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066-490-018
r j 66=49=18. B. E. Ralph ,� 11-16,-7-7 r �" 9 0� !� 8 Yahi Ct. , of 85`, I.M.#k4; Magalia contr: Ch es.Hancock,,_Paradise ° Permit #1872-77P;E(uttil.-MH) v a ELEC.�' t GAS _ } y SUBD- T TRUCTURE , REQ .. wz�- rCOPACTION,-TEST REQ: „ ! /VP �66-49-18 l Permit 5062-77B'---,-' s CONTR: Sierra Dev. & Constr. ,Magal. is N ' (garage, cov. decks, awning./MT?---�— 66-49-18 Permit #5538- P(gas piping),: - -- F ermit ##5646-77MHI (for #1872-77) w { h;, Contr: Para. Mod. Concepts -� 'Issued i - r. 66-49-18= J3634 Yalu Ct, Magalia s e ` �fofe-11-Coritr: :McMillan MH;�Permit#732-88B(change pitch F covrdecks &new open deck) r , :066=490w018 't +' 04-1144 MCCOLLUM;'JAMES 413834 -YAHI CT MAGAL,I CONT MARVINPLOU INALE EXH PE MRM_3.0 :FND � { ' t I I , C16, I! FCOO PERMIT NO. •1872=1/7P,E e PERMIT EXPIRES o -OWNER B. E. Ralph, CONTR. Charles Hancock Paradise LOCATION (A.P. 66-49-18 8 Yahi Ct. , lot, 85, I.MAK, Magal is i G t 1 1 C d Temp. Power Pole Called PG&E' Temp. Elec. Serv. Called PG&E 14 Temp. Gas Serv. Called PG&E JOB 1 FINALED— _ (Date ) (Signature) 4 � ` COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Seltack kewall Ski Piping Fork Pa pets 1 t Floor Mai Bldg. Resilloom Finish 2n Floor FoNtings Windo4 3rd Noor Stem all Sidina X To out Slab Roof SheaNino Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for phsical 1, nu,"ppel Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab A Final A Sanitation Patio REP ACE Final Footin s Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea JFIRE SPRINKLE Motors - Framing Test Water Htr. Final Subpanel MECHANICAL Grd. F It Prot. V Heatl Servi Coo ng T p. Pole D is nder round I erior Lath entllation Permanent oor Closer Inal inal MOBILEHOME UTILITIES --------- - - ---- Elec. Service 71 Elec. Pedestal Water Piping L - '3- Sewer Gas Piping BI E ME INSTALLATI N - - - - -- -------- Support / J / S; Elec. Continuity Water Piping 7 t), (, Drainage Gas Piping DATE REMAR S OR CORK TIONS / & ?/- - 7 /,/, / ?r- - I . )2 C'a c4v\ V, All ,6 -CL �- /7 ? (NOTE: An entry must be made on this form each time you visit the job site.) C2 W 9. Electrical A. Is service large enough to provide adequate amperage -to mdbiieliome (must equal rating of mobilehome with a minimum of 100.amp.) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances arourd panels?T Yes No C. Is power supply cord.or feeder assembly properly fused? Yes No Is continuity test satisfactory as per the following procedure? Yes1"2� No 1. De -energize electrical wiring system of the mobilehome at the pedestal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for; energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle bJUb'% . Length l9 d Width Vehicle Serial No. (�� gy-L/y ��y5%3�, State Identification No. 3.V Additional Information or Comments: 4 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w' h required separation from lot lines and buildings and generally, conform to plot plan? Yes4 No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes---,4No 3. Are footings 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 korp than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is Q9,xible connector of adequate size and properly installed (1/2" ID mn.)? (Sec. 5566). Yes i No B.. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes—YNo_ C. Backflow - If c is not State of California approved, does station have backflow device and pressure -re of 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 k" per foot slope and is it properly supported? Ye A I No Are any leaks detected in drainage system after running 3 -gallons 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? YesXNo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated 'in tenth pound increments. Test for 10 min_. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes(` No r r a i COUNTY OF BUTTE, — DEPAF#TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965��.7 1 Telephone: 534-4541 4 APPLICATIOWAND PERMIT le -W2 l/ 31 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Cont Total Valuation Mailing dre Permit Fee Plan Checking Fee &/or Penalty No Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 " Each Trap 1.50 �.. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �,� �9 �� A. P. No / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Saet+atit - Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Declarration Parcel Map 0' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval I Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 �n 00V OR L Main service 10000 AMP 0RSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ©/ Others ❑ OVER 600V Main service 100 AMP OR LESS 25•00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) ' 2.50ea • NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Bss & Professions Code under the name style of: ///Q) Ex. Occup(OUTLETS OR FIXTURES) @� BAL�1 Ex. Occu01 p. FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 / License /Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State 'of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P employ y person in any manner so as to become subject to an bject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE. J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee — A $ 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- tioned property for inspe • n purposes. X Date Signature of Permi a or Agent Receipt No. �Q a White-D.P.W. — Yellow-As-essor — Pink -Inspector — Goldenrod -Applicant $ TOTAL PERMIT FEE 1$ 3 d 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�yaid. DIRECTOR O'F PaIBLIC WORKS BY Date wilding permit expires Date 1, Owner's name: ,2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA, PHONE: 534-4541 4 MOBILEHOME INSTALLATION SHEET 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 Tocated at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /. No ( If no, clarify ) 5. What is the mobilehome'electrical rating? ------- ---------------- fps 6. What is the mobilehome site service rating? --------------------- OL—o 0 [fps 7. What is the.mobilehome site circuit breaker rating? ------------- A9 v Amnc 8. Is'there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 4v (If yes, identify the load and size: (Load) -- 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 mobilehome? (ft.) 12. What is the mobilehome gas demand? -------------------------= --- (BT) (This information not required if pipe length les than 6 ft. on natural gas or less than 50 ft. on LPG.) J MOBILEHOME SUPPORT DATA, Mobilehome Setup Model 'No. /-``., - Year �77 Width L (ft.) Length �� (ft.) .- Ekpando Size f.t.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural se sheets (if not on .file with .the County of Butte). Sin le - Footings- (check. one) _ 77?' 1. Wood.. either . ' pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. 'X -3 in . min . vie 401 --- -- ---1 C��' (ft)7in7 (in.)(in.) ( in. 1-/ (in.)(in.) -1110 PnW.n.). . (in.) (in.) X14 l�- 30 *If center piers are other than yawn above, draw in locations, spacing, and dimensions. / / 3. Other,: specify Supports (check one) / Concrete block 2. Concrete piers / / 3. Steel piers / / 4. Other, specify gg Typical Support x7 Footing Size r......-..._ .. _ Max. Pier .J7 Spacing in_.) j & Overhang in.) BUTTE COUNTY '.:BUILDING DE'ARTMEN7 APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County'Center Drive — 5 le, California 95965 6-3—j O�/Telephone: 534-434-4541 APPLICATION AND PERMIT b_X .-r^----�•••--•••�+ aa. vva. .ay v vU at/ cnaci uNun uiv above-mentioned property for in ection purposes. Date Sign atu o or Agent Receipt No. `a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR CTOR OF PUBLIC WORKS BY Date 10/201Y) B permit expires Date r® r, U % Q BUILDING Owner fit, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address G 33 (^, 4 Permit Fee Plan Checking Fee &/or Penalty r �%� ��/�1 elephone No. _ c�`y Permit Fee Building Address 1w,4C' • PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 l` ff 4 01 SC TI�Y1 y' Each Trap 1.50 L- /A `' Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 P G!] f�� A. P. No. (J Zoning & Planning Gas piping system 1 - 5 outlets Each additional outlet .30 Few VrC.I Saairatinn -1 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans81dy.-RFeTrRet'd Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soot/ OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONST. f DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sq ft NEW CONSTR. MULTI.OUTLET BRANCH CIRCUITS) 2.50ea 77NON-RESID, NEW RES D. POWER APPARATUS & NON -RESID, SINGLE OUTLET CIR. ( CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: (/�' ` _ f Ex. Occup(OUTLETS OR FIXTURES)@2-1 BAL@ Ex. Occup.FIXED APP LNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N f / .V� ClassificationC � % 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. -have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE is .-r^----�•••--•••�+ aa. vva. .ay v vU at/ cnaci uNun uiv above-mentioned property for in ection purposes. Date Sign atu o or Agent Receipt No. `a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR CTOR OF PUBLIC WORKS BY Date 10/201Y) B permit expires Date r® r, U % Q COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 117 7 County Center Drive -- OroviIle, California 95965Telephone: 534-4541 7 APPLICATIOWAND PERMIT A ✓ authorize representatives of the County of Butte to enter upon the above-mentioned property for in ,ection purposes. v Date Signature of Per ite or Agent Receipt No. I �. (0 o e ` 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 GR PUBLIC WORKS BY Date_ `7- Z 7- 7 % Building permit expires Date 7-7--7 BUILDING Owner Q4L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor CILf/7/� L e -S !¢n e D ems. Total Valuation Mailing Address 0 � C-� Permit Fee Plan Checking Fee&/or Penalty I T,�lephone No. VR_ O/S6- /yz v Permit Fee $ Building Address A/ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Z o 7-. 4 a -Zh ,V i 4 ^/ M&,q .f4 Each Trap 1.50 W L/1, Repair drainage or vent piping 1.50 Water piping A.sb' �0 . Zonittp Verificefion Only. Each gas water heater or vent 1.50 A. P. No. - 7 �— �� �T Zan Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe t io Fire Dept. Fire Zone If Use Permit Building sewer /0 '- EQA I Parking -Fr Plans IDarcel Declaration Parcel Map]60' R/W Improvements P Lawn sprinkler system 2.00 BI .(PPah6ec'd 4.44p p ro v a Plans4f5roval Permit Fee NEW ❑ ADDITION [:J UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8000 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Y Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00LIN SW SQ. FT. MINIMUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. LN GS. 2¢sgft NEW ( NON-RRESTESID. BRANCH CIRCUITS) 2.50ea D. FOR MOBILES 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 Business4^fessions Co under the name style Of Y &z , -, Ex. Occup(OUTLETS OR FIXTURES) 50 @� 109 FIXED APPLNS. OR Ex. Occup.TOUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 // License No. l� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ j� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby o /IV vC tL �r- TOTAL PERMIT FEE $ 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for in ,ection purposes. v Date Signature of Per ite or Agent Receipt No. I �. (0 o e ` 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 GR PUBLIC WORKS BY Date_ `7- Z 7- 7 % Building permit expires Date 7-7--7 NOTE:--All Materials' & Workmanship. Shall ge in Accordance a✓ith Recognized' Good Pa actiees arid. of a quulit ,reg- I 1 CHARLES .E. Y r ei��i,+or the Specified use in the BUILDER ' Uniform Euildin P�Cotiechunjcal'Codes athe Ndiionat Elec3celed 'SE, 1695 . 1 'CHARLES E. HANCOCK r , , RADISH CAEI p,: BU1LO1R r1 , r I; f' 'N HOM 877< ' �a AWAY PARADISE, CALIF. 9506 low '2e , O 0 f Q�f ' A; < •,. N Lr �Qj" (D aqj rjl .113 116 r 41M LIP A. ID 0 j. CL CAof L) {! r 4.5 , 1 t O O Q Cr o rr i. I, ±r i./ '•i' s � r • ' .+ ; ��'per W`jll, X,t.3 /$rInstdllat .. aij �•.0 r �' H `' �� r :j• r_ ��, ,. S. fir. ' r� ,i'r�, , '• 1' '� �i• 'O cD r r. _ �' ' rr^r'•c� 1 r $ 'i + 1. 1•� }'i r •j' - lD j]- N aF F. 5 I S ' .._.•„`y�_` • , 1 f', � i �'r j -, ' Ali �r �rh �D. ,X 3" �'• ii�+�"/) l �i' •.rte• `� p'. ,I'_ T, •' ', r Fe.9 kf Q G w BUTTE COUNTY 'E All utility connections shall be , located within 4 ft. outside the' rear I+ third BUIL'DINO' DEP�4RTMENT section of the mobile home ' .. I ' r Itq:i12. � " .- � • 1 y I y ( h i ,' r r J, , ; '1' � � , •,4 ,. ZYv. PERMIT NO.739—RRB PERMIT EXPIRES ' o .✓�dL OWNER 'R E RALPH CONTR. < McMil•`lan MH ASSESSOR PARCEL =66-449-1$ LOCATION �3/i (�� Masal4n f Temp. Power Pole Called PG&E Temp. Elec. Service Celled PG&E Temp. Gas Service Called PG&E JOB FINALE() (Date) Signature - A = OK 0 = Not OK --= Not Applicable = Not Ready MOBILE HOMES ,N",CELLANEOUS r Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D KS,C RS,C S, (PIS s)OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements- etbacks-Easements 2. Soils; Special MH Support -Sketch otings; Soils-Sk -De - pac g-Conrre ors -Steel- , 3. Sewer; Location-Test-Fall-C/O-Concretes;.Gi rs and/or sts-Deaing-Br&eing-Stairs-R ' 4. Water;.Location-Test-Easement Needed (Sketch) A. Wood Awn.; Posts=tom s--Conmwe- ii►A Merrfg 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / ✓"L" ft. / /"Nat. or/. /"L"ft./ /"LPG mns-Connections-Splice-Decal-Enclosures. s -Doors 7. Utility Clearance - -BUG. s-Arrehors-Studs-Rftrs-Trusseses - sneer -Stucco -Mesh Card -B1 Date Card -B1 Date 40_Reof;"5Mb-g--Roofing Card -B1 Date Card -131 Date Wit:-9tepS-Doors- Land ings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Da ��r Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability - 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date v = OK = Not =Not Applicable - - - RESIDENTIAL (Single and Duplex) ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -81 Date 82. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ��J- ZONIN ---i OWN R _TELEPHONE ' j ,, - WO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIQN AND. PERMIT PERMIT NO. ASSE S/QR PACEL UM ER ZONIN BUILDING PERMIT OWN R _TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M I INGkAD RE S / n `i 199- O O RACT R S NAME JK/1�JE H NE CAN T R . MAILING ADD ESS a ` 6 6 91 Fireplace CONSTRUCTION L NDER UNKNOWN ITotal Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE,S a / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME CEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome;, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ ))Remodel Eltilit'es ❑ Installation❑ `Other Describe work: A K 7 O '' 1 f - C�_ IA Q Y1 I)C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No.,5Q a.% 4 Classification C�� ❑ 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.al OR ACDNS. ACC. BLDGS. / , /1Qsgft NEW R. MULTI-OUT NON.RESID, BRANCH CIRCUITS) 2.50 ea APPARATUS &) (SINGLE OUTLET CIR. EX, QCCUp�OUTLETS OR FIxTURES 200500 BALO 30 Ex. OCCup. OUTLETS P(RESID )FIXED ALISIS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Countyot 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 again t said County in consequence of the granting of this permit. X Date �' Signature of ArppJ' ant — Owner F1 Contractor ❑ Agen 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 $ CSS TOTAL PERMIT FEE $ o occu P.CONST.TYPE ISCHOOL I FLo o ARcg, IS li [_2 ND SUE This permit is hereby issued under sions of the Butte County Code and/or work dicated above for which RECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS o/ Date �S �Q��'%��a S14* �� Receipt No. WNITC-D.P.W.. TCLLOW-ASSCS aR, PINK -INSPECTOR, GOLDENROD -APPLICANT .;.5,►•}-.^.v,��.t>'sj=�,.�r.,'J'f:-d-.`"'--;"r%`f.. `�''1!�'.'�Ffw,�{�'M"^j�.``.` .y_:�;�w*�; !� Y^.. ! �L.,:i ,S,'..rS'r •yA,sy�_ ' .. `.�. rr COUNTY OF BUTTE - DEPARTMENT "O.F",PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI E,AZALNPORAIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Permit 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. 2. 3. 4. 5. 6. 7 8. All items.have been submitted. . . . . . Plot plans in duplicate. /triplicate, signed by preparer of plans. Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , , , . . , , Letter of signature authorizatior/� Sanitation approval from / a �� Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) . Owner -Builder Verification (Given to owner[], Mail to ownerE]) Improvements may be required. , . , . , . , , , . Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to Pre -Inspection for Required. R,,;,,t;n„ ,_. -t- 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. 1 Whe you issue the perIt, proce s/ as follows: Mail to owner, Mai,l�to contractor. v Telephone 0l0 and hold for pickup at Gtr office, 'Deliver w/inspector.! Other 0�; Applicant /* 0� lte !9 ate) s Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to per 't issuance: (Circle new item not checked above). 'A 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 Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date date .te -?- I4 --i r t), T0; Building Department FR Environmenta SUBJECT: SANITATION CLEARANCE WNER Plans approved for:* Hold final for: y6�'cam LOCATION AP Sewage Disposal Final Clearance O.K. for: Clearance fnr - . halirnnm mnhi l n h^m Water Supply Water Supply Water Supply t ✓ �CC: orc!crce Nvi f, f� cc^l1i;rd Good Practices ' u. r. and CHARLES .E. HANCQW' l,`nifr,�r,; ...:i..l�;,L�°f�,r'; tf i Sh:�,-Tied use in the BUILDER r1. s r ' eteel Codes and ' ! ;� the Nalloncil F::ieci: cca.Cca�t <✓' �c 'LICENSt~ #.126951:61:1;:' �#{ sUIL01it CHARLES E. HANCOCK ,PARADISE, CALIF. rte' OEvrB0 ` HOME 877-142f,. �. .Y PARADISE, CALIF. 95969 ,. - - • `� Iso Q) °mac r,fll/.....; �'�lf E� �'•,, I r �l a . C. n 1 G Bch ry INV -71 A' I ' ��"i•i. �' •� , ���i� /�/ter , . ' . ;i! . CJ J 3 41 per will. . ,;, �, o, eq red f W' I , �; installat • 6e ul • : \' o `he mol;iFe N o (At tr 50. !D Q rn 1 .I '.r� i•. Y J, r. t t �1 t N .a• (`I Q.��n•;I .`.• ! — !• l I� r f r ; < HiQ ' crpk (D qt �, .\_mss — � �r fA.•, :F". t I .�{�f�Cn ,.. CD fr. '� 581':;1 f s r,. �, {i, •r,( 15. . '� r �+ BUTT'E ' • � '` rl ✓ I �, 7" 9 AP-1 ROV ; ED'.' ...IIIDIII D� L �g '0, 77.0 �' All u/tilit/ BUTTE COUNTY .r ' C y connections shall be located within 4 ft. outside the' rear BUILDING! DEPARTMENT' ' `Y :•� •'�• `• j • ±r third section of the r'r,,k;lo I_- r , 5062-77B PERMIT NO. PERMIT EXPIRES >. OWNER B. E. Ralph , fCONTR. Sierra Dev. &Constr.,Magalia 66-49-18 wLOCATION (A.P. ) `• 8 Yahi Ct., Lot 85, Indian Mdws.#4,Magal.ia ,IS ', � �, y --/S $a G.<lr�.�,�`. �:v� / .-.its rhr!'i.;c✓t '� � "� � et - . ` , . Y � '��= • ... ' } , •. -,l,, , . • ;. , e 4 , Temp. Power Pole Called PG&E Temp. Elea..Serv. S Called PG&E Temp. Gas Serv� Called PG&E ate) F (Signature � S 4 - 14 - AL, _. DATE REMARKS OR CORRECTIONS Nal s r 2 fill, — -7 /W 614115 04/p 6 aa- J?6J d &4// AV d -SS 6.9 CAsWd 411ETi a- �X _�Zo f�'oX�s 7�n✓ 6�� arra t4 I - C1' 491// P4 04 kar S�Lc�, � ¢ iw� � �% y�mo,�/l � •✓� �& zo e z Far yids -1- �ucil, 1�) iffys (NOTE: An entry must be made on this form each time you visit the job site.) a f(S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' ` J BUILDINGI BUILDING (Cont'd) PLUMB. G Setback Firewall Soil Piping Forms r Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physically handicaped z-----� Conformance of ex. structure App (lances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s �' Footin ELECTRICAL Masonr Walls Throat Rough i O Reinf. Steel Final Fixtures Bond Beam FIRE S INKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh L19CHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground .375 Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Nal s r 2 fill, — -7 /W 614115 04/p 6 aa- J?6J d &4// AV d -SS 6.9 CAsWd 411ETi a- �X _�Zo f�'oX�s 7�n✓ 6�� arra t4 I - C1' 491// P4 04 kar S�Lc�, � ¢ iw� � �% y�mo,�/l � •✓� �& zo e z Far yids -1- �ucil, 1�) iffys (NOTE: An entry must be made on this form each time you visit the job site.) a f(S a- 1 3no�ij 2/ � ryw ��' poom 1;3 G �� �' 6�° �i� z � N� / � s c► � o 7.rnwy jz/ CwOUNTY OF BLI TIS, .— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 r. Telephone: 534-4541 APPLICATION AND PERMIT r-71, 6: � 7 authorize representatives of the County of Butte to enter upon the above-mentio ed property for inspection purposes. 4 X Date Z Signature of Permitee or Agen? Receipt No. — -1 l%4oo w White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P)dBLIC WORKS By Date ) - T Building permit expires Date ��' �" 7P BUILDING Owner��� SQ. FT. OCC. BUILDING VALUATION 7 O Mai I i ng Address ` A Telephone No. Fireplace Contractor E0_401,Y'Ll C0^ S_r • Total Valuation Mai ling Address ,. r ,B :�7G. Permit Fee (�-- Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00—P 1 / 0 Each Trap 1.50 / 0r � S' 'j'" 1M • .� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. `� "— % Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 BIdans Recd Parcel Xpproval Planpproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.0 LESS Main service 100 AMP 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home Others OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 1.00 if U JIR V tNv�` E & NEW CONST. OR ADDNS.`( DWELLING . 120 sq ft ACC. NEW CONSTR. TI.OU T NON.RESID. BRANCH CIRCUITS) 2.50ea j .. v ��J• Wei f e%NON- RESID (SINGLE OUTLET CIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: !n %XiIIP�'l e�l/l.[� �4lL,t/ `� l' f� Ex. Occup(OUTLETS OR FIXTURES) 50 B,q@� Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 t; 3 R I License No. % Classification �J Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $9149$ 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. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �— authorize representatives of the County of Butte to enter upon the above-mentio ed property for inspection purposes. 4 X Date Z Signature of Permitee or Agen? Receipt No. — -1 l%4oo w White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P)dBLIC WORKS By Date ) - T Building permit expires Date ��' �" 7P COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S WOR - � K 7 County Center Drive - Orovi Ile, California 95965 ,, _ Telephone: 534-4541 APPLICATION AND PERMIT ^ v Date 1U 1 - _ . . ...,1, - 191 Signature of Permitee or Agentt/� 77 Receipt No. 1:70 BY Dae v White-D.P.W. -yellow-Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expire Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor -1 ctm S-1 Total Valuation Mailing Address „�� / k3 Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Adress PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 8 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. fp-r-- Zoning $Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F FireDep t. Fire Zone Use Permit Building sewer 5.00 arkinEQA PPlans Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 'klila'PI Re -'d - Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3,0D 600V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family El ❑ Mobil Home E]Others ❑ Main service OVER 600V 2.00 10o AMP OR LESS 1 Main service EA, ADD'L 100 AMP 1.00 '• OR ADDNST. ( DACE OCCUP. &) 20sgft NEW CONSTR. M LTI-OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ^^ 0,44 -� Ex. Occup(OUTL,ETS OR FIXTURES) BAL@ta FIXED APLNS Ex. Occup.(OULETP RESID )REA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 9141 V3 9Classification 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 Wor men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above entioned property for inspection p rposes. D t 1 l Is. 110 TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. niR4;:C.Tr)P r1F PI IRI Ir 1A10RLCQ ^ v Date 1U 1 - _ . . ...,1, - 191 Signature of Permitee or Agentt/� 77 Receipt No. 1:70 BY Dae v White-D.P.W. -yellow-Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expire Date ��` PRE -INSPECTION REPORT O`� `�� OWNER: J - DATE: 4-r !i✓'CJ / LOCATION: Oc./�v P: # D(,406' !� y CONTRACTOR: ZO s� REASON FOR PRE—INSPECTION 1 DATE TO INSPECTOR: PERMrr HISTORY ( ) NONENSEE ATTACHED is BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied (vv Yes ( ) No Abandoned/Vacant:' M Electric: f // Electric Currently (X))On ( ) Off Condition of Electric 0 fV Gas: M Currently (�On ( ) Off Condition Sanitation: Plumbing Worldng (Yes ( ) No 1 Obvious Sewage Problems ( ) Yes ( No E� ACTION RECOMMENDED: Hold for permits or verify-.'— ISSUE erify: ISSUE D) Yes ( ) No Inspector• �v r� r Yw� Date: TT!\AT ll1�T Tll 1171T 71,T� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHIC(j) OFFICE #: (530) 538-7541 PERMIT. NO. BP. 4k' DATE:�J v i APN: ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE Rt Coll 0 STREET ADDRESS: Y 0 G F CITY, ZIP: MQ C �[ V ��t✓ Y i �i "F 6 �/ 1 ` EMAIL: SITE ADDRESS: CITY, ZIP- ' NEAREST CROSS STREET: _ , — --- - - — ---- -TRACT/LOTP-- - -- ----- APPLICANT NAME: PHONE: STREET ADDRESS: FAX CRY, ZIP: E-MAIL: CONTRACTOR NAME: t epi gl:> STREET P �0 ADDRESS: CRY, ZIP: E-MAIL: LICENSE NUMBER: 6 LICENSE TYPE-- YPEARCHITECT/ENGINEER ARCHITECT/ENGIN NAME: PHONE: STREET ADDRESS:— DDRESS:FAX:CITY, FAX- CITY,ZIP: LICENSE NUMBER EMAIL DESCRIPTION OR SCOPE OF WORK: P i A -!v aZ.v 7- ro�oijjbioN ❑ Structure Built without permits - -O-Proposed-C-hange-of-Oc-cupancy(note previous use — - EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by Date: 4-73 irJ 4 Receipt number: Amount Received: t)® j� ----------- � A647 - 0—� Maefor.nnli—s.... o e nA _ 66-49-18 B. E. Ralph. �J //-�� �7'7 8 Yahi Ct., of 85, 1. M.#4, Magalia contr: Ch es Hancock, Paradise Permit. #1872-77P,E(uttil.,MH) ELEC GAS SURDItT 9tRUCTURE REQ. �j CNACTION TEST REQ. IVO �If �✓ �.JP 66-49-18 Permit 5062-77B CONTR: Sierra Dev. & Constr.,Magalia (garage, cov.decks,awnine/.MPP 66-49-18./i/ Permit #5538-vgas piping) ��fa6-49-18 ermit ##5646-77MHI (for ##1872-77) Contr: Para. Mod. Concepts 'issued: /077 T 66-49-18 13634 Yahi Ct, Magalia Contr: McMillan MH Permit#732-88B(change pitch cov decks & new open deck) rr I 9 0 ro t �-may f i, i � �.� i -.. .. �.. - ...�.�. .. _.._.. �.� _..3:�.... � .r .,... 4 _..-.. .._� .e..�.+.rF� ,sti`. �..`......w.a. r.,.1_ti...w._ J.J..•+.. _.....�...�r. I 9 0 ro t �-may Building Permit Number: Owner Name: me-, C-0 ( GUA'n Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is - unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E:C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system .with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and, exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: rKC, Co t l,wm Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. , Fire sprinklers are required in this structure. The following parcel man reouirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback o0 eet from the side and it Lt2PUVt from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. • ti I 1. Owner's name: 2. Installer's ns BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 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 /z-�.No ( If no, clarify ) ^5. What is the mobilehome electrical rating? ----------------------- /C Amps 0 6. What is the mobilehome site service rating? --------------------- r9'0 Amps i 7. What is the.mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome /00 Amps site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) 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 mobile (ft.) 12. What is the mobilehome gas demand? __________________________ ___ / (BTU) (This information not required if pipe length les than/6/ft-.� on natural gas or less than 50 ft. on LPG.) -i',7`c,Yt-"�'� 1 c3U TT, COUivI! 44UL®ING APPR.v 4; J MOBILEHOME SUPPORT DATA Mobilehome Mfr. ���/��i� Setup Model No. /—/ - QJ)Year Width L (ft.) Length.X .... (ft.) Expando Size f.t.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural se isheets (if not on .file with the County of Butte). - Sin le - Footings (check.one) / 1. Wood.either . pressure treated or anter Center Support fdn. grade. ipport Footing Sizes )cations (in.) 2. Concrete pad. 3. Other,: specify in.) Un. -..- —• V" 3-Z -q. Supports (check one) :7 1 • Concrete block 2. Concrete piers =5 �•n7 (in 3. Steel piers 4. Other, specify SS Typical Support r x 7 Footing Size L4 ( in. in. (in.) (in.) ti i max. Pier spacing WVnn.) (in.)(in.) Max. -7 Overhang (( i��n__. ) ON If center piers are other t rbove, craw in locations, spac sions. NOTES RESIDENTIAL PERMIT NO. — 066-490-018 04-1144 MCCOLLUM, JAMES t 13834 YAHI CT, MAGALIA CONT: MARVIN PLOURD EX MH 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 MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ` ORS oZ.lq" OR- El, o Z y44c of -6 o 24441 JOB FINALED (Date) S� Signature CHECKED BY J _ OK 0 = Not OK Not + = NotReadyable •~ MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. 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 #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door•, Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GF] Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Clearance Looked under Floor 0 Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date : Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- 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-Underfir. 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 -Wal Is -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 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041144 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/29/2004 APN: 066-490-018-000 the Business and Professions Code, and my license is in full force and effect. 1 License Class: License Number: Site Address: 13634 YAH I CT MAG Date:4��Contractor: M + R -ou �-- �/> Map Index: Description: EX MH PERM FND EX SITE 1796 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner. MCCOLLUM JAMES L &BARBARA A permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13634 YAHI CT the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MCCOLLUM JAMES L &BARBARA A such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one - year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: PLOURD, MARVIN O I am Exempt under Article 3 of the Business and Professions Code DBA PREMIER BUILDERS 1584 WAGSTAFF Date: owner: PARADISE, CA 95969 530-872-1096 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 343173 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: j 7—✓�'t Z cf oo k Total Square Ft: 0 S. F. Policy #: %j 4. 3 1 % ) O I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply �with /those cprrovisions. Date: .ice 1 Applicant: ! , WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 39569 e. 4-2-3-404 549 4 0 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Count, Coda and/or Resoluti s t dp work indicated above for which fees have been paid. performance of the work for which th' permit is issued (Sec 3097 Civ.j eid 30 Name: N ,M 1 h f�" '�(Zn c� 2'r ( 6 S By - v r A Address: L = ' Cil i ,- �Sate:: PERMIT EXPIRES ON: 1to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of But County. I hereby authorize representatives ofButte County to enteruponthe abovee mentioned property for inspection purposes. / p' `--�"� " �iL Print Name: t`� L Signature: Date: G O Owner ❑ Contractor 13 Agent for Owner O Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041144 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/29/2004 APN: 066-490-018-000 the Business and Professions Code, and my license is in full force and effect. License Class: _ License Number: 3 !c1 3l - Site Address: 13634 YAH I CT MAG Date: -4**Contractor: Oil r D'/ 0u P7—/> Map Index: Description: EX MH PERM FND EX SITE 1796 p OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MCCOLLUM JAMES L &BARBARA A permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13634 YAH I CT the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MCCOLLUM JAMES L &BARBARA A such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: PLOURD, MARVIN D 1 am Exempt under Article 3 of the Business and Professions Code DBA PREMIER BUILDERS 1584 WAGSTAFF Date: Owner: PARADISE, CA 95969 530-872-1096 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 License #: 343173 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: ZEZ2a 11E GfDot1 Total Square Ft: 0 S. F. Policy #: 3 5� . 31 7 22 ElI certify that in the performance of the work for which this permit is Valuation: issued, I shall not employ any person in any manner so as to $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: hw/D Lf 41 Applicant: t WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 39569 (,o ¢. 23 •04 549.`; o code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Count CodA 2nf r I hereby affirm that there is a construction lending agency for the Resoluti s t dp work indicated above for which fees have been paid. performarlsa of the work forwhich_th permit is issued (Sec Civ.) �O a Name: I�2�.M l l� f�cAh n� 2'rj 6 By .s kA Address: ' 175115 PERMIT EXPIRES ON: 3D w _ 'C_ fe ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are -copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of B County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. r � /n, �" �`—r�`� " a), Print Nal' e: Signature: Date: ❑ Owner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE . . • .. � F� tRE IPT 395696 01 FICE O RTM Tn,_vf, (I ISSUING." ,.ECEIPT. J2 _ 'received frog . , !0� K/� le Sum o i /l cf6 nor �� A eived:� Received By• CASH t 1 Title CHECK [ _ By .t IUSINESS FORMS • (530) 743-8511 Form 75702 BUTTE COUM�Y DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP �*#� DATE:, 0 At - APN: ZONIN Q OWNER'S LAST NAME: OWNER'S FIRST NAME: ONE: e Cc Lt 0 M STREET ADDRESS: Y / G FAX -11410 CITY, ZIP: C)4, '7-5—F,5- 4 E-MAIL: SITE ADDRESS: l CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT M APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: P I /\ (J q(a STREET ADDRESS: FAX, CITY, ZIP: / y E-MAIL: LICENSE NUMBER:/ 3 4-3 LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: F000/©N L43-3,4 ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by1� Date: —1 /✓ (J� Receipt number: Amount Received: # Master application 3-4-04 . r�-.,�•q �ri.A'y�-.=2. '!1C .: ZC .^�94:¢°Tlr'�^c"'•',b ''�„�s'm��P'.r .�v�'���o!.^+•^. wv- r+� � -.. .. r'�,+w��+V/�//��"j/�P'� COUNTY OF BUTTE -DEPARTMENT OF ELOP ENT ERV CES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 CPERMIT APPLICATION DATA SHEET OWNER: ��ASSESSOR PARCEL NUMB Propo ed Building Use: C Counter Technician: (/'� Date: It mrequired in order to apply for a permit All boxes MUST be checked OR marked NA i order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Lefler from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ZA'\-)8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Pla' i own or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. 27. Encroachment Per ' fo dr ay rc the Public Works Dept ........................... ife 28. Pre -Inspection forequired....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... Cl -35. xisting violations and/or expired permits..............................................Weck .. �_ ❑ 36. d estrictio.................................. ..................... ❑ 37 rant Dee Title/Statement of Facts, tter from Legal Owner, to H.C.D. $ ❑ 38. ther: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and require nts for obtaining a building permit. j Applicant: ` GFS Date: 1. Index permit application for the above items numbered: Plan Check Letter ^� 2. Additional items required ontracto , designer, owner, was advised of the above data by p one, ❑ mail, ❑ counter, by Date ' ac or, designer, owner was advised of thea ove ata b ❑ phone, ❑ mail, ❑ counte Date: Plans reviewed by: Date:41 •O Plans approved by: � Date : ' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 04 -May -2004 2004-0026080 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. JAMES L. MC COLLUM AND BARBARA A. MC COLLUM REAL PROPERTY OWNER/LESSOR 13634 YAHI COURT MAILING ADDRESS 95965 MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SIGNATURE OF LOCAL AGENCY OFFICIAL SAME NONE CITY COUNTY STATE ZIP SAME NONE UNIT OWNER (if also Property owner, write "SAME") DEALER LICENSE NO. SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1144 (530) 538-7541 BUILD PERMIT NO TELEPHONE NUMBER 5-3-04 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDENWEST 1977 GOLDENWEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 13089 A/B/C 64'x24'&64'X10' 0244 39/40/41 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) UAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER AP # 066-490-018 SEE ATTACHED ONG T4(`n Ff)RM A11(Al RFV R/01 EXHIBIT ONE Lot 85, as shown on that certain Map entitled, "Indian Meadows Subdivision Unit No. 4", filed in the Office of the County Recorder of Butte County, California, on August 29, 1974, in Book 43, of Maps, at Page(s) 51, 52 and 53. EXCEPTING THEREFROM an undivided 33 1/3% interest in all minerals as reserved in Deed recorded in Book 743, Page 68, of Official Records. Said reservation did not include right of entry for mining purposes. ALSO EXCEPTING THEREFROM an undivided 66 2/3% interest in all minerals below a depth of 200 feet, as reserved in the Deed recorded July 23, 1976 in Book 2089, Page 277, Official Records of Butte County. BUILDING PERMIT NUMBER: 04-1144 Address or location of unit: 13634 YAHI COURT, MAGALIA CA 95954 Legal Description of Real Property: AP # 066-490-018 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: JAMES L. MC COLLUM AND BARBARA A. MC COLLUM Owner's address: 13634 YAHI COURT, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 0244 39/40/41 SERIAL NUMBER OR V.I.N.: 13089 A/B/C MANUFACTURER'S NAME: GOLDENWEST YEAR: 1977 OFFICIAL APPROVING INSTALLATION: C �/,1."'1Gr. ��"& DATE: 5-3-04 PHONE: (530) 538-7541 H.C.D. 513 'STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAV2482 i Manufacturer ID/Name Trade Name Model DOM DFS RY r Exp. Date GOLDENWEST GOLDENWEST 0/1977 11/21/1977 - --- — ; Seriat Number Label/Insignia Number Weight 1 Length. width i SPC SCC Exempt Use Type 13089A 024439 64'1 2' 04 ; i SFD LPT 130898 024440 64' 12' 13089C 024441 j 64' Issued Total Fees Paid i I Aug 21. 2001 $123.00 ` Addressee JAMES L MCCOLLUM 13634 YAHI CT MAGALIA, CA 95954 Registered Owner(s) JAMES L MCCOLLUM BARBARA A MCCOLLUM Joint Tenants with Right of Survivorship 13634 YAHI CT MAGALIA, CA 95954 Situs Address 13634 YAHI CT MAGALIA, CA 95954 Legal Owner(s) WELLS FARGO HOME MORTGAGE, INC 2865 SUNRISE BLVD, SUITE 101 RANCHO CORDOVA, CA 95742 Lien Perfected On: 08/07/01 10:06:46 IMPORTANT 00SING e Q 0 ■ ee Z 3 � o, w 3G� oaf DEW THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE; UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2091325 08212001- 38 i APF . 21: 2004 1::30PI1 April 21, 2004 JAMES L MC COLLUM BARBARA A MC COLLUM 13634 YAHI CT MAO.kL.IA CA 95954 RL: Loan No: 412-9305270 Name: McCollum, James & Barbara Address: 13634 Yahi Ct. Magalia, CA 95954 RE: Letter of No Objection Lear Mr. & Mrs. McCollum, NO. 067 P.1/1 This is letter is in reference to your request of approval on the building of a permanent foundation for your mobile home. Wells Fargo Home Mortgage, Inc. has no objection to the permanent foundation If you have atiy questions regarding this matter, or if we can be of any fLurther assistance, please contact we at (3 01) 815-6711, Monday through Friday, 8:00 ain, to 4:30 p.n•,. Eastem Standard Time. Sincerely, Wells Fargo Home Mortgage, Inc. - f I - PolMaio Land Transactions and Servicing Support Enclosure 1`_0O4 L'I;O:, FAX 030 `77 5'._'!l I'lUl{11'11 I'mm)ISI: 0I001"Oo-, ):;o 87*7 Z44 03/3:01 13 01 FAX 330 17" 5443 - PARADISE 14t001•'00: . - ��IIIIHiriWiliirrlir(rrl RIICORDINC REQUESTED BY: ��� 1 999—X047449 � Fidelity Notional Title Company of �� FoLurded I REC FEE MW CaMfarn,a Official Recoret I TAX 77.11* t •lie Or er u 1 2S 00301 25 � � tr Ties Order Nu 00301 j59 VY'' GoatltY Ot liITTE When Recorded Mail Document CAICA11 J. SUBS I tieCertler 1 and Tac Sterterrfent To; ROSDiMY DICk90r I Mr and Mrs. James L. McC Ilurn lssistant I Maureen 111918M Sel-NO.0-1999 1 page l of 2 13834 Yahi Court Magalid. CA 95954 GRANT DEED SPAC9 A1116VETHIS UNE FOR RECOROMR S USE The undwalgned aesrttor(sl deelarefs) Documentary transfer tax is $77.00 I X ! computed on full value of property conveyed, or [ I computed on furl value less value of liens or encumbrances remaining., at tirne of sale, i i Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, nocelpT of which to hereby acknowledged. Dixie S. Singh as trustee of the Dixie S. Singh Revocable Inter Vives Trust initially created January 14, 1999 hersty ^aRANT(S) to Jarne-s L. McCollum and Barbera A. McColum, husbend end wife as Joint Tenacts the following dese4lbed real property ir. the City of Unincorporated County of butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATeD: NoveMber 4, 1999 STATE OF CALIF COUNT;' OF I versonally known to me for proved to me on via basis of satisfactory evidence) to be the Dewnls: whose name(s) Waits subscribed to the wittin_instrumont and acknowladgsd to me that he;shefthey executed the same in his/her/their authorized capacityPes:, and that by his,'herlthsir signatures) on the inatrurr+ant the person(s!, or the entic; upon behalf of which the person(s) acted, executed tna instrument, Witness my hand and offigi'al seal. / Signature 'L— DixIe S. Singh as vustee of tha Dlxia S. Singh Revocable Intef Vlvos Trust inidelly created January 14, 1999 BY:L��� Dixie S. Singh, Trustee WENOY CSER Q C01AMR1u1260 r 11CDAY Pu3lJGc111.w-sm- Kr E coiNTy Mir Correa E�lM Am 21,20D I MAIL TAX STATIEMENT8 AS DIRECTED ABOVE FO -213 IRev 7196? BRANT DE60 - --- - - Description:-"Utts,r.A Doal:ment-Year-D"ID 1999.47449 Page: 1 of 2 ordoz: Brolly - 'C=vnt: EXHIBIT ONE Lot 85, as shown on that certain Map entitled, "Indian Meadows Subdivision Unit No. 4", filed in the Office of the County. Recorder of Butte County, California, on August 29, 1974, in Book 43, of Maps, at Page(s) 51, 52 and 53. EXCEPTING THEREFROM an undivided 33 1/3% interest in all minerals as reserved in Deed recorded in Book 743, Page 68, of Official Records. Said reservation did not include right of entry for mining purposes. ALSO EXCEPTING THEREFROM an undivided 66 2/3% interest in all minerals below a depth of 200 feet, as reserved in the Deed recorded July 23, 1976 in Book 2089, Page 277, Official Records of Butte County. f ~ H.C.D. 9 r'9P e rff rT41F CW NAME: AN: DATE: s place your child in their home? 7. Are you confident they will be kind to any 8. Will they give a child proper medical atte? 9. Do you believe the applicant and her ,famili 10. Do you know of any reason why their home m. COMMENTS: Date: Information will be considered strictly confide application, kindly return as soon as possible i 1. t ' ' yWjir f�j�'�: t+,.,n°� ,t � �''� i�-S St�• rl'k' Glx. �* � i fF(A V z cr >t �1-a. O a. LU OltU3 --� r 17 9 1 I ' w0 (r. Zn CL �v�Z ;� # ..J Y 20 3: 0Z U20U �4II o 0 w ti VJ O :r- m } 0.9 c W -Z- 8989-b2L (ICB) 91096 *V3 '3-1-1IANOS1tiM '3AINa SIdv-1 OIi 09-0r, ddS) MISAS NOL VOW103 C13833NION3 - EYE 9g E--Q-E}--®--E}-E} D' -fl-pq !I !I o "It 3513LE "r-0 ". 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