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064-320-014
64-32-14 Betty 6stman 3W 20 Cumberland Rd., lot #14, PP#4, Mag i Permit #2iA59-77B,P,E,M(new single family) 64-32-14 Permit #2565-81B,E(addition & remodel/SF) 064-32-0-014 92-0316 OSTMAN, BETTY ,CONTR:`COX, FRED 6417 CUMBERLAND RD, MAGALI REMCIDEL/SF 64-32-14 92-1495B,E OSTMAN, Betty ri .193 6417-Cufterland, 9 Ma 'aiia c'Ontr: Fred Cox detached Rarap-e-,-., f. 'r JOB FINALED (Date) _ Signature J'= OK O=Not OK = Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch ` 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ P'LPG 7. Well Clearance R Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLAN.E-- US Date DEW, COVERS, CARPORT GARA S, (Plans)'OK except #'s ing Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors lectric 8. Frmg; Sits" nchofs-St u s-Rftrs-Trusses 9 ing; Nailing -Veneer -Stucco -Mesh 1 Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 ' Date G/may Card B-1 Date r, Card B-1 V Date Card B-1 Date I POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B'1 J=OK O=Not OK - = Not Applicable Not Ready RESIDERESIDENTIAL(� = s Date UNDERFLOOR (Plans) OK except h's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ------------------------- -------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- - ------------------- 19. Shower Pan: Test, First Floor -Tub Access -- - - - - - - 20.--Test-Tub -& Shower. -Second Floor -Tub Access --------------------- ------- ----------- 21. Gas Pipe: Size & Anchors Date 4 Card B-1 Date Card B-1 ------------------------------------------------------ ---------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ---------------------------------- ------- ---- -------------- 24. Size Boxes & No. of Conductors -Stapled ------------- ----------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------- -------------- 26. ---------- ---------------26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------- ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------- 28 Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------- --------------------------------------- -------------------------- ---- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral 0 Yes 0 No --- ------ - - - --- ------- -------------------------------------- 30. ------------ ----------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ---------- -------------------------------- - 31 Equip Clearances Panels-Motors-Mech. Equip. --------- -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---- -------- 33, ----- 33. Smoke Detector ---------------------------------------------------------------------------------- ------------------------------ ------------------------------------------------ Date Card B-1 Date Card B-1 --------------------- ----------- -- ----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P'S 34. A.C. Ducts Insulation & Support ------------- ------------------------------------------------------- 35. Vent Fan Exhaust above insulation --------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- - ---- --------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic --------------------- ------------ - ---- -- - ------------- ---- -- ---- -- -- ----- --• - Date Card B-1 Date Card B-1 ------------------------ - ---------------------------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - - - - - ------------------------- --------- -------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ ---- - -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ---------- ------------------------------------------ ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------- ---------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings -------------- ------- - --------- _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs_Width-Head room -Rise-Run- Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ --- 55. Siding -Nailing Veneer --------------56.-.Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------ ---- _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58, Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ---------- 60. Infiltration -Walls -Windows ----------- ------------ ---- ----------------------Date Card B-1 Date Card B-1 --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke -Detector -------------- ------------- -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection - ------------- ------------ --- ------------- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels -------------- 67. Stairs & Rails 68. Fireplace or Stove:_ Cli;arances-Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ----- - --------------------- ------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit Counter 72. Garage Fire Door: Swing -Landing -Closer -------------------- --------------------- 73. A.C. Duct in Garage -Damper ------- ---------- ------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------------- 76. Elec_ Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic C1 Yes - - ----------------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - 0 Yes 80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No; Plante ------------------------------------s 0 Yes 0 No 81. Stucco Brown -Finish --------- 82. A.C.-Unit: Disconnect, Electrical, Plumbing ------ ------ ----------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ---------------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House -------------- 87. -------------87. Glass Protection -•- ------------------------------------------------------- 88. Corrections from Previous Inspections -------- ------ -------- ------------- 89.- Gas -Test -Meters -Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------- ----------------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- --- -- DCard B -t Date Card B-1 --- ate -------------------- ---------- ---------- --- --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION IDEPLZTMENT OF DEVELOPMENT SERVICES 1459 Humboldt Road, Chico, CA - (916) 891-2751 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT AroudnebmWecCion indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work -soospie3edlgyoulfraveany questions pertaining to this matter, or need additional explanation, plwse omQaa IWW offifle immediately. Dame Z Inspector RPV 1d9¢ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 Canty Center Drive, Oroville, CA - (916) 538-7541 747 Rion Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE v_s� XL&z C/2--Y4(q) CrATAM PERMIT NO. A roaioeiospecafio r idieates that the following violations of Butte County Ordinances exist at The abw adl N mod shadd be corrected. Please notify this office when correction of work -scem4pik wil Eym" any questions pertaining to this matter, or need additional explanation, p111— 1"M irnmediately. iitfj/ -- w civ /�t J u'SPA A-'Vh y- ��— r Fr ' ( i 190 f2 ld vti, / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive;-Ofoville Phone: 538=7541 _ 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION .N-OTI•CE OWNER t PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,t J Date �� Inspector / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise = Phone: 872-6307 CORRECTION '146TICE OWNER PERMIT NI J A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. � f Date 71Z InspectorT_ COUNTYOF ISUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Orovllle, Callfornla 05965 - Telephone: 918,'538-7541 APPLICATION AND P,-RM!T PERMIT NO. 4 glow,MIII ASSESSOR PARCEL NUMBER 064-q20-014 ZONIN RT -1 BUILDING PERMI OWNER Berry Ost-nan TELEPHONE 573-1855 SO. FT. OCC. BUILDING VALUATION 528 M °,504.00 OWNER'S MAILING ADDRESS 6417 Cunberland Magalia 95954 CONTRACTOR'S NAME Fred Cor. TELEPHONE 877--0276 CONTRACTOR'S MAILING ADDRESS 1.847 Dean Rd., Paradise Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $9,504.00- ,50 ►.LENDER'S Filing Fee $ 15.00 LENDER'SMAILING ADDRESS Permit Fee $97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $48,75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $161.25 PLUMBING PERMIT Filing Fee 15.00 7 7 Cumberland Ma alfa Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 14 SUBDIVISION NAME PF-radise Pines Unit 4 PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duple Mob ilehome❑ Other Detached Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New E Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Detached Gara-e _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW 1 declarnder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in f force and effect. License No. �? *6 � Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract-Mobile Elors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. I S X 3.6Q sq.ft. 18.50 NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS � 5.00 POER APPARATUS .&) SINGLE OUTLET CIR. ( W Ex. Occup( OR FIXTURES 20 760 A FIXED APLNS.F] Ex. OCCUp. OUTLETS IPRESID IREAJ I 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Wiring 15.00 Permit Fee $ n — ORKMEN'S COMPENSATION INSURANCE I declare unde enalty of perjury (check one): ❑ T e permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde ..nify and keep harmless the Count sof Butte against all liabilities, gme osts, and expenses which ma In any way accrue against s id ou ty i c sequence of the granting of th' permi . X to 0 � Si nature of Applicant – Owner g pp ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 1,4.75 HAz DFEES IMP FLOOD CDF P CEL PD HD Iss This permit is hereby issued under the Bions of the Butte Count Code and/or work Indic r which fees D OF PUBLIC By PEAMIT EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT Of PUBLIC WORKS BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIFOROW95b65 - TELEPHONE (916) 538-7�, PERMIT APPLICATION DATA SHEET OWNER d tt'I'"- 0 -S t A. P. No. Proposed Building Use "o Building Inspector C %' ^�' Date ' r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed`by preparer of plans . ...................... ` 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. �- 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . f�j� 13. Flood elevation letter (100 year flood)��r Califprnia Engineer. . dSLW 14. Sanitation and plot plan approval //�� 11124' Health Department . .............. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -Inspection for to Building Inspector - required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance. _ 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ........ .............................. . 32. Plan check list . .................�...... ............................. 33. 34. 24 When you issue the permit, process as follows: Mail to owner. Mail to co tor. Telephone and hold for pickup at offic Deliver with inspector. Other Parcel Creation Acreage Applicant Date o / OF 01 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Af Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO Buildina Department , v FROM: 'Environmental Health �r SUBJECT: Sanitation Clearance tq-(0 G Y V" Owner Location AP# Plan Approved for: Hold final for: Final clearance O.R. for: Clearance NOTE *** Sewaqe Disposal r Water Supply Water Supply Water Supply a Dat Sanitarian 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR P'ARCZ NUMBER L 20N IN -' /j ' . BUILDING PERMIT OWNER / (� v -r / ✓�/�i<9/� T L^�EPjHO[N.�E�y'� /✓ ONE i SO. FT. OCC. BUILDING VALUATION o.� rJ( OWNER' M /IyLING ADDRESS L� CONTRACTOR'S NAME 1/ TELEPHONE CONTRACTOR'S MAILING ADDRESS ,o f e y % e�� /, /Q0A'.J'r%SC_ Co _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 5-10 11 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ,S13 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty _ $ BUILDING ADDRESS Permit fee $ r i PLUMBING PERMITFiii Fee 15.00 / Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUB VISION NAME �J �/j� /GS U� 7 PARCEL MAP Water piping 7.00 Each qas water heater or nt 7.00 USE OF STRUCTURE SF ❑ Duplex 17 Mobilehome❑ Other �L� r10-1410Ce– ECIFV Gas piping system 1 - outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newo"Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit _F e $ Contractor ELECTRICAL PERMITFiling Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI _ _ 37.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business Ing! Professions Code and my license is in full prce and effect. Q� icense �O.��r/ ��/ Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) (� I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) H I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.& OR ADDNS. ( ACC. BLDGS. ) 3.64ScOt. Q I/I" NEW CONSTR. ULT' -OUTLET NON.RF_SID BRANCH CIRC ITS @ 5.00 ' POWER APPARATUS .&) (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 764 A FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.t EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3 .� Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the?mveTentioned property for inspection purposes. I also agree to sae ndemnify and keep harmless the County of Butte against all liabilities u ents, c sts, and expenses which may in any way accrue agains Id ou y in co equence of the granting of this permi . � si natDre of A licant owner pp ❑ Contractor Agent 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 $ Energy Inspection Fee $ 1011-91 occ CONST TYPE TOTAL FEES 1 _ Nni OFEES IMP FL000 coF PARCEL PD 'Jo ssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ _ PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. CO 15;4b W HITE-D.P.W., TELLOW-ASSESSOR. PINK -INSPECTOR, GOL DENROD-APPL I CANT Vi RESIDENTIAL h 064=32-0-014 92-0316 `OSTMAN, BETTY CONTR: COX, FRED 6417 CUMBERLAND RD, MAGALIA REMODEL/SF { V t i ' P JOB FINALE Signature ENERGY INSTALLATION CERTIFICATE Building Owner %3P� S r^/a•J Building Permit # J b Building- Location �{ 7 > ^" 21 9-✓� ROOF Material Z Thickness (inches ) EXTERIOR WALL Material Thickness(inches) CEILING DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Batt or Blanket Type iQ 3 2- Brand Name Thickness(inches) Thermal Resis.tance.(R Value) Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) 0 Thermal Resistance(R Value) FLOOR, ELEVATED Material .4— Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION -WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name. Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, .is consistent -with approved --building -department--plans-- and- -attachments-and-, con�--- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, az� shown on the approved Building.Department plans and attachments have been installed and conform to the appli- ance standards Chapter 2-53 of the State of California Energy requirements. B ILDING CON CTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE N0. (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER 6 // %1�z DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 J=OK O = Not OK Not Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. utility Clearance Date Card B-1 Date Card 6-1 Date Card 6-1 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 t 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date -Card-B-1 Date Card -13-1 N � r• MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGEtr; (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easemenfs-,, 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health:. Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK • = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR Plans) OK except ff's Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg.aMain; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's Water Htr.: Vent -Access -Combustion Air -Baffle Water Pipe: Test & Anchor -Nail Protection -- _- (` -D.W.V.: Test -Fittings &Anchor-------------- -43Shower Pan: Test. First Floor -Tub Access -20--rest Tub & Shower. Second Floor -Tub Access s Pipe: Size & Anchors ------ - - - - - ---- - - - - - -- ------ --- --------- --- -- - - ---------------------- -Date-- - ) �i �, -- L j J Date Card -B-1 --Card - � -------------- -B ----------------------------- Date Card B-1 Date Card B-1 Date ELECTRI (Permit) OK except N's - ?2-Fi ure & Transformer Clearance -Ins. Protec n lec. Receptacles Spacing -Lights & Switches at Doors ---------- -- ----------------------------------------------------------- 2 ize Boxes & No. of Conductors -Stapled ------------ ------- --------------------- ------------------------- 2,yRiomex Installed Close to Edge of Studs & C.J.J- - FEo�uip. Ground made up w!Mech. Fastners_Bond Gas &Water - 2Y 2 Appliance Circuts in Kitchen & Conductor SizerGFl ---------- ---- ------------------------------------------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. -Cu or Al --------------- ------------------------•-----------------^ --------- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ga Cu Cu o Insulated Neutral ❑ Yes �IV0 ------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------ -- 31. Equip_Clearances Panels-Motors-Mech. Equip. ------ ------------------------------------- - -- -- -- 32. Clothes Closet Light -Shower light -Spa Light ------- --------------------------------------------------------- 3,3- Smoke Detector --------- ------------------------------------------------- Date y y Card B-1 ' Date Card -B-1 ------ - -- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's A.C. Ducts Insulation & Support ------------------------------------------------------------------ -------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------- ---------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------ -- ----------- ------------- 37-. -------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic ------ ------ --- ----------- -- ------------------ - - ---- - Date C ✓� Card -- - Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3 Sils. Proper Material & Anchors ------ ----- -// ------------------------------------------------- ------- 4QAalls-Studs-Nailing, Spacing & Bracing -Plates -Sound - ------ -------------- ----------------------------- .- 44/Bearing Walls over Girders & Floor Nailing -- ------------------------------------------------------------------ ------------42--Draft Stop in Walls (rat proof) -- -------------------------------------------------------------- e Stops: Furred Ceilings -Stairs -Chases -Tub_ V. Headers & Beam -Size & Bearing & Duplex) FRAMING (Continu 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. lies-Purlin-roof Brac-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size &Romex Protection -Draft Stop -Ins. Baffles -m. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing ---- ---- Property Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------53"Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------- ;;;. --- ---- Y g i Glazin9 Area -Glass Protection -Sk li lits -Plastic ------ - 58. Sbeir Walls; Nailing -Bolts Insulation-Walls-Ceilinos ------------------------- 60. Infiltration -Walls -Windows a-te $ � ; Card B-1 Date Card B-1 D - --- 1- =------ s -- Date Card 13_- Date Card B-1 Date FINAL (Plans) K cept tf's 44-1 _Steps -Door &Sidelight Protection -Landings ............. :_ Smo a Detector urnace: Vents -Clearance -Comb. Air-Connector- Inarage: Above Floor -Ducts -Meth. Protection GuYBe corn Exiting ------------ f & Bath Fixtures & Tub Access -Spa --------------- Ele_c. Trim & Subpanel: Breaker Sizes & Labels - St fs & Rails - - -- ------ _ - �Fir lace or Stove: Clearances -Hearth 6e.1k r Outlets at Wood Panel: Int. & Ext. 7 K ixt & Appliance_Grnd.-Air Gap -Cooking Clearance . Outlets & Receptacles at Kit. Counter - -- -- 7�lGage Fire Door Swing -Landing -Closer 7'f.-.A.C.-Duct in Garage -Damper ------- ----------------------------- ------ ;4--'Wtr. Htr : Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 7 Ib. Elec. & Mech. Equip. Listed for Location iec_ Receptacles in Garage: (G_F.I.)-Romex Protection 7;.}risulation-Foam-Looked in Attic 1 ❑ Yes 7rrd Rails & Deck-- Construction -Post Caps ---------------------------------------- --- 7g_-F-d-n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor.. ❑ Yes ollowing instld.; Drive rd'Yes ❑ No: Walks 10--4es ❑ No; Planters ❑ ----------------- ----Yes-----❑ No---------- --- �a+._STOZ-uU.- Brown -Finish 82. C. Unit: Disconnect. Electrical, Plumbing -- ._....------------------------- ----- d,' --Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84�Water Well: Disconnect, Electrical, Plumbing --- ------ ------------------------ --------------- -- ---- d�rior Elec. Trim: G.F.I. Receptacle -Underground -- - - - - - -�- ----------------------------------------- 86 ntilation Throughout --- House ---------------------- ---------- - 8tass Protection - - ----------------------- ---------- ------------ B�Corrections from Previous Inspections ------ ---- ------- -------------------------------------------- 8�as Test -Meters Tagged: Gas -Electric -- - - W ter & Sewer Connected -C/O to Grade -HD Approval-- -------------- ---------------- ----- - - --- ---- - - ,'Energy Compliance Certificate -Other Certificates Date ---,3' "' �j*/ and B-� Date Card B-1 Date / and B-1 Cg.✓ Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone!, 538-T541' 747 Elliott Road, Paradise — Phone:`872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. GS.✓ Date Inspector, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275.1 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 'vN CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. o v Ir/elts 4 l y pk I-Af< Date V1 /� Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916!538-7541 APPLICATION AND PeRM1 PERMIT NO. 92-46 ASSESSOR PARCEL NUMBER 64-32-14 ZONING , RT1 BUILDING PERMIT OWNER BettyOstman TELEPHONE 873-1855 SQ. FT, OCC.1 BUILDING VALUATION Const .5't 10,000 OWNER'S MAILING ADDRESS 6417 Cumberland Rd Ma alia 95954 1-11 CONTRACTOR'S NAME Fred Cox TELEPHONE 877-0276 1-11 CONTRACTOR'S MAILING ADDRESS 1847 Dean Rd Paradise CA 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ 97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 48.75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6417 Cumberland Rd Magalia Permit fee $ 161-951 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.001 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodelU Utilities ❑ Installation❑ Other ❑ Describe work: Relocate existing kitchen to dining area, open wall between dining & kitchen Permit Fee $ 59.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20rATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co a ar1d my license is in ful orce and effect. License .Jo. Classification Fl 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) ❑ I, as the owner, am exclusively contracting withlicensedcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.19 OR ADDNS, ( ACC. BLDGS. // 3.6Qsq.ft. NEw CONSTR MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 EX. OCCUp. OUTLETS P(RESID )FIXED APLREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15. OT Permit Fee $ 30 - WORKMEN'S COMPENSATION INSURANCE I declare and r penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation .50 44.50 Permit Fee $ 1 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 a ree to I demnif an t g y p harmless the County of Butte against all iiabiliti I gm nts, cost a expenses which may in any way accrue agains County n c e f the granting of this permit. X Date sig ature �of Applicant - Owne ❑ Contractor ElAgent 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 269.75 , HAI DFEES IMP FL COF PARCEL i/ PD HD ISbUY'I This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees IRE TOr PUBLIC By PE IT EXPIRES ate applicable provi- resolutions to do have been paid. WORKS Date /2--? Z Receipt No. 109639 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APP.L I CANT I If COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL1FQ'RNIA1A965 - TELEPHONE: 916/538-7541 .ti PERMIT APPLICATION s T4� HEET Permit No. a , s OWNER \ A. P. No. Proposed Building Ute Building Inspector Date i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED — 1. All items have been submitted . ................................... . 2. Plot plans in duplicate/triplicate,-signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including, manufacturer's installation instructions. ..................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27.' When you issue the permit, process as follows: Mail to owner. M' it to contractor. Telephone and hold for pickup atfi e. Deliver w/inspector. Other Applicant Date Copy of ! Idz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by lZ•��, Copy—DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PER91T PERMIT NO qZ-,- z3r ASSESSOR PARC&L NUMBER �j!_ �Z_— ZONING „ BUILDING PERMIT OWNER Q ^/ w/ YELEPHONE SO. FT. OCC. BUILDING VALUATION Al _-y, I O OWNER'S MAILING ACARESS Jr �� Nl>A6 Al't CONTRACTOR'S NAME 2E d 60Xr-QZ7 TELEPHONE CONTRA C OR'S MAILING ADDRESS Fireplace C CONSTR TION LENDER QNe UNKNOWN C Total Valuation $ Filing Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 7,50 ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6117 iq Permit fee $ PLUMBING PERMIT Filing Fee 15.00 �s9S Each Trap 5.00 X5.06 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7. QQ Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 5-.L76 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition[] Remodel Utilities❑ Installation[]Other ❑ Describe work: R,c_1ac re- 6<C sriNG h;ycAeA,, zo _ _�/j '- r® t0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 600V OR LESS Main service 200AORLESS 18.50 Main service 20CATOI000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.! DWELLING OCCUPM OR ADDNS. 1 ACC. BLDG S. I 3.60 sq.ft. NEW CONSTRULTI-OUTLET NON.RESID BRANCH CIRC ITS @ S.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED LNS, OR Ex. Occup. OUTLETS PI RESID,1 A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 lsdd Permit Fee $ n Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation 7 Permit Fee $ r LContractor 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 County in consequence of the granting of this permit. X Date Si9 PP - Owner❑ Contractor E]Agent ❑ A Applicant nature of An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee S O Energy Inspection Fee 5 /� OCC CONST TYPE TOTAL FEES _ I HAz DFEES IMP I FLOOD CDF PARCEL ry HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ` ®/ J WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y� �3 r Itt PERMIT NO. 2565-81B.E IERMIT EXPIRES OWNER Betty & Isaac Ostman CONTR. xomwx Mari—John Constr . ,Maga . ASSESSOR PARCEL 64-32-14 LOCATION 6417 Cumberland Rd., Magalia r- .. 9 j T, i� Temp. Power Pole • i' Called PG&E l` Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Sig/re A, RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY.CONSE�R�V,.ATIO REGULATIONS AT !i `7//l�24A 6cy Gas. � /Po ✓ I t e g i:! CIO .(location) BU ILD ING PERMIT NO. =�?l' C A t P. NO. _y THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge 4-10 Fdn. Walls 4114 Floors ,� /9'. Walls R.// Ceiling/Roof /P/7 Ducts Circulating Pipes APPROVED HEATER 1114 APPROVED WTR.HTR.� GLAZING: Single Glazed /1 Special (Insulated) CERT. & LABELED WDS. / & SLIDING DRS. add G%�zc c� WEATHERSTRIPPED DRS. /✓A BACK DAMPERED.FANS INTERMITTENT IGNITION DEVICES N�.4 CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS N ID ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH -THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO 4.:'THE COMPLETENESS OF THIS CERTIFICATE- AS -SUBMITTED. Insulation Applicator Name Signature of . Insulation Applicator v -tate Contractors -License No. General Contractor/ er Name Signature of General Contractor/Owner Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. J 4 OK 0 - Ngt OK = Not Applicable MOBLLEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"it./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI ' Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval-� 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged -J B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel 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 Card B -I Date Card -BI Date Date Card -BI Date Card _BI Card -BI Date Card -BI Date Date Card -BI Date i,. V = OK O = Not OK - = Not Applicable * - Not Ready RESIDENTIAL (Single and Duplex) Date UNDERF OR Plans OK except k's _Date FRAMING (Continued) 1 requirements -Setbacks -Easements 48--7r-operty Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth - ne -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Deptht t -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51�od on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab UPSiding-Nailing-Veneer 6. Ste alts, Garage; Steel-Blockouts-Wrapped-Slab c o es - rtp Screed-Fdn. Vents-Underflr. Access iers-Fireplace Ftg.-Steel 5 azing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test earWalls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -B Date 401ZCard-BI Date Date FINAL (Plans) OK except q's q1n Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's xt._§Jeps-Door & Sidelight Protection -Landings --& -bmoke Detector r' 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection r urnace; Vents -Clearance -Comb. Air -Connector - In Ga e; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail ProtectionBedroom 17. Shower Pan; Test, First Floor -Tub Access Exiting .F.l. &Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Iec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors Lairs & Rails --69---Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date lec. Outlets at Wood Panel; Int. &Ext. - Kit' Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date -e&.-Mec. Outlets & Receptacles at Kit. Counter Date ELECT ICAL Permit OK except q's -6;r-,"age Fire Door; Swing -Landing -Closer `-- —A+ 03-• Duct in Garage -Damper ure &Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection E_Ipe. Receptacles Spacing -Lights & Switches at Doors Si oxes & No. of Conductors -Stapled --7Br-RFb., Elec. &Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protec. 2 R Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water sulation- Foam- Looked in Attic E] Yes uits in Kitchen & Conductor Size -WQ2 9trard Rails & Deck Construction -Post Caps 26. e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al dn• Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor El Yes e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated I ❑Yes ❑No o owing instld.: Drive El Yes E]No; Walks E) Yes ❑ No; Planters E) Yes E) No 28. ice -Riser Conductors &Ground -Main Disconnect �5iucco; Brown -Finish 29. Equip. ces; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Lt t -Shower Light •its Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. teeter Well; Disconnect, Electrical, Plumbing -�y -r Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date p�Card-BI Date -et-7VMilation throughout House Card B -I Date Card -BI Date -82-L,'7gs-Protection Date MECHANICAL (Permit) OK except N's _ ,83._Qw-ections from Previous Inspections _e4-"as—Test-Meters Tagged; Gas -Electric 31. A.C. Ducts Insulation & Support a er & Connected -C/O to Grade -HD Approval -- _ 32. Vent n; xhaust above Insulation gy Compliance Certificate -Other Certificates _ 33. Condens Drain &Overflow; Size &Grade �� 34. Furnace Ve ; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic A cess &Platform if Furnace in Attic — Card-BDate Card -BI Date Card -BI ----.Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI ate Card -BI Date rk Comments at Final: Date MING(Plans) OK except #'s 3i 3 ills; Proper Material & Anchors 3#O --'Walls, Studs -Nailing, Spacing & Bracing -Plates -Sound 3 ear' g Walls over Girders & Floor Nailing 3 rat p in Walls (rat proof) _4 ire S s; Furred Ceilings -Stairs -Chases -Tub _41 der & Beam -Size & Bearing 4? rs-Post Caps -Anchors -Connectors 4 1g. Joi_st-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. T'^e--WType A Flue -Fireplace Throat �Siz & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) �1 COUNTY OF BUTTE - DEPARTMEtJ�'$'OF UBLIC WO S PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/ 34-4541 APPLICATION ASVD PERMIT�0 ASSESSOR PARCEL NjMB R Z GI _ BUILDING PERMIT O WNE DqLy ,G TEL PHo�E SO. FT. OCC. BUILDING VALUATION OpVN R'S MAIL A RESS I� 6 (J a /��/j]�NTR ACT qS NAM%E /% /� •Q '' fit. `�VL`L I LEPHO�N9E z J 'r V 0 7 TRACTOR'S MAILING ADDRESS �(I FirXeplace CONSTRUCTION LENDER I UN NOWN Total Valuation $ 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 VA 6 st- 17344" PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ( Water piping LOT NO.SUBDIVISION NAME PA L MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ AdditionF Remod I❑ Utilities❑ Installation❑ Other❑ Describe work: r - l i Y I V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST.( DW I Q�OCCUP.yl OR ADDNS. l ACC DGLSt, 2¢ sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code anmy license is in ful ce and effect. License No., Yr� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (.OUTLET 2,50 ea N 0111 ID BRANCH CIRC ITS NEw CONSTR (POWER APPARATUS 6J NON-RESID. (SINGLE OUTLET CIR, � aVN EX. OCCUp OUTLETS OR FIXTURES_ 50@2j BAL 00 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemni and keep rmle the County of Butte against all liabilities, judgments, aid a nse is may in any way a Sr against saiCoun in con e o i permit.,Q•y / X Dat — Signature of Ipplicant — O - Contractor ❑ Ag r An OSHA permit is required fo ons over 5'0" deep and de olition or construct- ion of structures over 3stories in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ F� OUP. GROUP ✓� TYPE OF CONST. PARCEL �/ PD H nSSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R F PUBLIC B 2fX�4�7? PER EXPIRES Date _. the applicable provi- resolutions to do fees have been paid. WORKS Qate.�'���"f�v /��� ��a Receipt No. S—q L3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ON UOQ fD ll�lf klz�lll,-L s7,w,�� y�� �� 114�- A14 -AL sib �1 �� C�` w � QJ��� �® g``� ��, �� N� F 6 � .� !' ERMIT NO. 2759-7.7B,P,E,M ti t PERMIT EXPIRES 7t OWNER Betty Ostman CONTR. owner LOCATION (A.P. 64-32-14 20 Cumberland Rd., lot 14, PP#4, Magalia Temp. Power Pole Called PG&E R, 7% - 'Temp. Elea Serv. 4_ S Called PG&E TemrpGas Serv. ilalled PG&E B <, (Date) (Signature) a oil " 1 1 Temp. Power Pole Called PG&E R, 7% - 'Temp. Elea Serv. 4_ S Called PG&E TemrpGas Serv. ilalled PG&E B <, (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIA RECORD ' BUILDIN.CI BUILDING (Cont'd) PLUMBING Setback 4r� Firewall Soil Piping 7 Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor ri Stemwal I Siding To out & Slab Roof Sheathing Water Piping — 2, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings FootingELECTRICA MasonryWalls Throat `� Rough R f. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors FrzMlng Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Blown Cooling n,Temp. Pole Finish Ducts / Underground Interior Lath Ventilation Permanent D"dor Closer Final %— i Final % `- MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job Isite.) 1 COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive Oroville, California 95965 Tel �ihorie: 534-4541 APPLICA110N AND PERMIT Owner 6 (37- 77- QS-rM 41V Mailing Address 5>112-- ,N® fir 0 V e 76-79-77 _ BUILDING SQ. FT. OCC. I BUILDING VALUATION r (9 2 ;Z 6 e Te eph n e No. 3 w Gra ut5 n O Fireplace d Contractor h( Ls—n_; Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penal ty Telephone No. Permit Fee , Building Address /! 0 (, "'W 15 09 kJ io. PLUMBING PERMIT FILING FEE Each Trap r 7 Repair drainage or vent piping Water piping L'Zoning Verification Only. Each gas water heater or vent _ A. P. No. (P J Zoni Gas piping system 1 - 5 outlets Each additional outlet F R C. Sa t on Fire Dept. FireZone Use Permit Building sewer EQA Parking Plans Parcel Declaration Parc I Ma p 60' R/W Im rove ents p Lawn sprinkler system Bldg.tFol,tns Recd J Parcel Approval Plans b4p,10val Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OC &� OR ADDNS. t ACC. BLDGS. NEW CONSTR. MULTI -OUT NON-RESID. BRANCH CIRCUITS • NEW CONSTR. (POWER APPARATUS &1 NON- // RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES Ex. Occup. ( OUTLETS P(RESID)RE A) Temporary service Mobile Home Facilities License No. Classification Misc. Wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1 Date �- Signatur of Permitee or Agent Receipt No. 1 6 /7-91 � White-D.P.W. — Yellow -Assessor — Pink -Inspector _ Goldenrod -Applicant FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 FEE $3.00 2.00 L 1110 6U. rem I -'S— TOTAL PERMIT FEE $1:215Q 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 0 BLIC WORKS B J Date 6— Z%— 7,7 uilding permit expires Date 6-z7- 7? ar ;iIz ,Or z on 71 4" k 3 4 jo kd ,rO Av ul� 44" I I '� 1 M 0- 4-1 ,ZA HA -V4&,4 ia= Ab N N I PARADISE "PINES P.0A ARCHITEC N TURAL CONTROL'COMMITTE.E NAM E -&JL- z) 'TRACT 7' I F DATE 7 LIU e -p APPROVED BY PS ADDRF-81S iAPPROVAL FdR 1-6'r' nl=Vpi nr 06� Bnvjm . �%'lo - i- ; ;:. � � . . ,: F,z -1.1 b, I � I 11; "t- I 1 ____ _wt — -,�,- —1 --, _� --,,, �1_ I "I - -_ -1 i A � 1m: ., r _. i . I I . I : - - - , , , .-_1 - :14!..d� 1.� 1. 1. 11 11 I I . - I � �, � I'� I ,�, - t; , :-1 -: , * , "" � , , "I , - � .. I - , , - " I �, , I , I - 41 - � � ii I �, I .... ..... � - - . I I , - T �� .... .. -_ p. I I ,,, . I � .- - I I., I � �I I ,� 12, -I.- - 111. �� : � , � - ". , � , � , 11 . ' -11 � "'fl -I I I I -11, - - - - I'll, . I � . 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