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064-170-011
64-17-11 Ed Groat Ct. , lot 19, PP#14, Magalia, } �o3a con r:ene Johnson, Chm Permit #4546-79B,P,E,M( ^ � new single family) 1 — 64-17-11 1 Permit #6499-79B(ad6 open deck/SF) 1 hy 064 170=011st �. a 034502 ',', ,DEVORE ,UANNY:' o ¢� ,, .,'' 6032 TIFFIN CT MAGALI �NA�� jRE-ROOF,.' e� oytjr 1 f _ Y • L�5a;_�_ 064=170=011 ` '�` r7 06-1015 LANNY'DE 6032 •TIFFIN CT' MAGALIA F• _ J .., Cont: OWNER O PROPANE TANK -'RANGE TOP ,. ti 10 ,f 'f { ti 10 ,f { i ; f 06-1015 064-170-01-1 INO T E S C i. ,�,• DEVORE,,LANNY 6032 TIFFIN CT, MAGALIA ' Cont: OWNER RANGE TOP I` PROPANE TANK, RESIDENT IAL `�. APN: Permit No. Owner. Site Address: ,f Contractor. Type of Permit irV OFFICE COPY t' • Address t �r GAS Meter By Date A/ ELECTRIC Meter By Date SPECIAL CONDITIONS - CHECKED BY yir , Ll ❑ SRA +`'�'; " ' ❑ FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY Q USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE ED - 1 DATE JOB FINALED- < O,/ ' SIGNATURE: ll = OK Not QK _ RESIDENTIAL (Single& Dup[exj DATE JUNDERFLOOR 1 ZoningSetbacks-Easements-Flood-Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dplh 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 4 Ftg Porches/Decks-, Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-8lockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 63 Hold Downs and Special Anchrs, 7 Slab, Steel Wrapped - 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test Ll Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJ oists-Vnts-C ripples 15 Acc & Vntltn 161nsulation DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Header's & Beams-Sz & Bearing. 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clinc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or, Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdcrn4Use-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-UndrfIr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls -Ceilings 39 Infiltration -Walls Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Ltr & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Kichn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑ AL AC Wire Sz Ira ❑CU or ❑AL 48 Range Circ ya ❑CU or ❑AL 'Oven Circ ya ❑CU or❑AL Insulated Neutral EJ Yes No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test. First flr-Tub Acc. 1 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnlVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr• In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc, Grnd-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls atKtchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dsr-nnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler = OK - Me MANUFACTURED HOMES MISCELLANEOUS GATE PERMANENT FOUNOATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 BIckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C10 to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits IS Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S 'GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; SiI1s-Anchrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing-VeneerStvcco-lath 10 Roof; Shthg-Roofing _ 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s a y} °°? • ° DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability, 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls1Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal wf5-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' CrcItng Eqp-Pool tghtg Bokes-EncisrsTnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide 4. Pool Drawing BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061015 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/03/2006 APN: 064-170-011-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 6032 TIEPIN CT MAG License Class : License Number: Map Index: Date: Contractor: Description: ADD NEW PROPANE TANK AND RANGE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the TOP Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: DEVORE LANNY A signed statement that he or she is licensed pursuant to the provisions of 6032 TIFFIN CT the Contractor's State License Law (Chapter 9.commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95954-9649 violation of Section 7031.5 by any applicant for 'a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DEVORE LANNY A owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6032 TIFFIN CT provided that such improvements are not intended or offered for MAGALIA, CA sale. If however, the building or improvements are sold within one 95954-9649 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of a Business an rofessions Code Date:-115rwrier: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjuryone of the following declarations: License #: ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 G! I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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, 1 shall forthwith comply with those provisions. Date: Applicant: WARNING: 'Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor \ (\l code, interest, and attorney's fees. L4 r V3; CONSTRUCTION LENDING AGENCY This permit is hereby i ue rider t Iicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the for is issued 3097 Civ.) Resolutions to do wo aled above r wh' h fees have been paid.- aid:performance vJ v performanceof the work which this permit (Sec Name: BY Da e: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize reprOseRtatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: L " ✓ e2 y P Signature: Date: 121116wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061015 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/03/2006 APN: 064-170-011-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 6032 TIFFIN CT MAG owner of property who builds or improves thereon, and who does Map Index: Date: Contractor: Description: ADD NEW PROPANE TANK AND RANGE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the TOP Contractors' State License Law for the following reason (Sec. 7031.5 year of completion, the owner -builder will have the burden of Business and Professions Code: Any city or county which requires a proving that he or she did not build or improve for the purpose of permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: DEVORE LANNY A signed statement that he or she is licensed pursuant to the provisions of 6032 TIFFIN CT the Contractor's State License Law (Chapter 9.commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or and Professions Code. The Contractors' State License Law does she is exempt therefrom and the basis for the alleged exemption. Any 95954-9649 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not License #: intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DEVORE LANNY A owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6032 TIFFIN CT provided that such improvements are not intended or offered for MAGALIA, CA sale. If however, the building or improvements are sold within one 95954-9649 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). Total Square Ft: 0 S. F. ❑ I, as owner of the property, am exclusively contracting with Policy #: licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Or" I certify that in the performance of the work for which this permit is not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed become subject to the workers' compensation laws of California, pursuant to the Contractors' State License Law.). and agree that if I should become subject to the workers' ❑ I am Exempt under Article 3 otAe Busingss anc,w ofessions Code compensation provisions of Section 3700 of the Labor Code, I shall WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjuryone of the following declarations: License #: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Or" I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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 forthwith comply with/those provisions. Date: Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of \ compensation, damages as provided for in Section 3706 of the Labor J1 I A. code, interest, and attorney's fees. Ir�l� c , v CONSTRUCTION LENDING AGENCY This permit is hereby idsuedAnder theaKplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the — Resolutions to do wok ated above r wh' h fees have been paid: ' performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: a G Address: PERMIT EXPIRES ON: in�rei ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: L� h h_ ✓ G� J3 ✓ O v P_ Signature: �.w.v,�w / !� 0�6%vner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#:,OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name D li o irst Name h Address 2 T F o', 0--F- City14A- State Zip q6SS¢ Phone P,0 x-73 — � �4, Fax E-mail APPLICANT INFORMATION - CONTRACTOR Name — Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION - ARCHITECT/ENGINEER Address — Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT INFORMATION - Name Address City State Zip Phone Fax E-mail ' ,Q APPLICANT SIGNATURE X z 61' 0 1, 9� � � j - For office use only: AP# U Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION AP# U Property Address 60 `;��„ city Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address _._.._....___..._._DescriI�tionor_Scope.of-W.ork:_......—___.___..._..._... 1 - 0'ro pr, _�,Z�L4 A,9 .15 le rot r92 4613 SqIF -Living Garaage Open o ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �� Receipt.#: )/b Lpo Date: ej-?) I L}I(.D Amount 0 �) Bldg SRA Sheriff SMIP Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must.be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). -- 0-------4.--NRDES-Form.------- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew Action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. L' I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ✓ ] NO [ ]. 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted .with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: N DATE: 3 1D6 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.netldds OWNER=BUILDER INFORMATION Dear Property Owner: . 1 - ." An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pen -nit. 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 ' or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. ' o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contractor is to secure an "owner-builder"=lfuilding 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, 04 2 Scott Rutherford Manager, Building Diviion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. I 'A4476-"011 03-1502 DEVORE, LANNY -,60..'32,TIF-FIN"CT,,MAGALIA'a�'�"'�' ,RE -ROOF t"'.; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU LDING DIVISION 7 County Center Drive 9 Oroville, California 95965 •Telephone (5 0) 538-7541 T C/ (Rev. 12/96) APPLICATION AND PERMIT a -3 C/ ASSESSOR PARCEL NUMBER _i79—OU ZONING BU I LD I N G P ER M IT OWNER" AIN" TELEPHONE ?72 / 2.42 SQ. FT. OCC. BUILDING VALUATION 7f, nn 60 OWNERS MAILING ADDR ss •" '" ° -' `'""'- 'TTTAT TA nnF. .... .. ` '"T' ""`• vAi CONTRACTOR'S'NAMt wu 4 r1T. Td "In TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ j rwo ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ Z7, 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS eq TT N �� Cr. UAIJA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ItF-ROOF 1,7100MR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00Main Service zo.A OR LESS 23.00 I 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 affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 01*' 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.50FT. =REOSID MULTI.OimtT @7.50 POWER APPARATUS 8 SINGLE OtmFr CIR. Ex. Occu OUTLET OR FIXTURES 2101-1 BAL @ .50 Ex. Occup. oLmEtTS'REM.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 4w, 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Ep,� 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 forthwith comply with those provisions. Xr�/1n ��� _ Date �, rJ Signature of Appli nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for exc vati ' s over 5' " deep and demolition or construction of structureV e ? oris he' t. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 57.00 HAZ. D. FEES IMP FLOOD CDF PD HD IS E This permit is hereby issued under the applicable provisions of the,,Butte Cunty Code and/or Resolutions to do work indicate above fo hich fees have been4_qMR_ By t, Date 41n�- PERMIT EXPIRES ON De Receipt No. Ci I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75411 (Rev. 12/96) APP LI CATI ON AN DIP ERMIT ✓ V�/ ASSESSOR PARCEL NUMBER 064-170-011 ZONING BUILDING PERMIT OWNER T7 .OWNERS SS CONTRA G. 9 GA 95954 TELEPHONE n 73 - TELEPHONE SO. FT. OCC. BUILDING VALUATION r CONTRAC NG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ i in ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS " G Energy Plan Checking Fee $ PERMIT FEE $ 57,00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: T? F—7200E WIMMP Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 CONTRACTOR'S DECLARATION 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.6 License Class Lic. No. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 2`o�1, 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 Main Service To 200ALICENSED 46.00 NEW CONST. DWEWNG OCCUCUP. WEE OR ADONS. ( & ACC. BLAS. SO 3.511FT. NON.pES,p MULTI -OUTLET @7,50 PSINGLE OUTLET OWER APPARATUCIR.S Ex. Occu OUTLET OR FIXTURES BAS @ .50 OWNER RA Ex. Occup. OFlxLIT TAP a ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION I 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ICV I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of section 3700 of the Labor Code, I shall Jrthwith comply with th provisions. Date �O __ Signature of Appi r - (] Owner ❑ Contractor ❑ AgeAt An OSHA permit is r quired for exc vati ov 5' " deep and demolition or construction of structures t. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ R, � , 57.00 HAZ. D. FEES IMP FLOOD CDF PAR LA Po HD IS E This permit is hereby issued under the of Butte my Cod and/or indicate ab e o hich ees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date / (D-6) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit" will be issued until this verification is received. C1I personally plan to provide the major labor and materials for construction of the proposed property improvement :,YES NO ❑ Q. C� 132. I HAVE HAVE NOT signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions. of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME' ADDRESS ' PHONE TYPE OF WORK z� -2, NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUII.DER INFORMATION Dear Property Owner: O- • X 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 party 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 '$300 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 employer, 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. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code, PERMIT NO. 6499-79B t VQ d �I� _ PERMIT EXPIRES OWNER Ed Groat aver r CONTR.' rt 64-17-11 'LOCATION (A.P. ) 65 Grinnell Ct., lot 19, PP#4, Mag alfa r � k k t 4 1 } Temp. PowePole Calla", iiPG&E ' Temp.alec. Serv. jeelied PG&E Gas Serv. lled PG&E FINALED f oL. i 7 (Date) UAA' (Signature) rC' Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel Mesh Scratch Brown Finish Interl ro�L.atlL.atl T Door MO§ILEHdf Water Piping OBm Water Piping DATE COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Para s 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor 1 Siding To out Roof Sheathin Water Pi in Roofing Sewer Fdn. Vents Fixtures Garage Vents ` Insulation Water Htr. Heaters Prov. for ph sic handica ed Conform ce of a structure Appliances Gas Piping &Test Temp. Gas Final Sanitation (REPLACE Final Footing EL Throat Rough Final Fixtures cooling i Ducts entllation /Final ES ----------------/- Elec_ Service Sewer LAT( N --------------Support Drainage lz - - REMARKS OR CORRECTIONS Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuh Gas PipingN (NOTE: An entry must be made on this form each time you vislt the job site.) L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '—' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ��</69-� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r7 X -lih� -_'L "N� Date Signature of P6 4e or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS7 By Date r? —/4 — 7 Buding permit expires Date BUILDING Owner 0 SQ. FT. OCC. BUILDING 1ALUATION 71 Sdo Mailing Address !Q /(� Telephone No. Contractor Mailing Address �" J Fireplace SOS Total Valuation �iG?9 elephone No. �2ZS� Permit Fee Z Building Address U �� C Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 g, 6V Each TraD 1.50 Repair drainage or vent piping 1,50 A. P. No. Zoning anning Water piping 1.50 r 62> Each gas water heater or vent 1.50 Fe W Sariftt6n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking cel Plans Declaration Parcel 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans V. -cd Parce rovol �� � �� PIans1Appsoval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑� Permit Fee $ . OU ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 idZJ ") j. 600V OR LESS Main service t00 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS fJ�) 22sgft 3b,> 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: JOA ^ yoti �o� ST Lr©• NEW RES D, BRAN OUTL T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. ,SINGLE OUTLET CIR. Ex. OccuD{OUTLETS OR FIXTIIRES `50L0; FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 31 9 y 7 O �3Classification Misc. Wiring 6.25 ❑ I am exempt. from the Contractors License Laws of the State of California. Permit Fee $ 711.75 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating oy Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ -�Qj 0Z TOTAL PERMIT FEE $� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r7 X -lih� -_'L "N� Date Signature of P6 4e or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS7 By Date r? —/4 — 7 Buding permit expires Date ,i COUNTY OF BUTTE — -DE-PAR MENT OF PUBLIC WORKS 7 C-bunty Center Drive — On Mlle, California 95965 lel ephone: 534 e419 -- APPLICATION At ) PERMIT BUILDING Owner _ ',Q. FT. OCC. BUILDING VALIJATION + a avl wy _ Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Gi Repair drainage or vent piping 1.50 A. P. No. L e 7 `-' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F WS1 San' Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 P Y NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ Permit Fee $ $ y L>r ',��i�.. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V ORLESS 5•00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLOGS.CCUP. Y\ 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR. BRANCHCIRMULTI-OUTLET NON-RESID. (BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. ,SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRESI 5B L Ex. QCCU FIXED APPLNS. OR Occup.( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 _+ ® 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 1� 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 N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X CO1 Date/44-19•") i Signature of Permiteeee or Agent Receipt No. i 2 l Ka White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date_ ilding permit expires Date `f OL ,PERMIT NO. "' 4546-79B,P,E,M f -� PERMIT EXPIRES _ OWNER Ed Groat CONTR. Gene Johnson, Chico 64-17-11 j LOCATION (A.P. ) .i' 10 Tiffin Ct., lot 19, PP#14,Magalia T ' • ` ' I 4 Z4, q Ti. ✓ (?-F a �' Temp. Power ole �7 �^ Called G&E I O wTemp. E ec. Se V. 1� T+g1 Cal d PG&E 4!I'. Tem Gas Serv. _ i t alled PG&E 4 �U B FINALED (Date) I, i (Signature) , - COUNTY OF BUTTE — DEPARTMEMT OF PUBLIC WORKS' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING, Setback 7-'9e- Firewall r. jeoll Pipingiir jEe Forms .-� 7 Parapets 1st Floor -41 Main Bldg. Restroom Finish 2nd Floor Footings Windows 110—If- 7 3rd Floor Stemwall - Siding / To out D Slab Roof Sheathing 1 ater Piping (0 7 9 a G Piers - Roofing Sewer Garage Fdn. Vents Fixtures Footings - % Stemwall _ - 79' 0 Garage Vents Insulation Water Htr. Heaters Slab / _ Carport Footings Prov. for physica y gland ed Conformance f e structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FiFfEPLACE Final `) Footings Footin - % cJz S ` ECTRICAL Masonry Walls Throat B 49 --- -41`> 9 R o u q h 9� Reinf. Steel' Final Fixtures Bond Beam FIRE APRINKLERS Motors Framing - 7 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating -, Service Brown Cooling I Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final • 1. Final i^ MOBILEHOME UTILITIES ----------••---'--- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping W0816EUO!4E INSTALLATION --------f - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE f REMARKS OR CORRECTIONS �z �C( 014 V "/Zw • �� - •Sim --���. �,�` w.CA,,U ✓U a(/ n.entry ml be Tad n this formgach-time you visit the jo site.) ��-( C or Ii J, r J, r �ti THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILGING LOCATED -AT: 15 Tiffen Ct.— 40 /�/ Magalia reeo Number IO City EXTERIOR MALLS Manufacturer C T Thickness/Type 3 i" R Value—1 1 CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer U n i t e m p Thickness . 5 No. Bags. 2 7 Mt,/Bay 4 0 SQ. Ft. Covered 1275 R Value 19 FLOORS Manufacturer C7— Thickness/Type g R Value Manufacturer Thickness/Type R Value \ FOUNDATION MAILS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR 5 o h t4oh T— C LICENSE NUMBER 3 9 y o BY TITLE Q21:2.Alj DATE INSULAT CONTRACIORN T N SU LAT I ON LICENSE NUMBER 2 12 4 6 1 BY• i / TITLE Manager DATE 11-7-79 a .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 15 Tiffen Court, Magalia (location) BUILDING PERMIT NO. A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge Fdn. Walls Floors' " h?--, Il Walls R11 Ceiling/Roof R19 Ducts Circulating Pipes APPROVED HEATER APPROVED WTR:HTR. GLAZING: Single Glazed Special (Insulated) �— CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 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. _ ti Insulation Applicator Name NI:CHOLSON INSULATION CO. p Signature of lease print) " Insulation Applicator 1. ` State Contractors License No�,12461 General Contractor/Owner Name JO��.so J. ,f--si ego Signature of ( lease print) General Contractor/Own Date J' /21, /7 �► State Contractors t License No. ;/ THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. OWNER e RESIDENT IAL • PLANS CHECKING -GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit,# �s e',7f' A.P. # — /7 A. GENERAL _,1 Zoning requirements (sideyards and.parking). Valuation. Signature by R.C.E. or Architect (if required). B. -PLOT PLAN . kComplete parcel size and dimensions. ,21' Setbacks, sideyards, easements, etc. Other buildings or structures. X Grading, fills, drainage. - C. FLOOR PLAN ,,1! Complete to scale plan with dimensions. ,,2"" Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). ,,4! Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec..5406). ..6: Required room sizes, ceiling heights (.Sec. 1407). .moi G.F.C.1.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4))., 1 - 3'0" exterior exit, door (Sec. 3303d). AL: Fireplace location. j.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. A000"Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Ar 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 (Sec. 1716). 4 Brick or stone veneer (Chapter.30). Exterior plaster - weep screeds (Sec. 4706 & 4708). ,,fi% Proper roof pitch for roof covering (Chapter 32). e717' Rafter ties or bearing ridge beam. •%8� Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and "posts, etc. l�i. Two (2) exits on three-story dwellings (Sec. 3302). r t; . • - . =Yt•=,"•per. .*. :7 =!2- .a.'�.. *•`..F Y' �•� w 4. •x - 1.•+Y_- ! .v• -• •� ..�,. !'n. z. $'`�'k'!' ..` Phis sed o plan's anti specirica+ os u11 awful ns MUST be , - 'k�pt on the job at all times and ke any chalt onlYs or ern's +ioon same with maout Wiitten permissionff Bumf a Depctrtmenf of �ubIIC - Works, County o The g• Bld _Setback __.._--- shod be-5 ft._from_the_-----, 'side property line and ' 5D ft, from the I -'' E". centerline of fho-road; permitfing a maxi- I mum of a 2 ft. eave overhang but entirely out of all easements-. i Ij i ,;J tj �iA oikmonship Sh is ' Practices and _ 4 pll Mal-erials &nizea Q°d. in the NOTE:— ,,lith ReCOg the Specified _use Accordance pre- for & Machonical Cod _ 1t f a quality p plumbing ° guildin9. Code. _'�'__'.--•--- - - . 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