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HomeMy WebLinkAbout066-420-026t BUI . DfN:G CODE VIOLATION 30 DAY LETTER BUILDING CODE VIOLATION 10 DAY LETTER SENT TO C, E, FOR CITATION 1_ 'o5 FRANK TOLEDO I 175 Ishi Dr., Lot 44, d.Meadows,Mag. CONTR: Charles E. Hanco , Para. Permit 4006-73P,E (utilities for MH) AP66-42-26 TOLEDO, Frank 175 Ish Drive, lot 44, Indian Meadows, Magalia ontr : R.E... Scott -.1 aradi.s.e.. Permit # 2436-74B zre (2 awnings, 2 decks, 1 carport, 1 screened room) AP66-4?.-?6 Permit# 631-75B(covered, MH) 4 -7s 66-42-26 Eex't# 1730-75B(covered deck, MH) 66-42-26 Permit #2290-76B(hew -p'1ivate g rage) 066-420-026 PERMIT#98-1523 TOLEDO, Milly 6721 Ishii Dr., Magalia Cont: Reliance Prqpan Gas Line/MHS TOLEDO 6721 ISHI, MAGALIA Cont: SIERRA MOBILE SE.RVIC PERM FND EXST MH_ -9-46-OS LA 12 " .4 _j i. 4- TO: Code Enforcement FROM: Building Department Ae Citation Request jo M' -rd G6,kpoa O y ZO - c �L _ Z� (Owner) (A.P. N0.) DATE: Attached is the required 'documentation regarding the violation on this property. Please proceed with 'the citation procedure on these violations and include any other violations on the property which may be appropriate. (Date) (Defartmebt Signature) Owner contacted Unable to contact owner Comments: CEO TO: Building Department FROM: CEO RE: Citation Request DATE: �—j t 1 I will hold citation process as a result of conversation above Notify me if/when you wish to proceed with citation. nInsufficient documentation for citation - request returned. Other DATE CEO TO: CEO FROM: Building Department RE: Citation Request DATE: nOwner did not comply - proceed with citation procedure Other DATE Dept. Butte County Department of Development Services www.6uttecountv.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile COPY ADMINISTRATION * BUILDING * GIS * PLANNING April 29, 2005 Mildred M. Toledo P.O. Box 508 Magalia, CA 95954 RE: Formal Warning Notice Building Code Violation Location: 6721 Ishi Dr, Magalia, CA 95954 AP #: 066-420-026 Dear Mildred M. Toledo: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 25 2005, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of a covered storage area. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warninIZ. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and , for failing to comply with this warning letter. Mildred M. Toledo P.O. Box 508 Magalia, CA 95954 APN 066-420-026 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should. you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mb 1 2 3 4 5'! 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On April 29, 2005, the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Mildred M. Toledo PA Box 508 Magalia, CA 95954 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on _April_29, 2005 Oroville, California. 1 is Blackhorse Office Assistant 16 March 2005 Mildred M. Toledo PO Box 508 Magalia, CA 95954 Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING RE: Building Code Violation Location: 6721 Ishi Dr., Magalia CA 95954 APN: 066-420-026 Dear Mildred M. Toledo: C&-Pv. This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a covered storage area. 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 a Permit Tech in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mjs 16 March 2005 Mildred M. Toledo PO Box 508 Magalia, CA 95954 Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING RE: Building Code Violation Location: 6721 Ishi Dr., Magalia CA 95954 APN: 066-420-026 Dear Mildred M. Toledo: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a covered storage area. 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 a Permit Tech in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mj s :► Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 APPROVED GENERAL INSTALLATION 3 9/2/03 SUBJECT TO CORRECTIONS NOTED PARTS LIST 4 & 5 9/2/03 kFPROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS Of LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS State of California lftPIER HEIGHTS 7 9/2/03 ent f in and CommunityDovolopmod DESAND STANDARDSSET-UP INSTRUCTIONS 8 9/2/03W.+N DATE .off _ (ei8nautre) SPA . FOOTER SIZES TliisP an Approval Expires WIND ZONE I - SINGLE 9 9/2/03 1 y Aol5 .7� ;DOUBLE 10 9%2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 Q�OQR0FESS/0/k - DOUBLE 14 9/2/03 TRIPLE 15 9/2/03 No. 6 1245 P, (d3cC10- V-DRIVE & PIER SYSTEMS 16 9/2/03 sTgTFOF A►Y SOIL CLASSIFICATION , 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST BUT ILat."OUNiY BULL G DIVISION APPROVED 00 L co 0 N O 0) O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 N GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16" ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip.: Pre. -cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 C i Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per System) 3. Longitudinal Strut (2 per System) 4. Tie Bracket (2 per system) Nc Ca op Examples of Po55ible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I 1 I I I I I I I I I I I I I O Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple Section design. Page 6 Combine Vector Dynamics & LSD I I 1 I 1 I I I 1 Wind Zone I Triple Section I I I I I 1 I 1 48 Ft. Max. Wind Zone I Tag Section California < 1:1 -. .. 9/2/03 I I i I 1 T , I I , � I � , 1 � I I I I I 1 I 1 48 Ft. Max. Wind Zone I Tag Section California < 1:1 -. .. 9/2/03 :1 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems ,may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 h max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference bet een the taller pier and the shorter pier cannot exceed 26". N f Page 7 California 9/2/03 .r Set -Up Instructions for Vector System #59018 Long U -Bolts " x ` 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps, blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 Califor 9/2/03 C-) QJ 0 w WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes (Materials Required) hO doub`e Se�t�on - \ ` r` _..... _1=�?K.. r;.'irr. \ •` "•" \ 'fir. �� .rt - - -.y- 2N'" A. �` I 1 � y _ - z NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to WIND ZONE I 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity Anchors Reouired": 2, 3, 4A, & 4B 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length' Vector Systems Required Anchors Required Per Side L.S.D. 0to40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: . 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock....,. NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. -- - - 20x20 = 400 sq. in. or 16x18 = 288 sq. in. - -_ or 17x25=425 sq, in. --- - EQUALS - - EQUALS 2 -Vector Pads # 59275 - 1 -Vector Pad # 59271 - - 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listebove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engin r tar with site conditons Page 17 California 9/2/03 'A. 'VW RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 17 -Mar -2005 2005-0014437 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. MILDRED M. TOLEDO REAL PROPERTY OWNER/LESSOR PO BOX 508 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6721 ISHI DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-053 530 538-7541 BUIL RMIT NO. TEL ONE NUMBER! INSIGMA/LABEL NUMBER(S) SIGN TU OCAL AGENCY OFFICIAL DATE NO DEALER NAME (if not a dealer sale, write "NONE") NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION UNKNOWN 1974 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S2787U/X 66'X 24' 164654/5 SERIAL NIUM BER(S) LENGTH X WIDTH INSIGMA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-420-026 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. jo�, "v 0.3-40034 . Z ORDER NO. BU -137753-3 DESCRIPTION ALL THAT CERTAIN.REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: IAT 44, AS. SHOWN ON THAT CERTAIN MAP ENTITLED, "INDIAN MEADOWS. SUBDIVISION UNIT NO. 3", WHICH.MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 17, 1972, IN BOOK 38 OF MAP'S, AT PAGE(S) 99 AND 10.0. EXCEPTING THEREFROM ALL MINERAL RIGHTS HEREBY RESERVED TO SIDNEY SHERMAN FOR THE TERM OF HIS NATURAL LIFE. UPON THE DEATH OF SAID SIDNEY SHERM..N, 33 1/3% OF SAID MINERAL RIGHTS ARE RESERVED TO THE LAWFUL HEIRS OF SAID SIDNEY SHERMAN, AND 66 2/3% OF SAID MINERAL RIGHTS SHALL REVERT TO DONALD H. SHOOTER, ET UX. SURFACE RIGHTS FOR THE PURPOSE OF MINING SAID PROPERTY ARE NOT INCLUDED IN SAID RESERVATION OF MINERAL RIGHTS BY SAID SIDNEY SHERMAN, IT BEING THE EXPRESS INTENTION OF THE PARTIES THAT THE SURFACE OF SAID LAND AND THE ENJOYMENT THEREOF SHALL IN NO EVENT BE DISTURBED OR IMPAIRED BY ANY MINING OPERATIONS. SAID MINERAL RIGHTS BEING RESERVED IN THE GRANT DEED RECORDED NOVEMBER 81 1954, IN BOOK 743, PAGE 68, OFFICIAL RECORDS. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 x10105—GDGD 1 4937 Recorded Official Records County Of BUTFE CANDACE J. GRUBBS Recorder ROSEMARY DICKSUN Assistant 02:29PM 17 -Mar -2005 REC FEE 10.00 CONFORM 1.00 Kathy Page I of 2 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. MILDRED M. TOLEDO REAL PROPERTY OWNER/LESSOR PO BOX 508 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6721 ISHI DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILNG ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUNG PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-053 530 538-7541 BUILD RMIT NO TEL '5 ONE NUMBER t^ , 4 � -045 SIGN TU 0 OCAL AGENCY OFFICIAL DATE NO DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1974 1 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER S2787U/X 66'X 24' 164654/5 SERIAL NUM BER(S) LENGTH X WIDTH NSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-420-026 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PNK - Applicant GOLDENROD- Building Dept. ' 93-40034 ORDER NO. BU -137753-3 DESCRIPTION ALL THAT CERTAIN.REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 44, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "INDIAN MEADOWS. SUBDIVISION UNIT NO. 311, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST. 17, 1972, IN BOOK 38 OF MAP. -i, AT PAGE(S) 99 AND 100. EXCEPTING THEREFROM ALL MINERAL RIGHTS HEREBY RESERVED TO SIDNEY SHERMAN FOR THE TERM OF HIS NATURAL LIFE. UPON THE DEATH OF SAID SIDNEY SHERMF.N, 33 1/3% OF SAID MINERAL RIGHTS ARE RESERVED TO THE LAWFUL HEIRS OF SAID SIDNEY SHERMAN, AND 66 2/3% OF SAID MINERAL RIGHTS SHALL REVERT TO DONALD H. SHOOTER, ET UX. SURFACE RIGHTS FOR THE PURPOSE OF MINING SAID PROPERTY ARE NOT INCLUDED IN SAID RESERVATION OF MINERAL RIGHTS BY SAID SIDNEY SHERMAN, IT BEING THE EXPRESS INTENTION OF THE PARTIES THAT THE SURFACE OF SAID LAND AND THE ENJOYMENT THEREOF SHALL IN NO EVENT BE DISTURBED OR IMPAIRED BY ANY MINING OPERATIONS. SAID MINERAL RIGHTS BEING RESERVED IN THE GRANT DEED RECORDED NOVEMBER 8, 1954, IN BOOK 743, PAGE 68, OFFICIAL RECORDS. —A—T—TACHCbtJ ECIi Er . SIERRA MOBILE SERVICE E)PLANATION AMOUNT SIERRA FOUNDATION LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY AMOUNT OF /�L�c22 9` c `�"� /�ic 90-2267/1211 3827 18979 111169 $eCe�'y f88Ie.B9 DOLLARS i o a o�mu DATE TO THE ORDER OF GROSS INC. TAX SOC. SEC. I ST. TAX JMEDICARE NUMBEKR 3�76y f�G p CC 1 1 1 1 DF0000 Cho I I DESCRIPTION US BANK 11001897911' 1:1 211 2 26761: 1534014039 2511' AN: DATE: '. :- $ NP AUTHORIZED SIGNATURE 9a RECORDING REQUESTED BY: Mid Valley title Escrow #1:1775:3--3JC AI'#66-4211-026 WHEN RECORDED.. PLEASE MAIL THIS INSTRUMENT TO Mildred M. Toledo 6721 Tshi Dr. hagal.i.a, Ca 9')954 --- Escro" No_ 13775:i-3 — - ----- Loan. No _ ---------_---- 93-►f 0034 93-040034l RQc Fee 11.00 I Chac:k 11.00 Recorded I Official Recurdo I County of 1 Butte I Candace J. r; ubba I Record•tr I 8:00am 17 -Sep -93 I MVTC JR 3 SPACI AIIOVI IHIT IINI too RIC01DI*'S USI' AFFIDAVIT—DEATH OF JOINT TENANT STATE OF CALIFORNIA, County o, BuIC� Mildred M. Toledo of legal age, being Arsl dvly sworn, deposes and says: That FRANK RODRIQUEZ TOLEDO the decedent mentioned to the atltched certified copy of Certificate of Death is Iho same person as Frank R. Toledo named as one of the parues in that certain Grant Deed dated executedI)v Butte Investment Company, a limited partnership _ to Frank R. Toledo and Mildred M. Toledo, husband and wife as joint tenants, recordec' as Instrument No.. 23643.on..._ Book. 1521 . , T"ace .491 of Oficial Records of ... Butke..-... -. -.-County, California, -overing the followiny described property situated in the County of .........Butte....._ State of California: SEE ATTACHED LEGAL DESCRIPTION Dated Sept. 10. 1993 . . SUBSCRIBED AND SWORN TO before :no, the ut:dersiryvu:d a Notary Public in and for said Slate, l� rh,•. / � day of S"p;. � 573• WITNESS ::,y hand and ofLcol seal 7 A P ,4:c D Mildred M. Toledo •••••• CrFIC:AL SFAS }I RON'...LD D. CALIEN NOTARY PUCLIC; . CALIFORNIA .............. Mr comm. rTxp, htay7, 1994: BUILDING PERMIT NUMBER: 05-0535 Address or location of unit: 6721 ISHI DR., MAGALIA CA 95954 Legal Description of Real Property: AP#: 066-420-026 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MILDRED M. TOLEDO Owner's address: PO BOX 508, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 164654/5 SERIAL NUMBER OR V.I.N.: 52787U/X MANUFACTURER'S NAME: UNKNOWN YEAR: 1974 OFFICIAL APPROVING INSTALLATION: DATE:vj- PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT )SING .1 Division of Codes and Standards .r� 0 Z 3G��0Q� Title Search Date Printed : 02/23/2005 DE�� Decal #: AAK3927 Use Code: SFD Manufacturer: Original Price Code: AFB Tradename: ROYAL LANCER Rating Year: 1974 Model: Tax Type: ILT Manufactured Date: 00/00/1974 Last ELT Amount: $21.00 Registration Exp: 07/31/2005 Date ELT Fee Paid: 08/05/2004 First Sold On: 06/20/1974 ELT Exemption: NONE Serial Number S2787U S2787X Record Conditions Registered Owner: HUD Label / Insignia 164654 164655 PPF Exempt MILDRED MATKOVIC TOLEDO PO BOX 508 MAGALIA, CA 95954 Last Title Date: 02/02/1994 Last Reg Card: 08/09/2004 Sale/Transfer Info: Unknown Situs Address: 6721 ISHI DR MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: Length Width 66' 12' 66' 12' BENEFICIAL CALIFORNIA INC 121 W 5TH ST P 0 BOX 3238 CHICO, CA 95927 Lien Perfected On: 12/28/1993 12:00:00 Inactive Decal/DMV: DMV KZ2555, DMV KZ2554 * * * END OF TITLE SEARCH NOTES A RESIDENTIAL 066-420-026 - _T 0505 PERMIT NO. TOLEDO 6721 ISHI, MAGALIA Cont: SIERRA MOBILE SERVIC PERM FND E\ST \4H� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Dat Signature J=OK 0 = Not OK NotAppT NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 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./ P LPG 7. 7. Well Clearance & Disconnect 8. 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card, Date Card B-1 Date Enclosure; Fencing -Alarms B-1 Card B-1 Date NT STEM Y) etbacks- Easements 2. oti gs; Size -Spacing -Marriage Link 3. Ti Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected Pj G and Electricity Tagged zits 0. Lic a Decals erify #'s with Office %1 Date Date U Card B-1 Date Card B-1 Card B-1 Date Card B-1 lq �6-q MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 89. Card B-1 Date Card B-1 Date 90. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections 36. A.C. Ducts Insulation & Support Gas Test -Meters Tagged, Gas -Electric 37. Vent Fan, Exhaust above insulation Water & Sewer Connected -C/0 to Grade -HD Approval 38. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Address Posted 40. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �4D �ss 1-1- ULI I I t W ILI N I Y DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Num Dale: 3 ,% O Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demollsh, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: -- WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 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. Od I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the. performance of the work for which this permit Is issued. My workers' compensation insurance carrier aannd- policy number are/ Carrier: Policy ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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. Date: Applicant: WARNING: Fal lure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. N tKIVI I 1 IVU. BPO50535 Issued Date: 03/07/2005 APN: 066-420-026-000 Site Address: 6721 ISHI DR MAG Map Index: Description: EX MH PERM FND EX SITE 66X24 Owner: TOLEDO MILDRED M P 0 BOX 508 MAGALIA, CA 95954 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 .530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: Valuation: Census Code: bass Ufa 0 CONSTRUCTION LENDING AGENCY This I hereby affirm that there Is a construction lending agency for the Resi performance of the work for which this permit is issued (Sec 3097 Civ.) Name: — 0 S. F. $0.00 5_a59 -9 )�q 9-C Issued under the applicable provisions of the Butte County Code and/or k Indicated above for tach fees have been paid. Q� ! Dale Address: fuare/ i ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any off lal form or document of Butte County. I hereby authorize representatives of B�lte County to enter upon the above mentioned property for inspection purposes. 77// o,;,e M.- /V.60 Signature Date: 3 17 © Owner k/Conlractor 0 Agent for Owner 0 Agent for Contractor ft BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Sly q q/l **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X414'� For office use only: CONTRACTOR OWNER Last Name Address Address First Name Address 6 j z s H.r PP, CL - Cit' M i4C-fid / A Fax Zip / r SlateElly7i(' /5'y Phone Lic. # y765' �6 Class Fax E-mail APPLICANT SIGNATURE X414'� For office use only: CONTRACTOR Name �Q Address Address City C'Zw- State Zip Phone S�5' DS9 9 Fax E-mail S3�/ OS -GE Lic. # y765' �6 Class APPLICANT SIGNATURE X414'� For office use only: ARCHITECT/ENGINEER Name �Q Address Address City &,162 � Stale Zip Phone State Fax E-mail S3�/ OS -GE State License Number APPLICANT SIGNATURE X414'� For office use only: APPLICANT NAME ame �Q �- 16ay Address y6 � &,162 � City C� Subdivision Name State Zip Phone.Fax S3�/ OS -GE Date Approved: E-mail APPLICANT SIGNATURE X414'� For office use only: Zoning Property Address Flood Zone Cross Street SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: UVEB FOR SUBMITTAL REQUIREMENTS PERMIT NO. -I3P BIN # LOCATION AP# "),z L Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Buili without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b �Amount { `7 Bldg AM1 SRA Receipt #:42,5Sheriff Cm 13- 9�e_)Smlp Dat : Other �� r ' �� Total s COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / v1 /t��i) / r I/�/ oi`I SASSESSOR PARCEL NUMBER /12 Proposed Building Use: n Counter Technician: -01:7 Date: Items required in order to applyfor a permit. All boxes MUST be checked OR marked NA in*order to apply. © 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. `0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd pta 3 duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ i94rosion Control Plan Required........................................................................ ........ Oi . ..... ees as shown on the attached Schedule of Fees Due Sheet ........ 22. ity of Chico Plumbing permit ............................................... . ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form.............................................................................. ....... "".... ❑ 27., Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. r] Grant Deed, EIP.H-Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 24 -/1544? and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1 Date: A S / c S� 1. Index permit application for the above items numbered: Plan Check Letter ' I items required -� ConPacor. designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Condesigner,owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co t , by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division t h" PERMIT N0. I 69A: -75B E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER_ Frank Tol&do r- 'CONTR. LOCATION (A.P. 66-42-26 ) 1175 Ishi Dr., lot 44, Indian Meadows, Magalia t r e 1 �4 {f R Temp. Power Pole Called PG&E Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ V JOB ` FINALED (Date (Signat r ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Motors BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport 'Footings Conformance of ex. structgre 4Temp. Gas Piping & Test Gas Slab Final .. Sanitation Patio IREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roucih Reinf. Steel Final Fivfurac Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS L Ko L ST SHEET m .No. rl" rn m m 144 Hl H-1 h -H Lu Date, m m m r`r+ m m H-4 I -H H-4 H --i 1�-" r-" w UJ W w w w Remarks �. Date m m r-rl rr l rl" m Hy t -H 1-+4 Ham! $ 1 ►-H LUJ 6A.' L.LI LU t.1.1 w Remarks MARKING EXAMPLE 0 = 1 2 = 3 Date = 4 m m T1 m m m F -H t -H H-1 611 1--H F-" W LLi9 Li j W " L'iW� , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drivb —'' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT QUU 1U1i V IcF100011Lal1vcJ UI LIM %IUUIILY UI DULLU LU CIRRI UPUII Ule above-mentioned property for inspection purposes. X�r� //-��if' Date Signature of Permitee or Agent Receipt No. Z �a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS By Date 3- `/— 7i wilding permit expires Date ................:........................... BUILDIITG Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor e,$ W Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 - 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. No. —417 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F'6.94V!Gr Sa Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcel Plans Declaration Parcel Ma P 60' R/W Im prove ents Lawn sprinkler system 2.00 Bldg. Plag�<ec'd Parce pproval Plans pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil HomeLNJ 2 Others ❑ Sub -panel (12 or less) (morethon 12) Range, Cook -top or Oven 1.00 _ ' Water Heater or Space Heater 1.00 Light fixtures 20025 bal610 Receps., switches & fix outlets Uk CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ QUU 1U1i V IcF100011Lal1vcJ UI LIM %IUUIILY UI DULLU LU CIRRI UPUII Ule above-mentioned property for inspection purposes. X�r� //-��if' Date Signature of Permitee or Agent Receipt No. Z �a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS By Date 3- `/— 7i wilding permit expires Date ................:........................... _�: i j'.. , .� f i,,.l' 1 �f_w.; � of_.,�:_ •�•. � • { - -14- �1_ �. I .�: ! � i i I ! _I. s 1 �;f 1 t I � (..I .f � 'f - I •j �i � _'j- -- - � ._I_. �. r._ �.� f.,. _.f .. I Is R�.ik 1 (_. -i.... j,.. -t'-( -'!-•I--�- (l --i- -.iii } ! 1 t I t ;�•'^.�.��8h ®f�U- SFE,'ICI'�fCcifj ( I I l t " ' � • -I' � � • i ' {- - ..� ` 3 I ! I . _ . �.. ; —1 I _ f l °►T } ��b at alb e3 ' °hS ST i be t andunfa i ( f r ! �' r �i►19es` cr (ait i i ! _f.j i ' .� i I I ! t :�_� �_ '!s� . I i i ,: I, I ! ito PriiFss�n=frprf,'' ;ns bn same; N;3fhout { _h ! 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S ..1 { T ! { � •! i { 1 ) . 1 i I { j i t � _ �_ I ( 1+ ' S f ( � � '1 1 !BUILDING DEP/ RTM N1' ' , � � I i ' � ( } C } I• .l ' i i i ! 't ! i ( i I. ' �Y Cf1'K� � 1 .¢�iQi�G CI-C� Ikil_j 1, R :0 �� D • i i ' ' ` , ' c ' ! ! ' C i ! I' � �rRl �f� µr1 �iCA-1'1 �er: t:F ('�Ck�..is I I � ! , � ; I ?� � _ ; .f � I f .j _ t j .l._.�__ �. I ; Ii 1 � i f ,. _f_ � f ' ` � I i I -�' { � 1 :. � I ! I t � • i { r � I r ! .. � ' � + ' i ! , . I I i I ( ! ! , I I I I { • i i I t I 1 • ��%� • �-_ � 1 {n' I �:—ci.. �}/ �� ! � t ; ! . s i _ i ! _, t 4� 066-420-026 1.PERMIT#98-1523,'­'-- I 'PC TOLEDO, MillY 672'1 Ishi. Dr.',, Magalia* Cont: Reliance Propane Gas Line/MH 7/0 lq-q -1fledo OFFICE COPY q8 I sz3 Address� GAS patE Meter By ELECTRIC' Me�e r3XkkAAo0 4 lf:. .�_'''�'•s:S� . , .:.� ..�, '� , r.. •.r.� • .gyp . : w.,,, . , , y.�.t -'� .. t•' ...i .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -- 7 County Center Drive - Oroville, California ' 95965 - Telephone (916) 538 -7544 -;-'PERMIT NO. 99 — (Rev. 12/96) APPLICATION AND PERMIT 7--�,-� ASSESSOR PARCEL NUMBERO , I �[(\j t( CCYYJJ 0,1(Q— ZONING �' BUI ING PERMIT OWNER A/C da TELEPHONE � SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 Pr CONTRACTOR'S ME - TELEPHONE A�DDRESS45* i CONTRACTOR'S MAILING -1171,76-7 CONSTRUCTION LENDER t S Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Or �Ig�G /ic Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. S UBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ,Er Other SPECIFY Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ /_ Describe Work: 1 NgT !�R "a S f GV@ {' j�b1Jf- -'Q biz i/��G� �► S iG�� I` Gas piping system t - 5 outlets 15.00 15 �.. Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 3 ELECTRICAL PERMIT Filing Feel 20.00 Main Service zoonoaLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i i 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. %7� 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 Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( a C.BLD.. 3.50FT; NEW CONST. MULTI.OUTLET NON-RESID. BRANC I CUI @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 EX. Occup. OUTLET OR FIXTURES BAL p l 1.00 o Ex. Occup. ouTLEE-Drs AEES o.) OR 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: Ael 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 �jtq'�. G ,-d MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number / 71/1) (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, 1 shall forthwith comply with those provisions. 1- Yf ___ Date _�G� Signature of Applicant �] Owner ❑ Contractor .d Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee + $ occ CONST. TYPE VN w TOTAL FEE $ 7jrj HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE Vr� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for hich fees have been paid. 2e /J By /' A Q�/�C ..�%-.� Date y� PERMIT EXPIRES ON T Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, CalMornia 95965 - Telephone (916) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASS ESSORPARCELN MBER ZONING BUI - INGPERMIT OWNER, 0 e�� TELEPHONE/ '(Qtj�77S �(o SO FT OCC. BUILDING VALUATION OWNERS MAID ADDRE Y^� CONTRACTOR'S ME TELEPHONE CONTRACTOR'S MAILING ADDRESS J G� 62-5 7 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADD RES 6S 21 T 4 O -7/ q /9 �� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0' Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1, �q'S o Describe Work: yl� S� L 1 STq V2 r 3+6Ve --o S ) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 _ PERMIT FEE S 3s ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo'AoaLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu)J force and effect.l/ 2 License Class Lic. No. % 31 f g OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ,VI 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' co pe�sationin uran-e carrier and policy number are: Carrier uC Policy Number _5JG 777 _5J (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 fort ' Fomply wi th revisions. /6 �� X -- -- Date — --- Signature of Applicant Owner ❑ Contractor �iAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over in height. Mein Service ( To 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( a ACC. stns. 3.50Fr; NEWCONS9 NON-RESIDT BM�ULCTI-OCUTCETS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAS O I.50 Ex. Occup. OUTEtETs PPF LN5.00 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ �c� 00 TYPE TOTAL FEE $ 3, aHAZ.D. EES IMP FLOOD CDF PARCEL pp HD SU This permit is hereby issued under the applicable provisions.. of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. �16 , •/, By1) AA / Date IS PERMIT EXPIRES ON �� ! -IQ Dere ,3/stories ReceiptNo. Z <_1Z3 J. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ Permit: 4006-73 PPE TOLEDO, FRANK 175 Ishi Drive Lot " Ind. Meadows Magalia (Utilities for mobile home) y -"de, 4-1 f; t , • 4 t < i •COUNTY OF JUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT - - BUILDING r, �, .�' �•.•-' �^ ,' f" 1 Owner �_ . tJ,!.1{`, " n, SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor { ,u /j 21 ti Total Valuation Mailing Address `� ��'Vu�f'1l/ Permit Fee Plan Checking Fee&/or Penalty ,Telephone 1? o'A ntcc-� ,t! No. t/ f5-07Permit Fee � $ Building Address��� c u 7 ��p -� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2,00 ;' fA i_fl-T , , IM, Each Trap 1.50 ' - - D T �w; ,i. t Repair drainage or vent piping 1.50 Water piping 1.50 %, S Each gas water heater or vent 1.50 A. P. No. ` , �; �' �('•-- r .Zoning.& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Feed Feed W. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 c� J EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans eRec'd ParceltApproval PI`bns-Approval Permit Fee $ $ c` NEW ❑ ADDITION ❑ UTILITIES ❑Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 =>• �. = Main service incl. 1 meter D Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Al1010 Receps., switches & fix outlets'aIn CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: +/ n '] Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ��, O6 Temp. Power Pole 5.00 ,r . License No. � � /} 91 .� Classification 4� J Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /7 6; d $ // G i 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. ❑1"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 $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE :$:/ g S e auu1U1 cV icNiwcn,auvca ui MV UUMrty vi ouue to enter upun ine above-mentioned property for inspection purposes. Date �F - -4 i�' Signature of Permi tee a; Agent Receipt No. //-7 -- 'C' - 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 it, By �' - '{ Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — (9roville;-California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner ��NI 0 _ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor e�AR — NGQC Total Valuation Mailing Address 1%Q 2_0S tAY Permit Fee Plan Checking Fee &/or Penalty 2ts D 1 Is L=1 V77 elephone No. Vqr Permit Fee $ $ Building AddressS PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 ^ Lo ? q O Repair drainage or vent piping 1.50 Water piping 1.50 1,5_0 Each gas water heater or vent 1.50 A. P. No. -r- J & P Gas piping system 1 - 5 outlets 1.50 ach additional outlet .30 �s. i qn Fire Dept. FireZ a Use Permit Building sewer 5.00 e EQA Parking I Parcel Plans I Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Plans eK c'd Parce azul PI`m pproval Permit Fee $ 51`0 $ SI NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service incl. 1 meter 3, -D Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 100 Water Heater or Space Heater 1.00 Light fixtures bale() Receps., switches & fix outlets ± hry CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profess' ns Code under ee name style of: ✓ Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ,,&c) Temp. Power Pole 5.00 oo.t Classification `i License N0.!' � �f � HCl ,� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 04 $d 4 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. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMITFEE $ authorize representatives of the (;ounty of Butte to enter upon the above-mentioned property for inspection purposes. X i Date �r _ �y`_ �? Signature of Peerrmitee or Agent Receipt No. 113-2— - 977 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 UBLIC WORKS BY Date a1-,7SVICV3-- 9 Permit expires Date .8997- r72 CHARLES E. HANCOCK 7020 SKYWAY PARADISE, CALIF. 95969 /J� D Septic system a ati to b, Butte County Health Dept. Re. quirements. iT �s��•,,_�d All utility connections shall located within 4 ft. outside the rear third section of the mobile homo on the left (road) side of the mobile home. 1 BUTTE COUNTY BUILDING DEPARTMENT 1 �n AP PROVE®. I i nis ser of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without !, ` written permisson from the Department of Public �1 Works, County of 130te. ff PERMIT NO. 1730-75B P E > M MH UTIL. PERMIT NO. PERMIT EXPIRESy / —76. - r OWNER Frank Toledo CON TR. LOCATION (A.P. 66-42-26 ) , y R 175 Ishi Dr., lot lel,., Magalia Temp. Power Pole . Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E i J JOB FINALED (Date . (Sign re) IV Footings COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ELECTRICAL BUILDING BUILDIN (Cont'd) PLUMBING Setback Firewall Soil Piping. Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding / To out Slab Roof Sheathing Water Piping Piers Roofing Sewer f Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped \ Heaters Appliances S Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas t Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bpam ,I FtRE SPRINKLERS Motors Framin % Test Water Htr. Stucco Final i Subpanels Mesh ME HA CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole i Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer- --'Final Final DATE REMARKS OR CORRECTIONS �� To F � COUNTY OF BUTTE — ^ DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 959 Telephone: 534-4541 APPLICATION AND PERMIT 730�75 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature offP�Perr'miit/tee or Agent �� Receipt No. , 6 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 UBLIC WORKS BY Date S 'f- 7J Building permit expires Date ...................`...�...�� .... B ILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address _ 04 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ $ z Building Address — PLUMBING No. @ FEE PERMIT FILING FEE $2.00 T" Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / ��//7 A. P. No. LD — iG '1? 6; Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe 's S ;at Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plan�c'd Parcel proval Pla s provol Permit Fee $ $ NEW R. ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home g Others ❑ Range, Cook -top or Oven 1.00 J — 72 Water Heater or Space Heater 1.00 Light fixtures bal(iio Receps., switches & fix outlets J. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. xI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature offP�Perr'miit/tee or Agent �� Receipt No. , 6 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 UBLIC WORKS BY Date S 'f- 7J Building permit expires Date ...................`...�...�� .... ACE CARD ` f• TICE ON ENVELOPE I T17 ) CLOSE AT P. M. IT ON ELECTION DAY POLLING PLACE y No. VOTE HERE County of Butte, DEPARTMENT OF PUBLIC WORKS REQUEST Date Time Job Address �7J5 Owner��' %e BL G. PLUMBING Rough Frame Gas Piping Lath Sewer Fireplace Water Pipe Final Final FO&SPECTION Received Contractor Permit# ELECTRICAL OTHER Rough Appliances Meter Temp. Service Final Ready for Insp. on 19 a•m• Date. p.m. Inspection made: By Idnn �i �1 PERMIT NO. P 2436-74B. ' E M MH UTIL. +PERMIT N0. Info io (p PERMIT EXPIRES tJ /' 76 OWNER Frank Toledo CONTR. Robert Scott, Paradisp 'LOCATION (A.P. (A-42-26 ) A 175 Ishd� Drive, lot 44, Indian Meadows, Magalia I Temp. Power Pole Called PG&E i Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Ca)led PG&E / JOB/ (�;/ / FIN (J, / FINALED E/[ (Date) (Sign re 3 . Y • • • Y 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for.physically handicapped Heaters Appliances Carport r Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam / FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco -'Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS S-�&f X0 -5 ......... /,Moo 60" Je-olc,�� a//06 �e J --a- C,�- ", >,e Jia S-�i G�-clwl 16414 4ea4OL J61 fd/%"J au"10, GB'L�r I.I � �i c � rP� p 1/p �g,� •'�-vc�a� li�� ocvn.t,, slieres ar Jo� do mVAII SG� pa- u air} goi�aa �1�'� fr 'oe- 1411,1� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drivey, ;OtWville, California 95965 JTelephone: 534-4541 APPLICATION AND PERMIT WO K authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of abque-r�►@ntioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated 7� I 1 above for which fees have been paid. X \YA4 L— Ztgr Date '% DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent A#iwT/ aLBy Date Receipt No. _ 3.60 - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date...,/ .................... BUILDING Yo `�� Owner SQ. FT. OCC. BUILDING VALUATION V Mai I i ng Address Telephone No. Fireplace _ Contractor IP , Total Valuation Mailing Addresse.Ir " f Permit Fee Plan Checking Fee&/or Penalty elephone N 22 i- 26 Permit Fee $ $ Building Address ---, !� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 IV Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �.- Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fd s W. . a t o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans arcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. laec'd /Na/�`6r �'� o'Xt val / Plan royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1k, JJ / / X1,6 c►,c. Main service incl. 1 meter /. .° Additional meters, each 1.00 SUb-panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal azo Receps., switches & fix outlets In 2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style o 2 C-01 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 P. C, N Lo ✓,-- M04:4. Sew,.,_ J -J M_A.,4 Temp. Power Pole 5.00 Classification a I License No. _ 020& -C � Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ OC authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of abque-r�►@ntioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated 7� I 1 above for which fees have been paid. X \YA4 L— Ztgr Date '% DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent A#iwT/ aLBy Date Receipt No. _ 3.60 - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date...,/ .................... - t r 22'90-76I ei > 5'• '`• � PERMIT N0. PERMIT EXPIRES OWNER Frank Toledo CONTR. ocaner LOCATION (A.P. 66-42-26 . 175 Ishi Dr., lot 44, Ind.Meadows, Magalia Temp. Power Pole Called PG&E ZEe. ° Y a (Signature) COUNTY OF BUTTE — DEPAIRTMFYNT 0PUBLIC WORKS i BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'dr) PLUMBING Setback Firewall dipil piping Forms Parapets st Floor Main Bldg. Restroom Flni 2\d Floor Footings IZ Windows 3r Floor Stemwall Sidin — To ou Slab Roof Sheath[ ng IVZcJ Water P in Piers Roofing l— Sewer Garage Fdn. Vents Fixtures Footings a `f - Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for physic handicapped Conformance structure y Appliances ex. Gas Piping & Te Temp. Gas Slab Final AP6 — Sanitation Patio FIREPLACE Final Footings Fo Ing ELEcfrRIbAL Masonry Walls Throa Rough .Reinf. Steel X Final Fixtures Bond Beam NEIRE SP KLERS Motors Framing Test Water Htr. Stucco z Final Subpanels Mesh MECHAN-ftAL Grd. Fault Pot. Scratch Heating Service Brown Cooling Temp. ole Finish Ducts Und r round Interior th Ve lation Ppfmanent Door CI ser F al 14a I DATE REMARKS OR CORRECTIONS 444 76 a& t J - s �:�; - 1 (NOTE: An entry must be made on this form each time you visit the job site.) M ,COUNTY OF BUTTE -, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .-Jroville, California 95965 Tel.ephone:.534;4541 ?O APPLICATION AND PERMIT A�1 _ , 1 Receipt No. iy 1�/z51 r White-D.P.W. — Yellow -Assessor — Pi`nk-Inspector — Goldenrod -Applicant B lldin7 7g permit expires Date v �`G BUILDIN Owner n/ ��, Q r SQ. FT. OCC. BUILD( G VALUATION � C O• Mai I i ng Address S f 41 • In,�, k hon 7 9�' Fireplace Contractor U f(,-! 1✓0L_- Total Valuation Mailing Address Permit Fee p �- Plan Checking Fee &/or Penalty Telephone No. Permit Fee $.2()— o .— Building Address C �S /.5�� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,24,10"19-1 V400W-S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe' )ori FI re Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parcel Ma Declaration P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plan�'dL. S7'n 3 c I' al PI s Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD -1- 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CON ST R. (POWER APPARATUS &,, NON -R ESID. (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: %r Ex. Occup(OUTLETS OR FIXTURES)so @250 104 FIXED APPLNSOR Ex. Occup.(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 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 property for inspection purposes. X Ae. �' � G Date Signature of Permitee or AgentP TOTAL PERMIT FEE $7773— 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 OFSPBICWORKS Receipt No. iy 1�/z51 r White-D.P.W. — Yellow -Assessor — Pi`nk-Inspector — Goldenrod -Applicant B lldin7 7g permit expires Date v �`G I m oso53S BUTTE COUNTY SkWLDINGDIViSIOV APPROVED Fl -e,