Address 3029-A Esplanade Valuation VnIG0Total 9 • Tele one No. 343 1047 Permit Fee Building Address 25 David Court Plan Checking Fee &/or Penalty Permit Fee Maga a, a. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. ��` -- r — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F &sJ S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declara ion Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Rec Parcel pproval Plan pproval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Single Family ❑ Duplex Mobil Home Others ❑ � ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD100 AMP 2,50 ' t awning Main service OVER 25.00 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING CCUP. ) 2¢Sgft OR ADDNS// CONST. ACCLBL GS.7i r 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: Northstate aluminun NEW 5ESIC-OND.R BRANCHMULTI-OCIR T NON-RESID, (BRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS B NON -RES ID, (SINGLE OUTLET CIR. z Ex. OCcuo(OUTLETS OR FIXTIIRES 50@ 259 ,@1@ FIXED APLNS. Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00 Y Temporary service 10.00 Mobile Home Facilities 15.00 License No. 97), 008 Classification B-1 Misc. Wiring 6.25 . ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT ,FEE $ / fI authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /r- S X / _ + < A ' el-VDate 4/281M Signotu,r of Permi ttee or Agent Receipt No. 19200,9— 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 be aid. DIRECTOR F P BLIC WORKS BY AA�-� Date E//cling permit expires Date ����" 79 IC .r� �s,cl:ssi narn.tfqufaf6v siiv IOli ebsnc.,Cge n -PSCC 7uc:l bi vsJ ZS .63 tFi�s�sti x m"n.imule-Indpri,t-la I -E 8co 47s 0116191 Z SN21UM 01'19(ld d0 '1d94 — 311(19 d0 A1N(100 PERMIT NO. 1648-77B PERMIT EXPIRES OWNER D. Jacobsen CONTR. oner LOCATION (A.P. 66-24-7 25 David Ct., Magalia Temp. Power Pole \ Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING IBUILDING (Cont'd) I PLUMBING Setback —— : -- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab r pehysically handicadd Conformance of ex. structure Final Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish E . 3 Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer. Gas Piping OBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping P 9 DATE REMARKS OR CORRECTIONS P (NOTE: An entry must be made on this form each time you visit the job site.) • r COUNTY-OF°BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive's 6roville, California 95965 Telephone: 534-4541 / 7 APPLICATION AND PERMIT !! A Receipt No. 4je2U J2 y `� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _� �, —J� BUILDING 71 Owner s�1G•O�S�/li SQ. FT. OCC. BUILDING VALUATION o� Mailing Address XS_- ;-d �� ' S Telephone No. r AQ J Fireplace Contractor Total Valuation ,Q Mailing Address Permit Fee'V Plan Checking Fee &/or Penalty Telephone No. Permit Fee 16 $ OC i. _% Building Address Cl PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. �� �� 7 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F sS I on EQA Parking Parcela10f Plans Declaration Fire Dept. Fire Zone Use Permit Building sewer 5.00 Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Pans Rec'd �G Pd Ap�M Pla pproval Permit Fee $ $. NEW Rf ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.001 Main service eooV OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 G/ ` NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLOGS. 20sq ft . NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. 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 Ie Of: Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL@1 (FIXED APPLNSORSt Ex. Occup. OUTLETS(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 S1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned prop e for inspection purposes. ,,Q X ��' "`` Date Signatur;/-f P rmitee or Agent 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. DI TOR OF/,PUBLIC WORKS C BY �!^�� Datel J Receipt No. 4je2U J2 y `� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _� �, —J� Temppas Serv. Called PG&E •4 JOB FINALED (Date) l (Signatu ` i• n s t cf PERMIT NO. 5662-76P,E 'k 'ti PERMIT EXPIRES S1 •,.` ` 4 --=A0 OWNER D. Jacobsen CONTR. own dr t LOCATION (A.P. 66-24-7 � 25 David Ct., Magalia G r� f Temppas Serv. Called PG&E •4 JOB FINALED (Date) l (Signatu ` i• � t PERMIT NO. 5662-76P,E 'k 'ti PERMIT EXPIRES S1 •,.` ` 4 --=A0 OWNER D. Jacobsen CONTR. own dr LOCATION (A.P. 66-24-7 � 25 David Ct., Magalia G f r- , I r b t , �.i r Temp. Power Pole Called PG&E Temp. Elegy'. Serv. i Called PG&E ell 2 -7 to Temppas Serv. Called PG&E •4 JOB FINALED (Date) l (Signatu ` t ` _ �111 ' 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 '3 G 42-- 7 41 for the following location: T /L`7 N G n L •a Owner 1)- r 0 `a s a �/ Owner's Address_ ;2 5 !.7<�r� C 7-• Mobilehome Mfg. 5 + 1. / yr Co `' S Model Year Insignia No. 7 95' Serial No. 0/6- R 17i4, l3 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ry4 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Setback F rms ain Bldg. otings Ste all Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Ae-1`-- irewallSofl Piping 4 ara ets 1st Floor Restroom Finish ' 2nd Floor •�— Roof Sh athin Roofing Fdn. Vents Garage Vents Insulation Prov, for phsic ly. handicaooed Conformance of ex' T FIR13PLACE RINKLERS CAL 3rd Floor �----- To out Water Piping (- Sewer Fixtures Water Htr. Heaters -------- Appliances -------A liances Gas Piping & Test Temp. Gas -- Sanitation Final ELECTRICAL Rough %2 - 3-7 G Fixtures Motors Water Htr. -------- Subpanels -� Grd. Fault Prot. Scratch Heating Service _ a - 76 q Brown Cooling/ Temp. Pole j Fini Duct Underground ;L, 3 •7 6 Inter' r Lath Ve ilation Permanent Door Closer F al Final DATE REMARKS OR CORRECTIONS %2- 3 -7 L a o RMSa 'a.��cc. 't"'o 2"' 7 (� �j /�/ e- eR i -C- /P r I a < v i GQ 1 /�I �'��a/-- To-1FIV A L+ C, L e ,h r e. di 7-o 01' O ✓O U i L. 4- e- F01- -7 i \� -'V'--t d C. p s✓ cv-i i e 1 -Rd % o Fs A -A L �9 /�%� S i � e , J�ro ice ) q t (NOTE: An entry must be made on this form each time you visit the job site.) ra i oBli"E1110M.L INS'.I'ALLATJ.'PfINSPECTION CHECK DIST 1. Is the mobilehome located-wi.i_h -required separation from lot lines and buildings and general].\ conform to plot plan?' YQ.,,- No� 2. Doe:; the mobilehome have required clearances above ground? (Sec. 5085) Yes [/ No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 4-�No 4. Is the mobilehome level.? (Sec. 5088) Yes &.� No t 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yeses/ No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes L, -/No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ✓No C. Backflow - Ifco,d� not State of California approved, does station have backflow device and pressure-rel�i Palve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes L/-5'0 B. Does it have minimum ," per foot slope and is it properly supported? Yes G/ o C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No � D. If coachn State of California approved, does station have required trap and vent? Yes o /�' 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line infYet witho reductions other than the mobilehome connector. Yes No A B. Test OK as per follow 1. Open all applian,� 2. Shut off appl pro ure. Ye No on:ie for valy er'and W otl�alves. 3. Air test wi manometer to lOY-14" r ater column, or test with slope gauge (minimum 6oz.-maxim 8 oz.) calibrated in enth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all.appliance vents properly installed? Yes No i 9. Electrical A Is service large enoiigl� to provide adequar_C amperage to mobiLeliume (must equal rating; of mob i_leliome caitiff a. s:inh-um of 10.0 amp) and other faciliti_e!s on lot, i.e., water pumps, garat,e, cabana, c�tc.: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .. I 7 County Center Drive - 40roville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT aut h or; BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C SG�� �'! £A -e Total Valuation Mailing Address D �S Permit FeePlan Checking Fee&/or Penalty Tele hone Permit Fee $ Building Address �� / /i �Y C� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ^ � > /(J f *-V 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. v Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 K¢es W. I Saa+4a+iea Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel 4froval Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /- Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 22.sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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:. Ex. Occup(OUTLETS OR FIXTURES) BA@L@- 109 ExO ccu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 2 License No. 3623,23- 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 men's Compensation. ve placed on file with the County of Butte a certificate of ;1�0.�zCompensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Coolingorkmen's Ventilation Hood 2.00 Permit Fee $ lS $ D, G� TOTAL PERMIT FEE $ representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1/ X ��� e �e/ Date Signature of Permitee or Agent Receipt No.,X 3!? orZ 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 B�YW��..Date/, -% :s -�'lding permit expires Date 13- 77 s� - COUNTY OF BUTTE — "DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - .Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of i3utte to enter upon the above-mentioned property for inspection purposes. x -Date d1121 -12L Signature of Perm itee t Agent Receipt No. e��a�o — 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 OFi12UBLIC WORKS BY Date ding permit expires Date ✓�� " 7% BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mailing Address &A A Telephone No. Z ZD Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address -- t PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Od Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping ZR , Zoning Verification Only Each gas water heater or vent 1.50 A. P. No. (� _ y Zon Sege anning as piping system 1 - 5 outlets 1.50 ,yam Each additional outlet .30 Fe n Fire Dept. Fire Zone Use Permit Building sewer p.pa EQA Parking Parcel Plans Declaration 8'— "Lawn a ap 60' R/W Improvements sprinkler system 2.00 LO � tyi plans Recd Gc7T Porcel pproval Plans Approval Permit Fee $ o? $ 00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LE 100 AMP ORLESS�' 5.00 S pa Main service EA. ADD'L 100 AMP G 2.50 2-6,61 Main service OVER s 25.00 100 AMP O OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 6_0SQ. F lyT. MINIMUM NEW CONST. ( WELLING ACC. BLOGS.CCUP. &) 20sgft OR ADDNS. NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea FOR MOBILIES NEWCONSTR. (POWER APPARATUS &) NON .RESID. SINGLE OUTLET CIR. 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: 54 Ex.'Occup(OUTLETS OR FIXTURES) BAL� Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 sp License No. Classification Misc. Wiring 6.25 .. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee - $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby <4 TOTAL PERMIT FEE authorize representatives of the County of i3utte to enter upon the above-mentioned property for inspection purposes. x -Date d1121 -12L Signature of Perm itee t Agent Receipt No. e��a�o — 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 OFi12UBLIC WORKS BY Date ding permit expires Date ✓�� " 7% y PERMIT NO. 241-77B PERMIT EXPIRES V OWNER Ivan'Jacobsen CONTR. ower 1 LOCATION (A.P. 66-24-7 25 David Ct., lot 319, CC#4, Magalia 3 1 t l 1 r f t 9' 1 a 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. t' i Ca led PG&E Temp,.. Gas Serv. jCalled PG&E FINALED _ b (Date) (Signature) COUNTY OF BUTTE — DEPARTPIIENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUM ING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping &Test TemD. Gas Slab Final Patio FIRE LACE Footings Footing' Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPF INKLERS Framing �� . Test Stucco Final Mesh MECH NICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS Final EUECTRICAL Fixtun Motors Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (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 — ' UacfviIle, California 95965 Tel ephdne` 534-4541 C�/V APPLICATION AND PERMIT ,a k authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X LAate 1 l i- % Signature of Permite or Agent Receipt No. /r. -J-40 a 5-3 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_FNJBLIC WORKS 77 Building permit expires Date 7 T BUILDING Owner V,4 h/ �jq o S SO. FT. OCC. BUILDING VALUATION 1r /'7 .oa Mailing Address S 1:6 CT' G�.9 Telephone No. �•�� >o�0 Fireplace Contractor Total Valuation Mailing Address �� '� Permit Fee r a Cy PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ 670,0 S o . Building Address of S PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Al i9 C, L i N Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 T Each gas water heater or vent 1.50 A. P. No. Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s .C. S ion FireDept. FireZone Use Permit Building sewer 5.00 EOA I Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. P s Recd to/ Parcel Approval P I al4s Approval Permit Fee NEW ®. ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e ✓ .� G Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.OCCVP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESI D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to beJnsured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �j I certify that in the performance of the work for which this rZpermit 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 construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE d(� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X LAate 1 l i- % Signature of Permite or Agent Receipt No. /r. -J-40 a 5-3 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_FNJBLIC WORKS 77 Building permit expires Date 7 T 1837-$9B,E_ PERMIT NO. PERMIT EXPIRES( J `,OWNER Ivan dasebsen CONTR. owner. LOCATION (A.P. 66-24-07 i s, ' 25 David Ct., lot 320, PPCC#4, Magalia i I I, f 3; ' �G✓ ' vV v-c�C� 3{ Temp. Power Pole Called PG&E�� E Temp. Elec. Se V r Called P &E Temp. Ga/Serv. + Call d PG&E I { 3 ALED-/2f 0 (Date) (Sign ure i C 14 --06%V'ANY .-1'54166 -CA 5954 COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE-PATING MOBILEHOMES Owner 01 es a �jac Q" V Location Mobilehome Installation Permit No. D e' (-7x �?TF M cr rILL IN INFORMATION FOR IMIS I THRU 10 Watts Irk() 1. Width cP_q x Box Length Coo x 3 e ff) Id, 2. 2 Kitchen Appliance Circuits ................. 3,000 Kul. 3. 1 Laundry Circuit ............................. = 1,500 4. Ovens ........................................ 5. -Cook Ka) Stove Top ..................................... • 6. Hot Water .Heater ............................. el) q 7. Dishwasher & Disposal ........................ _q==6 8. Clothes Dryer ............................. 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts . , F "f 10bOO watts @ 100% ......... irs ...................... 10,_000 Remaining 40% ........................ 10. Air Ccnditione.r watts @100%. Largest Demand Central Heat System watts @ 65%.. TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" - 230 ............. De -rate Mobilehome to ......................... ........... 3C AMPS 7-, ............ AMPS f) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RE -CORD BUILDING Setback 9i Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings g.Gx/. i4 ,A Masonry Walls Relnf. Steel Bond Be m Framing �Z7 Aga �-- Stucco Mesh Scratch Brown BUILDING (Cont'd) Firewall Soil Piping Paraliets 1st Floor Restroom Finish 2nd Floor Windows — O 40 3rd Floor Siding To out Roof Sheathing —Z Water Piping Roofing —7 _ Sewer Fdn. Vents • Fixtures Garage Vents ` Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. structure Final Appliances Gas Plpinq & T Temp. Gas Sanitation FIREPLACE Final Tooting Throat Rough Final Fixtures FIRE SPRI KLERS Motors Test Water Htr. Final Subpanels CHANICAL Grd. Fault Prot. Heating Service Cooling Temo. Pole PLUMBING E Finish I Uucts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION --------------- Support Elec. Continuity Water Piping Drainage in Gas Piping 9 DATE REMARKS OR CORRECTIONS vow! •— �� Gr�vS � 'Co�,s�� �- . CO'Z'ST .h/ (,/a 4, ALI-- 7emade(NOTE: An entry muston this form each time you visit the job site.) l�ejl 9aW;e' COUNTY OF BUTTE = DEPARTMENT OF PUBC►IC WORKS 7 County Center Drive - Oroville; California 95965 Teleph.Rne,: 53`e-4541 APPLICATION AND PERMIT lf� � ___1 I AZ& authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date .0 )& .,0 , 4A.." r Agent _ Signature of Permite o Receipt No. :��-7 O 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 f which fees have been paid. rR? r -OF PU LIC WORKS BY Building permit expires Date BUILDING Owner V OW SO. FT. OCC. BUILDING VALOA6TiON Q�CP Mailing Address / elephone No�j 3v - oO ri Contractor DW 6IZ Mailing Address Fireplace Total Valuation �p Telephone No. Per e Z Building Address �� Plan Checkin F e or Penalty Z Z ermlt Fee Po, a PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 ff1Gp Q / Ar Repair drainage or vent piping 1.50 A. P. No. Ling 8, Planning Water piping 1.50 Each gas water heater or vent 1.50 FSS I Vi,�SOi�n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Planed Parcel A roval ��/� Plans llpproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Foe $ ELECTRICAL No.1 @ FEE ` PERMIT FILING FEE $3.00 o Oa Main service 100 AMP OR01 OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 217,— Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ACCLBLDGOCC 22sq ft �. 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 st le of: Y TL NEW RESID. / BRANCH CIRCUITS) NON.RESID. 1 BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS a NON .RESID. SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXTIiRES) BAL Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ✓� I am exempt from the Contractors License Laws of the State of California. Permit Fee $ _ g0 $ Q8 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 J 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �!� g authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date .0 )& .,0 , 4A.." r Agent _ Signature of Permite o Receipt No. :��-7 O 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 f which fees have been paid. rR? r -OF PU LIC WORKS BY Building permit expires Date o3;K 3 .P,AO�-IJ CST' 135 7 4 y M,lk G -A -Ll A/ GA � LTTE COI.*` -007 SLUING DEPARTM �' APPROVED M.H.L- 2 ♦ nh1 Mobilehome Manufacturer:1 L l V>c G` ZZ 7S Y Manufacture Year 76 . If other than single wide, furnish Setup Model Number: Width:(ft.) Length: (, b (f.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, •1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeo Other: SUPPORTS: Concrete block Other: Other: Provide Tie Down Specifications for all Mobiilehomes: Pier Footings Sizes and Location snv= WIDE MULTI-WMZ Lim I ... Mai■ z....... ............... .................... Ling2..........:............................................................................... ............................................................................................... main BMW ............................................................................................... ................................................. s Tag er Triple 4 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: Z x j Spacing maximum: 6 From ends-maximuml g Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): 1 Lir I . Lir 2 �..2 . Law 3 U"2 Lina 2 Lir I Line 1 Openings Size minimum: Each side of openings with width over: 7` Line 4 Piers: Size minimum: x Spacing maximum: From ends -maximum ` 1109 tP�w � r t r, J! IZXrY +z i IZ !i L 1 .6 1109 tP�w � r t r, 1. Owner's Name: PAU L, 64 2. Assessor's Parcel Number:_6 Z 3. Installer's Name: 4. Is the site currently under permit? YesV] No[ ] Permit No. 5. Is the site an existing site? Yes[(] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? o0 Amperes. ~'s 7. What is the mobilehome, site circuit breaker rating? �am 0 Amperes. E. What is the electrical rating of the mobilehome site? ;?c;, b Amperes . . 9. Is the main service remote from the mobilehome site? Yes,[ ] No[>�] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] Noo If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None�'j ' 12. Size of gas p' at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehoft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe len h is less than 6 feet on natural gas" or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION Cm May 1995 �. f A,PP OVF:r, S o_ 89139K llults ! FOUND TARN OUTUN[ OF 1101112 n PLAN DOUBLE WIDE MOBILE COACH Scale: 1" - .10' NESE: FoR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP Jt ASSOC. FOR APPROVAL. t''TANDARD PIER Jr FOOTING SPACING PER MOSILJE HOME MANUFACTURER'S INSTAIIATTON MANUAL 7 CQACH I KA14 3' X 3' PATE z n MAX TUBE HEIGHT 11MIS 9 s' SHORT TUBE Awl 21 DIA STD PIPE 4 - 3/0' KLIS TIGHTEt TD IRO i� �3 3/16' PLATE CLAMP n PLAN DOUBLE WIDE MOBILE COACH Scale: 1" - .10' NESE: FoR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP Jt ASSOC. FOR APPROVAL. t''TANDARD PIER Jr FOOTING SPACING PER MOSILJE HOME MANUFACTURER'S INSTAIIATTON MANUAL 7 CQACH I KA14 3' X 3' PATE 0 fN-POUNDS Tc I)SLAX s Tilt Clonal+ uo►�os wnu• >tt ocx�eamia�r rvml,roor LWK WAa► � IWA AND $9=W � AN 3/4• THREADED 3116' PLATE LEGS>RSTAIa�N>q�'roltMnu+tAiv�a+t�t�ru�+oA�A4�uuw .ROD T YP Dr 4 3, Tiitt 1OUNDATpq IS CL* Ulitl j6 ==rj; 11 A MM~ IKKIP RATIO N. NC YOUR . • ... V4M � V 3 .4. AMPOOMK>rAU'M$BKVMMBYfltlitlN AU"UAtIIDWRitI DCOttWV=!i0[1.POOTQititAM �} S/i6' PLATE, Data= POR 1QOti Nf Tt)TA�•'L�OAD l�di.?RR#L1is MED ON"U COMi'ATTtili WtilL:lACA1.'/OR. I i SIR' X 11/4• xxy WITH MMDENEQ WASHER !. RTRUCILURAL.sTtSi1 C , 114ALL OONP m TO ASTM AM P�-`x 1W 4MMUK LLjjJJ S E I S M I C PIER Not 't o • S c.a j e ► OW.L U YAWXAM ZiiA v'M ALR(. R>1sMWAnO �- { N a SNAIL a" WSLtiRb AOrJORDLNO TO AMA VRCLPICAT10Nk C.P. SEISMIC PIER#1 — PATENT PENDING L_ uscrw*R:FIX= A9111 AM .; tt7r I t LfiJ NOTE, OL ANCHOAWLTs: A>fI A317. AiZS ilr: POL.Tft ... "lk OLIwAiTU A44! -ASTM { { V. THARADLD ROD: OOLD DRAWN LOW CARBON WEIDASI.E IRO IN -POUNDS IS EQUIVALENT To tS rt -FOUNDS A AL.L+b"TALO"O" Of'g DIC IDIWO NAILS A WAS" SM ARK T01R MO=!M OOA'1D6 i. TMR FIR AND RIDM AGA11 SUPPORT AIUMIWRR RHAIL R OOATIO WITH SHERMAN W211AM2 Z414LC2 OR 2 - 3/Q' x 1' DOLTS APPROVW IQUWAUINT AND SHAl]. = LX= AND LA1><1,R0 By (WL'tiFl><D T Y&SINO ANI) OMu•� '-+-' FIELD DRILL HOLES jnVj(=MMIORTTL$IdL4 WMLOMB: . { OPTION Qf ► LSAT UAlt l7oi NAX 4 - 414 TEX STS COACH C K . VUTICA 13006MNAX mOR J PLAN TT. TH. EOUNOAiitiN'1/ !OR M AMAM>PACRJRID M1110tNOM OONtTRUCiRD WITN UONQCIUWNAI.Olt { 1 N 1/4•x2'x4' 3' x 3' iCRMJD(RM ANGLE 3' VIDE PLATE Q 0 A Ttfls raUNDAT1oM PLrw r DESIGMTo sto"T>RL>Ct1EpON r► FAIRLY LEVELSITS WITH No MsTlMa sou. 1CISt11C PIERS rROil.iMa.lft!<'I'fll.MWTat74tSSDtIR'i+EilOOft110i4fR1'tO't:f, A FOUNDA� - 2' 4 - l/KR R. IN Aum WtiW DwFjRvMAL scrnxMRNT (D.S.) CAN OCCUR. MANUMcIVR1tD HONES SHALL R gISmIC RRADRWM WON -DA MCOM tW# OR WUN IT IIJ. ADVOSSLY A"Wr TI" Of TRI DOLTS x PIER . MAMIRAL"t1JR>~D NOME. 2 to, THIS SYtT1'FAL IS ADAPTASLK TOSTANDARD HOLLOW MASONRY D14CK PIED• OUTLINE Or 1wULt:COACH r lINGLF: WI�D;E.VPICAL -�- TYPICAL BEAM CONNECTIONS LAN ,. TSR im mArm PAD sam" ON THIS PLAN r A?W.AST CONCRF►Tft FOUNDATION PALL TRI PLY WOOD ' Not t o S C o I e . FOUNAATWON PAD MAY MUM AN ALTL'J!<NATLL SINGLE WIDE MOBILE COACH scale: i' 10' f10tUNDATIOM PAN SHOD I•iS PII A"DONtAWL.tIl"XIT URM 901. ,. It so w DVIRslzc rev chr►ttw ' NOTE: �wrt cotl►4:R. tIIKA+f�iC STANDARD PIER k KgTINc SPACING 00f PER MOBILE !TOME MANUFACTURER'S },Q• a IOORMLATRiDAYRAtIYS?tAAHD1111311JFAL"ITSSDiY>f'1'ARimWLk3N'i'COtiCRSTtt. 1NStAUATION MANUAL :. - k MMFXRIWPADaRAWATMWMB INRs PONMI r THAT TUR Low DO N "01t T!Q LAD Ri PRR2�111IC1.Z.41t TO THI COACH IPA (A$ SHOGUN ON THlt SAN) txscRr fat-, ,:• r s WHIRR X=C� IMM PAD ROTATION. NO MORE THAN HAV OF THR PA06 IN A s�4 . t v4' K4._ TRAV=a UNI CAN Ri WTA"* sO THATT14 (A!ID =MOON OFT 0 PARR ARS PARALAZL.TO 8' 24* T>Wi CD" fG11t ELEVATION NOT TO SCALE I 4. $4 W= A.P.A. 4VU LLILT><RMFsty CC. P upOR41itR • QA 317. MIK `- 36 112' ----, l_IIAS.il S NV�L7i >ur ti t O OF s L l r SI iiYr t,INwus � :rsiiT t. MA>OaAl1tl JQKUi'N I>'f011 Whit Ou1CH p • P=ST. , 3.5' 1. MA)IZM W LiN0T!H OF DQU1U WI= CtaA W w 71 PELT, 4.4-4■ 4 vrr I • J I 3, L WLM APPJAOVW tltr = w&.AMoc; ftAft T D EM MRtot1T 1O• TO 9=&ZIX L s MT POR WO= WM CQACM k lis PRT FOR WWWX W= COIAC M PRECAST ' CONCRETE : POLlLAsiFOttK.31; isrpauLlLsrmRoaACI(1Ls I ❑ U N D A T i C� N P t'1 D •. R VMS WUi[OOOOM FatD' BAR P!/U'.R# W MWf�t ON AS SI N T10 =111112 W= HOLM Cour. SCALE: I' _ .5' 3. *m ANY ooAm tax OTHER THAN AR utowN oN no PLAN OR REFIIRrwro Awv& Ta Pm ANA PAD L►YOM Sel"i RRVItWsO AND AMWVW LAY DONALD I4. ULW A AUOCC UTU 3/4' PLYWUOD SHEEIS b 51U WAI SCRE'vE D t E]c,E, HER WITH I. VAC1NO SHOWN ON TM PLAN ARS FOR OtMiCHU WITH 10 W -H AND 11 Qrpl LSAWS OR i INCH MCO 30'x32'x3/4' • s 48>< 1 1/2' FHVS 00RRATLIDLL!>;AMS• PLYVEt00 �._. ......:... - f Il ANY OTHER S 24M WAW I3 NOT TO CA.W"VLR MORS THAN 61 ruT ON SACH PWD OP tm _ . MID SPAC00 Of 19161M P= CAN NOT ILzcxsD I ii It L S i Uf2 �a�*R :Ym LLIL =AND L'+AMy CO . LtTit �('( APPROVLtD NLYVOOD s1R1SC.TTnCbNv.tii`JII'SNO �' u AMMAL DOLS NOTAUINOR= OR A x x x RItOySANY 10J► cm I . o�aostola aR DtvfATx>rt tI>a1u,Rwr,�rsf �`� AMACA&IJI ST R LAWS AND RSCIA.ATiON >i RTdKo�i>t OF &jm Ct *4T1 v D�rrt�rll«if��l al�ttoicr neY�,���:a ADI ! C ' PA�T�A . i � 1aM5I ti'ANDARDS , . APP OVEL) L ItiN A 1 IVL �' _ ,,�„�,,, OUNDATION PAD PATENT 00..9:5366 SCAt E 1'".1,5' �l1erANwwl 10•ZG+b? RENEWAL OF • STATE SUBMITTAL 30-5F 0. , h) /A, z 4 - 3/s' MAX TUBE HEIGHT 11MIS s' SHORT TUBE 14' LONt, TUBE 21 DIA STD PIPE 4 - 3/0' KLIS TIGHTEt TD IRO O 3/16' PLATE CLAMP 0 fN-POUNDS Tc I)SLAX s Tilt Clonal+ uo►�os wnu• >tt ocx�eamia�r rvml,roor LWK WAa► � IWA AND $9=W � AN 3/4• THREADED 3116' PLATE LEGS>RSTAIa�N>q�'roltMnu+tAiv�a+t�t�ru�+oA�A4�uuw .ROD T YP Dr 4 3, Tiitt 1OUNDATpq IS CL* Ulitl j6 ==rj; 11 A MM~ IKKIP RATIO N. NC YOUR . • ... V4M � V 3 .4. AMPOOMK>rAU'M$BKVMMBYfltlitlN AU"UAtIIDWRitI DCOttWV=!i0[1.POOTQititAM �} S/i6' PLATE, Data= POR 1QOti Nf Tt)TA�•'L�OAD l�di.?RR#L1is MED ON"U COMi'ATTtili WtilL:lACA1.'/OR. I i SIR' X 11/4• xxy WITH MMDENEQ WASHER !. RTRUCILURAL.sTtSi1 C , 114ALL OONP m TO ASTM AM P�-`x 1W 4MMUK LLjjJJ S E I S M I C PIER Not 't o • S c.a j e ► OW.L U YAWXAM ZiiA v'M ALR(. R>1sMWAnO �- { N a SNAIL a" WSLtiRb AOrJORDLNO TO AMA VRCLPICAT10Nk C.P. SEISMIC PIER#1 — PATENT PENDING L_ uscrw*R:FIX= A9111 AM .; tt7r I t LfiJ NOTE, OL ANCHOAWLTs: A>fI A317. AiZS ilr: POL.Tft ... "lk OLIwAiTU A44! -ASTM { { V. THARADLD ROD: OOLD DRAWN LOW CARBON WEIDASI.E IRO IN -POUNDS IS EQUIVALENT To tS rt -FOUNDS A AL.L+b"TALO"O" Of'g DIC IDIWO NAILS A WAS" SM ARK T01R MO=!M OOA'1D6 i. TMR FIR AND RIDM AGA11 SUPPORT AIUMIWRR RHAIL R OOATIO WITH SHERMAN W211AM2 Z414LC2 OR 2 - 3/Q' x 1' DOLTS APPROVW IQUWAUINT AND SHAl]. = LX= AND LA1><1,R0 By (WL'tiFl><D T Y&SINO ANI) OMu•� '-+-' FIELD DRILL HOLES jnVj(=MMIORTTL$IdL4 WMLOMB: . { OPTION Qf ► LSAT UAlt l7oi NAX 4 - 414 TEX STS COACH C K . VUTICA 13006MNAX mOR J PLAN TT. TH. EOUNOAiitiN'1/ !OR M AMAM>PACRJRID M1110tNOM OONtTRUCiRD WITN UONQCIUWNAI.Olt { 1 N 1/4•x2'x4' 3' x 3' iCRMJD(RM ANGLE 3' VIDE PLATE Q 0 A Ttfls raUNDAT1oM PLrw r DESIGMTo sto"T>RL>Ct1EpON r► FAIRLY LEVELSITS WITH No MsTlMa sou. 1CISt11C PIERS rROil.iMa.lft!<'I'fll.MWTat74tSSDtIR'i+EilOOft110i4fR1'tO't:f, A FOUNDA� - 2' 4 - l/KR R. IN Aum WtiW DwFjRvMAL scrnxMRNT (D.S.) CAN OCCUR. MANUMcIVR1tD HONES SHALL R gISmIC RRADRWM WON -DA MCOM tW# OR WUN IT IIJ. ADVOSSLY A"Wr TI" Of TRI DOLTS x PIER . MAMIRAL"t1JR>~D NOME. 2 to, THIS SYtT1'FAL IS ADAPTASLK TOSTANDARD HOLLOW MASONRY D14CK PIED• OUTLINE Or 1wULt:COACH r lINGLF: WI�D;E.VPICAL -�- TYPICAL BEAM CONNECTIONS LAN ,. TSR im mArm PAD sam" ON THIS PLAN r A?W.AST CONCRF►Tft FOUNDATION PALL TRI PLY WOOD ' Not t o S C o I e . FOUNAATWON PAD MAY MUM AN ALTL'J!<NATLL SINGLE WIDE MOBILE COACH scale: i' 10' f10tUNDATIOM PAN SHOD I•iS PII A"DONtAWL.tIl"XIT URM 901. ,. It so w DVIRslzc rev chr►ttw ' NOTE: �wrt cotl►4:R. tIIKA+f�iC STANDARD PIER k KgTINc SPACING 00f PER MOBILE !TOME MANUFACTURER'S },Q• a IOORMLATRiDAYRAtIYS?tAAHD1111311JFAL"ITSSDiY>f'1'ARimWLk3N'i'COtiCRSTtt. 1NStAUATION MANUAL :. - k MMFXRIWPADaRAWATMWMB INRs PONMI r THAT TUR Low DO N "01t T!Q LAD Ri PRR2�111IC1.Z.41t TO THI COACH IPA (A$ SHOGUN ON THlt SAN) txscRr fat-, ,:• r s WHIRR X=C� IMM PAD ROTATION. NO MORE THAN HAV OF THR PA06 IN A s�4 . t v4' K4._ TRAV=a UNI CAN Ri WTA"* sO THATT14 (A!ID =MOON OFT 0 PARR ARS PARALAZL.TO 8' 24* T>Wi CD" fG11t ELEVATION NOT TO SCALE I 4. $4 W= A.P.A. 4VU LLILT><RMFsty CC. P upOR41itR • QA 317. MIK `- 36 112' ----, l_IIAS.il S NV�L7i >ur ti t O OF s L l r SI iiYr t,INwus � :rsiiT t. MA>OaAl1tl JQKUi'N I>'f011 Whit Ou1CH p • P=ST. , 3.5' 1. MA)IZM W LiN0T!H OF DQU1U WI= CtaA W w 71 PELT, 4.4-4■ 4 vrr I • J I 3, L WLM APPJAOVW tltr = w&.AMoc; ftAft T D EM MRtot1T 1O• TO 9=&ZIX L s MT POR WO= WM CQACM k lis PRT FOR WWWX W= COIAC M PRECAST ' CONCRETE : POLlLAsiFOttK.31; isrpauLlLsrmRoaACI(1Ls I ❑ U N D A T i C� N P t'1 D •. R VMS WUi[OOOOM FatD' BAR P!/U'.R# W MWf�t ON AS SI N T10 =111112 W= HOLM Cour. SCALE: I' _ .5' 3. *m ANY ooAm tax OTHER THAN AR utowN oN no PLAN OR REFIIRrwro Awv& Ta Pm ANA PAD L►YOM Sel"i RRVItWsO AND AMWVW LAY DONALD I4. ULW A AUOCC UTU 3/4' PLYWUOD SHEEIS b 51U WAI SCRE'vE D t E]c,E, HER WITH I. VAC1NO SHOWN ON TM PLAN ARS FOR OtMiCHU WITH 10 W -H AND 11 Qrpl LSAWS OR i INCH MCO 30'x32'x3/4' • s 48>< 1 1/2' FHVS 00RRATLIDLL!>;AMS• PLYVEt00 �._. ......:... - f Il ANY OTHER S 24M WAW I3 NOT TO CA.W"VLR MORS THAN 61 ruT ON SACH PWD OP tm _ . MID SPAC00 Of 19161M P= CAN NOT ILzcxsD I ii It L S i Uf2 �a�*R :Ym LLIL =AND L'+AMy CO . LtTit �('( APPROVLtD NLYVOOD s1R1SC.TTnCbNv.tii`JII'SNO �' u AMMAL DOLS NOTAUINOR= OR A x x x RItOySANY 10J► cm I . o�aostola aR DtvfATx>rt tI>a1u,Rwr,�rsf �`� AMACA&IJI ST R LAWS AND RSCIA.ATiON >i RTdKo�i>t OF &jm Ct *4T1 v D�rrt�rll«if��l al�ttoicr neY�,���:a ADI ! C ' PA�T�A . i � 1aM5I ti'ANDARDS , . APP OVEL) L ItiN A 1 IVL �' _ ,,�„�,,, OUNDATION PAD PATENT 00..9:5366 SCAt E 1'".1,5' �l1erANwwl 10•ZG+b? RENEWAL OF • STATE SUBMITTAL 30-5F 0. , h) /A,