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Home My WebLink About064-320-05364-32-P3 Charles Hofschroer- =4235 Sherwood Cir, Magalia Permit # 2087-82B,P,E,m(new s i ngle famil contr: Richard Hall, Paradise 064-32*0=053 95-.1170 B HOPSCHROER, Charles 14235 Sherwood Circle, Maga ia (repair deck)SF B07-1666 064-320-053 MISCELLANEOUS LPG Tank (AbvGmd) GAS TANK, PIPING, GAS HEAT STOP 14235 SHERWOOD CIR HOFSCHROER CHARLES J & RITA J BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 14235 SHERWOOD CIR Owner: Permit No: B07-1666 APN: 064-320-053 HOFSCHROER CHARLES J & Issued Date: 08/01/2007 By KCG Permit type: MISCELLANEOUS 14235 SHERWOOD CIR Subtype: LPG Tank (AbvGrnd) MAGALIA, CA 95954 Expiration Date: 07/31/2008 Description: GAS TANK, PIPING, GAS HEAT ST (530) 873-2671 Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: RELIANCE PROPANE SERVICE INC RELIANCE PROPANE SERVL Building Garage RemdUAddn P0BOX 917 P0BOX 917 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530)872-7740 (530)872-7740 FEE INFORMATION DBM Furnaces (FAU, Floor) $58.00 DBP Gas System (enter outlets) $58.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4091 LICENSE_ D CONTRACTOR'S DECLARATION' OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RELIANCE PROPANE SERVICE 734318 / B / 03/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in f�forceact. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/01/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansalion insurance The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number: 316-0000185 Exp, Date:10/0112007 Contractor's License Law.). (This section nee not a competed if the permit is or one un re ollars ($100) or ess. EXEMPT under Section B. 8 P.C. for this reason: ❑ ❑IAM 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' is. X 08/01/2007 compensation pro ns of Section 3700 of the bor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 08/01/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the abovem ntioned property for inspection purposes. I hereby certify that I Em the props er or am It ized to act on the property owns s behalf. Rn 08/01/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nbmb of Perrhi SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; E]Agent for Owner Agent for Contractor FILE COPY Lender's Address' City State Zip I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION APPLICANT NAME CONTRACTOR OWNER Name rr Gn 0 el , I &7 �5G'�I��,c� Address l g 2 3 S s heru, �o � Ci rc l e City /,Ig R /( E-mail State Cg Zip 5�75-q Phone 3 _ Z �-7 Fax E-mail APPLICANT NAME CONTRACTOR Name REI 14NCE Address 6426 SKYWITY PROPANE 41001) HEAT & SPA City PARADISE, Zip State CA Zip 999f;q— Phone 872._9200 Zip Fax E-mail Fax Lic. # 734318 1 Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail. Date Approved: State License Number APPLICANT NAME Name 5Ai'ie q Cin+/ Address City State . Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only. Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERNIIT NO. rn(,� BP U' J7 `� `� BIN # LOCATION API nb Property Address /y Z 3 5- rr� Cross Street C(es>' WORKER'S COMPENSATION Policy Number /(o/ .77 ZZ _ pZ Carrier... If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built vdthout Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Amount: Bldg }� SRA Receipt #: 1�/{ ((� Sheriff SMIP Date: �_' , ther oo U Total REV 4-30-04 RESIDENTIAL e 064-32-0-053 95-1170 B { Charles HOPSCHROER, alfa 14235 Sherwood Circle, Ma g (repair deck)SF i JOB FINALED (Date) �1J Signature ' "� s a i JOB FINALED (Date) �1J Signature ' "� V=OK O=Not OK ` = Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date Card B-1 , MISCELLANEOUS Date DE2fS4COVERS, CARPORTS, GARAGES, Plans OK except #'s 40',206ning Requirements -Setbacks -Easements . Fo ngs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. RW, Shthg-Roofing 1 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 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 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 `L 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 , MISCELLANEOUS Date DE2fS4COVERS, CARPORTS, GARAGES, Plans OK except #'s 40',206ning Requirements -Setbacks -Easements . Fo ngs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. RW, Shthg-Roofing 1 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 J=OK O=Not OK ` = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti'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 ft'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 Card B-1 Date Card B-1 -------------------- ------------------- ---- ---------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N'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. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------------------- 27, 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size / / ga. Cu or At ------------- ------------------------------------------------------------------ 29. ----------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No --------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------ -------------------------------------------------------------- 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- Smoke Detector ---------------------------------------------- - ------------------------------ Date Card B-1 Date Card B-1 ---------------- ------------------------------------------------ ---- -- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N'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 a's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------------------- ------ - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------------------- - ------------------- 42. ----------- -------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------ ------------------- ------- ------------ ------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ------------------ -------------------------------------------- 44. Headers & Beam -Size & Bearing single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shihng.-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 -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers I ---- --- 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 -Meth. 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: Clearances -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 Fire Door: SwingLandin Closer -------------------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --------------------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location ---------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ N_o __ _ 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. Glass Protection ...... ------------------------------ . 88. Corrections from Previous Inspections ------ --------------- ----------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------------- 90. --------------90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- -------------------- ner------------ --- 91. ECompliance Certificate -Other Certificates ------ --------------- ---------------------------- ---- Date Card B-1 Date Card B-1 ------------------- -------------- - ---- -- - --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION `7 .County Center Drive - Oroville, California .95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 700 OWNERS MAILING ADDRESS 14235 SHER1400D CR, MAGALIA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 17.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14235 RWOOD CIR MAGALIA PERMITFEE $ 52.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF I Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR DECK — Mobile Home I S I G1 W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service / eoov OR LESS 200A OR LESS ) 23.00 Main Service( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ll�' I, 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( -ACC. BLDS. ) SO . 3.50FT. NEW CULTI-OUTLET CONST. M NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( & POSIWER APPARATUS ) NGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 Ex. Occup. I FIXED (REN o.j OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 6/ 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 -/�_ _ °�'t-� Date (0 95— Signature of ApplicaV- 'OL Own ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 52.00 HA2. I D. FEES IMP FLOOD COF PARCEL PD HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By AfF 6 PERMITEXPIRESON 16/7/1 applicable provisions Resolutions to do work been paid. DateJ j (D teJ Receipt No. WHITE-D.D.S. EI. CA A Y- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT m Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I 'personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[v] NO[ ]. 2. , I HAVE[ v] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but.1 have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE, TYPE OF WORK SIGNED: PROPERTY OWNER: &V , SOCIAL SECURITY NUMBER: DATE: L, `" I `7 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. , OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, .if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure 'an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rr Sind , i 1 Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION Y, V 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERC-444-2-as A,?. NoOCO�L,3'�'6,6S^ 3 Proposed Building Use aAalL Building Inspector 4Z Date -� S At time of per/mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: V 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. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. 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 required. 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. When ou issue theermit proces as follows: Mail to ow er. Mail to contractor. Telephone rand hold for pickup at 0_i+1 C �- office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant -7- 1 0 11 4 so i I I ( .3-0 ST MI -Dec T ELF � � ! ! � i •� i i � � j j i � I � � i I I i i • � ! I i j j ! i I � i i i i � I ! �NQt E:=AN matsrialt Worhmapshl ! Rhyl see ,... lAc4ordomb WA'Re,�acgniae8 Good Prpcti es"and. a "alify prescfibe,d f6r tete Spe -- fieo we id th® Uni lorrri Buildiri!g, Plumlbin' & McCchae icv .0c des *rtd 9r IO#i ! i iFhellaiioncl?mac?ricai C:cdo,l I iris set bf p!cn� grid sbeeificatio�s .� U ' b SEC A H I I I b i i °keit ars thy? 'ob at dll'tirr►bs and it j mol ! ':c :make airy chcnges:or 7lterjatigns or, sym' withou written: permission from illb Qeppaf•mgnt df Pubru,. 4— ' i (au T GOMT `Norks,. County of, Bufve: ! ' ENT CHAMGES/RL`PHIR-tiUec%( I 'APPROVED' ly2'3S S�er'wooci Circle _ l I O� Fitef� r,4 jM -TophO to be. 075'1m. f,* -Ail vvqj to not r,2- C. 'r--, I l* pick F - vi L'4 I I ( (� � I � - I � I � � � i j I i I I " �' I i iT I • i ` SEC Aa. � ! I � j l � + I � ' it�. j I F b ! 8TTE NYY 1POU, 4PNO t ! I i i �! j l j i I I ; i PROYt I (. ! ___ . ... I. _._.j.__.�_... _i �_-_'.... c H A N G FS /,-"lR r=- F>A. Dec M' TGA I A. rilz > .PERMIT NO. 2087-82B,P,E,M PERMIT EXPIRES OWNER Charles Hofschr.oer CONTR. Richard Hall, Paradise 64-32-53 ASSESSOR PARCEL LOCATION 14235 Sherwood Sircle, Magalia lie 7F 4 t � r 4 Temp. Power Pole Called PG&E Z / D Temp. Elec. ServiA/✓/ 3 ea, 4L. Called PG&E - !�(i • L Temp. Gas Service Cal led PG&E �J< 40 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS _ A ♦ A (location) BU ILD ING PERMIT NO. 2-0F?-) - 2,—Z, A. P. NO THE FOLLOWING HAVE BEEN INSTALLED AS PER,APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls '( Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS, (- BACK DAMPERED FANS f INTERMITTENT IGNITION DEVICES _ CERT. APPLIANCES 0 I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. qq Insulation Applicator Name Q. 1 r . h �� t L f (G Signature of (please print)' ' � Insulation Applicator - I < i State Contractors License No. 3 b L42 General Contractor/Owner Name Signature of (please print) General Contractor/Owner P --Date Stat Contractors j License No. 5 6 1 2_o THIS CERT IF ICATE 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. CERTIFICATE OF The following order- for on their P. 0. # , Rolando Lu bar (nvoica #S , unit # was shipped '!? d in compliance with the following certificate. .. -3 C 0 N F 0 R M A N C E /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIFIES that the products. identified below and on attached sheets Nos. l are marked with the collective mark of the American Institute of Timber Construction (AITC) V are manufactured in accordance with the manufacturing and fabricating provisions of cnhapter 7 of the Uniform Building Code, for glued laminated timber, as modified by ICBO Research Report No. 3346, and that such manufacture has been at our plant in Cottage Grove, Oregon , which plant has a quality control system approved' by the Inspection Bureau of the American Institute of Timber Construction and inspected periodically by such Bureau. The UA&FSigRed FREIFIHfaeb r umhec sarti#ie in-accorda . JOB NAME: JOB LOCATION:-CLOVERDALE, CALIFORNIA CUSTOMER'S ORDER NO. 8194 DATE 12/22/82 MFGR'S ORDER NO. 1591-0706 t SIGNAT RE_ "-OMPANV LAMINATED LUMBER PRODUCTS TITLE Q C SUPERVISORADDS/ COTTAGE GROVE, OREGON DATE AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said code and report(s), that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the undersigned, said company is capable of complying with applicable manufacturing and testing provisions of said code and report(s) in respect of products manufactured at said plant. Conformance with the said code and report(s) in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCE AITC Certificate No. E 20969 Signed for ERICAN INSTITUTE OF TIMBER CONSTRUCTION Paul R. Beattie Jack Minneci xecutive Vice President irector, Inspection Bureau ® 1980 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION SHEET No. TTA CHMEN T NUMBER TO l TC Certificate of- Conformance No. E 20969 Dated 12/22/82 Job Name: Job Location: CLOVERDALE, CALIFORNIA Customer's .Order No. 8194 Dated 12/22/82 Mfgr's Order No. 1591-8706 The following identifies the members and gives the basic specifications that were used on this job: Lumber Species: WEST COAST DOUG FIR MemberAppear- Identi- Quantity Size nation Adhesive ance nation Type Camber fication Giade SEE ATTACHED MEMBER SCHEDULE EXT P- 149 AITC Licensed Plant No. WEYERHAEUSER COMPANY LAMINATED LUMBER PRODUCTS Company AITC Form IB -2-65 OTE OF TIM' A ✓ o � C3 ant Ouali(v Control Dote U 1965 American Institute or Timber Construction Ln I _ 1. j ry, 4•- Wo p 1 3> C- 00 C-1 CD ro r*._i =; rD =. r,. -N r.,> r,,) = c7j C1 cz. =1 C, r C, c CR' ..j cO j Cun co �j S C�l C-) -,j .11 , L" CrI-D C-- C:) 'm Ln C., L, Ljn Cn L 1-4 III --4 -P- 4 4- M, I 4- -r- -v- 41 zc; co co CO ro COCo Zo ro CO co II -r- -r-.,IF:: -r- C, Lf -I Ln I _ 1. 1 3> C- C-1 CD ro r*._i =; rD =. r,. -N r.,> r,,) = c7j C1 cz. =1 CD -D =1 C=l I =1 ..j cO j Cun co �j S C�l C-) -,j .11 , L" CrI-D C-- C:) 'm --4 -P- 4 4- M, I 4- -r- -v- 41 m -r- -r-.,IF:: -r- Lf -I -j C.- --i -a-y T r 0, ---3 r-3 C3 L-) CD I r - m co r...3 "i ID, C, Is, 4- -r- r. -I -_j ,3 cl- cl, C-- c X, �o CO -F- -91 41 P,3 r- c 1 1 Cr kn ra .0 0:. -,1 -j -.1 C- -C, =1 Cj cz) cc wr-j C- CO C:3 =1 C• co 3-1 3.1 7-cl 7- 7C IZD I a L.rl 3 4 do I-:% lop �l V = OK O = Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. !Plans) G . oxcept # 1. Zoning Requirements -Setbacks -Easements 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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc�os„ res 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 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 8. 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 -I Date Card -BI Date Card -BI Date Card -BI . Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOKKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 maer, o need additional explanation, please contact this office immediately. � ra. . � � � � 1 r� • 1 V A0 Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 atter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTIONANOTI BUILDING OR PROPERTY ADDRESS 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. Inspector. Date�v r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY AD 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. Inspector Date �� T/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. r Inspector Date > _ f �J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal,iforn�a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N b� / ASSESSOR P RCEL NUMBER 2 .�. ZON//�j rI C BUILDING PERMIT OWNER t TELEPHONE SQ. FT. OCC. BUILDING VALUATION 7 C-06 Q. 00 OWNER'S MAILING ADDRESS CONTR OR' NAME I=L aL TELEPHONE CONTR TOR'S 1 N A D 0 Fireplace Total Valuation $ 00 vo CONSTRUCTION LE ER UNKNOWN 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 $ p, ► Z BUILDING'ADDR E55 d{'SPLUMBING PERMIT Filing Fee 10.00 Each Trap qJ 2.00 ,®d Repair drainage or vent piping 5.00 Water piping , 00 LOT NO. SUBDIVISION NAME •• PARCEL MAP Each qas water heater or vent 5.00 . 0 Gas piping system 1 - 5 outlets , pfd USE OF STRUCTURE SF)o Duplex❑ Mobilehome❑ Ottier SPECIFY Building sewer p Lawn sprinkler system 5.00 TYPE OF WORK Addition [:1Remode1 [:1 Utilities ❑ Installation ❑ Other [:1Contractor NewIXUaj Describe work: Permit Fee $ �, O ELECTRICAL PERMIT Filing Fee 10.,JL Main service 100 AMPOR00V OR 5 O.OO - Main service EA. ADD'L 100 AMP 2.50 Z1�� NEW CONST. (DWELLING O C OR ADDNS. ACC. BLDGS t CONTRACTORS LICENSE LAW I declare under 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 full force and effect. License No. 363 110 Classification a ❑ 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID,NSTR BRANCH CIRCUITS2.50 ea NEW CONSTR POWER APPARATUS \ NON-RESID. ( e SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL@; 00 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ (r•ab 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. UK 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. Heati Cooling , Hood 3.00 Ventilation permit Fee S OO Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequent of the granting of this permit. XThis '^ '� Date `a — 1 Signature of Applicant — Owner ❑ Contractor K 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 $ TOTAL PERMIT FEE $ OCcu GROUP I TYPE OF CONST. PARCEL Pa ND ISSUE f-✓// permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREPTR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / l 7_ �/ - 4_3 Receipt No. o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 5 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, .& MISC. ONLY) 15 Bldg. Permit # A.P. # z A. GE RAL v Zoning requirements (sideyards and parking).. Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. ..C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). �4! Allowable glazing for energy requirements (20% max. per.State law). �5! Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. IRJ---"Locations of water heater, I heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. r] Garage firewall, door size, and closer (Sec. 503(d)(4)). xI� 1 - 3'0" exterior exit door (Sec. 3303d). J,2' Fireplace location. 13" Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS iQs Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. -evations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Sfireplace construction details and calcs if over one-story in height. ufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR tel! CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). _8"' Guardrail details (Sec. 1716). A.,;' Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). ��.Rafter Proper roof pitch for roof covering (Chapter 32). ties,or bearing ridge beam. �B< Garage door or porch header sizes. building. (State law). Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and postsetc. Two (2) exits o three-story dwellings (Sec. 3302). Return f -o DPW AGRICULTURAL STATEMENT -0,F ACKNOWLEDGEMENT S0 %-36443 FOR RESIDENTIAL -DEVELOPMENT OFFIC.AL RIE", 's Section 26-8.1 of the Butte County Code requires this acknowledgement ;}'.t'.'i ? ui, be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included QAC �.0 14�` within an area zoned for agricultural purposes, and residents of ELEANOk PO fSi (KEft this property may be subject to inconveniences or discomfort arising CLERK=RECORUER from the use of agricultural chemicals, including, but not limited to herbicides, EE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- •tural zones which have as a priority use for productive 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. All that real property situate in the County of -Butte, State of California, described as follows: Lot 68, as shown on that certain Map entitled, "PARADISE PINES UNIT NO.4" which map was recorded in the office of the Recorder of the County 6f Butte, State of Californig, Octorber 1, 1970 -in Book 35 of Maps, at pages 97,98,99 100, and 101. AP No. 064-32-0-053-0 Date: State of California ) On this the 30th day of October 1982 SS. before me, theiundersigned Notary Public, personally County of Los Angeles ) appeared }. ***Rita:,L . Hof.schroer, and Charles J. Hofschroer*** L 3W •known tome t" be the person(s) whose names) arP subscribed to' the within instrument and acknowledged OFFICIAL sEaL that. they 't' executed the same for the purposes a „ N1. CHRISTGFHEL• , _ therein contained..' i rn NOVAY PUBLIC — MWORNIA • : --IN WITNESS WHEREOF* I hereunto set my hand and official 1� - PRINCIPAL OFFICE IN LOS ANGELES COUNTY seal. t '� I Rh Commission ExOrn July 29. 1986 4S � /0 -30-8Z Notary 4)ubrric Present A.P. NO.(, <l- 3) --5� .�S END OF DOCUMENT TOP, gia, FOR C.IVARUrS NbFS*Ct1RoR6lR, Imp" C s /Z 4114S 4 04D 5,0 oo)t, D, 1V !"Y4#A lb 94,- 44, .Ls ICE . . . . . ti X-19 17 r'A 1 1,? 4 I Ilk. Lip. X�1,0 IS T, F, z, ro rA. 4 4�, ff /0 9 111 Z. lit I 7x liq US7 X- 180 4 37486',joo ---------- -'�,04 8 8 H."N''Ot MA "M911i'vol-e� �k� 441 , J, 14"Al $Rill J,� W-1,111,1111, 0"1 6 Ow, 41, 4P 4401, e All w", 1191-1-7; ZIN 0 t Oro, 4 v, G tz"5- 1.7 -4*d Oy A� co WA�B�L6, s re (F f S, 9t J4 i, Qi 4i GA , V. nXlel j v, `70 4 -vm 6 It le T 64 dc,c r/ 0 A/ ltk lei