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HomeMy WebLinkAboutmerge4 2 F5`14AWORTIf, 'J'amesAWO6350 Ponderosa WayContr: PMCMH on per 064-240-025 02-0914 INALEDHAWORTH, JAMES6 3 5 0 P 0 N D E R 0 S A W A Y, (2-A G., A .1vi-7 - _'_--_ ' - -- ------- -- � -T -- STAN Ma 0 a 0 = I I M Eat Jim — M&i � F-----] I mmmmmmm� I t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7rAl P Ml J. (Rev. 12/96) APPLICATION AND PERMIT C� ASSESSOR PARCEL NUMBER 064-240-025 ZONING BUILDING PERMIT OWNER HAWORTH JAMES TELEPHONE 873-0924 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS P.O. BOX 1171 MAGALIA , CA 95954 CONTRACTOR'S NAME DAN MESSI TELEPHONE 1872-14(; 15 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [,Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ �'3 6�PONDEROSA WAY MAGALIA CA 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ]0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPLACE ELECTRICAL WIRING AT WEATHERHEAD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby Orm under penalty of perjury that I am exempt from the Contractors License w for} a following reason: 1`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 PP lic Number (T above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compenstion provisions of section 3700 of the Labor Code, I shall fo with c ply dh those rovisions. 0• ate 2-1 Slgnat �AppicantZ- Owner ❑ Contractor ❑ Agent An OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. Main Service zoOA TO IOooA 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLDS. 3.5¢FT. �N H' -R SID. MULTI -OUTLET 97,50 Po ER APPARATUS a SINGLE ourLEr cw. .00 EX. Occup. OUTLET OR FOMRES BAL O 1 .50 Fu(ED APPLNs. OR Ex. Occup. ouTLETs RESID. EA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring—_ jiiiiiiiiii .23.00 23..00 iPRE-DINSPECT-ION� +1l X23 2� 3T0 r— - — - PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FESS Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD cDF PARCEL PD HD SS 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. d B ate 1kZ Y I -L PERMIT EXPIRES ON U De Receipt No.150 o WHITE-D.D.S.-B.D. CANAR -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L 5 '-iev 12/96) ASSESSOR o1, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT t•.o APPLICATION AND PERMIT �C7 JMBER_ , _ .�- ZONINO BUILDING --�-- /- , , CONI a,gCcpR) CONTRACTCR'S MAILING ADDRESS CONSTRUCTION LENOER LErDERS "UNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. SUBDNISIONSNAME Nwl IIS i�`li TELEPHONE n 0 LISEOFSTRUCTURE SF Duplex ❑ Mobilehome Other SPECIFY TYPE OF WORK ���111 New ❑ Addition 1:1�Remodel n❑ �Utilities ❑ Installation ❑ Otther1w � Describe Work: t / Wl 9 . _0 SCJ( _,0_4 ( , a J/V1 D, 0,q "FERAAIT FEE PA10 SRA • . SHERIFF OTHM AAk6VNT RECE=1/E 0 *Ws" NUMsft 3 -5 3 a50 * TO e! Pir wro compi lR ReceiptNo. WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT PERMIT SO. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation L Filing Fee $ 20.0 Permit Fee $ Plan Checking Fee Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Filing eel 20.00 Each Trap '�, 7.001 Solar or heat pump, water heater 1 23.001 Water piping 15.00! Each gas water heater or,,vent 1 5.001 Gas piping system 1 - 5 outlets — 15.00t Building sewer 15.00. Mobile Home I S I G I W I @20.001; 11-11 PERMIT FEE I $ ELECTRLCAL PERMIT I Fling Fee: 20.00 Main Service,( R LESS 200AORLESS ) 23.00; Main Service TO 1000A ) I _ 1 46.00; NEW CONST. OR ADDNS. OCC— / OW�3'WNG UP. \ 8 AOC�8 Cc NEW C� NON-RESID (-7.501 OUTLET OR FOMRES 2O I'OO I EX. OCCU aA01 30 Ex. Occup. ovrLEEOrs AESS1i0.0EA ( 5.00i Temporary Service 23.001, Mobile Home Facilities j 20.00; Lvlisc. Wiring 23.00; MECHANICAL PERMIT Filing -Feee 220.00 Heating I 6.50 ; Ventilation PERMIT FEE I $ Mobile Home Installation Fee $ Energy Inspection Fee b DCC `INST. TYPE TOTAL FEES HAZ. 10. FEES IMP I FLOOD I COF I PARCEL I PO H"SLE 4SLE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sib. Please complete and return this information at your earliest opportunity to avoid unnecessary May in processing and issuing your building permit. No building permit will be issued until this erification is received. 1. personally plan to provide the n;a*or labor and materials for construction of the proposed roperty improvement: YES ® NO ❑ HAVE O HAVE NOT E3 signed an application for a building permit for the proposed w�odc. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: PHONE 4. I plan to provi supervise, and NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. ions of this work, but I have hired the folio g person to coordinate, the major work: 5. I will provide some of the work bu the work indicated: NAME DRESS CITY: OR'S LICENSE NO. (hired) the following persons to provide TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL. SE N i ER: DATE: NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be -compkted and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property 0—. -dr: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded*by.the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. be- ger, Building Inspection NOTE: This Owner -Builder Information is required by Secdon 198.10 of the California Health and Safety Code - OVER 064-24 0-02 5 02 -09 14 -HAW0RTH'7AMES 6350 PONDEROSA WA Y/ (:GGALIACoNTR: DANJESSI PLACE ELECT. WEATHERHEAD F AE OFFICE COPY I % Address GAS Meter. By Date ELECTRIC Meter.,By Date N&. f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 1 P MI (Rev. 12/96) APPLICATION AND PERMIT + S SSORPARCELNUMBER 4-240-025 ZONING - BUILDING PERMIT OWNER HAWORTH JAMES TELEPHONE 87 52/4 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 1171 CONTRACTOR'S NAME DAN MES.SI TELEPHONE 872-405 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ D' 'DEROSA WAY MQUA CA 95954 Energy .Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome RI Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other LY Describe Work: REPLACE E3.FMICAL WIRING AT WEATH MHEAD F l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE $ I ELECTRICAL PERMIT Fling Fee 20.00 eooLEs Main Service 2o0A oR OR LESSs 23.00 4 LICENSED CONTRACTOR'S DECLARATION I 1 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby m under penalty of perjury that I am, exempt from the Contractors License L w fovtfie following reason: RAI 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. I 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: I 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 Polic Number (T above sections need not be completed 'rf the permit is for work of a valuation one hund!r�ed dollars ($100) Or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with corhply ith those provisions. `6ate�_ Slganat of pplicant Owner ❑ Contractor ❑ Agent I An OSHA permit is re uir d for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. P Main Service TO 10ooA 46.00 NEW CONST. DWEWNG OCCUP. SO V; 3.SQ�; ORADDNS. ( a ACC. OUTLET Np CONST.MULTI.OUTLET 97.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OOR FITR� BAS p Io FILED APPLNS. OR 5.00 Ex. Occup. OUTLETS RESID. E0. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 1 23 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISS 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. --- /� "f , / � " l; /� , By `�l ' `"" k, i Date / PERMIT EXPIRES ON Date Receipt NO. 70 Z5675 WHITE-D.D.S.- .D. CANAR -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT REQUEST IIF,,,�OR INSPECTION Permit No. C r Location: (0 • BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Stucco Lath Stucco Brown Woodstove Brace Panel Insulation Top Out Gas Pipingffest Temp. Gas Sewer Piping Water Piping Shower Pan Temp. Service Main Service Underground Well Circuit Corrections Final Job Status Permi Ve Utilities Ex Mobile Site POOL Nailing Gunite� P�I Demo Bonding Correct'Vs Corrections Corrections Light Niche Final Final Final Corrections Final Ready for Inspec. on:V-91 Date: Call Lj Phone: If PRE -INSPECTION REPORT OWNER. DATE: LOCATION:... A.P. (-d V6 -05 CONTRACTOR:- ZONING: PRE-INSPETIONFOR: — DATE TO INSPECTOR: 4 PERMIT HLSIOR:( ) NONE FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: CommerciaLlUsage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currex�y On Off Condition of Electric Gas: Nan" Propane None Currently On Off Obvious Problems_: Sanitation: Plumbing Working Well Working Potable Water ObviousSewageProblems Comments: ACTION RECOMMENDED: ISSUE:— HOLD FOR,1 0 e— Inspector.Date Sketch buildings on reverse and indicate location on property 1F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P RMIT r,^ -';ev 12!96) APPLICATION AND PERMIT � C"i A:SES:DRPMCEL '''aEy� c-- o� 2OMa0 BUILDING PERMIT �WNE C TELEPHONE L OwrIE NAILING AOD S �� � SO FT. I OCC. BUILDING VALUATION - _ Main Service ( CONT R S NAME ' TELEPHONE I 23.00: _ COPRRACTORS MAILING ADDRESS I C3NSTRUCTION LENDER -------------- LEI.DER S MAILING ADDRESS Fireplace Total Valuation I S \ ARCHITECT OR ENGINEER LICENSE NO —Filing Fee $ 20.0 Permit Fee \� S Plan Checking Fee S APCHITECT OR ENGINEERS NAILING ADDRESS BUILOING ADDRESS r - Energy Plan Checking Fee S \, _ 5 Z $ PERMIT FEE $ LOT NO. SUODNISIONSNAME PMOL MAP PLUMBING PERMIT I Fling Feel 20.00 USEOFSTRUCTURE �� F • SDuplex ❑ Mobilehome Other SPECIFY Each Trap I 7.00i -- Solar or heat um water heater 23.001 Water piping I I 1 5.00' Each gas water heater or vent I 15.001 TYPE OF WORK New ❑ Addition ❑ �Rem"odel n❑ Utilities ❑ Installation ❑ Other(go 1 Describe Work: c !lam-�5 Q;{t Q C tr _0 4!l`' Q Tit On /I(r(1 — Gas piping system 1- 5 outlets I 15.001 Buildingsewer I Mobile Home 1S G; W I �G20.00! _J " PERAIT FEE PAID SRA • SHERIFF OTM A1lilbVW RECEMID s � v * TO a zwo COAMUM Ex. Occup. ( OUTLET OR :xTUREs ) PERMIT FEE I = Ex. Occup. (oirTtt°rs c�a ELECTRICAL PERMIT I Fling Fee! 20.00 Main Service ( 500v OR LESS ) 200A OR LESS I 23.00: _ Main Service ( 200A TO IOOOA ) I 1 46.00; NEW CONST. ( DWELLING OCCUR I SO OR ADONS. 6 ACC. SLOS ) I 3.5c FT. j MULTI.OIlTLET NON•RESID. \ BRANCN CIRCUITS ) ` I 97.50 --- Ex. Occup. ( OUTLET OR :xTUREs ) I 9AL yl 00 1.50 Ex. Occup. (oirTtt°rs c�a 5.001L — Temporary Service 1 23.001: Mobile Home Facilities j 20.001. isc. Wiring 23.00 .Q I ,mla3.o0 PERMIT FEE MECHANICAL PERMIT I Filing Fee I 20.00 Heatina I �— Hood J 6.50 Ventilation I 1 PERMIT FEE I S Mobile Home Installation Fee I S Energy Inspection Fee I $ Occ CONST TYPE TOTAL FEE $ -Z. I D. PEES I IMP I FLOOD I cor I PARCEL PO I HD �L`- This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. PERMIT EXPIRES ON WNITE•O.O.S.-9.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT Date M bv� � U�9 t. , 64-24-25 3870-90B,P,E HAWORTH, James 6350 Ponderosa Way, Magalia Contr: PMC (MH on perm fndn) x y r r OFFICE COPY Addres '. GAS f Meter By Date ELECTRIC Date . Meter By _-- i CO LANG(CA � � . 96 D?14. 6,0 5c5--,/ vc� JOB FINALED (Date) /A5/ Signature I f J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOB E'HOME UTILITIES Plans OK except #'s Zo g Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3. Sew , Location -Test -Fall -C/O Concrete ater; location -Test -Easement Needed (Sketch) I ctricity; Location-Cleare-Grnd-/ /Amp -Concrete 40 Gas; Location es : / /"L"ft. / /"Nat. or/'ft. "LPG 7. Utility,Clearance Date//—/(i—,& Card B- r Date Card B-1 Date Card B- Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK exce t #'s Zoning Requirements -Setbacks Easements . o ' gs; Size -Spacing -Marriage Line as; H Test -Demand -Valve - ;go 4,11fiectricity; MH Test -Crossovers -Breakers -Clearances 5.,Brain; MH Test -Fall -Flex Connector 6.—V titer; MH Test -Regulator -Connector 7. ater and Sewer Connected-efC o Grade -HD Approval 8. Gas and Electricity Tagged 9 -'Exits; Insp.-Sketch 10. Cert. of Occupancy Date 14 Wf/ 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-E'nblosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, 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- Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 J=OK O = Not OK„ = Not PIp�lic�ble RESIDENTIAL (E = N1keady Date UND FLOOR Plans OK except #'s Zoning-Setbacks-Easements ood-Slope Ft ., Main; Soils-Elec. Gr .-/!2P' Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.J/ti /" Ftg. Depth Pg., Porches & Decks; Soils-Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel- Bloc kouts-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. Gas Pipe; Size-Anchors 11. Water Pipe; Test-Anchor-Regulator-Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 15. Insulation Date I ' Z yJ Card B-1 3 / Date Card B-1 Date / ' Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent-Access-Combustion Air-Baffle 17. Water Pipe; Test & Anchor-Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 19. Shower Pan; Test, First Floor-Tub Access 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance-Ins. Protection 23. Elec. Receptacles Spacing-Lights & Switches at Doors 24. Size Boxes & No. of Conductors-Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No 30. Service-Riser Conductors & Ground-Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes O No; Walks O Yes O No; Planters ❑ Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: 1 (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 • 7 County Center Drive, Orovi Ile — Phone: 538-7541 74��Iliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 11 u on 0`H 41 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mater, or nee/d� additional explanation, please contact this office immediately. ` v eQn s P- o �.►7 0�! lJ � G '4 �� ..�J' � DutdL TYPd Cr J3G och vs � � 0 �o /yon anti vr4 Date 1 / Inspector G' / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. D ASSE550e4 -l�I;C=d V;ffER UHAWORTH zo" I BUILDING PERMIT ML OWNER JAELS} L. 408- T�1`6 1JL' SQ. FT. on BUILDIN VALUATION D OWNER'^ff YWWT§USCT, SAN JOSE, CA. 95II9 —Zf/ LPARAD CONTR iJ li MODUTM CONCEPTS T �+y? t85741 CONTRACTOR'S MAILING ADDRESS 6633 qWWAY, PARADISE, CA, 95969 Fireplace CONSTRUCT' (nL NDER UNKNOWN Total Valuation Is 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 $ BUILDI Ne3WV6hDEROSA WAY, MAGALIA, CA. 95954 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. I3 SUBDIVISION NAME BARADISE PINES IS PARCEL MAP 8 �`ai', WaterIn I p p g 5.00 Each qas water heater or vent _ 5.00 USE OF STRUCTURE SF [:1Duplex[]Mobilehome}® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �— Building sewer 5.00 — �-- Mobile Home ISI GIWI 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities XX Installation9Z Other ❑ Describe work: MANUFACTURED HOME ON FOUNDATION _ 2 BED ROOM 29'X56' Permit Fee $ a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OOR R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): IXI 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. LicenseM7I4 Classification 47 ❑ 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 OCCUP.&) NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. I yzQsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e� SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zo®zoa BALD 30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rg 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating o building construction, and hereby authorize representatives of the Countyot e to enter upon the above-mentioned property for inspection purposes. I also gree t s ve, indemnify and keep harmless the County of Butte against all liab ities, ju ments, ' ts, and expenses which may in any way accrue against i C unt i ons ence of the granting of this permit. Date v `� of Applicant — Owner ❑ Contractor ❑ Agent permit is required for excavations over 5'0" deep and demolition or construct- iover 3 stories in hei ht. �Oftructures Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE / TOTAL FEE $ CUA PARK scH FL� V PAR P Issu This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSE590R, PIJK-INSPECTOR. GOLDENROD -APPLICANT • . - _'6.. . • . -7 6 -S" .•a '' ..i ;t; Vii: .;i 'G.' .. ,,S'a. .,. F,„ s.••�, 'w' � i, .T". I.( ,. , 'SLIS-K -80+\ `iTSiO:J?ori .1 2d,'Af• CIDP . A0 32OL ,AA2 •CO (j2IQARE.q SCS 2MVY-/,O0 S'MUQC'I 32I(IA'IA'i eae?e .A7 �32I(TARAq � fA'rJX312 £Ca) ^.rr!brr +�Ee?P , AO � AIJA,)AM � W, A?.USi3aVfOq U, Eo ZI 23LIIR 3?IUMAU F -I xx XX Xv 140ITACuMa 640 .3400 Q VEDAT'IMAM 'aeX'VS MOOR aaa S C? 4NIC8C,3% N COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION �s✓'`r� 7.COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit Nod OWNER A.�P .F4 Proposed Building Use d Building Inspector -iv- r Date At time of permit application, I was advised the following data must be submitted prior.'to permi�pr;oces'sing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .............................. Via., t 2. Plot plans in duplicate/triplicate, signed by, preparer of plans . `.'' ... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans �. S 4. Complete engineered plans and calcs�with,Vet signature on plans 5. Hazardous Material Form ..........\,. �,,.�''.. !.... ........... "% ..L,. . 6. Energy Design Compliance and .supporting documentation ......... =� 7. Statement of Intent for Non -Heated and kQA Viiildings .............. tr 8. Engineered truss details and layout in duplicafk (required prior to plan check) 9. Mobilehome installation data including ma ufacturer,'stinstallation\ �- instructions........................................-:........... 10. Fees of $ 11. Chico Urban Area fees paid ......................................... 12. Park fees paid ................................................ t !/ chool District fees paid,X .......I 4. 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:, {L /, ' ( c 18. Improvements may be required. Contact Land DevelapmentiSectio�PW 9. Driveway permit (construction approv I req`uir4d rior,to;occupancy)' 20. Pre -Inspection for ' '- - `ire uir`ed -vPre Inspec.requestto 4.., uilding Inspector (Date) 21. Contractor's license information (No.^ame Styrle;.Classil Catro f 22. Certificate of Workmans Compen§afio,11 Lns6ra6ce,,.i........ +:...... 23. Owner -Builder Verification (Given to,owner d•Mail to owner ❑) ..... + ,24. Recorded copy of Agriculturak"Ack o ledgment Statement ......... 25. L tter of signature authorization, :.................................. 26. 3 , r 27. ;2!- : 2!- r / Whe u issue the a mit,j�roces as follows: MaiI to owner. Mail to contractor. Telephone NI 9 and hold for p ck at �-- office. Deliver w/inspector. Other A licant Date IL, 1 Copy of Haz-Mat form sent Health pt. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (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---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma I counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW / N; 311 - /5"' TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Yilodt(M GICCy*s �35g P" ?-4r -0�0�s Owner Location yKagqa)�a AP# 0 Plan Approved for: Sewage Disposal �� Water Supply Hold final for: Water Supply ^incl clearance O.R. for: Water Supply �. Clearance for bedroom mobile home. Other NOTE * * * - -- Date San.tarzan TO: Building Department FROM: Encroachment Permit Sec -tion RE: Driveway Clearance ,7 owner location AP # Driveway permit has-been issued for the above property. si/ature date Rel uric I u PPW ACR7CIII,TURAL .STATKMI:NT OF ACKNOWI,rD(:I•:MI:N•I' I"M RI•:S I DI:.NT I AI. DI-NE.I.OPMENT 90--459.37 tiro 1 ion 'l(,-N.I of the huLte CuunLy Curl(- requ i r(•s I h i s arknuwledgemenL be recorded -- - ---- -- priur to iss"MIrc of a.building perm iL. VT— I I-Rec FPO I Check , I X 5.00 5.00 + uccas�u to y generale dust, smoke, noise, and odor. Butte County has estahl i titer d :,;;, ;,•„ 1 lural vanes which have as a priority use for productive ugracu.l turctl purpotir�v, rrrrrl r rt:idr rrI wilh(n sni(I r.anes and on adjacent properly should be prepared Lu-ac•relrL sari iii, rnrvr•irirnr,• nr disconfurm from normal, necessary .farm operations. All. Lhut• real property situate in the. County of Butte, SLale of Caim)rniat, dr•vrribrd :,,; follows: Lot 13, as shown on that certain Map entitled "PARADISE PINES UNIT N0. IS" LOT I3, which Map was filed in the office of the Recorder of the Uounty of.Butte, State of California-on-inJuly IS, >r97l,Book 38 of Maps at Pages 42,43, and 44. STATE OF CALIFORNIA - 'I COUNTY OF __BUTTE f GERI QUAYLE a NOTARY PUBLIC -CALIFORNIA 3 e<� Butte County ■ ■ My Commission Expires Dec. 21, IM H PROPERTY OWNERS YAI i n On this cl?��' day of t�C % Z 2 in the year 19-5&L-) before me, the undersigned, a Notary Public in and for said State, personally appeared JOAN WENZEL— personally known to me (or proved to me on the oath/affirmation of ------ a credible witness personally known to me) to be the person whose name is subscribed to the within instrument as a witness thereto, who, being by me duly sworn, deposes and says: That the Witness resides in Paradise CA and that the Witness was present and saw _)A Me -5 L-. i -f >q too 0 T — — personally known to the Witness to be the same person described in, and whose name is I� subscribed to the within instrument as a Party thereto, execute it, and acknowledge to the Witness that _he executed it, and that the Witness subscribed h,EL? name thereto as a witness. ^ ^n^ w^ WITNESS my hand an —Rev. 5 82 . EI seal. - L� ACIfNOWLEON® ®F DOCUi �''CMENi—Subsc+IDrng Witness—Wolcolls Form 262CA 1 "90-045937 The properLy described herein is adjacent Iu Innrl or included wiLhin an arear.oned Recorded fur ogrirtllLural purposes, and residerrLs Official Records or Lh i s Irroperl y may • be ' sub jccL Lo i neon- County of %•cnicnc•rs ()r discomfort arising from Lhe Butte use of :igric•ulLural chemicals, including, Candace J. Grubbs I►uL not. limited to herbicides, pesticides, Recorder strut l'crt.i.li•r_crs; and from. the pursuiL' 1 8:46am 25 -Oct -'90 of agriculLural .opera Lions including, but 1101Lli.ntiLed to cultivation, plowing, spraying;, pruning, and harvesting which. I I1 I I-Rec FPO I Check , I X 5.00 5.00 + uccas�u to y generale dust, smoke, noise, and odor. Butte County has estahl i titer d :,;;, ;,•„ 1 lural vanes which have as a priority use for productive ugracu.l turctl purpotir�v, rrrrrl r rt:idr rrI wilh(n sni(I r.anes and on adjacent properly should be prepared Lu-ac•relrL sari iii, rnrvr•irirnr,• nr disconfurm from normal, necessary .farm operations. All. Lhut• real property situate in the. County of Butte, SLale of Caim)rniat, dr•vrribrd :,,; follows: Lot 13, as shown on that certain Map entitled "PARADISE PINES UNIT N0. IS" LOT I3, which Map was filed in the office of the Recorder of the Uounty of.Butte, State of California-on-inJuly IS, >r97l,Book 38 of Maps at Pages 42,43, and 44. STATE OF CALIFORNIA - 'I COUNTY OF __BUTTE f GERI QUAYLE a NOTARY PUBLIC -CALIFORNIA 3 e<� Butte County ■ ■ My Commission Expires Dec. 21, IM H PROPERTY OWNERS YAI i n On this cl?��' day of t�C % Z 2 in the year 19-5&L-) before me, the undersigned, a Notary Public in and for said State, personally appeared JOAN WENZEL— personally known to me (or proved to me on the oath/affirmation of ------ a credible witness personally known to me) to be the person whose name is subscribed to the within instrument as a witness thereto, who, being by me duly sworn, deposes and says: That the Witness resides in Paradise CA and that the Witness was present and saw _)A Me -5 L-. i -f >q too 0 T — — personally known to the Witness to be the same person described in, and whose name is I� subscribed to the within instrument as a Party thereto, execute it, and acknowledge to the Witness that _he executed it, and that the Witness subscribed h,EL? name thereto as a witness. ^ ^n^ w^ WITNESS my hand an —Rev. 5 82 . EI seal. - L� ACIfNOWLEON® ®F DOCUi �''CMENi—Subsc+IDrng Witness—Wolcolls Form 262CA 1 w� O �o rn roL i.� M Za j Q oQ W BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. NumberBuilding Department No. School District; City r__1 County�Jurisdiction Property Owner Project Location/Address Subdivision/Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Applicant Name) (Phone Number) (Street Address) ity) State ( Zip Co( has complied with the requirements of Resolution No. by the payment of $ representing square feet. School District Representative iDate" PAID BY CHECK NO. REMARKS,:_,�o 1 o �, BANK NO PAID BY CASH 1,� white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) �A7 /.g _1S/2 Sa Fr 2'eA,P,24`4E=QY- Sl X27' I Phis set kept on th make any out writte ,Public We 574K,c /GNT :)f plans and spec job at all times a -hanges or alterai permission from ks. County of Bui y000 Cy ations it is ui sons o� RUST be awful to ne with- ment of Q \ o� 20 � V�Io K�"p d S F,11 �a{er%(& nixed �,o ea►� ce W�i`r ice {or ��,Me_1 cl . rdo" re5erib 01 0 uckvm P p�uo"bin9 & o{ o' q guikd►rg ok code, E�tt" time,oionak �.- N "Ov'eo 6yf l0fZ A setback of 5 ft. from the property lines and a setback of 50 ft. from the road centerline shall be clear of structures or equipment except S' for a 2 ft. eave overhang. l _,<,, dc� T-FZ-• g9177,27� �''o zYz�• 7c arc Fel (lY��, Q SPAM s�zc GPRAii< 00 / 20 S.Er$RC V,6, U/ y e ZI . Ina use M �} codes or Y KS j/T} 42r BUTTE COUNTY BUILDING DEPART1 T �I PAL IPacc- i N nUTTC COUPTxX DCPARTMrNT OF PUBLIC WORKS 7 County Center Drive, Oroville CA PHONE: 5J4-4541 MODILCIIOl1E INSTALLATION SIICCT 1. Owncr's•Nome: (.J R DISE MODULAR CONCEPTSF INC. 2. Install'er's Name: — 6633 SKYWAY PARADISE, CA. 95969 7. Ie the site currentl}PHp}teg9l8)r8gkjlg�4� Yen No (If yes, furnish permit number ) OR Io the site an existing site? ;Yes No (If yea, furnish two Plot plana.) 4. Will tlle mobilehome be located at least 5 ft. away from septic t nk and leach fields and clear of all setbacks and easements? Yee Nv (If no, clarify 5. What is the mobilehome electrical rating? -------------- /00 Amps 6. What is the mobilehome-site service rating? -------------- a � 7� Amps 7. What in the mobilehome cite circuit breaker rating? Amps P 0, Is there any other e�lecl•ric' load -:to be served by the mobilchome site service? - v Yes No (IE yes, identify the •load and size:. (Load) (Amps) What is the mobilehome Bite gas pipe. d --- e"izc? __ ----___. (in.) ,10. What is the type of gas service? --=---------------- Natural LPG What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- * 12. Whiit is, the mobilehome gas demand•? ------ 7' *(This information not rejuired if pipe length less than 6 ft, on natural gas or less than 5.0 ft, on LPG.)�UT.CE COUNTY BUILDING pEPA�TMENT pp�0VED No 1 1� {� �'�^ •" ` � ,^t �,� 1.[�a t ltp� e� cLZ— ..urnish Sep Noclel No. Yt+.;t l Nldth —(ft.) Dox Len th . g �_tft.)• Togalonb or Expdndo Size (SHOW SUPPORT bETAIUI DELOw) On all mob Llehunes manufactured after October 7, 1973, furnirh manufacturer's bietalintion .manual and otructural setup sheets (if not on file with the County of Butte). All ctuter supporta measured from front of -- mobilehome, unless %therwIse specified. �; oat Lo a (check rn S ingla A�� 1. Wood either pressure treated foundation gradc Center sv port locatio s* (ft.. Min.) Center support footing sizes (in.) x (in.) (in.) k (It..)(in,) .:. Nm i (in.) (in:) I R- E= (in.)I (in.) 411 center.plere:are other thnn 6.i, -n above, drfly. in locations, spacing, and znsions. El 2. Other (apecif y) Supportp (check on 1. Concrete block, ET -2. Other. (npcciCy) <----Tagalong or Fxp.rtndo, shcv.eupport detailr. III,-) XJD- -- Typical 6upport (in.) Footing Site -- Max. Fier Spacing (ft.)(in.) _� Overhang fft.)(in.) t..i•,.�..:.s:,..ak�'��..1!?i;.��•i'"s�;w :.r�:; �o:F4?'!t,•a4.-•-e..�..��Mt':;�:edMxg:s-'?�s'mr���',�•'��°..e:�}�c?'�;3C;:..;3E�"'Yr,_"w"�"'��"i.s.C.�p':s�.."c�+sd! `•!�•�'","v-rr�e..• /`j�'S .'�.�`?-'.' N - � _ � ..w.—�+•.�-.+.r ._ _`. :c: J:'-tijsi.Y.:'�:�s'.:•r:'sc4SeG`.:'r+!J hii&ic�•,r�.,.�t.' . .,��.- �..w:."+w..o+.':�;�..:,._-�..w.....s....u'._a.+�.u......._...-w.w.:w::vw+•r��.w+i::.vw:._' n:�..........:..:w•..-•...•:.-.. n..- ... -•.. a-.. _ .. - .. .,s - �/lliVV/1��® =0c) low 10 - - - - - - � i J rrTt.t i. 'r��.ls Ire - Clio <6. r E •i � `� .'l. '-+ H � .,hl 1 � .. '-� • lir ;,� � �n ,�'.Z /d..'� 1 'I • / , p9 � r •A�•LO � ` 1 ; �� �€?c"37�Gauf�j;,rts-EGS+a-'n:�w)-SrP..7a_2T_�5-.�-1��'^S � s �' i � - -- - �j � I ri�:..V•D.2i �� L� �J 'r`}'Sv�P�-r=�.P�i-`- 5%i:'. o•� s1G'�` ..'r'-. ij n 4A rl f/�• rr-�-G•-r -,civ 7'-G'` �' F�R�"`<• Gt-•— �:7-9 41 i SUFPQKT PIER cwa•ur { cwr..t nza [=FR FIELD SUPPORT DETAILS. SEE Dri'G•S. S-1 2000a 12"X24" 1 4000 24"X24" bUUUv I Sb XL9 - •4� Golden gest Homes CARPET LAYOUT AND RIDGE f •'�, • � � •$ to BEAM FIELD SUPPORT PIERS �•cj_�o�%ter°"""r-y33-3r^� R� E�i�. / No. W 2500 S. Walnut•Albany,Oregon•97321 Drawing Title Date Revisions Model Ow: 1 I 'r :sUARDRAIL 4"MAX_ Le 1411.,14[1 MIN. FOOTING II 4• X G„ ! i LLIP,- 2"x Q' MOBILE Hbl ;--t OP. DELk I I NTL. FkMI•!(, �- CLIP (EA. _ DE) 4.Y 1 4'x.4' PO ST - 2" x 12• �Z(D� (2) 3/6• 1 1 LILTS `7 I- -o Z� 2' x 12'. STAIR�STRINGER. 4B-o.r- Mr -TDP VIEW HAIJDQAIL NDT SHDWfJ FDR CLARITY.- r- 3/0' BOLT q.X ,l " POST - DF�U,4TE- DIAC' 0 N f3f !P.�-1tJG. iYDI/,AI f7 r -n r . r�� ,r,i•r nrinn / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WC, 7 County Center Drive — Oroville, California 95965 T al anhnnw• C•IA.ACA1 .I L ' `7 I- -o Z� 2' x 12'. STAIR�STRINGER. 4B-o.r- Mr -TDP VIEW HAIJDQAIL NDT SHDWfJ FDR CLARITY.- r- 3/0' BOLT q.X ,l " POST - DF�U,4TE- DIAC' 0 N f3f !P.�-1tJG. iYDI/,AI f7 r -n r . r�� ,r,i•r nrinn / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WC, 7 County Center Drive — Oroville, California 95965 T al anhnnw• C•IA.ACA1 PACIFIC CONSULTING ENGINEERS 4040 EI Camino Avi. Suite A-4 Sacramento; California 95821 w; °� M O D E L �oGye'.y C.%s 7- 6,25,6!2 f- 4 RIDGE BEAM SUPPORT VERTICAL LOADS ROOF L.L. a D.L. _ 442 PS.F. Soil Bearing Pressure 1000 P.S.F. 5,67 5.$3 .S3 DATE- 1&1) -X7 -9e) , JOB NO. 90 � 75i C a� H 3 s.�7 x.33 _ Oso z � J 9,33 f 5,83�544� � 4ifi3 � Fri,, _ ��3/� �.2¢ Sat • ,�a, Z BU- TE COUNT MENT NG ®EPAS`i AppgOVED, 2 9,1-5'j 5,,47j/ 9, o'j 14.67 6 5 4 3 2 C a� H 3 s.�7 x.33 _ Oso z � J 9,33 f 5,83�544� � 4ifi3 � Fri,, _ ��3/� �.2¢ Sat • ,�a, Z BU- TE COUNT MENT NG ®EPAS`i AppgOVED, 2 AND WHEN RECORDED MALL TO: NOW BUTTE COUNTY BLDG. DEPT. 7 COUNTY CENTER DR. Amin OROVILLE, CA 95965 aTr, STATE - and a . _ l 91-004559 ` 91-004559 1 91-004559 Total • s � Recorded 13tfieial Records { County or Butte - Candace J. Grubbs Recorder 9:48am 5 -Feb -91 XX !1 i ------------------------ SPACE ABOVE THS LK FOR RECORDER USE OK Y NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM indicated is in accordance with California Health and Safety Code Section Recording of this document at the request of the locoi agency This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described this document shall be indexed 18551. hereon, upon the real property described with certainty below, as of the date of recording. When recorded, be deemed to give constru ctive notice as to its contents to all per - by the county recorder to the named owner of the real property and shall sons thereafter dealing with the real property. HAWORTH, JAMES L. BUTTE COUNTY BLDG. DEPT. PERMIT and CERTIFICATE OF OCCUPANCY REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING 7 COUNTY CENTER DR. 205 PARADISO CT . MAILING ADDRESS MAILING ADDRESS SAN JOSE SANTA CLARA CA 95119 OROVILLE BUTCA 95965 STATE ZIP CITY COUNTY STATE ZIP CIT( COUNTY 3870-90 (916) 538-7541 6350 PONDEROSA WAY BUIL LNG PERMIT NO. TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT /91 MAGALIA BUTTE CA 95954 i ZIP S ATURE OF LOCAL AGENCY IAL DATE CITY COUNTY STATE PARADISE MODULAR CONCEPTS PARADISE MODULAR CONCEPTS •(If not a dealer sale, write "NONE") UNIT OWNER (If also property owner, write "SAME") DEALER NAME 4 DEALER LICENSE NO. MAILING ADDRESS PARADISE BUTTE CA 95969 CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST HOMES 1/91 BRADBURY 565F-4 DATE OF MANUFACTURE MOOEL NAME/NUMBER MANUFACTURER'S NAME GW6-CAL-BD8716 A/B 27X56 RAD575684 5 LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) SERIAL NUMBER(S) 64-24-25 REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER ALL THAT CERTAIN REAL PROPERTY SITUATE IN I DESCRIBED A5 1~'ULLUw�1: LVl IJ �� �<<�••,• �•• _--•-_ _____ UNIT NO 15", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTUTT� STATE OF CALIFORNIA ON JULY 15 1 71 IN BOOK 38 F MAPS A 4 p`JENT Ot hOG- W HCD FORM 433(A) 4/86 u `•°� � / C0 11 yVMR7 00 T. Address or Location of L.q�,J N cription of ALI C AT r CCU , C B 6350 PONDEROSA WAY, MAGALIA, CA 95 THAT CERTAIN REAL PROPERTY SITUATE IN THE i i f NO. 3870-90 BUTTE , �• Reoi ProPert/t STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED "PARADISE PINES UNIT NO. 15", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ' ON JULY 15, 1971, IN BOOK 38 OF MAPS, AT PAGES 42, 43, & 44. A ElMobilehome/Manufactured Home Commercial Coach has been affixed to the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owners home, JAMES L. HAWORTH Owner's address: 205 PARADISO CT. SAN JOSE, CA 95119 INSIGNIA OR HUD NUMBER: RAD575684/5 GW6—CAL—BD8716 A/B SERIAL NUMBER OR V.I.N. nnr nVT,T I.rP(ZT HnMRS YEAR OF MANUFACTURE: 1/91 MANUFACTURER'S N .ca aI3C nieaT M+.r.--o....�• G""'*_'�...w�..' bk -_acro. ra.. V 1/31/91 916) 538-7541 lr -I STATE OP CALI/ORNIA DEPARTMENT Or HOUSING AND COMMUNITY DEVSLOPMENT a�••e�•+ DIVISION OP CODES AND STANDARDS MANUFACTURED HOUSING SECTION T 4: %'1.,,..711 STATEMENT OF FACTS NCD 476.6 ... _ . 0 the undersigned, hereby state that the unit described below:. SERIAL M0.19 - CA4- , Date 6/611 - — _,19 MOEILEMOMQ/COMMER CIA" M^"11^C11-1" TRA01 NAME COACH DECAL MVM 11R'6' 6916 A/6 RA1)sPszR,V rn .\Y THIS IS TO ATTEST, THIS UNIT HAS NEVER BEEN PLACED PREVIOUSLY. AND IS NOW PLACED ON A FOUNDATION SYSTEM IN ACCORDANCE WITH SECTION 18551.OF THE DEPARTMENT OF HOUSING AND••COMMUNITY DEVELOPMENT CODE. Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, from issuance of a California certificate of title covering the same, or transfer to: I certify under penalty of perjury that the f egoing is true and correct. Execute (,'�,� at DATE , CITY fTATE 0 Signa re ��. Address Ci ,State : Z �j IN THREE LOCATIONS PARADISE. CHICO, OROVILLE Manufactured Housing ■ Real Estate ■ DATE -t OCTOBER 18, I990 Land Improvements ■ TO WHOM IT MAY CONCERN: WE PARADISE MODULAR CONCEPTS, AUTHORIZE THE PLACEMENT OF OUR MANUFACTURED HOME ON, CUSTOMERS NAME: PROPERTY ADDRESS: JAMES L HAWORTH A.P. # : 6350 PONDEROSA WAY, MAGALIA, CA. '95954 64-24-0-025 HOME MODEL & MFGR.: BRADBURY' 565F-4 / GOLDENWEST HOMES FOR THE PURPOSE OF, FOUNDATION PLACEMENT IN ACCORDANCE WITH H-C'.D. SECTION 18551 HEALTH AND SAFETY CODE. THANK YOU. DPARADI E MODULAR CONCEPTS. 6633 Skyway Paradise, California 95969 (916)877-8541 Lic No 288714, Lic No 445895 AND WHEN RECORDED MAIL T0: taE BUTTE COUNTY BLDG. DEPT. $TIM 7 COUNTY CENTER DR. ADDRESS OROVILLE, CA 95965 CITY. STATE, and ZF X91-04559 r ri Cv4--j'�-oZS 91-004559 Total Recorded 1 Official. Records1l 1 County of a .. -Butte , Candace J. Grubbs ; Recorder 1 1:48am 5-Feb-gi ABOVE THIS M XX 1. USE ONL Y NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locoi 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 per- sons thereafter dealing with the real property. HAWORTH, JAMES L. BUTTE COUNTY BLDG. DEPT. REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 205 PARADISO CT. 7 COUNTY CENTER DR. MAILING ADDRESS MAILING ADDRESS SAN JOSE SANTA CLARA CA 95119 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 6350 PONDEROSA WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP PARADISE MODULAR CONCEPTS UNIT OWNER (If also property owner, write "SAME") CITY COUNTY STATE ZIP 3870-90 (916) 538-7541 BUIL ING PERMIT NO. TELEPHONE NUMBER . / 1/31/91 S ATURE OF LOCAL AGENCY IAL DATE PARADISE MODULAR CONCEPTS DEALER NAME (If not a dealer sale, write "NONE") 6633 SKYWAY 0047 MAILING ADDRESS DEALER LICENSE NO. PARADISE BUTTE CA 95969 CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST HOMES 1/91 BRADBURY 565F-4 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6-CAL-BD8716 A/B 27X56 RAD575684/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER ` 64_24_25 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE STATE OF CALIFORNIA _DESCRIBED AS FOLLOWS: LOT 13, AS SHOWN ON THAT CERTAIN MAP'ENTITLED "PARADISE PINES UNIT NO. 15", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF B TT , STATE OF CALIFORNIA, ON JULY 15: 1971, IN BOOK 38 OF MAPS, AT PAGES 42 4 & 44 HCD FORM 433(A) 4/86 EN® OF DOCUMENT 0 ENT OF PhpGTiy o C, I C0 41*`1ITY OEJ O - 0aaa 0- 10 r. -"RESIDENTIAL 64-24-25 3869-90B,E---� HAWORTH, James 6350 Ponderosa Way, Magalia Contr: PMC .c (garage) y JOB FINALE Signature J=dK ' O=Not OK -=Not Applicable ' = Not Ready' 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' MISCEt�LANEOUS Date DECK,' COVERS, CARPORTS, GARAGES, Plans OK except #'s oning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails �iWood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ctric rmg; Sils-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Steps -Doors -Landings Date I- L A,) Card B-1 C 5.f Date Card B-1 Date„ l -,,7 -j// Card B' Date Card B-1 Date POOLS (Plans) OK except #'s u 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 B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable t Not Ready RESIDENTIAL (.c ' 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 -Bloc kouts-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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Oate Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: (NOTE: An entry must be made each time you visit job site) 0.14NERS NAME : J M ' 'B �,L ��% RECEIVED BY : � ., �-- DATE:: A.P.#:``� - - - Z� PERMIT # 3 �'�`� '7 z' TIME: r/ RESIDE\"TIAL _ NON RESIDENTIAL--' RECEIPT. # 7y 2 3 `� cH��ck t� 6 23/ -------------------------------------i---------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA REQUESTED -BY PLAN CHECKER OTHER REQUESTED BY CORRECTION �ES _ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: �o�'^�o/��'=rJ �� o c EF.✓ S ------------------------------------------ WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner Mail to contractor Call and hold for pickup at the office. Deliver with next inspection. (p356 &&oUt kV/ REVISED PLAN CHECK -j, FEES PAID: $ 15.00 $30.00 Additional Fees Not Required i (I�Lt7 10-'-r O� 3/S"CMI{Ji Ar�,FC(ED pI,Y'�ld 5F1�A1fi'�i i.I�UL W/bj 3 8d's more —TTr16AL AW" WA, L-5 AI.T r5p H5FTi5 A Exp. BUTTE f OF:C BUIUMG DBPARTMEIV� AP1-RC�VED MUM. I- 0-91 EK n" . 2 x 4 owf Tor f� JVIL '(o rWK - W/16j'e IC ae- 2 6 IGi1 oz. �1oT� TH16 V5-fAIL 15 AIS ADi715lJDIJM ro TNt; faddRAT100 Mi A,14 for FtAWOFTH PACIFIC CONSULTING ENGINEERS 4020 EI Camino Ave. Suite A-2' Sacramento, Calif. 95821 Phone: 916-482-7378 .�I2�.p15t: NrovlJLx� Co�IG>;PfS Job #.90-7-50- IDote: I --23-9i AL.-( r,0U0t7A-rj00 t;5TA11. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 Country Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER 3-3 -7-, - 5�, PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �Q %j- )5���r�D.� cls✓ ► a`✓ r 1 ,��o� ►�� eoerlE�e�� S1T��Zs '9l ry L L U^IdtA, F /oa/l �1C..1rr /,'U 2�4Z- W 4/A"� JIJC ✓i62Ve, `y' 0,' V- v Date �� Inspector O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSCo 4—SSOR L-? 0 —U MQ;Z 5' BERZ O� 1 I BUILDING PERMIT OWNER � MES L. HAWOP— O TELEPHONE 5792_132 S0. FT. OCC. BUILDING VA UATION o �- OWNER'S MAILING ADDRESS Qt I'� 2n t� � rs -f sN JOS' CA (i CONTRACTOR'S NAME A A DISE M co T LEPHONE -77 S O 0a —'- CONTRACTOR'S MAILING ADDRESS - 3-?) e. Fireplace CONSTRUCTION LENDER5q C1 UNKNOWN Total Valuation is �— Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O >� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' J dJ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �� �� n^� (/ iVvt Permit fee $ D, j PLUMBING PERMIT Filing Fee 10.00 C1 Each Trap 2.00 Solar or heat pump water heater 0 LOT NO. 1 3 SUBDIVISION NAME 191`�vf ��,/►�( S �� PARCEL MAP Water piping 5.00 Each qas water heater ent 5.00 USE OF STRUCTURE r SF❑ Duplex❑ Mobilehome❑ � Other D�6A-QA6,a SPECIFY Gas piping syst - 5 outlets 5.00 Building er 5.00 Mob' Home S G W 10.0E TYPE OF WORK NewAf Addition❑ Remoddel❑Utilities❑ Installatioon❑ Other F] Describe work: p6;I % CuED 6 12-4 6 t5, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): li�� am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. :'*%ffll Classification t�_ - YT� ❑ 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 OSkN� OR ADONS. ACC. BLDGS /z¢sgft �a NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. TSORFIXTURES Ex.00Cup(oUTED z0050C BAL030 APP LHS. OR Ex. OCCUp. FIXED OUTLETS (RESID.), EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 414 !D Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Cont or I certify that I have read this application and state that the above information � I correct. I agree to comply to all County Ordinances and State Laws relating to ilding construction, and hereby authorize representatives of the Countyot Butte o enter upon the above-mentioned property for inspection purposes. I also a ee to sav i demnify and keep harmless the County of Butte against all liabill ' s, judg en s, costs, a expenses which may in any way accrue against sai my in s nc o the granting of this per t. la Date igna re of pplicant — Own Contractor ❑ Agent An FI permit is required for excavations over 5'0" deep and demolition or construct- ion of stru tures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ TOTAL FEE $ J HAZ CUA JPARK SCHL FLq� V PAR l� PD HD ssu This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR PUBLIC By l PER 1/EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. O T 2✓� Z- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWN W, COUNTY OF BUTTE - DEPAF 'ffV&i OF PUBLIC WORKS BUILDING DIVISION • 7 COLINTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A. P. 4L- d4o Q' .LJ2 Building Inspector Date _-z Proposed Building U V ` IA" 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 Deign Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered Ouss details and layout in duplicate (required prior to plan check) 9.,MobilehomI installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... �13. ; ho I istrict fees paid .............. Sanitation approval from_::A � A- 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), 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... J' 25. Letter of signature authorization ................................... 26. r � y 27. " Wh:?"TTelephonen!2 Issue th ermit rocess as follows: Mai to owner. Mail to contractor. - > and hold for p -at, office. Deliver w/inspector. Other ADDlicant Date V/ Copy of Haz-Mat form sent Hea Dept�ept. fir Pollution Date Copy of plans sent Health Dept. Ire ept. Other Date By The following data must be submitted prior to permit issuance: (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_maiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma il_fiounter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder !EWIM TO Buildinq Department, FROM: Environmental Health SUBJECT: Sanitation Clearance OL 6 i2 6vtc� _ -...__�__a �- N�v�o✓La [n anile ra t 064 - -LI -ozS Location AP# Owner Plan Approved for: Sewaqe Disposal ` Water Supply Hold final for: Water Supply u Final clearance O.K. for: Water Supply / \ Clearance for t 1bedroom mobile home. Other ►� Jr6 t rl TdeC -�- 24 NOTE *** Sani rl n Date 7' sr�qu,E -nplakQ V',o /yf setback of 5 ft. from th property lines and a setback . of 50Ft. from the road centerline shall be clear of structures or equipment except ,f z- }'ten peTmission. �r®m Y�ar� � �ouni� C'. /DS.vv tl.E�vC• "A��� _ 11WINGTP ARTMEN`. a All 2D' w/77AV5,46am,eX 801 NOTE.— 4 �.. J ' t -n nsh Shall Be Ire II p�Lt � i. I� :< Ji'�s V. p Pradices and AiN. d4� �9c Accordarice with r' Good fo�'the Spec! iad use :n the ,c c J• Q� �•8�Q"' ST40� /Sly 0 of a qua Uniform iIy prescrIbEd Building, Plumbing & Mechanical CodeF s � and the Gln + National ��,.c,rical C de. /� /li• rC' 27 Xreg'") Y�c.oq G. ?,•TY"",r / /071 l �� I itP 9 •,�ps� • V �c��P ���F,y..Zc>)QE_LEaC�Iy� _ _ _ � V 010'� lois and SPe and ►} • a Vi1t�10 � � • a 5 ©f P l.1 , rm'S s . �l,� °!� CA gra � • onP� on �J chc,,aes or HiQ De arts }'ten peTmission. �r®m Y�ar� � �ouni� C'. /DS.vv tl.E�vC• "A��� _ 11WINGTP ARTMEN`. a All 2D' w/77AV5,46am,eX 801 f` 24' X 2'41 S 1 I E BUILT GARAGE PROJECT: 1. Pressure treated 2"x 4" Hemp Fir- or construction grade Redwood for Bottgm_Pl.ate. 2. Arechor bolts i/:_"x 10". spaced 6" O. C. and within 12"of all ends cif bottom plate. 2 bolts per section. 3. 16d nails CCSed"ffStalyl framing. '�� 4. Wall studs . 2" x 4' D. F. - spaced 16" O. C. . 5. Roof pitch 3:12 or to match home. � 6. Wall height may vary bet -ween 8' to 10' to match home. 7.. P-r-_ov de for adeuuate bracing.. = _ a. 5/8" one t "_Ir FIRERATE.D drywall used on wall against hme. COMF'US I T I ON SH I NGLES TO MFaTCI 11 IUME 2"X 8" R I DGE EiE.AM D. 2 LnYE RS I'S 1 b. r EL*f' 112" WAFER E:0ARD • •r 2�" v' C_• i' CDX PLYWOOD 6, RAF i "X 4 TI 17D. F. � � "X 4" TIE D. F. SCALE: 3/8" = V Sp�%C R�O,cG,O ' V,� FACIA 2"X A" . 0' • ,• r" P" Y F." RAFTP11 T T F P4" n. C. ep i 4"X 10"X 1616". NON-BEARING HEADER 2"X 4" CRIPPLES' 2" X' 4" D. F. TOP PLATE 16' X 7' METAL SECTIONAL ROLL -UP DOOR P,j4) jw�'�AP'P'k PC pot I 1/2"X 1011 ANCHOR BOLTS ep i 24' x 24' SITE BUILT ATTACHED GARAGE SIDE AND/OR REAR WALLS PROJECT: AC-7 .QE.sg Gt/ SCALE: 3/8" - 1' 1 . Windows and door` location may vary to SU i t cult rimer'. . Pressur-e treated Hemp Fir x* 4" or- c:onstr•Ltct ion grade Redwood for bottom plate. 3. Walls secured to foundation with 1/2" x 10" ancho.t- bc-lts - 6' O. C. and withink2" of al -1 ends of bottom plate. 2 bolts per section, 4. 16d 'nails Used for- a 1 1 franri ng . � S. Wall studs Doug Fir x 4".r, 6. -Wherever garage a{:tached to or .-ONE"HOUR--FIRE-RATED ®EPARWEVO L-d-rywz-1-1 = m�.rst=be-�_t.sed. - .."`.' ur'-®0N 7. Light "J" boxes and lights above main entry and at all qq aRFJ) �_ passage dic�r-s.. i &Pl !v• 8. Four, i nt er i � -r^ e 1 ect r i iia 1 recept ac 1 es -• one on each side wall, rear- wall and rine on ceiling rafters for opener. C FG 1 (T_ d- U.f� -Tfjx# PAwf a-fro-efo/2 125cer, OPTIONAL :;' ;( =' EXTERIOR L.If.3J-4T "J" 1/c"X 1�1" AiICHOR BOLTS RAGE 2 of 5 24 ' X c4' SITE BUILT ATTACHED GARAGE PROJECT: T'YPICALS GARAGE - FRONT VIEW WITH SIDiNG, TRIM ANI) FnUNDAT T UN. 1. Siding is T-111 or cleipb,_,ard to match home. C. Gar ar e painted the _l P .3. Sid`ir�n secured. with 6dgaly. mails or, coa' " staples �. Nail each side of seams_ •- 6" 0. C. and lc" O. C. in fid 4. Install 14" x 24' vent i n t p E�_:r-t i _r i f f1� rpt and-r'eezr ava 1 1 s or install vents in blocks under paves. Vents must equal to 1-1/2 sq. per 25 sq. ft , of space. i 0 ;SCALE: .?/A" - 1' x 6" Rafters RfA TF-= RS, RATER TIES, BLOCKS AND VENTS VIEW Rafter ties 4' O. C. x G" Blocks Ties 4' O. C. _ Vents all G A ®O afters GE 3' f�j i ' � ' 24' X 241 SITE BUILT ATTACHED GARAGE � P � RO ECT:, SCALE: 3/8" = 1 . � TYPICALS � GARAGE - FRONT VIEW WITH SIDING, TRIM AND FOUNDATION. ' ' / 1. Siding is T-111 or clapboard to match home. ' 2. Garage painted the same color as home. 3. Siding secured with 6d galv. nails or coated 2" staples: a. Nail. each side of seams - 6" O.C. and 12" O.C. in field. 4. Install 14" x 24' vent in top portion of front and rear' walls - or 'install vents in blocks under eaves. ' � i WON" ,~' .1 J light _ i�. U«LID""~-- IDEPATMEM PAGEOF�� R 41 247. S1 TE . BUILT ATTACHED GAFRAUE �. TOP, VIEW 4 PROJECT: - SCALE: 1/2" , f 5/8" — ONE HOUR FIRERATE=D DRYWALL, To T tO o fw ,o f f No 14cAFS ! 5�' X 27' 13/3 SO FT. RD RM, 2 BATH, SYLjp AND L I V. RM. HOML i X c' WINDOW 7E" is a r. wo T F'FaGE �t of -� •.,u.�! 10:30 Ah1 1 . 444 2AAV WALL. AzAmiaA I x 4 0Tups G I(r# ".c.. f/S� TYf"ti ��C AYr SCS y 110 t 'eA: 1f1 ��rlf�l=llf{� 121r �EYatJp ����' p►' D i�LjTrrr,rr ��Mlr �� 3�7p9D }-(�Wo�TN FoUN�A�to1� BUn'B cx�t�rT nr� DGPnarMErvr APPpoVED 5 L. 0 F•002 Pn��rc»rr�1r5c EWCro�s�ui�lr�eMc ENGINEERS If -Mfciirr-1FSf2R-1S Claim Dfl -ENGINE 3 7 i MpdULA�Z �EP[s . 7ATF : 1-4 -91 SOL 27A IoiJ i 'IA IU j -------------- x...64-24-25 MENT OF PUBLIC WORKS PERMIT NO. tia 95965 - Telephone: 916/538-7541 �C�/ f p �-,! Permit#3869-90B,E T-rrreAT10N-AND PERMIT .—.D (garage) ZON�'�-- I BUILDING PERMIT Z40 -OSS TELEPHONE S0. FT. OCC. BUILDING VALUATION owN m ES �. HaVJ0 _ o s 3� o A I�q OWNER'S MAILING ADDRESS 10�— CA S V l -7-0 �- P"4� r S TELEPHONE O D D CONTRACTOR'SNAME A ADrs� M co 7 5 RACTOR'S MAILING ADDRESS 3 3 5 ll! Fireplace UCTION LENDER UNKNOWN (—tel Total Valuation $ Filing Fee 5 10.00 R'S MAILING ADDRESS rARC.ITECT Permit Fee $ O J f] OR ENGINEER LICENSE NO. Plan Checking Fee $ J �J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS^ � �� n^� IVvT Permit fee _ $ !�J 10.0o- rr((// PLUMBING PERMIT Filing Fee 95-254-I ch Trap 2.00 ar or heat pump water heaterLOT NO. SUBDIVISION NAME MAP ter piping water heater ent 5.00 5.00 Ig��� ir Sch pas Gas piping syst - 5 out 5.00 USE OF STRUCTURE � D�-t- ��1�'rG� Building er 5.00 SF ❑ Duplex[] Mobilehome❑ Other SPECIFY MobHome S I G I Wt 0.00e TYPE OF WORK New Addition ❑ Remodel [:1Utilities ElInstallation❑ Other ❑ Permit Fee $ �&T)�� G � Contractor Describe work: ELECTRICAL PERMIT Filing Fee 10.00 • OR Main service 100600V VAMR ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 ONTRACTORS LICENSE LAW NEW CONST. (DWELLING o -ai OR ADDNS. ACC. BLDGS I declare enalty of perjury (check one): NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea ©�1censed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS 61 (SINGLE OUTLET CIR. ofessions Code and my license is in full force and effect. W Ex. Occup( OUTLETS T L ETS OR FIXTURES 20oe0e eAL930 Sc7 Il�_ Classification �i No. vr- —r—' FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 ❑ he owner, or my employees with wages as their sole con -pe.. do the work,and the structure is not intended or offered Temporary service 10.00 will . (Sec. 7044) Mobile Home Facilities 15.00 ❑ he owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 .c. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. ❑as to become subject I shall not employ any person in any manner so Hood g 00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such Contr or provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $ I certify that I have read this application and state that the above information I correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ -i 4tue'r construction, and hereby authorize representatives of the County of occ CONST TYPE ter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 6 `S e to sav , i demnify and keep harmless the County of Butte against HAz CUA PARK SCHL FLD PAR PO HO ISSUE s, judg en s, costs, a expenses which may in any way accrue Qainst my in s nc o the granting of this per t.Thr permit is Hereby issued under the applicable provi- Date��sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. pplicant — Own Contractor ❑ Agent DIRECTOR OF PUBLIC WORKS ermit is required for excavations over 5'0" deep and demolition or construct-ures over can: stories in height. -- —`— - _ By Date