HomeMy WebLinkAbout064-280-01564-28-15beq SchmidtMagaliaPermit #3330-76B,P, (rEw sin le
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`064-28-0-015 94-2913 B6271 Brevard Circle, Magalialw do
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��064-28�0-015 94
MILLER, Nancy'
6271 Bievar'd,-Citcle, Magalia
,,,(woodburning-s.tove)SF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-q§�W PERMIT NO.
_�c
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 0"—mm] 5
ZONING
BUILDING PERMIT
OWNER MANCY MILLER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
6271 BREVAMI CIPM E M 05/
-A C -A 1 .1 A Oq 4
CONTRACTOR'S NAME TLEPIiONE
CONTRACTOR'S MAILING ADDRESS
I
Fireplace "A 51M. 00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee s 35.00
ARCHITECT OR ENGINEER
1,10"
LICENSE NO.
1 i
Plan Checking Fee $
—
ARCHITECT OR ENGINEER'S MArLitrG_A*0_0RESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
16271 9-ROAVAT C
PERMIT FEE $ s.r). oo
-TR=
M-AGALIA
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
1
PARCEL MAP
1
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF39 Duplex C3 Mobilehome 0 Other f
SPECIFY It
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
'" I
New El Addition CI Remodel 0 Utilities Q Installation Q Other a
DescribeWork: WIMIDISTOVE
P$
PERMIT FEE
Contractor —
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( '" OR LESS
200A 0 LESS 23.00
Main Service ( 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. & ACC. B DS. 3.5 0 sF T(.
NEW 1AULTI-OUTLET
...N.=.T. I BRANCH CIRCUITS @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (checklone)
1:1 1 am a licensed under provisions of Chapter 9, Division 3 of the 134siness and
Professions Code and my license is in full force and effect. I
License No. Cla'isification
16 1, as the owner, or my employees with wages as their sole compen on, 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 contractors. (Sec 7044)
* I am exempt under Sec. Business and Professions Code
forthis reason
POWER APPARATUS
& SINGLE OUTLET CIR.
L-Ex.'Occup. (.OUTLET OR FIXTURES 20 @ 1.00
BAL. 9 .50 1
_X D AP R
Ex. Occup, ( OUTLEE XIG.10E
r TS I A. 5.00
Jernporary Service 23.00
Mobile Home Falicilities 20.00
Misc. Wiring 23.00
I
WORKER' ' S,COMPENSATION INSURANCE
1 declare under penalty of perjury (check one)�
CI This permit is for $ 100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE'- $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
—
Hood 6.50
Ventilation
t PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above information i's correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of thc-g!anting of this permit.
X �Z- �- -,,e L ce_- Date/,&,/ 'vv -
Signature of Applicant7,a Owner 0 Contractor U Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 55. 00
HAZ.
1 0. FEES
IMP ]
FLOOD
I CDr
PA�7
I HD
I ISS
This permit is hereby issued under the applicable pro,6isiolns
of the Butte County Code and/or Resolutions to do work
0
indi li
cated�arove for which fees have been paid.
. ('414� i r, I
y V_ J / /AVD ate
PERMIT EXPIRES ON lo h� Iq s—
Qa�te)
ReceiptNo 170449
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO52185
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 08/15/2005 APN: 064-280-015-000
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.
Site Address: 6271 BREVARD CIR MAG
License Class: 9)-Cp- MD License.Number: (93q20
Date: 5�15�n Contractor: (2 VIV\C (h �-
Map Index:
Description: CHANGE OUT GROUND MOUNT HVAC
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any Qity or county which requires a
Owner: SHETTLESWORTH NORMA* ETAL
permit to construct. alter, improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
6271 BREVARD CIR
the Contractor's State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
El 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: ARTIC AIRE OF CHICO INC
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements aie not intended or offered for
2350 PARK AVENUE
sale. If however, the building or improvements are sold within one
CHICO, CA 95928
year of completion. the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
530-895-3330
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: ARTIC AIRE OF CHICO INC
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
2350 PARK AVENUE
C3 I am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95928
530-895-3330
Date: Owner:
License #: 234913
WORKERS' COMPENSATION DECLARATION
I 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
. La . bor Code, for the performance of the work for which this permit
Architect:
s issued.
have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:(Irp Grper�(',ac, 7rakrCince-cn,
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
0 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply w those provisions
iTc
��/ � t) ) tl�
Date:
A / I
Applicant:_
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
interest, and attorney's fees.
code,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is; herebj,ikssud�id under the applicable provisions of the Butte Cou�ty Code a d/or
to' in C,
Resolutions ted above for which fees have been paid. <�
1 5
performance of the work for which this permit is issued (Sec 3097 Civ.)
I �
i Date:
Name:
PERMIT EXPIRES N:
Address:
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
C3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project.
13 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
� any o icia 0
all county and state laws relating to building construction. I acknowledge it is unlawful to alter thet,substancp f ffi , If r document of Butte County. I hereby
", c on purp
authorize representatives of Butte County to enter upon the above mentioned property for I pe es. r
'1�) Signature:
Print Name: V\CIYY�\ 10 —7 \ElL y IN
k C)5 -
Date:
2-AAgent for Contractor
0 owner 0 Contractor Q Agent for Owner
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQ UIRED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
_AWLLGANT SIGNATURE
I ml 0, — LMAK LA Re,
For office use only: '
OWNER
Last Name 15�\e e
C�i ')oy4\ ri, 77rif Mn
Address (-o@-1
0�
Cill mo'ac� �-k
I No
I State
Z:l
I Pq
Phone,,._'-�",'-2 —,N
f
-)7
1 lax
E-mail
_AWLLGANT SIGNATURE
I ml 0, — LMAK LA Re,
For office use only: '
CONTRACTOR
Name
(I'% *
Addres
(I ve
c�� cc�
I No
Staten L-\
Z:l
I Pq
Phone,M_?
q5 '�3,p
lax,
� W) _qq
E-mail
Lic. #
AL;�41113
ass
W1 el r)
_AWLLGANT SIGNATURE
I ml 0, — LMAK LA Re,
For office use only: '
ARCHITECTIENGINEER
Name
(I'% *
Address
(I ve
city
I No
state
Zip
Phone
-
Fax
E-mail
State License Number
_AWLLGANT SIGNATURE
I ml 0, — LMAK LA Re,
For office use only: '
APPLICANTNAME
Name
(I'% *
Address
(I ve
city
I No
State CA
7jpq59p8._
Phone
t 4-)
L
-
Fax
2 - q 93D
E-mail
V'r'y'r�e.
_AWLLGANT SIGNATURE
I ml 0, — LMAK LA Re,
For office use only: '
Zoning
AP#
Flood Zone
Property Address
(DQ21
SRA
I Yes
I No
Occ.
Type Const
Subdivision Name Map
Book
I Page
Policy Numb
K!5cc-�LwI5-'�'ao
IDate Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP
BIN #
Description or Scop f
e 0
(AnM
Sq. FootAge
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
yew after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Receipt #-
i -I
q-,oq
Date.
Amount E) '�> --� Bldg
SRA
--Sheriff
SMIP
----Other
—Total
LOCATION
AP#
Property Address
(DQ21
city
MaAaU('�
Cross Street
\j
WORKER'S COMPENSATION
Policy Numb
K!5cc-�LwI5-'�'ao
PCarder
m
CLmeiiean
'ArGUxanc.e, Cn.
I if ri g
f hiring anyone other than license contractors, a certificate of worke s
c compe s
ompensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scop f
e 0
(AnM
Sq. FootAge
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
yew after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Receipt #-
i -I
q-,oq
Date.
Amount E) '�> --� Bldg
SRA
--Sheriff
SMIP
----Other
—Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
forapermit. INCOMPLETE SUBMITTALS WILL NOTBE ACCEPTED. ALLPLANSMUSTBE
LEGIBLE AND 17V INK.
Residential, New, Remodels, Additions, and Accessory Structures:
0
1 -
3 Site Plans, signed by the preparer. NO GR,4PHpApER1
0
2.
3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI
0 3.
OR
3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
Letter from Engineer or Architect for truss design review.
1:1 5.
calculations.
o
3.
2 Engineered truss details and layouts (if required) (7VO FAY�ESI).
0
4.
Letter from Engineer or Architect for truss design review.
o
5.
2 Energy compliance design and supporting documentation. (7Vote: Not require4for additions to,
Letter of intent.
1:1 10.
mobile or modular homes.)
o
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
o
7.
Detached Accessory Building Form, filled out by the property owner (if required).
o
8.
Sanitation and site plan approval from the Environmental Health Department.
11
9.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be si@Mped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
11
1 .
3 Site Plans, signed by the preparer. NO GRAPHPAPERI
Ei
2.
2 Data sheets and installation instruction manual.
0 3. 2 Marriage line information.
o 4. 2 Floor plans.
0 5. 2 Engineered Tie Downs or Foundation'plans.
0 6. Sanitation and site plan approval from the Environmental Health Department.
o 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
0 1 .
4 Site Plans, signed by the preparer. NO GR,4PHPApER1
0 2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
0 3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
1:1 4.
Letter from Engineer or Architect for truss design review.
1:1 5.
2 Energy compliance design and supporting documentation (if required).
o 6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
o 7.
Statement of Intent for Non -heated and A/C (if required).
o 8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamRed and wet -signed by the engineer.
0 9.
Letter of intent.
1:1 10.
Hazardous Material Form.
0 11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
:AFORMSWILDING F0RMS\B1dgApp1SubRqmtS.d0C Page 2 of 2 REV 6-16-04
NANCY MILLER
6271 BREVARD CIRCLE
MAGALIA, CA 95954
ULVAK I FVItN I Ur LOLVrLurmcim i zocnv nczp
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
9/28/95
RE: Building Permit # 94-2913
Expiration Date: 10/20/95
A. P. # 064-280-015
BEAUT%'
With reference, to the above subject, our records indicate that your
building permit expires on the above date and your permit f alls into the
category marked below:
IX I Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit *' fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have. any questions concerning
this matter, please contact the OROVILLE of f ice.
Thank you for your prompt attention concerning this matter.
Yours very truly,
x�
Micbfael C.' Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico office - 1469 Humboldt Rd/891-2751
Paradise office - 747 Elliott Rd/872-6307
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, C-31 ifornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATIbN AND PERMIT W-,,,29/3
ASSESSOR PARCEL NUMBER 064-980-015
ZONING
BUILDING PERMIT
OWNER N-A-NCY MT1 I RR
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 6271 ERVIARD CIRG-1 R M 4
UGALI 0-,a54
CONTRACTOR'S NAME
TE1 NE
CON TRACTORS MAILING ADDRESS
I I
Fireplace I "A" 1,500.00
CONSTRUCTION LENDER
N
N
Total Valuation $
N QE
LENDEWS MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ENE
ARCHITECT OR ENGINEER'S MAI ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
6271 BREVARD GIRGLE
�WMLIA
PERMIT FEE$
99 -nn
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME _T�7A�AP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFXX Duplex 0 Mobilehome Q Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New Q Addition 0 Remodel Q Utilities 0 Installation Q Other EX
DescribeWork:_ WOODSTOVE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service III OR LESS I
200A OR LESS 1
23.00
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
3.50 FT'.'
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
C3 I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No, Classification
1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR. 1
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. P .50
Ex. Occup. O==.,O�R
A.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $ 100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
("Ishall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
—
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entet 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 exp.enses which may in any way accrue against said
County in consequence of the.gonting of this permit.
X &Ld / (:>< 11Z, I,
) A.If I - Date OC -1—
SiFgnature of Apl5licantf Ow-ner Q C�ntractor 1:1 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE I
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP
I FJ.00D
I CDF
PARCEL I PD
HD
ISS
This permit is hereby issued under the applicable provisioIns
Butte County Code and/or Resol tions to do work
indi e f oAh e es'/h v paid.
By. te
PERMIT EXPIRES ON 119 ��o
Vate)
ReceiptNo. 170449
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY -OF BUfTE
DpR entA Development Services
I Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no)
2. 1 (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 Contractor's License No.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. 1 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:
Prop(
Socia
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
I I Health and Safety Code.
This verification must be completed and.retumed to our office before we are permitted to issue the
permit. -
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916),538-7541
APPLICAT, ON AND PERMIT
PERMIT NO.
ZONING
',,"",BUILDING'PERMIT,.*:,-71�ly-.
z TELEPHONE
-r7 e, /0 r
-SO. Fr. OCC, T-: :A� 4!.7!',k'BUILDING.VALUATION T"
1TeA us
C_
V
re a 541
vt
CONTRACTOR'SNAME
4f2 z)
TELEPHONE
7i
CONTRACTOR'S MAILING ADDRESS
Fireplace
CoNsTr LENDER
7 M -e__
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
- Permit Fee
ARCHITE9T 911 04GINEER
AA9 n P
LICENSE NO.
– Plan Checking Fee $
ARCHITECT OR ENGINEIEWS MAILING ADDRESS
—Energy Plan Checking Fee $
Penalty $
BUILDING ADDRZ Acre Vo re� r(2- I (I
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
L 6-f
Solar or heat pump water heater 23.00
LOT NO.
SURDIVISION'S NAME
I
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SIX Duplex 0 Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W
TYPE OF WORK
Now 0 Addition 0 Remodel 0 Utilities El I tallation Q Other
DescribeWork:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
LESS
Main Service ( 6DOv OR ESS
200A OR L 23.00
Main Service ( 200A TO I OOOA 46.00
NEW CONST. DWELLING OCCUP.
3.,, so'
OR ADONS. & ACC. OLDS. FT.
.NEW.CONST. R MULTI -OUTLET
NON-RESID. RANCH CIRCUITS @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
UcenseNo. Classification
0 1. as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for safe. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
0 This permit is for $ 100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 Ishall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
POWER APPARATUS
SINGI E OUTLET CIR. I
Ex. Occup. ( OUTLET OR FIXTURES 20 @ I �00
AL. 0 50
Ex. Occup. ( UFITX.ED AP OR
rS =S
5.00 1
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - Q Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CO"ST. TYPE
I
TOTAL FEE $
[This
I
AZ.
1 0. FEES
I PAP
I FLOOD
I COr
I PARC;7r7Tf;7
permit is hereby issued under the applic,ible provisions
of the Butte County Code and/or Resolutior 9 to do work
indicated above for which fees have been paiti.
By —Date -
PERMIT EXPIRES ON (Date)
0
ERecetN - J �6 �7_1*,9
WHIT i� 0
E -D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLILCANT ]
JPERMIT NO. 3330-76B,P,E M
PERMIT EXPIRES 4/2
OWNER Leo Schmidt
'CONTR. TriRle "S" Custom Homes,
Paradise
LOCATION (A.p. 64-28-15
185 Brevard Cir., lot 121, PP#15,
Magalia
Temp. Po er Pole
- Call PG&E. -7 1,
Temp. lec. Serv.
C ied PG& -E
Tem Gas Serv.
Iled PG&E
INAL ED
(Date) J
(Signodre)
0
Stucco Final Subpanels I - z
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service 'I J I J -
Brown Cooling Temp. Pole -?— �2
Finish 'Ducts ��--3c> Underground
Interior Lath, - lot /,/ 4 1 Yentilation . Permanent,
Door CloserVW'/// �*-/ 7,/ Final it Itp. Cl\- I Final r 7 1 ci
DATE REMARKS OR CORRECTIONS
41� A4,qe���
3DV/
V le4
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BJyILDINq (qo%l�d)
PLUMBING
Setback
-0'
Firewall
Soil Piping
Forms
Parapets
Ist Floor
Main Blig.
Restroom Finish 46a -------
2nd Floor
Footings
_2 /64,-L,/
Windows
3rd Floor
Stemwal I
Siding
Topout
JP --12- (9 —7-67
Slab
Roof Sheathing K�-
Water Piping
Piers
Roofing Wgz,/7�:7'?
Sewer
Garage
Fdn. Vents
Fixtures (W
Footings
Sternwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Foot i n:Ls
4
Prov. for p sically
7
ndlcappe�
-Uo-nformance of ex. 19:.�
AA�1,1 structure
Applian es
Gas Piping
Temp. Gas
//,I'
& Y;st
--------------
Slab
-J
Final
Sanitation
Patio
I FIFfkPLACE
Final
0 C.
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou -gh
Reinf. Steel
Final
Fixtures
Bond Beam
FIRF qPRINKLFAq
Stucco Final Subpanels I - z
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service 'I J I J -
Brown Cooling Temp. Pole -?— �2
Finish 'Ducts ��--3c> Underground
Interior Lath, - lot /,/ 4 1 Yentilation . Permanent,
Door CloserVW'/// �*-/ 7,/ Final it Itp. Cl\- I Final r 7 1 ci
DATE REMARKS OR CORRECTIONS
41� A4,qe���
3DV/
V le4
(NOTE: An entry must be made on this form each time you visit the job site.)
Fiber'Glass Ipsulation
BUILDERS INSULATION STATEMENT
13LOWN INSULATION
Manufacturer's minimum thickness to provide the level of insulation
raciatant-a 1R) values as shown:
R Values are determined in accordance'with ASTIVI (;-Wf ano u-z,3o.
Conforms to Federal Specification HHI-1030A.
I
This Insulation has been Installed'in conformance with the ab!!i�_Wom-
mendations to provide a value of A—,using 9 of insula-
jton-to-zox9r —square feet of area.
insulation Contractor (Slgn�—' --------___.Builder (Sign)
Company Name
AND BLANKET Date
R
INSULATION
R
INSULATION
VALUE
THICKNESS
VALUE
THICKNESS
R-22
61/2
13
R-1 9
6"
R-11
A 3 1/2
Meets Federal
Specification HHI-521E
Fiber glass batts or rolls have tleen installed in accordance with the
manufacturer's recommendation �,:) provide an R -Value of Z 17 .- in the
ceiling, // in the exterior wz I 11s, —//in the floor or crawl space
perimeter.
Ansulation Contractor (3ign) MRIPLE "S" VURV16ME BUILCIM
—4W4
Company Name C46,Wnftn—&h-�-m
PAVIA , ta
;,7
CSG -32-1 1 -C Date
1*11 ) R-jr 13A e 04 AD e,18, MAr-1414 42 e*,
19482
CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. . mums
7
COUNTY OF,BUTTE D-EXARTMENT OF PUBLIC WORK!
7 Cbunty Cente . r brive —��i Ile, Cal i torn i a 95965
Telephone: 534,4541
APPLICATION AND PERMIT
. J , "" �
19 -1,318 0
author ze Fepiesentatives uI inu Uuuniy oi Butie io.enter upon the
above_'�entioned property for inspection purposes.
X Date el<_Ix__�_�
Signature of Permitee or Agent
Receipt No. 14-1 L-9(1- 81 1
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 pai
DIRECTOROFP B ICWORKS
By �—� I— Zd,-
13�g'permit exZpires Date
BUILDINGf
Owner Zc-0 Sc,�4v"
SQ. FT. Occ. BUILDING VALUATION
L
-/-s
Mailing Address
V -�, 1<7
Telephone No.
Fireplace 7S(3,
Contractor S 'T-0 0 1_�,
_/ W_ i n Ce V�q 1.
Total Valuation
Mailing Address - � P V.
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee' $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
CI t1t_
Each Trap Sr 1.50
Repair drainage or vent piping 1.50
Water piping 1.510
fit
Each gas water heater or vent .50
A. P. No. s—
Zoning& PI anning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fet�
W -e 16�ant
o
F i re Dept-
i re Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel o:n
I Plans I Declarati
P:arcel Map
I 60, R/W
I Impro,.@Kents
Lawn sprinkler system
Bldg. PIA5-1(ec'd I
Parcel Approval V I
Plansil�pproval
Permit Fee $ 7 J
NEW
ADDITION UTILITIESE] OTHER
ELECTRICAL No.1 @ . FEE
PERMIT FILING FEE $3.00 3—
main service 101V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADDIL 100 AMP 2.50
Single Family
Duplex 0 Mobil Home OthersEl
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADC -L 100 AMP 1.00
NEW CONST. ( OWE.LBLILNGGO -5J L
OR ADONS. ACC 0 sf 20sqft.
NEW CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
Nt-W.CON,STR (POWER APPARATUS.&)
NON RES D. 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:
25'�
Ex. OCCUP(OUTLETS OR FIXTURES) rOAL
(FIXED A P PLN S. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 917,:!;— Classification k15
Misc. Wiring 6.25
I am exempt f rorn the contractors L i cerise Laws of the State of Cal i torn i a.
Permit Fee $
137 15a
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.
E] I have placed on file with,the County of Butte a certificate of
Workmen's Compensation Insurance.
13certify that in the performance of the work for which. this
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.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
TOTAL PERMIT FEE
author ze Fepiesentatives uI inu Uuuniy oi Butie io.enter upon the
above_'�entioned property for inspection purposes.
X Date el<_Ix__�_�
Signature of Permitee or Agent
Receipt No. 14-1 L-9(1- 81 1
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 pai
DIRECTOROFP B ICWORKS
By �—� I— Zd,-
13�g'permit exZpires Date
V
COUNTYOFBUTTE *--DEPARTMENT OF PUBLIC WORKS
7 County Center Drive `-- or(wille, California 95965
Telephqne: 534-�4541 _16W
APPLICATION AND PERMIT A
�11�
-
BUILDING iti
Owner S� C, -fj (0 7"
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 'Teirce 'IS"
Total Valuation
Mai I i ng Address IR ilS f
Permit Fee
P I an Checki ng Fee &/or Penal ty
�J
TS �N
Permit Fee
Building Address 13/LLA.)," L,-)
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
1, z T— Dfo ALI jr
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. xe s-
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F elts�
W. e.
a i
Fi re Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
1 --Parcel
Declaration
-1
. - 4a
I' rce
EP �( Lp -
60' R/W
I
I Improv7ents
Lawn sprinkler system 2.00
B I d 9. .124-dIT's—IR e c'd
L---,P..I Approval
Plod.&, 4pproval
Permit Fee $
$
NEW ADDITION IV UTILITIES OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
610V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
rkmr
Single Family Duplex Mobi I Home Others
Main service IIER 600V
100 AMP OR LESS 25.00
Main service EA. ADC'L 100 AMP 1.00
NEW CONST. f'-6—WELLILNG OC CUP. 20sq f t
OR ADDNS. ACC. B DG S.
NEW CONSTR. (MULTI- UTLET
N N,RI-_aI§D BRANCO CIRCUITS) 2.50ea
2E _� _
R W Z�3N R. POWER AP PARATUS.&,'
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
s Of:
i4t_ e-*—
fr-
Ex. Occup(OUTLETS OR FIXTURESI 50 @ 25C
BAL GO 10g
(FIXED APPLINIS OR
Ex. Occup. OUTLETS (RESI*D.) EA) 2.00
—Temporary
service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1 have placed on file -with the County of Butte a certificate of
Workmen's Compensation Insurance.
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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating —
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 S : tate Laws rel : a ting to building construction, and hereby
TOTAL PERMIT FEE is
y L11.
above-mentioned property for ins ection purposes.
X — Date
- Signature of Permitee or Agent
Receipt Nolvo/ 7�
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 paid.
DIRECTOR O�F LIC WORKS
By DateS--t 2 - 7 4,
,4::� �P _( 2
Building permit expires Date
Zb 00 Sal, -
20'_
1,2
&ARA6E
13 3 -700 11
V
Dffcx The Mw, Sefl3ack shall 6e 5 ff. Eg(-EPr WASLE
ihe, side prop w+y line and 50 AD �ACEMT TIO A
fk
e cenferline of f he
road, permi,fing P.U.r--.
lil 4- 0 maximum ca 2 ff. ecive c'verhang.
5 LOPE 207&
OV
G4 0 EL Q T PL AN
SCALE 20
L j��T-. L2 1 17 '15
(:2 zol?�U- E �+�A E UN
)OARADISE )MINES-
39- 44
ffUTTE'COUN1'Y
'NJILDING DEPARTKNT S' FOA
AM+ MOS. L
�O 5CHMIDT
REVARD CIRCLE
APDYROVL.u. AA Ae- A A # A
IR C.Lg
0 �IM&14EVARQ
& War
manship Be in
Accotclance with Recognized
od Pracfleas and
0 d 0
6f a, qualify prescri6ed for iht
U
SP, '9'e d uto ir O.e
r
M Uniform Building, Plumbing &
nn
e c
a6an. I Codes nd
d
.)On. a
an' C
Sr'O U rra
the National Electrical Cocle�,_
CO ^PA.
(0-00
\M.
0
I L IT
This set of plans .ewQ-- 6iout-1 1; -T bt
I b
Q
on the job at all tirT
and it is unW I to
Uni 'a, to
maO�tny changes or al
a rnf. +
io s 0 _ wi.1,
tions on same witi. -i
Q
writte� permisson from (S b
p6 t of P, li'_
Depwtment of Publit
Worki, \C6vnty of Bufto�r_
Zb 00 Sal, -
20'_
1,2
&ARA6E
13 3 -700 11
V
Dffcx The Mw, Sefl3ack shall 6e 5 ff. Eg(-EPr WASLE
ihe, side prop w+y line and 50 AD �ACEMT TIO A
fk
e cenferline of f he
road, permi,fing P.U.r--.
lil 4- 0 maximum ca 2 ff. ecive c'verhang.
5 LOPE 207&
OV
G4 0 EL Q T PL AN
SCALE 20
L j��T-. L2 1 17 '15
(:2 zol?�U- E �+�A E UN
)OARADISE )MINES-
39- 44
ffUTTE'COUN1'Y
'NJILDING DEPARTKNT S' FOA
AM+ MOS. L
�O 5CHMIDT
REVARD CIRCLE
APDYROVL.u. AA Ae- A A # A
SFC TION
,EXISTING BLDG. -
33 -30-76
BUTTF: COUI+T.Y
BUIDIN G DUARTMENT
A"PPROVED
GARAaE-3. CL-
vy
ILI
AJ
P4A.A-f
PIERS tlwpkl�e
Jsr
scogic
r-
�,Awue
43
SFC TION
,EXISTING BLDG. -
33 -30-76
BUTTF: COUI+T.Y
BUIDIN G DUARTMENT
A"PPROVED
PERMIT NO. 3514-82B
P&MIT EXPIRES
OWNER LEO SCHMIDT
CONTR. William Goeckritz Paradise
ASSE . SSOR PARCEL 64-28-15
LOCATION 6271 Bravard Circle, Magalia
Temp. Power Pole
Called PG&E
f Temp. Elec. Service
k Called PG&E
I' Temp. Gas Service
CalledPG&E A0,
JOB FINALED (Date)
Signature
OK
0 = Not OK
- = NotApplicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS'
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, r CARPORTS, ETC. (Plans) OK except #'s
oning__Bequirements-Setbacks-Easements
2. Soils; Special MH Support -Sketch
0 tings: Size-Dep(h-Spacing-Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Locat i on- Test- Easement Needed (Sketch)
3 e5 , irders and/or Joists-Decking-Bracing-Stairs-Ra'ils
40.r'�nnrl Awn - Posts-Beams-Rftrs.-Connec.-Shthg.7Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Qecal-Enclosures
6. Gas; Locatiort.-Test-Wrap: Nat. or/ L
6. Carports; Windows -Doors
7. Utility Clearance
I ec.
Card -BI
Date Card - B I Date
Card -BI
6g5�Date BI Date
Card -131
Date Card -BI Date
Card -131
)W -.Date !��ard-Bl Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (PI i�) 09 exce�pt #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Ljne
.2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure: Steel -Connections -Thickness -Dead Men-Enm�___
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test- Regu lator-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
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc I osu-res- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -61 Date
Card -BI
Date Card -131 Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -Bl Date
V = CK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Sin
, gle,.,pnd Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning req u ire ments-Setbac ks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One X -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / / Ftg.Depth
50.
Stairs; Width -Headroom -R ise-Run-�andi ng -F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /*' Ftg. Depth
51.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
_-5.
Sternwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
____7.
Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
55.
Glazing Area -Glass Protect i on-Skyl i ghts-P last ic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Sery ice Test
11.
12.
Electric; Uriderground-
Plenums & Ducts; C learance-Materi at -Support- Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -61
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect ion- Land i ngs
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
15. Water Pipe; Test & An6hors-Nail Protection
57.
Smoke Detector
58.
Furnace; Vent s -C I earance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
DXV.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -Bl
Date Card -Bl Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swing -Land i ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
23.
Size.Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
1 nsu lat ion- Foam- Looked in Attic (-] Yes
73.
Guard Rails & Deck Construct ion -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size I / ga. Cu or AI-A.C. Wire Size ga. Cu or Al .
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
___
27.
28.
liange Circ. ga. Cu or At- en Circ. ga. Cu or At,
Insulated Neutral L,Yes D1 No
Service -Riser Conductors & Ground -Main Disconnect
75.
76.
Following instid.: Drive F1 Yes No; Walks El Yes [] No;
Planters 0 Yes E3 No
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
-
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I
Date Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI __
Caird -EH
D - a - te ____ Card -B ' I Date
Date Card -BI Date
Card -Bl
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -Bl
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
37.
38.
39.
_10.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing-Piates-Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_FLire Stops; Furred Ceiiings-Stairs-Chases-Tub
41.
42.
43.
44.
45.
46.
47.
Head er & Beam -Size & Bearing
Hangers -Post Caps-Anchors-unnectors
CIng. Joist-Rfir. Ties-15urlin- Roof -6-rac. -Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: -Size &-Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
16q
Ma -m -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMLT NO
Cr—
ASSESSOR PARCEL, N BER
(a q - 2- �? - I S
ZONING
Lle
BUILDING PERMIT
OWNER L -6-n SL_
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
C-ONTRACTOR' AIL A RESS C -Y/,7
J Llsw H#64u4-
Fireplace
CONSTRUCTION LENDER
!� L_,;,
UNKNOW14
I
Total Valuation is
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
A=
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
P
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF)KDuplexM MobilehomeF-1 Other
SPECIFY
Building sewer
5.00
Mobile Home ISI GJWJ
I 110-00e
TYPE OF WORK
NewD Addition [:1 R emode I Uti I ities 0 InstallationD Other k;q
Describework:
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 OCCUR.&)
OR ADONS. ACC.BLDGS.
21/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
f
and Profess' hRd d m license is in full force and e fect.
License No4 W_�M_ q_ Classification /0 —_
El 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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business- and Professions Code
for this reason
NEW CONSTR( M UL"_OUTLET
NON-RESID. NBRANC. CIRCUITS) 2.50 ea
NEW.CONSTR. (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex. OCCLIP(OUTLETS OR FIXTURES 1'3A'L'@5300tq!
FIXED APPLNS OR
Ex Occup. OUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc Wiring J 1 15.00
V,
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
1 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-lns�ure.
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 th.e.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
Ventilation
2-, k9i!p
Permit Fee
apt'- —
s (z -
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.
41also agree t save,, indemni and keep harmless the County of Butte against
al es judgments, c s, ai%d expeples which may in any way accrue
a g st_- i ty
g�aii rist-sai d ounty "ie uence of the ant ng 0 this per t
D te 1g;*1,
Signature of A�plicant - 0 wnerE] Contractor ' Agent
An OSHA permit is renired for excavations over 5 0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. C;ROUP
I TYPE OF CONST.
P7W7
I H D
T.his permit is hereby issued under
Ins of the Butte County Code and/or
work indicated above for which
IRFEC�T 0 PUBLIC
By
RMIT EXPIRES Date _.4,W
the applicable provi-
resolutions to do
fees have been paid.
WORKS
na t /2/zsr/g-�
a_ej—
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, GalIlfornima�65965 - Telephone 916/534-4541
APPLIQATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CON
,4,T 0 R E ELEPHONE
.(V '��;eK-,R 1 2--;-, q 17
CONTRACTOR'S MAIL ADDRESS Ifs
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 72
Filing ee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Z61 -
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER's MAIrG ADDRESS
Permit fee
$
BUILDING ADDRESS &7--71 SIZ1911 19 R. Zi C(P
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20-00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
A0 /,5--
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF 'R DuplexFJ MobilehomeF� Other SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
:e
4411E0.00ea
TYPE OF WORK
New F Addition 1-1 Re del Utilities [:1 InstallationEl Oth r
Describe work:.' 4trnl� lzo!�A� ;�A2
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 OCCUP.&)
OR ADDNS. ACC. BLDGS.
2'/20sqft
CONTRACTORS LICENSE LAW
I de lar nder penalty of perjury (check one):
71 am licensed under provisions of Chapt. 9, Div. 3 of the busfiness
and Professions Cc,19, and y license is in ful rce and e fect.
L i cense No._, 9 C91-37 Classification 4
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 CONSTIRL(MUATI-CUTRLET
N ..RES'D, R Nr 2.50 ea
0 _ :: C , lTsL__
NEW_CONSTF;L (POWER APPARATUS &)
NON RESID. SINGLE OUTLET CIR.
20@500
Ex. Occup(OUTLETS OR FIXTURES ISAL9300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00
I emporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15-00
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
F� 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-lns�ure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count n cons nce of e granting of this permit.
X Ah III, . e
-a- on W-1- MMEM" a t
Signature of Applicant Owner [-] V
.a$r..tor Agent 1:1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
Iz—
I
P17L
PD
V HDA
��X
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for wh' h
DIR OR 0 BLIC
By. It
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO.
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT