HomeMy WebLinkAbout064-270-012-If - ,
_L7
61i-12
Owen Turley a,;�� 0
go Cluster Ct., lot 74, PP#15, Magal
contr: Fis�ci Bros., Paradisa
Permit #408l-77B,P,E,MteW single
f anlig)
64-27-12
13901 Cluster Ct, Magalia
ifiished
P
Permit#1783-85B,E(convert unfm- /471
as 7t'ql
[basement to lj,,�.iag area)SF W
064-270-012 02-144 INALE;Dl
BECKER, PETE & LORI
13901 CLUSTER CT., MAGAZIA
ND
OPEN 2 STORY DECK
1308-0�15 064-270-012.
MISCELLA:NEOUS LPG Tank (Abv.Gmd)
INSTALL PROPANE TANK(ABOVE G�
13901 CLUSTER CT
BE KER,PETER&LORI
BECr_ER
L
NEOUS
— i
rB08-0243 (�60WVJ_ 064-270-012
M
MISCELLANEOUS HVAC Change Out
H �IVAC CRANGE OUT
ST
go I LU
ER CL
,13901:CLUSTERCT
T
BECKER, PETER'& LORI
N
0641"2
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: PZZE TSr7X,4,'
ADDRESS: 13301 CLJJSTZa C�C.,
CITY Ft STATE:.d--4i--,,�',1r 1A 1�5954
DATE OF CLAIM: 5-13-m02
IMPORTANT. SEE INSTRUCTIONS ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
CL EaRW.( Ii? 'A 054-27J-0129 02-1448, X-0061?1� 353784.9
TOTAL AMOUNT PAID
212.95
TOTAL AMOUNT TO BE RETAINED
123.95
TOTAL AMOUNT TO BE REFUNDED
89.00
TOTAL 1
89.001
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed elivered, ,:an7this claim is true and
as stated.
Dated this 1.'� day of 20j2'?,at
"'Al 14- ORO 1/1 L-1, Calif.
Signature of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles eci ove have be n rfor ad or delivered and that t
Budget Appropriation ( I or Specific Board Approval (Check one) for the same.
Datedthis2Oth dayofJune 2002 at OROVILLE Cal 1
if. —7? partment Hiad or A,thorized Deputy
m t
D . ept. Code 0 10 0 Exp.Code 4617240 $43.00 PAYABLE IJROM f irel planning
Dept. Code -4-4-U-= Exp.Code 42iUbUU tor 4 6. UU— PAYABLE FROM CONSTRUCM17
DeptCode Exp.Code PAYABLE FROM
Appl Fees
PER—MITS
DO NOT WRITE BELOW THIS LINE - AUDITOWS USE ONLY
DEPT. & SUB. PRCJ. SUB. 08J. CLAIM NO. INV. NO. INV. DATE ENCUMB.
GROSS AMT.
FOR BUILDING DIVISION USE:
Receipt Information
Number: -
Date:
Issued To:, 23ee-k0c
Amount:
FeesRetained:
Processing Fee:
$
Bldg Filing Fee:
$
Plbg Filing Fee:
$
Elec Filing Fee:
$
Mech Filing Fee:
$
Energy P/C Fee:
$
Plan Check Fee:
$
Inspection Fee:
$
SRA Fee.
$
Total Amount Retained
$
I
C'o
TOTAL REFUND D UE
REFUND CLAIM APPLICATION
CLAIMANT'S NAME F -e I tt L:�,e(p i�e- (-
MAILING ADDRESS /,-� 67 0 / 0 106�r r (4. MA [1*6
ASSESSOR PARCEL* (3��-2,-zoznza
RECEIPT NUMBER(S) r)
Request a refund of fees paid on the above receipt number(s) for the following reasons:
Please refund any applicable fees in the following categories: (Check those categories
which you wish to have refunded.)
Building Permit Fees
SRA Fees (CDF Fire Planning)
Disposition of Plans:
( ) Plans returned to me at counter
( .) Sheriff Fees
( ) Urban Area Fees -
( ) Please mail plans to me at above address.
Please dispose of plans.
SIGNATURE
�-
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
PERMIT NO. 1783785B,E
PERMIT EXPIRES
OWNER OWEN TURLEY
CONTR.— owner
ASSESSOR PARCEL 64-V-12
LOCATION 13901 Cluster Ct, Maaalia
4
Temp. Power Pole
Called PG&E
Temp. Elec. Service
.t Called PG&E
Temp. Gas Service
CalledPG&E
A /A
A
i—
JOB FINALED (Date)
Signature
OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOM-ES
_C, 1%
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning R eq u i rements-Setbac ks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; L ocat i on- Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Stiirs-Rails
4. Wood Awn.; Posts-Seams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ P* Nat. or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -131 Date'
Card -BI
Date 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 -B] Date
POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Dist�nces-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc I osures- Pane lboards- Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -131 Date
Card -131
Date Card -Bl Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
1 4 1
0
a
%I = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (SingTe and Duplex)
* = Not Ready .1 .
Date
UNDERFLOOR (Plans) OK except#'s
Date FR
ontinued)
1. Zoning requireTLw�s-setbacks-Eas6ments\
48
erty Line Firewall & Openings
2.
Ftg., Mai&,Wils-Steel-Elec. Grnd.-' Ftg. Depth
49.-,�;.�Doors-Qne
3' -Check Garage -3rd story, 2 exits
3.
Ftg.,Q4Rge; Soils -Steel- Ftg. Depth
ise-Run- Land i ng- F ire Protection
.4-)Ftjg.flqWAhAADecks;
Soils -Steel- / /" Ftg. Depth
-&t--Tq-ywood
on Roof Overhang -Attic Vents -Rafter Outriggers
5. S YMain Steel-Blockouts Wrapped -Slab
I ing-Veneer
6U"�PlYs,
Gara e; Steel -Bloc kouts-Wrapped-S lab
reed-Fdn. Vents-UnderfIr. Access
k"iers-Fireplac,elFtg.-Steel
54.,Atlazing
Area -Glass Protect ion -Sky I ights-P last ic
8. D.W.V.: Fall-Fi tings-Test-2 way C/0 -Sewer Test
_55r-6iT0ar"Wffrr3-NMling-BoIts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
4r
Card -BI r=
Z A4
-Date 2fh*�A Card -BI Date
Card -131 I
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date F INA
Date Card -BI Date
6ffffap)-6Xecept #'s
Date
k
PLUM16\NG (Perm^ except #'s
5b;'_;*t-&eps-Door
& Sidelight Protection -Landings
5-Al"Smoke
Detector
14.
Wate\ Ht.; V)6nt-Access-Combustion Air
��urna�ce;
Vents -Clearance -Comb. Air -Connector -
ILAs-ra-g-U-Above�-94QoL-Ducts-Mech. Protection
15. Waterx ipV Test & Anchors -Nail Protection
16.
D.W. V. Vest- Fttngs & Anchors -Nail Protection
5VBedroom
Exiting
17.
Shower n; est, F rst loor-Tub Access
_s & Tub Access
18.
Test ub Shower, 2nd Floor -Tub Access
44,�-flec.
Trim & Subpaael; Breaker Sizes -Labels
19.
Gas ipe; S iiN Anchors
0(A _12��ai
fiZ(l 1--ffT,-37VMM-y-oi-6tove;
I s
Clearances -Hearth
14"
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
D6te Card -BI Date
6&�-TM
-Fixt. & Apellance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
5LECTRICAL
Date Card -BI Date
(Permit) OK except #'s
__6&_-E4ec-eDTre-rs-&
Receptacles at Kit. Counter
r4-7�,rage
a&.--A-C_U_uct
�ireD
Qpr; Swing -Landing -C loser
in Garage -Damper
90.
,Pl'xtu!,e- & Transformer Clearance -Ins. Protection
69.
�=�ag�
Wtr. Htr.; Vents -C leara nc e -C omb. Air-Connector-P.R.V.-
�=ve Floor-Mech. Protection
2K
Pc1c'. _Rec-eptacles Spacing -Lights & Switches at Doors
A*
Plb., Elec. & Mach. Equip. Listed for Location
2
Bq & No. of Conductors -Stapled
_22_-4ievtaTr6-n-
___1&--G"a;d_BaLL%_&j2eck
7acepta��Sge; (G.F.I.)-Romex Protec.
Foam- Looked in Attic [:] Yes
Construct ion -Post Caps
Installed Close to Edge of Studs & C.J.
uip. Ground made up w/Mech. Fasteners -Bond Gas & Water
-25. 2Vppliance Circuits in Kitchen & Conductor Size
26.
SUOVeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or Al
741-E99.
Vents-& CLawl-Wele Door -Drainage & Wood -Earth Clearan--
Looked under Floor El Yesl_�
27.
Rarke Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
InsuXated Neutral DYes ONo
75.
Following instld.: Djoyoo��,420?`es [:]No; Walks rYes No; -
Planters 0Yes_-fD-No_
�_-=own-Finish
28. Sery �e-Riser Conductors & Ground -Main Disconnect
29.
Equi� Clearances; Pane I s-Motors-Mec h. Equip.
_Z7
7e---7e_nts
A r. I lc���ct-Clrnces-Brkr. & Cond. Size -1 15V Outlet
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
30. Cloth!A Closet Light -Shower Light
ate ell; Disconnect, Electrical, Plumbing
Iv
89��6ar`Elec.
Trim; G.F.I. Receptacle -Underground
Card B -I
Dat%,L)P-,/--6 .) Card -BI Date
811WVsiftil0ion
throughout House
Card B -I'
Date Card -BI Date
8?VC
Ks Protection
Date
MECHANICAL (Permit) OK except #'s
8X-o'Correct
,,0
ions from Previous Inspections
8N
Gas Test -Meters Tagged; Gas -Electric
31AN,A.C.
Ducts; Insulation & Support
85.Nater
& Sewer Connected -C/O to Grade -HD Approval
32.
V%nt Fan; Exhaust above insulation
86.
n%g,,,y Compliance Certificate -Other Certificates
33.
Cokensate Drain & Overflow; Size & Grade
34, Furn)kce-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic NC, cess & latform if Furnace in Attic
Oil
Card -BI J�s
-.414p,
Vbate4j!j I 1)16� Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
FRAMMIG(Plans)
Date Card -BI Date
OK except #'s
Card -BI Date Card -BI Date
Comments at Final: A :_4j
36#rSjJ+6'
Proper Material & Anchors
a
37-��Is-,Studs-Nailing,
Spacing & Bracing -Plates -Sound
1A I h -0-0'-
3e
39'�Df.ATStop
40
god -ring Walls over Girders & Floor Nailing
in Walls (rat proof)
irg/8tops; Furred Ceilings -Stairs ases-Tub
�6
tAj
V44-11:
4
47 1 �..q
/ V. -
41:
kL6�ar & Beam -Size & Bearing
414
Zvi 114
42'��ngers-Post
Caps -A rs- nnectors
45'
44.
CIng. Joist-Rftr Ti .. klglff- Roof Brac. -Truss-Shthrip-13frip.
Fireplace Ties r Type eplace Throat
4!.77!�O�ss;
Si - tion -Draft Stop -Ins. Baffles
46k"Bdrm.
Windows or Exiting Doors -Sill Hgt. & Dimensions
__4Z_-evrMje--Fi�re
Protection Framing
(NOTE: An entry must be madeeach time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil ' le, Calif ` o1raia 95965 - Telephone 916/534-4541
J
APPLICATIONAND PERMIT
PERMIT NO.
ASSESSOR PAR,2;� BER
IN
ZONING
BUILDING PERMIT
OWNER k,-
�l
TELEPHONE
92W
SQ. FT. OCC. BUILDING VALUATIVIN
Arz
OWNE—R' MA IN D E! 413,17-7 V6
&C z�(_, tra��& 90;;�
CONTRACT-OR'S NAMEr----
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER(
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER's MAILING ADD SS
Permit Fee
$
ARCHITECT OR ENGINEER)
LICENSE NO.
Plan Checking Fee
'$
P_"&4!IL_
4 12 -
MAILING
ARCHITECT OR ENGINEER' ADDRESS
Permit fee
$ 15'1
BUILDING ADDRESS
PLUMBING PERMIT
F i I i ng Fee 10.00
Each Trap
2.00
Solar Water Heate?---
20.00
Water piping
5.00
LOT NO
SUBDIVISION N.AME
PPGas
PARCEL MAP
Each qas water heb< or vent
5.00
piping system I - Neutlets
5. 0
USE OF STRUCTURE
SF[A:' �DuplexR MobilehomeFl Other- - SPECIFY
Building sewer
5.00
Mobile Home ISI GkWJ
1 10.00 ea
I
I
TYPE OF WORK
NewEl AdditionF] Dqmodel E] Utilities [I Instal latiQn D other
Descr e work:. 6i:� 4
_Aa-e� RE ru
Permit Fee
$
'contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST, ( DWELLING 0
OR ACDNS. A W
CC, BLDGS. 5)
121/4sq ft 7_5_1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
[EJ- 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)
El 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 CON.5TR.(-ULTI-.UTLET1_ )
N.N.RES,., BRANCH CIRC ITS 12.50 ea
NEW CONSTR (POWER APPARATUS &I
NON-RESID. SINGLE OUTLET CIR. I
20@50t
Ex. Occup(OUTLETS OR FIXTURES IDALe3OC
FIXED APPLNS. OR I
Ex. OUTLETS (RESIC.) EA.1 2.00
-Occup.
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 37 -4 -5 -
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
T WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
E] 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-Inswe.
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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in cons ing of this permit.
!!Avgace of the ran
t Date
Signature of Applicant 0 w n e, Z-';�C. n 1, . %f'o-r J Agent [Ir
An OSHA permit is renired for excavations over 5'0" deep and demolition or construct-
ion of structures a ver stories in height.
Mobi"ome lnstallati_qn Fee $
4
—
TOTAL PfeMIT FE�E ' $
occuP. GROUP
I TYPE OF CONST.
JPARCEL[771
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF UBLIC
By� 4 —L-9
- - - - -
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—Date -e
Receipt NO. -3 7q
WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
r
-t�
v,
TO: Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNER LOCATION
AP #
I
Plans approved for: Sewage D i sposal_ Water Supply
Hold final for: Water Supply
Final Clearance O.K. for: Water Supply
Clearance -for �4 bedroommobffe hom
e.
Cl raRce for a��n of
ARI
DATE
A
COUNTY OF BUTTE DEPARTMENT'i OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEc. !3AI_I.FQRNIA 95965 TELEPHONE' 916/b'4-4541
PERMIT APPLICAT
jON DATA SHEET
Permit No.
e-- -27- f
'OWNER A. P. No.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
,i 0,her ( xplain)
Building Inspector Date
e I/V k
At time of pe'rmit application, I was advised the following data must be submitted prior to permit processing
and:/ori suance: DATE RECEIVED. APPROVED
1��, S
1. All items have been submitted . . . . . . . . . . . .
2- Plot plans in duplicate./triplicate . . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calts . . . . . . . . . .
5. Plans with Energy Design -Compliance Statement . . . . . .
6. State Energy Forms No. --
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: — (B) Parking:.
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to owner
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome installation Data. . . . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy o - f Agricultural Acknowledgment Statement.
Other
ou issue the permit, process as follows: --Mai!/t'91 owner. -
Telephone and hold for pickup -office
Other
Applicant
Mail to contractor.
—Deliver w/inspector.
Date
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking proce-s-s, —the fol -1 -owing data must -be submitt-e-d' prior to permit issuance;
(For required items not checked above at time of application, circle item.)
1. Index permit for above items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other
By Date
Plans checked by nnt
Plans approved by Date 7
Other: Xbm!. D&OA/940- A &.ow Am -0- '*'W A c, A4r_.,dTx-_n , eVj1,'_
Copy—DPW
PERMIT NO. 4081-77B,P,E,M
PERMIT EXPIRES
Owen Turley
'OWNER
CONTR. Fiscl Bros., Paradise
LOCATION (A.P. 64-27-12
90 Cluster Ct., lot 74, PP#15, Magalia
Temp. Power Pole/ 0 - Ll -.-7 -7
Called PG&E /6 -/ T-7) W-�
Temp. Elec. Serv.-
Called PG&E
Temp. Gas Serv.
/ Called PG&E
VFONAj B
L
ED
(Date)
(Signature)
11
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION R�CORD
BUILDING
BUILDING (Cont'd)
Subpanels
PLUMBING�-
Setback 4V -
Firewall
Soil Piping
Heating
Forms
Parapets
1st Floor
Temp. Poie
Main Bldg.
Restroom Finish
2nd Floor
'Interior th
Footings
Windows
3rd Floor
Final
Sternwal I
Siding
Topout
Elec. Pedestal
Slab
Roof Sheathino
WaterPiping
S2ME INSTALLATION --------------
Piers
Rooting
Sewer
Drainage
Garage
Fdn. Vents
Fixtures
Footings J6
Stemwa I I
Garage vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p� sically
handicappe.1
Conformance of ex. /
structure
Appliances
Gas Piping
Temp. Gas
& Test I
Slab
Final
Sanitation
Patio
FIREPLACE'
Final
Footinqs
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
P-1,1LI, /V/)
Reint. Steel
Final
Fixtures
IT/
Bond Beam
FIRE SPRINKLERS
Motors
k"
Framinq 4, 1 -�14 '71 P,
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Poie
Finish
Ducts T&*2L.
Underground /I
'Interior th
Ventilation F
Permanent
Door C11 ser
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
S2ME INSTALLATION --------------
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
0A
;frWt^- / - I M
10, �,?7
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTYOFBkJTTE — DEPARTMENT OF PUBLIC WORKS
7 County Centif Drive Orovi Ile,.California 95965
Telephone: �3�4541
APPLICATION AND PERMIT
d
7
U Ui VOCHLOtives 01 Lile kOUIILY U! t5ulle io enier upon the
ab��e-lr�eunit7iopnled pro erty for inspection purposes.
X . a.= Datef—//— -7 7
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor —'Pink -Inspector — Goldenrod-Appli cant
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� 'd
P%i a.
DIRECTOF PU LIC WORKS
a t e -3 7 -7
111 Ina Dermit ex0ires Date -3 7
Iding permit expires Date
BUILDING V1
Owner C)w C TU 0- L_
SQ. FT. OCC. BUILDING VALUATION
(2
Mai I ing Address
Telephone No.
Fireplace
Contractor e)VL () _S,
Total Valu4�� :;r)d ;1, -f a
Mai I ing Address A 0, Y-7
Permit Fee
Plan Checking Fee &/orPenalty
PAC 1A 10 6-
Telephone No
7 1
ermit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
90 t - Ct. C
Each Trap 1.50
7
Repair drainage or vent piping 1.50
t4 C, I r9- Zoninq Verificaflon, Only
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �Z. �n
Gas piping system 1 - 5 outlets 1.50
—
Each additional outlet .30
Fev,+
ion
FireDept.1
FireZone I Use Pe'rmit
Building sewer 5.00
EQA
IPark7757-D"
Plans
Plarcel '
I ec aration
Parcel Map
60' R/W
I Improvemts
Lawn sprinkler system 2.00
Bldg. R.Wnls Rec'd
Parce�;�pprovol
I ciA-50pprovol
Permit Fee $
NEW ADDITION UTILITIES OTHER
ELECTRICAL No.1 @ FEE
0"
, e�
PERMIT FILING FEE -1 $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family Duplex Mobil Home Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADDIL 100 AMP 1.00
NEW CONST. Orq44
DDN I DWELLING
OR A S. %ACC.BLDG 20 sq ft
NE CONST R. (MULTI -OUTLET
NO W 2.50ea
N - R E S I BRANCH CIRCUITS)
N�w C-ONSTF;L (POWER APPARATUS&,'
NON-RESID. 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:
Ex. Occup(OUTLETS OR FIXTURES) rBOA @ 25 0
L @ 10a
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No_a? Classification��—
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ E- 9 Z-gs
WORKMEN'S COMPENSATION INSUR ' AN ' CE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
Yfo W rkmen's Compensation. I
, have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
FJ I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner *
so as to become subject to the Workmen's Compensation Laws of
California.
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 S ; tate Laws relating to building construction, and hereby
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00 1
Heating 12- Q,
Cooling -7
Ventilation �) -L - G
Hood 2.00 c,:I,
Permit Fee $
Oteu-
$
c�
TOTAL PERMIT FEE
$ YS
U Ui VOCHLOtives 01 Lile kOUIILY U! t5ulle io enier upon the
ab��e-lr�eunit7iopnled pro erty for inspection purposes.
X . a.= Datef—//— -7 7
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor —'Pink -Inspector — Goldenrod-Appli cant
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� 'd
P%i a.
DIRECTOF PU LIC WORKS
a t e -3 7 -7
111 Ina Dermit ex0ires Date -3 7
Iding permit expires Date
THIS It TO CERTI'FY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIORS.
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STiTE OF CAbFORNIA. IN THE BUILDING LOCATED AT:
9(1 Cluster Ct Tz—lzj--d��
Street Lot Number Iract No.
EXTE RIOR WALLS glass
Manufacturer i - M Thickness/Type3-, " f iber .— R Value
CEILINGS
Batts: Manufacturer Thickness R Value
a --cturerAnf6r—i--,q a rcd---T-h-1ck-n-e:-ss-5 No. a
Sq. Ft. Covered 669 R Value 19
FLOORS Fi berg SS
Manufacturer J—M Thickness/Type 3 1"Yalue
SLAB ON GRADE
Manufacturer Thickness/Type R Value -
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thi ckness/Type R Value_�__
GMENONTRACT911 Fisci Brna., Inc. LICENSE NUMBER 246069
oft
1-0� TITLE,::�"' DATE A?
INSU ONTRAq)bRDdQHQLS N INSULATIO LICENSE NUMBER___21 �Afil
TITLE Owner DATE 2/78
P- V I C
OWNER
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, - &t MISC. ONLY) 11 /11-1 0/ tl -�7
Bldg. Permit #
A.P. #
A.
r.—Zoning requirements (sideyards and parking).
#�.—Valuation.
3. Signature"by R.C.E. or Architect (if required).
B. PLOT PLAN
]�_--Complete parcel size and dimensions.
Zt.__Setbai_-kq, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
U'_'Complete to sc ' ale plan with dimensions.
Z-- Required windows for light and ventilation (Sec. 1405).
9 -.—Required windows for second exit (Sec. 1404).
Jr --Allowable glazing for energy requirements (20% max. per State law).'
Z:,- Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
'C_—Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
9n—Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
IZ--Garage firewall, door size, and closer (Sec. 503(dj(4)).
14----1 - VV exterior exit -door (Sec. 3303d).
152—s. Fireplace location.
14 -."Smoke -detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Af,.— Fou.ndation plan complete enough to construct building.
<2—' F,,Iioo construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to' construct building.
C5.1".Fireplace construction details and calcs if over one-story in height.
4—.' Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
4-w---CCX plywood on exposed locations and overhangs.
CL, -Stairway details (Sec. 3305).
!!�_Guardrail details (Sec. 1716).
4. Brick or stone veneer (Chapter 30).
5. Exterior plaster --weep screeds (See. 4706 & 4708).
&,,Prop'er roof pitch for roof covering (Chapter 32).
21_�_,Raiter ties or bearing ridge,beam.
4t_ddrage door or porch header sizes.
4�-_Adequate bracing.
10. Living area over garage - complete 1 --!hour separation
walls and posts, etc *
11. Two (2) exits on three-story dwellings (Sec. 3302).,
building.
(State law).
required including supporting
NOTES RESIDENTIAL
PERMIT No 064-270-012 02-1448
BECKER, PETE & LOR1
13901 CLUSTER CT., MAGALIA
ND
OPEN 2 STORY DECK
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
jj
SUB -STANDARD HOUSING LETTER
INALE
JOB FINALED (Date)
Signature
V = OK
1 .
0 = Not CK
2.
- = Not Applicable MOBILE HOMES
* = Not Ready
Gas; MH Test -Demand -Valve -Connector
Date
MOBILE HOME UTILITIES (Plans) OK except #is
5.
1. Zoning Requiremenis-Setbacks-Easements
6.
2. Soils; Special MH Support Sketch
7.
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ ' /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ - /'Nat. or/ /"L"ft./ PLPG
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 #is
1 .
Zoning Require ments-Setbacks- Easements
2.
Footings; S ize-Spaci ng- 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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cerl. of Occupancy
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVE52,��ORTS GARAGES (Plans) OK except #is
4ellzonin equirements-Setbacks-Easemenis
a:f�_0�0111 Soils -S ize- Depth- Spaci ng -Connectors- Steel
af!n- ks; Girders and/or Joists -Decking -Bracing -Stairs- Rails
4. Wood Awn.; Posts- Bea ms- Rftrs. -Con necto rs
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; S i lls-Anchors- Studs- Rftrs -Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date -7 7 7IT11
d-B4P Date Card B-1
=
'Date
Card Er -1 /" Date Card B-1
Date
FINAL (Plans) OK except If's
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability 9
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosure s- Pan elboards- Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date CardB-1
Date
Card B-1 Date Card B -I
/= OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single & Duplex)
I-
Date
FRAMING (Permit) OK except It's
Underfloor (Plans) OK except #'s
Sits Proper Materials & Anchors
1.
Zoning- elbacks - Easements- Flood -Slope
42.
,Q0'Ftg.,
Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Draft Stop in Walls (rat proof)
3.
5.
6.
Ftg., Garage; So:ls-Steel-Elec. Grnd.-/ /" Ftg. Depth
V Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Sternwalls, Main; Steel- Blockouts-Wrapped
Sternwalls, Garage; Steel- Blockouts-Wrapped
45.
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers;
9.
D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
57.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Glazing Area -Glass Protection-Skyli g hts- Plastic
11.
Water Pipe; Test -Anchors- Reg u lato r- Service Test
60.
12.
Electric Underground
Insulation -Walls -Ceilings
13.
Plenums & Ducts; Clearance-Material-Supporl- Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
74.
Garage Fire Door; Swing- Landing -C losure
te
75.
Card B-1 Date Card B-1
Date
76.
Card B-1 Date Card B-1
Date
77.
PLUMBING (Permit) OK except If's
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
83.
Stucco Brown -Finish
Date
84.
Card B-1 Date Card B-1
Date
85.
Card B-1 Date Card B-1
Date
86.
ELECTRICAL (Permit) OK except If's
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subieed Wire Size I ga. Cu or A-A.C. Wire Size / / ga Cu or At
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
Date
32.
33.
Equip. Clearances Panels- M olors- Mech. Equip.
Clothes Closet Light -Shower Light -Spa Light
Date
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except It's
40.
Sits Proper Materials & Anchors
41.
Walls Sluds-Nailing Spacing & Braces- Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Bea -ns -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rtir. Ties- Purlin- Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance ' -
49.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width- Headroom- Rise- Run- Land ing- Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers;
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underilr. Access
58.
Glazing Area -Glass Protection-Skyli g hts- Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace InIerior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except ff's
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance- Comb, Air -Connector -
In Garage; Above Floor- D ucts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing- Landing -C losure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P.R. V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
1 nsulation- Foam- Looked in Attic
80.
Guard Rails & Deck Construction- Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instid./Drive :1 Yes :1 No/Walks :1 Yes D NQtPlanters Yes No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
-iz
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street 9 Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
Ud
OWNER PERMIT No.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
).above ad&ess--arsd should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
'X 14a It Y Eaet
Date Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California -95965 * Telephone (530) 538-754
(Rev.12/96) APP . LICATION AND PERMIT
ASSESSOR PARCEL Mldgf�ER
ZONING
BUILDINGPERMIT
OWNER
BECKEPR, PE71E & LORI
TELEPHONE
873-0438
SO. FT. OCC. BUILDING VALUATION
508 11956-00
OWNER'S MAILING ADDRESS
13901 CLUSTER CT., W.C-ALIA, Ck 95954 _[�_E�NE
CONTRACTORS NAME
01ITNTP111,
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $ 3,556. 0
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $63.00
ARCHITECT OR ENGINEERS MoMUNG ADDRESS
Plan Checking Fee $40.95
BUILDING ADDRESS
13901 CLUSTER Cr . P VIAG,"11A
Energy Plan Checking Fee $
$
PERMIT FEE $191_q5
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.JOO
USEOFSTRUCTURE
SF,f] 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 13 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: OPEN 2ND STURY DEC[,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '..*A RR .srs,
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
h I Ilow ing reason:
t To
�w-'or a,eowner 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. BLDS.
,so.
3 *FT.
NEW CONST.
NON-RESID. MULT.10.U.TLU.
@7.50
OWE.RAPPARATU
P.IN. CSI R.
Ex. Occup. OUTLET OR FIXTURES
j
20 g 1.00
BAL @ .50
.�T-LE. APP - ORA
Ex. Occup. ETS (RMJ E
5.00
Temporary Service
23.00
Mobile Home Facilifies
20.00
Misc. Wiring
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
3700 of the Labor Code, for the performance of worktorwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
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 I and agree that if I should become subject to the
aws 91,Galifornia,
worka,W compeUsodn provisions of section 3700 of the Labor Code, I shall
fo rt ions.
te XlY162—
'�tgrifiture of Appfica-nt-- 0 Owner 0 Contractor 0 Agent'
An OSHA permit is required—fo—r 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
TOTAL FEE $
Z
HAZ.
�L
I D. FEES �MPX
FEES
FLOOD
OD
CDF
I =�
p__
y",
PD
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 DWe
ERMIT EXPIRES ON (0/ /A
kDW,,,ill
3537S4
ReceiptNo. ;123.95
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-1541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWN . ER: �.ASSESSCIR PARCEL NUMBER 6 70 —0/ c�
a(�,kp Counter Technician: Q7�
Proposed Building Use: Date:
Items required in order to apply for a P& it. All boxes MUST be checked OR marked NA in order to apply.
1. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
10 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
[11 5. Energy complianc� design and supporting documentation in duplicate.
0 6. Manufactured 'homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
0 T Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. i
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. T".ipermit will be
indexed and returned to the plan review line-up when required items are received.
Y Date Received By
TIt
0 8.- Jood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9 * tPlot plan and business license approval from the City of Biggs ....................................
0 10.1 Letter of iq9t for non-residential buildings ................................
0 1-4� Detached,,Ac.,cessor
yBuilding Form filled out by the owner .....................................
0 12. Hazardous Mateii7a'l torm ...............................................................................
0 13. Other ....
Remaining items needed to issue.the permit. (May' require additional plan review upon receipt of the following items.)
14 Fees as shown on the attached Schedule of Fees Due Sheet .......................................
'11 5 Statement of Intent for Non -heated arid'�JC Buildings ................................. e. (/; ..... —1&4,- a -
Sanitation and plot plan approval from the Environmental Health Depa 1 e t
in
0 17- City of Chico Plumbing permit ................... ...... . . .....
... . ...........
Aa18i" California Department of Forestry plan approval Zpaid. Sen ...... —.-
I IC
0 19. Planningap Q a C�
.ploval for (A) Use: r-!5 J<,- (B)Parking: r 4cl
0 26. Contact tafid Devel'6mentl&ut 0 Improvements, 0 Drainage ...............................
0 2i. Encroachmeni Permit for driveWr)rfroeihe Public Works Dept. (construction approval prior tJ'bccupanc*�).
0 22. Pre -Inspection for fequired ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and- Po I icy' -N umber ......
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization ....................................................................
0 27. Recorded copy of AgrTicultural Acknowledgment Statement ....................................
0 28. Manufactured home utility clearance ..............................................................
0 29. Existing violations and/or expired permits .........................................................
0. 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 31. Other:
When issued Telephone and hold for pickup.
I have been nd requirements for obtaining a bZuil;din permit.
Applicant: Date: a Z_
P�5
1. Index permit application for the"above items numbered: an heck Letter
d
2. Additional item� re"quire A�-4,( P &_
Contractor, designe'r', ow"ner, was advised of the above data by 0 phone, 0 mail 0 counte I by Date:
Contractor, desigifier, owner,was advised of the abov7datapy 0 phone, 0 rri�aol 0 counter, by Date-
, 4 -Z-- P ans approved by: '
Plans reviewed by: Date: j?) 0 1 Date:
Structural reviewed by: Date: Structural approved by: Date: Y J
Note transfer by: Date: I.-
YellowBuilding Division
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E.H. USE ONLY
Plot Plan Attached '"p
Flo Plan A d
'o'
S ,.8.0 7"�
an,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I -Ic
'te-(-kef- C. V-)UGV-�n o� C-1 e r- 0611- 2 -2
O;Ier J Location AP#
Plan Approved for: Sewage D*
_kl!Eosal Water Supply: Pub Private Well
Clearance for dwelling.(bther-"�, D2�C r
Hold final for:
Final clearance O.K. for:
NOTE:
Env
8/96
Health Saecialist
Date
I - ONVNER-BUILDER VERIFICATION I
Anentioa Property Owner:
An "owner-buildee building permit bas been applied for in your name and bearing your signam
Please- complete and return this information at your earliest opportunity to avoid i 1 1 eq essmy &day
in processing and issuing your building permit. No building permit will be issued unffi this
verification is received.
personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES q NO 0
I HAVE W HAW NOT E3 signed an application for a building permit for the proposed WO&
3. 1 have contracted with the following person (fum) to provide the proposed nstruedon:
NAINME:
"��DRES&
P ot
HOt
4. 1 plan to pro�vide�ns
supervise, and provide the
NALNEE:
ADDRESS:
P H 0 NNE:
5. 1 will provide some of the
the workindicated:
NAME
CONTRACTOR'S LICENSE N
of this work, but I have hired
,tafor work: -1-1
CITY:
CTOR'S LICEN$E NO.
ut I have contracted (hired) the fo
ADDRESS PHONE
SIGNED:
PROPERTYOWNER:s;'�2
SOCIAL SECURITY NULM13ER:
141
DATE:77P X A16'ZI
.74 M M = - �
persons to provide
TYPE OX WORK
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of AW
California Health and Safety Code. This verification must be -compleW md
returned to our office before we are permitted to issue the permit
OVER
OWNE R BUILDER INFORMATION
Dear Property 0--tr:
An application for a building permit has been submitted in your name listing yourself as the builder of p - roperty
improvements specified.
For your protection. you should be aware tha as -owner-builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally perfom9ag dicir
own work. If your work is being performed by someone other than yourself, you may protect yourself Erom possible
liability if chat person applies for the proper pern-dt in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a busi
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
if ou plan to do your own work, with the exception of various trades that you plan to subcorinct, you should
y
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 (including materials
=P
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
rnm ts as an ar
+ f f you are an employer, you must register with the State and Federal Gove en . employer and you e
subject to several obligations including'state and federal income = withholding, federal social security taxes,
z 0
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 specift information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if'you wish, the U.S. Small Business Administration). For more specific information about your obligations under
Scare Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
if the mcnze 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
perrnit� 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 abcuE licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Screei� 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.
0
I rely,
C. Vidira, C
4 B.O.
Inspec,
!�Nt i c r1gzerC,iVuii1diZnz Inspection
NO TE: Th is 0 w n er- B u ilde r Info rm a tio a is " qu ir e d by Se cdo n 19 83 0 of th e Ca fifo rn 14 Hea 11h an d SafaY CO&
OVER
Environmentai iieaiih-
u I;, t -f IV V JUN - 5 2007
P6
70P VIEWS Chico, CA o 0
OOTO� \
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Ift
A -!T 7
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ftl- L
II)e po ST. A Nr-"C,(Ls
it -
y 6 -A
%/6'joiSTO/J /6 urrl�g-6
APPrOW-0
AheL4 s- 9' Buffe Coun!y
Environmantal Huai!h
A Date
,61YI3 71-A) I--
V 4
14-." I&O'ce, -Ore- Ile
3L)
v 16'
5�j 00,5r
6''0" APPr'CT
roc�(N 6-s
G ",/ 16 " Y, 19 " 0 �.7 p -
,I
A
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6.+N,
s; 14,s, q qj�
uT,�l
RIO
ci c R )—C, -
H 0 Us E-
Fluir') TH6
G.AJ -T)4t
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70-
-LAO -ANO
W ATH
10
Fdu7N Oftr)oru 6r� P� v
po WAJ
-t IF 0 -To
6 RK
;tlg LE066f�
AfTlicki6o TO
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L4 4 IQ clfs (Z s
RiTn6wv TO
1- 6 OIG -Co,
ElUTTE COUNTY
BUILD'ING DEPARTMENT
APPROVED
v
7(6
.Joj,5j—ftrT(�CtiSD TO L606�A LPIT)-t D.?(6
j
A)( g
TO '510fwAL41,
51,06W(4tK, THICK
CONC
M
BUTTE COUNTY
BUILDING DEPARTMEN!
APPROVED.
I
j-4
O*AW
6*STRUCTURES AND EQUIPMENT INCLUDING
HANGS SHALL BE CLEAR OF ALL EASEMENTS.
A -9ET. BACK OF Fr. FROM THE SIDE AND
64+r. FROM THE REAR P. ROPERTY LINES AND
FT. FROM THE ROAD CENTERLINE 8
HALL BE
A;R F STRUCTURES AN
D. EQUIPMENT EXCEPT
A 2 EAVE OVE
RHANG.
IM 11,
VA
Itc-
A.
01
O"f
APPROVED
Butte County
Environmentd Health
Alp -
D c -A 1 -3
420 dW ature
n xi'C
04170 Z4d/
JUN 5 2007
ChICO, CA
A
It
G DEPARM W
AP. \RO�ED
z
".0/ 'Atp A/
cm q