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064-200-037
ell— Chi col Pe' ELI G& k-su CO] 11, 0 ZOO - 037 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0520 Issued: 3/19/2007 Address: 6085 GUILFORD CIR Area: MAGALIA Owner: KIOUS, LESLIE J & ROBAPN: 064-200-037 Applicant: JEFFORD LIGHTING ArMap Page: -Permit Type: Electric Panel Description: NEW ELECTRICAL SERVICE Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 'Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 .Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 RoofNail/Drag Trusses 129 Do Not Install Siding/Stuggo_ir-B-�'-,";; --"-'til Above Signed Rough Fr,,7 -'--- OFFICE COPY Rough Pit Bldg Permit: Rough Me r Rough E16. Address: - - -• Gas Piping' j Shower Pat Date'.�� Fire Sprinkl GAS By: . Dater Fire Sprinkl cmc By: Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 -rrolect rmai is a %-ernucate of occupancy for tmsioonnai vinyl PERMITS BECOME NULL. AND VOID I YEAR FROM THE DA"rE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR'rO E\PIRA'rION Inspector Copy _i W BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6085 GUILFORD CIR Owner: Permit NO: B07-0520 APN: 064-200-037 KIOUS, LESLIE J & ROBERTA Issued Date: 03/19/2007 By TMP Permit type: MISCELLANEOUS 6069 ABRAHAM Subtype: Electric Panel MAGALIA, CA 95954 Expiration Date: 03/18/2008 Description: NEW ELECTRICAL SERVICE (530) 873-3079 Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: JEFFORD LIGHTING AND ELECTRIC JEFFORD LIGHTING AND EI Building Garage Remdl/Addn 5456 BLACK OLIVE DRIVE 5456 BLACK OLIVE DRIVE PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 877-5319 (530) 877-5319 FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2209 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License JEFFORD LIGHTING AND ELE(862048 / C10 / 07/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for d effect. 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 violation of Section 7031.5 by any applicant for a permit subjects X 03/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number: Exp. Date: (This section nee not a competed if the permit is or one hundred dollars ($100) or less. 0 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' the X 03/19/2007 Z� compensation provisions of Section 3700 of the labor Code, I shall forthwith with those Owner's Signature Date provisions. ` X 03/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature— Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am au on to act on the property owners behalf. 03/19/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Wme of Penni ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name First Na Mailing Address D City Stat Zip S Phone ] Fax L� E-mail CONTRACTOR Name / Address City St a Zi���� Phone -3 119 Fay) _ s 3�"j� E-mail Lic. # 941,.:2 Class _ APPLICANT SIGNATURE PERMIT NO. gj%%'.o BIN # PROJECT LOCATION AP# �. Property Address City U 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 DESCRIPTION OR SCOPE OF WORK: 1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name ot S' Address �nD11� City Zip9r�� State Zip Phone E-mail Fax E-mail State License Number _ APPLICANT SIGNATURE PERMIT NO. gj%%'.o BIN # PROJECT LOCATION AP# �. Property Address City U 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 DESCRIPTION OR SCOPE OF WORK: 1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Address ot S' City �nD11� State Zip9r�� Phone97 7— / Fax E-mail _ APPLICANT SIGNATURE PERMIT NO. gj%%'.o BIN # PROJECT LOCATION AP# �. Property Address City U 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 DESCRIPTION OR SCOPE OF WORK: 1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. .a J NOTES RESIDENTIAL 064-200-037 02-2088 PERMIT NO. KIOUS, LES &r BOBBIE 6085 GUILFORD CIR., MAGALIA r , CABANA - MH • .i •t t. i; I' 1 SPECIAL COMMONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"tt./ PLPG Electric 7. Well Clearance & Discorinect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Root; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 "_�r V=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Upclerfloor (Plans) OK except #'s Main; Soils-Elec. Grnd.-/ r Soils-Steel-Elec. Grnd.-/ r Ftg. Depth ' 4. Ft orches & Decks; Soils -Steel-/ /" Fig. Depth Date Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 16. it ers•Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except !>--- 4_Z/B9.ring 17. Water Htr.; Vent -Access -Comb on Air Baffle 4 18. Water Pipe; Test & Anc - ail Protection 4 . 19. D.W.V.; Test Fit ' s & Anchor -Nail Protection 4`6. 20. Shower P ; Test, First Floor -Tub Access 87. 21. Tegalerub & Shower, Second Floor -Tub Access 88. 2 Gas Pipe; Sixe & Anchors 89. GI s Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date E CTRICAL (Permit) OK except #'s 93. 23. xture & Transformer Clearance -Ins. Protection 1,4e�ddress 2e Elec. Receptacles Spacing -Lights & Switches at Doors 2P Size Boxes & No. of Conductors Stapled Date "' 2 omex Installed Close to Edge of Studs & C.J. Date 2LAquip. Ground made up w/Mech Fasteners -Bond Gas & Water fiance Circuits in Kitchen & Conductor Size GFI ._28.-Bubteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At r-3a-Renge Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No - Q4--3eryfce-Riser Conductors & Ground Main Disconnect 32 uip. Clearances Panels-Motors-Mech. Equip. --88--Clothes Closet Light -Shower Light -Spa Light 4 Smoke Detector Date Card B-1 Date Card B-1 --bate Card B-1 Date Card B-1 bate MECHANICAL (Permit) OK exce s 35. A.C. Ducts Insulation & Suppopol- 36. Vent Fan, Exhaust abov sulation 37. Condensate Draink6verflow, Size & Grade 38. Furnace -Vent cess -Comb. Air -Return Air Vent 115 outlet 39. Attic Acc s & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40k 4s Proper Materials & Anchors 4 IIs Studs -Nailing Spacing & Braces -Plates -Sound 4_Z/B9.ring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4 . ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4`6. Headers & Beams -Size & Bearing Date FRAMING (Continued) • 46 -Ha prs-Post Caps -Anchors -Connectors 4 ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. irep ace Ties or Type A Flue -Fireplace Throat Clearance �9.-MtiCAccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5 . Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions e - 64-GeragsFire Protection Framing J-Pfeperry Line Firewall & Openings -&O-LRl Dbors-One 3' -Check Garage 3rd Story, 2 Exits rb4--6N"rrWidth- Headroom- Rise -Run -Landing -Fire Protection 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 ding -Nailing Veneer uc o Mesh -Drip Screed -Fd. Vents-Underflr. Access ng Area -Glass Protection -Skylights -Plastic 9r�ar Walls; Nailing -Bolts 6d. Brace Interior/Exterior Wall Panels 6{. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date yard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date INAL (Plans) OK except #'s 00'0E'xt. Steps -Door & Sidelight Protection -Landings kv Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.5,L--& Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fire lace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes a No/Walks ] Yes O No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. _ Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. GI s Protection orrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 1,4e�ddress Posted Date "' and Date Card B-1 Date Card 9111 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE .r.,,. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 0 =c aJ� ow 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 pertaining to this matter, or need additional explanation, please contact this -office immediately. ty �� �>•�� .SMS ��-e /✓� G�l� L ti E Date `PCZ L �Z-- Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DX 7 County Center Drive Oroville, California 95965 •Telephone (530 8- MCI (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-200-037 ZONING BUILDINERMIT OWNER KI U-1 6PL T "E SO. FT. OCC. BUILDING VALUATION n . OWNER'S MARINO DRESS 6069 AR-RATIAM, MAGALTA, CA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 109.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 70-20 BUILDING ADDRESS 6 Energy Plan Checking Fee PERMIT FEE $ 19-8.20 LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome DO Other CABANA SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: CABANA (10r X 16') MH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 2DOA 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 1 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 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 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 of 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 com y 'th tho rovisions. X Date Signature ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA p s required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5QF°: 5 r� OR ( BBLDS. coNS. MULACC. NON - REs10.ff @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q � .50 Ex. Occup. ouTuTlE'RAID°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 7 _. . o� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation inxtiznri PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc coNST. TOTAL FEE $ 258.80 MAZ. D. IMP CDF PARC PD HD UE This permit is hereby issued u der of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat 26 D 2 2 Dale rReceiptNo. X60837i59_ 8(7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j�`:�.{'9FV�,+bA�l:i'i��"� /R`i..� �:e�•�erx-.��,i,.-,.As�q���I��A'�,'lt�"i•�i�++F"w'��-+az'���#��.it +lg;, 4 , r . COUNTY OF BUTTE-DEPARTMENT.,�O� DEVELOPMENT SERVICES-BU112,6/V/7 County Center Drive, Oroville, CA 9'5965 Phone (530)538-7541 Fax (530 53 PERMIT APPLICATION DATA SHEET y ' �j I�V �(�✓ / OWNER: L ASSESSOR PARCEL NUM Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked R marked NA in order to apply. lot plans, 3 or 4 sets, signedXy the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! y� ❑ Energy compliance design and supporting documentation in duplicate.] 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line informatio or Plan, (D) Tie down or foundation plans, all in duplicate. .c ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form...................................................`............................ _ ❑ 13. Other R aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) i 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Ey 15. Statement of Intent for Non -heated and A/C Buildings ...................................... 16. Sanitation and plot plan approval from the Environmental Health De art ent i 717. City of Chico Plumbing permit ............................ ........... .............. 8. California Department of Forestry plan approval paid. Sent by: Ov.....I �?....!-.l. -GZ ❑ 19. Planning approval for (A) Use: Qt lC (B)Parking: (C) Parcel Check: 020. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23 -%Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑Existing violations and/or expired permits......................................................... 0. ❑ Grant D , ❑LM.H.Aitl_e/Statgmgnt pf_'agts, ❑ LgtWr,from Legew er Chec c to H.C.D $ 31. Other: J�' When issued Telephone I have been informed of the above items and requirements for obtaining a building permit. Applicant: , j Date: _ ? - —0i 1. Index permit pW�� for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ ph , ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counte by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Plan Check Letter E.H�Gy =Plat Plan °Artachad y Flow Plan A crad is Sent to a. / TO: Building Department FROM: Environmental Health — 2 C)gR SUBJECT: Sanitation Clearance 2 I< <vki,S _ Owner Location AP# (-, Plan Approved for: Sewage Disposal Water Supp ty: PublicPrivate Well Clearance for dwelli g. Ot""her rj Hold final for: Final clearance O.K. for: NOTE: s Environmental Health Specialist J Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # PROPOSED BUILDING USE DATE V �� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ........ ....... $ Additional Fees Due ................. $ Revised Plan Checking Fee ........ . .. 2. SCI�O�. DISTRICT FEUS i 3. SHERW FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 4 $510.00 (paid_ at Building Division) 6. RA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking pros. APPLICANT DATE G Pursuant to GovernmentlCod6 Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEF CERTIFICATION FORM n form per Building) Buildin9 Department artment No'/✓J jurisdiction: // City Residential Development No of Living Mobile Home Units Installation It Lot No. County ..............................................: Sq. Footage 0 Addition/ 'Supplemental to ( roup R) Conversion Permit # *(No foundation inspection): (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior ?IX217 / Date Di t Identific tion No. V Z. (C!/ L/�✓ /N School District certifies thatA,/ �f ~ (Applicant) (Street Address) (Phone Number) r) /�z ata G� / (City) has complied with the requirements of Resolution No. representing 4✓/square feet. %,-k f 'E11,/ • c�— School District Representative Paid by Check # Remarks: IState) Uli +/ i1Zipeode) by payment of $ AS 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.x(s (10/98)dmm _ , s _ � �a , � •2� - S��y �t., L'_ � � .�-.,��-�--� ,State of7_'.""`,1'P"✓i• f K . i /_ ,/� rye_ Business, Treniportetlor� edB Houslnp Apeney I U OT e ertment of housing and Community Development Dtvlsion of Codes "Yand Standards • - i+' lY lV.�Y r(6 Jx r±.'. :t aF [ 7?'jfq :Jv�,s-i'�13yi e. "'h •, r ' ,L SJ1 i, �41 :aa•sa��srt,;,. " � �~ .,APPLICATION FOR; ' j ►1 4s n. "J' �itnoE� �t,'tCci)�o€i�fe N 4 . ,P's aft; >]^a r� I"t�` •,i ►; .r' [. A'r`�.,ygQ • �glteration/ConversionL]Approval to Remanufacture Iternate Approval.❑'Technical Services ❑ Replacement.lnsignia ❑Coding trispeotion ISEE REVERSE SIDE F FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) '.y: x•{; ir i.�,• t �., 'v.., •C+.n«ucy,Vvh.3.,bt� A,aai+arhn ! 2•., v.a. kE r! �a •liie`[�=µ,.l tc ,l[•.y.. ,.« �y r ,, .....:> CONTRACTOR/ OWNER BUILDER DECLARATIONS ntz -i r• SECTION 1 UNIT INFORMATION *s, u r_1. t'r a 2� MT2PEPARTMENT'US ,1ON Y=1 Not requited /or Specie/ Purpose"Commercia/ Coaches or 8:.0 , r nyr nil,uaL Y ,1s",;z a J , tr +^ - �q' t8 0�� tE 7tbY tu;t ,1! N� tyTth'� Recreational Veh/clis " r _ I/We are requesting services for the following unit(s). ) • COCNO +-+ 1. LICENSED CONTRACTORS DECLARATION • • - ;,+., ,"-' (Check Appropriate Box) ; r i , , ; +-.; +o•j b 194"R' ' £CLI }r I hereby affirm under penalty of perjury that I am licensed under----- - +r :» * ..,Yti.•:, .+ - provisions of Chapter 9 (commencing with Section 7000) of Division 3 Manufactured Home/Multi-Unit Manufactured Housing of the Business and Professions Code, and my license is in full force and Manufactured Home/Multi-Unit Mfg. Hag. Component Structure FEE,REC'D _--2-(Py a effect.� Recreational Vehicle ;• License Class c. No. V p, pgt O Commercial Poach (Occuaancy Group Special Purpose Commercial Coach -V-,Contractor Date DATE y _ Decal or License No.�� 2. OWNER-BUILDER DECLARATION t �+ »' • U I hereby affirm under penalty of perjury that I am exempt from the ` RT D } AA NO. Contractors License Lew for the following reason (Sec. 7031.5),' Serial Numberls) Business and Professions Code: Any city or county which requires a O 7 — TO permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a RTS signed statement that he or she is licensed pursuant to the provisions of Manufacturer Name/ I the Contractors License Law (Chapter 9 (commencing with Section Model Name 7000) of Division 3 of the Business and Professions Code) or that he or Q } she is exempt therefrom and the basis for the alleged exemption. Any Year of Manufacturer 1 c y n�4`'•r" +' +'' violation of Section 7031.5 by any applicant for a permit subjects the y�•�,� �aC.1U. - applicant to a civil penalty of not more than five hundred dollers(9500).►: V-7 yet +rs'cs' Insignia/HUD Label Numbei(s) I 1 1, as owner of the property, or y employees with wages as their solm e compensation, will do the work, and the structure is not intended of SECTION 2 - qWN PPLICANT FO MATT N offered for sale (Sec. 7044, Business and Professions Code: The g q Contractors License Law does not apply to an owner of property who L + fQ {gyp/ : T i� V� r Q 2 _ ;?n 7, builds or improves thereon, and who does such work himself or herself Owner. 111 111 !!!///A elephon or through his or her own employees, provided that such improvements v Q are not intended or offered for sale. If, however, the buildingor Address improdbment is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve• for the purpose of sale.). it' G Coun Zip 5� ocation of Unit i fferent C ., I, as owner of the property, am exclusively contracting with licensed Th n Above O rJ �/ / I Q /rC ' on actors to construct the project (Sec. 7044, Business and. % Professions Code: The Contractors License Law does not apply to an Applicant �' _ J r I 0 U �• f. -n, J owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the ��'Contractors License Law.). Address /' H '4 YI I am exempt under Sec. & P.C. for this reason: - t, City Q Zip Telephone: ` Owner r / j) (� i D SECTION 3 - CONTRACT R, ARR! TECT OR ENGINEE FO INMATIO Contractor'sN 3. WORKERS' COMPENSATION DECLARATION „ C.� Q AP (% 4• I hereby affirm under penalty of perjury one of the following declaratio Name ( II have and will maintain a certificate Af consent to self-insure for Address P workers' compensation, as provided for by Section 3700 of the Labor r . Code, for the performance of the work for which this permit is issued. ArchitecUEngineer Name License No. 7r� PSI I have and will maintain workers' compensation insurance, as Address required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION !. Carrier Describe the proposed'work/activity in detail. Attach additional pages if necessary. If structural alterations i Policy Number or remanufacturing are proposed, complete plans, specifications, details, and calculations must accompany (This section need not be completed if the permit is for one un re this form. Check box D if plans accompany this application. Provide the mike-and model of any appliance dollars (9100) or less). to be installed and r vide om late elect ri I calculations fany7lect`cal elle Y ns add' ions. I I Icertify that in the performance of the work for which this permit is �Q �6d/ o / % v y� d ' issued, I shall not employ any person in any manner so as to become / l� ✓i� subject to workers' compensation laws of California, and agree that if 1 P X00 r l i� j' /"0;-06 / v t should become subject-to worker 'compensation provisions of Section 3700 of the Labor de, I orthwith comply with those provisions. y ;, ` r Applicant Date � 2 r eL �+ _ WARNING: PENSATION Indicate the TotaPCost of the Work to 6e Perfdrmed - � ^ • c' r§C# f COVERAGE I UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ,ONE HUNDRED ... _...___ 11 THOUSAND DOLLARS is100,00Q), IN ADDITION TO THE COST OF SECTION 5 'SIGNATURE AND CERTIFICATION COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF R ^ THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,�t� ?ct ?y,,akt �^tv �r� • ^ n•< ,� e* .+- t. s _ ,•.., rc7*.. fr ,a Y3,, 1� , y'Y +s 1/We hereby make appheatiorSforthe services designated above.'If applying for,ieptacement of a lost.Tr '� Yv 4. CONSTRUCTION LENDING AGENCY Insignia for Ilia unit described in SECTION 1 above, I/we certify that there have been`n'o alterations,,•;�j` I hereby affirm under penalty of perjury that there is a construction additions or modifications to the unit that yebuld affect the unit's compliarice with California or federal taw lending agency for the performanc of the work for which this permit is or the rules and regulations oft e,. p ant. (If alterations, additions, or modifications have been made, a issued (Sec.3097; Civ. C.) ' -" ng inspection u� a oti iy - -' ""' " ' _Lender's Name) Lender'sr I ature 5. CERTIFICATION•--�.IOwner"o ni u sign-, when a replacement.insignia,is being requested►. `! �;i �5 :a '- - .. I certify that I have read this application and state that the above I ' information is correct-1-agree to comply'With'all city and county """" ` DEPARTME USE ONLY r f ^"' L. ordinances and state laws relating to building construction and ' ` *- P OVED CONDITIONS (see. reverie __ r e_ averse siae)_,•, hereby'authoiize represantatn7es'of this county to enter upon the - "❑ e s—❑ DisapprovedAse,.i above-men ' d or inspection purpose • - elute of Department Representative ' Date ' Signatullff of canor Agent- _ r -w a� ... ..; -HCD 415, Sid 02/961—DISTRIBUTION: YELLOW:-.DEPARTMENT -.= _WHITE. -AREA OFFICE-.:.. •..; ..PINK.z,_OWNER/APPLICANT t:t to e4:0 ..� ,a..,t�il't��x3.Iial r • =t "-- PERMIT NO. 3678-79P,E '?4_ PERMIT EXPIRES Charles McWhorter OWNER rCONTR. Powers Const., Magalia 64-20-37 :i LOCATION (A.P. ) 160 Guilford Cir., lot 193, PP#14, Magalia r j, f' ' 1 j l s �= Temp. Power Pole Called PG&E d: Temp. Elec. Serv. �Q - Called PG&E b /� Temp. Gas Serv. X Called PG&E ` JOB FINALED . (Date) o l�Y (Signature x F ish D is Anderground Int rior Lath entilation Permanent or.Closer Final Inal MOBILEHOMEUTILITIES(f' cV Elec_ Service7,,�, Elec. Pedestap— Water Piping Sewer ?, Gas Piping B E 1M1 INS ALL TION - - - - - - - - - - - - - - Support af Elec. Continuity Water PipingDrainage Gas Piping DATE REMARKS OR CORRECTIONS Dov .4o%y o' tvl" H/ .JV/V A4r, c/ (NOTE: An entry must be made on this form each time you visit the job site.) vti ` COUNTY. OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Irewall Sol Plping orms Arapets is Floor Main Bldg. ResNroom Finish 2nd loor It Footings Wind s 3rd F or temwai I Siding To out ab Roof SheXthing Water Pi in Pi rs Roofing Sewer Gara Fdn. Vents Fixtures Footilos Garage Vents Water Htr. Stemwa Insulation Heaters Slab Carport Footings handicar physic Conformance of ex. structure Appliancesly A liances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio F E LACE Final Footings Footing LECTRI L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam IRE SPRINKL Motors Framing Test 4 Water Htr Stucco Final Sub an s Mesh MECHANICAL Grd. F ult Prot. Scratof HeatIA ServiLe Broin Co ng Ti6mo. Pole F ish D is Anderground Int rior Lath entilation Permanent or.Closer Final Inal MOBILEHOMEUTILITIES(f' cV Elec_ Service7,,�, Elec. Pedestap— Water Piping Sewer ?, Gas Piping B E 1M1 INS ALL TION - - - - - - - - - - - - - - Support af Elec. Continuity Water PipingDrainage Gas Piping DATE REMARKS OR CORRECTIONS Dov .4o%y o' tvl" H/ .JV/V A4r, c/ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Q 1 I ° for the following location: f If Owner /.f 7 1 Owner's Address y"I • ' ' 7 Mobilehome Mfg. f v Model Year Insignia No. /` - `�r Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — Dr-PARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epliorie: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IF x Date `r Ig luref m� or l�ggnJ Receip o. 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 at;nr which fees have been paid. / el DbRECT_ORAF PUBLIC WORKS Date - FC BUILDING Ir n OwnereA,44 41 C" SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor S, Q, pU4 e e/ Mailing Address/ Fireplace Total Valuation Telephone No 2 Permit Fee Building Address�lQ� /� �Q Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 DT /�,? Q /� ✓ i / �JT(il� Repair drainage or vent piping 1.50 //� A. P. No. — 2,0 —3 -7 .p�� X -M& Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe _C!7 �!Ce'J. Serrht8tlun I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI ec d Parcel Ake,',,] Plan .oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee AIWI AQ2 ,v%/L P�jQ!/f #�G g'7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST ( ACCLBLOGS,DWELING 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 & Profes ions Code under the name style f: J ea k1i ef. NEW CONSTR. (MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiaES 1 B �@1 Ex. Occup ( FIXED APPLNS. OR \ 2 00 • OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. Mhave placed on file with the County of Butte a certificate of F<erorkmen's Compensation Insurance. certify that in the performance of the work for which this mit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating 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 ee 7 7Is 300 TOTAL PERMIT FEE$ �O c►c authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IF x Date `r Ig luref m� or l�ggnJ Receip o. 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 at;nr which fees have been paid. / el DbRECT_ORAF PUBLIC WORKS Date - FC COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Proville, California 95965 Tel ephdne: 534-4541 APPLICATION AND PERMIT ,eAq -20C? - -2 5;1` authorize representatives of the County of Butte to enter upon the above-mentionek propertspection purposes. -.b.- X Date Signature of Permitee 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 017 PUBLIC WORKS By Date 6--2-6- 71f Building permit expires Date lo-Zb-PD BUILDING Owner C ries SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Powers CoYI L '1 n Mailing Address?, Q 1 Fireplace Total Valuation MQ li. aT`�le�hon ` 95-96---g \ �5 , ` 7 U Permit Fee Building Address (% 1 ^^ �t 17YC1 lel YC� f� Plan Checking Fee&/or Penalty Permit Fee M� Q.�1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �, Each Trap 1.50 'P Q. �_ t" �,q 3 Repair drainage or vent piping 1.50 A. P. N y' rp1,� Q �" Zoning 8 P nning Water piping 1.50 Each gas water heater or vent 1.50 s do Fire Dept. Fire Zone Use emtit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel ap 60' R/W Impr ements Each additional outlet .30 Building sewer 5.00 el Plans Recd Parc royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Q 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. AOD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBL GS.LING CCUP. !i\ 20sgIt 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: l_ 1�` ?0 \1U erS Ort S I f LL -4I On NEW CONSTR (MULT I-OUTL T NON-RESID ` BRANCH CIRCUITS) 12.50eal NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g LLj TS (REAPPLS. OR \ 2.00 Ex. Occup (OUTLETS OUTLETS (RESID.) EA Temporary service 10.00 Mobile Home Facilities X 15.00 1�, License No. 36-1 u5 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ •1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ UI TOTAL PERMIT FEE $ �� authorize representatives of the County of Butte to enter upon the above-mentionek propertspection purposes. -.b.- X Date Signature of Permitee 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 017 PUBLIC WORKS By Date 6--2-6- 71f Building permit expires Date lo-Zb-PD . _ MOBILEHOME INSTALLATION INSPECTION, CHECK LIST 1. Is the mobilehome located�i required separation from lot lines and buildings and generally conform to plot plan? Yes No- 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye�&o 3. Are footings and supports properly sized, spaced, and braced as r approved plans? (Note possible variation at spring shackles.) (Se,c.,5082 & 5083) Ye o 4. Is the mobilehome level? (Sec. 5088) Yes— No_ 5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No .6. Water . A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes—'ba- No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes0/1 No C. Backflow - If coach s not State of California approved, does station have backflow device and pressure-relief lve? Yes— No- 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?.Yes No B. Does it have minimum 4" per foot slope and is it properly supported? Yes o C. Are any leaks detectedin drainage system after runningallons of water through each fixture �cluding wash' g machine standpipe? Yes No r D. If coach VVent of California approved, does station have required trap and vent? Yes— No 8. Gas Piping anA. Connectorhome connected to the gas supply with an approved 3/4" minimum mobilehomnot more than 6 ft. long? Note: All piping is to be at least as large as me gas line inlet without reductions other than the mobilehome connector B. Test OK as perof owing procedure? Yes_ No 1. Open all a�li nce connector valves. 2. Shut off dppl 3. Air test /withman 6oz.-max um 8 oz drop, 4. ConnecYater. gas meter soapy e burner and pilot valves. C. Are all atpliance vents N ter to 10"-14" water column, or test with slope gauge (minimum%'f'",; calibrated in tenth pound increments. Test for 10 min, without mobilehome with connector, turn on gas, test connections with operly installed? Yes No - 9. Electrical A. Is service•large•enough to provide adequate gmperage-to mobilehome (must equal rating of mobilehome with a minimum o QO amp.) and other facilities on lot,•i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? YesN No C. Is power supply cord or feeder assembly properly fused? Yeas✓ 'No D. Is continuity test satisfactory as per the following procedure? Ye No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle /„ 41) Length_ Width'? Vehicle Serial No. lTL7',Y 2_ 0 State Identification No. Additional Information or Comments: 1. Owner's name: 2. 3. Installer's na BUTTE -COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:'534-4541 MOBILEHOME INSTALLATION SHEET Is the site currently under permit? Yes 7 No (If yes, furnish permit number ) Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) OR 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes :1j61 No / /•. (If no, clarify ) 5. What is the mobilehome electrical rating? -----------=----------- �,Q� Amps 6. What is the mobilehome site service rating? --------------------- �-= Amps 7. What is the mobilehome'site circuit breaker rating? ------------- g ©( Amps 8. Is there any other.electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) No Z —(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? .(ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length.less than 6 ft. on natural gas or less than 50 ft..on LPG.) �e v MOBILEHOME SUPPORT DATA If other than'single wide, �Mobilehome Mfr. -1 .1 )41E furnish Setup Model No. Year Width (ft.) Box Length. 2 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in.) Center support locations* (ft.)(in.) 16-101 (ft.)(in.) (ft.)(in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) a (in.) (in.) Footings (check one) Single 1. Wood either Apressure treated or foundation grade. 2. Other (specify) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Supports (check one) ft1l'i Concrete block. El 2: Other (specify) 4—Tagalong or Expando,' show support details. xJ 0 -- Typical Support .) (in.) Footing Size (ft.) (in.) -- Max. Pier Spacing -- Max. Overhang (ft.)(in.) ISUTTfE COUNTY BUILDING DEPARTMENT APPROVED PERMIT NO. 2785-81.B u. PERMIT EXPIRES—2 OWNER Charles McWhorter CONTR. James R. McLaughlin, Para. ASSESSOR PARCEL 64-20-37 LOCATION 6086 Guilford Cir.,lot 193,PP#14 Magalia Temp. Power Pole_ . Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FINALEat� Signature _. 0 J = OK ' O = Not OK ` - Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 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; Locatiort—Test—Wrap:/ P'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 k'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 B. 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 -BI Date I n V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = ,Not Ready Date UNDE OOR Plans OR exce t#'s Date RAMING Continued Zoning requirements -Setbacks -Easements 8. Property Line Firewall & Openings Ft q, Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4.1 Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 51 St walls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access -4 Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors 1 Water Pipe; Test -Anchors -Regulator -Service Test 1 Electric; Underground 1 Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card-B,I Card -BI D Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 4 Card -BI Date Date INAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'sp Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 14. Water Ht.; Vent- Access-Cordbustion Air 8. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors Nail Protection 16. D.W.V.; Test-Fttngs & An ors -Nail Protection 9. Bedroom Exiting 17. Shower Pan; Test, First F oor-Tub Access 0. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd loor-Tub Access 1. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchorl 2. 15. Stairs & Rails 3. Fireplace or Stove; Clearances -Hearth 4. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Cleara ce-Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing- ghts &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conduc rs Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Ege off Studs & C.J. 24. Equip. Ground made up w/ ech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in K' chen &Conductor Size Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / a. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑ es ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 N 28. Service -Riser Condu ors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; anels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Ligit-Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK ex4t N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & upport 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust abov,6 Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & O erflow; Size & Grade 34. Furnace -Vent; Acce -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Plat rm if Furnace in Attic Card -BI ( Card -BI Date Card -BI __ Date Card -BI Date Card -BI I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 6. Proper Material & Anchors . _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 8. Bearing Walls over Girders & Floor Nailing 9. Draft Stop in Walls (rat proof) 0. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ Access; Size & Romex Protection -Draft Stop -Ins. Baffles 145.Attic 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) 14 PERMIT NO. 2322-80B: PERMIT EXPIRES XOWNER Charles McWorter CONTR. T R. owner 'LOCATION (A.P. 64-20-37 160 Guilford Cir., lot 193, PP#14, Magalia.) Temp. Power Pole—Z Called PG&� Temp. Elec. Serv. z Called PG&E Temp. Gas Serv. Call PG&E JO L L JO (Date) (Signature) ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets. 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformanc of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final 4&� 1 J J— Sanitation Patio I FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Suboanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service _ Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) �1 EOUNTY OF BUTTE - DEPARTMENTS OF PUBLIC WORKS PER IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 11 APPLICATION AND PERMIT ASSESSOM ZONING BUILDING PERMIT- OWNTELEPHONE (� 2LL-% 2'rgIZ SQ. FT. OCC. BUILDING V LUATION OWNER'S MAILING ADDRESS CONT TOR'S NAME TELEPHONE 7-0w�3 .2 . CON;#• ACTOR'S MAILING ADDRESS 0 , Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 32.0 Filing Fee $ 10.00 EER'S MAILING ADDRESS N Permit Fee $ -3 — ARCHITECT OR ENGINEER i LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � � PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets IleP/C USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 2� - !WRY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK Newo Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./DWELLING O �•H1 OR ADDNS. \ ACC. BLDGS. 22 sq ft 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. 27S'1.7S'1.7S'1.0,%Classification .Q / ❑ 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS e� NON.RESID. %SINGLE OUTLET CIR. 5 zse Ex. Occup o oR FIXTURES BAL�1 IXED A Ex. Occup.�OUTLETSP(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 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. X �1 K �7�zL3�.v�� Date /� pi Signature of Applicant — Owner Contractor ❑ Age nr ❑ 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 $ TOTAL PERMIT FEE $ OCCUP GROUP TYPE OF CONST. �_N PARCEL v PD !i, MD ISSUE y This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�� / ;z--7"? 2__ Receipt NO. L0Sv WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER —;;L0 37 ZONING BUILDING PERMI OW VV+'r TELEPHONE SQ.FT.OCC. BUILDING VALUATION OWNER'S MAILX ADDR S 'S NAME CONTRACTOR'S A i" Aj 'Sr — TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ /'� �>� 0 LENDER'S MAILING ADDRESS (AJt- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS AJ 0 0C- Permit fee $ BUILDING ADDR S5PLUMBING �® of PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. 3 sue Ivl�'p NAME t� v✓-+ PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F-;4' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: O?� '�a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft 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 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 CONSTR MULTI -OUT LET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. / POWER APPARATUS &� NON -R ESID. \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5B 250 IAL@ 01 Ex. OCcU FIXED APPLES, OR p•(DUT LETS (RESI D,) EAJ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 li b' Itie judgments, c sts, nd expenses which may in any way accrue agai t ai ou ty in co e e the granting of this permit. �`���� X Date ` Signature of Applicant — Owner R1 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP �" 1 TYPE OF CONST, V JPAPCELJ PD j/ HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC P IT EXPIRES .Date the applicable provi- resolutions to do fees have been paid. WORKS Date, 3 xAA Receipt No. Receipt WHITE-D.P.W., YELLOW -ASSESSOR, ft, PINK -INSPECTOR, GOLDENROD -APPLICANT Workmanship ';yAl Be in NbTE:=All IMaterials & Good Practices and nce with Recognized in be_' Accords r he Specified us o{' a qua it Plumbing ac anical Codes and --Uniform 'ng. the Nat nal Electrical`Code. -.---- Top rail over 9 Top sail interme over 9 i. . l10 be 36 in. A'igh w th ate rails to;be not apart. . 3 A4J, I. Z It y 30 f03'� be ® IN. high with ate rails t be n§t apart. I ; �b�srNR�'y��5 4 A`ks I SDA- c,�& 6etb ek-of5-•Fr. from fhK property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhann, .� /_-) I #/?a/ Y14'Wt /, Eck k ,C .'/vew ��c%c �° �Att Af 7"asp i/ 7-h,F�a� uate bracing. - provide adeq >� 6, & � � 1/'4 — -- i s �Pl 61 '(vit-at". ®/ L -- /2-JR �- This set f plans and specificrtin�f'S�ST 6e6 U/l _ __`,.�.����� kep; on the io6 at all +;-,P4 and it is_�lawf�Lfc+ -- --- _- _ ------ ---- — -_ �,3 mcal:e any ch noes or n1fArn-+inns on some without y ` written permission from the Department of Publics BUTTE COUNTY Works, County of Butte. DING, DEPARTMENT / B APPROVEDM4) /6® G"7401 �� '