HomeMy WebLinkAbout064-400-034K64 z 40 34
;CARVER M lkel,
26gB14,4t,,63
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RESIDENTIAL
F64 -4b-34
3693-90B,P;E,M
`
CARVER, , Mike `
63.26 Bliss Ct, Magalia
(new sf)
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1
VA
/�OFFICE COPY
C3 Address 3 2'6 eQ.:V C r +
GAS {rr�" _ f.. �.-� t
Meter By Date
��� �� "
-TRI /
A-,' ELECELECBy WA, Dat ,i
• GAS
Meter By Date
ELECTRIC
Meter By Dat�G
ct JOB FINALED (Date) 17,
�' Signature
J=dK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
t
a
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Efec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4 O
O=Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UND LOOK Plans OK except #'s j Ae n
96ing-Setbacks-Easements-Flood-Slope
2,Ftg,,• Main; Soils-Elec. Grnd.-/ v" t_!p. Depth
g., Garage; Soils-Steel-Elec. G .-/J-e' Ftg. Depth
4. FA:, Porches & Decks; Soils -Steel-/ /Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6emwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
rs-Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
ve,Vlater Pipe; Test -Anchor -Regulator -Service Test
12. Elec ric; Underground
1 u
ienms & Ducts; Clearance -Material -Support -Ins.
t4 -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date ll -t)- G-' Card B-1 G' -SN Date Card B-1
Date 1,2,-/-7467/Car B-1 Date Card B-1
Date PLUMBING Permi OK except #'s
ater Htr.; Vent-Access-Comaps,' Ai �e
ater Pipe; Test & Anchor otection
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 `l 9 4 Card B-1 C < Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL Permit OK except #'s
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
424. Size Boxes & No. of Conductors -Stapled
2,5/60mex Installed Close to Edge of Studs & C.J.
29' -Equip. Ground made up w/Mech. Fastners-Bond GIs -& Wa er
27!2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or Al-C.P. Wire Size /%/ ga.
Cu or
29. Range Circ. /.6/ ga. Cu o I- ven Circ. / ga. Cu or.Al.
Insulated Neutral YesNo
3 ervice-Riser Conductors & Ground -Main Disconnect
3 . Equip. Clearances Panels-Motors-Mech. Equip.
3 . Clothes Closet Light -Shower Light -Spa Light
-Smoke Detector
Date -Date Card B-1 G S Date Card B -1B-1 G S Date Card B-1
Date Card B-1 Date Card B 1
Date MECHANICAL (Permit) OK except #'s
3 C. Ducts Insulation & Support
Vent Fan; Exhaust above insulation
3eCondensate Drain & Overflow; Size & Grade
37. urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
34. Attic Access & Platform if Furnance in Attic
Date L-- i- y I Card B-1 C's J Date Card B-1
Date Card B-1 Date Card B 1
Date FRAMING (Plans) OK except #'s
;"9. Sils, Proper Material & Anchors
'(011 Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
0. Bea rig Walls over Girders & Floor Nailing
4 raft Stop in Walls (rat proof)
Fire Stops; Furred Cei:ings-Sta' -Chases u
A. Headers & Beam -Size &t3e&JAg (LJ )
& Duplex)
Date FRAMING (Continued)
w
45. Hangfirs-Post Caps -Anchors -Connectors
,,1ir_ g. Joist-Rftr. ties -P -roof Bra s-ShtIing.-Ring.
Fir place Ties or Flue -Fireplace Throat clearAce
ttic Access; Size & Romex Protection -Draft Stop -Ins.
49!6drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
garage Fire Protection Framing
sa!roperty 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
56 -Siding -Nailing Veneer
56 -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
--\d-59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date 2/' S r Card B-1 Date Card B-1
Date - Card B-1 Date Card B-1
Date F L Plans K cept #'s
teps-Door & Sidelight Protection -Landings
62. Smoke Detector
-6T -Furnace; Vents -Clearance -Comb. Air -Connector -
In Garaoe: Above Floor-Ducts-Mech. Protection
Fixtures & Tub
m & Suypanel; Breaker Sizes & Labels
tK Fireplace or Stove; Clearances -Hearth
6 . lec. Outlets at Wood Panel; Int. & Ext.
7D!kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 c. Outlets & Receptacles at Kit. Counter
QO'Garage Fire Door; Swing -Landing -Closer eel/0-
73.
b 0-
73. A.C. Duct in Garage -Damper
74 tr. Htr.; Vents -Clearance -Comb. Air-Connector-R-R'ff
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
-46�Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77�4nsulation-Foam-Looked in Attic C1 Yes
78. Guard Rails & Deck Construction -Post Caps .
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
8.. Following instld.; Drive ❑ Yes 0 No; Walks 0 Yes ❑ No;
Planters 11 Yes 0 No
81. Stucco; Brown -Finish
82<CA.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
8-1/'plass Protection
. Correctighs from Previous Inspections
as T t -Meters Tagged; Gas -Electric
W.0 r & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Date LiAvi Card B-1 LJw Date Card B-1
Date(% ,q Card B-1 % Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
ENERGY CERI'IFICii,TION
��Sli SS
LOCATION
ROOF
Material-_
Thickness_
EXTERIOR WALL
Material FIBERGLASS
Thickness (Inches)+,_
CEILING
. NO.
Brand Name _____
Thermal Resistance (R Value)`___
Brand Name CERTAINTEED
_ Thermal Resistance (R Value)J,,3
Batt or Blanket TypeFIBERGLASS_ Brand dame CERTAINTE%D
Thickness (Inches),_ /0 Thermal Resistance (R Value),_3
Loose Fill Type__F.LDI�RGI:,ASS__.__.. Brand Name CERTAINTEED
Minimum Thickness (Inches) No. of Bags Weight/B1q.25 lbs
Area Covered (Sq. Ft.)��oZ _ Thermal Resistance (R Value)*_3_2
FLOOR,ELEVATED
Material___ FIBERGLASS
Thickness inches)___
FLOOR, SLAB
Material
Thickness (Iziches)__ _
FOUNDATION WALL
Material___
Thickness (Inches)
Brand NameCERTAINTEED
Thermal Resistance (R Value)_e_
Brand Name __ _
Thermal Resistance (R Value) .
Brand Name.Thermal Resistance (R Value)V___
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLFT) IN THE
ABOVE BUILDING IN CONFOR.1lANCE WITH THE STATR OF CALIFORNIA FNERGY
REQUIREMENTS.
HAwKIN.S__I.NDUST1iXFS INC ___ 379407
Firm Name/Owner State Contractor's License No.
,Signature
Date
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
rm Name/Owner
Signa re en. Contr��tr/Owner
/uL�/? -.._ _ _ __ __ _.-
Date
1C _L
Date
_ _�?`r- :.� ,,.'cC�v+=��('1�,, 11� .r1 .��"i•-'t'—. .t y_n:lf�'�.�;-v'�y�'....4'�'it'K:"~4.,+i{lya:•t+
COUNTY OF BUTTE
'r DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, r need additional explanation, please contact this office immediately.
R J I d X Ly A4 -0 &- C.00 % Ze.- e 4d , rA
3Jid-e kO-44if Q//S t>-1 CyleMeV-Sle- exI r%.
�� ✓ ID�t a �� D Gt J,J S � �-;%a ��..� �'2 R t'i F � �a O�ea...
�-) C o^.c% Ac- PL. U e; /� ..• ; . �Dr f SODtr e
Date' VI' �� Inspector v _
• � .� r- - r:� iY"8i$'�'�i:�r'��i,:Vtr:�ir::'SSR�'� : �,.._.:` �1�`i`".[^�:., :w
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Gh,ico — Phone: 891-2751 OrG•".r"
7 County Center Drive, oville — Phone: 538-7541'
Uwe
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
a
OWNER PERMIT N(
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.
v�L
40- u�Nc�ow_
X, u
p C—
�✓ a % /'� .,i it .,P. L "e--
O
le -
Date— 2 i Inspector
COUNTY OF BUTTE
'DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. D
3693-9
ASSESSOR PAR EL NUMBER
64-.40_34
ZONING
RT -1
BUILDING PERMIT
OWNER
Mike Carver
TELEPHONE
891-8830
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 6226 Chico 95927440
M 6,160
CONTRACTOR'S NAME
Same
TELEPHONE
4 2,226
CONTRACTOR'S MAILING ADDRESS ,37
C 70
Fireplace 1A 1,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 4 .00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING
Bliss ADDRESS Ma alia 95954
Permit tee
$ 439.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 16.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
69
NAME
iPara Pines, Unit 5
PARCEL MAP
3
Water piping
5,00 5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5.00
Mobile Home S FG W
10.00e
TYPE OF WORK
New x7 Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: 3 bedrm
Master #20-88
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�II
, l am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my licensEA Is In ful force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.81
OR ADDNS. ` ACC. BLDG S.
2%0sgft 49.45
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20®80C
BAL® 30
Ex. OCCUp. O UTLETS PIRESID.IFIXED APLNS.REAJ
2.00
Temporary service
10.00 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 81.95
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I have placed on file. with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
ht pmp.
Cooling
6.00
Hood
3.00 3.00
Ventilation
3.00
Permit Fee
$ 28.00
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 conseque ce of Ahe grantin of this permit.
X Z7_ �!Q
Signature of Applicant - Owner ❑ Contractor ❑ AgenJ
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
TOTAL $
FEE
AL E
624.95
HAZ
CLIA
PARK
PAR
P,
HD
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
D)E OR F BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 74198 70)
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
!1
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION ;` U
7 COUNTY CENTER DRIVEi GROVVE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
i PERMIT APPLICATION DATA SHEET
Permit No. , /
OWNER L�-1G��y�i � e o. 6 'i _ln��
Proposed Building Use ✓ I Building Inspector Date /(/
At time of permit application, I was advised the following data must be submitted prior. to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ .........
2.
Plot plans in duplicate/triplicate, signed by preparer of plans........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4.
Complete engineered plans and calcs, with wet signature on plans ..
5.
Hazardous Material Form ...........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ...............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
10.
Mobilehome installation data including manufacturer's installation
instructions.
Fees of.r—i �............_�*X$_ ..... .................
11.
Chico Urban Area fees paid ........................................
�11
Park fe ,9 �...............................................
P��io,QI Di_strict fees paid .............. H —
Sanitation approval from ff 1� IT Health Department Z 0
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
17.
'
19
Planning approval for (A) Use: (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy) 41---1 s''��
S
20.
21.
Pre -Inspection for '� required . Pre-Inspec. request to
Building Inspector
Contractor's license information (No., Name Style, Classifications ...
(Date)
22.
Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . .
24
Recorded copy of Agricultural Acknowledgment Statement ......... TI —
J-
25.
Letter of signature authorization ...................................
26.
27.
When
o� issue the Vn/t ces s follows: Ma' - o r. Mail to contractor,
�
V Telephone 9r/ and hold for pickup at =Office. Deliver
w./inspector.
Other 4 /
Applicant ate
OZz
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other • Date By
The foLlowing data must be submitted prior to permit 'ss n (Circle new item not checked above).
" 1. Index permit for above items No.
2. Additional items required:
designer
, designer,
was advised of above required data by ✓hone___jnail_counter by &U
was advised of above required data by —phone _maII—counter by date
Plans checked by &� Date 16-25-9(1 Plans approved by (SAI Date I D -2-x-90
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina Department
FROM: Fnvi:ionmental Health
SUBJECT: Sanitation Clearance
_. � i� 1,,a t(, �'aR.ve_r��s3Z� . � less C -f-. 1M's�.��•a 6 4 - �{o - 3�f
owner Location AP#
c�
Plan Approved for: Sewaqe Disposal f Water Supply
Hold final for: Water Supply
Final clearance O.R. for:
Water Supply
Clearance for 3 bedroom awe home. Other
NOTE * * *
7 - -?o
Sa �iit —a �ri a Date
.r h
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway. Clearance
/� epi' rr<.r vim- s r
owner
Driveway permit %G-/469
s i ature
location
�4-40- 34f
AP #
has been issued for the above property.
date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 g nO
APPLICATION AND PERMIT
ASSESSOR P4R E'� BE=
(/J) Z O N G
�
BUILDING PERMIT
OWNER T�L7P oN2^
SO. FT. OCC. BUILDING VALUATION
OWN R S MAILING AD ESS � ^
(�] ((�
S3
CO RAC FNAME
TELEPHONE
1 �z
G
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
3 C
Fireplace I l ��
Total Valuation I $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 10.00
Permit Fee $ 3 � r�
Plan Checking Fee JP
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADORES y
Permit fee $
PLUMBING PERMIT FiIingFee 10.00
Each Trap 2,00 (prvv
Solar or heat pump water heater 20.00
LO NO.
SUED ISI,{ONN NAME 1/moi /,
N" ` � ���" `�� v N„
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5,00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 rJ
Building sewer 5.00
Mobile Home S G W10.00e
TYPE OF WORK
New Addition Reel❑❑/n utilities ❑ Installation❑ Other ❑
Describe work: tri li����yy/
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 10001 OR 0 AMP OR LESS 10.00 Qa
CONTRACTORS LICENSE LAW
I declare under penalty of
p y perjury jur y (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. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
F1I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP 2.50 r
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLOGS. /2(t
C. ,
NEW CONSTR. ULTI.OUT LET
NO N .RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200500
e ALO 30
EOccup. FIXED APPLNS. OR
x. p• OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
:±
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood g 00
Ventilation
r
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X
Signature of Applicant — 0 ner ❑ Contractor ❑ , Agent ❑
An OSHA permit is require o ca ations over 5'0" deep and demolition or construct-
ion of structures over 3 sta ' s 1 h ht.
Mobile Home Installation Fee $
Energy Inspection Fee
611,17
7TOiNST
TYPE
TOTAL F E$
HAZ
cuA
PARK
SCHL
FLD
PAR
PO
HD
IssuE
Th;s permit is nereby issued under the appiicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No
WHITE-D.P.W.. TELLOW-A33E330R, PINK NSPECTOR,. GOLOEMROO-APPLI CANT
NOTE:—AI) 8, NNp.r!-r,an.�hip Shall Be in
Accordance with � cognized Good Practices and
of a quality prescribed for the Specified use in the
�l *form Building
Plumbing & t,Aechanical Codeq
&the Na} o "I..-l='c-c* Lam! -ode- .
---- �._._.._.-__.I p
I XF"AM,I rJ
,r 'phis sr?t_ot plans crnc-1>pe iiicatiolrs MUST.
5� d it is unlawful to
xept on Ahe jah r�#,ell tirt�ics n,
1. l t ICS :'nal'• any chr. tq='s c+r C.''.` �=;; is r,; on same Nithaut
I J,Written Permi�ppsio 1,' ~ ° CE artmEnt of PublEe
MVor�cs. Counv
1/
1
IZI
9
1
.............
�` n4
A setback of 5 ft. from the •�------- -- t
Pro -----
ert lines and a setback 5r`1 v'
property -3- 53.(01
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a p ft. eave overhanq.-P �..
clear 0� 0A l ejrLse meh+s (v > 4 .fr. l?UF'. I
N�Grcr�t A� -cam
OGF(C� -
-
ENCROACHMENT PERMIT
COUNTY OF BUTTE
DEPARTMENT -OF PUBLIC WORKS
7 County Center Drive - Orovi lie, California 95965
Phone: (916) 538-7681
A P P L I C A T 10 N
Permit No.
1, WE, the undersigned, hereby 'apply to the County of Butte for an encroachment permit to do the following work- under or over
the county roads and highways, all in accordance with county, ordinances and general laws.
Z:.
.
NAME .. .............. SIGNATURE'
----- z
MAILING ADDRESS140 o -k- L" .
----------C 4e,
----------c4e, C_ 0.
Phone
. ..... Date
.:..1._/--- ---- ---
Location of work to be done »....«..:.:�..:. 2 �..:..._�.:/:.5..�.»..._.L ..:..._l._El.. G ./»�« ......_.._
-Az ----- -
. . . ...........
......... . .......... I ...... . . . ....... -----------
TYPE OF WORK TO BE DONE
1. Curb --------------- - ------------------ - --- Gutter ...... . . . . ....... . ...... . Sidewalk
2. Driveway , (List type)
0.
"Please check"
3. Underground Conduit . .......... _.__......._....»... ...................
..«.__._....»-_.----_-_-....._.».-_............. . ... .
4. Other
.............-.----•••----.:-.--_....--•----- .:.-----••-•----»----..
..........
PERMIT GRANTEDis
In compliance with your above request, and subject to all terms" conditions, or special conditions written below or printed on
the back of this form, permission is hereby granted.
SPFCTAT. ('0N1r)TTT0N14Z
ALL WORK SHAT -1 OONFORM
TO ATT. 8, DETAIL ........ .........
0 -ft Pl,&M, AND ATTA01131)
..................
NOTIFY COUNTY
..........
BEFORE WORK 13
_7
Date Issued .....
......................................
Surety...............................
PERMIT EXPIRES ...C?.. -.3 07 el
......................
.......................... I .......................
.............................................
I
PRIVATE CONTRACTOR SZHALL
7. ....! .
.......... : ., T.
..................
DIRECTOR OF PUBLIC WORKS
i
PRIVATE DRIVEWAY DETAILS
PIPE IF REQUIRED, SIZE
a AND LENGTH TO BE
EDGE OF EXISTING PAVEMENT DETERMINED IN THE FIELD
BY ROAD FOREMAN.
�p FL /0 R
FLOW LINE DITCH + +
12' MIN. AREA TO BE PAVED
20- MAX.
NOTES:
1. PIPE TO BE C.S.P. OR EQUAL Q2"DIA. MIN.)
2.PAVING SHALL CONSIST OF 4" OF
AGGREGATE BASE, MIN., AND 2" OF
ASPHALT_ CONCRETE, MIN.
IO'MIN. _ PROPERTY LINE
BUTTE COUNTY PUBLIC WORKS DEPT.
PRIVATE DRIVEWAY
DETAILS
DWR.9Y R. JONES CKO. BY
SCALE 1= 10' STAN. NO. S-31
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One'For ' m per Building)
A.P. Number% V_o - ��Building Department No.
School District City = County 177,1 Jurisdiction
Property Owner
Project Location Address
Subdivision Lot Number C�%
Residential De . velopment: Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
Building p,4pa
Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Representative
Date
(Floor Plans reviewed by School District Personnel)
District Id No.
'li /f I 1 --0 School District certifies that
(Applicant Name) (Phone Number)
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
11,11 - 1-11 square feet.
by the payment of representing
School District Representative Datd
PAID BY CHECK NO.
,� n/ ) -
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
Itr t urn tit DPW AGRIVATURALSTAVI.,MNT OP. kKN0WLEDGPM1.',,NT
0. 4 9 382
FOR RESIDENTIAL DEVELOPMENT'
Sect 1.oii 2678A. of the guftt' Cowity bide
i-equ I rts%his ackiiowledg6mitiL - be recordedprioe
to .. lsquahctl of 6 builditig permit,
'I'lle Pt-01)&Ly described 116feifil J.§ ddjt1tttA 90-049382
Rec Fee 7.00
to Imid or Ificluded WiLhifi,,dfi deta Ootied
Check 7.00
rot. 'bgelcu.11-urtil ourpo§e§il-�Wid feaidettt§ Recorded
or this property may be gubjett to ific bh- official Records
W-111611cbs Or discomfort dfl,41tig froth the
County of
use of o9ti.tultural. thomitEilbf iticiuditig'
Butte
1.mt- not. limited to Candace J. Grubbs
loid ferL.Mv.ets; and fr6M"-1hLs oUr§Uft Recorder
ui I g, r.1 c U i t u r a I o0erdtibfiij ifitlddlng; 8:35am 15 -Nov -90
I X 2
hint. not. 1.1.mfted to clittivdLi0fil plowl.h9i
.spray i ng, ptunfhg, trod -.httevt!§Eifng whith
oci-nsfonally generale dU§t-j-`§tfiok@o fioi§dl dfid bdoki Butte CoUtity
has 6sL61)JAishvd ogricid-
Lural. zones Whith have tib,"b'ptioffty Use tot prodUctlVe tigtIttift-ftal purposes; fitid i-o,I(1vio ..
'dfldttfit
witfith s;il.d zones and ofi OfotibftY should be prepared to
dectIA such lii(-mtvv0vii(-v
'
or dl,-4confof-in from iioi7mEj1i`,,nt3eC-§§jjty ttirm'dpotgaw1g,
Atl !hot real. property gftoLe- iti. the CoUilty of bilttei Stdte of
('attfo.Hihl;
rot lows! I
SEE ATTACHED LEGAL DESCRIPTION
A.P. �p- 6q -,4&-3Y
October 16, 1990
Date! PROPERTY OWNtRSI.
SLAU, of On thfs the ddy of
S§. the Utidet-84n6d. Notary. Public, personally appeared
y or.
CotinL
lift9ofially kho'wh to m Pr'0Vtid (-.o me inti the ha. -Os
of gaLfstdtLory tv](16WO,
Ab'b6 tho o6egbn(5) Whb§t hame(h)
gub§efibed to 66 W41h1fi instrument and iickhowledged that
OkttuLed Lh6 §dtfie for the ptifpogos UtLirblh tohtnhied, IN W rl- i; -71
WHEREOVj I hoteufiL6,a'tL, my hand Mid (if t1d,at seo 1
Present A.P. No. 64-40-34 Notary Puhl I v
I
r0-49382
ORDER NO: BU -115754 TB r,
d4
DESCRIPTION :
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
J
LOT 69, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES
UNIT NO. 51i, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 20; 1970;
IN BOOK 35 OF MAPS; AT PAGE(S) 88, 89, 90 AND 91:
CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK
1648, PAGE 2, OFFICIAL RECORDS:
' EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION .THAT ANY AND ALL MINING
�. OPERATIONS SHALL BE DONE FROM. ORIFICES OUTSIDE THE SURFACEAREA
OF THE LAND DESCRIBED HEREIN;. AND THAT NO DAMAGE SHALL BE DONE TO
SURFACE OF SAID LAND.
PARCEL II•
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, AND D (THE COMMON
AREA) OF SAID PARADISE PINES UNIT 5 FOR INGRESS, EGRESS AND THE
USES AND PURPOSES SET FORTH IN THE DECLARATION OF COVENANTS,
CONDITIONS AND RESTRICTIONS:
PAGE 4 EN® OF DOCUMENT
il
STATE OF CALIFORNIA Butte )ss.
COUNTY OF I
07Novemer
b' .13 1990
On � ,before me, the undersigned, a Notary Public in and for
ca said State, personally appeared "MICHAEL L. CARVER" awl
Z5
, personally known to me e
E
C
basis of satisfaetar7VOCIUMM) to be the persons who executed
the within instrument as
m
Q.
ii E
President aatf`
6eeretar9-on behalf of
o 3
tic 6.0r t L C.y$-c�';_ tc . ,
Co 0
o m
the corporation therein named, and acknowledged to me that
���s����s����geo®��i■ r
co
such corporation executed the within instrument pursuant to its
FREED L HASKETT a
q NOTARY PUBUC-CALIFORMA .
�.,
by-laws or a resolution of its board of directors.
■ Butte Coun
2
My Commission Expires
' May 20,1994
ill
WITNESS my hand and official seal.
O
N�
co
Signature pZ L
(This area for official notarial seal)