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064-070-023
64-07-23 HenrHofmann 5 Leices- eer Dr., lot 103, PP#12, aga. ., contr: Trip'he "S" Custom Home d'rs, Paradise Permit #2472-79B,P,E M(new glet` family) r 4-07-23""contr: Fr'•pgle SCustom iR e Bldrs, f. P Par�ad-�'= e _ 4 :Mit #5876-79B(new cov.dec.k/_SF)— 64-07-23 A. SCOTT SHAW �jr '6240 Leichester Dr,Mngala ?z"4'?1* Permit#1455-86B(new detached 64-07-23 2860-90B SHAW, Scott 6240 Leicester Dr, Magalia (pellet stove/sf) 3v ° 64-07-23 2708-91B SHAW,'- Scott 6200 Leicester ,Way, Magalia (reroof/sf) a ��Y raft I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT'O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 +�' APPLICATI©N.AND PERMIT ASSESSOR PARCEL NUMBER I" 64-070-023 ZONING RT 1 BUILDING PERMIT OWNER SCOTT SHAW TELEPHONE SO.nFT. OCC. BUILDING VALUATION 27 6 .71..1 1620 OWNER'S MAILING ADDRESS 6240 LEICESTER MAGALIA 95954 CONTRACTOR'S NAME SKILL CRAFT CONST _. r: TELEPHONE 877•-4643 CONTRACTOR'S MAILING ADDRESS 1-_�!•1<+ 1453 BENNETT PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 620 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ i CD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ` ( Penalty $ BUILDING ADD ESLEICESTER WAY MAGALIA Permit fee " $ 38 00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 103 SUBDIVISION NAME P. P.C.C. UNIT 12 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ installation[— Other ® Describe work: RE ROOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): fVI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full � force and effect. License No. �� f-/ /" 1 Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended orloffered for sale. (Sec. 7044) 1 ❑ I, as the owner, am exclusively contracting with licensed cpntract- ors. (Sec. 7044) ❑ I am exempt under Sec. + -Business and Professio ns Code for this reason i NEW CONST. I DWELLING OCCUP.61 OR ACDNS. ACC. BLDGS. , h sqft NEW CErl. R UL CH TLETCIRCUITS) NON-RESID BRANCH CIRC ITS 2,50 ea 0ea POWER APPARATUS e\ SINGLE OUTLET CIR. / EX, OCCU OUTLETS OR FIXTURES Occup(OUTLETS eA O20@30 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 9 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. ❑ 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. �*'( 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 $ Contractor I certify that I have•read this application.and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenceq of the granting of this permit. X ,. P'�' Date �" %>/ * ' °" Signature of Applicant — Owner ❑ Contractor [! " --Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE - TOTAL FEE $ 38.00 HA z. CUA-1PARKSCHL FLD CD F PAR PD 1 HD. Issu . This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which f have been paid. DIR.�C SCF PU fLl WORKS BY :. Date PERMIT EXPIRES Date Receipt No. Q $5 7.r WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT o4=U7=23 i .. 2708-91B SHAW, Scott 1 6204 Leicester Way, Magalia (reroof/sf) 84��� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, Californ a,9596i, - Telephone: 916/538-7541 -� APPLICATION, AND PERMIT ASSESSOR PARCEL NUMBER 64-070-023 20NING .k RT 1 BUILDING PERMIT OWNER SCOTT SHAW TELEPiZFumer SQ. FT. OCC. BUILDING VALUATION a�o 1620 OWNER'S MAILING ADDRESS 6240 LEICESTER MAGALIA 95954 CONTRACTOR'S NAME SKILL CRAFT CONS TELEPHONE 877-464 CONTRACTOR'S MAILING ADDRESS 1453 BENNETT PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 16271 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 28,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ess 62 LEI ES ER WAY MAGALIA Permit fee $ 38.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 103 SUBDIVISION NAME P. P. C. C. UNIT 12 PARCEL MAP Water piping , 5.00 Each etas 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 I G I W 1 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: RE RCC.)+' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare aKIunder penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. _% License No. �y�P o ca Classification. —� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. CONST. ( ACC. BLDGS. DWELLING OCCUP.� ,�20sgff NEW CONSTR. U TI.OUTLET NON .RES'D BRANCH CIRC ITS 2,50 ea POWER APPARATUS d (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20000¢ eALa3o EX. OCCUp. OUTLETS FIXED PLNS SID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate V Consent to Self -Insure. 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 Filing Fee 10.00 Heating Coolin 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in copse nc of the granting of this permit. _ X Date i Signature of Applicant — Owner ❑ Contractor [!3 --Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 38.00 HAz. cuA PARIc SCHL I FLD I CFF P PD 1 HD, Issu This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work in a d above for which fee have been paid. DI R, F PU I ORKS .4Af It By Date PERMIT EXPIRES Date - Receipt NO. Q 6/ 7 4 WHITE-D.P.W.. YELLOW-ASSEaSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (/[J APPLICATION RND' PtRMIT PERMIT NO. ASSESSOR PARC%7MBER (,_ 0 z°"LNQG/f BUILDING PERMIT OWNER S C Ott r S r TELEPHONE f SO. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS A l i o L F c fi .S' CONTRACLQR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Q ,5-3 &,J VCr7— S'96 J - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Q Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ Z$ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ V �1 PLUMBING PERMIT Filing Fee 10.00 r b Z yb L��«S� �� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME C — (J„1 / Z PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �, / USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other [I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: /?9 'If _4k _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. License No.3�V Classification. � � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.n OR AODNS. ( ACC. BLDGS. 2/1¢sgft NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCcu OR FIXTURES p(ou XED .20 @ 50# eAL@30 A FIXED APPLNS. OR \ EX. Occup. OUTLETS IRESID.1 EA./ 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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 to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost , and expenses which may in any way accrue against said County in conse nc f the granting of this permit. c_ a �� X r Date a Signature of Applicant— Owner ❑Contractor Agent F]work 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 $ occi CONST TYPE am TOTAL FEE $ 3 g' HAz I CUA I PARK I SCHL I FLD I CDF I PAR I PO I HD. ISSUE This permit is hereby Issued under sions of the Butte County. Code and/or indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ie Receipt No. gq J 75 WNITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILjLE,•CALIPORN IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION YATA SHEET Permit No. OWNER �� 0IV- Svy d ,/ A. P. No. _16� V O 7 - O 2 - Proposed Proposed Building Use /2Q koco- Building Inspector C. S Date 1?Z.^ �^ At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: 1100< DATE RECEIVED APPROVED. 1. All items have been submitted . .................................... 2. Plot plans ,in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 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 ......... 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other A Applicant e f Date_~ Copy of Haz-Mat form sent Health Dept. Fire Dept. 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_maiI—counter by Contractor, designer, owner, was advised of above required data by —phone _maII—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder ..date date Date 4t,—• i.'I1t. f y...` . .vfr?sin 1x[1i.a�'"+,.t" ...:� _� ij;4:"f ._}�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WQRKS. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION f1ND PERMIT PERMIT NO. 2860-90 ASSESS ARCEL NUMBER G 7-23 ZONING RT -1 BUILDING PERMIT OWNEkR ,, Scott S.*Shaw TELEPHONE 873-1723 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6240 Leicester Dr. Ma alis 95954 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "All 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 6240 Leicester Dr. Magalia Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. _L03 SUBDIVISION NAME PPCC 12 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ 'Other, Describe work: pellet stove _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD-[- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE License No. Classification ❑ 1, 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) Q 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC CUP.� OR ACDNS. ACC. BLDGS. 2/zQsga NEW CONSTRESIO, RANCH TLETCIRCUITS) NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS6 OUTLET CIR. O Ex. ccu P OUTLETS OR FIXTURES 20 @ 306 eAL@30 Ex. Occup. OUED P TLETS (RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,etf 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 to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / X r r , - -a 'i./1 Date /'fit j Signature of Applicant — Owner;❑ Contractor ❑ Agent ❑f An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 27.50 HAz CUA PARK SCHL PAR PDrD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO"F PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date LZ Q Receipt No. J� WNITC-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAf ION AND PERMIT PERMIT NO. 2860-90 ASSESSORPARCEL NUMBER 04-07-23 RTI BUILDING PERMIT OWNER Srot-t S, Shaw TELEPHONE 873-1723 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 6240 Leicester Dr. Ma alfa 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1 000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17-50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee .' A $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6240 Leicester Dr, Magalia Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1011 SUBDIVISION NAME PP(C 12 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFkj Duple -E] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other KR Describe work: nP1 1 Pt sfiwP _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) � I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason S.21/2 OCCUP.& oR ADDNST DWEACCLBLDGI +/zQsgft NEW CONSTR.MU-OUT NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS tr\ SINGLE OUTLET CIR. / Ex. EOccu o p UTLETS OR FIXTURES zDesoa BAL030 Ex. Occup. OUTLETS RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f 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 Filing Fee 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 C6untyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid C u ty in ons q ence of the granting of this permit. X Date Signature of Applicant — OwneZ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E 27.50 HAz CUA PARK SCHL PAR PD HD I Issue This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTO"F PUBLIC � By -�""�—sate PE0fT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS — F� f I_a._ Receipt No. -7031-1 WHITE-D.P.W., YELLOW-ASeESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J Jrti d +fes .wt..t�f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �y ./ PERMIT APRLICAfION DATA SHEET J Permit No. / ESV - OWNER Sc,��-� S, ��/�0 A. P. No. ` -7 23 Proposed Building Use SLS- uo'a.cl fV' 4C-Buiiding Inspector C S / Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... J 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/friplicate_sflgned by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature ori plans-.. 4 5. 6. Hazardous Materjal Form.,... -'f ............... ./...... ILrr�I , Energy/Desig-n Compliance and supporting documentationt ......... 7. Statement of Intent for)Non-Heated and AC Buildings ............... 8. Engineered truss details -ii d faj out in duplicate (required prior ofplan check) instedlation data including 9. Mobilehome manufacturer' installation instructions.................................................. .. , 10. 11. Fees of $ �......1..........:.:.. `"•.� Chico Urbar4 Arealfees paid `.. ........r ........... % - 12. Park fees aid ...... .... ;... f.....l.:..'.. . chool District fees paid . .I;v % ` 14/Aanitation approval from Health_D'epartment J 15. City of Chico plurnbingtpermit ..................... ��. ... �..... 16 Plot Ian and business license a royal from Cit of " ` 4 t / cJ/ - . ` ' , • p ( pp y J ` ( ee- City for other requirements) --o e-, 17. Planriing approval for (A) Use: (B) Pa*.'ng:.. .i ` , / L 18. Improvements may be required. Contact Land Development Section DPW (1 r 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 ......... 25. Letter of signature authorization ................................... 26. 27. . When you issue the permit, process as follows: ail to owner. Telephone and hold for pickup at office. Other Applicant Mail to contractor.. _Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. 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_coun�.er by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,.,Ca.11.1ornia 95965 - Telephone: 916/538-7541. APPLICATriON AND PERMIT PERMIT NO. i i iM ASSESSOR PARCEL NUMBER O �7 - Z3 ZONIys, /1 y_4 BUILDING PERMIT OWNERTELEPHONE �LoV.IT 's 1,4 V✓v (� ��, %723, SO. FT. OCC. BUILDING VALUATION DWNER'3 MAILING ADDRESS CONTRACTOR'S JJ AM trA�.p•�_Xx(I �/ �!/,r 0 C"./ n// TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace _ CONSTRUCTION LENDER __ UNKNOWN Total Valuation $ 0 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADOnES3 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 27• 90 PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. l SUBDIV13ION NAME I ]PARCEL P /' C L ! Z MAP Water piping _ 5,00 Each pas water heater or vent 5,00 USE OF STRUCTURE SFK] Duplex❑ Mobllehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ /Remodel[—] Utilities[—] Installation❑ Other Describe work: IdQ�/ear ! hove, Permit Fee $ Contractor ELECTRICAL PERMIT FiIIng Fee 10.00 Malls service 10000 AMP LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9. Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered yor sale. (Sec. 7044) lr __11, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am, exempt under Sec. Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP., OR ADDNS. \ ACC. BLDGS. ) 2/:¢sgll NEW CONSTF:L ULTI-OUTLET NON.RESID BRANCH CINC�ITS 2.50 ea PDWEn nrPAnATUs e SINGLE OUTLET CIR. ) EX, OCCU OUTLETS OR FIXTURES ZOASOt P eAL93o Ex. OCCu FIXED TS (RES. OR P• OUTLETS IREslo.t EA.) 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. a 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 FllingFee 10.00 Heating Cooling Hood 3.00 Ventilation _ Permit Fee $ Contractor i certify that 1 have read this application and state that the above information ?s correct. I agree to comply to all County Ordinances and State Laws relating :o building construction, and hereby authorize representatives of the Count yol Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, Indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County In co se uence of the granting of this permit. XA.Date V _41 Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion bf structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE �-7 I TOTAL FEE $ 2 / 5 J HAz CUA PARK SCHL FLO PAR PD HD ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Fecelpt No./ '� 3L'�� �--/.��( plc � �✓u��t � �/z.�� �, Signature PERMIT NO. 1455-86B PERMIT EXPIRES- XPIRES SCOTT SHAW OWNER OWNER CONTR. owner ' } ASSESSOR PARCEL 64-07-23 ' s= LOCATION 6240 Leichester Dr, Magalie z { T ,y Y i •'I, . it Temp. Power Pole f Called PG&E r: Temp. Elec. Service Called PG&E Temp. Gas Service ry 1 Called PG&E JOB FINALED (Date) Signature OK :O = Not -OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OAC 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UNDER OR P� OK except #'s Date FRAMING (Continued) oning requirements-S-raeemerptsepu.,hp=,— y. th _ 4 xt. Doors -One 3' -Che rage- *4- tee ._ tg., Garage; Soils-9teet= / /" Ftg. Depth ire Protection th - ywood on Roof Overhang -Attic Vents -Rafter Outriggers n -Nat in Veneer -Underflr. Access s, e; Steck-BI s-IM1hepped -. e_Firanl^re Flip -c,*&t 5 -Skylights-Plastic Slim. Walls, -Bolts - -Test-2 way C/O -Sewer Test 9, SOS Pipe, 562,A ors r ors -Regulator -Service Test ll-XElectric; Underground ums rance-Materi a l -Support -Ins. 1' `'Fde-^ UL anchor Bolts -Joists -Vents -Cripples Card -BI iDat Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Dat Card -BI Date Date FINAL s except p's Card -Bl- Date_ Card -BI Date Date PLUMBING (Permit) 9<except M's 6. Ext oo_rj&�S delight_ -Protection -Landings 14. Water HL; Vent- -Combustion Air - Iearance-Comb'. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & An ors -Nail Protection 16. D.W.V.; Test-Fttngs Anchors -Nail Protection r ting _ 17. Shower Pan; Test, first Floor -Tub Access Fixtures & Tub Access 18. Test Tub & Show , 2nd Floor -Tub Access panel; Breaker Sizes -Labels 19. Gas Pipe; Size & Nnchors Card -BI Date Card -BI Date C learances-Hearth s a oo Panel; Int. & Ext. e; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date s eptacles at Kit. Counter wing -Landing -Closer Date ELECTRICAL (Permit) OK 's per -- 20. Fixture & Transformer rance-Ins. Protection•, en s- earance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ — 21. 22. _Flet_. Receptacles Spacing -Li s &Switches at Doors Size Boxes & No. of Conductors- tapled 7 'ted for Location 7 F.I.)-Romex Protec. 23. Romex Installed Close to Edge f Studs & C.J. 24. Equip. Ground made up w/Me . Fasteners -Bond Gas & Water n Atti ❑Yes 7 -Post Caps -- 25. 26. 27. _ 28. 29. 2 Appliance Circuits in Ki hen & Conductor Size SuWeed Wire Size / / Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga.fu or AI -Oven Circ. / / ga. Cu or At, Insulated_ Neutral =s ❑No Service -Riser Conducrs & Ground -Main Disconnect Equip. Clearances: Pls-Motors-Mech. Equip. or -Drainage Earth Clearance Looked F'^^• -2=^s 7L_�eHbwing instld.: Drive Yes alks El Yes d Nn. Planters ❑Yes r(�lt� _ -Brkr. & Cond. Size -115V Outlet Card B -I Card B-1 30. Clothes Closet Light=S ower Light _ - — - -- - Date — Card -BI _- Date — Date Card -BI Date 7 Appliance-Firepl.-Clearance to Opngs. ��'"',•^.'"'e"' ^-m�Ftectrical, Plumbing Trim• G F.I. Receptacle -Underground t House 8L% Glass P tfteheq Date MECHANICAL (Permit) O xcept N's IR GqFieetie 5 1.0 revious Inspections Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. - A.C. Ducts: Insulation Support - _ - _-86rected-C/O Vent Fan: Exhaust above Insu ion _ _ Condensate Drain &Overflow ze &Grade Furnace -Vent Access -Co_. Air -Return Air Vent -_115V outlet Attic Access & Platfor if Furnace in Attic — Date Card -BI — Date _ Date C rd -BI Date to Grade -HD Approval 86 Certificate -Other Certificates Card -BI D Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA (P ns) OK except q's 4Z, Si Proper Material & Anchors -Walls: Studs -Nailing, Spacing & Bracing -PI ates-Eennd- over Girders & Floor Nailing alts (rat proof) _ urred Ceilings -Stairs -Chases -Tub _ 4 4&, Header & Beam -Size & Bearing st-eap - nc ors- onnec ors / Rftrt;-re-s-Rari-nr--- _ _ e Throat -Draft Stop_ -Ins. Baffles -Sill Hgt. & Dimensions _ (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CRECTION NOTICE 74f-\I&i T 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. Inspector Date COUNTY OF BUTTE ��. DEPARTMENT OF PUBLIC WORKS ,. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspec Date. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; CalifOrnis 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES R PARCEL NUMBERZO o r BUILDING PERMIT OWNER CD TfE L o E SO. FT. OCC. BUILDING VALUATION OWNE -S MAILING ADD ESS, CONTRACT R -S NAME EL PHONE CON R TO 5 MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT �O�R ENGINEER LICENSE NO. Plan Checking Fee $ �S r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVI§ION NAME kk 2/ ARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTVVE SF ❑ Duplex❑ Mobilehome❑ Other 121 11 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00 ea TYPE OF WORK New Additio emode%i❑ Utilities❑ Installation❑ Other El Describe work: ��li� (iii! S� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN CCUP.N\ ADDNS'/ztsgft oa CONST WELGS / NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu 20 a DOC Occup(OUTLETS OR FIXTURES BAL030 FIXED EX. OCCUp. P OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. ff I shall not employ any person in any manner so as to become subject Jam• 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 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 i 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 t enter upon eeeto save, indemnify indemn fy aproperty oinspection nd keep harmlessthe Countyof Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against-saidCo�untyy inconsequenceof the granting of this permit. %Cl--�y--�ifils(/� Date I — I Signature of Applicant — Owner [� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL $ PERMIT FEE NST.7PtJ F7AVI I pD N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DlRE(.T p F PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate �/ Q� Receipt No. • <—(,L WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT. OF..PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,`CALIP6ANIA 95965 - TELEPHONE: 916/53k4-4541 PERMIT APPLICATION DATA SHEET Permit No. �. OWNER To O 1_71'_ A. P. No. Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract Price - her (Explaijn) DPW Valuation Date 0/ --- 2 —�� At time of permit application, I was advised-tM ollowing data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . 2—P -lot plans in duplicate./triplicate. . . . r 3. Complete plans in uplr a ./triplicate. 4. Complete engineeredp lans and calcs. .�JI�+G . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. .-.' 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9.el"'Letter of signature authorization . . . . . . . . 0,, .Sanitation approval from Health Dept. 11. Planning approval .for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . ' 133.. Contractor's License Information (no., name style, classif.) ,0/� �4. Owner -Builder Verification (Given to ownerQ.,Matl'to owner ❑.) ,,,�,-7.--F C 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other / When you issue the permit, process as follows: _ _ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other -, Applicant Date "" % /�_Z Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle .item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by Plans aDDroved b, Other: Copy—DPW By Date TO: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LOCATION AP # Plans approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other D Clea ance for add' 'on of "IS A.(®IL )(1-o Not ANITARIAN DATE 1 V ` PERMIT NO. 2472-79B,P,E,M 9 PERMIT EXPIRES Henry Hofmann OWNER ,,CONTR. Triple "S" Custom Homes, Paradise jLOCATION (A.P. 64-07-23 5 Leicester Dr., lot 103, PP#12, Magalia 77 ? t 0 'k r, • 0- 7.1 C1[� ni }y ,N r+ A//(( 5 Temp. Power Pole 2 Called/PG&E S Temp. Ejec. Serv. Called PG&E Te mp�Gas Serv. Called PG&E Y JOB II FINALED • 1 (Date) (Signatur) , A 'Y o i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping — Forms Parapets 1st Floor Main Bldg. Restroom Fin sh 2 F oor Footings Windows StemwalI Siding T212eut Slab Roof Sheathin a er I n Piers Roofing Sewer 09 Garage Fdn. Vents Fixtures Footings / Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physical Appliances handica edy Carport Conformance ofAx. Gas Piping &Test !- - Footings structure Temp. as J Slab Final Sanitatign Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat 17 ,CE• r Rough % .9 Relnf. Steel Final $--� Fixtures Bond Beam FIRE SPRINKLERS Motors .T Framing Test Water Htr. Stucco 4dk Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service ' Brown Cooling Temp. Pole Finish Ducts — - % Underground Interior Lath Ventilation Permanent Door CloserFinal !6 /rIAryFinal V n", MOBILEHOME UTILITI - - - - - - - - - - - - - - - - Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping T MOSILEUS2ME INSTALLATION 2V -- - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping 4140 AT,; GJli ivmss 4re adfEW 04 a 4777 DATE REMARKS OR COV C IONS aGc s �o �� �io � -�,/�lQ & �aY All, ��LJ /Vc fv� Go�� Cdr>� ��s'T oma✓ Gc/q ��u ���v�s 1�'� Get r � f AIS , c5i, d-PSCAA1 0�� - (NOTE: An entry must be made on this form each time you visit the job site.) 1 I ® ,y - (,�°�ef 7Y e f 46 s,Fd,6r1t.r v�T/ c�Grd le-OCA," ����> 5. PERMIT NO. 5876-79B. ` • PERMIT EXPIRES / A)? Henry Hofmann OWNER CONTR. Triple "S" Custom Home Bldrs., Paradise LOCATION (A.P. 64-07-23 ) 5 Leicester Dr., lot 11, PP#12, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. s Called PG&E JOB FINALED (Date) I�JJ\C/ (Signature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Bea Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer MOBN LEHOME Water Piping MOB1 Water Piping DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) i PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom F14h 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsl Ily handicaped Conforman a of x. structure Appliances Gas PI in & est Temp. Gas Final Sanitation FIREPLACE Final Footing p LECTRICAL FI Heating Cooling Ducts Ventilation Final --------------- -- Elec. Service Sewer ON------------ -Support Drainage EMARKSOR ONS Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) r RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 5' 4F/GGS7-eA PA (location) BUILDING PERMIT NO. A!� 7f A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) -INSL''LAT ION : Slab Edge Fdn. Walls Floors Walls Ceiling/Roof /A-/,? Ducts Circulating Pipes APPROVED HEATER Al, APPROVED WTR.HTR. G G GLAZING: Single Glazed Special ( Insulated) le $ ` CERT. & LABELED WDS. & SLIDING DRS. y G S WEATHERSTRIPPED DRS. A^0 BACK DAMPERED FANS y s INTERMITTENT IGNITION DEVICES --- CERT. APPLIANCES � LS - I DECLARE THAT ALL -REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. TRIPLE "S" CUSTOM HOME BUILDERS Insulation Applicator Name Signature of ( ease pF Ca. 95969 Insulation Applicator State Contractors TRIPLE .,'S„DOILULKO General Contractor/Owner Name. 8084 Skyway Ph 877.8871 Signature of 6bigsog General Contractor/Owner Date 9'�y17 9 State Contractors License No./G�7vrr THIS CERTIFICATE MUST BE ON FILE W ITH - THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. � �� ./ ��, i ;�� ��, �' L � i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephbne:534-4541 L/ APPLICATION AND PERMIT i ✓� aui IVI &V [VVIV0cn la lvca VI the l�Vullly UI DUMC LU CHIC( Upull the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent � Receipt No. 2,e7 v D✓{ 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 _.E PUBLIC WORKS By eS/—% B ding permit expires Date a�—�o BUILDING OwnerSO. FT. OCC. BUILDING VALUATION _3 At il RRb Mailing Address9 1 Telephone No. Op--/.- L Contractor"?jia,4e,u _S v ' 9 Pi G 1 -AA ' Mailing Address �+� ��_ Fireplace Total Valuation Z T le/4pne No. -71 Permit Fee Building Address ����� iC�� _67Permit Plan Checking Fee&/or Penalty Fee 3d. T� -- A 4 Cil PLUMBING No.1 @ FEE 7 3�� ` v PERMIT FILING FEE $3.00 pp Each TraD 1.50 00 Repair drainage or vent piping 1.50 A. P. No. G — O %- ,23 oning & P nning Rt"ZI Water piping 1.50 _ Each gas water heater or vent 1.50 FA65T SanM n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Par 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parcel Approval b� Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $��`JD$ %d e ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OD t Single Family Duplex Mobil Home Others ® P ❑ ❑ ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L too AMP 2.50 . Main service OVER 600v 25.00 100 AMP OR LESS P0) Main service EA. AOD'L 100 AMP 1,00 NEW OR ADDNS. ! AAW CCuP. sq ft .JS 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 -'rid J P� e —�� w `9 M NEW CONSTR. MULTI -OUTLET NEW CO I T ( BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES 50@2S Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 13" If I— ./lC Mobile Home Facilities 15.00 License No._o�i�li %-� Classification_ Misc. Wiring 6.254L4 --e1_ N ❑ 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 en'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 iNo. @ FEE PERMIT FILING FEE $3.00 -0 Heating �"� >v �r — )CV,0 Cooling �� Qj1% , OD 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 Land Development Fee $ a TOTAL PERMIT FEE d' aui IVI &V [VVIV0cn la lvca VI the l�Vullly UI DUMC LU CHIC( Upull the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent � Receipt No. 2,e7 v D✓{ 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 _.E PUBLIC WORKS By eS/—% B ding permit expires Date a�—�o ., OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit #o5,Z%;2_ - � A. P. I 'e" �- 0 7 -2-7 A. GENERAL Zoning requirements.(sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. ,21' Setbackq, sideyards, easements, etc. ..3 Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN el! Complete to scale -plan with dimensions. Required windows for light and ventilation (Sec. 1405).. ,3: Required windows for second exit (Sec. 1404). f✓. Allowable glazing for energy requirements (20% max. per,State law). ,.5-1 Human impact glass (Sec. 5406). .� Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8 �8' Light fixtures, .switches, receptacles, an ex er or receptacles �®rma�inten�anceof en ical equipment Locations of water heate eating & cooling equipment other electrical or gas / equipment, and plumbing fix ures. Garage firewall, door size, and closer (Sec. 503(d)(4)). �Y. 1 - 3'0" exterior exit door (Sec. 3303d). .� Fireplace location. _1-3'.� Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building.. Roof construct -ion details complete enough to construct building. Fireplace construction details and calcs if over.one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. -3305). Guardrail details (S.ec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708): �. Proper roof pitch for roof covering (Chapter 32). �7• Rafter ties or bearing ridge beam. ,8! Garage door or porch header sizes. _J9! Adequate bracing. �WLiving area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec..3302). COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS ^ 7 County Center Drive — Orpville, California 95965 � ! ^� " Telephone: 534-4541 `/(/„ / APPLICATION AND PERMIT n �� 1 _ � Owner Mailing Address Telephone No. Contractor Mailing Address _51 -( VA T ephone No. Building Address /VIS 6LI�C� .�1� CQ�•� t!%� /D ? y i✓a� a2 1'� iia A-' -e A. P. No. 0 / � Total Valuation No. @ FEE Zonin" g Vlanning ves Plan Checking Fee &/or Penalty 5.00 Permit Fee Fire Dept. Fire Zone No. @ FEE Use Permit EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet Bldg. Plans Recd Parcel A proval Lawn sprinkler system Plans App ov7' of NEW ❑ ADDI TI ON Jjo UTILITIES ❑ OTHER JR Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: To A-1/YO A4 'e— License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for;Worl,nen'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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. �g?-34 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING / - I 'll" SQ.FT. OCC. BUILDING VALUATION 7--W is 5;;n Fireplace $ Total Valuation No. @ FEE Permit Fee $3.00 Plan Checking Fee &/or Penalty 5.00 Permit Fee 2.50 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 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 wilding sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORSLCSS 5.00 Main service EA. ADD'L loo AMP 2.50 Main service OVER 100 AMPP O OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACC`BLOGS.LING CCUP- S� 2P Sq ft NEW CONSTR. MULTI -OUTLET INON.RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON- CI RESID. SINGLE OUTLET R. Ex. OCCUR{OUTLETS OR FIXTIIRES I 8oe@25¢ BAL�1 FIXED ALNS. Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL NO -J @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ 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. DIRECTOR OF PUBLIC WORKS By RE= Date_ 1- L6 -7 5 Bui ding permit expires Date 9-Z4 'Ro