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HomeMy WebLinkAbout064-270-011N- 64-27-11 Glen Moffat 89 ClustEr Ct., lot 75, PP#15, Magalia contr: Triple "S" Custom Homes, Para. Permit #3738-76B,P,E,M(new single family) rPELL064�-270-011 PERMIT#97-2035' L J O, Jeff 13903. Cluster Ct.. Magalia Reroof/SF '0 064-270-011 99-1154 NEWTON, Mike 13903 Cluster Court, Magalia Contr: Owner gas line, water heater & dryer, stove 0 6 4 - 7 0 - b i 1'. 2 5 #8'. 71 0 � i � - :D� NEWTON, N41KE FINALED Ly13903 CLUSTER CT., MAGAL A CONT: VtRSAT1Lt_ROOF111J RE -ROOF CAM Ar I . I 0,64,��6LOB 02-2�58 IITEWTON��41K'E", �13903.'CLUSYER CT., MAGALIA CONT: VE9SATILE ROOFING ,RE;ROOF A C 6Z) qq,116L� 0 COUNTY OF BUTTE -'DEPARTMENTOF DEVELOPMENT SERVICESf- 7 County Center Drive - Clrovill�, California 95965 * Telephon'e (Rev. 12/96) APPLICATION AND PERMIT BUILDIN6"**DIVISION (�30) 5313-7t541 . " 1: P-ERM!LN ASSEORPARCELNUM 'no -oll ZONING BUILCIING PERMIT OWNER TELEPHONE SO. FT.,., 1OCC. BUILDING VALUATION 0 1 WNr�MAIUNG ADDRES" C., CONT RACTOR'S NAME y ee sz, TELEPHONE CONTyC _�O�� C\ CONSTRUCTION LENDER Fireplace 'C5 LENDER'S MAILING ADDRESS Total Valuation is 0 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEEWS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ __7�EL PERMIT FEE $ Ll 'A 04) LOT NO. SUBDIVISIDWS NAME MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 13 Mobilehome 0 Other SPECIFY Solar or heat pump waier heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: ro 6,c ( e Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W C&20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service .,v, OoRR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comrrtencing 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. 1/6 �7j eo OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following,reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier _�_a /,- Policy Number "'. / � - 1,..A,;f- ae� f) I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 Califorinuia,and agree that if I should become subject to the workers' compensation pr6y)6-i ' ff 7PO of the Labor Code, I shall Is.? iieftion 3 forth wijthc mplywith those provisions. X _7A I _ L Date —A Z_ Signature of Applicant Owner 0 CoAtracTC_f61,0 Agent An OSHA permitis required for excavations over 610"cleep and demolition orconstruction of structuresl ries� in heig Main Service 200A TO 1000A 46.00 NEW CONST. %E�ff .00CUP. so OR ADONS. S. 3.50FT.' NEW CONST. MULTIONUM 97.50 _NON-RESID. PDWE.RAPPAPATUS . 0 C.. OUTLET OR FWURES 20 @ t.00 Ex. Occup. ( BAL @ .50 Ex. Occup. PIPM.) E 5.00 ( O.RXED A ORA_ Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE 61 TOTAL FEE $ I - HAZ. D.FEES IMP FLOOD CDF PARCEL PO HD ISSUE Thi6 p6irniftlis hereby issued under the applicable provisions of;the Butte Courity Code and/or Resolutions to do work indicated abov'4 for whicp -fels have been paid. By Date. PERMIT EXPIRES ON (Da A?) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DE�ELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95965 & Telephone (530) 538-7541 02 pm 1�1 (Rev. 12/96) APPLICATION AND PERMIT ASS��NUbno ZONING BUILDINGPERMIT OWNER'% IUN+-M, W1 04. s a. F r. OCC. BUILDING VALUATION .OWNTYRESSC/a Wr_ 0qg 11 Lq 9 ubw CON`rRrgSNAM 9Lth �_e NX& -31 CONTrAbIA06 ZSSqC) III CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is t I _00 ARCHITECT OR ENGINEER LICENSE NO. Filing ee $ 20.00 Permit Fee $ 01) ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ r BUILDING ADDRESS 39L C� 4� C4_ 9? Energy Plan Checking Fee $ I DER _7�EL $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF El Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 1 7.001 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 13 Remodel 0 Utilities 0 Installation 13 Other 0 Describe Work: e --h 6ki 0 6 rw CS� �e age:� SOS Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 20.00 1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 ... V OR LESS Main Service .A 0.... 23.00 LICENSED CONTRACTOR'S DECLARATION L I hereby affirm under penalty of perjury that I am licensed under provisions of apter 9 (commencing with Section 7000) of Division 3 of the Business and Professioris Code, and my license is in full force and effect. License Class -f 3!7 Lic. No. '16 STCX) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors Licen�_e Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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' compon ti I insur a carrier and policy number are: Carrier ;on X-7 Main Service 200A TO 1000A 46.00 NEW CONST. DW ,�LINO OCCUP. so. OR ADDNS. . S. 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH IRCUITS @7.50 OWER AP=TUS PSIN.LE 0 CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDMRES BAL @ .50 ODXEDAPPLNS OR Ex. Occup. r. E" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.5.0 Ventilation PERMIT FEIE $ Policy Number --)/1 —01 t.,Ai�F o6n bc-E-7 (The above sections need not be completed if the permif is for work of a valuation of one hundred dollars ($100) or less.) 0 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 forthwith c mplywith those provisions. X Date Signature of 9pplicant - 0 Owner 0 Contractor 0 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 $ occ CONST. TYPE TOTALFEE$ HAZ. I D. FEES IMP I FLOOD I CDF SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work inclicate"bRve for ve been paid. By Date gv�ReceiptNo._ PERMIT EXPIRES ON I (Date) -99Q2MICN-L�u WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT OWNER: 0, (h 'r fi C LOCATION: C'L U 5 F �� Cr- , - CONTRACTOR: 044ri PREANSPECMON FO& DATE: 2 1 flWq, V� A.PA A9 9� - :> ZONWG: A —/ DATE TO INSPECrop, PERMrr FUSTORY: [ ]NONE ]AS FOLLOWS: TYPE OF OCCUPANCY: BUMDING INSPECTOR'S REPORT ng Description: Commercial/Usage: Residential/# of Units: Currently Occupied. AbandonedNacant. c: -C ]Yes ]No Electric is currently:[ ] On Off Condition of electrical? Mobile Home: Yes[ - ] No[ ] Natural(] Propane[ ]None[] Currently On[ ] Off[ Obvious problems: tion: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ Potable water: Yes[ Obvious Sewage Problem IT..... r JT4 kction Recommended: ( ]Issue ( ]Hold for: spector: ] No[ ] Date: May 1995 4.7 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) AP . P . LICATIONANDPERMIT — ASSESSOR PARCEL NUMBER 064-270-011 ZONING r - 1 1 BUILDINGPERMIT OWNER NEWTON, MIKE TELEPHONE 873-9583 SQ. FT. OCC. BUILDING VALUATION OWNERS Mfii ADDRESS 13903 CLUSTER COURT, MAGALIA CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 —Permit Fee $ ARCHITECT OR ENGINEERS MAJUNG ADDRESS Plan Checking Fee $ SUILDINGADDRESS 13903 OTAISTER COURT, MAGALTA Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M Duplex 0 Mobilehome 0 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 -15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: GAS LINE, WATER HEATER, DRYER, STOVE —Gas piping.system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 920.00 PRFq—TNqPRCTT0N 123-00 PERMIT FEE $ i ELECTRICAL PERMIT Filing Fee 20-00 Main Service 'SS 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: 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. JO 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. `%0 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: 0 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. 0 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 c, Californ a n prov�:i,,and agree that if I should become subject to the workprs' con"Pe i ins of section 3700 of the Labor Code, I shall 5, ghnlpl wit those provisions. X Date 5_/2.7/�, � Signature of Applicant Owner 0 Contractor 0 Agent I I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. & ACC. BUDS. —NEW so. 3.50FT. CONS17- NON-RESID. NC @7.50 OWER APPARATU ( I= 0. C SIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL @ .50 Ex. Occup. El ( ..FIXED A OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE it TOTAL FEiii_.F 58.00 HAZ. I D. FEES IMP I FLOOD CEL PID I HD I ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByAdF� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /Date 6 1�9 ;?bt ReceiptNo. 7_6570 zJ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RFD -APPLICANT 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO�L 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. zz� (Rev. 12/96) APPLICATION AND PERMIT - _ff �5, ASSESSOR PARCEL NUMBER ZONING A� / BUILDING PERMIT OWNER 01(fil fil,49!60 TELEPHONE 9 3_S3 SO. FT. Occ. BUILDING VALUATION OWNER'S MAILING ADDRESS 13 qV I (f 6 L) .5 Ct- 11419 (�,q w 4 - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS I Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDAESS C F Energy Plan Checking Fee $ $ 1;719C 10410 PERMIT FEE LOTNO., SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF/(!(Duplex 0 Mobilehome 0 Other 1 SPEC" Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: Gas piping system I - 5 outlets 15. 0 Q. Building sewer 15.00 Mobile Home S I G W III .0� 70 PERMIT FEE $ .5-'R PERMIT Filing Fee 20.00 —ELECTRICAL 800V OR LE:9 Main Service OA OR LE S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %�ith 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: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OV=NG OCCUP. OR ADONS. C. S. so. 3.50FT. N CONS MULTI -OUTLET NZAESIF C@7.50 POWER APPARATUS. SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTUAES 0 UFIXE D APPLNS OR Ex. Occup. L. El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.02�_ PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 diall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition orconstluction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. ES 1 0. FEES IMP I FLOOD I CDF PARCEL P6 HO This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I -n the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE -D. D.S.- B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT 'j, 064� , 270-011' PERMIT07�*2035 PELLD- Jeff 13901 Cluster'Ct., Mag.,�lia Reroof/SF 0/ fia /go Ir / 4v CV, 2.11 Ok �Daig COUNTY OF BUTTE -DEPARTMENT OF DbELOPMENT SERVICES -BUILDING Dff�pl& 7 County . Center Drive - Oroville.;/Cglifornia 95965 - Telephone (916) 538-75419', MIT NO. (Rev.12/96) APPLICATIO14 AND PERMIT PER_��- ASSESSOR PARCEL NUMBER 064-270-011 ZONIN g-1 BUILDfNGPERMIT OWNER JEFF PELLO TUR361 SO. Fr. OCC. BUILDING VALUATION 166 60 OWNERS MAIUNGe — CLUSTER COURT CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS I Total Valuation $ 960 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee IN $ ;Z5.-0()7— ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13903 CLUSTER CT. Energy Plan Checking Fee $ MAGALIA CA -77[r PERMIT FEE $ 00 LOT NO. SUBDIVISIONS NAME L MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13 Describe Work: REIPOOF COV Gas piping systerni 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F— *T��00,— PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 R Main Service '�.O.,v, oo R . S s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �iith 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: 6 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 100 -OA 46.00 NEW CONST. DW .%ING.00CUP. ADDNS. ACC LOS. S5, 3.50FT. _OR N CONST. MULTI -OUTLET 9:RESC. BRANCH CIRCUITS 97.50 OWELREAPUPA S 0 'NU FSING CR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1 .0 EIAL @ .50 UFi . OR Ex. Occup. E S I.= .) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier an� Policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 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 co5gly with those provisions. X 444 Date S — 77 at ire of Applicant - 14 Owner 0 Contractor 0 Agent U An OSHA permit 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 Cooling - Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. 'TYPE TOTALFEE$ 45.00 FEES IMP I FLOOD I COF PARCEL I po I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for wgich fees have PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (Dat-) Receii WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive - Oroville,-Cill �ia�95965 - Telephone (916) 538-75 9�1 --PERMIT NO (Rev. 12/96) APPLICATIGNAND PERMIT z ASSESSOR PARCEL NUMBER 064-270-011 ZONING R-1 BUILDfNG PERMIT OWNER JEFF PELLO TELEPHONE 873-6361 SQ. FT. OCC. BUILDING VALUATION 16@ 6n----- 960 OWNERS MAIUNGJDRESS 903 CLUSTER COURT CONTRACTORS NAME OWNER TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS I Fireplace Total Valuation Is 960 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ - 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 13903 CLUSTER CT. Energy Plan Checking Fee $ MAGALIA CA PERMIT FEE $ 45.9T LOT NO. SUBDIVISIONS NAME I PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other -EX Describe Work: RtROOF COMP Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 ( 50.0.V 00,R LE:9 Main Service . I.. ) . 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �4ith 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 it am exempt from the Contractors License Lqw for 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt.under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BUDS. SQ. 3.50FT. N ONST- ZULTI_OUT�U N9% -10E " TS S'. ANC , C 97.50 0 ER APPARATU PSIW E C SIR. .L OUT. Ex. Occup. OUTLET OR FocrURES 20 @ 1.00 BAL @ .50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certifica.te 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. 0 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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 com y with those provisions. /0 X 4�1114 __ Date S Vga Llrleof A lica I - Nr Owner 11 Contractor 0 Agent I_ A 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 $ occ CONST. TYPE TOTALFEE$ 45.00 FEES IMP FLOOD I CDF PARCEL I PD I 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 w ich fees have been paid. By= Date , _ 11/� - 7 PERMIT EXPIRES ON C_ / (Date) ReceiptNo. 224100 r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT U PERMIT NO. P38-,T,6B,P,E,M PERMIT EXPIRES -#711 OWNER Glen Moffat CONTR. Triple "S" Custom Homes, Paradise LOCATION (A.P. 64-27-11 80 Cluster Ct., lot 75, PP#15, Magalia Temp. Power Pole - 7 --Q Called PG&E Temp. Elec. Serv. Called PG&E Z642-14 6 Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) -76. 2=4C a- zl� -.k COUNTY OF BUTTE — DEPARTMENT OFPUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback JP Firewall Soil Piping Forms Parapets 14, 1st FloorT��-.,;�, Main Bldg. Restroom Flnls�s 2nd Floor Footings 5"-/,!!� Windows 3rd Floor Stemwa I I Siding Topout / <2 — -�_ a Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings ff-X4f5 Sternwall Garage Vents Insulation Water Htr. Heateq Slab Carport Footings Prov. for p� sicall handicappe.1 Conformance of ex. structun Appliances Gas Piping & Test Temp. Gas Slab Sanitation Patio -Final FIREPLACE Final :1 - "5 Footinqs Footing ELECTRICAL Masonry Walls Throat Roug Reinf. Steel Final Fixtures Bond Beam FIR�,SPRINKLERS Motors :"-N Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. '3 0 Scratch Heatina Service /X Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final -S 12y -A-1 - -7 7) 1 Final -z — 7 -7, 1-103 DATE REMARKS OR CORRECTIONS /0 (N TE: �An entry:�Ae made on this�®rm each ti ou visit the job site.) Fiber Glass Insulation BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation it3i nQ qhc)wn: R Values are determined in accordance WIM A�) I rV1 U-001 C11 ILI Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above recom- mendations to provide a value of R_using-bags of insula- tion to cover -square feet of area. Insulation Company N Company Name Date BATTS AD BLANKET R INSULATION VALUE THICKNESS Meets Federal R-22 61/2 Specification HHI-521E R-1 9 6" Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of / � in the ceiling, in the exterior walls in the floor or crawl ace CUSTOM HOME BUIL 8084 Skyway ph. 877-8871 2 ilder (Sign) Insutt, (1, 5g'n)P- 'tj TRIPLE "S" Gu3i,,,vI HJME 13ULID I Company Name duuff4�bpwayamevh. 877-8871 Paradise, Ga. 95969 - Date CSG 32 11 C 4820 CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19 CMWB I I ! I rFiber Glass Insulation BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation 1-1 11-1.— .. chnwn- R Values are determined in accoraance witil MI., Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above recom- mendations to provide a value of R -using -bags of insula- tion to cover_square feet of area. �n_sujation Contractor (Sign) COMP9*_N�arne Cumpany Narne Date BATTS AND BLANKET R INSULATION INSULATION VALUE THICKNESS R E THICKN SS ALU R-13 3 5/4'� meets Federal R-22 61/2 R_1 1 31/2 Specification HHI-521E R-19 6" *?r Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of /!� . in the ceiling, // Jn the exterior walls, // in the floor or crawl space perimeter. Insulation Contractor (Sign) G� 'Buill Ver tsign) I F --S,, CUSTOM HOME BUILI)EO Im gp 9084 (",Rtq, Npqpp 1511 -001 1 9094 ay Th. 877.8i7L! paradise, Ca. 95969 CSG -32-1 1 -C ^_ �% A I _. /1 .4 ,-575, CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19482 CMNB COUNTY OF BUTTE DEPANTMENT OF PUBLIC WORKS 7 County Center prive - Oroville, California 95965 Telepl.70ne: 53�-4541 W7 76 APPLICATION AND PERMIT 3A3 - F, �vva 0 L e UOUMY 01 outie tv uniur upun ihe above-mentioned prop rty for inspection purposes. "1,14 Date Signature of PermFtee or"Agent Receipt No. / I/ fl (I / I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont 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?1JBLIC WORKS By� Date2l/_�_ i ildinag opermit expires Date 7–/Y-77 I BUILDING 7FIF' fl-.# Owner EEP9- 7-' SQ. FT. OCC. BUILDING VALUATION —/3(oo Mailing Address y o U.— Telephone No. Fireplace Contractor GU47-OLin. Total Valuation Mai I i ng Address X Permit Fee P I an Checki ng Fee &/or Penal ty —Fermit / &4,4vj Ise, 7/. Fee Building Address C) Q 7- PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 1,:? t3 7, IqIiii�IS_ Each Trap 1 1.50 1,7,— Lf?4 Repair drainage or vent piping 1.50 �4 -Water piping 1.50 Each gas water heater or vent 1.50 A. No. L/ —;7, 7— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e—e s+ 110 FireDept. FireZone Use Permit Building sewer 5.00 EQA IParking �arcel Plans Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2. 0 Bldg. LI.,,Wec'd Parcel Appro tal Plans AAfroval Permit Fee NEW ADDITION UTILITIES OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR LETS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family pJ DuplexE] Mobil HomeE] Others E] OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADO'L. 100 AMP 1.00 NEW CONST. I DWELLING 0 OR A DNS. % ACC. BLDGSJk�%") .20sqft:3L--'y N EW C ON'STR. (MULTI -OUTLET, 12.50ea N.N-R ES . BRANCH CIRCU TS) N�W CON5TF;L -( POWER APPARATUS & NON . R ESID. %SINGLE OUTLET CIR. 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: -7A-z Ex. OCCUP(OUTLETS OR FIXTURES) PBOA @L @;T1C0 OCCUp. ( FIXED A LNS. OR ) - Ex. OUTLETSPP(RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 'g—/f Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ V 1$ _7_0 Tfr 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 [3;�plermit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating 9 - Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby n fk ; I TOTAL PERMIT FEE — r$t 77� F, �vva 0 L e UOUMY 01 outie tv uniur upun ihe above-mentioned prop rty for inspection purposes. "1,14 Date Signature of PermFtee or"Agent Receipt No. / I/ fl (I / I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont 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?1JBLIC WORKS By� Date2l/_�_ i ildinag opermit expires Date 7–/Y-77 I