HomeMy WebLinkAbout064-240-026o
N
64-24-26
Don O'Hara
225 Ponderosa Way, lot 14, PP#15, Mag
contr: J. W. Marler, Magalia
Permit #2356-78B,P,E,M(new single
family) 1�
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_
64-24-26 —
I
contr: J. W. Marler, Magaba
ck/SF)
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Permit 4624-J8B(ad�Y
1
. .. _ _ ...., - .. 64m24-26 n.
6342 Ponderosa Way, Magalia
1
Contr: Built-Wright Const, Parad � e
Permit #1044-84B,E (addition/SF)1 1' /97
�
i64-24-26
� I
ffPermit#3208-88B(woodburning
stove SF)
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064-240-026 99-1878
I
MMANDA, DAN
6342 PONDEROSA WAY, MAGALIA
CONTR: OWNER
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RE ROOFr1,7q.,,1��//�v
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060-440-026 "')9-1878
mR. Ai4b'X, -DAN
6342 PONDEROSA WAY, MAGALIA
CONTR: OWNER
RE ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION`
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT O.
(Rev. 12/96) APPLICATION AND PERMIT ""' •'
ASSESSOR PARCEL NUMBER 6 t,/r �,/• Z
77 /
ZONING ` )
/
BUILDING PERMIT
OWNER
�c A
M�SD
TELEPHQ�ON
3.7Z E
SO. FT. OCC. BUILDING VALUATION
a a a
OWNER'S MAILING ADDRESS
L P* 04 �s��
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ (a g J
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 0 Y2 P0,+c/'a034 W
Energy Plan Checking Fee $
PERMIT FEE 3,y
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF, Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK—
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RI+
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 28000iv, oa Lss 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.
❑ 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 t000A 46.00
NEW CONST. DWELLINO OCCUR SO
OR ADONS. ( 8 ACC. BLD S. 3.5¢Fr;
OUTLET CIRCUITS @G 7.50
NON-REOSID. T. MULTI.
POWER APPARATUS
a sINGLE OvrLET CIR.
OUTLET OR FIXTURES 20 ®1.00
Ex. Occu BAL @ .so
Ex. Occup. OFIXirriEis Aa Den 1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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
forthwith comply with those provisio
%
X Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Gcc CONST. TYPE�I
TOTAL FEES GJ
.R
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By P Date
/ G
PERMIT EXPIRES ON
Date),
Receipt No. *75W-)
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
14
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � - ►�T o•
(Rev. 12/96) APPLICATION AND PERMIT �%
ASSESSOR PARCEL NUMBER Ur'i %
/ ` C/
ZONING
BUILDING PERMIT
OWNER
1>Art MSRCD4
TELEPHONE
3- 22
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING APDRESS 04P44,0�
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
6 g 5
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
IN
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS J � a1 Y7_ P®,Vo1J-_f_®s4 LA/11
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF)(e'Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other ❑
Describe Work: /tGy� �dl�►p
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
R LES
Main Service zo..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 f r the following reason:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
ers' compensation provisions o section 3700 of the Labor Code, I shall
with comply with those provisio
qfo419
X Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is requir d for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mein Service 2 TO
46.00SO
Eo
COU000A
NEW CONST. DWELUNO OCCUP. SO
OR ADDNS. ( 8 ACC. BLD.. 3.5¢FT.
CONST. MULTI -OUTLET
97.50
POWER APPARATUS
8 SWGLE OUrLET CIR.
Ex. OCCU OUTLET OR FDRURES
@ I'
BA0 50
So
Ex. Occup. Ourrs Ao °E 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPET�
TOTAL FEE $ J ell
HD I Iss I.
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By ate
PERMIT EXPIRES ON �
4to
provisions
to do work
paid.
20�
Receipt No. �%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�I
ti.
OWNER=BUILDER ;VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials. for construction_ of the proposed
property.' rovement : YES .. NO
2. I HAV" HAVE NOT O signed an application for a building permit for the proposed work.
3. I have contracted with the following p_rson. (firm) to.pmvi0_tbe,.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: CITY:.
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work'but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SEC NUMBER:
T
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION I
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-buildee, 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. -
rIf you pled to dd� (o it own work, with the exception of various trades that you plan to subcontract, you `should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (imluding-t6terials
and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you .are
subject to several obligations including state and federal income tax withholding, federal social security. taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obli_&ations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+Mage'rC,Zuii1diirng
/6�1
a, C.B.O.
Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
f,
2356-78B,P,E,M
PERMIT NO.
PERMIT EXPIRES /747
Don O'Hara
r
OWNER
"CONTR. J. W. Marler, Magalia
LOCATION (A.P. 64-24-26
225 Ponderosa Way, lot 14, PP#15, Magalia
g
x
fk
,i
i
h
�
Temp. Power Pole—
Called
Z� �
Called PG&E L /U2_
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
s.lErc
Brown
Finish
lerior Lath
for Closer
OBILEHOME
ater Piping
balLEUlig
ME
anal
Heatl
Cool I
Ventilation
Final
-------------•---- Elec_ Service
Sewer
--------------Support
Aster Piping Drainage Gas Piping
MECHANICAL
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
Elec. Pedestal
Gas Piping
Elec. Continuity
DATE REMARKS OR CORRECTIONS
av�d�
%ew �
OTE: An entr must be a�de n- form each time you
��he job-sife�� �..
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback --
Firewall
Sol l Pipin4--ILISW
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
6�2 —
Slab
Roof Sheathing
Water PI in
Piers
Roofing -I— :*T- (o
Sewer
Garage
Fdn. Vents
Fixtures
Foot in s 4
Stemwal I
^% '7f -
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings
Prov. for phsl CAI ly
handica edy
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final 7 r
Sanitation
Patio
FJAEPLACE
Final
Footings
Footing
EL CTRICAL
Masonry Walls
Throat n/I
Rouah -1 ... -7 S!�
s.lErc
Brown
Finish
lerior Lath
for Closer
OBILEHOME
ater Piping
balLEUlig
ME
anal
Heatl
Cool I
Ventilation
Final
-------------•---- Elec_ Service
Sewer
--------------Support
Aster Piping Drainage Gas Piping
MECHANICAL
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
Elec. Pedestal
Gas Piping
Elec. Continuity
DATE REMARKS OR CORRECTIONS
av�d�
%ew �
OTE: An entr must be a�de n- form each time you
��he job-sife�� �..
� ��
F
CERTIFICATIONS
As required by the.State regulations, -both the builder and the insulation
applicator must sign a card certifying that the proper "R" values for all
insulation locations have been.installed. An example of a certification
card, which is furnished by the builder or insulation applicator is shown
in Fig.. 13.
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IM CONFOM10E WITH THE CURRENT ENERGY REGULATIONS.
CALIFORNIA AMINiSTRATIVE CODE, TITLE 25,,.STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT:
),;2
Street o u er iract no.
Manufacturer Thickness/Type a-21_ //B,F�Gl alue
CEILINGS
Batts: Manufacturer... _ Thickness G' `/RF_/�LiISS R Value l %' ' ....
Blown: Manufacturer . Thickness.. No. Bags Wt./Bag
Sq. Ft. Covered R Value
FLOORS �2
Manufacturep ` moi Thickness/Ty"LlL4114 /C�/L R Value
SLAB ON GRADE
Manufacturer ..Thlckness/Type R Value
Width of Insulation Inches
FOUNDATION WAILS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR —_fie e LICENSE NA"ER Q 41 ,fD 6 6 G
BY TITLE DATE / /-Z 17
INSULATION CONTRACTOR LICENSE NUMBER_ ZTQGlD G
BY TITLE DATE X ,F'
Fig. 13
8-14
COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive .e,;, Orovilhe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�
;ite-D.P.W.
Date -�_XIIZFSignature of Permitee or Agent
ipt No.ZZl — 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.
DIRECT R F UBLIC WORKS
By Date5_—/ )^— 2;P
uilding permit expires Date S�f L
BUILDING
Owner /
D
SO. FT. OCC. BUILDING VALUATION
O, 0 C
Mailing Address
0
Telephone No.
D
Contractor
Mailing Address Q
Fireplace d
Total Valuation?/2 7", 0 69
le hone No.
Permit Fee 0 D
Buildin Address
Plan Checking Fee &/orPenalty
Permit Fee
✓ it/'
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 p
Each TraD 1.50
S Zon4ng Verification Onl
Repair drainage or vent piping 1.50
A. P. N ��% y — %2 / —�
Ing & Plannin
Water piping 1.50 , r�0
Each gas water heater or vent 1.50
F
W.188 S I on Fire Dept.
F' a
as piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Nrcel
Declaration
— "'
Parcel Map 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
B g. Plans Recd
Parcel A royal
f
Plan Approval
Lawn sprinkler system 2.00
NEW rM ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 Zoo
Main service 600V 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 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NE WCONST.OR ADONS. ACCLBBLD LING 2�sgft
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:
NEW CONSTR MULTI.O L
NON.RESID � BRANCH CIRCUITS) 12.50ea
A
NEW CONSTR. (POWER APPARATUS d
NON.RESID. SINGLE OUTLET CIR.
EX. OCcuD(OUTLETS OR FIXTURES BAL@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
License No._QS(%g i l 6 Classification oe /
Mobile Home Facilities 15.00
Misc. Wiring 6.25
❑ 1 am exempt from the Contractors License Laws of the State of Califomia.
Permit Fee $ ell,
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.
❑1 have placed on file with the County ofButte a certificate of
Workmen's Compensation Insurance.
`/ ❑ I certify that in the performance of the work for which this
x\ permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California. •
MECHANICAL No.0QFEEWORKMEN'S
PERMIT FILING FEE
Heating O D 64-
Cooling
Ventilation
Hood 2.00 , d
Permit Fee $ Q
$ S
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ —
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�
;ite-D.P.W.
Date -�_XIIZFSignature of Permitee or Agent
ipt No.ZZl — 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.
DIRECT R F UBLIC WORKS
By Date5_—/ )^— 2;P
uilding permit expires Date S�f L
• PERMIT NO. 4624-78B
PERMIT EXPIRES�i�/�
OWNER Don O'Hara
CTR. J. W. Marler, Magalia
64-24-26
LOCATION (A.P. )
225 Ponderosa Way, lot 14, PP#15, Magalia
r
k�
4�
r,
t
x,
Temp. Power Pole
Called PG&E G
Temp. Elea Serv. 6
Called PG&E
Temp. GGaa-s Serv.
Calved PG&E
t000
JOB
FINALED
(Date)
1 T4 Z -
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOMEUTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MS213l1LEHOMINSTALLATION - - - - - - - - - - - - - -
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.)
COUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS
a y 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. Q
X Date o 7
ature of Permiteee or
Agent
R pt No. —16:6, 4
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PIiJ7IC WORKS
By 2 —Date X -1/y - 21;F1
BuilIF —� Y ' %
Building permit expires Date
BUILDING
Owner ,Dpi r ���,
SQ. FT. OCC. BUILDING VALUATION
/ ,32,
Mailing Address
Telephone No.
Contractor .�- 2LEK,
Mailing Address �tf � SQ
Fireplace
Total Valuation 32
li
elephone No.
-/00
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
a�
PLUMBING No. @ FEE
�J�
PERMIT FILING FEE $3.00
Each Trao 1.50
_
CA/
Repair drainage or vent piping 1.50
A. P. No. % y (P
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking!
Plans
Fcel
D aration
Parcel Map 60' /W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans -ed
Parcel A royal
Plans pproval
Lawn sprinkler system 2.00
NEW ADDITION WT UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
00V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L loo AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
Main service// EA. ADD'L 100 AMP 1,00
NEW CONS.WELING
OR ADDNST l ACC`BLOGS.CCup- s) 20sgft
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:
NEW NONRESID. /MULTI.OUTLET 1
.CONST 1 BRANCH CIRCUITS/ 12.50ea
NEW CONSTR. POWER APPARATUS 6
NON-RESID.SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTI+aES g L@;
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License N0.,02L?49 to G 40 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Mk I certify that in the performance of the work for which this
44-f� 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
E2O
Hood
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
$
TOTAL PERMIT FEE
$ S v
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. Q
X Date o 7
ature of Permiteee or
Agent
R pt No. —16:6, 4
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PIiJ7IC WORKS
By 2 —Date X -1/y - 21;F1
BuilIF —� Y ' %
Building permit expires Date
.+r. a•.-��'_ '�' _-ai-Ta�rv.` w � -a ..,. �-. -�- - �1,. ...yam
= COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
4n,-4 1 do�cc�dC O'v(Q rCl
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Uld, Ig // /4 W
Inspector Date
i
COUNTY OF BUTTE - DEPART-i�EN�OF PUBLIC WORKS . PERMIT Np� �
7 Count Center Drive - Oroville, California 9596 -Telephone: 916/538-7541- �/
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
-741
S0. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
4�
TELEPHONE
CONTRACTOR'S MAILING. ADDRE'.SS,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation A $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ / • j G
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New RT Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: � ," 111�'i"= � � �{� �--��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. � Classification
Q/1, as the owner, or Ty employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.61 ,
OR ADDNS. % ACC. SLOGS. 2hQsq ft
NEW CONSTR.MULTI-OUTLET
NON•R ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occu 20
Occup(OUTLETS OR FIXTURES eAL03030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S.COMPENSATION INSURANCE
I declare under penalty of perjury (check one): i
❑ 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.
f: I'shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree t"ave, indemnify and keep harmless the County of Butte against
all liabiliti s,�ludgme s costs, and expenses which may in any way accrue
against s:,I'd County i Kse ue ce o the granting of this permit.
//
X Date
r
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ -y /.
occuP.
CONST.TYPE
FLOOD
PARCEL
PD
ND
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By 'r i. L
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/� _
Date_. -}W,/
Date L7
.� "
Receipt No. � /�%
WHITE-D.r.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
lo# $Q CSPc `orrecfic.,
COUNTY OF BUTTE - DEP,ARTMF=NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
i APPLICATION AND PERMIT
RMT /
ASSESSOR PARCMBER
(/��• �--
ZONING
BUILDING PERMIT
OWNER
C1
TEL ONEa/
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAI NG DR SS I
`�f✓ Y�l
CONTRACTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation � $
`, ,`
0610
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ - S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSPermit
sem.
fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
110.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:�./���f%/tet �S�—
Permit Fee
$
Contractor
ELECTRICAL PERMIT.
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER
and Professions Code and my license is in full force and effect.
icense 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
oa T DWELLIN G0 CUP.&)
/
ADDNS'/zQsgft
NEW CONSTR.U I.OUTLET
BRANCH CIRC ITS 2.50 ea
APPARATUS e )
SINGLE OUTLET CIR.
zo®yoe
EX. DCCUp(OUTLETS OR FIXTURES DAL®30
FIXED APPLNS. OR
EX. DCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
oyConsent to Self -insure.
rL�-,r•( shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to ave, indemnify and keep harmless the County of Butte against
all liabiliti judgme s costs, and expenses which may in any way accrue
against s d ounty i se u c the granting of this p rmit.
X Date
Signature of Applicant — Owner ontractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ Q
OCCUP.
CONST.TYPEJ
IFLOODIPARCEL.1
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMI EXPIRES D e
the applicable proviAA -
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.— 6!U7
WNITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
' S
Phone: 9167538=7541
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.
1. I personally plan to provide the major labor and aterials for construction of
the proposed property improvement (yes or no) 0274,
2. I (have/have not) (/ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction•
Name
Address City
Phone Contractors 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 z4
Address City
Phone Contractors License No.
5. I will provide some of the work.but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Sign
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
PERMIT NO. 1044-84B E
PERMIT EXPIRES [ 11
OWNER DON & NANCY OrHARA
CONTR. BUILT -Wright Const.
ASSESSOR PARCEL 64-24-26
LOCATION 6342 Ponderosa Way, Magalia
s
y
t
..
4
Temp. Power Pole_
a
i
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Service _
Cal led PG& E
JOB FINALED (Date) /
J
Signature
J = OK• i
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready r,
Dale
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
2. Footings; Size -Depth -Spacing -Connectors
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; LocatiorrTest-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
pate Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s V
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
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
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-1
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
- Date Card -BI Date
Date Card -BI Date
a
!` 1
J OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL
•
Date UNDERF (Plans) OK except H's
(Single and Duplex)
'Date FRAMING ontinued
I. nin quirements-Setbacks-Easements
48.
rty Line Firewall & Openings
2. •, Main; Soils-Steel-Elesr•9rrtr / ,. /" Ftg. Depth
49
xt. Doors-One 3'-Check Garage-3rd story,.2 exits
3. Fig., Garage; Soils-Steel- / /" Ftg. Depth
- eadroom-Rise-Run- Land ing-Fire Protection i
4. Ft Porches & Decks; Soils-Steel- / /" Ftg. Depth
51.
yon Roof Overhang-Attic Vents-Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
ding-Nailing-Veneer y
6. Ste alts, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7
iers-Fireplace Ftg.-Steel
54.
Glazing Area-Glass Protection-Skylights-Plastic
II-Fittings-Test-2 way C/O-Sewer Test
55.
Shear Walls; Nailing-Bolts
_
as Pipe; Size-Anchors
ater Pipe; Test-Anchors-Regulator-Service Test
i
1A--Ete-ctric; Underground
-12rP1'enums &Ducts; Clearance-Material-Support-Ins.
J
c.f.I lbGirders-Sills-Anchor Bolts-Joists-Vents-Cripples
Card-BI
ate Card-BI Date -
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date.
Card-BI Date Card-BI Date
Date
FINA (Plans) OK except N's
Card-BI Date Card-BI Date
Date PLUMBING (Permit) OK except N's
--- 14. Water Ht.; Vent-Access-Combustion Air
5
Ext. Steps-Door & Sidelight Protection-Landings
Smoke Detector j
58:
utace• V -Clearance-Comb. Air-Connector-
In Garage; Above o -Ducts-Meth. Protection
15.-t Water Pipe; Test & Anchors-Nail Protection
16. D.W.V.; Test-Fttngs & Anchors-Nail Protection
t
xrttng
17. 50ower Pan; Test, First Floor-Tub Access
6 .
.F Bath Fixtures & Tub Access d
18. T t Tub & Shower, 2nd Floor-Tub Access
61
le rim & Subpanel; Breaker Sizes-Labels
_
19. Ga Pipe; Size & Anchors
62
tairs & ai
.
Fie or Stove; Clearances-Hearth
64411
Elec. Outlets at Wood Panel; Int. & Ext.
Card-BI Date Card-BI Date
�6-Kit-Fizz&
Appliance; Grnd.-Air Gap-Cooking Clearance 7
Card-BI Date Card-BI Date
Date 5LECTRICAL Permit OK except H's
6
c. u e s eceptacles at Kit. Counter
or; Swing-Landing-Closer
687Garage-Damper ;t
_ F i_pa re & Transformer Clearance-Ins. Protection
Xd_Wtr.
Htr.• Vents-Clearance-Comb. Air-Connector-P.R.V.-
arage; Above Floor-Mech. Protection
21 e-Receptacles Spacing-Lights & Switches at Doors
74'
Plb., Elec. & Mech. Equip. Listed for Location
_ 2 Siz xes & No. of Conductors-Stapled
41-6
Garage; (G. F.I.)-Rom ec.
2 o nstalled Close to Edge of Studs & C.J.
-
2 . quip. Ground made up w/Mech. Fasteners-Bond Gas &Water
72.
ulation,-Foam-L-coked in Attic Yes
s Deck Constructi -Post Caps
�
-_ ante ircuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hol or-Drainage & Wood-Earth Clearance
oor es -
.
- - �,auhfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
Range Circ. / / ga. Cu or AI-Oven Circ. /. / ga. Cu or Al,
_ Insulated Neutral ❑Yes [:1 No
76__Following
instld.: Drive [I Yes E) No; Walks [I Yes ElINo;
Planters LJ Yes LJ No
28. rvice-Riser Conductors & Ground-Main Disconnect
76,_&uc4e;-8rdwn-Finish
-; -_ 29. Equ . Clearances; Panels-Motors-Mech. Equip.
tl-nit; Disconnect-Clrnces-Brkr. & Cond. Size-115V Outlet a
--- 30. Clothes Closet Light-Shower Light -
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.I
--_
Card B-1 Date . Card-BI _ Date
----
ell; Disconnect, Electrical, Plumbing j
8 or Elec. Trim; G.F.I. Receptacle-Underground
Ve io firoughout House J
Card B-I t Dale Date
82PT1
I rotect ion
Date M CHANICAL (Permit) OK except #'s
83. orrections from Previous Inspections
84.
85.
86.NEnergy
'Gas Test-Meters Tagged; Gas-Electric 2
Water & Sewer Connected-C/O to Grade-HD Approval
Compliance Certificate-Other Certificates
_� 3 C_.-Ducts: Insulation & Support
ent Fan; Exhaust above Insulation
- 33. C densate DrainOverilow; Size & Grade
_&
-_ 34. Furn a-Vent; Access-comb. Air-Return Air Vent-115V outlet
.----35.-Attic A cess & Platform if Furnace in Attic
r
Card-6N-/P--131Date
Card-BI Date i
Card Date
Card-BI Date. Card-BI _ Date
Card-BI Date Card-BI Date
Card-BI
Date Card-BI Date
Date FRAMI lans) OK except q's
Comments at Final:
_36. _�_/ills �rope r Material & Anchors
- 37- Studs-Nailing, Spacing & Bracing-Plates-Sound
_3- a ng Walls over Girders & Floor Nailing__
39 raft Stop in Walls (rat proof) -
-4 ps: Furred Ceilings-Stairs-Chases-Tub
41 Header_& Beam-Size & Bearing
42- _ ost Caps-Anchors-Connectors
43.k-' ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
ies or Type A Flue-Fireplace Throat
-
i)
45. Attic Access: Size & Romex Protection-Draft Stop-Ins. Baffles
- d6.--BdrnrOVindows or Exiling Doors-Sill Hgt. & Dimensions_--__
ge Fire Protection Framing
j
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPA%TMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller,California 95965 - Telephone 916/534-4541
APPLICATION AND --PERMIT
PERMIT O
1gq N
1g "
ASSE$60R ^RCEL UMR /'--
'CLI � /i0
ZONIt;G'
BUILDING PERMIT
OWN 1 t 1
0_ I
TELEPHONE
SQA FT. OCC, BUILDING VAL AT
OWNER'S MAILINGDRESS
C TRA TTQR•S N M T HONE
1. i
CONTACTOR'SKA LING A RESS
.JI
Fireplace
CO STRUCTION LE
UNK2Ow
�
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS�
_
Permit fee
$
BUILDI G ADDRESS
e. S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
If
Water piping
5.00
LOT NO. SUBDIVISION NAME
PA CEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
,_ USE OF STRUCTURE
SF Lam' Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G I W
10.00 e
TYPE OF WORK
New F-1 Addition Remodel U ilities Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. �DWELLIN�p &
OR ADDNS. ACC. BL S
2Y2Q$gft
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 m license is in full force and effect.
Y
License No. � I q� Classification R
❑ 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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET 2.50 ea
NON -REBID BRANCH CIRC ITS
NEW CONSTR. /POWER APPARATUS &'�
NON -R ESID. \SINGLE OUTLET CIR.
OR FIXTURES 9AL®ao
Ex. Occu / BAL030
P\o
A
FIXED APP LNS, OR
FIXED
Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 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
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai st said County in Consequence of the granting of this permit.
X JJLL��0000---- Date 0
Signature of Applicant - Owner El Contractor � Agent
An OSHA permit is required for excavations over 5'0" ep and demoliti n or construct-
ion of structures over 3 stories in heig t.
Mobile Home Installation Fee
$
'
eA:u L4
TOTAL PEkkIIf FEE
OCCUP. GROUP
�__5
Tr E of NST.
�{ `ID
the �J
/
PARC ,L
PD/
1/
✓
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY
PE EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
ll
DateL]/� —� _
/ -/�
e�
Receipt No. - a13vLl
WHITE-D.P.W., TEL LOW-ASSe SSO PINK -INSPECTOR, GO ENROD-APPLICAN
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