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066-440-012
1%11171�- A.P: W.K. Brougham Lot 71, Washo Ct. Indian Mea Lws-# Magal ia CONTR: Chas. Hancock, Paradi '. 7S —Permit 2238-73 (utilities f m.home)— AP �7 4-12 -01 a CQNTR: MH Specialist., -P-Paradise-7 Permit# 1574-75B(awning, MH) 66-44-12 C -MIDDLLT.M. t1358 Washo Ct, lot 71:',.IIM #3,.Magalid. Contr: Bay Area'MH, Magalia-6 Permit#2419-83MHI(exi ng site) . sti' F, C4 Issued L-3 66-44-12 12ermit#2723-'83B-(qgw open..deck-/--NH 03-3534 066-440-012 GROSSE, CLINTON'- , 13587 WASHO CT, MAGALIA` CONT: BRUCE BRODERICK -5e 4.:�: EXMjV"HPERM FND, j 4 I I I .' J.. t• cfli � cfli e� � �t a ,p t• cfli � cfli e� � �t RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 III "I II�' I��I I II I'� IIII I�'II II II 2003-0063434 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County I EOf CITY COUNTY STATE CANDACEUJ. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I shawnya 02:06PM 26 -Nov -2003 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CLINTON D. GROSSE REAL PROPERTY OWNER/LESSOR 13587 WASHO COURT MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION 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 03-3534 530 538-7541 UILIVqG PERMIT N0. TELEPHONE NUMBER _ \SJOIATURE OF LOcALAGERCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE HOMES INC 1981 HILLCREST 4812 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02740238R 52'x14' 227131 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 066-440-012 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. PARK REOM>I+IG "QuErm 8Y MID VALLEY TrrL8 CO. +�; AND WOO R>gCO M IiMAII.'0o: r C1.iN'MN D. Gita 13630 MS'EOSS COURT MAOAUA, CA 95954 1:18 Ordet No.: 1 NEC Ax • FEE 6.00 1 1 i 1 Kathy I Page I o4 l Above lbb floe fariteeaMa's Ma Only BMW No.: 2088590 t GRANT DEEB l7lE iJNDtiR83GN8P GRAEiTOR(s) b ) THAT DOCtlABWAPY V-AMSPBRTAXIS: COUNTY $44.00, /t(N [ 'K 3 eo mrm& on M va bA of party rmvnyo8. or `J [d t pMM on fa vane fletts�veltse "ot flims or �dt�bnrooes remannusg at tie�c of We. uaitimgm ed area; j ] Town .of, and FOR A VALUABLE CONSIDERATION. PAceipt of which is herby aetnewiedged, LUCiLYYS hL CM, an Umusmied Wonsan hent by t3ltAW% to CLIPt N D. MOM, a shmw moan .ft following described property In the UMCORPORATED AREA, Court of Butt State of California; LOT 71, AS SHOWN ON THAT CUTAFN MAP EipTIT[ M, "INDIAN MEADOWS SUBDIMXOAt UNIT NO.3°, WMCS MAP WAS RECORDED IN THR OFFICE OF THE RSCORDER OF THE COLIMY OF BUM, STATS OF CALI]FORMA, ON AUGUST 17.19n. IN BWK 38 OF MAPS, AT PAOI(S) 99 AND 100. EXCM►T O TIEPROM AN ii ONMED 33 1/3% BMW IN ALL MDOLALS AS P.BSF, VE3D 1N IAM ]RECORDED IN BOOK 743, PAGE *68, OFFICIAL RECORDS. SAID RME RVATION DID NOT INCLUDE RIC3IPI' OF EMRY FOR MMTG PURPOSES. ALSO EXCE PTM TMMUNROM AN UNDIM4 D 66 VrA DGEMT IN A L h0NMAILS BELOW A DEPTH OF 200 FEET. AS CONTAMED IN DBM FROM BUM BWEff dENT COAFPANY, A LMMD PARINIRST2, RECORDED AUGUST 20, 1973, IN BOOR 18557, PAGE _ 141, OMCiAL RECORDS. RJOW OF M MACHRMRY 8 S@']ErOMALLY WAIM. LPN P66440.012.000 P6dMM-,'d�i tTAM OP C/ COMM Op As ) on MAY 12, 2003 Delb=e me; OiMl MOM, NaM& PUBLIC versoleft pMOVY Imawm to ttte (of Mored ft me an the hais of " erMenoe) to be the peman(s) whale malls) ia/ae snbsAdw to the wifta Od4ed & entity � hdeheNt�yr �►ed Ore wore to Lit/SR/�►' t1IIta0rimd �bCr�) affi id•t Dy @ti/ktNibt3r LigtgWit(S) OII upeg bdnitf gfwh* d• prat*#) WM& UOMWtat iet�uttmtK A s l RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26-1Mov-2003 2003-0083434 Has not been compared with original I 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. CLINTON D. GROSSE REAL PROPERTY OWNER/LESSOR 13587 WASHO COURT MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAIL) NG ADDRESS, IF DIFFERENT SAME CITY _ COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION 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 03-3534 530 538-7541 G PERMIT NO. TELEPHONE NUMBER _ \SXXATURE OF LOCAL AG CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE HOMES INC 1981 HILLCREST 4812 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMPJNUMBER 02740238R 52'X14' 227131 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAA.ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION CRIPTION ASSESSORS PARCEL NUMBER AT # 066-440-012 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. PAR/C IMCORUM R11 QUPSM BY Its VALLEY TME CO. CLINTON D. GROSSE IM30 MNSEOSS COURT MAGAL(A, CA 45354 NO.: Iffillsilliffillill I a0 a I PEC FEE I 9x - 44.09 1 1 9 1 PgeI Iof1 Abmvq Ibis LJM for RwAft rls On Ody BMW NO.: 28"SKH GRANTMED T� 8 chaNroief6� D TRAT DOCUMMARY �1vVe TAXIS: E7bll7tf PY 44.00 9C ooh on fun vagus of prnp~rty crmrotYo3. or Muted on full value less v of BiexS Or � nmuinft at tine of mete, ynianoapoaatcd an&; j } 'lbwwof.' and FOR A VALUAMZ CONSMI MATION, lL9MW Of whiCh is herby ackaawWdZed, LUC,lLLLE M C08N, an Us ed Woman tom► G % t6 CL NTON D. GP.OSSC, a Sh*% man Om Mowing dauibed property In the B1MMOR1PORATED AREA, Coatuy of Suft State of California; LOT 71, AS MOWN ON 'l~iiAT CRTAIN MAP MnW, gXDL#N WAMWS SUBDMS1014 UNM NO. 30, WMCi MAP WAS RECORDED IN TEM OF'FIC'E Op THE RBMItDIFR OF THE COUNTY OF BUM, STATE OF C/iMORNIA, ON AtCMIST 17, 19rn, IN BWK 3$ OF BAPS, AT PAGB(S) "AND 100. _ SXCM'2'I O TMMOMf AN >i MMDED 33 Iln'S/o RMM IN ALL MMALS AS P.JESERVED IN DM) RBC OR ED IN BOOK 743, PAGE *68, OFFICIAL RECORM SAID R SERVA$'M DID NOT FUDR RIGRT OF BEVY FOR MMG P6.lMSBS. ALSO EXCMqM 7T ROM AN UNDIYHIM 66 2/rA MEREST IN ALL hfiNS AU BELOW A IDEM OF 200 FPET, AS CONTAMM IN DBM PROM ISMS RWMTbffVT - COMPANY, A LZMEV PARTNMMM, RECORDED MMST 281, IM, IN BOOK 1857, PACE 141, OFFICIAL RECORDS. PJGH ' OF Sl3RRACE MMY IS SPECHWALH.Y WArYPED �`N �66.444-d9I2r000 . $'1"A'dB C [tUi_ AS BUILDING PERMIT NUMBER: 03-3534 Address or location of unit: 13587 WASHO COURT, MAGALIA CA 95954 Legal Description of Real Property: AP # 066-440.012 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CLINTON D. GROSSE Owner's address: 13587 WASHO COURT, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 227131 SERIAL NUMBER OR V.I.N.: 02740238R MANUFACTURER'S NAME: SKYLINE HOMES INC :1981 OFFICIAL APPROVING INSTALLATIO DATE: f as - PHONE: (530) 538-7541 H.C.D.513C . DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT vsiN(, Division of Codes and Standards Q Qoz O ©� .n in l W Title Search Date Printed : 11/19/2003 oto Decal #: LAE1251 Use Code: SFD Manufacturer: 90002 SKYLINE HOMES INC Original Price Code: ACR Tradename: HILLCREST Rating Year: Model: 4812 Tax Type: LPT Manufactured Date: 09/29/1981 ' Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 08/22/1983 r. ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 02740238R 227131 / 52' 14' Record Conditions: PPF Exempt Registered Owner: CLINTON D GROSSE 13630 EINSTOSS COURT MAGALIA, CA 95954 Last Title Date: 11/17/2003 Last Reg Card: 11/17/2003 Sale/Transfer Info: Price $5,000.00 Transferred on 05/15/2003 Situs Address: 13587 WASHO COURT PARADISE, CA 95969 Situs County: BUTTE Legal Owner: GERALD R MOORE SHARON J MOORE (Joint Tenants with Right of Survivorship) , 5887 RISING STAR PARADISE, CA 95969 Lien Perfected On: 11/04/2003 15:45:36 * * * END OF TITLE SEARCH Z d CL8860LLOS 'ON/6Z:ZI'1S/L£:Zt £OOZ 6L Ll(03M) , 3SI0VdVd 31111 A311VA 01W WOlid r. STATE OF CALIFORNIA ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF' HOUSING AND COMMUNITY DEVELOPMENT s ' DIVISION OF CODES AND STANDARDS Soo o REGISTRATION AND TITLING PROGRAM"^'�'E` STATEMENT OF FACTS This unit is a: Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) ✓✓No.(s) Trade Name Serial No.(s) 1 276) I/We, the undersigned, hereby state: I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any. loss they.may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed Signature(s) City II__ - i it r.If7 n/n7\ Z�J A j�e (/, (City) / Printed name(s C -�'° �' (State) _/Sz— State 6A___ PARC lMC()RbMR3Qu== By MID VALLEY Tl' U Co. AND W MMOaMMILTO: CUNTON D. GRA 1380 $iN5"1= COURT MAGALIA, CA 95954 o det No.: N1111111011111 cmm3--®m3 4 am& ! t FEE 7.00 1 46.09 1 1 f ! PaloyI of I Move 11* L1a fw IIeeo4o'a Uss Daly _ maw talo.: 20 R GRAFT DEED THR ( x I Mon Ms)�D Ct t►R�t"yiiD ixwT DOCttMPNt7aRtr 7 �AH$P13� TAXIS: tAvri7Y 544.00 f d � ui! vatne IeMplve�rie of flc ' " rte time of sate. [ area; j ! Town of _, and FOR A VALUABLB CONSIDERATION. Pioeipt of which is hely acgnnwbtx VA. WC IX tic CORN, an Uneoozrried Womac he=* G'RA)W.,Sy to CLBrPa'4N D. O>k08;e, a Shoo man the following described pxpeny in the 81MNCORfOIEATIM AMA, County of Butte St" of California; LOT 71, AS SHOWN ON THAT CERTAIN Mo BN'rMED, "yi D AN MEADOWS RMDMSXOAt UM NO. 3% WWCH IVJ" WAS RECORDED IN TIM OFMCE OF THE RBMRDPR OF THE COUNTY OF BLIM. STATE OF CA1LIFORMA, ON AUGUST 17, 1972, IN BWK 3SOF 1ytAPS, AT PAOB(S) "AN'D 100. kD(CW TWQ I THEWROM AN UNDWMED 33 1/3% RaERBST IN ALL hMgMRALS AS RESERVID Rl DM "CORDED 1N BOOR 743, PAGE '68, OFFfC[AAL RECORDS. SAID PMERYAINM DID NOT INCLUDE JUGM OF WMX FOR MIMG PURPOSES. x.: . ALSO EXCEFTM THEREFROM AN UNDIMBD 66 2A% DnxR . Ilet AX.% h it+i'1F3ItAU BELLOW A DEPM OF 100 FEET. AS CONTAMM W DND FROM BUM INYESThjENT COMPANY, A ' PARTS, RECORDED AUGUST 20, IM, IN BOOK 10x7, PAGE 141, OMCIAL RWORD.S. RTOW OF $MACE FMRY 1S SpECRqCALY Y WAMM _AM Q66-44,.4-ti12.000 01 LUCILLE M. CDO IDocattM Dates �paa ZS. 20©3 srATsOpcatRMB w �, AS cotna�r o� D i'#fi lfi GUUJ,�' lRf�la: :�/vbZ P�aWyOpared *A M. Ro 1L[[L�++llCC1 r R/�l;Of�ti svaLaiL pmoft bwvn to r (or proved ft me on the bws ortum" erMenoe) m be the Pemn() whose acknowtedOed to M 1#u he/sbet6Esy eaam,aed sAe wms i aet�(s) ialoe auhassihed to on wid" m0 wMaom dn peeaon(o) or de ,stitp up" bdO of wW& 60 percoatt:) �cteA. mann Cwt saII taa by ldjft Lsk otatnre(s)ro on si�aem � � C!(OYl`Y memaMltwit:nte tests �-cale�r NOTES RESIDENTIAL I 066-440-012 03-3534 PERMIT NO.-GROSSE; CLINTON.., 13587 WASHO CT, MAGALIA CONT: BRUCE BRODERICK EX MH PERM FND ! ti - '.. is � � •- ` I' THE HCD FORM 433A,FOR THIS MH CANNOT BE, ' I RECORDED UNTIL" ONE OF THE FOLLOWING HAS • 1 BEEN TURNED INTO THE BUILDING DIVISION: (1) LICENSE PLATE(S).OR DECAL (THE" , ' INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY„ON. ^ ', ( "'.•NEW MH'S). ; w r { INSPECTOR TO VERIFY SERIAL S& LABEL #'S. '” "'� •, ,t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Cie,,`2�7 31 .i T JOB FINALED (Date) 4-0 { Signature r" J = OK G = Not OK, = Not Applicable MOBILE HOMES = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. P Nat. or / /"L"tt./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date 1. Card B-1 Date Card B-1 Date MOBILE OME INSTALLATION (Plans) OK except #'s 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wing Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. F otings; ize-Spacing-Marriage Line 6. 13 4. Chas; M est -Demand -Valve -Connector Kectricity; MH Test -Crossovers -Breakers -Clearances Electric 5. Drain; MH Test -Fall -Flex Connector FINAL (Plans) OK except #'s 6. Water; MH Test -Regulator -Connector 2. 7. Water and Sewer Connected -C/O to Grade -HD Approval Pool Structure; Steel -Connections -Thickness Dead Men -Lining -8-8as. and Electricity Tagged Elec.; Receptacles and Lighting, Distance-GFI 9. a Downs -Type -Installation Cert. 6. 1 Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date �l Date 7 Ji Card B-1 Date Card B-1 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-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (E 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. Fig., Main; Soils-Elec. Grnd.-/ r Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter 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. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes 0 No/Walks J Yes ] No/Planters 0 Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Ilingle & 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 -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -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. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes 0 No/Walks J Yes ] No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT — 4 2 ASS ESSOR PARCEL NUMBER ;066-440-012 ZONING BUILDING PER; MI OWNER CLINTON GROSSE 873-5059 TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 13587 -_ _. _ _ _ _.. 13587 WASHO CT MAGALIA 39,312.00 CONTRACTOR'S NAME BRUCE BRODERICK 873-5059 TELEPHONE CONTRACTOR'S MAILING ADDRESS PO BOX 786, MAGATIA CA 95954 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 39 312.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 174.45 Plan Checking Fee $ 23.00 BUILDING ADDRESS 13587 WASHO COURT MAGALIA CA Energy Plan Checking Fee $ $ PERMIT FEE S 217.75 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter coci 9 mmenn wecon ovision oe usness anroessions Code, ( gith Sti7000 )f Di3 f thBid Pf and my license is' full force and effect. License Class Lic. No.,, � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID .97.50 BRANCH CIRCUITS POWER Appy U 8 SINGLE OUTLET CSI R. EX. Occup. OUTLET OR FIXTURES BAL 0;50 Ex. Occup. Ops APP AID,°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro isions of section 3700 of the Labor Code, I shall rth th comply Mthoserovisions. `/ �7 O� X We tJ Signature of Applicant - ❑ Owner ❑ Contractor I& Agent An OSHA permit is required for excavations ove '0" d ep and demolition or construc on of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $252.75 FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have y PERMIT EXPIRES Ofq10 applicable provisions Resolutions to do work been paid. Dae Q� il Dat rReceiptNo. .D.S.-B. D. ANAR - Ito INK -INS CT R LD NRO - PPLICANT 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 OM NER: C. 710 ASSESSOR PARCEL NUMBER Proposed Building Use: t Counter Technician: Date: I fIt s required in order to apply for a permit. AI boxes MU be checked OR marked NA in order pply. . Site 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 faxesl ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplic9te (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. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... O 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑, 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... fi ❑ 23 NPDES Form............................................................................................. ❑ Encroachment Permit for driveway fro a Public Works Dept ........................ Pre -Inspection for .Q✓ � .........required ................ 26. Contractor's license information. (Number, Name Style, Classification) ...................... . ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization ............................. :...................................... ❑ 30: Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Yanufactured home utility clearance.............................................................. ❑X Existing violations fid/or expired permits........... r, 5 33. Grant Deed,1�M.H. Title/Statement of Facts Imo❑ Letter from Legal Owner heck to H.C.D. $ ❑ 34. Other: When issued Telephone C, and hold for pickup. I have been informed of the above ems and requirements for obtaining a building permit. Applicant: D e: )T,V J 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own r was advised of the above CLata b ❑ phone, ❑ mail, ❑ counter, by Date:_ Plans reviewed by: Date: • Plans approved by: war i Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive *Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT ' ASSESSORP - Zmm BUILDING PERiildIT OWR n / r 054— T° NESO. FT. OCC. BUILDING LUATION 7 - ..Ow raL ° �/1�' GtT rGi• 1 CO CR'S NAC�Ci' CO I Is ADOMMS 47 -72 comTRUcnON U=ER LENDER'S 4141UN0 ADDRESS- Total Valuation $ ARCNRECT OR e=94 ii UGEME NO. Filing Fee HAZ Permit Fee , -^' $ ARCWiCT OR e4WJEMS MAflING ADDRESS Plan Checking Fee $ BUILDWO ADDRESS Energy Plan Checking Fee $ ND $ PERMIT FEE S LOT NO. SUBMISIONS NAME PARCEL MAP PLUMBING PERMIT Each Trap USEOFSTRUCTURE Solar or heat PUMP water heater SF ❑ Duplex Q Mobdehome ❑ Other Water Water piping SPECIFY qas water heater or vent TYPE OF WORK Gas pipingstern 1 - 5 outlets New ❑ Addition ❑ Rem/odel�❑ Utilities ❑ Installation ❑ Other ❑ Building sewer M� l� Mobile Home I S G W Describe Work: /� 5� `x �'� — ✓� PERMIT FEE S ELECTRICAL PERMIT eoov DR Main Service zooA oR LuESsESS Main .Service ( aoaA -SOMA PERMIT FEE PAID SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED $ DATE RECEIVED. 1` 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ,g Fee 20.00 23.00 46.00 3.SQSQ. )7.50 Ex. Occup. WET OR —WIES @ sp W(ED APPUS. OR ` Ex. Occup. ( ovnin MESTOA Ea l I PERMIT FEE 1 $ 23.00 20.00 Fee 1 20.00 I Hood . I 1 x.501 PERMIT FES S Mobile home Installation Fee $ Enerav Insoeation Fee $ O= CONsr. TYPE TOTAL FEE $ ..� HAZ D. FEM9 LMP ROOD CAF PARCEL PD . ND ISSN This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date r 066-440-012 03-3534 GROSSE, CLINTON; M, .13587 WASHO CTI, CONT: BRUCE BRODERICK EX MH PERM FND' ' Building Permit Number: 03-553V Owner Name: Coro 55-0— Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW IMYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Q 3- 3 S 3 Owner Name: Gro ss'c Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. M Fire sprinklers are required in this structure. ���� A� The followin g parcel map requirements shall be met: All structures and a ui ment including overMeets hall be clear of all easements. A setback of(�y`"feet from the side andW om the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. t ,s. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: .0rZ,-# S 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) )3,5-57.- kJ I-SMo c`_�_, OR Is the site an existing site? Yes 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? ----------------------- 0 APs / D 6. What is the mobilehome site service rating. =-------------------- Amps 7.. What is the mobilehome site circuit breaker' -rating? --- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ----------------=---------------------------------- Yes No / I (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------- ------ 10. What is the type of gas service? -------=----------- Natural /% LPG t 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? --- ---------------- (BTU) (This information not required if pipe length. less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COU F1 I i . P R 0 V MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. E furnish Setup Model No. Year Width(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1'. Wood either pressure treated c x foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support Center support '. locations* footing sizes Supporta (check one) (in.) 1: Concrete block. x E] •2: Other. (specify) (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) D L—X—J (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -lnnatinnG. gnaci.na_. and dimensions. Tagalong or Expando,' show support details. a IZ x30 -- Typical Support in.) (in.) Footing Size . -- Max. Pier Spacing (ft.)(in.) :r I -- Max. Overhang I ® 1 (ft.)(in.) 144 9" -U C BUTTE COUNTY (ALC,IN. G D � BUILDING ®EPARTMEN, N, r� lJ 'PRE-T�TSPECTIOl OWNER: ("//)/?-/O/l LOCATION: 3 A5/Do-� ',t. -I CONTRACTOR:_ -ZR V<�E am4erl6�. PRE--INSPETION 0 AT: :.'}vii: •�'`.�•:e1 �'.:'•'"..:t:. •. '. DATE: AP. ZONING: DATE TO INSPECTOR PERMTr HLSTORY:( ) NONE ASFOLLOW BUILDING INSPECTOR'S REPORT Building Description: Residential/# of Units: Currently -Occupied Abandoned/Vacant Electric: Yes No Electric Currently On � Zz , Off Condition of Electric Gas: ;/ 2 Natural Propane t/ None Currently On Off Obvious Problems: % r O — l Sanitation: ' Plumbing Working t •' Well W orki i � Potable Water Obvious 0 r Comments: ACTION RECOMMENDED: ISSUE: HOLD ICOR 't Inspector: Date 111 1-7,03 Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION A 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE�MrT NC d APPLICATION AND PERMIT ' (Rev. 12/96) zoo ASSMO RPWCfiLb , L/�L BUILDING PERMIT r 7 C/( TEUPHO E OWNER n // ' �G�� /y/� J 975 915 I/./lL_1//!}Sl.(100 SQ. Fr. OCC. BUILDING ALUATION .OWNER �/j/� ��L,l• �&Z, (G ✓'COR!✓••9 (C,RAME i TEiBHONE c0 %� /• eo orf DRESS O C�lGll� MER LZ CONSTRUCTION (ENDER Fireplace LENDERS &*UNG ADDRESS Total Valuation $ ARCNRECT OR ENGINEER UOENSE NO. FiGn Fee $ 20.00 Pemtit Fee $ `•� ARCWM=OR E=NE645 IMAUM ADDRESS Plan Checkin Fee $ sulLDuua ADDRESS ! /'i �✓�n 7 " �� MRA Energy Plan Checking Fee $ PERMIT FEE S LOT N0. SUBDN5tON5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobllehome ❑ Other Water i ing 15.00 15.00 sPEc�Pr Each gas water heater or vent TYPE OF WORK Gas piping 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 / X `� Ozp p Mobile Home S• G W 920.00 /��,//1 / Describe Work: G4L — C `.1 5� x �•� — �p 5� PERMIT FEE : ELECTRICAL PERMIT 000v oR LESS .PERMIT FEE PAID SRA SHERIFF $ OTHER $ $ AMOUNT RECEIVED $ DATE RECEIVED. 1` C) -2-)l Main Service((( 2ooA oR LEss ) Main .Service L — - 1000A ) g Feel 20.00 23.00 46.00 3.5QFT: x7.50 Ex. Occtt • DunEr OR - o .so FLXFD APPWSOR O Ex. Occup. ouTLETs 6. EA Temporary Service 23.00L- Mobile Home Facilities 20.00 PERMIT FEE $ MAECHANiCAL"PERMIT Fee 1 20.00 :50 Mobile Home Installation Fee I $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE FfAZ D. FM HSP FLOOO CDF PARCEL PD , H7 I ISsUI This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date W.K. Brougham Lot 71, Washo Ct., Indian Mepm.home) ' Magalia I CONTR: Chas. Hancock, Paradi j Permit 2238-73 (utilities f I AP 66-44712 CONTR: MH Specialist, Paradise ` ` 7S Permit# 1574-75B(awning, MH) y'-5 �.... _ _. 66-44-12 COY MIDDF j i" WELasho Ct, lot 71, IIM #3, Magalia Contr: Bay Area MH, Magalia � Permit#2419-83MHI(existing si efe c/ Issued �r 66-44-12 Permit#2723-83B(ngw ope deck/MH } 2723-83B PEliRMIT NO. 21 PEMIT EXPIRES -Rb E?t 9 COY MIDDLETON OWNER CONTR. owner ASSESSOR PARCEL 66-44-12 LOCATION 13587 Washo Ct. lot 71, Magalia .a J5 y. Temp. Power Pole �- Called PG&E k .- Temp. Elec. Service f Called PG&E Temp. Gas Service_ Called PG&E j 7 JOB FINALED (Date) Signature J = OK 0 = Not OK - Not ApplicableMOBILEHOMES MISCELLANEOUS = Not Ready .11 / _ Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Date D OVERS, CARPORTS, ETC. (Plans) OK except q's ning Requir ments-Setbacks-Easements 2. Soils; Special MH Support-SketchFoo/tiDg ize-Depth-Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3LtTecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4, Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ P'L" ft./ P'Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Card -BI Date _ ate - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand.: -Valve -Connector 2. Soils; Compaction -Structure Stability 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/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. Health Department Approval 9. Exits; Insp.-Sketch - 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 - Not OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) 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 Card -BI Date _ 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /'' Ftg. Depth D.W.V.: Test-Fttngs & Anchors -Nail Protection 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 60. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel Test Tub & Shower, 2nd Floor -Tub Access 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size & Anchors 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 63. Fireplace or Stove; Clearances -Hearth 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground Date Card -BI Date Date Card -BI Date 12. Plenums & Ducts: Clearance -Material -Support -Ins. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _jiCard-BI Card -BI Date Card -BI Date Date Card -BI Date (NOTE:Anentrymust be made each time youvisit jobsile) caro -t i Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Gas Pipe; Size & Anchors _ __19_. 63. Fireplace or Stove; Clearances -Hearth Card -BI Card -BI Date Card -BI Date Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- _ 21. Flet. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ED Yes E] No; Walks E] Yes C] No; Planters ❑Yes EJ -No 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------------- ------ 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Card B -I -___-.- Date_ -- -_ Card -BI - Date Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr,it) OK except #'s 31. A.C. Ducts; Insulation &Support - 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. 33. Vent Fan_Exhaust above Insulation _- Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --35.-Attic Access --&-Platform ii Furnace in Attic Card -BI Card -BI ------- -- Date -- - _ Card -BI - Date Date Eard- BF Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: - _ 36. 37. -- 38. 39. _Sills; Proper Material & Anchors Walls: Studs Nailing, Spacing & Bracing -Plates -Sound ------- --- - -_ ------ -- Bearing -Walls over Girders & Floor _Nailing -_ -- Draft Stop in Walls (rat proof) _ - -_40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps-Anchors-_Connectars Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions__ - Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsile) COUNTY OF BUTTE - DEPfITMFNT OF PUBLIC WORKS 7 County Center Drive - Oroville, C3fifornia 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT PERMIT NO ASSESSOR PARCEL UMBER - ( -2— ZONING*. 1 BUILDING PERMIT OWNER At Av AM TELEPHONE Z S0. FT. OCC.1 BUILDING VALUA13ONZ OWNER'S 11 104G A DDR�7 Q CONTRACTOR'S NAME y Qvv IVI�� TELEPHONE CONTRACTOR'S MA LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 -5 - "ARCHITECT ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ )5— Penalty Penalty $ ARCHITECT OR ENGINEER'S MA LING ADDRESS Permit fee $ �Q ` BUILDING ADDRESS C.-, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 7 SUBDIVISION VISION NAME 3 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeA Other SPECIFY Building sewer 5.00 Mobile Home S G W 17777 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx Describe work: 0-a—ZA1 Phriz - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 -OUTLET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. / POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. 1 \ zo®goe Ex. OCcup(OUTLETS OR FIXTURES SAL®3O FIXED APLNS. Ex. OCCUp- OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. ofl 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 provisionssor this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 cone a ce f the granting of this permit. e ,.—/Q-'ce %�OZ& Date Signor of Applicant — Owner kr 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 $ oC� TOTAL PERMIT FEE $ d .�- OCCUP- GROUP I TYPE OF C NST. 111RIE} PD N ss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� /��r// Receipt NO. ii�L5CJ® WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ° COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 i OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applie& 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). 2. I (have/have not) % Q signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction Name Address_)a. `. City`~ Phone Contractor License No. 4. I plan to provide portions of this work,\�ut I have hired the following person to coordinate, supervise, and provide the major work: Name 1/ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: I : Z Property Owner Social Security numb r _ Date_ 4 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 L . MIt Owner Plans approved for: Hold final for: Final Clearance O.K. for: 12s5C4_ .66 Location AP# Sewage Disposal Water Supply, Clearance for bedroom mobile home. Clearance for addition of �1<S2-� Gisz Note" ... Water Supply Water Supply Other 0.,m Sanitarian Date COUNTY OF BUTTE - DEPARTMENT 017 PUBLIC WORKS - BUILDING DIVISION ,. 7 COUNTY CENTER DRIVE - OROVILLE, EALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Z�,, (/ Ll -.I ?� Proposed Building/Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Qt.heri (Explain) Building Inspector/ Date _ /-0 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: . . 12. 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. . . . . . . . . ,Pre-Inspec. request to (D e) 17. Pre -Inspection for Required, Building Inspector 18. Other When you issue the permit, process as follows: Mail /t -owner. _ /L Telephone l` -z �S?! wand hold for pickup at ,�'� `,office. ��`"' Other Mail to contractor. _Deliver w/inspector. ate i7_ 1.9 A 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 above at time'of application, circ.le item.) ,. 1. Index permit for above Items No. 2. Additional items required: .,f (Contractor, Designetlowner) yvas advised of above required data by Telephone Mail Other By Plans checked by ` Date Plans approved by I 1VV Date Other: Copy—DPW Date NOTE:—All Materials & Workmanship Shall Be in This set of plans and specifications MUST be Accordance with Recognized Good Practices. and kept on the job at all times and it is unlawful to of a quality prescribed for the Specified use in the make any changes or alterations on same with - Uniform Building, Plumbing & Mec z!Vl Codes out written permission from the Department of and the b National Electrical Code. Public Works, County of Butte'. � o ,�qz,19! tai Dell � n Lt <_ �i�ld - / 3 6 sswz .« 7 A setbackpf 5 ft. from the property li es and a setbacl- of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. ZTZ15 83 . BUTTE COUN I i BUILDING DEPARTMEN APPROVED �j v AA40ZAIL M ApiooVS'NoSG 'CQCAA t '0000� f 16� 6,Y,4 QBUTTE COUNTY BUILDING DFP,4RTMf--I\l oVPR0VC—L_;o lyz.- PERMIT NO. 1574-75B I_ p �= ate- 3 E << M k MH UTIL. tPERMIT NO. PERMIT EXPIRES —« / `= 'OWNER Wiliam Brougham Mobile Home S ecialzists Paradise, 'CONTR. Kyxtj0zuicN yLOCATION (A.P. 66-44-12 ) 5 Washo Ct., lot 71, Magalia 91 n A/i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E . Temp. Gas Serv. Called PG&E JOB FINALED (Signa c ' 3 .. �. ,_ � � e t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDIN , BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping . Forms Parapets 1st Floor. Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final S Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond BeamFIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i t V f f Cf COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1}�`, 7 County Center Drive — Oroville, California 95965 y \ Telephone: 531-4541 APPLICATION AND PERMIT auinurize representatives of the County of t3utte to enter upon the abov nti ned property for inspection purposes. X Date � Signature of Permit oo Agent Receipt No. i7 O,3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE TOR OF .0 IC WORKS 7� BY Date /0—/ 9- '—� Bu' g permit expires Dafe BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address �— Telephone No. Fireplace Contracto Total Valuation Mailing Address , D Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ,GD 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 , A—P 2�1�y Each additional outlet .30 FgaSeTMWFire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ pJ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 SingA Family ❑ Duplex ❑ Mobil Home Er Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 ' Water Heater or Space Heater 1.00 Light fixtures pal_ � to ZZ %� Receps., switches &fix outlets 2Q fa 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the Stat California Business & Professions Code under the name s e Hood, Ex. Fan or F.A. Furn. Motor —.1201010 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 ��� ®�j � � License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auinurize representatives of the County of t3utte to enter upon the abov nti ned property for inspection purposes. X Date � Signature of Permit oo Agent Receipt No. i7 O,3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE TOR OF .0 IC WORKS 7� BY Date /0—/ 9- '—� Bu' g permit expires Dafe r. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .� 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �cll�cOc,llOU vcJ VI MW VVUllly VI Duttc W CIIICI UPUII t[IC above-mentioned property for inspection purposes. X Date 2 2q3 Signature of Peermitee or Agent s Receipt No. ,Z Z_2� 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 P BLIC WORKS By Ar Date %'5J —% J Building permit expires Date � 71 BUILDING OwnerA'� �O� Q SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor es W dC,-tl- Total Valuation Mailing Address 0 ;&e �� �� Permit Fee Plan Checking Fee &/or Penalty Telephone N 7 _��/S Permit Fee $ $ Building Address �5`j D �our74 PLUMBING No.1 @ FEE PERMIT ,c p< %/ �� 3�Qa4: S FILING FEE $2.00 ADD Each Trap 1.50 4 « Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J l "' R'Tn—in - _ Zon Gas piping system 1 - 5 outlets 1.50 $ 6i Each additional outlet Fef W an' n Fire Dept. Fire Zone Use Permit .30 Building sewer 5.00 OP EQA Parking. Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvement Lawn sprinkler system 2.00 ` g. Plans Rac'd Parcel Approval Ploni-Orpproval Permit Fee $ �j/ NEW ❑ ADDITION ❑- UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE ' PERMIT FILING FEE 3.00 GO Main service incl. 1 meter - - pD Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (marathon 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 61 bal_ Receps., switches & fix outlets 2U(WW25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor is Business & Profe sions Code un the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. �/ (�� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ adv $ pD 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 Wo kmen's Compensation Insurance. ertify that in the performance of the work for which this permit is issued l shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 $ 3i �cll�cOc,llOU vcJ VI MW VVUllly VI Duttc W CIIICI UPUII t[IC above-mentioned property for inspection purposes. X Date 2 2q3 Signature of Peermitee or Agent s Receipt No. ,Z Z_2� 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 P BLIC WORKS By Ar Date %'5J —% J Building permit expires Date � 71 OUILDLR• CHARLES E. HANCOCK a 7020 SKYWAY ;I • PARADISE., CALIF. 95969 qp Septic • system r - • ' Butte Count. to be as per y Health Dept. Re- � ,quirernents: All utility connections shall be located within 4 ft. outside the rear third (his set of plans and specifications MUST .be sept on the job at section of the rnobi9e home on the left (road) side of,the mobile all times and it is unlawful to make any changes or alterations on same without ` i horme. written permisson from the Department of Public i orks, County of Butte. i e _ O 13UTTE COUNP( BUILDING DEPARTMENZ �y/ APPROVED a Vill COUNTY OF BUTTE DEPARTMENT OF PUBLIC W KS/J7z 7 County Center Drive Drovi Ile, California 95965 1 Telephone: 534-4541 / APPLICATION AND PERMIT autHOrrce rep es®hrauves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date �/— ei Signature of P itee or Ag� Recei/pt No. L/ - 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. DIBECTOR OFAUBLIC WORKS BY Dateq-2, -? Building permit expires Date BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION 2 Mailing Address C� Telephone No. O Fireplace Contractorlj�� G . C Total Valuation Mailing Address ,Q Permit Fee Plan Checking Fee &/orPenalty Telephone No. �6D6 Permit Fee $ $ -71 D Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ,eJ pay Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. J/O 10 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es iiat Q- FireDept. I FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improve nts Lawn sprinkler system 2.00 Bldg. "Plans Rec'd Parce Approval Plan pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home �� Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 G D�ln/ti�ti l� �a Water Heater or Space Heater 1.00 Light fixtures 2 bal(d10 Receps., switches &fix outlets 20 jd25 S/lA- 7&"C0 TRACTORS 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: ,�r2��L fid ewe=®EC/,G��c T 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 Temp. Power Pole 5.00 License Nom Classification � -G,�— Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ autHOrrce rep es®hrauves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date �/— ei Signature of P itee or Ag� Recei/pt No. L/ - 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. DIBECTOR OFAUBLIC WORKS BY Dateq-2, -? Building permit expires Date � i—r+—r—t'- � , � . ; r i � _I � j 1 ' i f--+-� �. � 1 .t.. ' ; t ♦ f j T { � ' . � r (. . w r ^^- t- i •t r 1 t . ti ' �� { i. •.�..� . -.�. . _ 1 !_. _ . _�_.a _...� _ .—..L- "Am-as &'. 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I i I Y P U 3 J1 4 jl 5• o o -- m J .T •P W !� - j�r,p_ W'P, f0xm 3 .� tn -I I► Nv Ixu3 P-9p�f r P' V oi�'� o•o. ��X1'°•Y P' DJ�'� 0 yP� .�'�' pD �G;P ��s7oo 9 P•0P. aiSD (Tl P 'Y3 m P ° Q 8-- U m V P w sa.i� 6 P� U , 7 0 � 3 D•f P.P •a P ,D 1 pi�9 •�a•� ; w6. �°i y 9 jrC a� ? jr oP7�• �'u�' •� py 7 o i D � XA io � P •m UI P,Pp+,gC` 0-•r��' a,� � � �0,.•f, v I �7r i J1 4 jl 5• o U 10 o r' W o 5 18 O 10 m v1.r 0 I O _ IffI 1!1 2.00• �� m J .T •P W !� - j�r,p_ W'P, f0xm 3 .� tn -I I► Nv Ixu3 P-9p�f r P' V oi�'� o•o. ��X1'°•Y P' DJ�'� 0 yP� .�'�' pD �G;P ��s7oo 9 P•0P. aiSD (Tl P 'Y3 m P ° Q 8-- U m V P w sa.i� 6 P� U , 7 0 � 3 D•f P.P •a P ,D 1 pi�9 •�a•� ; w6. �°i y 9 jrC a� ? jr oP7�• �'u�' •� py 7 o i D � XA io � P •m UI P,Pp+,gC` 0-•r��' a,� � � �0,.•f, • .r r , i r .^ (exist site) 2419-83MHI HERMIT NO. i �•-+ ( �ERMIT EXPIRES E i OWNER COY MIDDLETON CONTR. 66-44-12 ASSESSOR PARCEL Bay Area MH LOCATION 13587 Washo Ct, Magalia 1 Temp. Power Pole- 4 ole_4 Called PG&E _ Temp. Elec. Service Called PG&E_ TE JC COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 Countyff-enter Drive, Oroville — Phone 534-4541 Skyi4y and Elliott Road, Paradise — R+ro -877-0435 NOTICE b7,2•-;�yC.i-XS-7 C®R������ V5 SF-% WSPO i }T r BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. X 4;2012 c Co o i Is Inspector_ Inspector Date '� -�� �� �, .9 � ! F, � { .� �' t� � 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE _OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number--y��'� for the following location: Owner— Owner's wner Owner's Address, M*1ehome Mfg. Model /4/`/ U V Year�?.- In,jignia No. 2-�7 1'► Serial No. 7'qlt is hereby certified for occupancy at the above described location and may be occupied. / Director of Public Works�f Date 7/2.2%R-3 By� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. i J = OK 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL IScngle and Duplex) Date UNDERFLOOR Plans OK exce t#'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 -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer --7. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except ti's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.: Test -Flings & Anchors -Nail Protection 59. Bedroom Exiting _ _ 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & 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 bate 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 21. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Size S _ 22. Size Boxes & No. of Conductors -Stapled 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes _- 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -_ - 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral `Yes (3 No Service -Riser Conductors & Ground -Main Disconnect 75. Following tnstld.: Drive g ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters []Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------ Card B -I Card B -I ------------ -_ ---- ---.- Date_ _ _ Card -BI _- Date -_ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31_ A.C.-Ducts: Insulation & Support 32.Vent Fan; Exhaust above Insulation _33. Condensate Drain _& Overilow; Size & Grade 83. 84. 85. 86, _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 -to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ----- - _ - Date -- - _ Card -BI _ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing Walls over Girders & Floor Nailing - -_ Draft Stop in Walls (rat proof) __ - 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng.- Fireplace Ties or Type A Flue -Fireplace Throat Attic Access Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows o_r_Exiti_ng Doors -Sill Hgt. & Dimensions --- ar Gage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) it = bK' 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch s 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 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 MOEPLgHOME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1 ging Requirements—Setbacks—Easements - 1. Setbacks—Easements Fo gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas• MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lec icity; MH Test—Crossovers—Breakers—Clearances _ 4. Elec.; Receptacles and Lighting; Distances—GFI rain MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater• MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ate and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater ^ Gas nd Electricity Tagged .8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xit5.�sp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- Date Card -BI Date Card BI Date Card -BI Date 'Card B-1'/ Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DE-RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, ial94tcAa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NO. 9_� n ASSESSOR PAPGE. UtvJB R .r Z ZONING BUILDING PERMIT OWNER TELE�HONE SO. FT. OCC. BUILDING VALU TON OWNER'S M (LING ADD S CON CTORAME TELEPHONE .,7 Z D CON AC 'S MAILING ADDRESS Fireplace C NSTRUCT LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ CS Do Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee � $ ZS BUILDING ADDRESS 13-5-3-7 IV14S PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 4]K0:0::e::,, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation1v Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I dere under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an license is in full force an effect. � License No. Classification (fi G ❑ 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) ❑ 1, 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. LTI-OUTLET 2.SOea BRANCH CIRC ITS _NC` NEw CONSTR ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. / Ex. Ex. Occup(o OR FIXTURES SAL030 FIXED AX ED A PP LHSOR EX. Occup. OUTLETS (RESI,D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. 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 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 C unty in conseque ce of the granting of this permit. X ���� /c� �J Date Signature of Applicant — O Contractor Eil--14gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ S TOTAL PERMIT FEE $ g�U OCCUP. GROUP I TYPE OF CONST. I V T r PARC} ✓ PD Zssu' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY I T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7—Zo1�i'7` ./ 7— ,,o T Receipt No. O� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT h. T o.: From: Subject: Building Department Environmental Health Sanitation Clearance Owner Plans approved for: Hold final for: Final Clearance O.K. for: 67�f��f��t:L Location AP#� Sewage Disposal Water Supply Water Supply._.__ Water upply--_- Water Supply Clearance for bedroom mobile home. Other Clearance for addition of LQ ST4C(a--OC -, Note" S JP Sanitarian Date a ?j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ..? 7 COUNTY CENTER DRIVE Gkk�OVILL , CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPL-ICAT ON DATA,SHEET 1 t Permit No. 1 OWNER ! A. P. No. �O`7-' 7 '1 Proposed Building Use ,A/ f—f. Permit Fee Based Upon: Complete Contract Price _��DPW Valuation Ot er (E -Iain) Building Inspector. Date 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:— OA arking: v� 12.' ertificate of Workmen's Compensation Insurance. . . . . 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . �- 17. Pre -Ins ect- n for Re uire Pre-Inspen request to (Date) P q Building Inspector �. ,� 3 er _ When ou issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone r<7Z �FO and hold for pickup at 9117 -office. Deliver w/inspector. Other n Applicant ^ 4-2,a'tDate—L—/Z,973 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 above0time of application, circle item.) 1. Index permit for above Items No. XK 2. Additional items required: (C04:90r, Desi her Owne) was advised of above required data by Telephone Mail Other By 506 VXATtt Date 77"'27 g'S3 Plans checkedy Date W 125 Plans approved by Date Other: Copy—DPW ; _ _ "T _... , Ft .�• "'- .s_.�:•--�-,<. mer-� .-. � � --I—L -i E GKt/tirti. PARADISE;–CY4t— - - 7 NOTE:—All Materials & Workmanship Shall Be in Accordance wit'h Recognized Good. Practices and of a quality prescribed for the.Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National ElectricalCode. This. set. of plans and specifications MUST be kept on the job at'a;ll times and -it is unlawful to make any changes or alterations,on same with - out written permission from the Department of Public Works, County of Butte. 1 A otback of 5 ft: from the Ooporty lines and,a setback of Oft: from the road centerline shall be.'clear of structures or equipment oxcep for a 2 ft. eav%•®verhang. BUTTE COUNTY BUILDING DEPARTMEN' ..'APPROVED APPROVED z BUTTE COUNTY . DEPARTMENT OF PUBS IC "`WORKS 7'County Center Drive, Oroyille; CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 4) A --s hyo � G 1. Owner's name: (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?'---------------------- (in.) 10. What is the type of gas service? ----------------------- Natural _7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.): 12. What is the mobilehome gas demand? ----------=--------------- (BTU) (This information not required if pipe length,.less than 6 ft. o1i natural gas or less than 50 ft. on LPG.) Y. 2. Installer's name: Z114s 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR. Is. the site an existing site? Yes /_ / 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 _77 (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? =---------- :C9 Amps 7.. What is the mobilehome site circuit breaker rating? -------------© Amps 8. Is there any other electric load to be served by the-mobilehome siteservice? ----------------------------- ---------- Yes No T (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?'---------------------- (in.) 10. What is the type of gas service? ----------------------- Natural _7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.): 12. What is the mobilehome gas demand? ----------=--------------- (BTU) (This information not required if pipe length,.less than 6 ft. o1i natural gas or less than 50 ft. on LPG.) Y. MOB_Ii•EHQME .SUPPORT DATA If otl�er,than single wide, Mob ilehome Mfr. furnish Setup Model No. Year Width -(ft.) Box Length (ft.). Tagalong_or_Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. QL�� (in.) (in.) (ft.)(in.) (ft.) (in.) Tagalong or Expando;' show support details. IZ x30 -- Typical Support in.) (in.) Footing Size 4" (in.) (in.)b -- Max. Pier Spacing (in.)I (in.) *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. Max. Overhang t(f tj(in.) 2Y`�' BUTTE COUNTY BUILDING DEPARTK141 APPROVED Footings (check one) Single 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other: (specify) Center support Center support 'Supports (check one) locations* footing sizes (in.) j 1: Concrete block. `❑' x ,` .2: Other..(specify) (in.) (in.) QL�� (in.) (in.) (ft.)(in.) (ft.) (in.) Tagalong or Expando;' show support details. IZ x30 -- Typical Support in.) (in.) Footing Size 4" (in.) (in.)b -- Max. Pier Spacing (in.)I (in.) *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. Max. 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