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HomeMy WebLinkAbout064-340-009i. 07 64-34-9 JOE & HELEN GLASS F/asf�� 14227 Elmira Circle PPYMMa , g Contr Ken Young, Paradise o hermit#1075-83B,P.,E,M(new s.ingl.ee_family.> 064=340=009 . `` PERMIT#98-1'!FRENCH, Dean-& Sandra14227 Elmira Circle, MagaliCont: Hall & Young Replace Wood�stoye/SF F/�G.'4� I i t h + r � I f 4 i i } j r i 4 i. 07 64-34-9 JOE & HELEN GLASS F/asf�� 14227 Elmira Circle PPYMMa , g Contr Ken Young, Paradise o hermit#1075-83B,P.,E,M(new s.ingl.ee_family.> 064=340=009 . `` PERMIT#98-1'!FRENCH, Dean-& Sandra14227 Elmira Circle, MagaliCont: Hall & Young Replace Wood�stoye/SF F/�G.'4� 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 ` PR_ OJECT INFORMATION DBF Room Addition—First Stor Site Address: 14227 ELMIRA CIR $102.70 Owner: $102.70 Permit NO: B07-1191 APN: 064-340-009 $280.15 FRENCH, TRUST $115.98 DBSMIP Residential Permit type: MISCELLANEOUS PO BOX 719 Issued Date: 08/27/2007 By KCG Subtype: Room Addn-First Stry MAGALIA, CA 95954 Expiration Date: 08/26/2008 Description: _ENTRY 98 SQ.FT.& DECK ADDITI- (530) 873-1240 Occupancy: Zoning: R-1, YOUNG KEN GENERAL CONTRACTOR YOUNG KEN GENERAL CON Building Garage Remdl/Addn PO BOX 157 PO BOX 157 98 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530)876-1482 (530)876-1482 98- t , FEE INFORMATION DBEH Building Review Fee .$75.70 DBF Room Addition—First Stor $186.77 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE Fire Inspection (SRA) R, $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Addition -First Stor $280.15 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $0.50 .''LIC ENSED.CO.NTRACTOR'S DECLARATION- ' Contractor (Name) State Contractors License No. / Class / Expires YOUNG KEN GENERAL CONTF C383479 / / 10/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 08/27/2007 Contractor's Signature Date ur 'WORKERS'.COMPENSATION DECLARATION_.• .' I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier: PREFERRED EMPL(policy Number. WKN7093375 Exp. Dale:02/01/2008 (This section need not be completed if the permit is for one hundred dollars ($100) or less. rKCERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LLrJJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Se ' in 3700 of the Labor Code, I shall forthwith comply with those pr visions. , 08/27/2007 Ignature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ,—CONSTRUCTION;LENDING ."AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip I ota( unarged: $967,20 Fees Paid: $967.20 Balance Due: $0.00 Receipt No: B4385 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant We civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 10 CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 2 -_"_j/� 08/27/2007 Owners Signature Date I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with 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 Co ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the P. erty owner uthorize to act on the property owner behalf. ' i�.��)rSAAb)PA-,E f Ps,/,,-�A8127/2o07 Owner Contractor 0- R Agent for Owner Agent for Con tractor FILE COPY BUTTE COUNTY ����o DEPARTMENT OF DEVELOPMENT SERVICES .0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o —� .=� o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds C011N'��l **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name First Name,,,,. Mailing Address I4�2 Z --7 1!5/- s lleR 0,12CfL e City State Zipp�Il� �ax Phone 8''1/.:Z yo F- E-mail CONTRACTOR Name V4y1fx1. Address t'57 cityfAr tSG State Zip 71�� Phone U4? Fax eX�., E-mail Lic. # g' p5 Class ARCHITECT/ENGINEER Name � 7 Address Address C wky City �� Phone°����i'c State p� j Zi 7l Phone Q�o'� S� U / �+, Type Const. I/N Fax E-mail State License Number APPLICANT INFORMATION Name - Address City �j , ��s State Zip 7 Phone°����i'c Fax Email PERMIT NO. $0 BIN # . PROJECT LOCATION AP# 'Al _ a Property Address MU z 42—/418q CZ& City C/ WORKER'S COMPENSATION Policy Numm� /cg -T3.7 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 /f©.0 f! Address DESCRIPTION OR SCOPE OF WORK: T_s7'1i2C /A/ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRAr No Occ. �+, Type Const. I/N I Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1191 Location: 14227 ELMIRA CIR Parcel Number: 064-340-009 Date: 05/31/2007 Owner Name: FRENCH, TRUST Phone: (530) 873-1240 iption: ENTRY & DECK ADDITION Signature of Property Owner. FILE Date: 05/31/2007 Butte County Department of Development. Services. 0 TTF0 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR O O 7 County Center Drive O O Oroville, CA 95965 o O O (530) 538-7601 Telephone (530) 538-2140 Fax C�(/ www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1191 yhone: 5/31/2007 Location: 14227 ELMIRA CIR MP Parcel Number: 064-340-009 oom Addn-First Str Owner Name: FRENCH, TRUST 530) 873-1240 . Description: ENTRY & DECK ADDITION The above permit application has the following. Clearances required prior to perms issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit applicat' n. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 959 5 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-200 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 89��4711 ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Ch'e'o CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midwa , Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 12 0 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Sk, i aradise CA 95969 - (530) 872-6393 ❑ ❑ Biggs Unified School District, 300 B S eet, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 116 ast 7th Street, Chico CA 95926- (530) 891-3006 ❑ Durham Unified School Distric 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 agnolia, Gridley CA 95948 - (530) 846=4723 ❑ ❑ Marysville School Distric , 1919 B Street, Marysville CA 95901- (530) 741-6000 ❑ Oroville Elementary S ool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union Hi , 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ ❑ Paradise Unifie chool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded cQ y of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 - ❑, ❑ Other: ❑ ❑ Other: ❑ ❑ Other: r Signature of Property Owner: - - Date: 05/31/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds' PERMIT APPLICATION DATA SHEET Reference Number: B07-1191 Date: 05/31/2007 Location: 14227 ELMIRA CLR By: TMP Parcel Number: 064-340-009 Sub Type: Room Addn-First Str Owner Name: FRENCH, TRUST Phone: (530) 873-1240 Description: ENTRY & DECK ADDITION .❑ ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 . ❑ ❑ PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 .❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ 0 Paradise Parks & Recreation, 6626 Skyway,: Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: APPLICANT Date:. 05/31/2007. . SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico. Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:1.05 ❑ ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: ❑ ❑ Other: ❑ ❑ Other: Signature of Property Owner: APPLICANT Date:. 05/31/2007. 0813710.7 MOA? ll:. -a 8. FAX' Sao 87.2 6409. PARADISE -CNIFIED BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building). School-Disiricl- Y"SPF 1917 ioQV Building Department No: -- Tax Rate Area No. A.P. NumberJ&qJurisdiction: '.� CityCounty Property Owner�[/� aropeny locaiionlAdd(ess IY ZZ d (%Vl (in . �;l fP.I tia� / ` (Gdt 7 'Subdivision 'Lot'No. Residential Development O No of'Llving Mobile Home Units Installation CommerciaVlndustdal New Addition UeDw(mi mt i Sq. Footage J.. A�dqffiw'Supplementatto ti i (Gimp R)" Conversion PettniCtl Cr, Demo - (NoToundatton Inspection) I existing sq. ft. Deed Restricted Sq. Footage (Attach a signed copy. of Dead Restriction ani Notice of Limlied Use Facllity_document), Sq.,F-ootage (Including Exterior Roofcd Arca.,) i)ata District IlJenlilication No. J . - chool District certifies that (Payor) (Street Address) has -complied with the requirements of Resolution No. representing O square feet,. School oistnct by payment of $ A8 2926 $ _ FULL MITIGATION $ Date (Phone Number) Paid by Check # - $ernatks :' l.. Notice; Yuu mayyprotest the Imposition or the fees identified above by submitting a wrltton pr'otost to the District, in compliance with Gnva►nywOnt'Ci�dcSecGon'GG020(a), within -$0 doyo"6omlite date *foes oro paid.-Fchure-to submit aCimcty we, protest wiltpro4i�b'il you Irons ehaitenoing the imposition of tho tees th any court aellon. - 'If, sub8elue7rnt to V,c School District Rep re sgritative signing this Butte CouniySchoo(s Impact feu CurtificaGon form, tl,o SchooiDistriCt'is notified.by.the.applieppin Local Planning:Agency. that. thisprojecuis. being.eevteweduttdar_the-Cstitornim.'_nuirottmant-a.Ruattty Act tCs0A)•, thls project may beW44Lcr10 additional school tool to Fully mitigate its Impact on the school district's schools. White- (SCftuul s1b'Ci)T"Yetlow (building department), Pink (applicant) feerom,:xts (tiZpe)dmrR AUG 2 7 2007 DEVELOPMENT { SERVICES , -Butte County Department. of Public'Works J. MICHAEL CRUMP, DIRECTOR T TFo LAND DEVELOPMENT DIVISION O Storm Water Managment Program O 7 County Center Drive O Oroville, CA 95965 O (530) 538-7266 Telephone (530) 538-7171 Fax Ic www.-buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction .Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1191 Date: 05/31/2007 Location: 14227 ELMIRA CIR By: TMP Parcel Number: 064-340-009 Sub Type: Room Addn-First Str Owner. Name.. FRENCH, TRUST Phone: (530) 873-1240 Description: ENTRY & DECK ADDITION By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre ormore of land and that I therefore, do not needto apply fora Construction $to' Water. Permitfrom the State of California. Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more. thanone acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting; false and/or inaccurate information or failure to -apply for Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided bylaw. Signed: Title: Date: 05/31/2007 FILE o w T Tho BUTTE COUNTY FEE. SUMMARY Printed: 05/31/2007 o l 0 7 County`Center Drive 11:32 am Oroville, CA 95965 0 0 0 o Department of Development Services -: 0 o Phone (530) 5.38-754.1: Fax (530) 538-2140 Permit Number: B07-1191 Job Address: 14227 ELMIRA CIR Contractor: YOUNG KEN GENERAL CONTRACTOR PO BOX 157 PARADISE, CA 95969 Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 05/31/2007 $75.70. DBFIRE Fire Inspection (SRA) R 0100=450001-4617240-1010 $102.70 05/31/2007 $102.70 0100-450001-4617240-1010 $10170 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 05/31/2007 $102.70 DBMSC Room Addition -First Stor 0010-440001-4210500-1010 $280.15 DBF Room Addition - First Stor 0010-440001-4210500-1010 $186.77 05/31/2007 $186.77 DBSMIP Residential . 1001-0-280-1011298 $0.50 967.20 $467.87 Printed By: Tammie Powell Balance Due: $499.33 At the time of permit application, as advised the above fees are required prior to issuance of the. - permit. These fe ch g the plan'checking process: Signature: Date: 05/31/2007 Pursuant to Government code ctio 66020, you are her notified those items -listed above may have been imposed on your project. You have 90 days from the date of approval of e p " ject or from the-impostion of the above'referenced items during which you may request a protest. The requirments for a protest are specified i G v r rnent Code Section 66020(a). ' California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau Reference Number: B07-1191 Location: 14227 ELMIRA CIR Parcel Number: 064-340-009 Owner Name: FRENCH, TRUST 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530)538-2105 Fax Date: 05/31/2007 By: TMP Sub Type: Room Addn-First Str. Phone: . (530) 873-1240 Description: ENTRY & DECK ADDITION To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A. ' ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection:, ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 12 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 05/31/2007 Date Signature All of the Fire Safe Requirements are posted on the�utte County Fire Department website at htti):Hbuttefire.org/Firel)revention/protl)lan/protplan.html Rev'd 5/7/07 FILE PERMIT NO. 1O75-83B,P;E,M PERMIT EXPIRES(���- OWNER JOE &HELEN GLASS 1 CONTR. Ken Yount, Paradise . / ZS J2 /C'i3 ' ASSESSOR PARCEL 64-34-9 / LOCATION 14227 Elmira Circle, Magalia RIK-- - -3 t y�� 1. Temp. Power Pole Called PG&E u; Temp. Elec. Service ` '"O� m Called PG&E tO -/V ' Temp. Gas Service Called PG&E " f- JOB FINALED (Date) 4 �. Signature .j J = OK_ 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS ` _. Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rfirs.-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"ft./ /"Nat.or/. /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea 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 N's 1• Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except N's 1.'Setbacks-Easements '•t t� 2. Foot ings;•Size-Spacing-Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 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-1 Date Card -BI Date - Card -BI Date Card -BI Date J = OK 0 = Not OK Not rf`y ble Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK exceptlt's Date FRAMI G Continued 1. nin requirements -Setbacks -E ents 48. erty Line Firewall & Openings 2. Main; Soils-Steel-Elec. rnd.- / Ftg. Depth 49. xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. arage; Soils -Steel- / Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg. Porches & Decks; Soils -Steel- / /" Ftg. Depth 51t wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. -em s, Main; Steel-Blockouts-Wrapped-Slab 5 Siding -Nailing -Veneer 6. emwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 ersyargieel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O we es 55. Shear Walls; Nailing -Bolts -T.-Mas Pipe; Size -Anchors Water Pipe; Test -Anchors -S t _ ectric; Underground enums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date ate and -BI Date Card -BI v Date Card -BI Date Card -BI Date// Card -BI Date Date FINA ans) OK except q's Card -BI Date Card -BI ate Date i PLUMBING (Permit) OK except q's 14. Wa r Ht.; Vent -Access -Combustion Air . E Steps -Door & Sidelight Protection and' moke Detector Vents -Clearance -Comb. Air -Connector - arage; Above oor-Ducts-Mech. Protection 1 a ipe; Test &Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 5V Wroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access G .I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels - 19. Gas Pipe; Size & Anchors 62 rs & Rails - - 6 . Fir lace or Stove; Clearances -Hearth ' Card -BI Date Card -BI Date 6 le Outlets at Wood Panel; Int. & Ext. 65 i ixt. e& A liance; Grnd.-Air Gap -Cooking Clearance Card -BI y Date Card -BI Date 6 . Outlets & Receptacles at Kit. Counter Date ELEC ICAL Permit OK except N's 6 Garage Fire Door; Swing -Landing -Closer n Garage -Damper - -, e& Transformer Clearance -Ins. Protection !y 21. Elec. Spacing -Lights & Switches at Doors 69. . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection - _ _Receptacles 2 ize xes & No. of Conductors -Stapled 7 ., Elec. & Mech. Equip. Listed for Location 7 Elec. Receptacles in Garage; (G.F.I.)-Romez Protec. 2 Installed Close to Edge of Studs & C.J. - 2 E Ground made up w'Mech. Fasteners -Bond Gas & Water 72. lnsu ' n-Gdh*=tooked in Attic Yes 73. and Rails &Deck Construction -Post Caps 2 Appliance Circuits in Kitchen &Conductor Size - _26. Subfeed Wire Size / a. Cu or C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl H Drainage & Wood -Earth Clearance Looked under Floor rFYes 27. Range Circ. / / ga or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral es❑No 75. Following instld.: Drive ❑ Yes ( No; Walks ❑ Yes o; Planters ❑Yes L'1yo - 28. , ervice-Riser Conductors & Ground -Main Disconnect rown-Finish - -- 29. quip. Clearances; Panels-Motors-Mech. Equip. 77 nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. C ihes Closet Light -Shower Light - 78 encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- ------• - --- connect, Electrical, Plumbing Card B-1 Card B -I A _-__- �ate� _ Card -BI Date r�i Date Card -BI Date 8 ' x or Elec. Trim; G.F.I. Receptacle -Underground 81 a ation throughout House 8 Protection Date MECH ICAL (Permit) OK except N's 8 Corrections from Previous Inspections 84. Ga 1 -Meters Tagged; Gas -Electric -- 3 _ . Ducts; Insulation & Support er & Sewer Connected -C/O to Grade -HD Approval _ 3 Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates Condensate Drain & Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --35.-Attic Access & Platform if Furnace in Attic Card -BI Card-BI ate and -BI Date Date Card -BI Date Card -BI !\ Card -BI .% Card -BI Date j//J Datek_7 - ._ l` Date Card -BI Date Card -BI Date Card -BI Date Date. laps) OK except CommentFinal: -FRAMI nc 36.-_ ills Proper Material &Anchors 37.T-W� _, _Stu_ds-Nailing, Spacing & Bracing -Plates -Sound 3_8.��g Walls over Girders & Floor Nailing 39. D top in Walls (rat proof) _40..Fise^Stops; Furred Ceilings -Stairs -Chases -Tub _P AZI r T 7 41. Hea er &_Beam -Size & Bearing _ 4 angers -Post Caps -Anchors -Connectors - _ 43. Cing. Joist-Rftr. Tie in -Roof Trac -Trus hthng.-Rfn9. 44. &Ileplace Ties or T e A Flue -Fireplace Throat i 45 _ic ccess: Size & R_om_ex Protection -Draft Slop -Ins. Baffles 46. m._Win_dows or_Exiting Doors -Sill Hgt. & Dimensions--__ - Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-271 7 County Center Drive, Orovi Ile — 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275,1 7 County Center Drive, Orovi Ile — 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. Inspector Date RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE y THIS IS TO CERTIFY THAT,ENERGY CONSERVATION REQUIREMENTS HAVE BEEN 1 INSTALL D IN CONFORMANCE WITH CUR -RENT EIJERGY CONSE V TION REGULATIONS, (location) BUILDING PERMIT NO. 0 -cS A:P., NO. THE'FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed Fdn. Walls Special (Insulated) i, -— Floors j/ CERT. & LABELED WDS. / Walls �--jc _ & SLIDING DRS.y Ceiling/Roof WEATHERSTRIPPED DRS. f Ducts BACK DAMPERED FANS Circulating Pipes_ INTERMITTENT IGNITION DEVICES APPROVED HEATER Zl CERT. APPLIANCES APPROVED WTR.HTR. Z/ 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 ALSXBMITTED. Insulation Applicator Name Signature of pl e p int) Insulation Applicator State tractors Lic No. �' General Contractor/Owner Name /C� S (pleas print) Signature of General Contractor/Owner Date L>< tate tractors Lice No.�r3 LIZ 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. 0 COUNTY OF BUTTE - DEPARTIENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Callifornia.-05%5 - Telephone 916/534-4541 - APPLICATION AND ;PERMIT A SSE S4R A I{,NU=BE ZO/ BUILDING `PERMIT OW ER /l LASS TELEPHONE OWNER'S M LING ADDRESS 4!! SQ. FT. OCC. BUILDING VALUATION f 00 CCLNT TOR'S � 6 3o, co CO TRACTOR'S MAILING A RE55�/ /�(/(�� n „ boy- S /V'/� p ' Fireplace V , V0 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 11 ,. V LENDER'S MAILING ADDRESSFlling Fee Permit Fee $ $ 10.0 Q ARCHITECT OR ENGINEER LICENSE NO. A Plan Checking Fee $ AD ARCHITECT OR ENGINEER' MAILING ADDRESS - Penalty Permit fee $ $ , Z5 BUILDING ADDRESS G 44//6r /1je0 " PLUMBING PERMIT FilingFee 10.00y Each Trap 2.00OC,OV Solar Water Heater — 20.00 QV.C?o Water piping 5.00 f0() Lor sueDl�jISnION4#A /"/" q PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 5.00 j p� Mobile Home S TG FW 1 110-00e FsF Duplex[:] Mobilehome❑ Other SPECIFY TYPE OF WORK Permit Fee $ ,® ^ Contractor New Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ ELECTRICAL PERMIT Filing Fee 10.00 Describe work: — Main service 100 V OR LEAMP ORSLESS 10.00 .V0 Main service EA. ADo'L too AMP 2.50 2 ,C% NEW CONST. OWE LOR ADDNS. ( ACC. LLINDG.1.0 2y2QSgft f 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.TZ/ Classification /' NEW CON5TR ULTI-OUTLET 2.50 ea NON.RESID. BRANCH CIRCUITS/ NEW CONSTR. POWER APPARATUS NO,N-RESID. (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 20@50t FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 ❑ 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 Mobile Home Facilities 15.00 for sale. (Sec. 7044) - ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code Permit Fee $ ZQ . Contractor for this reason 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. Heag Heating .G GU .®O (, "P Cooling �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. Hood 3.00 r00 Ventilation ❑ 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. permit Fee $ 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. Mobile Home Installation Fee $ - TOTAL PERMIT FEE I also agree to save, indemnif and keep harmless the County of Butte against all liabiliti s, ju ents, s, and expenses which may in any way accrue agai unty in s ence of the granting of this permit. X Date cJ Ignat re of Applico - ContractDrlX Agent ❑ OCCUP. GROUP ;J TYPE OF CONST, .7V ARCEL PD ND Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 'work indicated above for which fees have been paid. An OSHA permi I required tions over 5'0"—deep and demolition or construct- ion of structur ver 3 ston �.0 DIRECTOR OF2UB By PERMIT EXPIRES Date C WORKS Date '— Q. Receipt p WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT Of ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT- i,. Section •26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.' r APR ?? The property described herein is adjacent to. land or included kin L6 1� �7 P�99 withinan area zoned for agricultural purposes, and residents of ELC:,NOR M. this property may be subject to inconveniences or discomfort arising CLERK - RECORDER from the use of agricultural chemicals, including, but not limited to herbbici es, pesticides, and fertilizers; and from the pursuit of agricultural operations includ"ing E but not.litnited to cultivation, plowing, spraying:,,"pruning, and harvesting which ossa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- Lural zones which have as a priority use for -productive agricultural purposes, and residents within said zones and on adjacent property should he prepared, -to accept such inconvenience or discomfort from normal, necessary farm operations. All. that real property s.ituath in lite (:ounty of ltt tte, State of California, described. as follows: C(� cr?tc:.. _Id Lzt : �� t . } c�: / / X70 Y. 5 i (Individual) STATE OF CALIFORNIA OUNTYOF Los Angeles' } SS. OnApril 22, 1983 before nw, the undersi -ped, a Nulary Public in and for said State, perwnally appeared **Josiah D `ill—ass & Helen E Glass w ! personally I known to me (or proved to me on the basis of satisfactory evidence.) W to be the person S whose names are subscribes, W to the within instrument and acknowledged that e D. 6 _ OFFICIAL SEAL F executed the same. �' WITNESS my hand and official seal. DEBRA K. fABRIZIO NOTARY PUBLIC — CALIFORNIA PRINCIPAL -OFFICE IN CO Signature �o.M.. LOS ANGELES COUNTY My Commission Expires August 4, 1986 Debra K. Fabrizio I~ Name (Typed or Printed) 57167 (REV. 6-821 (This area for official notarial seal) - . llrz!.sent A.P. N0. 19 9 ersonally` r s s) :nowledged -urposes .and official e" )WNER RESIDENT IAL .. PLAN CHECKING GUIDE (S.F , UPLEX, & MISC. ONLY) Bldg. Permit # A. P. #�_9 s L. GENERAL .v _,Zoning requirements (sideyards and parking). Valuation. ` Signature by R.C.E. or Architect.(if required). 3 i ` PLOT - PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. FLQOR PLAN G(% /o2d�/ /✓Q C' e! Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.S'tate law)-. :. Human impact glass (Sec. 5406). acs. 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. �! Locations of water heater', heating & cooling equipment, other electrical'or gas equipment, and plumbing fixtures. .41 ;'-fT;: Garage firewall, door size, and closer (Sec.:503(d)(4)). 1.- 3'0" exterior exit door (Sec. 3303d). -,: Fireplace location. 3� Smoke detectors (Sec. 1413). )' ;STRUCTURAL DETAILS Y." Foundation plan complete enough to construct.building. `'`.2!loor construction details complete enough to construct building. `»-- Elevations and wall construction details complete enough to construct building. ;'Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. ,Sufficient data and details to satisfy energy insulation requirements (State law). s. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. ><- $fairway details (Sec. 3305). guardrail details (Sec. 1716). ,.W. , Arick'or stone veneer (Chapter 30). _ erior plaster - weep screeds (Sec. 4706 & 4708). f ,per roof pitch for roof covering'iChapter 32). ter ties or bearing ridge beam. ��F age door or porch header sizes.quate bracing. Living area over garage;- complete 1 -hour -separation required including supporting walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302). COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,f Califon nia 95965 - Telephone (916) 5384541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT( i ASSESSOR PARCEL NUMBER ZONING BU I Lb I NG P ER M IT OWNER r r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S "alW 11"ELMIRA CIR, MAGALIA 95954 CONTRACTOR'S, • p YOUNG TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14227 EIMIRA CIRCLE Energy Plan Checking Fee $ ri3AGALIA $ PERMIT FEE $ S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE } SF 1111 Duplex ❑ Mobilehome ❑ Other I SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ll Describe Work: REMOVE & REPLACE WWDSMVE j Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800v Main Service 2ooA OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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.POWER 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: ❑ 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. C� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.5¢FT. NON•RESID. MAUrLCT.OUTLETUTS 97,50 APPARATUs 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20@'.00 BAL @ .50 FIAPLNS Ex. Occup. OUTIED ETSPRES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �) X Date ` fr1j Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ hcc NS . PE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By 7 [�Dattee4 PERMIT EXPIRES ON y 1O / Del® Receipt No. .: <�{,n'���L) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINISION 7 County Center Drive - Oroville, California 45965 - Telephone (916) 53187541C, -PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT(Z _,.� ASSESSOR PARCEL NUMBER ZONING BUILbiNGPERMIT OWNER TELEPHONE OWNERS neAluN4TPssELMIRA CIR, MAGALIA 95954 SO. FT. OCC. BUILDING VALUATION 1 - CONTRACTORS NAME HALL & YOUNG TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ jr, no ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 14227 ELMIRA CIRCLE Energy Plan Checking Fee $ $ MAGALIA PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IM Describe Work: REMOVR & REPLACE WOODSTOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoosoaLLE: s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. las 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 Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5QFT, NON.RE.I.TNEW COS B ANLC CIRCUTS @7,50 8 SINGLE OUrLET CIR. APPARATUS Ex. OCCu OUTLET OR FIXTURES BAL '.00 0 Ex. Occup. ourLEEDrs REWSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ 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.) V I certify that in the performance of the work for which this permit is issued, I shall3 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 orthwith comply with 11ose provisions. X IF/ Date '7'�a�L�k___ Signature of Applicant - t% Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 1/ PE TOTAL FEE $ 55.00 HAZ. D. FEE IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions ofthe Butte County Code and/or Resolutions to do work indica7 above for which fees have been paid. �` ,l �G By Datta � o PERMIT EXPIRES ON Date Receipt No. 2 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a AV