HomeMy WebLinkAbout064-180-007�
Robert Eggleston 64-18-7
6084 Mason st , .lot 271, PP#14, Magalia
contr: Malcolm Hall, Magal"ia
Permit #902-82B,P,E,M(new single
f � .family)
064-180-007 03-3310
TURNER,. PETER & KAREN
6084 MASON CT, MAGALIAGLINAL�ED
i Cont: OWNER
EXTEND GAS LINE ,
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
i 196 Memorial Way, Chico — Phone: 891-2751'
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
(,nR'c-/ O -A -
BUILDING OR PROPERTY ADDRESS
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 work is completed. If you have any question pertaining to this
matter, o d additional explanation, please contact this office immediately.
A _ r? A n
Inspector
I
PERMIT NO. — 902-82B,P,E.%M
PERMIT -EXPIRES
OWNER Robert Eggleston
C6NTR. Malcolm Hall, Magalia
ASSESSOR PARCEL 64-18-7.
LOCATION 6084 Mason Ct., lot 271,PPYf14,Maga.
Temp. Power Pole
Called PG&E
Temp. Elec. Service
PG&E aa/s
Called
tt Temp. Gas Service
T
CalledPG&E
-
JOB FINAkEED (Date)
Signature
V = OK j
O = Not OK
= Not Applicable RESIDENTIAL 'Sin le and Du lex
IF = Not Ret; ' 9 p
A
Date UNDERFLOOR Plans OK except N's
Date FRAMING (Continued)
+jy'2o : g requirements -Setbacks- ments
U--Frpperty
Line Firewall & Openings
t Main; Soils -Steel -EI . Grnd.- / /'' Ftg. Depth
. -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / /" Ftg. Depth
50.
�Siairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. FX. , Porches & Decks; Soi6s- teel- / /" Ftg. Depth
QIP ywood on Roof Overhang -Attic Vents -Rafter Outriggers
S!Amwalls, Main; Steel -B ts-Wrapped-Slab
.
Siding -Nailing -Veneer..
6YStem'walls,- Garage; Steel -BI uts-Wrapped-Slab�'r9--Sihcco
Mesh -Drip Screed-Fdn. Vents-Underflr. Access
P' s -Fireplace Fig. -St el
.
Glazing Area -Glass Protection -Skylights -Plastic
D.W.V.: F-Fitt4ff9s -2 way C/O -Sewer Test
x6—Mar
Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors W ,
10. Wa ipe;. -An egulator Ser est
ctric; Underground
1 . Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts-Joists-Vents-CripplesCard-BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI \ Date `i a �, Card -BI Date
S
Date FINA '--Oczh�
_L-W1Afj07OK except #'s
Card -BI Date Card -BI ` Date
Date PLUMBING (Permit) OK except q's
E .Steps -Door & Sidelight Protection -Landings
7
moke Detector
14 Water HL; a Access -Combustion Air
r Pipe; Test &Anchors -Nail Protection {�..
8.
Furnace; Vents -Clearance=Comb. 9 Air-Connector-
In ara e; Above Floor-Ducts-Mech. Protection
edroom Exiting* r:
D.W.V.; Test-Fttngs &,Anchors -Nail Protection'
17. Shower Pan; Test, First Floor -Tub Access
Si F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
(fr
Elec. Trim & Subpanel; Breaker Sizes -Labels ;
19. Gas Pipe; Size & Anchors
_
SWrs & Rails r
Fireplace or Stove; Clearances -Hearth
utleIs at Wood Panel; Int. & Ext.
Card -BI Date t. X 2- Card -BI Date
K' . Fixt. & Appliance; Gmd.-Air; Ga ookin Clearance
Card -BI Date -BI Date
6
ler. Outlets & Receptacles at Kit. _
Date E TRICAL Perrrit OK except q's
67.
Garage Fire Door; Swing- Land ing oser
68.
A.C. Duct in Garage -Damper
0. Fkture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Receptacles Spacing -Lights &Switches at Doors
� ze Boxes No. of Conductors -Stapled
&
'
Ib., Elec. & Mech. Equip. Listed for Location
--
28 Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
sulation-Foam-Looked in Attic ❑ es
2 Appliance Circuits in Kitchen &Conductor Size
7!5-
Guard Rails & Deck Construction -Po aps
— Subfeed Wire Size / ga. o A A.C. Wire Size / / ga. Cu or Al
7
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked oder Floor L� ves
ange Circ. / / ga. Cu f Oven Circ. / / ga. Cu or AI,
Insulated Neutral Yes ❑No `
75.
Fol win instld.: Drive ❑ Yes o;
9 � ,,,/❑Yes o; Walks
P anters ❑Yes Lr?N0
1q/5'ervice-Riser Conductors &Ground -Main Disconnect
rown- rnish
RDe*tquip. Clearances; Panels-Motors-Mech. Equip.
�6!G�lothes Closet Light -Shower Light
C, Unit; Disconnect-Clrnces-Brkr. & Cond. Siz -11totlet
�
ents Above Roof; Plb A liance-Fire I Clearance o
9•- PP • P •- Pngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B I Date 'y Card BI Date
` (p �
8S1!V
ntilation throughout House
Card B -I T Date Card -BI Date
822..
GI rotection
Date MECHANICAL (Permit) OK except q's
gaelvorrect
from Previous Inspections
84
GasT st-Meters Tagged; Gas -Electric
-04--A.C. Ducts; Insulation &Support
r & Sewer Connected -C/0 t ade-HD Approval
_ —42� Vent Fan; Exhaust above Insulation86,'
Energy Compliance Certificate -Other Certificates
.90-• Condensate Drain & Overflow; Size & Grade
e4-' Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
-2.&—.Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
rr__
Card BI Date �7f2 f �V' Card -BI Date
1)% -_-
Card-BI Date Card -BI Date
Date FR ING(Plans) OK except q's
Card -BI Date Card -BI Date
Comments
at Final:
ills; Proper Material & Anchors _
bIIs; Studs -Nailing, Spacing & Bracing -Plates -Sound
aring Walls over Girders & Floor Nailing_
raft Stop in Walls (rat proof)
ire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
42: angers -Post Caps -Anchors -Connectors -
ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring.
replace Ties or Type A Flue -Fireplace Throat
�ttic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
_46. drm_Windows or Exiting Doors -Sill Hgt. &Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
= OK
= "Not OK t
= Not Applicable MOBILNOMES MISCELU NEO"
= Not Ready 1A,
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) 0 . xcept k'
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; LocatiorYTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
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 N'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, Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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
B. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -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 -I
Date Card -BI Date
Card -BI
Date Card=B1 Date
tfZ2
Ae ��%" ' RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
T THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN z ..
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Mnson Ct•
(location)
BUILDING PERMIT NO. A.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
' �(Check4 each,: item or write N/A if � not''applicable)
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.
Insulation Applicator Name Sawkine Insulation Co Inc
Signature of (please print)
-Insulation Applicator �CQQ�p,�n�v� - ,u]��-Y1 "7- /G 2':;L-
State Contractors
License, No. 378407
General Contractor/Owner Name
(please print)
Signature of .
General.Contractor/Owne--Date-7-19.-82. '.
State Contractors
License No.__3:!S�
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
INSULATION:
GLAZING:
Slab Edge
NA Single Glazed
NA
Fdn. Walls
Special (Insulated)�,aQ i
Floors R-11
32" 159QEk.,& LABELED WDS.
Walls R-11
3J,-!.!,148'0_,0 SLIDING. DRS.
INA
'Ceiling/Roof' R-21
''6" 400 WA-THERSTRIPPED'DRS.. '
'NA "
�'B71 n�72" -R-22 119'_ BACK DAMPERED FANS
NA
Circulating Pipes
NA INTERMITTENT IGNITION DEVICES
NA
_
APPROVED HEATER CERT. APPLIANCES t�Jpy
APPROVED WTR.HTR.
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.
Insulation Applicator Name Sawkine Insulation Co Inc
Signature of (please print)
-Insulation Applicator �CQQ�p,�n�v� - ,u]��-Y1 "7- /G 2':;L-
State Contractors
License, No. 378407
General Contractor/Owner Name
(please print)
Signature of .
General.Contractor/Owne--Date-7-19.-82. '.
State Contractors
License No.__3:!S�
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WOR PERMIT Nq.
7 County Center Drive - Oroville, California 95965 - Telephone 916/ 4-4541 �
1
APPLICATION AND PERMIT CJ
A SESSOR PAR EL NUMBER
Z ING
BUILDING PERMIT
O E
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
S
OWNER'S MAILING AD
aa
Cr NTR AC TOR'S N E
TELEPHONE
y
CONTRACTOR' MAILING ADDRESS r
(o I �it+ Lam"-
Fireplace o0
-
CONSTRUCTION LENDER
NKNOWN
Total Valuation
Filing Fee
$ 10,00
L NDER'S MAILING ADDRESS
Permit Fee
$ -1—
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 'I -
BUILDING AD�
PLUMBING PERMIT
Filing Fee 10.00
/7 l (�
Each Trap
2.00 /zp --
Repair drainage or vent piping
5.00
Water piping
S
LOT NO. SUBDIVISION NAME
7
PAROL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
--
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
-
Lawn sprinkler system
5.00
`�,� TYPE OF WORK
Newl+tl Addition❑ Remodel❑ Utilities El installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
�®
Main service EA. ADD'L 100 AMP
2.50 -
NEW CONST. ( DWELLING WIN)
OR ADDNS. \ACC, BLD
2� sq ft 0?r'
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
IDD I am licensed under provisions of Chapt. 9, Div. 3 of the BU$IneS$
and my license is in full force and effect.
and Professions Code'a
License No. �Z �/� /� Classification �
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NNEWCONON-RESID R BRANCH CIRCUITS 2.50 ea
NEW_CONST R. ( POWER APPARATUS e)
NON-RESID. (SINGLE OUTLET CIR,
. pOUTLETS OR FIXTURES
EXOCCUBAL�
(TLE APPLNS. OR
Ex. OCcup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00 —
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $ ,1
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
ig I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00 ,3 --
Ventilation
Permit Fee
S �—
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
Sig tore of Applicant - Owner ❑ Contractor K Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
JPAVLJ
PD HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateZ-
`' p
�[ - Z 7 - -IF
(3�stories
% ?77-
Receipt No. 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
r.r
• r , a�:�,., r",Rau,.
?LITE
Section;.26-8.i of, the Butte County Code requires this acknowledgement dECORDS RE
be recorded prior to issuance of a building permit. y r:E rD 9Y
APR
The property -described herein is adjacent to land or included . �1 �'I %
within an area zoned for agricultural purposes, and residents of c�-AFK
this property may be subject to inconveniences or discomfort arising CLERK -RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, IF
pesticides, and fertilizers; and from the pursuit of agricultural operations including,E
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate.dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be -prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as'follows:
Lc+ 2-7( 'as
"-Ie r v\ ES U.vx ('Tl `� ( w t c �, w�-s "t- (e i �� ,�- �e v G 1'ce
3 7/ 3
Date: April 14, 1982
/\ r? C l u S "`-/�C_ ,
PROPERTY OWNERS:
State of California ) On this the 14th day of _ April 19 82
SS. before me, the undersigned Notary Public, personally
County of Butte ) appeared Robert A. Eggleston and Molly M.
Eggleston-----------------------------
WELAND
_ a � NOTARY PU.'b'LIC
Butte County
State of California
My Commission Expires Mar. 22, ) 985
known to me to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged `
that they executed the same for the purposes
therein contained. a
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Publ
Present A.P. NO. (!�
:...,..:. ,.- vie,....,-...,. .,. c...�: •-.qm«orar-.w..,...�-.- . . - _ _ _
I
or
064480-007.- t6-3310
TURNER oPETER & KAREN
6084 MASON CT, MAGALIA
Cont: OWNER
EXTEND GAS LINE
5ie.-A-41
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MT o.
(Rev. 12/96) APPLICATION AND PERMIT C,,,.6 s, - 35 1
ASSESSOR PARCEL NUMBER O�q- (]]JJ(( 170 — 00-7
ZONING
BUILDING PERMIT
OWNER •�'�t �e ✓r + ✓.e
,TELEPrH N ! _
so. Fr, OCC. BUILDING VALUATION
OWNERS MAIU ..ADQRESS /\ f� Go C4�' (� ^5M�
�r✓ Y �/
CONTRA O 'S fy1E„ �
1[0
TE(LEPJ{HONE4I{
i
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS C � r
Cf.G 'L)(
Energy Plan Checking Fee $
q5$
PERMIT FEE $
LOT NO.
SUBDNLSIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE !
SFDuplex ❑ 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 01' t
Describe- ork: Cts f ria
" r oo ,� COOK (U
Gas piping system 1 - 5 outlets
15.00 00
Building sewer
15.00
Mobile Home S G w
@20.00
PERMIT FEE $
-545-00
ELECTRICAL PERMIT
Filing Fee 20.00
600VOR LESS
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. i _
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:
❑ 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.
OR ADDNS. 8 ACC. BLDS.
so
3.5¢f7.
Npµ'ES MULTI -OUTLET
97,50
POWER APPARATUS
d SINGLE OurLEr CSI R.
Ex. OCCU OUTLET OR FIXTURES
BAS @':50
Ex. Occup. oFlxUT Ers A p OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I 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
Filing 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.)
;l
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.
_ DBIAL l )� 7q
Sig a ure f;;�Eplicant - ❑ Owner ❑ Contractor ❑ Ag, n� t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE {
S .
HAZ.D.
FEES IMP
I FLOOD
I COF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees ave been paid.
I ��
By Date
PERMIT EXPIRES ON 10-2 0 �" V
Date
Receipt No. 7 / O 70-1 t 35--QU
WHITE-D.D.S.-B.D. ., CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r�''�..+.-.,�+~-...�"•^�""'�"^.a`.=,..�^f,,:..`ti��•..+�'irrr..n...i.'�+c+�j,�y.ti✓s�w'b.:�::.r��^""y-'}vtir»�.5�.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 91-2751
7 County Center Drive • Oroville, CA (530 538-7541' ev I-
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected: Please notice this office when correction of work is
completed. If you have any questions per to this matter, or need additional explanation,
please contact this office immediately.
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Date � � Inspector
REV 10/92
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541MIT o.
(Rev. 12/96) APPLICATION AND�PERMIT C_-,6 3 _ :>,:a,> J
ASSESSOR PARCEL NUMBER _ I (j0
'Y//7 Ux U
ZONING
BUILDING PERMIT
OWNER V �► �1'r �e L� q_6JG` �
"p
SO, FT, OCC. BUILDING VALUATION
. OWNERS D EESS VJWTom. (21_ "-�
CONTRA ,M -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checking Fee $
BUILDINGADDRESS MLI
Gr- �!WA
Energy Plan Checking Fee $
C�
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
-
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SFDuplex ❑ Mobilehome ❑ Other
SPECIFYEach
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
gas water heater or vent 15.00
TYPE OF WORK
/
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other G31
Describe ork: d C6 lrif,
COO ~ fbP
r MS /
Gas piping stem 1 - 5 outlets 15.0015,()b
Building sewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE $ - U
ELECTRICAL PERMIT Fling Fee 20.00
LESS
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1Q 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 46.00NEW
CONST. DWELLING OCCUP. s0
OR ADDNS. ( & ACC. BLDS. 3.5¢NT.
NEW CONST. MULTI -OUTLET
NON REs10. @7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FD=RES B20 O 1.00
FIXLNS
Ex. Occup. ouT Eis RES,6.OE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I 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 S
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.)
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 provisions of section 3700 of the Labor Code, I shall
fol with comply with those provisions.
_ Date
ature icant - ❑Owner ❑Contractor ❑ A ntSHA permit is required for excavations over 5'0" deep and demolition or construction
fn
of structures over 3 stories in height.
04
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNWS T. q �
FEE $ D5.. __ �
HAz.
jPE
DF6
[TiOiTAL
CDP
I PARCEL
I pD
HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat above for whic ees ave been paid.
By Date
PERMIT EXPIRES ON
Date
Receipt No.570-70-1 C�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Dec 17 02 11:38a
OWNER-BlUILDER 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.
I personally plan to provide.the major Iabor and materials for construction of the proposed
property improvement: YES ❑ NO*
2 I HAVE RAVE 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:
CITY:
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:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
S. I will provide some of the work but I have contracted (hired) thefollowing persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: -
PROPERTYOWNER/<�f
DATE- 14� 1i 1 A
NOTE: This Owner -Builder Ver cation is required by Section 19931 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
T,
Dec 17 02 11:37a
Dear Property Owner:
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:
0 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.
0 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.
0 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.
0 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'"ownerbuildet"
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
Sinl reel , )
lvflchadl C. Vieiia, C.B.O.
Manager, Building Inspection'
NOTE: This Owner -Builder Information is required by Section 19830 of the California Hedlth and Safety Code.
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