HomeMy WebLinkAbout066-490-008-
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r 66-49-8
Ray. L. FitzsimmonsA"It//,-7'
°
-
/41g-Indian Dr.; to 795, I.M.#4, Maga:
contra Charles E.Paradise
-
_Hancock,
Permit' X2272-77P,E(u il'.,MH)
'
ELEC. - -_ -- - - -
GAS
s
SUP T STRUCTURE HDQ.
•COMPACTION TEST REQ.
ontr:S.O.S Mobile'Home Serv,.,Marysvil.
Permit 97 -77MHI ''� 1jY17;7
,
Issued ZZ,'-'7�
- - - AP~66-49-8
Permit 4023-77B,E��
(privategarage)
y' 66=49-8
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Permit #4427-78B ew deck/MH) :
66=49=08 897=
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NOTES
RESIDENTIAL
066-490008 02-2454
PERMIT NO. —KELLY, Judith —
6887 Indian Drive, Magalia ,
Cont: Sierra MH M
Tx MH on Perm Fnd
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
INSPECTOR TO VERIFY SERIAL & LABEL #'S. t
";PECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
t
CHECKED
BY
c 1-411- a 4__</l gs �
0
JOB FINALED (Date)
Signature
v=09
0 = Not OK
= NotReadyb1e
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6. Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11:
Verify #'s with Office
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-Con nectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date _ Card B-1
Date POOLS (Plans) OK except Ws
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 -Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & DeCI.S; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -p --I ors-Requlator-Service Test
12. Electric Underground
13. Plenums & Clearance -Material -Support -Ins.
14. Girders . v .-. �,jrcs-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
RESIDENTIAL (Single & Duplex)
Date
47.
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
PLUMBING (e-ermit) OK except #'s
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
17. Water Htr.; Vent -Access -Combustion Air Baffle
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
18.
Water Pipe; Test & Anchor -Nail Protection
53.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
20.
Shower Pan; Test, First Floor -Tub Access
56.
21.
Test Tub & Shower, Second Floor -Tub Access
Siding -Nailing Veneer
22.
Gas Pipe; Sixe & Anchors
59. Glazing Area -Glass Protection -Skylights -Plastic
23.
Fire Sprinkler; Test
61.
Brace Interior/Exterior Wall Panels
69.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
72.
24.
Fixture & Transformer Clearance -Ins. Protection
73.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
74.
26.
Size Boxes & No. of Conductors Stapled
75.
27.
Romex Installed Close to Edge of Studs & C.J.
76.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
77.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
78.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
79.
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
80.
32.
Service -Riser Conductors & Ground Main Disconnect
81.
33.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
83.
Following Instld./Drive O Yes O No/Walks Cl Yes O No/Planters 0 Yes 0 No
Date
Stucco Brown -Finish
Card B-1 Date Card B-1
Date
A.C. Unit Disconnect, Electrical -Plumbing
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
90.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
91. Corrections from Previous Inspections
40. Attic Access & Platform if Furnace in Attic
Date
Gas Test -Meters Tagged, Gas -Electric
Card B-1 Date Card B-1
Date
Water & Sewer Connected -C/O to Grade -HD Approval
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Date
43.
Bearing Walls over Girders & Floor Nailing
Date
44.
Draft Stop in Walls (rat proof)
Date
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Comments at Final:
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83.
Following Instld./Drive O Yes O No/Walks Cl Yes O No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90.
Glass Protection
91. Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541Ps
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
66 -
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1128 "a 60,912,
.OWNER'S MAIUNG DRESS
6687 INDIAN MAGATIA, CA 95954
CONTRACTOR'S NAME
SIFRRA MR; 1534-0599
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee 46412 $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
6687 INDIAN DIR__ MACALIA
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing 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 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: FX MH PPFRM ELM FX SITE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 .►
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Oov OR LEss 23.00
Main Service 200" OR LESS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. /`
License Class /� Lic. No. 7 TO 3 ff6
OWNER -BUILDER DECLARATION
1 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 yS/s
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wi those provisions.
/1 1 /,, Z
X Date 7
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in he' t.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEwrx; OCCUP. SO
OR ADDNS. ( & ACC. BUDS . 3.5Q�;
�" N R° ID MULTI.OUTLET g7.50
POWER APPARATUS
8 SINGLE OUfLtT CIR.
00
EX. OCCU OUTLET OR FOCTURES B20 O 1 0
FlXED APPINS. OR
Ex. Occup.ounE REsID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 325.00
HAZ. D, FEES IMP FLOOD CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
a ��6 O 2.
By ate
PERMIT EXPIRES ON
fe
Receipt No.
WHITE-D.D.S.-B.D. CAN Y -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
rr ''•+F'r7"" "'� '�...'"�a�'''Ea�'i t'!%` i,..q.�" ; .�'� ��"8y '�i}siAJA.•'�• ijs"�ie.4�e�%%"lt,;:t'y`'tii'►t#h�+i"`^rtaf'�"7i''r''.:
C UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
1ti 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
'r
OWNER: _ ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: Q&Z Date:
Items required in order to api4 for a perm't. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signed,)&y the preparer of the plans.
4�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-sipng ed 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.
11 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 . 4
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.).
JV14. 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 ...............................
❑ 21. Encroachment Permit. for driveway from the Public Works Dept. (construction approval prior to occupancy).
AT722. Pre -Inspection for y'yl %,J, =A46, ,� required ................
23. Contractor's license iTnfor'mmatio�nj. '(Number, 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. Existing violations and/or expired permits.........................................................
❑ 30. 1jrG- rant Deed,-T'M.H. Title/Statement of Facts, OTetter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone - U 9 q and hold for pickup.
I/h�ave been informed of the above items and requirements for obtaining a building permit.
plicant: -
at : / �S o 'L
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, ow er was advised of the above data by ❑ phone, ❑ mail, ❑ counter b Date:
Plans reviewed by: Date: '..'.' 02 Plans approved by: Date:
Structural reviewed by: Date..' :`r Structural approved by: Date:
Note transfer by: Date: 1;,,R i
;,;'Yellow: Building Division
Rev. 12/96) '
OWNER
OWNER'S
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75410Z' PERMIT NO.
APPLICATION AND PERMIT , � ,(��
WNW BUILDINGPERMIT
SO. FT. OCC_ BUILDING VALUATION
cow yy"1O" "OU+uw BREI
`�
CONSTRUCTION LENDER
IENOER'S ►WUNo ADORES!
ARCHITECT OR ENGINEER
AAcwrEcT oR ENowems wjuma ADoREss
suLgwoADDRESS/ _ /n V / 1
LOT NO. I sUeoWeoNsk"a
USSEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeC Other
I/ •vEcsv
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtiWes 0 installation ❑ Oth
t
Describe Work: X f� r d
gym;; ;ewl d 4 . 0 v
slip h OMNI
s%a'r: f
O�
Nkrn
Each Trap
Solar or heat pump water heal
Water piping
Each pas water heater or vent
GasGas piping stem 1 - 5 outletsl - 5 outlets
Building sewer
Mobile Home I S I G I W
20.00
v c;
iling Fee 20.00
7.00
23.00
15.00
15.00
15.00
15.00 /f' —
(q?20.00
Fireplace
Total Valuation =
LICENSE No.
Filing Fee b
Permit Fee
Mobile Home Facilities
Plan Checking Fee S
Main Service
Energy Plan Checking Fee S
b
ACEL MA°
PERMIT FEE :
PLUMBING PERMIT
USSEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeC Other
I/ •vEcsv
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtiWes 0 installation ❑ Oth
t
Describe Work: X f� r d
gym;; ;ewl d 4 . 0 v
slip h OMNI
s%a'r: f
O�
Nkrn
Each Trap
Solar or heat pump water heal
Water piping
Each pas water heater or vent
GasGas piping stem 1 - 5 outletsl - 5 outlets
Building sewer
Mobile Home I S I G I W
20.00
v c;
iling Fee 20.00
7.00
23.00
15.00
15.00
15.00
15.00 /f' —
(q?20.00
Ex. Occup. OUTLET 01441IRTAm
PERMIT FEE
: S? cc)
ELECTRICAL PERMIT
FlMg Fee 20.00
Main Service
Mobile Home Facilities
23.00
23.00
Main Service
2o*A To loo
46.00
NEW CONST.
nA AMNS
13WEU.14Q OCCUR
A r __ was )
So.
3.50cT_
Ex. Occup. OUTLET 01441IRTAm
Ex. Occup.vnE>�Dra . E�w
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Wiring
23.00
G
PE EE
:
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 1
1 6.50
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee E
occ CONST. TYPE TOTAL FEE $ 3$ - d -a
NAL 0. rns Y► C0/ MRCB PD HD ISSUE,
'1 ._ /1000 P_ o
This permit is hereby issued under the applicable provisions
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indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
MOW
OWNER
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PRE -INSPECTION REPORT-�
DATE:
A.P. #..r —
ZONING:
PRE-INSPETION FOR:
DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE FOLLOWS:
BUILDING INSPECTOR'S REPORT
Building Description:
CommerciaMiage:
Residential/4 of Units:
Currently Occupied
Abandoned(Vacant
Electric: /
Yes A No Electric currently On ✓ Off
Condition of Electric
Gas:
Natural Propane - None Currently On Off
Obvious Problems:
Sanitation: v
Plumbing Working
Well Working Potable Water
Obvious SewageProblems _
Comments:
ACTION RECOMMENDED UE: HOLD FOR
Inspector.
(--v�Date
Sketch buildings on reverse and indicate location on p"opert.
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
Rev. 12A6) APPLICATION AND PERMIT 1/, cD
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This permit Is hereby issued under the applceblO provisions
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Solar or heat pump water heater
23.00
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17-0
VECTOR DYNAMICS
FOUNDATION SYSTEM
WIND ZONE 1 & 2
INSTALLATION INSTRUCTIONS
For the State of California
INDEX
SECTION
INTRODUCTION
PIER HEIGHTS
GENERAL INSTALLATION
SET-UP INSTRUCTIONS
METAL PIER & V -DRIVE
PARTS LIST
CONCRETE INSTALLATION
SCHEMATICS
WIND ZONE I
WIND ZONE II
PAG E
NUMBER
2
3
4
5 & 5a
6
7, 7A, 7B&7C
8&9 .
- SINGLE SECTION
10
- SINGLE V -DRIVE
11
- METAL PIER
12
DOUBLE'S_ECTION 13
TRIPLE SECTION
14
- SINGLE SECTION
15
- DOUBLE SECTION
16
- TRIPLE SECTION
17
SOIL CLASSIFICATION
18
COMPONENT PARTS AVAILABLE UPON REQUEST
Foundation System
BUTTE COUNTY
BUILD{1dG DEPARTMEN?
APPROVED
Release Date 8/13/2001
Engineer Approval
;: == 200
12
r
OF �,atltcF��
HEALTHV&- `AIJ✓6fVVdt,g551
SUBJECT TO CO. ;'_:CTICNS NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULAT!J::S
Stan of California
Dcpatuneat of Housing and Community Devcicpr,! nt
D STANDARDS
Dau:���°"y/
NO. '? 91 /
Plan Approval Expires q I o- OZ
For Further Information
TIE DOWN ENGINEERING
5901 Wheaton Drive
Atlanta, GA 30336
404-344-0000
FAX 404-349-0401
www.bedown.com
Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION INSTRUCTIONS
Introduction
These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional
installation instruction is available in VHS video, from manufactured housing distributors orfrom Tie Down Engineering, titled, Vector Dynamics Installation
Video.
The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone- I & II &
III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec-
tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & ll), are available through local distributors of Vector Dynamics or directly from
Tie Down Engineering.
General
The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal
Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See maaufac-
f„rp� yome Installation h^anual for other nier & anchorins requirements. The following characteristics apply to both single and multi section homes:
• Main rail minimum spacing of 86 inches or greater.
• Nominal 8 foot or less top plate height at side walls.
• Main rail depth of 12 inches or less.
• Maximum roof slope of 20 degrees (4.4 in. in 12 in.)
• Maximum pier height under main rail of 56 inches (see page 3).
WIND ZONE I
• Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
WIND ZONE II
• Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side.
• Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/
anchorststabilizer plates (one per side) as listed in the charts on page 15.
• Maximum double section home width including eaves 32 ft., maximum 12" eaves per side
• Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic
pad (s) has two (2) or three (3) square.feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with
the home installation instructions and/or state standards.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than
56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806.
The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See
page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks
may be required by the home manufacturer or the state. Check with the most recent regulations in California.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar-
riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to
resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must
be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie
Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for
vertical ties.
c
Page 2 California h2001
56 i
ma
Figure
Maximum Pier Height (Wind Zones I & II only)
The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches
under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location
in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers
must be constructed in accordance with the manufacturer's installation instructions and/or state requirements.
The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check
with the most recent regulations in your state.
56 ii
ma)
nyuic c
Uneoual Pier Heights ( Wind Zones I & II only)
3 in.
iax.
Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails.
The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be
used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location
exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber
compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed
in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked
double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent
regulations in your state.
Page 3 California /2001
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home. See manufacturer's home installation manual and state requirements for grading
and other site preparation.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose
vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See
pages 8 & 9.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each
(set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be
spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end
of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended
by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must
follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe
or TIDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level
ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva-
nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt
and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and
the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the
vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust-
ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size
and pier spacing must be consistent with home manufacturers' instructions and/or state requirements.
LUMBER/MOISTURE - TERMITE SHIELD
To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con-
crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL
PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC
pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber
as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281
must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter
bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture
Termite Shield may be required between the lumber and ground.
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths
are the same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP TENSION
All strapping must be tight upon assembly of the Vector system. Tests have been conducted with hand tight-
ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined
as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight-
ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven-
tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation
system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con-
nectors with welds.
Page 4 California 001
Set -Up Instructions for the
Vector Dynamics Foundation System
#59007 (Kit #59007 is interchangeable with Kit #59018)
1. SET VECTOR FOUNDATION PADS short Long short
U-boClear all loose vegetation from the immediate u.eoic >1/ \ u -tole
area where your Vector foundation pads will
rest. Press or hammer pads into the ground.
Tip: Place a 3/8" nut on each U -bolt to keep it
in place while you position the Vector pads.
2. SET BLOCKS (OR PIERS) ON
VECTOR FOUNDATION PADS
Center the foundation blocks over
the Vector pads. Place the pre-cut
4x4, 2x4's (side by side), Schedule
40 PVC (w/PVC adapter plate, part
#59281) or 1 adjustable TDE steel
compression member, (part
#59043) tightly between the blocks,
with ends resting on the Vector
pads, and centered on each
U -bolt.
I
Imo_
3. OUTSIDE TENSION BRACKETS
Attach an Outside Tension Bracket
to the U -bolts on the outside of the
foundation blocks and Vector pads.
Place one of the short 6"- 2x4's
between the bracket and Vector
pad. Adjust the short 2x4 so that it
pushes against the foundation
blocks, removing any space
between the piers and center
compression section. Tighten the
3/8" bolts.
2 square foot
pad placement
or (1) 3 square
foot pad
4. INSIDE BRACKETS AND
STRAPS
Attach the Inside Tie Brackets to the
U -bolts over the pre-cut boards or
PVC. Attach a strap with hook to
each inside tie bracket. Tighten
bracket. When using looped strap and
a crimp seal, in place of the hook,
place a 3" long section of strap,
folded in half and inserted between
the strap and inside tie bracket. Place
other end of strap over the opposite (-
beam and continue down to outside
of the foundation blocks. Attach the
strap to the Outside Tension brackets
using the slotted bolt and nut
provided. Wind strap a minimum of
five times around the bolt. Continue
tightening the slotted bolt until all
slack has been removed and the
strap is tight.
5. SET ANCHORS
Refer to section home drawings for anchor installation information. Stabilizer plates are required for
diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is
tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3
only), use minimum of 3 each V Drive anchors per side. See drawing on page 6 for placement.
Page 5 Califomia 001
Set -Up Instructions for
Vector System #59018
(Kit #59018 is interchangeable with Kit #59007)
A o
^ 4�1
f
�Y ,v
Long U-0
1. Set Vector Pads
Clear all vegetation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation blocks or piers on pads.
Place pre-cut center compression member
between blocks, resting on pads, centers
between U -bolts as shown.
3.- Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compression member. Attach a strap
w/hook or swivel strap w/nut/washer & bolt
(washers are required). Place other end of the
strap over opposite I-beam & down to outside
tension bracket. Cut strap 12 - 15 inches past
bracket. Attach strap & slotted bolt in bracket.
Tighten strap until tight with 4-5 wraps around
bolt. Repeat with opposite strap.
Page 5a
1k4
California 4/2001
O
WIND ZONE I _ I _
Vector Dynamics Systems RequiredSec<ion h� stem�al gulde�`�es.- " I _ _ 1♦
for Double Section Homes " _ _ - _ of a 12 faa pab; me�t\s a\\atlon man'
(Materials Required' "" e a opsh° n9 �Ust be tO ho- _
111Us and spa _ - - ' _ _ "♦
d,
36s- ` I
♦ � \ •`' �_ _ - . ~" ' .... '� - max. tYP' ♦ .
I
Maximum allowable working drag load
for the Vector System with the steel ' ' -
compression strut Is 3,150 pounds per ♦ I <; - ' ' NOTE: Vector Systems should be spaced as evenly as
the K2 Engineering test report. Is practicable along the length of the home. pier spacing
must be consistent with home manulacbsers' Installation
Instructions and/or state "irernents.
00 2 sq. ft. pad
Soil Classifications:
Soil Bearing Capacity:
Anchors Required:
2, 3, 4A, & 4B
1,000 PSF minimum
None (marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
0 to 48'
2
48' to 71'
3
72' to 89'
4
Each Vector Foundation System requires
• One Vector Kit, 2 slotted bolts
• 2 ea. 1-1l4 in, ties, length will vary with pier height
(4725 Ib. min. break),
• 1 ea. 4 x 4 pressure treated wood
compression member
• or 2 ea. 2 x 4 pressure treated wood
compression member
• or 1 ea. 3-112" or 4" nominal SCH 40 PVC
pipe compression member
• or 1 TDE adjustable steel strut
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified
as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class
5 conditions (above 50 in. lbs.), contact Tie Down Engineering.
SOIL CLASSIFICATIONS
Soil Class
Types of Soils
Blow Count (ASTM
Soil Test Probe (1)
D1586)
Torque Value (2)
1
Sound hard rock......
NA
NA
Very dense and/or
40 -up
More than 550 in. lbs.
cemented sands, coarse
2 '
gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse
24-39
350-549 in. lbs.
3
sands, sandy gravels, very
stiff silts and clays
4A
Loose to medium dense
14-23
275-349 in. lbs
sands, firm to stiff clays
413
and silts, alluvian fill
175-275 in. lbs
Peat, organic silts,
0-14
175 in. lbs
5
inundated silts, loose fine
and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gage the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its'
resistance to penetration (flow) under load by means of the torque probe and is measured in
inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.;
the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft
must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the test
probe.
Information about geographical areas of termite infestations which might require the optional termite
and moisture shield when a wood compression member is used may be obtained from the local
building official or may be found in the 1995 edition of the One and Two Family Dwelling Code.
co
Page 18 Califomia 8/2001
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
16 -Sep -2002 2002-0048153
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.
JUDITH A. KELLY
REAL PROPERTY OWNERA ESSOR
6687 INDIAN DR.
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
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
X2;,2454 1 (530)538-7541
IIT TELEPHONE NUMBER
9-13-02
LOCAL A ENCY OFFICIAL DATE
DEALER 4AME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
CITY COUNTY
STATE - ZIP
UNIT DESCRIPTION
MERRY HOME
1977
UNKNOWN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER
S783A/B
47 X 24
CAL045885/6
SERIAL. NUMBER(S)
LENGTH X WIDTH
INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
ASSESSOR'S PARCEL NUMBER A.P. # 066-490=008
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY . HCD PINK . Applicant GOLDENROD -Building Dept.
FOUNDAT=IONSYST�EMt;
``, CERTIFICA;`TE ; , ,a
� OF..O.' " PANCtY } � . ' �
' '.x ' n.j ..-�-ti.' ..� ' � 4 .Y.. 1 ,�. aplf 1'}i ..11 \ • ��r� ; � •
BUILDING PERMIT NUMBER: 02-2454
Address or location of unit: 6687 INDIAN DR., MAGALIA, CA. 95954
Legal Description of Real Property: A.P.# 066-490-008
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: JUDITH A. KELLY
Owner's address: 6687 INDIAN DR., MAGALIA, CA. 95954
INSIGNIA OR HUD NUMBER: CAL045885/6
SERIAL NUMBER OR V.I.N.: S783A/B
MANUFACTURER'S NAME: MERRY HC
OFFICIAL APPROVING INSTALLATION
DATE: 9-13-02
PHONE: (530) 538-7541
H.C.D. 513C
Eaarow No, 100924.CW
Tido Order No. 00100924
EX14181T ONE
Lot 95, as shown on that certain Map entitled, 'Indian Meadows Subdivision Unit No. 40, filed In the Office of the'
County Recorder of Butte County, Cellfornie, on August 29, 1974, in Book 43, of Maps, at paee(a) 51, 52 and 53.
EXCEPTING THEREFROM an undivided 33 113% interest In all minerals as reserved in Deed recorded In Book 743, Peg$
88. Official Records. Said reservation did not include right of entry for mining purposes.
ALSO EXCEPTING THEREFROM an undivided 66 213% Interest in all minerals below a depth of 200 feet, as reserved
in the Dead recorded November 4, 1974 in Book 1948, Page 265, Official Records of Butte County.
OTATC or CAUFORIU► • eWINCOJ, TRnlevbRTATION AID PiOUNING AcIENCY GRAY DAVIS, Governor
DEPARTHOUSING AND COMMUNITY DEVELO�PMIENT .� sac
DIvIsIon of Codes and Standard&
-- aISO z
Title Search0a,
Date Printed: 07/17/2002
Decal #: LBA6370
Manufacturer: MERRYHOME
Tradename: MERRYNOME
Model:
Manufactured Date: 00/00/1977
Registration' Exp:
First Sold On: 07/15/1977
Serial Number
S783B
S783A
Record Conditions:
Registered Owner:
Use Code:
Original Price Code:
Rating Year:
Tax Type:
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption -
HUD Label / Insignia Length
CAL045885 47'
CAL045886 47'
PPF Exempt '
Voluntary Conversion to LPT
JUDITH A KELLY
6687 INDIAN DR
MAGALIA, CA 95954
Last Title Date: 03/11/2000
Last Reg Card: 03/11/2000
Sale/Transfer Info: Price $62,199.00 Transferred on 06/21/1999
Situs Address:
6687 INDIAN DR
MAGALIA, CA 95954
Situs County: BUTTE
Legal Ownei:
FLAGSTAR BANK FSH
2600 TELEGRAPH RD
BLOOMFIELD TOWNSHIP, lull 48302
Lien Perfected On: 02/14/2000 14;23:53
Inactive Decal/DMV:
DMV SB5261, DMV S135262, DECAL AAX87I0
Title Searches:
FIDELITY NATL TITLE CO
6141 CENTER ST
PARADISE, CA 95969
Title File No: 303914 -WC
**` END OF TITLE SEARCH ***
SFD
ADX
1977
LPT
NONE
Width
12'
12'
`�`� • . IIIAll111lll�lillll1111i'1llllll!
RECORDING REQUESTED BY: 1999-0022@ifJQ
Fidelity National Title of California Recorded 1• ITEC FEE 10.69
Eecrow No. 100924-cw Official Records I
TW* Order No. 00100924 CottDiy Of I
When Recorded Mail Document To, CANDAM J. QOAN I
Judith M. Kelly I
6687 Indian Drive KWORY d)OWN I
Magalla, CA 95954 alCindy 29-Iy-199 I iel of 2
APN: 066-490.008 GIFT ?'
iNTERSPOUSAL TRANSFER DEED
(Excluded from reappraisal under California Constitution Article 13 A Section 1 at sea.)
The undersigned grentor(o) declare(0
Documentary transfer tax is 8 0.00 City Tax is 4 0.00
This conveyance establishes sole and separate property of a spouse, R & T 11911.
This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code
and Grantorts) has (have) checked the applicable exclusion from reappraisal:
A creation, transfer, or termination, solely between spouses, of any co -owner's interest.
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Joseph M. Keay, husband of the
(frontes
hereby GRANT(S)to Judhh A. Kelly, a married wonW 'bs her sols and. separate property .
the real property in the City of Unincorporated, County'of Butte, State of California:
SEE EXHIBIT 'ONE" ATTACHED I4ERETO AND MADE A PART 14FRE01;
DATED: May 19, 1999
STATE OF CA,UFORNI
COUNTY OF 1L
0 - before me,
tLY111_ personally appeared
nOL
personally known to me (or proved to me on the basis
of satisfactory evidence) to' be the person(s) whose
name(s) Islars subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(les), end that
by his/her/their signatures) on the Instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the ' urnent,
Witness my heed an offi I seal
1
Signature
L4LX, 1/6 ----
Joaep .Kelly
— C, iNILLIAMS j
DaMM. # i0ew
calm, 00" Bob 21, M
MAIL TAX STATEMENT AS DIRECTED ABOVE
UD -13C Ir1ev 121951 INTERSPOUSAL TRANSFER DEED
'10
Fidelity National Title Company
OF CALIFORNIA
County of Butte
c/o Sierra Mobile Service
Fax X1534-0709
Attn. Toni
To whom it may concern,
DATE: September 9, 2002
ESCROW NO: 303961 -WC
PROPERTY ADDRESS:
6687 Indian Drive, Magalia, CA 95954
We will be paying off Chase Manhattan Mortgage, formerly Flegstar Bank thru the above referenced
escrow.
Sincerely, J
Wendy Cser
Escrow Officer
WC
enclosure(s)
6141 Center St. 9 Paradise, CA 95969 9 (530) 877.6268 0 FAX (530) 877.3443
10FRWAL
ESTATE LENDING
September 9, 2002
Butte County Building Department
Oroville, CA 95966
RE: 6687 Indian Dr.
Magalia, CA 95954
To Whom It May Concern:
The above mentioned property is being fnanced.by our company pending the final
inspection and recording of the 433A. We require the placement of a permanent
foundation system in order for us to close the loan.
If you have any further questions, please do not hesitate to call.
Sincerely,
futh(tll&,,owan-
eii'� '
Branch Manager
1051 Mangrove Avenue + Chico, California 95926 + (530) 8974090 + (530) 892-2090 Fax
5800 Clark Rd., Suite 3 + Paradise, California 95969 + (530) 877-5122 + (530) 876-9608 Fax
TOTAL P.02
���.
..r
,•
���.
PERMIT NO.Q. 2272:
PERMIT
2290-77 P (gas pnly)
PERMIT EXPIRES
' �-7�
_.OWNER Ray Fitzsimmons
CONTR. Chas. Hancock, Paradise
LOCATION (A.P. 66-49-8 )
I�
Lot 95,'Indian Dr., Indian Meadows #4,
Magalia
I_
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. / i/`�'% 7 LppQO)�
Called PG&E 7 7 p!✓ ��'r
T p. Gas Serv.
Called PG&E
a
JOB
FINALED
(Date)
(Signature)
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS j
BUILDING INSPECTION, RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback:.
Firewall
Soil Piping
Forms
Parapets
1st Floor•
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
r physically
handicap e
Conformancdde of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footinq
ELECTRICAL
Masonry Walls
Throat
I Rou h
Reinf. Steel
Final
I Fixtures
Bond Beam
FIRE SPRINKLERS
I Motors
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
MOBILEHOME UTILITIES -------------•---
Elec. Service
G,-'3
Elec. Pedestal
--x/.77
Water PipingSewer
r
�' % 7
Gas Piping q y,-,�.01
B E ME INSTA LATIOPL' - - - - - - - - - -
Support
IA r
Elec. Continuity
—) V-- -7'1
Water Piping 2 —"1- • 77
Drainage
Gas Piping
_ 7
DATE
REMARKS OR CORRECTIONS—
. 2 j etz r
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service .Large enoiigli to provide .:uleq•uate amperage to nrobil&iome (must equal rating of
mobi.leho,ae (aith a :::inu!lum of .100 amp) and other facilities on lot, i.e. , water pumps,
Dara ,e, cat) ana, c..tc Yes No
1; Is ther,-� proper clearances around panels? Yes No
C. 'Is power supply cord or feeder assembly properly fused? Yes ho_
D. Is continuity test satisfactory as per the following procedure? Yes r✓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 1^.zd of a test instrument to the mobilehome grounding conductor. and.
,. ,
app tiie ULt�.�'t 1.c au %u each ri1OD.L.�eiwme SUPP COIIuucto'i, lil%luUlitg rteULrdl.
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 egt:i.pment and the grounding conductor. `
6. Upon completion of: the above procedure, the power supply cord or feeder assembly
conductors shah. be connected to the site service equipment. A further, continuity
te_;t shall then be Wade between the grounding electrode and the chassis of the
,i.obileltome. UDOn satisfactory completion of the electrical tests, the lot or site
service oaii-ipment may be approved for energizing.
;.f Is lob card signed by health Department for water and sanitation?
1:.. If everything okav, sign off card and tag services.
MOBILi:iT ML•' DATA
rlanufacturer and/.,r ?Qames!:yle�.tr,��_r
OM I�
Length L/ Width_"
vehicle Serial No. ����
State Identification No.
r.&ILtional Infoz-nation or Comments:
a
ii0}3li,l liO.1}s' INSTALLATION INSPECTION CHECK LIST
1. Is the rnobilehomt located wi.I.h required separation from lot lines and buildings and generally
conform to plot plan? Ye:;_ (/No
2. noes the m?bilehome have required clearances above ground? (Sec.5085) Yes c,,-No-
3.
/No
3. Are footiii-s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes ✓ No
4. Is the mobilehome level.? (Sec. 5088) Yes ✓No+
5. If modethan a single unit, are crossover connections properly installed? (Sec. 5088)
Yes V. No
5, Water.
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes r/ No
B. 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 pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B. Does it have minimum e," per foot slope and is it properly supported? Yes-'-No—
C.
No
C. Are any leaks detected in drainage system after running 3- allons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other. than the mobilehome
connector. Yes ✓ No
B. Test OK as per following procedure? Yes V' 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 m(-)bilehorne with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes ✓ No
COUNTY OF BUTTE
,ei`EPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OE OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number 2 2- 71 ' 7 7 for the following location:
C� n
Owner
Owner's Address
Mobilehome Mfg. �%"'�`/`� A Model Year
Insignia No. 4//� S �' Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date 7- 7 i By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF"'bUTTE — DEPARTMENT OF PUBLIC WORKS
i''County Center Drive — Uroville, California 95965
r Telephone: 534-4541/�/� /
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ction purposes.
Xto a i--4— 27
D
Signature of Permitee or Agent
Receipt No, L6�0 9
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have be aid.
DIRECTOR OiF PUBLIC WORKS
BY
Date to
/ "LA's
UI
lding permit expires Date —Zi �Z'�
BUILDING
Owner �6 ( 0
SQ. �FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor `j/O. pp,� ,�n
Total Valuation
Mailing Address , -q S^d ��9 fy�u f
Permit Fee
Plan Checking Fee &/or Penalty
�
�p v6l Cer, ,
Telephone No.
7 —
Permit Fee $
Building Address �lv
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Mee, Cy q, /I
Repair drainage or vent piping 1.50
Water piping 1.50
&d 14 Oct O,tU D
Each gas water heater or vent 1.50
A. P. No. — Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
IParking
Plans
I Parcel
Declara •on
Parcel Ma
P/
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd Parcel App vat I
Plans Arprovol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING $3.00
NFEE
SLAt"51.1 C— t 2'
M I SerVICe 100 AMP ORSLESS 5.00
Main service EA. AOD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP oR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW CONST. DWELINGOR ADONS. ( ACCLBLDGS. OCCUP. ) 20sgft
NEW CONSTFL MULTI -OUTLET
NON•RESID._ (BRANCH CIRCUITS) 2.50e4
NEW CONSTPOWER APPARATUS &
NON.RESIR. D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Ie Of:
S„Z.f `v< G__R
Ex. Occup(OUTLETS OR FIXTURES)@29C
BALI�t
(FIXED APPLNS. ORSt
Ex. Occup. OUTLETS(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 1�0 Classification C—O//
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation '
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County OrdinancesTOTAL
and State Laws relating to building construction, and hereby
[
D
PERMIT FEE
$ d
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ction purposes.
Xto a i--4— 27
D
Signature of Permitee or Agent
Receipt No, L6�0 9
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have be aid.
DIRECTOR OiF PUBLIC WORKS
BY
Date to
/ "LA's
UI
lding permit expires Date —Zi �Z'�
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center:Drive, Oroville,.CA.
PHONE:•534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's name: F o
2.
Installer's name: J A �� J. Zo /0t <<D GTi r IOU
V a'
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 /W7 No
(If no, clarify.
)
5.
What is the mobilehome electrical rating? _______________________
Amps
a-
6.
What is the mobilehome site service rating? --__ — _--------
- - Amps..
7.
What is the mobilehome site circuit breaker rating?
8.
Is there any other electric load to be served by the mobilehome
siteservice? ___________________________________________________
Yes / / No �=
(If 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 / / LPG
11.
What is the gas pipe length from meter or tank to the mo ilehome?
S (ft,)
12.
:What is the mobilehome gas demand?. ---=--------------- ----------
(BTU)
(This information not required if pipe length less than 6 ft.
Qn natural gas
T, ?jor (less• than: 'S0, ft.,,on LPG.)
MOBILEHOME SUPPORT DATA c
Mobilehome Mfr.. M44 4 14 Setup Model No. T n Year -7
Width (ft.) Length ":Z_ (ft.)-E=.rpazdo Size ft.x ft.
(Draw support details below) .
On all mobilehomk;manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not .on file with the County of Butte).
. 14-- S.
Center Support
Footing Sizes
(in.) ........�
in. z.n.
x ao..
—+�j .. Footings- (check.one;
1. Wood :either
pressure treated or
fdn.'grade,::
2, :Concrete pad.
3.---Other,-'-specify
Supports (check one;
Concrete block
2. Concrete piers
3. Steel piers
m<:..
/A. Other, specify
1 J
Typical Support
-� Footing Size •'
(f_� zn, in. �n.)
(in.) (in.)
.............
Max. Pier.
S acin :..
v��i 3a 1n. P g .. ..
ft. in.) in. .) .. :. ..
� 1
(in.) (in.) _ Max.
Overhang
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING -DEPARTMENT
APPROVED
,� -- . a,yy ,r Cftne 6�af a e&55 DrsCRIPTION � s
All that certain real property situate in the County of Butte, State of California, `.
described as follows:
Lots 1, 2, and 7 of Section 12, Toi.mship 23 North, Range 2 East, M.D.B. & M.
TOGETIER WITH A non exclusive 60 foot right of xray along an existing road through
the Southi;-est auarter of the Southeast quarter of Section 1, Tovmshin 23 North,
Range 2 East, Ii.D.B. & M., and running from the Schneiders Homestead near the South-
east corner of said Southwest craarter of the Southeast quarter of said Section 1
J. private forestry road and along it as it connects to Ten Mile House Road and
Ponderosa Way.
ALSO TOGETHER 1,1ITII a 60 foot right of tray for road purposes over an existing road
located in the North -,.Test- q art;er of Section 6, Toimship 23 North, Range 3 East,
1I.D.B. & M. , as described in Deed from 11ilbur 0. I,•hite et al, to Robert E. Henning,
et ux, recorded July 19, 1971 in Book 1687 of Butte County Official Records, at
page 491. The location of said right of way is not described in said Deed.
Also together with a 60 foot access easement and private right of way for road
purposes over and across Parcel B adjacent to Lot 34 of Forest Ranch Subdivision
No. 1. as shown in Book 34 of Maps, pages 43 and lilt, Records of Butte County,
Calif m¢nia.
ALSO TOGETHER WITH a 60 foot easement for ingress and egress and private right of
way for road purposes over a portion of the North half ofthe Northwest quarter of
Section 7, Township 23 North, Range 3 East, M.D.B. & M. described as follows:
BEGINNING at a point on the North line of said Section 7 from which the Northeast
corner of Section 6 bears South 860 17' 36" East a distance of 3,557.51 feedt;
thence, South 130 43' 33" East, a distance . of 911.58 feet; thence, South 17 56' 17"
West, a distance of 61.11 feet; thence, South 630 17' 29" I -lest, a distance of 60.21
feet; thence, South 250 13' 33" Nest, a distance of 21.28 feet; thence, alone the
arc of a 50.00 foot radius curve to the right, having a central angle of 192 03' 2111,
a distance of 167.60 feet; thence, North 370 16' 511" East, a distance of 100.511
feet; thence, North 240 52' 51" West, a distance of 79.71 feet to a point on the North
line of said Section 7 from which the Northeast corner of said Section 7 bears
South 860 17' 36" East, a distance of 3,6711.67 feet.
ALSO TOGETHER 1,ITH a 60 foot easement for ingress and egress and private right of
way for road purposes over a portion of the Southeast quarter ofthe Southwest quarter
of Section 6, Township 23 North, Range 3 East, M.D.B. & 11. described as follows:
COMI`'2,110EIG at a concrete monument tagged LS 2621 marking the Northwest corner of
Forest Ranch Unit No. 1, according to the Official 11ap thereof, recorded in the
office ofthe Recorder of the County of Butte, State of California, on April 21, 1966
in Book 34 of Maps, at pages 43 and 44; thence, North 850%14' 00" I -lest a distance
of 30.02 feet to the point of beginning, thence, South 60 110' 30" West a distance
of 272.112 feet to a point on the Easterly line of the Harris Road, said line being
the Westerly line of that parcel of land described in Trustee's Deed to William
E. Fitzgerald, et ux, recorded March 2, 1971 in Book 1660 of Butte County Official
Records, at page 700; thence, along said line the following courses and distances:
South 310 20' 09" West a distance of 97.53 feet; thence, South 150 111' 17" West a
distance of 183.00 feet; thence, South 200 110' 25" West a distance of 149.75 feet;
thence, South 70 33' 16" East a distance of 62.77 feet; thence, South 420-23! 58"
West a distance of 28.18 feet; thence, South 640 59' 50" West a distance of 119.97
feet; thence, South 280 30' 57" 1,.bst a distance of 93.62 feet; thence, South 580
37' 23" I -lest a distance of 62.211 feet; thence, South 500 15' 511" ti -lest a distance
of 67.42 feet; thence, South 140 55' 30" West a distance of 92.00 feet;thence,
South. 290 07' 25" West a distance of 85.61 feet: thence, South 70 113' 00" West a
distance of 1115.12 feet; thence, South 130 43' 33" East a distance of 70.63 feet to
a point on the South line of said Section 6 from which the Southeast corner of
Section 6 bears South, 860 17' 36" East a distance of 3,557-54 feet.
RESERVING T-LREFROM a non exclusive easement for road purposes 60.00 feet in width
lying 30.00 feet on either side of the centerline of an e.,cisting road running along
or near the North line of the above described ,parcel.
ALSO RESERVING THE:EFROMM, a non exclusive easement for road purposes 60.00
feet in width lying Easterly of and adjacent to a line beginning at the
Northwest corner of the Northeast quarter of said Section 12 and running
thence South along the North end South -Centerline of said section. to a point
in the Southwest quarter of the Northeast quarter of said Section. Also,., , .
an easement for road purposes running East and West across the Southwest
quartos of the Norther.-st quarter of said Section 12.
Said easements are for the benefit of the remaining lands of the grantor and
shall be appurtenant to said .remaining, 'Lends and any parts or portions there-
Qf
U
I
Z/O
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965-
Tel epkone: 534-4541
APPLICATION AND PERMIT
.- ,..r....,..��..,.�— . c v --y vi UU— iv cnicl UPUII LIIC
above-mentioned property for i pection purposes.
4 Ott 14, Date ,
Signature cff Peritee 6r Agent
Receipt No.
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF DnLIC WORKS
BY
Bui I ng permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
ContractorAki in
Total Valuation
Mailing Address ro r
0A if /
Permit Fee
PI an Checking Fee &/or Penalty
rad P
T le h e No.
Permit Fee
Building Address Dr,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
WL
WcC(
Repair drainage or vent piping 1.50
Water piping 1.50
1A d3 �St w �" r 1 eti l
Each gas water heater or vent 1.50
A. P. No. [� s 9— T
Zon,In
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Sa o Fire Dept.
Fire Zone Use Permit
Building sewer 5.00 Q
EQA
I ParkingParcel
Plans
Declara' n
Parce Ma p
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd rcel Approval
PI an pproval
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES,W OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,0
OR
Main service ;0000 AMP ORSLESS 5.00 5-,Cr6
Main service EA, ADD•L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP OR LESS 25.00
Main service/ EA. ADD'L too AMP 1.00
NEW CONST.' DWELING
OR ADDNS. ( ACCLBLDGS. OCCUP, &) 2¢sgft
NEWCONSTR. MULTI -OUTLET
NON .RESI D. (BRANCH CIRCUITS) 2.50ea
FOR MOBILES
NON•US
RES D R (POWER SINGLE OUTLETTCIR.&
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Califo nia Business & Profe ions Code u r the name
style Of:
Ex. Occup(OUTLETS OR FIXTURES) N@1
BAL1
EX. OCCU FIXED APPLNS, OR
P• ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
L,
License No. Classification_
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
i am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
grrcertify 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
6JIM
OZ
TOTAL PERMIT'FJEE
.- ,..r....,..��..,.�— . c v --y vi UU— iv cnicl UPUII LIIC
above-mentioned property for i pection purposes.
4 Ott 14, Date ,
Signature cff Peritee 6r Agent
Receipt No.
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF DnLIC WORKS
BY
Bui I ng permit expires Date
COUNTY OF RUT,TE,, — DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnunze representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Permitee or Agent
Receipt No.% 5-981 Z Z
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 _ij % ZJ^' 2z
ZI ng permit expires Date 7 0
BUILDING
Owner � �
@ %��� j(/yj 4 � � S'
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address(�
Permit Fee
PI an Checki ng Fee &/or Penalty
QC
Te h7et�_o.
Permit Fee
Building Address a
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
/I )./1/,/
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. �j " -'�
Zoning & Planning
Gas piping system 1 - 5 outlets +-43T lv�
Each additional outlet .30
F&� I
MQdX8811
t -CHUM
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Improvements_Lawn
sprinkler system 2.00
B'I ans ec'd
Parcel A al
Plans pproval
Permit Fee $
$
NEW ❑ RDD. TION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 11 OR LE
100 AMP ORSLESS 5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home N7 Others ❑
Main service OVER 6 00V25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS.LING CCUP. &) 2¢Sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
/1
y.�
r C/
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St le Of:
Y
Ex. Occup(OUTLETS OR FIXTURES) @251t09
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 7f/4r/ ClassificationL�d
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.
LJ Workmen's have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
iecertify 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
$
autnunze representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Permitee or Agent
Receipt No.% 5-981 Z Z
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 _ij % ZJ^' 2z
ZI ng permit expires Date 7 0
CHARLES E. HANCOCK
PARADISE. CALIF. 95969
• �� of lens and speC,ficr`tions MUST be
• is unlawful to
on the 1., ' t f Pu �• ..
e any chancres or OI ercrtir,.nsart se
mission from the.Uep 4 `0 i
ten per of Butte.
As, County
CY
5 1 e
S
SeQo����
�x5.
5
ON \ ----�_
0
NMI
e al*. Setback shall be 5 ff. from the
`Ide property line and 50 ft. from the
6ebnterline of fl --,.e road, permitting a maxi -
Aum of a 2 ft. eave overhang but entirely
Jut of all easements.
1�
.NOTE:—All Materials & Workmanship Shall Be in
Accordance with, Recognized Good Practices and
of a ggalify prescribed for the Specified use 'in the
-Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code,
�y x
permit will be required for the.
r T +he mobilehom...
ET®ACK
• r:
CHH (LES E: FIA d*OCA:
BUILDER, LIC..'40.12 5251
7043 Molokai Drive
Paradise, Ca: 95969
1916? 1377-1420
U
All utility connections shalt be
located within 4 ff; outside the rear".
third section of the mobile home
on the left (road) side of the mobile.
U home.
44
BUTTE CO:VNTY
BUILnING DEPAMMONT
APPROVED
V1
--------------
RESIDENTIAL
j .
66-49-08 897- B
KELLY' Judy & Joseph I
6687 Indian Drive, Magalia
Contr: Lindholm Construction ;
rlace avenin /MH)
e
p -- - -- . —g -_-- - ---
i
JOB FINALE
Signature
J=OK
O=Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except tt's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete -
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Utility Clearance
MISCELLANEOUS
Date DECKS VERS, CARPORTS, GARAGES, Plans OK except #'s
o equire ments-Setbacks-Easements
10footings; Soils -Size -Depth -Spacing -Connectors -Steel
c3-6eeks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
-'b- Pc1UfFi. Awn.; Columns -Connections -Splice -Decal -Enclosures
--•6-t'Morts; Windows-Doors
=-Eie=ric
8"Prmg; Sils-Anchors-Studs-Rftrs-Trusses
—9—Siding; Nailing -Veneer -Stucco -Mesh
Roof; Shthg-Roofing
"J.;eExt.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date 6- / f6 Card B-1 /lam— Date Card B-1
Date POOLS (Plans) OK except k's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card 13-1
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS VERS, CARPORTS, GARAGES, Plans OK except #'s
o equire ments-Setbacks-Easements
10footings; Soils -Size -Depth -Spacing -Connectors -Steel
c3-6eeks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
-'b- Pc1UfFi. Awn.; Columns -Connections -Splice -Decal -Enclosures
--•6-t'Morts; Windows-Doors
=-Eie=ric
8"Prmg; Sils-Anchors-Studs-Rftrs-Trusses
—9—Siding; Nailing -Veneer -Stucco -Mesh
Roof; Shthg-Roofing
"J.;eExt.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date 6- / f6 Card B-1 /lam— Date Card B-1
Date POOLS (Plans) OK except k's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card 13-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
RESIDENTIAL (Single & Duplex)
' = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ T' Ftg. Depth
46. Cing. Joist-Rftr. ties -Pu rlin-root Brac-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Btockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel ' -
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Botts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
20. Test Tub & Shower, Second Floor -Tub Access -
In Garage; Above Floor-Ducts-Mech. Protection
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
In Garage; Above Floor-Mech. Protection
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulated Neutral ❑ Yes O No
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
32. Clothes Closet Light -Shower Light -Spa Light
Clearance Looked under Floor 0 Yes
33. Smoke Detector
80. Following instld.; Drive O Yes 0 No; Walks ❑ Yes 0 No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
•
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
FA
f/. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; talifurnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_ _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
872-0295
SQ. FT. OCC.1 BUILDING V ATION
240 COV 2 400
,
OWNE 'S MAILING ADDRESS
1`;Q1 -qpureC Paradise 9596Q
CON RACTO 'S NAME
TELEPHONE
N M G D E55
6010 Kibler Rd, Paradise 95969
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total valuation $ 2,400
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
Permit Fee $ 38.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 19.25
X2 J
5
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit tee $ 67.7.5
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Ma q
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
AME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeRl Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G W 10.00e
TYPE OF WORK
New ❑ Addition19 Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 1RP1;)8Ce awning _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ETI"l am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full forceand effect.
yZ
License No. /J %Z-� 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 CONST. DWELLING OCCUP.&
OR ADDNS. ( AGC. BLDGS. 21/20sgft
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 30
2000 0
BAL@
FIXED ALNS.
Ex. OCCUp. OUTLETS P(RESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n yhe permit is for $100.00 (valuation) or less.
�ij/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.
Contractor
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
g
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 County in consequ nce f the granting of this permit.
X %d
Signature of Applicant — Owner ❑ Caneracto 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 $
Energy Inspection Fee $
occ
CONST TYPE
AL
TOTAL FEE $ 67.x75
HA2J
CUA.
PARK
FAD
PAR
PD
HD Is'u
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
D ECT OF PUBLIC WORKS
/
By Date —�;,
PERMIT EXPIRES Date —
Receipt No S' / 2Z3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center -Drive - Orovill*,'California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSORPARCEL NUMBER
6— — D 06
Z ING
1< r l/
BUILDING PERMIT
OWNER f
t
TELEPHONE
V7Z-az s
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILI G ADDRESS
Jy e L�
y6c�
CONTRAC-TOR' ME
T LEPHON
CONTRACTOR'S MA L NG. AppCRESS '
lev
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ -.SO
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 2-S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS.Permit
O r"^ I r
fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
r
Solar or heat pump water heater
20.00
LOT N0.
SUBDIVISION NAMEP
RCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USEOF TRUCTURE
SF [IDuplex❑ MobllehomeOther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S rG FW
10.00 ea
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation❑ Other
Describe work: �� =- e I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L too AMP
2.50
NEw CONST. DWELLING occuP.e
OR ACDNS. ACC. BLDGS.
2,hQsq it
New CONSTR ULTI.OUTLET
NON-RESID BRANCH CI RCu ITS
2.50 ea
/POWER APPARATUS &)
l SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
p
20@50C
eALN 30
FIXED APLVS.❑
Ex. Occup. OUTLETS IPRESID IREA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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 County in consequence of the granting of this permit.
XThis
Date
Signature of Applicant — Owner ❑ 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 $
Energy Inspection Fee $
occ CONST TYPE C
TOTAL FEE $ �J
HAz
CUA
PARK
SCHL
FLo
PAR
PD
HD
ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
.�.�
,; .. . .
�-
U � l� � ��
S3 - ..
,.:ra-�ti"L ��-G�;,:.�.-y�%`�,f-'„J"::r�1,..w..�,�,;G .. .�-c;.v�:... .•..r,�;:K %r a.�t�`,.�f �' �� t � .. 1;ry v,
� ��r--liz�;... ,�,r"s' -viv�r�:z.r,..t , ��i � .z;. ^�s: • .
COUNTY OF BUTTE - DEPARTMQ4T_ OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL F, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit No.
A. P..No.
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, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ....................................... .
6. Energy Design Compliance and supporting documentation .........
7;1 Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15.: City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
2 -C,_o_n_tractor's license information (No., Name Style, Classifications ... k
Certificate of Workmans Compensation Insurance .................. , (4' d
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ................ r ................ .
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to.contractor.
Telephoned:2"�9and hold for pickup at office. Deliver w/inspector.
Other
Applicant -,4 Date d
Copy of plans sent Health Dept., = Fire t., Other Date
The following data must be submitted prior to permit iss (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by Date Plans approved by Date J�
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinv Department..
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Q To
� �0/�� �'L d`r Owner AP#
Location
Plan Approved for:. Sewaqe Disposal Water Supply
Water Supply
Hold final for:
Final clearance O.R. for: Water Supply
Clearance for
bedroom mobile home. Other
NOTE ***
Date
Sanitarian
PERMIT N0. 4427-78B
v PERMIT EXPIRES W��D, 1171
Roy Fitzsimmons
OWNER
a
jCONTR. owner
66-49-8
,"LOCATION (A.P. )
129 Indian Dr., lot 95, I.M., Magalia
r
r
Temp. Power Pole
Called PG&E _
Temp. Elec. Serv..
Called PG&E _
Temp. Gas Serv. _
~ Called PG&E _
JOB
FINALED
t .;
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
(NOTE: An entry must be made on this form each time you vislt the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Z%' %
Firewall
Soil Piping
Forms
Parapets
1st Floor t
' Main Bldg.
Restroom Finish
2nd Floor `
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sica y
handicapedy
Conformance ofx.
structure
Appliances
Gas Piping & Test
Temp. as
Slab
Final X 7
Sanitation
Patio
FIREPLACE -Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr. J
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole'
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTIL TIES
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vislt the job site.)
COUNTY OF'BUTT-E — DEPARTMENT OF PUBLIC WORKS
:r r 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address1c;201 41Al jun
Iephono N
7 03 -
.Contractor
Contractor N L ✓Pu
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address `� ���, � /L•
Plan Checking Fee &/or Penalty
Permit Fee
7
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. Noy 6q' �� " �•
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FireDept.FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50Parking
fE70
plans
Parcel
Declaration
Parcel Map
60' /W
Improvement
Each additional outlet .30A
Building sewer 5.00
Bldg. ans Recd
Parcel A rov
Plans pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL . No. @ FEE
PERMIT FILING FEE $3.00
Main service 800V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L loo AMP 2.50
Main service OVER 600v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ACCLBLDGS.CCUP. 7i� 22sq ft
CONTRACTORS LICENSE LAW
I am. licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW CONSTRES,., -OUTLET
NON.RESID BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS a
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES B L@;
Ex. OCCU FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
e
X 69 rl % �"`2 Date - 27 , e
gnature of P iteee or Agent
Receipt No. ' L 1_5 I
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 Q'FIPUBLIC WORKS
IIding permit expires Date
NOTE'-�—AII Matert`a13 & W�i'tt±�nshl ;Sr )t int, .t• �Si4l t
r p f3 ' 1,IX", `
Yi.. 1, ,"'�°Dta�rd'ae V/tt�1 /\QC.QrI�h�'ll !�1•f'1 t 2 •,rl'4
t4 �- of a' tlitrlify ol��.h� tti;hc `,fre))��+�t•c((s}n t� `3 Soh �t
,. ��Ml� •. - ,i.'
r' Unifo fn y' Bul)idl�lc�,' Wum�amg ':$r;:lvlacli9rucd, Codes
Su1LDsR CHARLES E. HANC K
r _ brie ;National 'Electrical. Code''
rhis set of la and 1
Plans s 0': fications .'MUST r+ I-t Ir
' kept on the c, ,, be
r PARAD�9 E, LBAL - eF�11 &L, and t tr.
make. an it is unlawful
3 t y changes or al#eratior�s" o� .sa
r1 `•permisson from.: the rD ''art.'. , Me without f. 't A �k--
Waiiks Cau t msnt :of Pu'b#i.Alaw
.,' _ ., ' h
.. 3 • _ �.'
X�
+i,'• ...:t E "'•ehT .� ' t t ` .x,✓v{§. ,;, r , i } Yiti"
7 Yf1
M 6 /' ,•� t'Y� aV" M 'Kt 6 '7tx i J'�I ,i .{ }ticl?
.1 fM.: a..`i ad 9L/ 1}x,. 1'lt r +•Y' .! . '.� , r 1rn rx�f fix,!{ 4.
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jell,"J16
if r; + ` Sx t y+ . 131E3 Seti KI S�TC71i't•
(r erf((�r�,'�'�u
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Vol TT.isi1w6
7,'
t�=�•rV A� t• i, .. c. � �/ �y���//' e dVt• V ..1.i �eM./��ntS1,
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t r�i"'�� = 1 � {. 3 } �. �` : � '• .. , i. t= u �, }? ��ryyy Yle't. 111', � ! ;tj �'�.
" Za .,J,FI
A{lYt.., . , �, ,, i �r 1 • 1 1. r' �7•"/� f '11 tf YV d �` ,�(� 1� 'i Y,
t a ` �,°S i , Y.! 'fit '� I• , _ 'r e , A r1: ��tS�1 . s vb i7 I r'f `y q,
<yr? " BUILDER, LIC, N0112s?Si
V043 Molokof Deva `w
Paradise. Cat 93.969
L 9
(9.16)8771424
I.
RACK., i f%. YF 1 V:�
�� .1 r it y' .. ` _ .� •• •' '�'. � � i , i{ _ ,
location ofd-
t to be as per
F. 'Bunte C�uhty Health Dept: Rt,-b
s:
Au ire T te,
t, BUTTE COUNT:,
.. ,. _ BUILDIW� bEPAPT,AN! t '"
APPROV
,r •�. t t.r. yup ps:
•
`ry '
t �} . � 1'}. _ s ••' ,.[� :..-,..1;. ? '+�' _ f w.� •rfi •�.-_.� �' .�.: .n t+...,y.. .air .�••,•T .-. � -_ � ; �- w = .t .+• - -- �... +� _ ._ - ' -_ _ -yt �r.:. �+,. +'f�» : t .r �,•,. ; r�...}�+ '::�
-74
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4023-77B,E - {-
PERMIT NO.
PERMIT EXPIRES
OWNER Roy Fitzsimmons
CONTR. owner.
LOCATION (A.P. 1 66-49-8
)
a
129 Indian Dr., Lot 95, Indian Meadows #4,
Magalia
1
l
r
i
y
l
t.
If,
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
ed
/CallPG&E
ALED ; 7
(Date)' "
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
BUILDIN
BUILDING (Cont'd)
PLUM)SING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg. `
Restroom Finish
2nd Floor
FootingsV
Windows
3rd Floor
Stemwall
Siding "3 CA--
To out
Slab
Roof Sheathing.,f
Water Piping
Piers
Roofing d
Sewer
Garage
Fdn. Vents t
Fixtures
Footings
Stemwall
Garage .Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for physicall
handica ed
Conformance of ex
structure
Appliances/
Gas PI in & Test
Temp. G s
Slab
Final
Sanitati n
Patio
FIREPLACE
Final
Footings
Footing /!
ELECTRICAL
Masonry Walls
Throat
Rou h G'
Relnf. Steel
Final
Fixtures
Bond Beaml r
FIRE SPRINKLERS
Motors
Framing i�� `) it
Test
Water Htr.
Stucco r
Final
Subpanels
Mesh %
/. MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling /
Temp. Pole
Finish
Ducts %
Underground
Interior Lath'
VentllatioA
Permanent f
Door Closer
Final
Final o . G
MOBILEHOMEUTILITIES------------------ Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E ME INSTALLIATI N
- - - - - - - - -'- - - - - Support
Elec. Continuity
Water Piping I
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY PF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
I
7 7
A/I
u
BUILDING
Owner 0 % S vY� Ove S
SQ. FT. OCC. B ILDING VALUATION
a
Mailing Address
qq
0 —e) 7 0J
Fireplace
Contractor Q W NE3 tV
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
.-.
Building Address r;` C( ,� 0 t,,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
S7 C -n 0-
Each Trap 1.50
�l
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
tt� r I
A. P. No. (
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
a
F� d" Sa on ire Dept. Fire Zone Use Permit
arkinEQA
sg Decla)iaration Parcel Map 1 60' R/W I Improvements
Building sewer 5.00
Lawn sprinkler system 2.00
�PPIa
Bldg.flans Recd
Parcelval
Planerovol
Permit Fee $
[:]ELECTRICAL
NEW'S ADDITION ❑ UTILITIES ❑ OTHERPERMIT
No. @ FEE
FILING FEE $3.00
Main service 6101 OR 100 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ _ Duplex ❑ M/obiI Home Others
Main service OVER 600v
100 AMP OR LESS 25.0
Main service EA. ADD'L 100 AMP 1.00
!' UT �'"1'"��
Fv •T /
NEW LING 0
OR ADDNST ( ACCLBLDG$. a) 22sgft
NEW CONSTRMULTI-OU T
NON•RESI D. BRANCH CIRCUITS) 2.50ea
NEW CONSTR- POWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
of:
Ex. Occup(OUTLETS OR FIXTURES) BAL@251't
Og
FIXED Astyle
Ex. Occup.( OUTLETSP(RESID)LNS.REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
JiW1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 'a
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ 1 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
J2.00
Hood
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
h '
TOTAL PERMIT FEE
-�
at or ze representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 7
ShAoture of Pe or Agent
/ f
Receipt No. ` `e 7; 2—
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.
DIRE OF P BLIC WORKS
By Date —
Building permit expires Date
'Ell
TV
VIA
t,