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066-420-034
CHARLES SICBLESTEEL �06'-��-3 �{ LNe' Dr , Magalia t1848-73 P E 919173 'ties for mobile home) AoP. CHARLES CKLESTEEL 240 Ishi ., Magalia Permit' 2'27' -'73P (gas piping only) CONTR: Paradise Nugent Gas-----~ A.P. 66 e2.;34 - CHARLES SICKLES EL 3�'% 240 Ishi Dr., Lo 5� Unit 3, Ind.Mead. CONTR: Shamrock M•bile Homes, dba Bay, *Area- Homes— _Permit 4346-73B (de k & awn. for ex.MH) i ELEC . %` 47 GAS ZS I SUPP T S C. M COMPACTION TEST_ 66-42- 4 NFW OWNER •, g�OB ,T .[tOWEN 241 Ishi Dr, Magalia lot 5 Ind. Meadows .�ky� j /p/j—�77 Permit #4973-77MHI(existing s to Contr: Carrell Bros MH Sales,C 'cc Issued +66-42-34 � rt Thoma. / /vh/� Ishi Dr., agalia 5 stow , Paradise Permit #3425-81B(new open deck/MH) 66-42-34 termit 1p 2797-82B,E(pri_ gar),_„ T 066-420- 02-1706j� \ COEN, LUCILL f 6693 ISHI DR., MAGALU•a- CONT: CHICO MHS EX MH PERM FND EX SITE �z I �cacil CN, J COUNTY OF BUT`fE 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 LJ q 73 - 7 7• for the following location: Owner N4,1 0 I r) Q ( A i F n /. Owner's Address Mobilehome Mfg. 4,,2't0AA.11-4 Model Year77' Insignia No. /9,4 • �C C'r3 ✓i ^Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date /) X—/7 7 By THISCERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED NOTES RESIDENTIAL PERMIT NO 066-420-034 02-1706 COEN, LUCILLE 6693 ISHI DR., MAGALIA CONT: CHICO MHS EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE E. 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 NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. I 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY _ USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER C)ss3��t� JOB FINALED (Date) Signature ✓ = OK Water; Location -Test -Easement Needed (Sketch) 0.= Not OK' Electricity; Location-Clearances-Grnd-/ /Amp -Concrete = NotAppkcable MOBILE HOMES = Not Ready 7. Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements Electric 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L'ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 7. Electric 8. 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-TVDe-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 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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.- 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. 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-/ /" Fig. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation ' Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. 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. P-oteclion 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 Wir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romer. 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 At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral p Yes ❑ 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 Insild./Drive 0 Yes ] No/WaIks 0 Yes ❑ No/Planters 0 Yes J 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 FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.- 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. 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. Wir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. 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 Insild./Drive 0 Yes ] No/WaIks 0 Yes ❑ No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: RECORDING REQUESTED BY: � t AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Jul -2002 2002-0036202 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. MARCEL L. COEN & LUCILLE M. COEN REAL PROPERTY OWNER/LESSOR 6693 ISHI DRIVE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME WIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-1706 (530)538-7541 BU D Q PERMIT N0. ��JTELEPHONE NUMBER 7-11-02 I ATURE OF LOCAL CY OFFICIAL- DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNIT DESCRIPTION MERRY HOME 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S810A/B 64'X 24' CAL55343/4 SERIAL NUMBER(S) LENGTH X WIDTH BQSIGNLkfLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #066-420-034 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-1706 Address or location of unit: 6693 ISHI DRIVE, MAGALIA, CA 95954 Legal Description of Real Property: A.P.#066-420-034 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: MARCEL L. & LUCILLE C. COEN Owner's address: 6693 ISHI DRIVE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL55343/4 SERIAL NUMBER OR V.I.N.: S81OA/B MANUFACTURER'S NAME: MERRY HOME YEAR: 1977 i�� OFFICIAL APPROVING INSTALLATION: /C DATE: 7-11-02 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #066-420-034 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 52, as shown on that certain Map entitled, "INDIAN MEADOWS SUBDIVISION UNIT NO. 3", which Map was filed in the Office of the Reorder of the County of Butte, State of California, on August 17, 1972, in Book 38 of Maps, at Pages 99 and 100. EXCEPTING THEREFROM an undivided 33 1/3% interest in all minerals, as reserved in the Deed recorded in Book 743 of Official Records at page 68, records of Butte County, California. Said reservation did not include right of entry for mining purposes. ALSO EXCEPTING THEREFROM an undivided 66 2/3% interest in all minerals below a depth of 200 feet, as reserved by Butte Investment Company, a limited partnership, in Deed recorded June 18, 1973, in Book 1843 of Official Records at page 330, records of Butte County, California. Right of surface entry is specifically waived. tll.ttalw: allpuaaa M Itutte County Title Co. RM I444141110M y as shimm below 1rr f—Marcel L. b Lucille M. Coen . �. 6693 Ishi Drive MWlia, CA 95954 J ami w •+{•1» a. P1650ft 9 1 -30193 11- W793 1 1 Roe Fee 5.00 1 DOC 46.20 Recorded 1 Check 51.20 Otfit:lal Records 1 County of I Deed recorded in book 743 of Official Recocds at ptfge 68, records of Butte OAinty, Butte t Ciond000 J. Grubbs t of 200 foot, as reserved by butte Investment Gaatplrly. a limited partnarohip, 3A Deed Rggordetr I 610040 30 -Jul -91 1 M i fPNM AIIIM ImCt1MOFxt IM 00 GRANT DEED _(INDIVIDUA II) WIPOWW" v.rlkt a i. t . „.20 e X) C..v.M... Tru -Am of a.oMP I t I COWVW d w (4M .r.t ttn ..Im of lim all e-... --a amew" 0 ... Of UAL 1 )t) UNelapm V" 1 1 ca! of FOR A VAUUA9LE CONRWRATION, fterO of ailich is tsnby wkvmwhdxi, ARnn S. TOW Atm LO EHE C. UWAS, husband and We haft ORANT(S) to MPM L. ODEN AND LUC= M. CM, Iwmbes<n) and rife, an JoLnt 11ralte ft Mkiwilis dMalbod ad plowtr it the tnincotpptated area coatttr of Butte , State of calk lltae Lot 52, as &mn an drat oettein Map entitled, "DWINi I ADM 6UBDIVISIW tM NO. 3", � tdhirh Map was filed in the office of the ReQnAer of the C w!y of butte, State of California, &Wmt 17, 1972, in book 38 of fto, at pages 99 ad 100.. an Fa'TfflM TROMARQM an undivided 33 1/36 1ntamt in all minerals, 60 teserA4 in the �Cy Deed recorded in book 743 of Official Recocds at ptfge 68, records of Butte OAinty, California. Sand reservation did not include right of entry for mining pxposas. • ALSO EUZPrDC TfIPlt YM an tadivided 66/232 interest in all minande Delay a depth - of 200 foot, as reserved by butte Investment Gaatplrly. a limited partnarohip, 3A Deed [� recorded Juno 18, 1973, in Boort 1843 of Official Pleoords at Dom.' 330. cecarda of Butte Caney, California. Right of aLwL--- '*ntsy is spaacifically Wiwed. • C � !� fl.l.d �Ally_1$. 1491 ` C:i "� ' " 1co -ARM= S. • �--f C. T}Q1A9 LORA, arAn op cmirm ntA t ,a AW i . n•� 110111ft r IN saftwWwa a VIII" PAM W No to aw COMUM.3M n+,w..V tdplow plraall Iamn M Ba M 1'Wd Is all a Of 6M Of aMillattlrl I to tilt N� . 5 •II/M allw �_... �k �� taAfalMti r M .Mala Ia111�1a1 aM Maaww"I dw 44 taat� 1111 law «aalVIPUA14 i Mtn at Yau am" /1�. Al�,I,�M pop aM JVY fa Ht Naart hm la aid M laid Cwptf 9plee issesiMosaal � Plalr, Seta FD•139 lake.. pian flail. TA\ STAIFMI'Kr AS D1lICTCD AIKWI: END of oocuraW t d Z068PIM'01NIZS:II 'IS! S ll ZON 5Z 9 (3(11) 3SIOVdVd 31111i AIldh OIW W083 JUN-e5-d!JUd I Ut I t ; t U fill FAX NO P, 02 S"PATI-, OI'' C:AI, FORNIA •1)l?PARTMENT OI? MOUSING; ANI OMMIINI'I'l' 1)I,VI:LUI'MFN'I' REGISTRATION CART) Manuracturcd I Ionic Dccal No: AA116319 Manufacturer 10IName Trade Name Model ; DoM oFs RY Exp. Date i MERRY HM I i 00/0011977 10/0011977 1977 ' OcU 31.2002 Serial Number Lahel/Insignia Number i Welght i Length WWII SPC ' SCC Exempt Use Type S510A 1 CAL55343 i I 64' I 12' AEJ 04 S8108 CAL5534404' 12, %FD ILT i Issued TOW Fccs Paid i ScP 11, 2001 y40.00 Addressee 1 ING �� MARCEL L COEN CJ�f, Q/� 1 • 4 C/O LUCILLE C COEN QO o ° ° ��� z 6693 ISHI DR -� l ( "� 1" w MAGALIA, CA 95954 Registered Owner(s) MARCEL L COEN LUCILLE C COEN Joint Tenants with Right of Survivorship C/O LUCILLE C COEN 6693 ISHI DR MAGAL1l1, CA 95954 Situs Address 6693 ISHI DR MAGALIA, CA 95954 4k,tr rklrk AkkAi kAAAA kAAkA k x t rx kkt•i•kA 4AIA rkar xf Ai Arrfx•kA AT'ITN'I'ION OWNER: TIIIS IS TILE !tl?CIS'1'IIA'r1ON CAIt1► hOlt'I'lih: UNIT' DESCRIDrD AIDOvI?. PLEASE KEEl'' HIS CARD IN A SAFE PLACE WITHIN 1-11F UNIT. INSTRUCTIONS Ft)It RENEWAL; REGIS'rRA'rION FOR THIS UNfr h:XPIR4:S ON TIII: 1NDICATFI) ABOVE IN TILL: UO\ LABFLEl1 "Ex11. Date". THERE ARF SU13STANTI AL IIENAI: rI ICS FOR DELINQUENCY. 117 VOU DO NOT Ri-:(:FIVr A RENL;WAL NOTICE WITHIN 101)AYS PRIOR I'0111L EXPIRATION DATE, CONTACT II.C.D. POR RENEWAL INSTRUCTIONS. ikiAAkk A Ax Axxxxk$kxAAAAAkkkA AAA AAkkktk*kkkk IMPORTANT THE OWNER INFORMATION SHOWN ABOVE 41AY NOT Itr LECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINSTTI•IF DFSCRIREID UNIT.' THE CURRENT t'ITLE STATUS OFT111C UNIT MAY DE CONFIRMI7.0 TlllIOUGH THE DEl"ARTME'NT. I)TN: 2029418 R M2I NO - If, �r / I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 •° Telephone (530) 538-7541 PEBMIT No. (Rev.12/96) t APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 066-420-034 ZONING BUILDING PERMIT OWNER COEN LUCILLE TELEPHONE SO. FT. OCC. BUILDING VALUATION 1440 R 77 760.00 . OWNER'S MAILING ADDRESS 6693 ISHI DR., MAGALIA CA 95954 CONTRACTOR'S NAME CHICO MHS TELEPHONE 895-1774 CONTRACTORSCONTRACTOWS MAILIADDRESS P BOX 4121 CHICO CA 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $77.760.00 ARCHITECT OR ENGINEER f LICENSE NO. Filing Fee $ 20.00 Permit Fee 540,5012 $270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 66.93 I HI DR. MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: EX MH PERM FND EX SITE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home JSJGJWJ1@20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LES Main Service 200A 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 fgrce and effect.PSING License Class ` Lic. No. �y��%� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 e above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ad I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wore s' compensation provision ' of section 3700 of the Labor Code, I shall rthwit comply with those provisio s. Date (y - re f pplicant - ❑ Owner Contractor ❑ Agent JAnSHAermit is required for excavations over 5'0" deep and demolition or construction s over 3 stories in heigh Main Service YOGA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. eLDS. 3.5¢FT: NEW CONST. MULTI.OUTLET NON-RESID. U @7.50 8 OUTLET OWELER APPARATUCIRS . zo Q ,.00 Ex. Occup. OUTLET OR FIXTURES BA L p .50 FIXED APPLNS. OR 5.00 Ex. Occup. O.FIXED EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pren PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 348.25 HAZ. D. FEES IMP FLOOD CDF I PARCEL PD HD IS This permit is hereby issued under the of the Butte Coun Code and/or Resolutions indi at ab e f whih fees have B ��!�� PERMIT EXPIRES ON 771 applicable provisions to do work been paid. ate 7��u p 6 03 ate ceipt o. S 7v f- 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 PERIT c �ev.12/96) APPLICATION AND PERMIT —�' ASSESSOR PARC0. M1MjER /6 (/CEJ tT/ BUILDING PERMIT OWNER _ NAME T I i - Ji K-/( CONSTRUcnoN LENDER LENDER'S MAILING ADDRESS %ARCHrTECT OR ENOINEER ARCNRECT OR ENGINEERS MAILING ADDRESS SUI ING ADDRESS `� - LUT NO. I SUSD(V13K)NS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther 11 sPECFY TYPE OF WORK New ❑ Addition ❑ Remodel �❑ Utilities ❑ Installation ❑ Oth� �v% Describe Work: Y / _I/1/i SO. FT. OCC. BUILDING VALUATION U -MW4WI Y ` 2 N 18 HOW �X % USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther 11 sPECFY TYPE OF WORK New ❑ Addition ❑ Remodel �❑ Utilities ❑ Installation ❑ Oth� �v% Describe Work: Y / _I/1/i SO. FT. OCC. BUILDING VALUATION U Fireplace Total Valuatlon $ Filing Fee I b 20.00 Permit Fee L51 . s , a Plan CheckingFee $ p CD Energy Plan Checking Fee $ S PERMIT FEE S �J PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat -pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1- 5 outlets 1 5.00r, D v Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S 3 ELECTRICAL PERMIT I Fling Fee 20.00 i800v OR LESS n Service zo" OR LESS 23.00 MA Service "" TO I000A 46.00 NEW C NST: OWELLINO DOC ORAD 8 ACC. eLDSUP. SO 3•S:FT. NEW OMULTI-OUTLET NON.RESID. @7.50 WEA APPARATUS & OUTLET GR, Ex. Occup. OUTLET O ES aw ®, 50 Ex. Occup. oUTTLEETSA�E D. EA I 5.00 Tem orar Service 23 00 a bile Hom acilities 00 qwm11} CW j irin 23.00 _ SIPS At' P RMIT FEE S rb"PAY.; MECHANICAL PERMIT Filing Fee 20.00 Iating Coolin Hood 6.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee I S Occ CONST. TYPE TOTAL FEES :3 �{g' `. D. FEES IMP ROOD I COf PMC0. PD ND6SUC This permit is hereby issued under the applicable provisions � of the Butte County Code end/or Resolutions to do work. indicated above for which tees have been paid. By Date _ PERMIT EXPIRES ON 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: ca. , ASSESSOR PARCEL NUMBER 66 - r u P —3 Proposed Building Use: 11n / AkAM Jd Counter Technician: �w Date: Lam ' 4R -7Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4- sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other . Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non=heated and A/C Buildings ............................................. � ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 42. Encroachment Permit for driveway from the P lic Works Dept. (construction approval prior to occupancy). Pre In ection for /1/► - required ................ ntractor's license information. (Numb r, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ...................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.............................................................. ❑ 29. F' ting viola=nd/or expired permits ........................................... .........a , ❑ 30. C'rant Dee H. Title/Statement of Facts, ❑ Letter from Legal Owne c to H.C.D. $ ❑ Other: eb. aft When issued Telephone 0 71-17 jad oI4 for icku�. ' I have bee informed of the above items and -re uirements for obtaining a building permit. Applicant: Date: r ` Z 7� / 1. Index 2. Addit lication for the above items numbered: required Contractor/designer, owner, was advised of the above data'by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owRA advised of the abo e d a by ❑ phone, ❑ mail, ❑ counter, b Date: Plaps reviewed by: Date: OZ-- Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Plan Check Letter rq� UEPAR kA Q) P P F1 0 Oki G4 A -t> PRE -INSPECTION R OWNER LOCATION: t� CONTRACTOR: PRE-INSPETION FOR: RT DATE: -a A.P. ZONING: DATE TO INSPECTOR: 6'_ PERMIT HISTORY:( ) NONE ( FOLLOWS: BUILDING INSPECTOR'S REPORT Budding Dacription: Electric: Gas: CoaunaCial/USage: Residential/f of Units: Currently Occupied Abandoned/Vacant Yes No Electric currently On Off Condition of Electric Natural Propane None Obvious Problems: Sanitation: Plumbing Working Currently On off, Well Working Potable Water. Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: a 4 HOLD FOR Date , Sketch buildings on reverse and indicate location on p'ropert3 �s % -•'PERMIT NO. 49 3— a PERMIT EXPIRES OWNER BOBB J. GOWEN CONTR. Carrell Bros. MH, Chico _LO -CATION (A.P. 66-42-34 241 Ishi Dr., Magalia lot 52 Ind. Mead. 31 k� Temp. Power Pole Called PG&E Temp. Elea Serv. V i \ Called PG&E f t � 1-17 Temp. Gas Serv. Called PG&E i JOB % FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RIECORD BUILDING BUILDING (Cgpt'd) PLUMBING Setback Firewall Sol[ 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 Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaplied Conformance of ex. structure Appliances Gas Pi in & T st Temp. Gas Slab Final Sanitation Patio FI EPLACE Fina[ Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final FiYturan to Mesh MECHANICAL Grd. FauiA Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underilround Interior Lath Ventilation Perm vent Door Closer Final Final MOBILEHOME UTIL TIES -- - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEUOME INSTA LAT( N - - - - - - - - - - - - - - Support 110 Elec. Continuity Water Piping Drainage 10 If el- C Gas Piping DATE` MARKS ,R CORRECTIONS a. OH —di""t Le -7(.-Z V)( 3 0) (NOTE: An entry must be made on this form each time you visit the job site.) Id MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes�No_ 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes No 0Are footings and supports properly sized, spaced, and braced 'er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesliNo Is the mobilehome level? (Sec. 5088) Yes No_ 5.. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No Test - Does water piping withstand working pressure or 50 lbs. air test? Yes�No_ C. Backflow - If coach is not State of California approved, does station have backflow device and press If valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it'properly supported? Yes No OCAre any leaks detected in drainage system after runnink =gallons of water through each fixture including washing machine standpipe? Yes No - D. If coach ' not State of California approved, does station have required trap and vent? Yes No 8. r Piping and Gas Vents 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 mokfiehome gas line inlet without reductions other than the mobilehome connector. Yes No B. est OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes 1 No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No Is power supply cord,or feeder assembly properly fused? Yes _)� No_ D. Is continuity test satisfactory as per the following procedure? Yes)—( --No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment mae approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA ' Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: t (t CO.U.I*1TY &BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Urovelle, Cal i torn i a 95965 Telephone: 534-4541 APPLICATION AND PERMIT M9�� 7 authorize representatives of the county of Butte to enter upon the abov - entioned pro - ty for inspection purposes. 1 X — ate ignature of P�eermiN or Agent Receipt No. 6 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 PUBLIC WORKS BY Date f— 2-7- 7? ilding permit expires Date 2-Z-%— l BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address�,C�ZJI /� Telephone No. Fireplace Contractor T &11 COS —. Total Valuation Mailing Address �[ , I�Q Permit Fee Plan Checking Fee&/or Penalty • Telephone No. _ Permit Fee $ Building Address �� y„ . PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 a C� — PL Each Trap 1.50 2yj�� �' f��� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / ^1 A. P. No. `7 G (0— Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fes 'S%Ku.n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. 0I6ns Rec'd Parcel oval PIa proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100V OR 0 AMP ORLESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTIZ (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: 250 Ex. Occup(OUTLETS OR FIXTURES)TL@1 BAL�1 Ex. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No�- IL© r1 �7� �} 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. DBI have placed on file with the County of Butte a certificate of orkmen'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' L2.00 Hood Permit Fee $ $ I certify that I have read this application and state that the aboveQ— information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ,oa TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the abov - entioned pro - ty for inspection purposes. 1 X — ate ignature of P�eermiN or Agent Receipt No. 6 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 PUBLIC WORKS BY Date f— 2-7- 7? ilding permit expires Date 2-Z-%— l �Y 1 PERMIT APPLICATION WORK SHEET n Permit No. OWNER pl t1. eol A.P. No.(0�(TZ, ' Zoning Use Proposed 777 Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received 1. All items have been submitted. ------------------------------ 2. Plot plans.in duplicate/triplicate. -=----------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calcs. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration.------------------------------------------ 13. ----------------------------- ----------13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. ------ -----------------c ---- 17. Pre -inspection request for 18. Improvements - plans required & DFO appr val. --- ----------- 19. 0 -her By. Date Bldg. Inspector During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by_ 4. Plans approved by, Da Da When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone for pickup. 5. Other and hold Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other per,aft �'xli LJrL , UEAR-ANCE - date ompactio 5r jC It, r I This set. of plans and specifications MUST be +.� keo+ on. the. job at all times and it is unlawful tc `?1 arty changes or alterations onm sae withou' mage It written permission from the Department of Public / Works, County of Butte. v i I-V C` E ci All-- utility; connections shall be JV — located w4hin 4 ft. outside the rear third sccfion of the mobile home on the left (road) side of the mobile home. The Setback shall be 5 ft. from the side . property line and 50 ft. from the p� centerline of the road, permitting a maxi- mum of a 2 ft.. eave overhang but entirely out of all easements. t 1 BUTTE COUNT _ Y II ` BUILDING DEPARTMENT APPROVED 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4.541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: �- �` e. �^o s, /'� fl; ,` e wa-� 1 S 3. Is the site currently under permit?. Yes, T-7 No (If yes, furnish permit number ) OR Is the site an existing site? Yes 775� No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes .,No'—// (If . no, clarify ) ( 5. What is the mobilehome.electrical rating? ----------------------- )o a Amps 6. What is the mobilehome site service rating? --------------------- a o v Amps 7. What is the mobilehome site circuit breaker rating? ------------ /dO Amps 8. Is there any other electric load to be served by the mobilehome site service? --=------------------------------------------------ Yes (If yes, identify the load and size: (Load) No /,X / —(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3�S!'� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / k/ 11. What is the gas pipe length from meter or tank to the mobilehome? Z (ft.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50"ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA Mobil ehome Mfr. Xr- r`4 Setup Model No. 3,691010ear /9 77 Width 2-1/ (ft.) Length (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). Center Support Locations' n. b �tf07 in7� in.) - Sin le - A Center -Support Footing Sizes (in.) aZil x�� in. join. c (in•).(in•) rj a. - *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood.either . pressure treated or fdn. grade. 2. Concrete pad. 3. Other,:specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify M ;� Typical Support d� IFooting Size �1�n'.in.) �._.._.__._..- Max. Pier a Spacing �ft:�- in.) Max. - UI Overhang -'-.n.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED PERMIT: 1848-73 P..E SICKLESTEEL., CHARLES 240 Ishi Drive Magalia (Utilities for mobile home--* /V vc 4 _ \ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS X `r"' A 7 County Center Drive— Oroville, California 95965 �( Teleptofoner 5314-4541 r .... r APPLICATION AND PERMIT ,•t�.-. autnonze representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. i X pate Signature of Permitee or Agent Receipt No. 1671-ell--7— White-D.P.W. d7 rl 7— 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 �- ri / C:! Date BUILDING J / �l Owner / � .�� ��lae-cif.• SO. FT. OCC. BUILDING VALUATION Mailing Address T`e"lephone No. Fireplace Contractor 11�111al/'O t' Total Valuation r , W-, J Mailing Address 70,76 / Permit Fee Plan Checking Fee&/or Penalty � ' p Telephone No. X�—,�i�, Permit Fee $ $ Building Address J o 45/1;� �- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,Ole �•tpf7' Each Trap 1.50 r �'��/ G Repair drainage or vent piping 1.50 Water piping 1.50 /,..)Y) Each gas water heater or vent 1.50 5' _ �/� A. P. No. 4 Zoning& Planning Gas piping system 1 - 5'outlets 1.50 Each additional outlet .30 Fees W.C. San tion 171q Dept Fir�Zone Use Permit Building sewer 5.00 EQA Parking Plans �'Parl Pard a p� i60.' R/W Improvements p Lawn sprinkler system 2.00 Declaration _Bldg! Plans'Rec'd 1 C -' Pa�ct�►Approval Plans -Approval Permit Fee $ f� `D $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE y $3.00 -41 A!; Main service incl. 1 meter , Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ DuplexZ'r Mobil Home; Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal025 0. Receps., switches & fix outlets �2V31M 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: i _ 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 S, 00 Temp. Power Pole 5.00 License No. �� / ^f��" Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ j ao $ ( GC 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. ©il 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 1 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 I TOTAL PERMIT FEE $ �y �� autnonze representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. i X pate Signature of Permitee or Agent Receipt No. 1671-ell--7— White-D.P.W. d7 rl 7— 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 �- ri / C:! Date INT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f�7`%�"� `�. 7 County Center Drive - Orovi Ile, California 95965 .�� / / Tel epnorfe: 534-4541 - APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i X T f( //f t._, ) Date // 21/A'Z.Z Signature of Permitee or Agent J Receipt No. lc 7;? ` S 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 i" !! Date -4 2 C% 3 BUILDING Owner /� „(l-- S/G ;✓ T =f SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor )2/� W 17j /tle, G All- Total Valuation Mailing Address G= ? a C/G Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building AddressPLUMBING ' S t n No• @ FEE PERMIT FILING FEE J$2.00 J G 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. 5-7-31-5V Zoning & Planning Feesf W'Cf Sanitation Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P Bldg. Plans Recd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ X/,3-/ /1-1/ 41 Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter No. 1.50 .30 5.00 2.00 $ @ $3.00 3.5-61 FEE - SG 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 r- Water Heater or Space Heater 1.00 Light fixtures bal_ 610 Receps., switches & fix outlets bzo (af�25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the StatejoCalifornia Business & Professions Code under the name �style-of:/ �����1 !� ir�� 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./�6 5Ge}� Classification � G - � 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 j 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 $ .S'G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i X T f( //f t._, ) Date // 21/A'Z.Z Signature of Permitee or Agent J Receipt No. lc 7;? ` S 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 i" !! Date -4 2 C% 3 1 X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS [ ' 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above tinned property for inspection purposes. is Date Signature of Permitee or Agent Receipt No. 1,� 7 2 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 PUBL WORKS By ,- Date `ZC Building permit expires Date.- BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor / ItIt-i C.�'�7- 4-, 5 Total Valuation Mailing Address P �� '� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.0002Z1 p 0 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 , S7 Each additional outlet .30 Feed"ryeefsanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ 0 $ SC NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 el / / Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home rVr Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures pal10 Receps., switches & fix outlets "(d 25 ` CONTRACTORS LICENSE LAW I am Ii sed under the provisions of Chapter 9, Div. 3, of the State f alifornia Business & Professions Code under the. name st of: 7 �11 S-4 1A wa 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 aa(( D �J License No.r<�G �6a Classification l " 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 $ $ 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 relatinq to bui Idinq construction, and hereby TOTAL PERMIT FEE $ SG authorize representatives of the County of Butte to enter upon the above tinned property for inspection purposes. is Date Signature of Permitee or Agent Receipt No. 1,� 7 2 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 PUBL WORKS By ,- Date `ZC Building permit expires Date.- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephond: 534-45,41 APPLICATION AND PERMIT NF/ -/9- 73 authorize representatives of the County of Butte to enter upon the above-mentioned property for in ection purposes. �f X Date - ` r Signature of Permitee or Agent Receipt No. fo l ;X / 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 Building permit expires Date..^+„��..... BUILDING Owner ' SO. FT. OCC. BUILDING VALUATION Mailing Address zyRf AP/ �a 4l e , ��- T le hone No. p Fireplace Contractor Total Valuation Mai I i ng Address 7o%Q J Q ' Permit Fee PI an Checking Fee &/or Penal ty �j^Qs-Lo Tel phone _S`7 Permit Fee $ `s �. Building Address ai 4! PLUMBING No. @ FEE PERMIT FILING FEE $2.00 pp 1/1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 i Each gas water heater or vent 1.50 3-� _ 3I— p A. P. No. et*EFireZone Zoni n ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F� *cdSanit tion Fire Dept. Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Plan R c'd Porce�ioval Planroval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES A OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ;OD Main service incl. 1 meter pd Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex Mobil Home 19 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal Bio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of hapter 9, Div. 3, of the State of Califo nia Business & Profe sions ;Vehe 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 �Misc. License No. `f Classification wiring ❑ I 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 Jor 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 $ $ 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 $ Ci authorize representatives of the County of Butte to enter upon the above-mentioned property for in ection purposes. �f X Date - ` r Signature of Permitee or Agent Receipt No. fo l ;X / 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 Building permit expires Date..^+„��..... _/t -t;c.G� Ihis set of plans and specifications MUST be IF79F9 PKYWAy kept on the job at all times and it is unlawful to r,ARADISE, C;9 WF, 95969 make any changes orI& a erations on same without written permis!son from the Department of Public Works, County of Butte. Septic system to be as per Butte County Health Dept' Re- quirements. f� 6 All Utility connections shal.1 .4be located within 4 ft. outside the third section of the obi le hornie on the left (road) side o the mobile home. BUTTE COUNTY U/LD/NG DEPART MeO7 A PPROVeD r . jr. i R. PERMIT NUMBER _ g 4346-73B P E t PERMIT EXPIRES AA OWNER Charles Sicklesteel + CONTR: Shamrock mobile homes, dba, Bay Area MH,Mag k - LOCATION (A.P. 57-31-51 e 240 Ishi Drive, Magalia f R t COUNTY OF BUTTE, Department' of 'P.ublic Works . BUILDING INSPECTION RECORD Zoning Setback �rr `�` ; ��'� Forms Foundation Piers & Girders Z Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents --�i�-�. Framing y.S - %� G Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final S C DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R S • r 7 County Center Drive'—' `Oro'ville, California 95965 , Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property f .71 inspection purposes. x �a•" y ` -s Date Signature o f_/Permi ee�or�en Receipt No.— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date 6uiklirrg permit expires Dat® BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address T le .one Fireplace Contractor Dell.Total Valuation Mai I i ng Address l- e- C% f e Telephone No. Permit Fee Plan Checking Fee &/or Penalty Permit Fee Building Address �w 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. � P— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F t FireDept. FireZone Use Permit Building sewer 5.00 EQA arking Parcel Plans Declaration parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. PI Recd Parce - Plans—Approval Permit Fee $ $ NEW. ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter i 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__NIO Receps., switches & fix outlets �2�0 (���255 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: // 1 /ezrlf ?-Itth Ho,s,7rx p•C!• ti Hood, Ex. FanorF.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 fi/icjIt`O H��-7e Temp. Power Pole 5.00 s License No. ��� �� S Classification 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 Section 3700 of the California Labor Code which requires every employer to be insured against liability for Wor 's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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 $ �? authorize representatives of the County of Butte to enter upon the above-mentioned property f .71 inspection purposes. x �a•" y ` -s Date Signature o f_/Permi ee�or�en Receipt No.— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date 6uiklirrg permit expires Dat® PERMIT NO. __ 3425-81B PERMIT EXPIRES -9%.0a. OWNER Art Thomas Edmund Burl ~ CONTR. 161'X $V&aVS1, Paradise ASSESSOR PARCEL 66-42-34 LOCATION Ishi Dr., Magalia 0 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E I Temp. Gas Service Called PG&E JOB FINAL Signature J =OK 0 = Not OK - = Not Applicable M.OBJLEHOMES = Not Ready �^ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's' Date. C ERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 1. onRequirements-Setbacks-Easements 2. Soils; Special MH Support -Sketch 2. oo ' s; Size -Depth -Spacing -Connectors' 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig:-Bracing 5. Electricity;. Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date yJ f t J = OK 0 = Not OK , - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. 68. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Date ELECTRICAL Permit OK except N's 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. 73. Insulationin Attic E] Yes ) Foam -Looked Guard Rails &Deck Construction -Post Caps 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. ! / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Pernrcit) OK except H's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin - Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. • 7 County Center Drive - Orbville,ralifornia 95965 - Telephone 916/534-4541 �5 --c- APPLICATION AND PERMIT ASSESS PARCEL NUMBER — i J �% ZONING BUILDING PERMIT OWNER TELEPHONE SO, F r, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS £ CONTRACTOR'S NAME TELEPHONE CON RAC OR'S MAILING ADDRESS .2/ wn!� � Fireplace CON TRUCTION LENDEA UNKNOWN Total Valuation $ Flling Fee $ 10,00 LENDER'S M ILING ADDRESS Permit Fee $ j o ARCHITECT OR ENGINEER '„V4 -1-k ' LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 6a -g !� (� Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 0 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome)( Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othery Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 8001 OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.BI\ OR ADDNS. ACC, BLDGS. I 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): �jj I N I am licensed under provisions of Chapt. 9, Div. 3 of the Business -\and Professions Code and '� my license is in full7force and effect. License No. ✓) TS 3 LF -t- Classification / 2 ' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRTI.OUTLET 2.50 ea. NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURES_ gA@moi (FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I ajape save, indemnif nd keep harmless the County of Butte against alIs, judgments, apd expenses which may in any way accrue _ e en fShe ranting of this permit. ete Signature of Appl- Owner ❑ Contractor Agent ❑ P An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3^ OCCUP GROUP TYPE OF CONST. r /_agC V�This PARCEL PDHD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D1R OR OF PUBLIC BP) RMIT EXPIRES Date. the applicable provi- resolutions to do fees have been paid. WORKS DateF—T-z L— Receipt No. A -L 13 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ''- COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION f ' 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET - Permit No. OWNER A. P. No. Proposed Building Use PLA Y Permit Fee Based Upon: Complete Contract Price %C DPW Valuation Other (Explain) Building Inspector I ' Date /0 /It At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1, All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . / 3. Complete plans in duplicate. /triplicate. (0��!4--Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ � 9. Letter of signature authorization. . . . . . . . . lZ_1Z4_ A 6 A4( 10. Sanitation approval from 1QA tA, A 1A,6 Health Dept. . . o1hS1, YJ 11. Planning approval for (A) se: (B) Parking: . 2. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . • . . 17. Pre -inspection for Required. Building I . request to (Dote) (� q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Y' Mail to contractor. Telephone and hold for pickup at office. �—Deliver w/inspector. Other G' / Applica Copy of plans sent Health Dept., Fire Dept., Other Date 57,/0 . V During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of appli on, qirclq item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved by Date Other: Copy—DPW • Other To: Building Department From: Environmental Health Subject: Sanitation Clearance • Owner ��7 � l54z Location AP 'Plans approved for: Sewage Disposal Water Supply Hold final for: Water Supply Ficial Clearance O.K. for: Water Supply r Clearance for bedroom mobile home. Other Clearance for addition of Note** Sanitarian Date i� AQ , 1 I , PR�r�osed DecK A setback of 5 ft. from the property lines and a setback ZY of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. y x 6 0, /11M fx 1.5rlAl& NOTE:' All Materials & Workmanship Shall Be in Accordance with (3,?conwed Good Prnctices and of a quality prescribed for the Specified .use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This sef d plans and specifications MUST & kept on the job at all times and it is unlawful 'to made any changes or alterations on same without written permission from the Department of Public Works, County of Butte. LeACk S.Z n' R ' 4,es NPT Thos,?,6-1!r 94 93 1SHI PR. n7Mr-Aiia -� 1NDIAk MAd6..8,S— )- y-1 3 BUTTE COUNTY ZoT 6;� A P GG — Yo? -311 WILDING DEPARTMENT APPROVED y?" c 9' 3� • � T9. TYP, ' T. 07 Oeo% F/000f IPLAiy . /O. Scp. Feer �— A .�6�/i�h -INTe A �iATe ,�A�.Cs` 9''AAeT lyP n yxyRa LX rye 3y+�H�G�i kA►�. AcG Per-A�wb %yP iysTe� 6''Rise jrp. O VA •L Kr.\Y Cews%RucToN PeTAi) MA.`Mk dg, j I Ao nAs BUTTE COUNTY leg9.�DR. MAM/1 BUILDING DEPARTMEN`1 1tid„ 4N i22eAdows uN )T3• A p p R D V E Lor 14P 99—y —3y �m PERMIT NO. 2797-82B,E PERMIT EXPIRES— XPIRES OWNER ART THOMAS OWNER CONTR. owner ASSESSOR PARCEL 66-42-34 LOCATION 6693'Ishi Dr, lot 52,.IM1k3, Magalia J r 1.. t, t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date)—" _, Signature J = OK 0 = Not OK , - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready . Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) .4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'S 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready - Date U FLOOR Plans OK except #'s Date FA G Continued 1. Zoning requirements -Setbacks- sements 4 . Pr y Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -SAT- //L/" Ftg. Depthit ; i th-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 yin Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 1052.4152ing-Nailing-Veneer 6 emwalls, Garage; Std-Blockouts-Wrapped-Sla 53. ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. G zing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shdpr Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. W ter Pipe; Test -Anchors -Regulator -Service Test ^ 1 Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card B Date Card -BI Date Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date rd -BI Date Date FIN,p�ns) OK except N's Card -BI ate -/_ and -BI Date Date PLUMBING (Permit) OK except q's 5 Ext. Steps -Door & Sidelight Protection -Landings 5121. ee^� 14. W r Ht.' ent-Access-Combustion Air SQ P.-, a; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Wat P' t & Anchors -Nail Protection 16. .;,Te D.W. . Tbst-Fttngs & Anchors -Nail Protection � ing 17. Show P n; Test, First Floor -Tub Access& Bath Fixtures & Tub Access 18. Test 1ru6 & Shower, 2nd Floor -Tub Access 61 lec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors firs & Rails it lace or Stove; Clearances -Hearth 6 lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date i . Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Outlets & Receptacles at Kit. Counter Date E E RICAL Permit OK except qts ire Door; Swing -Landing -Closer 68r-A-£--l5U17 'n Garage -Damper t Transformer Clearance -Ins. Protection 69. Wtr. Httr. Ht-rte•-V-ents-Clearance-Comb. Air-Connector-P.R.V.- nl G ge; Above Floor-Mech. Protection 21 c. ceptacles Spacing -Lights & Switches at Doors 70.4 lec. & Mech. Equip. Listed for Location 22 a Bqp&& No. of Conductors -Stapled 7 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 R x Installed Close to Edge of Studs & C.J. on- oam-Looked in Attic El Yes 24 Equip. Gro de up w/Mech. Fasteners -Bond Gas & Water 7 r ails & Deck Construction -Post Caps pliance Circuits i Kitc & Conductor Size 70"_UjjVents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked 'un 'Moor ❑ Yes 26. Spbfeed Wire Size fiofi, ga or AI-A.C. Wire Size / / ga. Cu or Al 27. R nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, In lated Neutral ❑Yes El No 75. Following instld.: Or'v Yes E] No: Walks Yes E) No; Planters El Yes [ No 28. Ser 'ce-Riser Conductors -& Ground -Main Disconnect 76. tucco; Brown -Finish 29. Equi Clearances; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. . p Well; Disconnect, Electrical, Plumbing _ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date Ventilation throughout House Card B -I Date Card -BI Date g2---G�Protection Date MECHANICAL (Permit) OK except qts 83. 84. _ orrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer -Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Conde' ate Drain & Overflow; Size & Grade 8 y om liance Certificate -Other Certificates 34. Furnace Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acc s & Platform if Furnace in Attic Card -BI Oat and -BI Date - Card -BI - _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR M Pans) OK except q's Comments at Final: 3 i Proper Material & Anchors 37. a Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38.ering Wallsr Girders & Floor Nailing s (rat proof) 40. it s; Furred ceilings -Stairs -Chases -Tub 41. Aeader & Beam -Size & Bearing 42� -Post Caps -Anchors -Connectors 43. ng. Jots tr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. fireplace Ties or Type A Flue -Fireplace Throat - 45 _ 'ze & Romex Protection -Draft Stop -Ins. Baffles __ _ _ drm. Wi dows or Exiting Doors -Sill Hgl. & Dimensions rage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7,County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ei ASSESSOR PARCEL NU BER ZONING Ap-s — BUILDING PERMITf 1// OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING/ADDRESS TDoll, H46,+QA- CONTRACTOR'SNAME O VV��I TELEPHONE CONTRACTOR'S MAILIN ADDRESS Fireplace CONSTRUCTION LENDE t NOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ O,I-, ARCHITECT OR ENGINE[R LICENSE NO. Plan Checking Fee ,$ " 5 e= Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ S BUILDING ADDRESS U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PL :#_ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomed'J Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ry Describe work: T�'�� 6g��C� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCWI-4) OR ADDN.S. % ACC. BLDGS. 2� 0 ft �� . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.MULTI-OUT LET NON-RESID BRANCH CIRC TS 2,50 ea NEW CONSTR. POWER APPARATUS 61 NON .RESID. SINGLE OUTLET CIR. EX. DCCUp OUTLETS OR FIXTURES BAL@10Q FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rte' I have placed on file with the County of Butte Building Department L1 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building constructioh, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this per . � � X �( Date � Signature of Applicant — Ownerl,14 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ (� OCCUP. GROUP M_ / TYPE OF CON T. —r.—L/ I PARCEL PD H 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/.or work indicated above for which DIRECTO PUBLIC PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l /- 2--- Receipt No. S-72—By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE-•DeVartment of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name 'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)YL� 2. I hav have not) perm for the proposed work. signed an application for a building 3. I have contracted with the following person (firm) to provide the proposed construction: Name - Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following arsons to -vide the work indicated: p p 1L+f'L Name Address Phone Type of Work 3-7 Signed: Property Owner Social Securit �nber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. To.':' Building Department From: Environmental Health Subject: Sanitation Clearance Owner Plans approved for: Hold final for: 1(0 Location�� A.� �� AP Sewage Disposal Final Clearance O.K. for: Clearance for bedroom mobile home: Other. Clearance for addition of Note", Sanitarian Water Supply Water Supply Water Supply 2d L Date y M^ OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET /1 Proposed Building Use Permit No. 11 A. P. No. Permit Fee Based Upon: Complete Contract Price PW Valuation Y (� Other (,ExpI yin) Building Inspector Date "'Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . ... . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 0 /�X12 Certificate of Workmen's Compensation Insurance. . . . . . r 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required- Building Inspector ) 18. Other When you issue the permit, process as follows: Mail to',owner. Mail to contractor. Telephone 227— /9-31 and hold for pickup at ?4./, -..office. Deliver w/inspector. Other Applicant_U&4x S Date VAO /9 -?- r i Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked abov ai of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: A (Contractor, Designer, Plans checked by - Plans approved by Other Copy—DPW ised of above required data by Telephone Mail Other r By e- EEW_74 Date q —ze-gz_ Date Date - ZZ --e? 0 to M N OW �w i N -1 = D T 44 r C C =1 w rum w w C C C L --i t' MAN ' e2W. B2' tux— —; t' r N A O y A �Ir ;gam OMA H .1K 18 OR N0a' t�40. tuz ewotux -,wt N i' g ID T de N x HT1 x `" W \ M j -uF: n J, - w a Z Z ►- A-', �x 'i Iv n -dr i N -1 = D T 44 r C C =1 w rum w w C C C L --i t' MAN ' e2W. B2' tux— —; t' r N A O y A �Ir ;gam OMA H .1K 18 OR N0a' t�40. tuz ewotux N ,►�� O O O .t O 1101-1 119 old 11 so a g �m jig 15 O mm 1� My •. M � M x�co p0 H � rq to ►.3-� a �n v� ri M ;a x; rq H n 0 -4T x w i f� r I -,wt p- o" i' g N O de N a I • ,\, x ♦' •�, D .,' ow -uF: - 284 N. THORNE ~ - w a Z Z ►- A-', �x e� jop70x Iv n M f•i � x� 2pp H N"1NN � ❑ w *0 MOBILE HOME FOUNDATION SYSTEM 347 SPRECKELS DRIVE, APTOS, CA. 95003 (831) 662-8590 Z M N-4 z �o -M M;; r w � i 2 N io= Cf 4x r n N W N ,►�� O O O .t O 1101-1 119 old 11 so a g �m jig 15 O mm 1� My •. M � M x�co p0 H � rq to ►.3-� a �n v� ri M ;a x; rq H n 0 -4T x w i f� r I -,wt p- o" i' g �� de N a I • ,\, x �; •�, D .,' ow py - 284 N. THORNE ~ - w FRESNO, CA. 93706 (559) 268-0828 tltl ' o y Site AssessnentseFoundotlon Englneering0Cons tructlon Monitoring _ -4 M to r Ic *0 MOBILE HOME FOUNDATION SYSTEM 347 SPRECKELS DRIVE, APTOS, CA. 95003 (831) 662-8590 ' N-4 z �o p r �II rAOR: x CENTRAL PIERS, INC. THARP & ASSOCIATES, INC. CD N GEOTECHNICAL CONSULTANTS a - 284 N. THORNE ~ - w FRESNO, CA. 93706 (559) 268-0828 0 o ' o y Site AssessnentseFoundotlon Englneering0Cons tructlon Monitoring N Go0 *0 MOBILE HOME FOUNDATION SYSTEM 347 SPRECKELS DRIVE, APTOS, CA. 95003 (831) 662-8590 ' z