HomeMy WebLinkAbout064-280-016NOTES RESIDENTIAL _ j�p
bW e44d wlojlo'u��d 6 V_' a PERMIT NO. 064-280-016 02-1668
m- MICHAELS, SEAN
bA? 7. BREVARD CIRCLE, MAGALIA
NEW SINGLE FAMILY -MASTER #97-31
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PER -MIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS
Meter B
ELECT
Mete
JOB FINALED (Date)
Signature 6-6
ol
0
CHECKED
BY
V= OK
0 = Not CK
- = Ndt Applicable
* = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Ws
Footings; Size- Spacing -Marriage Line
1 .
Zoning Requireme nts-Setbacks- Easements
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Soils; Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector
3.
Sewer; Location -Test -Fall -C/0 -Concrete
7.
4.
Water; Location -Test- Easement Needed (Sketch)
Gas and Electricity Tagged
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
10.
6.
Gas; Location -Test -Wrap;-/ L 'ft.
/'Nat. or /"L"ft./ PLPG
7. Well Clearance & Discohnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1 .
Zoning Requirements -Setbacks- Easements
2.
Footings; Size- Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Reg ulator-C on nector
7.
Water and Sewer Connected -C/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. 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, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size- Depth -Spacing-Con necto rs-Steel
3.
Decks; Girders and/or Joists- Decki ng- Bracing- Stairs- Rails
4.
Wood Awn.; Posts- Beams- Rft rs. -Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns-Connections-Splice-Dbcal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
C
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
'Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1
. Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Dislance-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 Card B-1
Date
Card B-1 Date Card B-1
C
V= OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single & Duplex)
Date Underfloor (Plans) OK except #'s I Date
gMain; Soils-Elec. Gw&d-�/J'W�tg. Depth
L' -Pr
C-Irt-9,Ga age; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth
Z-1let'911.1-rches & Decks; Soils-Sleel-/ P Ftg. Depth
ter
p,Walls, Main; Steel-Blockouts-Wrapped
L16ternw�Ills, Garage; S teel- Blockouts-Wrapped
&a-11—oLd- Downs and Special Anchors
&O�DX. V., Fall- Filting-Test-2 Way C/0 -Sewer Test
1 " ��s Pipe; Size Anchors - Yard Gas Piping; Size Test
Pje!�5�er Pipe; Test-Ancho rs- Reg ulato r -Service Test
��Eiectric Underground
(13) Pipums &Ducts; Clearance -Material -Support- Ins.
'%�16,Xr�q�Sills-Anchor Bolts-Joists-Vents-Crippies
tle�X'C—s S & Ventilation
jZnsulation
Date Card B-1 Date Card B-1
Date Card B -i Date Card B-1
Date BING (Permit) OK except #'s
!!19ter Htr.; Vent -Access -Combustion Air Baffle
101"Water Pipe; Test & Anchor -Nail Protection
09 D.W.V./l�ittings&Anchor-NailProlection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
Wl-e-s Pipe; Sixe & Anchors
Date
Card B-1 Dale Card B-1
Date
Card B-1 Date Card B-1
Date
E�WRICAL (Permit) OK except #'s
&-fi!!!�re
& Transformer Clearance -Ins. Protection
&'�Eilec.
Receptacles Spacing -Lights & Switches at Doors
bfllk:�oxes
& No. of Conductors Stapled
A-"Flqrnex
Installed Close to Edge of Studs & C.J.
IQ6�-
Ground made up w/Mech Fasteners -Bond Gas & Water
aXAppiiance
circuits in Kitchen & Conductor Size GFI
29.
Subteed Wire Size / ga. Cu or AJ-A.C. Wire Size / / ga Cu or A]
30.
Range Circle/ ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral El Yes 0 No
3 lelle–rvice-
Riser Conductors & Ground Main Disconnect
3
qyip. Clearances Panels -Motors -Mach. Equip.
If 3j!!!�ILthes
Closet Light -Shower Light -Spa Light
I 3e–smoke
Detector
T
Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) CK except #'s
p9_A5ra-ss Er.�.t6n
34,�A�'C-ucts Insulation & Support
9&---15'rrec�'�—s
W`17ejj�n, Exhaust above insulation
91. Ga
. Copde�nsate Drain & Overflow, Size & Grade
9 . at
3A --'-Fu r�Ace- Vent Access -Comb. Air -Return Air Vent 115 outlet
W�<nerg�
49�ttic Access & Platform if Furnace in Atlic
.A
RAe<ddress Posted
Date
Date Card
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
_,f-RWMING (Permit) OK except #'s
Allr'Sit%.�oper Materials & Anchors
4*--`Wqj1<uds-NaiIing Spacing & Braces- Plates -Sound -
e i g Walls over Girders & Floor Nailing
La-�"to p in Walls (rat proof)
44"FirpAdops, Furred Cei lings- Stairs- Chase rs-Tubs
4 A-q-04pnriprq 8 Beams -Size & Bearing
FRAMING (Continued)
rs-Post Caps -Anchors -Connectors
Joist-Rttr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng.
We Ties or Type A Flue -Fireplace Throat Clearance
ccess; Size & Romex Protection- Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Ht. & D' %ns
9 Fire Protection Framing
ly Line Firewall & Openings
oors-One X -Check Garage 3rd Story, 2 Exits
Width-Headroo m- Rise- R un- Landina- Fire Protection
4KPjyw6'od on Roof Overhang -Attic Vents -Rafter OutriggeFS
Veneer
(WrStupp,Mesh-Drip Screed -Fd. Vents-Underfir. Access
Walls; Nailing -Bolts
Interior/Exterior Wall Panels
Dat Card B- 1 Date Card B-1
Da(e 44W62:fard B-1 Date Card B-1
Date _fJ4AL (Olans) OK except #'s
4�,�xt. _Steps -Door & Sidelight Protection -Landings
61.51M-01��etector
6-Flu5nace Vents -clearance- Comb, Air -Connector -
In Gwage; Above Floor- D ucts-Mech. Protection
&,,15'eWom Exiting
Ofe'G.��.Bath Fixtures & Tub Access -Spa
a.,64,Trim & Subpanei, Breaker Sizes & Labels
14P,'FiLe4a6ce or Stove, Clearance -Hearth
Elec. Qdlets at Wood Panel, Int. & Ext.
7&K<_Fwr-& Appliance; Ground -Air Gap -Cooking Clearance
7j,-frecQfjtIets & Receptacles at Kit. Counter
7A�.�araaa-fire Door: Swina-Landina-Closure
7Xo-97C. Dvat-in Garage -Damper
7j,,%N116Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in GWffj-e; Above Floor-Mech. Protection
& Mech. Equip. Listed for Location
e . eceptacles in Garage (F.F.I.)-Romex Protection
nsulaffo'n-Foam-Looked in Attic
&.'d-uajd,<aiIs & Deck Co nstruction- Post Caps
0_,,4n. VBents & Crawl Hole Door Drainage & Wood -Earth
Cleanj� Looked under Floor Q Yes
8.?. inglast1d./Drive :1 Yes :1 NoMalks :� Yes �] No/Planters 0 Yes :1 No
Q,r,,oVentg,ATo-ve
Roof, Plbg-Appliance-Fireplace-Clearance to Openings
at4pYrell,
Disconnect, Electrical, Plumbing
xtepdrElec.
Trim, G.F.I. Receptacle -U nderg round
entil i
Throughout House
p9_A5ra-ss Er.�.t6n
9&---15'rrec�'�—s
from Previous Inspections
91. Ga
-MqWrs Tagged, Gas -Electric
9 . at
Seywer Connected -C/O to Grade -HD Approval
W�<nerg�
ompliance Certificate -Other Certificates
.A
RAe<ddress Posted
Date
Date Card
Date Card B-1
Date Card B-1 1'.
Date Card B-1
Date Card B-1 01
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center -'Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER
NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and 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-r�- *WAj4lF".%,
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA * (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
(ChM
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
tmhave any questions pertaining to this matter, or need additional explanation,
immediately. d -'/
(h 11 myl*-t/ OL Poo ve
n�K' m6iq -ffir ble;l
r , 14
eKD
d d1bf
Date Inspector
REV 10/92
I
COUNTY'OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Streete Chico, CA - (530) 891-2751
7 County Center Drive - Orqville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and 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.
REV 10/92
-Iqq
1�1
;i'z . �;"
COUNTY OF BUTTE
Oroville, Calffornia
GENERAL CLAIM
CLAIMANT:
ADDRESS:
CITY ft STATE: 9 C/--) 51
DATE OF CLAIM: Zzj-?� /0 --z—
IMPORTANT. SEE INSTRUCTfONS ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
F—DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT.
CIERTCAL ERROR, OVFRC14AR F. ( AP # 064-280-016, RP # 02-1669,
RECEIPT # 354131, dated 6-24-02, OWNER: SEAN MICHAELS.)
TOTAL AMOUINT PAID
1,717.K
TOTAL AMOUNT RETAINED
1,550.
85
TOTAL REFUND DUE
167..00
TOTAL
167100
1, the undersigned, declare under penalty of.perjury that the services or articles claimed have been performed or delivered, and that this is true and
as stated.
-7� 0 V)
Dated this day of 20—g at C) Calif.
Signature of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles speci ab ve ave en performed or delivered and that t
Budget Appropriation or Specific Board Approval (Check one) for the same.
Dated this 10th da of J111Y 200?at OROVILLE ___, Calif.
y
Department Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM
Dept. Code Exp.Code PAYABLE FROM
Dept Code Exp.Code PAYABLE FROM
construction permits
DO NOT WRITE BELOW THIS UNE - AUDMORS USE ONLY
DEPT. ft SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV.DATE
ENCUMB. GROSS AMT.
FOR BUILDING DIVISION USE:
Receipt Information:
V
Number: (15 -1131
Date. -
Issued To:
Amount:
Fees Retained:
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
TOTAL REFUND DUE
CLAIMANT'S NAME
MAILING ADDRESS
ASSESSOR PARCEL #:
RECEIPT NUMBER(S)
Request a refund otrfeq,,
REFUND CLAIM APPILICATI
,!9 6 (-/- �? 0VU/1 — e� / ("ty
id 2,nthe 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 Sheriff Fees
SRA Fees (CDF Fire Planning) Urban Area Fees
Disposition of Plans, -
Plans returned to me at counter
Please mail plans to me at above address.
Please dispose of plans.
S111ATUR
��3AT �E7 ZI r/ 40
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS ON
COUNTY OF BUTTE I
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 PERI& N
(Rev.12/96) APPLICATION AND PERMIT 2 AJ& Ile
ASSESSOR PARCEL NUMBER
064-280-016
ZONING
R-1
BUILDINGPERMIT
OWNER
MI AET�,,SEAN
TELEPHONE
1873-4932
SO. FT. OCC. BUILDING VALUATION
740 R 919960-00
OWNER'S MAILING AD
P.O. BOX M8, MAGALIA, CA 95954
411 11 704 -nn
CONITRACTOR'S NAME
TELEPHONE
92 C 1196.00
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 102 590. 00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 650.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23 00
B&ZV BREVARD CIRCLE, M2111A.
Energy Plan Checking Fee
$
PERMIT FEE
$693.00
LOT NO.
SUBDrVtStOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF EX Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
81 7.0036.00
Solar or heat pump water heater
23.00
Water piping
15.00 L5. 00
Each gas water heater or vent
-
15.0015. 00
TYPE OF WORK
New IN Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: NEJ SINGLE FAMILY - MASTER #97-31
Gas piping system I - 5 outlets
15.0019.00
Building sewer
15.00 15 - nn
Home I S I G
C&20.00
-Mobile
PERMIT FEE
136.00
ELECTRICAL PERMIT
Filing Fee 20.00
'*0 OR LESS
Main Service .VA OR LESS
23.00 2_3_0()
LICENSED CONTRACTOR'S DECLARATION
I Xereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
nid my license is in full force and effect.
License Class ;0 Lic. No. �7 At 5-0 -3
'L` OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
1
Law for the following reason:
1
0 as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
12V I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
!/K'ereby 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
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DVIE�UNG OCCUP.
OR_ADDNS. C
so.
3.50- 79-19
=iCONS -0
IDT MaTH' CU,;W,
97.50
OWE.RAP= 'IS
PSIN. 0 CIR.
Ex. Occup. OUTLET OR FixrURES
20 @ 1.00
11AL @ .50
Ex. Occup. E ' A '(g '., 6.G ER,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23-00 23.00
PERMIT FEE
$14,1 _19
MECHANICAL PERMIT
Filing Fee 20.00
Heating
1 15.00
Cooling
15.00
Hood
6.50 6.50
Ventilation
3.50
-
15.00
PERMIT FEt
$ 89_9
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'
o9myensation laws of California, and agree that if I should become subject to the
11 /V�qrkers' compe�nsation ose visivqns of. section 3700 of the Labor Code, I shall
;rthwith compi ro isio
0
X PA Date /0/d Z_
J�X_ of or I
ignatu�re of Applicant - 0 Owner 0 Contractor 0 A
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in hpht.
Mobile Home Installation Fee
$
Energy nspection Fqe $46.00
Occ
CONST. TYPE
A
TOT L F
7
IM f MAO 1 (!2 PAV I oil
This permit is hereby issued under
of the -Butte County 00 e and/or
in cate f ch fees have
I By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date 710102 -
Receipt No. f)2'/ 31 ZZ -1 _;Z� �1�
WHITE-D.D.S.-B.D. CANARYASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF -DEVELOPMENT SERVICES -BUILDING DIVISION
-7541 Fax (530)538-2140
7 County Center Drive, Oroville CA* 95965 Phone (530)538
PERMIT APPLICATION DATA SHEET
%I eo
OWNER: —ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: Pe
rl Items required in order to apply for a permit. All boxes MUST be checked OR marl(ed NA in order to apply.
:9- 1. . Plot plans, 3 or 4 sets, signed by the preparer of the plans.
&17- Complete plans, 3 or 4 sets, signed by the 1preparer of the plans.
E3 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
04 Engineered truss details and layouts in duplicate. No faxes!
0 5 Energy compliance 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.
(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. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings ..................................................... * * -
0 11. Detached Accessory Building Form filled out by the owner .....................................
0 12. Hazardous Material Form ...............................................................................
0 13. Other ....
Remaining items needed to issue the permit. (May require additional plan Leview uAbn receipt of e following items.)
T -T9 14� Frees as shown on the attached Schedule of Fees Due Sheet. XV ............. . ...
15.
Statement of Intent for Non -heated and A/C Buildings ...........................
* * ' * C. - L- - - -,
I Sanitation and plot plan approval from the Environmental Health Department in CD
0 m 1,7
17. City of Chico Plumbing permit..: .............. .............. ... ... .
Sen y: .............
(NJ 18. California Department of Forestry plan appro'v*a � t 02f
0 19. Planning approval for (A) Use: ZY ),,' (B)Parking: (C*)arcel heck:
0 20. Contact Land Development about DImprovements, DDrainage ...............................
�W - Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). jV
0 22. Pre -Inspection for I required ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number ............... * ...............................
0 25. Owner -Builder Verification (0 Given to owner, El Mailed to owner) .....................
Letter of Signature authorization ....................................................................
Recorded copy of Agricultural Acknowledgment Statement ....................................
2 8.* 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 3 1. Other:
When issued Telephone and hold for pickup.
I have been
,f:d of the !�ay,�s and, rTirements for obtaining a building permit.
QAppli ant:
pp
lnldcx permit application for the above items numbered: Plan Check Letter
2. Additional items required_ M —
Contractor, designer, owner, was advised of tfie-above data by 0 phone, 0 mail, 0 counter by Date:
Contractor, designer, owner, was advised of the above data by El phone, 0 mail, 0 counter: Date:
Plans reviewed by: Date: Plans approved by: W::�Date:
Structural reviewed by: Date: Structural approved by: —Date:
Note transfer by: Date:
Yellow: Building Division
V
PLY
Rat Plan Ariac /-\
r oaa, Man A t,
Saftl to a. 0.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
o(2Y - -0t
Owner Location AP#
Plan Aporoved fQr: Sewage Disposal"x lat I Public Private Well
,-*I I Q, k Y- -Ina
Clearance for:jc>j dwelling. Other C7 $, t,
z - k ,-- - � - 1- - -T
Hold final for:
Final clearance O.K. for:
NOTE:
8/96
Health Specialist
RN
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
I SCHEDULE OF FEES DUE
OWNER.
PROPOSED BUELDING USE
1. BUILDING PERMIT FEES
V)6-
--Balance Due ................................... ffi. . .. - I i�/
--Additional Fees Due ............................... ..........
--Additional Fees Due ............................................ $
--Revised Plan Checking, Fee .................................. $
2. SCHOOL DISTRICT FEES
(7— (paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ....................................
Units
Commercial (sq. ft.) ...................... —
Sq. ft.
4. URBAN AREA FEES
Residential ............................ — x
# Units
Commercial (Sq. ft.) ............
x
x $36o.00 = $ S66, -c,)6
x $0.03 = $
Amt.
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$5 10.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion
$20,0.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P.#
DATE
RECEIPT # DATE REC.
'-� 1511131 _J_�Z -,P-
'S"VA — (" d. z - 0,
351//-3-/ ol'-0-111 2,
1-31
T
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be chang Iding the plan checking process.
ICANT
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may/have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protestare specified in Government Code Section 660�0(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
School District
A.P. Number
Prop" Owner
Property Location/Ac
Subdivision
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
Building Department No.
Jurisdiction: city County
Lot No.
....................................................................................................................
Sq.
Residential Development Footage
r?
No of Living Mobile Home Addition/ *Supplemental to
(Group R)
Units Installation Conversion Permit #
*(No foundation inspection):
...................................................................................................................
Commercial/Industrial
I Ne%� Addition
ki
Imoor Flans reviewecl by 5chool Uistrict Personnel)
2 strict Identification No.
/2A./V d"4 ,a�clool District certifies that
W,—
Address)
(City)
has complied with the requirements of Resolution No.
representing I 7,+IV square feet.
—.1
District Representative
Paid by Check # Remarks:
(State)
Sq. Footage
(Including Exterior
Roofed Areas)
r') A
Jaw
(Phone Number)
(2ip Code�
by payment of $
IAB 2926 $
FULL MITIGATION $
Date/
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CECIA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis 110/98)dmm
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
001:2'y Of Document Recorded
25 -Jun -2002 2002-0032894
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
. FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations. YL -
All that real property situate in the County of Butte, State of California, described as follows:
S tt, . 0-hqaqed 1:"Irl
Date PR ERTY OWNERS -
/::4 /V C,
State of California
County of
On —T"Oe_ 15, ?-00--'- before me',
personally Appeared Seo_,- ?�17107ae_l_( I personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/t��ir signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, execu ed th n tr
WITNESS my hand and ffici se*a
WENDY CSER
Signature Seal: T-
C—mm #1306527
BUTTE COUNTY
A.P. 4 NQ-4&6--�r��V My Commission Expires Jun. 27,2005
Order No.303675
EXHIMT "ONE"
Parcel One:
Lot 122, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 15", filed
in the Office of the County Recorder of Butte County, California, on July 15, 1971, in
Book 38, of Maps, at Page(s) 42, 43, and 44.
Excepting therefrom all minerals, oil, gas asphaltum and other hydrocarbon substances,
with provisions that any and all mining operations shall be done from orifices outside
the'surfice area of the land described herein, and that no damage shall be done to
surface of said land.
Parcel Two:
A non-exclusive easement over lots A, B, AND C (common area) of Paradise Pines Unit
No. 15 and the lots designated for common and recreation areas as described in the
Declaration of Annexation for units IV, VI, Vill, X, XI, XII, XIV, AND X.
Assessor's Parcel No: 064-280-016
SITE PLAN REVIEW APPLICATION
Date: AP#
Permit Number (if applicable) G 6
APPLICAMINFORMATION Parcel Size: 1?,9 Ac -
Owners Name: S&OA71i
Owners Address: P0 (SOX L4 S7 C�SC)SGJ
Telephone No.:
Situs Address: r�> rZ c- %/A rz:p C I 1Z
Proposed Use:
Residential
New Single Family Residential Single Family Remodel
E] Single Family Addition F
F� Mobile Home
F1 Residential Accessory
F-1 Permanent Second Dwelling
F� Temporary Mobile Home (Aunt Minnie)
Fj Temporary Travel Trailer
F� Multi -family
Non-residential
F-1 New Commercial
R- Commercial Addition Commercial Remodel
New Industrial
Industrial Addition F-1 Industrial Remodel
Other
Septic. El Well
Agricultural Exempt Building
F] Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DE VEL OPMENT SER VICES INFORK4 TION (For Staff Use)
a Approved 0 Conditionally Approved El Resolve Problems Prior to Approval
IN Site Plan Stamped Approved
By Date
U
Pagel of5
ALL ITEMS CHECKED APPLY TO THE PROPERT
Parcel Is In:
IN Snow Load Area: - -Lutsc> -T-13 -?-q CM -PT -
El Land Conservation Act Minimum Acreage: El Verify residence can be built per contract
r-1 Nitrate Action Plan (See Environmental Health for standards)
F-1 Watershed Protection Overlay Zone (See attached standards and requirements)
Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
I 00 -Year Flood Plain: (See attached)
Flood Zone: Ix �
Flood Panel No.: OL100c— Index Date:
Sacramento River Reclamation District (Approval must be �b�iined from the California Reclamation Board)
F� Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
F� North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
F� Chapman/Mu I berry (See attached standards and requirements)
Cohasset Area (See attached standards and requirements)
Grading Zone (See attached handout)
Use Requires:
F1 Use Permit Ej Minor Use Permit El Administrative Permit
F-1 Minor Variance n Variance
-------------------------------------------------------------------------------------------------
F-1 Detached Building Use Form Encroachment Permit
F�j Agricultural Worker Affidavit Agricultural Acknowledgement Statement
ID
Zoning: I -R
Applicable Building Setbacks:
F� Setbacks drawn on site Plan. F� CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
.1
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
50
Height
I
Waterway
N/A
I * N/A
N/A
F� Setbacks drawn on site Plan. F� CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
.4 Applicable Development Fees:
Standard Fees Amount
F� Fire
El School*
El Parks[Recreation
F� Roads
F� Sheriff
Fj Drainage
F -I NCSP/CSA 87
F-1 Chico Urban Area — Road
F-1 Thermalito Impact
F-1 Other
Formula
-------------------- ---------------- ; ------------------------------------------------------------------ - ----------------
.Subdivision Map Special Fees
F1
Water Tender
F-1
Road Improvement
F�
North Oroville Area
Fj
Other (per map)
Check with sthool district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
F I Deeds:
Date of Creation' Legal Access Provided: M No Yes
Deed of Reference: Legal Access Required No El Yes
Parcel Frontage on Publicly Maintained Road: D No El Yes, Road Name:
Complies with County Standards for Deed Creation:. El No El Yes
Comments:
Parcel Deemed to be legal
E] Verify Legal Parcel E] Verify Legal. Access OProvide Deed of Creation
F-1 Obtaina Certificate of Compliance
Obtair'f E] Obtain a Lot LineAdjustment
Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
F-1 Construct road to: E] Meet Parcel size required by zone
F I Meet current Environmental Health Department requirements
Page 3 of 5
R Subdivision May/Parcel Ma : 'farzn L) I _S6 P I M eS -VY, � ��
Map Date of Recording:
Lot:
F-1 Use PermitIlMinor Use Permit
Permit Number:
Book: 3?�
Date of Approval:
Fj Comply with the following Conditions of Approval:
El Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
Page: L42 -11 -JI -1
F -I Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
rbquirements of the California Clean Air Act of 1988, as amended.
F_� Provide an erosion control plan for building and land disturbance on slopes steeper than
30%. The Erosion Control Plan must be prepared by a registered civil engineer or other
qualified professional and be submitted to and approved by the Department of Public
Works.
A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of.building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A mature tree shall be defined as a tree with a bunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -I
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
F_� Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
F_� Engineered foundations are required.
F Class A roofs are required.
Page 4 of 5
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAMy DocumentskBuilding Permit Site Plan Reviiwl.doc
Page5 of5
,Sent.By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Oct -16-02 8:22AM; Page 1/4
BUM COUNTYDEpARTAfENT OFPUBLIC HEALTH
DIVISION OF ENVIRONAENTAL HEALTH
P.O. BOX 5364 (411 MAIN STREET), CHICO, CA 95927
(530) 891-2727, FAX (530) 895-6512
FAX COVER SHEET
FROM:
DATE/0-/6_00'_ NUMBER OF PAGES �� (including this one)
TO:
tM� WW
CO/DEPT:
PHONE: FAX#:L---) OZ/(/ 0
COYMENTS:
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77-
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ar
REVIEWED BY
BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
F� approved as submitted
lly-il approved with conditions
per attach -d shpot
2-1
Signature Dita
A R
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15693
U
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AND EQUIpME
NGS SHALL BE T INCLUDING
A qET CLEAR Olz ALN
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FROM THE
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CLEAR OF STRUCTURE OAD CEENTERUNE SHALL 13E
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�Iz. 7 County Center Drive Oroville, California 95965 * Telephone (530) 538-7541 _RM zo:
AP 37 7 4
(Rev. 12/96) PLICATIONAND PERMIT
ASSESSOR P�RCEL NUMBER
064-680-016
ZONING,
BUILDINGPERMIT
OWNER
ga*gL, '.;1EM
TELEPHONE
873-4932
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAUNG ADDRESS
P.B. BOX 1458, KAGALTA, CA 9592%
207 gp_en 1449.00
CONTRACTORS NAME
06NM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 144().
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 35.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$ 23 00
BUILDING ADDRESS
6777 BREV-Agn CIRCLE, MACATTA-
Energy Plan Checking Fee
$
$
PERMIT FEE
$78.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.001
Each Trap,
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: OPEN DEM
Gas piping system 1 - 5 outlets
15.00
Building sewer-
15.00
Home
@?20.00
—Mobile
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
800V OR LE::
Main Service .A OR .
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Secton 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. 7V Ig 0 a
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asownerof theproperty, ormy 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 DWX4ffUp.
OR ADDNS. C S.
so
3.50FT.*
NEW CONST
NON-RESID. =T.1_0.U.TtUU.
@7.50
( PO'WE.RAP= US
CIR.
Ex. OCCUp. OUTLET OR FIXTURES
20 1.00
BAL .50
O.FIXED A -OR
Ex. Occup. PPM.) E.1
5.00
Temporary Service
23.00
Mobile Home Facilities
—
20.00
Misc. Wirino
23.00
±:!!l
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, forthe performanceof workforwhich 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 laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
'Si a -nature of Applicant O'Owner 13 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
I
OCC CONST. TYPE ,
TOTAL FEE $ 78. 00
HA Z. I D. FE 4MP_ FLOOD CDF PARCEL I PD �D ISSUE.
I
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 Date 41 __k:
PERMIT EXPIRES ON
1 '7 -11
(Date)
ReceiptNo. 56_;_505(,/7TQ0
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, California 95965 9 Telephone (530) 538-7541 . oPEAM
APPLICATION AND PERMIT
(Rev. 12/96)
ASSESSOR PARCEL NUMBER
064-680-016
�ZONING
BUILDINGPERMIT
OWNER MIQKAEL, kAN
TELEPHONE
873-4932
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
P.O. BOX 1458, MAGALIA, CA 95954
207 O'Den 1449.00
CONTRACTORS NAME
- OWNM
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $1449.00
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
_"5. 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 00
BUILDINGADDRESS
6977 BRUZARD CIRQ.E, nAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
$78.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
1 7.0
USEOFSTRUCTURE
SF 0 Duplex C3 Mobilehome 0 Other
- SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE ' OFWORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: OPEN DECK
piping system 1 - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home G W
@?20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
500V OR UE:SS
Main Service .A OFILE
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. -
lVicense Class 13 Lic. No. 7 V -go -3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
Li
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
9hwith comply w'th-W-6se pro isions.
Date 101161 40
�SSnatu_re of Applicant - P'Owner 4 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DW
.E�NGffUp. so
OR ADDNS. C 3.50 FT.'
NE 'ONST. ULTI-0
N-R 97.501
NO ES'.. ai�.
PONf.E.RAP= U
C SIR.
Ex. Occup. OUTLET OR FIXTURES BA @ .50
..FUED A LNS OR"
Ex. Occup. PPRES,6.) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
-
Misc. Wirina 23.00
I
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 7 8. 00
HAZ.
D. FLOOD COF PARCEL PD HD
.L Q ISS?
This permit is hereby issued under the
?f the Butte County Code and/or
dicated above for which fees have
By
PERMIT EXPIRE'
applicable provisions
Resolutions to do work
been paid.
t, / 612-21OZ
-7.3 Z;7
ReceiptNo. /7 -00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
17
t"
a
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ow t4 Ile- 0 9ce
C kA C 0 Aff, q
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached
Sent to 8.0.16
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other 4 42 a-;
Hold final for:
Final clearance O.K. for:
NOTE:
iLl�///9, Z-7
4
Envdon'mental Health Specialist Date
8/96
I - L o-� 12 2 -
OT (v
Ink lot
Af ivy
'A
40�.
-0
-COpTlc� TAP
w m4, F e. -r- L EA -e �4
To
APPROVED
Butte County
PLANNING DIVISION- BUILDING PLAN APPROVAL
-7,
Use: C) Date:
ANNING :0,VISION:"DING N �AP
U'L
B 2
'L n :.-
U Oa
g._ an 8
Landscaong:-----�
ItT Parldng:—
vt
sr.
fOtgh
101 Other:—
Si ture.
Signature:
W,
;TAW -K
JA 'WL114' 570LFel- LE46fl
TV
!Zl
was
.El
Ui
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- W -O fet- p
ARP
ol
14.1 ja
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18593
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