HomeMy WebLinkAbout064-250-004_ - 4 --25'- _4
Karl Jordan
10 Compton Dr., lot 30, PP#15, Maga.
contr: Mari -John Const., Magalia
u Permit #653-109B,P,E,M(new single
family)7�Q��3�/
06.4-2570-004 92-281BeT,' Jerry & Aurora
6274 Ponderosa Way,-Magalia' 3•�
deck.. & patio door/sf Gni
064-250-004 PERMIT#97-1508,6
WARREN, Doug
6274. Ponderosa Way, Magal a��
Cont: Wood Heat & Spa.
Gas Service & Stove/SF
i 064-250-004 00-2357
WARREN, DON
6274 PONDERSOA, MAGALIA
CONTR: PF REILLY , AV ,dY
NEW VINYL SIDINGZ.'y$
i J
i
r'r ..
V V J�1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT /Irf/ 7
ASSESSQR64fj 04
ZONINGFT1
BUILDING PERMIT
OWNERDON
DN WARREN
TELEPHONE 573-3224
SO- FT. OCC. BUILDING VALUATION
EST
OWNER'S MAI NG ADDRESS
624 PONDEROSA MAGALIA 95954
CONTRACTOR'S NAME
FIS REILLY
TELEPHONE
898--0833
CONTRACTORS MAILING ADDRESS
3028 ESPLANADE CHICO 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 6000.
ARCHITECT OR ENGINEER
LICENSE NO.
FilingFee $
2 0.00
Permit Fee $
81..00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
SAME
Energy Plan Checking Fee $
$
PERMIT FEE $
•
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: A I
_T
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
Filing Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my licens is n f II for and effect. ff
License Cl a Lic. No. l `
OWNER -BUILDER DECLARATION
I hereby a Irm 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BIDS.
SO
3.50F7_
CONST
NoZR. ' MULTI -OUTLET
@G 7,50
PDWER APPARATus
a sINGLE ovrtEr CSI R.
Ex. Occu OUTLET OR FVTURES
Q'.50
aA� so
Ex. Occup. oFurieDTSA R sID.OE
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' om ensati insuran a carrier and policy number are:
Carrier
Policy Number —
(The above sections need no a completed ' -the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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
with comply with those provisions.
s _
MaMIJU Date q� __
4natof Applicant - u Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 101.0
HAZ-D.
FEES IMP
FLOOD
COF
PARCEL
I PO
I HD
5S
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w,Mch fees have been paid.
B �✓ t :l �- Date 1
PERMIT EXPIRES ON
Date
Receipt No. 308526/$101.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ML,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSQ66 !E�1�1 BEi�04
L� 7U u
ZONINGRTI
BUILDING PERMIT
OWNERU
DON WARREN
TELEPHONE
873-3224
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
6274 PONDEROSA MAGALIA 95954
EST 61000 00
CONTRACTOR'S NAME
PF REILLY
TELEPHONE
898-0833
CONTRACTORS MAILING ADDRESS
3028 ESPLANADE CHICO 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 6000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
81.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
SAME
Energy Plan Checking Fee $
$
PERMIT FEE $
101.00
LAT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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: � � It MLI k6
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
600V OR LESS
Main Service 200" 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 licens s'nd effect. \
License Cl a oLic. No. 3%
OWI ER -BUILDER DECLARATION
I hereby 1,6PP
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.
❑ 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' Qpm ensati S insuran a carrier and policy number are:
Carrier _�}� (� - , U ,L
Policy Number IbU22VS '--
(rhe 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply with those provisions.
_ C i /� 91 _ —
ILw,tom Date � J a
aSatof 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.
Main Service TO L000A
46.00
Yni200A
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( 8 ACC. BLAS. 3.5¢FT.
No q� p. MULTI-OUTLETITS 97.50
OWLIN.RoE
a8E CI .
EX. OCCU OUTLET OR FIXTURESBAL @ I.00
Ex. Occup. DFlUTIETS(.g% .OR) EA. 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. TYPE
TOTAL FEE $ 101.00
HA2.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
I ISS
This permit is hereby issued under the applicable provisions
in the Butte County Code and/or Resolutions to do work
indicated above for w ch fees have been paid.
By to
PERMIT EXPIRES ON —0
ate
Receipt No. �(lRS�h/lnl _nn
WHITE-D.D.S.-B.D. CANARY-AS3�SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. 's''�.�,.t�'t�1'' .��T�,.1'7�. k. _ '•`."iarsv�.narwe.*: �;.. ._„_ -.:a. v�, .•. ty{.- �._�,��.,.,ry,f,�.L.,•�:-w,c�:a.+:.:���.wti.s"'-w-Y:�
r
064-250-004 PERMIT#97-1508
WARREN, Doug
6274 Ponderosa Way, Magalia
Cont: Wood Heat & Spa Q
�~ Gas Service & Stove/SF `7//(O//
i
f
j
. t t
I
`OFFICE C Y. ,
Address C�A^
GAS l'= DateJ�
Meter BY—d
ELECTRIC
.Meter BY
8
V/ .
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541' PERMIT NO.
(Rev.12/96)APPLICATION AND PERMIT -z a 7-
ASSESSOR PARCEL NUMBER C 1 _. `_� J
,
CC.•.77
ZONING ` /
BUI `ING PERMIT
OWNER
J C4 W A Alrd
TELEPHO a
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRES
do L S Lit MA.. 2
COM OR'S NAM
L.1 > yrA
TELEPHONE
72 c -,79y
CONTRACTOR'S MAILING ADDRESS /y
(4 U 41 0l
CONSTRUCTION LfINDER 00,
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
IdA S�j
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION -4 NAME.- t1 �"'�
PARCEL MAP
PLUM BING-0, ER,1(AITj-
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SFr 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 Q
Describe Work: —%. 4 � Sd J J C A O
✓
Gas piping system 1 - 5 outlets
15.00 r -
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$ r,
ELECTRICAL PERMIT
Filing Fee 20.00
a00V OR LESS
Main Service .A .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 A. Lic. No. .�"'!1 �3 y /(,
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
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADONS. ( 8 A.C. B.
SO
NEW CONST. MULTI -OUTLET
NON-RESID. CIRCUITS
//�7.50
L
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. OCCup. OUTLET OR FD(TURES
20 Q 100
SAL @ .50
Ex. Occup. ouiLEETs RES6LNs.OEA
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 insurancerrier and policy number are:
Carrier /c
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Ir
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number ` f 41—
(The above sections need no be completed if the permit is or work of as aluation
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 gmploy any person in any manner so as to become subject to workers'
compensatioh laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
f
X i , ; � \__' Date 7/ 7-
Signature'of Applicant! 1]`Owner ❑ Contractor ❑ Agent
An OSHA permit, required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Entergy Inspection Fee $
occ CONST. TYPE
,4 TOTAL FEE $ p
�HAZ.D.FEES IMP
FLOOD I COF
1=PD
HD ISSUE
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
By l ,�-.��--�
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
Date
Date
Receipt No. �'_"?=� r�— '� n
WHITE-D.D.S.-B.D. �bANARY-ASSESSOR— PINKINSPECM11T GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS
7 County Center Drive - Oroville, California --95965 - Telephone (916) 538-75 PERMIT N
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 1 q__?n`,f __ (D -
ZONING
BUI ING PERMIT
OWNER 00 j (AJ - Aj
W /(`
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
J IC-0J`(s/1
OW RSM NG ADDRESS-/cI a
NTW ri
COSD &*%�O,
T91 / EO / %1'
CONfRA�ORS NO ADDRESS u- C4 S ( O,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS n N ^����C
'LVA PY✓ Jf V U
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF,l)( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1:6-
Describe Work: 91dS so L A o,O/)
Gas piping system 1 - 5 outlets 15.00 lJf
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S Q
ELECTRICAL PERMIT Fling Fee 20.00
vf
Main Service ".A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is infullforce and effect. rr�� /J
License Class A – Lic. No. �� �L/y�(�j
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DW El1JNG OCCUP. SO
OR ADDNS. ( 6 ACC. S.3.5Q
=RcrSN.F ANC' cI,C- @7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FIXTURES BAL @';50
Ex. Occup. ouT RES D.OEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirino 23.00
PERMIT FEE t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 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' comp nsati n insur ce c9rder and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a4laluation
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 withose provisions.
— ��
X 7�
___ Date _
Sign re of A lican - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permi is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating t(
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ r
Mobile Home Installation Fee $
Energy Inspection Fee $ 9-49-1
cc CONST. TYPE
J 4y,TOTAL FEE $ i0
HOZ. D. FEES IMP FLOOD CDF PARCEL. PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
// Q
By Date Q10
le
PERMIT EXPIRES ON %S -/ Q
0to 1
Receipt No. a–
WHITE•D.D.S.-B.D. ANARY-ASSESSOR PINK -INSPECT GOLDENROD -APPLICANT
J
PLAN REVISION
Please complete the following information in order to process your submittal. If this form is not complete, correct
and legible. it may cause a delay in processing.
Ownert
A.P. #:777
Contact Phone Number:
Purpose of submittal:
❑ Permit Application Data Item
❑
Engineering-_
._
❑ Plan Revision
:d By: Date:
#: - 2L 9-�-
❑ Requested by Building Inspector or Correction Notice - Inspector's Name:
❑ Requested By Plan's Examiner - Examiner's Name:
❑ Other:
If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan
review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and
stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show
changes 12roposed and locations involved.
When Approved, Process as Follows:
❑ Mail to Owner at this address:
❑ Mail to Contractor at this address:
❑ Call
O'Deliver with next inspection.
and hold for pickup at the ❑ Chico Office ❑ Oroville Office
Revised Plan Check Fee: ❑ $46.00 Receipt #: ❑/Additional Fees Not Required
Additional fees may be due based upon complexity and time involved to process this submittal.
'; QROFESSIp,�, _
DANIEL J. DOBBIE
Professional Engineer
�D 20 Mayfair Drive ,
cj 2028
Chico, CA 95973
Phona(Fax (910) 345.4743 �. • 3 �Il ,*
OF CAFE
L 29�—o't
r-1 r -I
L .1 L J L
ST" W^toL
TO M^TcO Ft".T .. 2 '- o" F .O M - STS w^%L CTI'1p)
r --i
A L L J'
� , �-' ,
1 ACVfit
LINE I
r r -t r —1 r
L J I_ J
I 2 SWf FU
OAT ION F"N
RESIDENTIAL
064-25-0-004 — --
GILBERT, Jerry92-2811 B j
6274 Ponderosa &aAurora
Y, Magalia `
1 deck & patio door/sf
I,
- i
JOB FINA
Signatui
4
V=OK `
O = Not OK
=Not Applicable
' =�
Not Ready , MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES,(Plans)OK except #'s
oning Requirements -Setbacks -Easements
. oot'ngs; Soils -Size -Depth -Spacing -Connectors -Steel
ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
IeCtric
rm ;.Sits-Anchors-Studs-Rftrs-Trusses
iding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
jl xt.; Steps -Doors -Landings
Date n� and B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK '
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except #'s
1.: Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5.` Stemwalls, Main; Steel -Bloc kouts-Wra pped
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 -Anchor -Regulator -Service Test
12. Electric; Underground
r
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except It's
16. Water Htr.: Vent -Access -Combustion Air-Baff;e
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection.
--------------------- -----------------
- 19. Shower Pan: Test. First Floor -Tub Access -__- - - -
20. Test Tub & Shower. Second Floor -Tub Access
------------------------ ------------------
-- - - -- 21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
----------------------------------------------- -----------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's,
22. Fixture & Transformer Clearance -Ins. Protection
------------------- ------ ---------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
-- -------------------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
- - - -------------------- -----------------
- - - - --- --- - ---------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
----- - --------------------------------------------------------
27., 2 Appliance Circuts in Kitchen & Conductor Size!GFI
- ------------------------------=------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size r / ga.
Cu or AI
----------------------------------------------------------------------------------
29.
------------- -----29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------ -------------- ----------------------
30,
---- ---------- ----- -
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------------------- --------------------------------
31.--Eq u -ip.-Clea-ra-nces -Pane Is- Motors- Mech. Equip_
32. Clothes Closet Light -Shower Light -Spa Light
------------------------------------------------
------------- 33.-. Smoke Detector
-----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-------------- --------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft's
-- 34. A_C_Ducts Insulation & Support - -
35. Vent Fan: Exhaust above insulation
--------------------------------- I -------
36.
------------ ------------------------36. Condensate Drain & Overflow: Size & Grade
--------------------------------------------------._....._.._.
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
Date Card B-1 Date Card -B-1
Date Card -B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils, Proper Material & Anchors
---------------------------------------------- -----------------------
40. Walls Studs -Nailing Spacing-&. Bracing- Plates- Sound --------- - -------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
------- - ------------------
---------------------------
42. Draft Stop in Walls (rat proof)
-----------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------------------------------- -----------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
-- 48. Attic Access; Size & Rome Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
_
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
----------- -54.. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
-------------
60. Infiltration -Walls -Windows
----------------------------- -
Date _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4's
-------61.-Ext. Steps -Door & Sidelight Protection -Landings
--------------- --
62. Smoke Detector
------------------------- -
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
--------- - --------
64. Bedroom Exiting
65 G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
-----------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
- - ----
--------------------------- i
70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
------------------------ - - ------
--- ----
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
----------------------------------------- -------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. ,
In Garage: Above Floor-Mech. Protection
------------------------------------
75. Plb.. Elec. & M_ech._Equip. Listed for Location
---------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-.--------------------------------------- i
7 . Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
-------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Y
Clearance Looked under Floor ❑ Yes l
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco_Brown_Finish
82. A.C. Unit; Disconnect Electrical, Plumbing
--- - ------------------------ -
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to "
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I_Receptacle- Under round -
86. Ventilation Throughout House
-
-------------------------------------
87. Glass Protection
88. Corrections from Previous Inspections_
89. Gas Test -Meters Tagged Gas -Electric
-._. - - -- -------------------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval-- -
91. Energy ComplianceCertificate-Other Certificates
- - -
--------.. ----------------------------------------------
Date Card B-1 Date Card B-1
_Date -------------- Card -B- 1 ------_ __Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
�f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
a
APPLICATION AND PERMIT
PERMIT NO.
•
ASSESSOR PARCEL NUMBER
064-250-004
ZONING
` i
BUILDING PERMIT
OWNER C
JERRYD&RE URORA GILBERT
TELEPHONE
873-3175
SO. FT. OCC. BUILDING VALUATION
EST A
600.00
OWNER'S MAILING SS
P.O. BOY 1521 MAGA-LIA 95954
OPEN 192
1344.00
CONTRACTOR'S NAME
OVNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
1,944.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 37.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
6274 PONDEROSA WAY MAGALIA 95954
Permit fee
$ 72.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
30
SUBDIVISION NAME
PARADISE PINES UNIT 15
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF[E Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G I W
@ 15.00
TYPE OF WORK
New Li Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: ADD PATIO DOOR & OPEN DECK _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200ATOI000A)
37.50
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 Ao. Classification
1, as the owner,'or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUR.&
OR ACDNS. ACC. BLDGS.
3.6a sq.ft.
NEWCONSTR ULTI-OUTLET
NON.R ESI BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
-SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES
20 76
00 469
A
FIXED APP LNS. OR
FIXED
EX. Occup. OUTLETS (RESID.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in consequence of the granting of this permit.
X Z4 6 '-ILYA5t Date ' 'Y ' �Ix
—
Signature of Applicant Owner Contractor E] Agent 11i
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3stories inheight.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 72.50
hlAz DFEES I IMP I FLOOD
I CDF PARCEL PD
D
This permit is hereby issued under
sions of the Butte County Code and/or
fees
Wor�ki ndicated Lave fOFIC
R
Byate_!
PERMIT EXPIR SI Date
the applicable provi-
resolutions to do �
have been paid.
WORKS
Receipt No. // 3 1
WMITE•O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOL DENROO.APPLICANT
F;
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
*V-
7 COUNTY CENTER DRIVE - OROVILLE!,, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
OWNER Jay lJ�c7�h �� bQ' A. P. No. b 7 ' ZSR- O<,D
Proposed Building Use 's/i" pcLk Building Inspector C -5W Date 2
r i
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
(, , DATE RECEIVED 3Y
1, All items have been submitted . ..................... ''............ .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood, lifornia Engineer . ................ .
Sanitation and plot plan approval 0 " �' Health Department . .............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. ... .
20.` Pre -inspection for Fre-Inspection requeis
required. . to Building Inspector (Date)
,21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner _) ............
-24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... '.4
27. Letter of intent on building use.
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ....... :..............................
32. Plan check list . .....................................................
33.
34.
When you issue -the permit, process as follows: &Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation -7
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire•Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Plans checked by Date Plans approved by�
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
by _ Date
by _ Date
Date
_l
TO Buildina Department y
FROM: Environmental Health
SUBJECT: Sanitation Clearance
- owner Location AP#
a Disposal Water Supply
Plan Approved for. Sewa a
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home.
NOTE**
Water Supply
Water Supply
Other
0 5Z
Date
Santartan -- -- -
%I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
_ - 00Y./,?p--
ZONING
%
BUILDING PERMIT
O NERTELEPHONE
SO. FT. OCC. BUILDING VALUATION
-sip—
O ERO'S'M AILING ADDRESS
IQ-
Q-1 / i �1 ///� C� ��/•_ /
Q �/ L� 3 /
CONTRACTOR'S NAME
i.� 1-J 4
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $ 41�-
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 37 50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Zo-
Energy Plan Checking Fee
$ 1$25 -
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty _
$
BUILDING ADDRESS
Permit fee
$ -7Z . r�O
PLUMBING PERMIT
Filing Fee
15.00
7� oiaote-4 os %./
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
3
NAME
1"4/4 A 4,, v e -t �%J L � -�`S
PARCEL MAP
Water piping
7.00
Each qas water'heate r vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping syste - 5 outlets
5.00
Building sew
15.00
Mobile Ho e S FIG FW F
@ 15.00
TYPE OF WORK
New.' Addition J�Remodel❑ Utilitie ❑ Installation/�[? Other ❑
Describe work: /4� ,4/dore opt-- 2 _
� ,
P It Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
200A OR LESS
1a 0
_
Main service 200A To t000AI:J,,37.50
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.
`Icense Ao. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
(� I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.D\
OR ADDNS. 1 ACC. BLDGS. I
3.6E sq.ft.
NEW CONSTFL MULTI.OUTLET
NON -REST BRANCH CIRC ITS
@ 5 00
/POWER APPARATUS
ISINGLE OUTLET C
Ex. Occup( OUTLETS OR F TURES
20 764
Ex. Occup.. ou IETs ED APPI SID IREA.)
I 3.00
Temporary service Z
15.00
Mobile Home Fa ities
15.00
Misc. Wiring
15.00
Permit ee
$
Co actor
—
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
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
_
Ventilatio
_
Permit F e
$
—
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of thegranting of this permit.
X 4j�&LJ,4, . i' Date - `7' 902
'Signature of Applicant - OWnerX Contractor ❑ Agent ❑
An OSHAwork
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
S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ -%Z- 5�
HAz
1 0FEES I
IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 7'/3
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department.of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 improvement Qy or no)
2. I (have/have not) signed an application' for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address 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
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
Signed:
Property Owner
Social Security dmb 7 3- V-2
Date
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.
7'
-PEVIMIT NO.
foto r- LJS? �> 0 as �iV,i
/LDv�a�£�Jdo�Fv� Wld, s r•c/
00,1W 5'iKs e� v��i yrs �jfc�/lEcow
�-✓ l� ZX" Glfoill d1£.✓%✓q (JEE
(
-/7-
OV
.�is7� 47
4Ji
Ix /9;�jG / t
,r-.2,7 -7y AU' /7./c�Eo/
OWNER
CONTR.
653-79B,P,E,M
PERMIT EXPIRES'�'��
Karl Jordan
LOCATION (A.P.
Mari -John Const., Magalia
64-25-4
10 Compton Dr., lot 30, PP#15, Magalia
Temp. Power Pol
Called PG&E
Tern Elec. Seru
Called PG&E
T mp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
,.I
f ✓.
i
is --groper Naterial & Anchors
.studs--';a.iled & S -paced Fronerly
25�.Brace*s 1;'�ere Reouired
!rte Bearing ti'alls o�Ter Girders & :loot Nailing
Draft Sto^ in ?galls rat roof) '
E Fire Ston at Furred Ceilinas Stair Strinp-er
77
FZAMI�,
7-,." :leader Size d: C.J. Size
Joist 'ian ers 1 -.'here Required
Rafter' -"'ie s, Ful ins Fc Roof Eracing
i . Fi �e -mss or Type ti Flue
1> Crawl vole to Attic & Romex-Protection c/
Ext. Door or reo . -hgt. size �;!indo��--Bedroom
16" Fra --a 'in garage Firewall
15 —. E.xt Doors ---One ?' - Ck Garage,if reo '
-.:.. Ck Stairs i`' 2 -story --_ -•• --
ost Cars & Anchors
-. Tyre Plyrroed on Roof Overhang & Attic Vents
,Siding --_:ailed Procerly
s
ound6ti.on Vert
l
_.._.... _.. __ PLUMBING .._ ...... .
. .'Test on 1':later Fine .-.r_cho-r--Ys
Test or_ Drain. Fire
Test Shower Pan 1st .Floor
nell"2 Tub & Shower, 2nd Floor
Ties
Ei-EC RICKL
Clearance. at Flush Light. Fixtures
Elec. ?ecentacles Suaced Fror.erly
ize Boxes ..& To. of Con: uc tors
o ex Installed Close to Edge of Studs a: C.J.
5. Equip. Ground rade up w/tech. Fasteners
;,l 2 Rnrliance Circuits in Kitchen
ub.Feeders--pro.er size
,Y+! Service --Riser Conductors & Ground
0
RES IDENT IAL "' Z`5�� 7J
• ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(locat on). 91
_
BUILDING PERMTT N0. 1D�3 '%9,Zj . P. f-, M A;P. NO.�'f
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: -
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors tq.va
Walls 4.60
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER 4 --
APPROVED
APPROVED WTR.HTR. ✓
GLAZING:
Single Glazed
Special (Insulated) S
CERT. & LABELED WDS.
& SLIDING DRS .
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCESy
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
.THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name D
Signature of (pleascst
Insulation Applicator
State Cont cto*-�
General Contractor/Owner Name
Signature of
General Contractor/Owner
License No.—�?-,
r�e�r.
�r�
State Contractors
License No.,3Q
THIS CERTIFICATE MUST BE ON FILE WITH 'THE BUILDING DEPARTMENT PRIOR TO
.REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
Setback ,
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
i Footi
/ Slab
Patio
Foot i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDINGS• BUILDING (Cont'd)\ PLU B
Finish
Roof Sheathing —/
Roofing
'Fdn. Vents -71 a Vents
lilfiulatl3
Prov. for ph sically
handica ed
Conformance of ex.
FIREPLACE
Soil Piping
`
list Floor'
2nd Floor c
3rd Floor -lam- 7
To out
Water Piping
Sewer
• _ ixt res y'
ater Ht
Heaters —�
Appliances
Gas Piping & Test
TemD. Gas
I X -/ 7-7 201
ELECTRICAL
h
P" 7 % -0
Vtu%luV , — rinai V -A -0—,"r
Mesh N - MECHANICAL Grd. Fault Prot.
Scratch J Heating Service
Brown Cooling Temp. Pole -V-L.1 -it.
Finish Ducts Underground
yInt Ventilation — ��.' Permanent -
Door Closer Final — 4 Final 79 Q
r
O MOBILEHOME UTILITIES ------------------ Elec, Service Elec. Pedestal r
Wa -Pi —% 9,010 Z7/S
N BI E OME INSTALLATION f-- por d c i i C 5,
�' Water Piping , Drainage 10k Gas Piping
REI .�` REMARKS OR CORRECTIONS
��✓����
40151-
d&
01Sd& o� 41d�v
J/ eothw drlxh',Vdo&t �/.?z,�bilys>6/,-,6/,-, Z2 "L -d
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OfLJ ;Aig 11%
/
OF S4411J Ve �
;(r-eca44fz //6S'4 % `fof J/ l 14- .SCd� �6h;r;dJ;)101004 (NOTE: An entry must be made on this form each time you visit the job site.) ����
lc 36 �� ���✓ >Zooc.� r �Ot1£ 'x'/'•447 a�o�.cEfC
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610
16R&Ibot �jp�a/t o•�/
COUNTY OF BUTTE – DEPPjRTMENT OF PUBLIC WORKS
•> 7 County Center Drive — Oroville, California 95965
Telephone: 534-441
APPLICATION AND PERMIT
4�1 �� _�, �,
autnorl ze
t;ounty or butte to enter upon the
Ises.
Date
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.
DIRECTOROF ELIC WORKS
By f MDate
Building permit expires Date C;�—ax 3
BUILDING
Owner IT Y CY
SQ. FT. OCC. BUILDING VALUATION
k � -2--7-2,146
Mailing Address
q �1{
Telephone No.
Contractor
;� /a ��
Mai IIng Address tf. jig
Fireplace
Total Valuation �r
,Mq
Te phone No.
?. •.. j/elf
Permit Fee'
Building Address n � ®
Plan Checking Fee&/or Penalty
Permit Fee 30--
/
w-o�' -
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3:Cv)
Each Trao1.50 , I
Repair drainage or vent piping 1.50
A. P. N D�" ,,�
Zoning & Planning
Water piping 1.50 1, ga
Each gas water heater or vent 1.50
Fs
W.
S t ion' Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
0,arcelEach
Declaration
la 0' R/W I
Improvem nts
additional outlet .30
Building sewer 5.00
Bldg. PINS Recd
Porcel val
Plans pproval
Lawn sprinkler system 2.00
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $L / —
$ 2-1 "
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 �•��
Main service 600v OR LESS
100 AMP OR LESS 5•��
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600 25.00
100 AMP OR LESS
1
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. I DWELLING OCC U Y t'*
OR ADONS. % ACC. BLDGS, id 22 sq ft
CONTRACTORS LICENSE LAW
I am- licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:1
NEW CONSTR. MULTI.OUTL T `
NON.RESID. BRANCH CIRCUITS/ 2.50ea
�-
j
NEW CONSTR. POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD{OUTLETS OR FIXTIiRES �OL25¢
BAL�1
FIXED APPLNS, OR
EX. OCCup.(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License NQ.50n % Classification
Mise. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ (—
$ 4
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
;. Workmen's Compensation Insurance.
certify that in the performance of the work for which this
❑ piermit 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 cftj
Heating
Cooling
Ventilation
Hood 2.00 2. v.i_-)
Permit Fee $ ✓
$ q
I certify that I have read this application and state that the above
information Is t� l agree to comply to all County Ordinances
and State s relating to building construction, and hereby
Land Development Fee
TOTALPERMIT FEE
$.` 24 i
autnorl ze
t;ounty or butte to enter upon the
Ises.
Date
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.
DIRECTOROF ELIC WORKS
By f MDate
Building permit expires Date C;�—ax 3
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY) j S
"' a I a Bldg. Pe t �� �Q
3-71
OWNER K k11' ,or�gr
A. P. # (� `� g,_ •
A. GENERAL
ii' Zoning requirements (sideyards and parking)'.
Zf�;_ `aluation.
ignature by R.C.E. or Architect (if required).
B. PLOT PLAN
�?Ssetbaiak*,
omplete parcel size and dimensions.
sideyards, easements, etc.
?. Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
3rRequired windows for-11ght and ventilation (Sec. 1405).
.0001Required windows for second exit (Sec. 1404).
llowable glazing for energy requirements (20% max. per.State law).
/uman impact glass (Sec..5406),
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and.exterior receptacles for maintenance of
��chanical equipment.
8! Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage' firewall, door size, and closer (Sec. 503(d)(4)).
1 3'0" exterior exit door (Sec. 3303d).
ireplace location.
1 Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
S_! /Fireplace construction details and calcs if over one-story in height.
6. Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
-K. CCX plywood on exposed locations and overhangs.
!�tairway details (Sec. 3305).
3'. .Guardrail details (Sec. 1716).'
��rick or stone veneer (Chapter 30).
'T Exterior plaster - weep screeds (Sec. 4706 & 4708).
G/ Proper roof pitch for roof covering (Chapter 32).
T Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
building.
(State law).
1��Adequate bracing.
1'. Living area over garage - complete 1 -hour separation required including supporting
/ walls and posts, etc.
¢� Two (2) exits on three-story dwellings (Sec. 3302).
` iv-" -ni n nl v%. rnnr* nn c-vr
GIRDERS—
Vs" TiG PLYWOOD CC EXT:
0
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DECKIQ6.
MIN. FOOT NG .
EL
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CLIP-
2' x 12" STAIR STRINGER. 4Wo.c,. MAX.
RS TDP VIEW
HAUDRAIL NOT SHOWNI FOR CLNZITY.
BOLT e
ll
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MOBILE HOME' r 4 �
OR DECK (Y)
MAX
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41
MAX. CLIP (EA. P. 9"MIN. \ `�
4!x (o
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t T --
Tx 12" X
T ..._ #2DF-- 2 " . co Z:_2 k4„ PRESSURE'
O 3/aTREATED
DOLTS RFDWooD PLATE
GIRDER
`,$ r . r �`` Vii a • • � �!�\\
1
4*x4„ POST Y�M)N. 6-1 —90
---At)F4 U4TE. N460NAL.
BRACING. T-MCAL RFSIOE'1VT1AL $PAPS ANo�aQ CitC
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SUILDINDEPT
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1992
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QWiJER CONTRACTOR`II
it
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1. SOIL(: Type. _,CiaY1 e3 10,E a FIII.IYes` '! Nti' _;`, Compacted: Yoh No
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2' FOUNDATION: STANDARD _ Sn'0_ret ��rs;l yiraers, & (joists). other describa
r
SLAB '�I equire'concrete 0'%z" thidkness'with 3"Iof l' a gravellunder'siab'ant visqueen membrane` or e��ual
I
BA`S`MENT; S'xe,I i=loor� NValls Cellingl
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III I IL' �
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'RO�OFFRAMING P,it,,h
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