HomeMy WebLinkAbout064-450-045A.P.
LINCOLN N. MILLER
95 Manatee Circle, Lot 36, P.P.#65Mag.
CONTR: Ray N. Munjar2 Paradise
Permit 1744-73P )E ' 1 N A - L J_ /-7.3
(utilities for mobile home)
-- A.P. (D4L-5/jt= S.
LINCOLN M. MILLER
95 Manatee Circle, L� P.P.#6
CONTR: D. E. LeVasseur, Ma glia
•Permit' `2177=73B,P�E g
(new .garage )
A. P.
MILLER,, Lincoln M. 44,
95 Manatee Circle Mag'a
-Permit •2594-73B..•&mNe)F
r(�� ��,3-••
(deck for mobile
,A.P.
LINCOLN MILLERl A 2.11 5/
95 Manatee Circ e, PP 61 Lot 36, Mag.
CONTR: Air -Vent Awnings,..Sacto.
Permit 3298-73B(awning for MHO
64-45-45; 2358-9.OE
MCKINNEY-; Ruth
��.
142591 Manatee Circle; - Mi 11l '
( power,Pole& mi.sc electric/MH)
064-450-045 OS -2536`
GOULD, BARBARA
14259 MANATEE CIRCLE, MAGALIA
Cont:
NSF OPEN, GA GE) �
% �I-F
4,
,
Butte County Department of DeTent Services. euTre, ARe
RN O T E S 7 County Center Drive, Oroville, CA 95965-
(530) 538-7601. vrww,buttecoimty.'neUdds
RESIDENTIAL
APN `: Permit No.
064-450-045 05-2536
owner: _ GOULD, BARBARA"
Site Address: 14259 MANATEE CIRCLE, MAGALIA
Cont: G .
Contractor: _ NSF (OPEN„GARAGE)
"Type of Permit
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP052536
S. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 01/13/2006 APN: 064 -450 -045 -
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.
Site Address: 14259 MANATEE CIR MAG
License Class : License Number:
Map Index:
Date: Contractor:
Description: NSF(1438)GAR(440)COV(87)OPEN(487)
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: GOULD,BARBARA
permit to construct, alter, improve, demolish, or repair any structure, prior
14366 BETHANY CIR.
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
MAGALIA, CA.
the Contractor's State License Law (Chapter 9 commencing with Section
95954
7000) of Division 3 of lhe.Business and Professions Code) or that he or
she is exempt therefrorrr"and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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
Applicant:'GOULD, BARBARA
Code: The Contractors' State License Law does not apply to an
14366 BETHANY CIR.
owner of property who builds or improves thereon, and who does
MAGALIA, CA.
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95954
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ ,• I, as owner -of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and professions Code
Date: ld Owner: �1�J1 44:4i.
License #:
WORKERS' COMPENSATION DECLARATION
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
Architect:
Labor Code, for the performance of the work for which this permit.
is issued.
Engineer: HUBLEY, MICHAEL D.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700.the Labor Code, for the performance of
�—
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
J
Cartier:
Total Square Ft: 2452 S.F.
Valuation: $110,292.00
Policy #.
Census Code:
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
v
become subject to the 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
. vl
forthwith comply with those provisions.
Date: l /% 3'
\'
1
Applicant:�(/`/J� /F�1JLlc��
WARNING: Failure to secure workers' compensation coverage is
:.
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages'as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. .
CONSTRUCTION LENDING AGENCY
This permit is he etiy issued n r the pllcable provisions of the Butie County Code and/or
I hereby affirm that there is a construction lending agency for the
the for this is issued 3097 Civ.) '"
Resolutions work igdi� ab a for w ch tees have been paid. .
/// 0 6
/—
performance of work which permit (Sec •
By: / Date:
Name: -
: "
Address:
PERMIT EXPIRES ON:
(Date) �—
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project:
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that l have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
O C4 Irl
Print Name: /J�i ✓e 19� `' Signature:
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
S. C. Building Permit 01-16-04 pg 1
.=OK
0 = Not OK
MANUFACTURED HOME•S`.x,.
MISCELLANEOUS
DATE PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator .
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LIDO
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE
D E C K S'C OV E R S'C A RP 0 R T S'G A R A G ES
0
1 Zoning -Setbacks -Easements
2 Ftgs; Sol IsSz-DpthSpacing-Cnnctrs-Steel
3, Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng .
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric.
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
m o 0
DATE
IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Encisrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
o' 0 ' o' m�
Pool Drawing
+=OK
0 = Not OK
RESIDENTIAL (Single & Dut)lexa'
UNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Ace
5 Stemwalls Main; Steel -BI ockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Ace
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/O -Sewer Test
m
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
IMECHANICAL
13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
14 Girders-Sills-Anchr Bolts -Joists -Vnts -Cripples
62 Vent Fan, Exhaust abv Insultn
15 Ace & Vntltn
63 Condensate Drain & Ovrfiw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
O' 0 c
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers-PostCaps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties -Purlin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Cirnc
26 Attic Ace; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Aftic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
o' �4O' 0.
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ga ❑CU or ❑AL
AC Wire Sz ga ❑ CU or ❑ AL
48 Range Circ ga ❑CU or ❑AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral El Yes El No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
o' 0 o' o`er
a
Oa
o`
O
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels ,
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
,. f
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORk
- (One form per Building)
School District�-A
A.P. Number (7��' C)wk5 Jurisdiction: E City
a _ _
Property Owner
Property Location/Address
Subdivision
i
Building Department No.
I �e l County
--
1 �of ..
Lot No. k.
Residential Development Q Q Q € Sq. Footage
No of Living Mobile Home Addition/ Supplemental to 4Qk
(Group, R)
Units Installation Conversion Permit #
•(No foundation inspection) C
. ................................. ................ Q�
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0
New Addition
Building Department
Sq. Footage
(Including Exterior
Roofed Areas)
Date
- - --=District-Identification No.r3/ - v- Y - �- -
v
School District certifies that 40 mwd'
(Applicant) I!
(Street Address) (Phone Number)
C
(City)�' y , �' r'. -
L (State) (Zip Code)
has complied with the requirements. of Resolution No. ' °` by payment of $
representing square feet. B 2926 $
11LL MITIGATION $
b-41�4 A
Dae
V
Government Code Section 66020(a), within 90 days from the date hes aro paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the hes In any court action.
It. subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is
notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school hes to fully mitigate Its Impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant), feeform.xls (3/05)dr1nm
C y
Y.
PERMIT NUMBER - B
217.7-73B ,P-IE
Ail
E
PERMIT EXPIRES
�rOWNER Lincoln Miller
coNTR:.. 'D E.• LeVasseur, Magalia .
`'�'�".LOCATION (A.-P. 57-81-45
95 Manatee Circle,,,Lot 36y Y.P.#61 Ma alfa
6
y.
56
..c
t
L'.
k '
C
e COUNTY OF BUTTE A ,�
Department of Public Works.
BUILDING INSPECTIGN RECORD
Zoning' c -Setback ?J11-"? 3 L Forms. •7 ���� �� 9�c�%"r
Foundation Piers & Girders Fireplace
Rgh. Plumbing . Bond Beam Lath & Plaster
Rein. Steel %��/ % 3 ��� Gas Piping &Test Found. Vents
Framing Plmg. Topouti Rough Elec. /
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporar Temporary,Cert. of Oc up.
Fin al ✓ Final l Final
DATE REMARKS OR CORRECTIONS,
2 73 NE,�� f'j ,G�31� 2�F "C= G' i/✓, '/
0//7FCS;r
s COUNTY OF BUTTE
r +,
Department of Public Works
BUILDING ' INSPECTIC-N RECORD
Zoning
Setback
Forms
�"
'!✓
. �C 7
Foundation
Piers & Girders
Fireplace
- Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing / —,
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents -
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporar 7
Temporary
Cert. of Occup.
Final / •
, � Final
Final
DATE
REMARKS OR 'CORRECTIONS
{
j
_
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 (�
Telephone: 534-4541 /
APPLICATION AND PERMIT ,
aUL'Onze represcniauvtls UI Me Cuunly of Butte to enter upon the
above-mentioned property for inspection purposes.
X pate ` J�
Signature. of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTAR OF PUBLIC WORKS
By Date f %
00ding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
.
Contractor —
Total Valuation C1�
p
Mailing Address O
Permit Fee ,OD
Plan Checking Fee&/or Penalty
Du LTb�I
Telephone No.
3 lc /
Permit Fee $ d
$ ae
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 7' 8-1^ G/ 5
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C. I
Sanitation
I FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
-P
Plans Approval
Permit Fee $
$ '
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
/
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑ Duplex ❑ Mobil Home' Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures ba l__ �
Receps., switches & fix outlets2023
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:_ /,
/lam %l= _ /V ' 4 L 4�AA' _N)V1te, , a
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
pump
Mobil Home Facilities 5.00
L_ j�/ 4—
Temp. Power Pole 5.00
License No.2 /0� �- Classification / - /
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
certify that in the performance of the work for which this
VI
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
TOTAL PERMIT FEE
$ 5!fid°
aUL'Onze represcniauvtls UI Me Cuunly of Butte to enter upon the
above-mentioned property for inspection purposes.
X pate ` J�
Signature. of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTAR OF PUBLIC WORKS
By Date f %
00ding permit expires Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Driv,' @rovilie, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
- •�.,r.., .,.,.... -Q L, v�Un y VI OUL}c w CIIICI UPUII 1110
above-mentioned property for inspection pyyposes.
receipt
` Da 12Q
Signature of Permitee or Agent
No. �`Whi.W. — Pink -Inspector — Goldenrod -Assessor pp scant
This permit is hereby issued under the applicable provi
the Butte County Code and/or resolutions to do work jndt eeo
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
)BY PDate 46—_7�/_
Building Permit Expire ate j� ���
BUILDING
Owner 1 L �/' C
SQ. FT. OCC. BUILDING VALUATION
Mailing Address /,jpa/ 1 h7p,
0 LfQ
Soo ,4 � 0
Fireplace
Contractor .E, L / S l✓
Total Valuation
Mailing Address 16 L:"19-_2>
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $
$ %.$;G?
Building Address
PLUMBING, No. @ FEE
PERMIT FILING FEE $2.00e 400
r�
Each Trap Z 1.50 3 0 CD
Repair drainage or vent piping 1.50
Water piping 1.50 1,5IS
Each gas water heater or vent 1.50
7
A. P. No. - =J / -"
Zoning
Gas piping system 1 - 5 outlets 1.50
6s-0
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plan
Fees W. Cdr
R/W
Encroachment
Lawn sprinkler system 2.00
I NEW ADDITION ❑ OTHER ❑
Permit Fee $
$ '�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Ub- anel (12 or less) (more than 12)
USE OF STRUCTURE Single Family ❑ Duplex ❑ Others
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Ligfixtures
Rec ps., switfches & fix o,- ets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
T%C. Lc YySSElJi? G®NST c'li
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
1 a "F!?'A SO/ G`
",9
f
License No. ,24 16-6 [[ Classification B—
y ❑ i am exempt from the Coniractors License Laws of the State of California.
Permit Fee $ % o ®
$ 7,y-&
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
fU I have placed on file with the County of Butte a certificate of
55U Workmen's Compensation Insurance.
lecertify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
I certifythat I have read this application and state that the above
pp
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
tate Fee far Srr�rg Motion $0.07/$1000 Evaluation
nate Fee for n n gMot
$
TOTAL PERMIT FEE
- •�.,r.., .,.,.... -Q L, v�Un y VI OUL}c w CIIICI UPUII 1110
above-mentioned property for inspection pyyposes.
receipt
` Da 12Q
Signature of Permitee or Agent
No. �`Whi.W. — Pink -Inspector — Goldenrod -Assessor pp scant
This permit is hereby issued under the applicable provi
the Butte County Code and/or resolutions to do work jndt eeo
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
)BY PDate 46—_7�/_
Building Permit Expire ate j� ���
,.
J
�i'`r� (��.R`4 ��i'?i..��� w��.ti.��� T
T.. �i `"o''"Yik'�i•'vx^�- •,. r,
.�j7���'� .+'�=�S���Jy�ry,!'�/
2358-90E
�..
MCKINNE Ruth'
y,
j`o. `ice r1v�•s
Manatee
.
Circle; 'Mag ala"
' rv.af2 6T ;)
.(.-Power.'* pole &
mise electric/MH)
n� -C. - j a rti
A-40 �Alyv)a-
6-Qv- old
tole
•
o - Q. h4 •..�,e
�o C� 7 r
f:
COUNTY OF BbTI'TE - DEPARTMENT, OF PUBLIC WORKS - PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �lQ
APPLICATION ANP PERMIT ..•i•� `l
A SSO PARCEL NUMBER <. • , :.
ZONING, -
' *
'
-
BUILDING PERMIT
O
RUTH McKINNEY(Robinson)
TELEPHONE
873L3677
SQ. FT. OCC. BUILDING VALUATION
D��+�°33M�tlaci�ne c`rcle, Magalia 95954
CONTRACTOR'S NAME -
Jeffords Electric
TELEPHON;E
'
`r'U. C�ox'SAPL'NParaDaJSS CA 95967-
Fireplace
CONSTRUCTION LENDER
UNKNOWN I
Total Valuation $
-Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS ,
+
Permit Fee
$
ARCHITECT OR ENGINEER
LICEN}SE NO.
I
Plan Checking Fee
$
Energy Plan Checking Fee '•
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
(
Penalty
$
1
B14G.�7 tPia°Nese Circle, Magalia .
Permit fee ., ,
$
PLUMBING PERMIT
Filing Fee 10.00
- c
'
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
Paradise Pines % %
PARCEL MAP
'
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE 1
SF ❑ Duplex[]Mobilehome[ Other
'SPECIFY !
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK f4
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ f; Other ❑
Describe work: Replace Power pole & misc elec ( _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 /�(�
10.00
Main service EA. AOD-L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury check one):
P y. P 1 y ( ):' {
Ar\"11 ,.
❑ 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
.Eor 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 I
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLDGS. )
/z¢sgIt
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20®60"t
9AL@ 30
Ex. Occup. our OXED APPLNS UTLETS
ETS (RESID )
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 15.00
Permit Fee
$ 25.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
gf Consent to Self -Insure.
YCJ shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating s
Cooling
Hood
3.00
Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in anyway accrue
against said County in consequence of the granting of this permit.
.�7`1. / r/(,_� G``- /if /�o
X 1 Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ I
c6NSTTYPE
TOTAL FEE
HAz
CUA
PARK
scHL
FLD
PAR
PD
HD
ISSUE
This permit is nereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
j
PERM , EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
DateNITC-D.P.W., �� �� • r
/// q No.�4g C1 /BY
rReceipl
•EL LOW-A55($90R, PINK -INSPECTOR. ECTa R, GOLDENROD -APPLICANT
P- = f
COUNTY OF BUTTE - DEPARTMENT OF 'PUBLIC WORKS PERMIT'NO.
7 County Center Drive - Oroville, California 959F5 - Telephone: 916/538-7541_'—
APPLICONND PERMIT i
AS ESSOR_ PARCEL NUMBER - - - -
I e
'L°D ING'
_
BUILDING PERMIT'
p — - - = TELEPHONE
SO. FT., OCC.1 BUILDINCrVA
TATION '
RUTH McKINNEY(Robinson)`-'873-3677
O M LINADDRJESS
`� +353 I�G acine •ci-rcle, Magalia ; 9595+
CONTRACTOR'S NAME 'TELEPHONE
I-
C T AC OR'S IN ADD FSS ..
�:�'. �Ox ara�Ise, 'CA 95967
-
Fireplace
CONSTRUCTION LENDER -` UNKNOWN
_ Total Valuation.
LENDER'S MAILING ADDRESS -
Filing Fee
$ 10.00 •.
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$
`
ARCHITECT OR ENGINEER'S MAILING ADDRESS - _
Energy Plan Checking Fee
$
Penalty
$
Rianatee Circle, ; ,�
Permit fee
$
_M&galla
,PLUMBING PERMIT
Filing Fee 10.00•
Each Trap
2.00 ,
Solar or heat pump water heater
20.00'
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00-
Paradise Pines
Each qas water heater or vent
5.00
- USE OF STRUCTURE
Gas piping system 1 - 5 outlets -
5.00
SF ❑ Duplex❑ Mobilehome❑x Other.
Building•sewer
5.00
SPECIFY
Mobile Home S G W
10.0Oe
TYPE OF WORK .
New❑ Addition Remodel❑ Utilities❑ Installation❑ - Other ❑
Permit Fee
$
Describe work: Replace power pole & inisc elec `• - ,� ._
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
-
main service 100V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
( DWELLING
S. /
2yZQsgft '
I declare under penalty of perjury (check one): •
GOCCUP.&\•
OR ADDNST
NEW CONSTR.ULTI.OUTLET
'NON-RESID
2.50 ea
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the -Business
BRANCH CIRCUITS)
POWER APPARATUS &
('
and Professions Code and my license is in full force 'and effect.
SINGLE OUTLET CIR.
License No. Classification
Ex. -Occup( OUTLETS OR FIXTURES
20®50C
BALaso
_ El I, as the owner, or my employees with wages as their sole compen-
FIXED PR
EX. OcCUp. OUTLETS (RESIO.IEA.)
2.00 - '
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
sale. (Sec.
Mobile Home Facilities
15.00
R-1117ras, the owner, am exclusively contracting with licensed'contract-
r, a
ors. (Sec. 7044)
Misc. bVirin g
15.00 15.00
❑ I am exempt under Sec. , Business and Professions Code
-
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE'
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less. '
Heating _
❑ 1 have placed on file with the County of Butte Building Department
;r
a Certificate of Workmen's Compensation 'Insurance or a Certificate
Consent to Self -Insure. ; -6g
Cooling
� �of
I� shall not employ any person in any manner so -as to become -subject
'
Hood
3.00
to the W. C. laws of California.
Ventilation
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
pertnit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee'
$ -
to building construction; and hereby authorize representatives of the Countyot
OCC CONST TYPE
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL FEE $
'4
I also agree to save, indemnify and keep harmless the County of Butte against
'
'PD
all liabilities, judgments, costs, and expenses which may in any way accrue
HAz CUAPARK SCHL FLD
PAR ISSUE
against said County in consequence of the granting of this permit.
1,�D
7'
X Date / �' /�b
This permit is.hereby-issued under the applicable provi-
–t✓ o
sions. of the .Butte County Code and/or resolutions;to do
Signature of Applicant –.' OWner
9 PP ❑ 'Contractor,❑ Agent ❑
work 'indicated above, for which fees have been aid.
_ p
Ah OSHA ren
permit is required for excavations over 5'0" deep and demolition or construct-
L DIRECTOR OF PUBLIC
WORKS ,
ion of structuress o/verr sttoories•in height.
s r.
Receipt No. l Ll / �:
h b
+By-:
-
Date 74
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ,.�•
PER EXPIRES, Date �- I
• 2—
1 COUNTY OF' BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING. DIVISION_
Z 1' 1:1. Me AWGIJ&6'C9' TE!AbAvf�O�G, t���Q)Wk ORNIA 95985 - TELEPHONE: 918/538-7541;'
� f '
49,4cp.ERMITZAPP'NC-� T ,N DATA SHE<E•T f J
Permit•No.
OWNER C Y�< t� 19A A. P. No._�
Proposed Building Use / %� Building..Inspector .�G¢ Date
t- x
At time of permit appftafirr9,-Vkvas adVise.Qd4be oUQwing data must be submitted prior to permit processing and/or issuance:
�',n/ ?/'C DATE RECEIVED APPROVED
1. All items h ✓q.bee�' b. Pedtfi%BP c .....:......... .......
2. Plot plans In duplicate) �*p lica e; -signed by preparer of plans ....... .
3. Complete plts irdu � Date/triplicate, signed by preparer. of plans .'
�- 4 Complete engineered plans and calcs, with wesignature on plans
'b " �S�F'ta��dou�`KJP�t�la� Fo�f>�.. `A.+a✓. N,�C...... ........:...........:. -
6. Energy Desrgr/,Comp�l anc�ar?d'§`upporting documentation .........
7. Statemen�tdo,, IrWge t for NWepW6x-dj0/ACrB.uildings ..............
8. Engineered/tram details dSlay�$ t jn d,Hplicate (required prior to plan check)
9. Mobilehome nstWtiorda�t In�cicd�ng manufacturer's installation
instructions
10. Fees of :......................
11. Chico Urban Area fees paid ........................................
12. Park fees paid .............................. .....................
`13. School Districf`fees paid ..............
14. Sanitation approval from' Health Department
15. City of Chico plumbing permit .................................... .
16. Plot plan and business license approval from City of
r (see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements 'may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for ' " required Pre-Inspec, request to
Building Inspector -°� �" (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................. ;R
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... t
24. Recorded copy of Agricultural Acknowledgment Statement .......
25. Letter of`signature authorization .....................................
26.
27.
When you issue the permit, process as follows: Q Mail to owner. Mail to contractor.
Telephone 73-& / and hold for pickup at office. Deliver w/inspector.
Other �/ --r'
P<,Appli"antRj_0 ��>~ Date 7/_f,
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,.California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCECLNUMBER
I� .40 45 d� `
P1 e
ZON NG
BUILDING PERMIT
NEB
' £�% 3,TELEP ONE36
V.
OWNER'S MAILING ADDRESS
/ 4(/,3 3 lea. C_ , ` t-� (yi vG S 5-
C N/T�R AC R'S NAME
ELEPHONE
6101 Tc- F(=oP-D5 l� G Ir
SO. FT. OCC. BUILDING VALUATION
C TRA OR'S MAILING ADDR SS
P0,00 -"- aucL®i ` e 9,52,1=,
Fireplace
CONSTRUCTION LENDER
_
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
25 MA,v A'tcE EIR_
Energy Plan Checking Fee
$
Penalty
Permit tee
$
$
AA A L 11 CA17519
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PPiXA-E> s E Pert s
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
S,Op
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeRr-Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: 9 L PL 4C (L ZS ' L-) i I L.► T y' POL +` w t TH
3 C9 ' �o L c j2�4 is Pow t p-- LCK e5;
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
/{P • lu4
Main service 6101 OR S
00OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license -is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
-,for sale. (Sec. 7044)
E 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2,550
NEW CONST. DWELLING OCCUPM
OR ACDNS. ACC. BLDGS.
I
2h¢sgft
NEW CONSTR 1AU
NON-RESID BI
RA NCH TI.OUTIRC LETTS
C
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
200?50t
e ALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 ,pm
Permit Fee
$ a
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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyof
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 Coun�n Csnsequence of the granting of this permit.
X .(/J 1�U
Date
Signature of Applicant — Owner❑ Contractor ❑ Agent J645r
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3�st/ories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
cu A
PARK
SCHL
FLD
PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte COLInty Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.�
WNITE•D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOn, GOLDENRoo-APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751'
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE .
2 35-,% - 9' -
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.
A /1
o %er C vz..i 5P. J r
56r- A -s
1) tie meed S/0 G)Z/ C I'lC_') 0
/••/ /d 1,J 1f"O 1-4CA-"/t o o Pcj C /o S e 2
4n Pgy,i—_' ._ao
P
7
• I� ��
Date Inspector.
0
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Barbara Gould
ADDRESS: 14366 Bethany Circle
CITY & STATE: Magalia CA 95954
nArC nC rl AILA. n7/nR/n7
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY
AMOUNT
Refund Claim - See attached calculation sheet VPN— 064-450-045
Permit No.: rO-5-2-536--1
PAID
RETAINED
REFUND
Develo Ment Services
$ 2,610.83
$ 1,055.33
$ ' 1,555.50
THERM DRNG
$ -
$ -.
$ -
SMIP
$ 11.03
$ -
$ -
SHR
$ -
$ -
$ -
SRA
$ 95.00
$ 95.00
TOTAL
$ 2,716.86
$ 1,055.33
$ 1,555.50
........
>k< <
'• ti% <
ericcoix::oi:
101001 DVLPMNT SVC
440-001
4210500
$ 1,555.50
1011822 THERM DRNG
1800
280
$ -
1011298 SMIP
1001
280
$ 11.03
1011811 SHR
1800
280
$ -
101001 SRA
0100
4617240
$ -
TOTAL
$ 1,566.53
$ 1,566.53
I, the undersigned, declare under penalty of perjury that the services or articles claimed nave Deen penormeo or aeuverea, ano rnar ims
claim is true and correct as stated.
Dated this day of 2007, at Calif.
Signature of Claimant
I, the undersigned. hereby certify that, to the best of my knowledge, the services or articles specked above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check oner)fvrlp same. �• �l► �i �,
Dated this day of ��. 2007. at Oroville Ca r l�VV1+11�
Dept. SEE . Exp. v
Code BREAKDOWN Code PAYABLE FROM FUND
tin NAT WDITF DFI AW TWIG 1 INP - AI InlTnD'R I ICI= nNl V
EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
RECEIPT INFORMATION
NUMBER:
REFUND CALCULATION SHEET
CLAIMANT:
Barbara Gould
ADDRESS:
14366 Bethany Circle
CITY a. STATE:
Magalia CA 95954
DATE OF CLAIM:
02/08/07 APN: 064-450-045
RECEIPT INFORMATION
NUMBER:
439682 1443463
DATE:
9/20/2005 1/13/2006
ISSUED TO:
Barbara Gould Barbara Gould
CHECK #:
1026 1036
AMOUNT:
$1,205.32 $1,511.54 $2,716.86
PERMIT #:
05-2536 05-2536
Yes No Yes No Yes No
X X
PRIOR REFUNDS:
X I X
FEES VERIFIED
REFUND BREAKDOWN
Title
Fund
+ rBLDG
0010
JHRMDRNG
1800+.�.
AUDSUSP-.
i 1001 ':.
HERDEV FEE
1800
FIRE
0100 =
Dept
, tit . r
440-001 ,is . '
"e c•<'`
HRM DRN.
(SMIP)-
(SHR)
Accnt
Cash
`f4210500
w,t
101001 +
280
ti 1011822;
j 280
.'1011298
280
1011811 "'
1T240
301003,
DETAIL PAID RETAIN
REFUND
BLDG " Time 109.98 2500.85
; };•};•;.;•};
::
j... ; : :
'
..........
............................
................
::':'::':':':':'
..............
........
Filing from Plan Check): + 3` "': 0:00.0.00. -0.00
Plate Check/Filin =i; ' :0:251` 27.50 1000.34 1000.341 0.00 , ,rti +': •:.0:00
Inspection.17:0.00 1500.51 1500.51 •. r.. 100:51
BLDG FEES
OTHER BLDG... -
BIdgSRA InSpecboM s n .. 109.98 109.98 v'�r' 109:98
jt
i.. .,
Overcharged Bldg Insp.;.` 0.00 0;00
REFUND PROCESS FEE?: 54.99 54.99 za+.: 54.99
BUILDING TOTAL2610.83 1055.33 1555.50 1555.50
THERM.pRNG`0.00: r
0:00
SMIF t, �_ s t;�s : r ,; ,.'11 03 . .`:: „1.1.03
:_i
1103
SHR 0.00
SRA -65.00 . 95:00 0.00
0,00
$ 2,716.86 $ 1,150.33 $ 1,566.53 $ 1;555 50`; ' $h3 F $ 11.03 is $'
APPROVAL CHECK: $1,566.53
Date Reviewed 2/12/2007 DIFFERENCE: $0.00
Scott Rutherford (Should be blank)
Chief Building Inspector
r
AT&T Yahoo! Mail - barbara.gould@sbcglobal.net
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A
B C D E
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1
County of Butte
3
2
Omvllle. California
4 CLAIMANT:
Barbara Gouts
3
GENERAL CLAIM
4
14366 Bethany Circle
7 ..
5 CLAIMANT:
Barbara Gould
8 CITY 8 STATE
"' Magalia, CA'95954
6
7 ADDRESS:
14366 Bethany Cirde
02/08107
8
.. _..... ... ... _..__...
_. RECEIP.T.,IN.FORMADON,_. _ ,..
_.. .._ .. ...,.._ _... _.._ .. ..._............._ ..
14 `._..... _ NUMBER: ._
9 CITY 8 STATE:
Magalia, CA 95954
1
15'
16 �. DATE:
9/20105
10
ISSUED TO:
Barbara Gould
.. Barbara Gould.
11 DATE OF CLAIM:
02!08/07
1026
1036
._.._.... .. ... _..
121
SUBMIT CLAIM TO DEPARTMENT RECEMNG GOODS OR SERVICES
$1,511.54
$2,716.86'
13 DATE
'”" '-'DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
14
Refund Claim - See attached calculation sheet APN: 064.450-045
15
Permit No.: 05-2536 PAID
RETAINED
16
Development Services $ 2,610.83
$ 1,055.33
50
17
ERM DRNG $-
S--
18
SMTP 511.03
S--
19
SHR $•
$-
20
SRA $ 95.00
$ 95.00
21
TOTAL$ 2,716,861-- -$1,055.33
JEFND
:50
'22. .__... .. ... ... ...
23.
'24`' . ... ..-._-'•.
1.
-25
._ ___,.._..-
._.._ ._._'. ...:_ ... .. BREAKDOWN: BUDGET ACCOUNT
r•. .. .. 101001 DVIPMNT SVC .440-001 4210500
-_ .:..-._.�_ _ . ... _.. _.. ...... .. 1011822 ' THERM DRNG .... . 1800 ---- -__...280 ...
./{editorInTo
1011298 SMTP 1001 280
—.____ 1011811 SH 1800 260
... _.. _..... _ _..._. ._.....101001 .SRA 0100 .. .. . _.. 4617240-
A
$...
•
.03
-27
; ... ;. .
':26
28
TOTA
.53
$y'S66.53
29
...I, the unders"ned,'declare under '
g penally of pe urlFiat Itie servl2€3 or articles claimed ha4e'been'pertomied or delivered. that -this
1
"' � ", '
-10. claim Is true and correct as stated.
••.-...• ..
11.
. ;- ....
l
+
..
32 .. ... ...
--' DaieA this . _ ... dey.dt - . 1� .. 2007. al .. : Carl,*
....
...
31 -
- "' 5lgnatore'df Claimant'
34
I, the under's!gned, hereby cehi that, to the best of nfy knowledge, the services or articles specified a ve have been performed or
Articles
'
35 delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same, '
36
.. . .
37
Dated INs _ day of , 2007, at Or viler_ Calif.
'
38
"
Department Head or Authorized Deputy
39 Dept SEE Exp.
d0 Code BREAKDOWN Code PAYABLE FROM FUND
41
421
DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY
'
431 DEPT & SUB.
I PROD I SUB. OBJ I CLAIM NO, I INV NO.
INV. DATE
ENCUMB. I
GROSS AMT.
Calc Sheet
A I B
I C 1 D
E FG
H I J K L
1
2
_
REFUND CALCULATION SHEET
3
4 CLAIMANT:
Barbara Gouts
6 ADDRESS:
14366 Bethany Circle
7 ..
....
8 CITY 8 STATE
"' Magalia, CA'95954
10 DATE OF CLAIM:
02/08107
. 2 ....... . .. ... ... ...
1
.. _..... ... ... _..__...
_. RECEIP.T.,IN.FORMADON,_. _ ,..
_.. .._ .. ...,.._ _... _.._ .. ..._............._ ..
14 `._..... _ NUMBER: ._
.. . 439682..-...... .....
.. .. .............. 3463.
1
15'
16 �. DATE:
9/20105
1/13106
ISSUED TO:
Barbara Gould
.. Barbara Gould.
... .. .. ._..___..__..-_.. ...;. .. _... ... .-.. .... .
19 '. ... ........_...
20 :...._. .__C HECK#:
1026
1036
._.._.... .. ... _..
21'
22 AMOUNT:
$1,205.32" ,
$1,511.54
$2,716.86'
http://us.f8 l 3.mail.yahoo*.com/ym/ShowLetter?box=Inbox&M'Sgld=5073_170743 88_51266... 2/8/2007
o�vrr.o Butte County Department of Development Services
0 o Building Division
o_ 0 7 County Center Drive
cova��� Oroville, CA 95965 (530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued - if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
Building Permit Fees Sheriff Fees
Other (specify):`i'n..�
[SRA Fees (CDF Fire Planning)
'Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Re qust�r Refund. If you want the plans, you mays', then klip prior to that time.
01 f-X61:°Z
Signature Date
K:/Forms/Refund Application 082203
■
MP:
JAN 1
DEVELOPMENT
SERVICES
CLAIMANT:
..........
Barbara Gould
ER -BLDG." a _.
RA Inspection 109.98 109.98 ' - 109.98
larged Bldg InsP 0.00 0.00....
ADDRESS:
14366 Bethany Circle
ID PROCESS FEE 54.99 54.99 -54.99 :• -54.99:::::}}::
jjj
.
:.:.
:>;::::: >: <:::::::::::::::;::::::
DING TOTAL 2610.83 9 r .,
_ 1555.50
055.33 . - ,1555;50:::
CITY A STATE:
0.00
Magalia, CA 95954
1103
i 000
0.00
22295t !.00, X0
DATE OF CLAIM:
;$ 11.03"
02/08/07
APN:
064-450-045
RECEIPT INFORMATION
NUMBER:
439682
443463
DATE:
9/20/2005
1/13/2006
ISSUED TO:
Barbara Gould
Barbara Gould
CHECK #:
1026
1036
AMOUNT:
$1,205.32
$1,511.54
$2,716.86
PERMIT #:
05-2536
05-2536
Yes No
Yes
No
Yes
No
PRIOR REFUNDS:
X
X
FEES VERIFIED
X X
REFUND BREAKDOWN
Title
"'
BLDG `.
THRM'DRNG"
".AUD St)Sf
HER DEV;,FEE
a FIRE
Fund
0010
1800,.1001
1800=:.
0100
Dept
440-001
I-HRMDRN
(SMTP)'
Accnt
4210500
280
280
� - 280 '
4817240';
Cash
101001 '
1011822
10:11298
011811r
1011$
DETAIL PAID RETAIN
REFUND
BLDGTime'
109.98
2500 8,5
»» <"
>
Filingfrom Plan Check 0.00 0.00 0.00::::::::::
Plan.Check/Filin "0.25: 27.50 1000.34 1000.34 0.00 0.00
Ins tion.' '0.5-0 1500.51 1 1500.51J.. 1500'.51
FEES
..........
. ..............................
ER -BLDG." a _.
RA Inspection 109.98 109.98 ' - 109.98
larged Bldg InsP 0.00 0.00....
:: »::...........::«
......... .
ID PROCESS FEE 54.99 54.99 -54.99 :• -54.99:::::}}::
jjj
.
:.:.
:>;::::: >: <:::::::::::::::;::::::
DING TOTAL 2610.83 9 r .,
_ 1555.50
055.33 . - ,1555;50:::
IM DRNG -:, 0.00
0.00
K,' 11:03 ;'1103'•,'=.
1103
i 000
0.00
22295t !.00, X0
$ 2,716.86 $ 1,150.33 $ 1,566.53 $ 11555.50 $
;$ 11.03"
APPROVAL CHECK: $1,566.53
Date Reviewed 2/8/2007 DIFFERENCE: $0.00
Scott Rutherford (Should be blank)
Chief Buil ing Inspector
. BUTTE COUNTY.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BP052536
B: C: Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I herebtC: affirm under penalty of perjury that I am licensed under
Issued Date: '01/13/2006 APN: 064 -450 -045 -
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. t
Site Address: 14259 MANATEE CIR MAG
Licensw_%lass : License Number:
Map Index:
Date: Contractor:
Description: NSF(1438)GAR(440)COV(87)OPEN(487)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law - for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: GOULD,BARBARA
permit to construct, alter, improve, demolish, or repair any structure, prior
14366 BETHANY CIR.
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
MAGALIA, CA.
the Contractor's State License Law (Chapter 9 commencing with Section
95954
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 to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the properly, 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
Applicant: GOULD,BARBARA
Code: The Contractors' State License Law does not apply to an
14366 BETHANY CIR.
owner of property who builds or improves thereon, and who does
MAGALIA, CA.
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95954
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
f
Date: a Owner:
License #:
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
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer: HURLEY, MICHAEL D.
❑ I have and will maintain workers' compensation insurance, as
requited by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
J
Carrier:
Total Square Ft: 2452 S.F.
Valuation: $110,292.00
Policy u:
Census Code:
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'
compensation provisions of Section 3700 of the Labor Code, I shall
�II
forthwith comply with those provisions.
l /3
Date: //
WARNING:. Failure to secure workers' compensation coverage is.
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. .
CONSTRUCTION LENDING AGENCY
This permit is he e y issued n r the Iicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions do work it di ab a for w ch fees have been paid.
BY Date:
Name:
Address:
PERMIT EXPIRES ON:
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage.
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County: I hereby
authorize representatives of County to enter upon the above mentioned property for inspection purposes.
/Butte
1341 G C4 1W
Print Name: /✓ � `-' Signature:
Date;
yJ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B: C: Building Permit 01-16-04 pg 1
�j� J129- # -9Zoo.8s
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 OF A PPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
X
For office use only:
OWNER
Last lame
e. 0 U
6 W �h
First ame
Addr s
AJ C ,1e
City /�
State
State
Zi
Phon L^ 6 8Y
Fax
FaCx. soh e
E-mabil
If/�4&
l ® Si3c 4,La/6,9l ,rte
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
6 W �h
Address
SRA Yes I
City
Occ.
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
Lic. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA Yes I
City
Occ.
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
SRA Yes I
City
Occ.
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
/ cfZ S 9 -h I /
Flood Zone
I A I
SRA Yes I
No
Occ.
Ty e C nst.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:IFORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
3
LOCATION
AP#
Property Address
/ cfZ S 9 -h I /
City
4 4
Cross Street C /'r
WORKER'S COMPENSATION
Policy Number
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
Page 1 of 2
Description or Scope of Wgrk:
447
Sq. Footage
❑ Structure Built without Permits
❑ 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: /
CC�
Receipt,#
Date: 0-5
Amount: Do Bldg
20�9�
Sheriff
SMIP
Other
Total
/ V
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down or fnd plans; all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire 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.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
M
UD
'
r
' 7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
TO:
FROM:
SUBJECT:
DATE:
•
y
WILLDAN ..
Scott Rutherford (530)'538-7160
srutherford aftuttecounty.net
Plans'Transmittal For Review Per Contract
09/22/2005
o�UTrFo
0 0
o ..__•�;;'_ : " °
° o
CSU IN
r
Applicant:
Gould,S6rbaraPermit.No:
05-2536
Project Type:
Nsf
064-450-0.45.
100% :, 70%
Plan Check Fees $ ' 1.,000.34. $
700.24
$
700.2.4
WILLDAN Fee $
700.24
Copies Attached:
Qty .
Chk
0
Application
Site Plan Review,
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
•
Residential Plan Review Guide
Residential Construction Requirements
•
Other
Other,
R ,
C
• d
'?E 36
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION'
County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: N_�>, �2/VA ASSESSOR PARCEL NUMBER O(/ t1r /SO'
Proposed Building Use: A/ 5/" Permit Technician: � % Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
�W -1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
�p /N- 4. Engineered truss details and layouts in duplicate. No faxesl
�❑ 5. Letter from Engineer or Architect for truss design review.
91 1I V 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent fog non-residential buildirigsz-
\ O 12. Hazardous Material Form
h/ 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
'\ Remain. ' ems needed to issue the permit. (May require additional plan review upon receipt of the following items.)
�j jl� 15. ahitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑4Q7,Ero5ion Control Plan Required........................................................................
20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. - -�
❑ 1. City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
L 23. California Department of Forestry, plan approval .0 -paid --Sent b_V>t-Nr
24. Planning approval for (A) Use: c (B)Parking: (C) Parcel Check: 467...... •a _ C
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
�j 26. NPDES Form........................................................................I.....................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
�❑� r\/ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.. .......
ermits....................:............................
❑ 34. Deed Restriction..........................................................::..............................
❑17.
❑ Legal description, ❑ M.H. Title, title search, registration or or .........................
e Other:nA�.o
❑ Other:
When issued Telephone &'IzIMw A -and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit. /
Applicant: ec� Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: i_I I I Date:
Structural reviewed r Date: Structural approved by: V l L Date:
Note transfer b . i Date:
Yellow: Building Division
v COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY'CENTER DRIVE, OROVILLE, CA 95965 PHONC(530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER/ 9,, y � t
PROPROSED BUILDING USE ('
1. BUILDING PERMIT FEES /
--- Balance Due ...............:..... $
�o
--- FEMA Flood elevation review...$
additional plan checking Fee .... $ +
SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check
3. SHERIFF FEES (paid at Building Division)
—Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. CREATION DISTRICT FEES�I��7
L id at Recreation District Office) (form available after Plan heck)
5. RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling) $
CHICO URBAN AREA (per dwelling) $ .
EL MEDIO FIRE DISTRICT (per dwelling) $
H CHICO SPECIFIC PLAN (per dwelling) Zoning
SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
$ 00.00 (paid at�Bu2ilding�Division
SMIP " f o
9. DRAINAGE FEE
10. OTHER
11. OTHER.
A.P. #'06 / —y S>0�V Ll'
DATE—bra
RECEIPT # DATE REC.
q L('W b �5 1_13_o6
—0-0( TP
P
/J k
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05)
i IP: f=%
el artment o f PublicVo`rk*s
C O U R t' y d f U t.
i/..
LAND DEVELOPMENT DIVISION
). Michail Crump, DirecCor'Storm Water ManagementProgarn
7 County Center Drive
\XV�'� / Oroville, CA 95965
ul t
a 5 � (530) 538-7266
538-7171
:National Pollutant Discharge ; Elimination System (NPDES) Phase ll
r=•' {
Construction Storm Water -Permit and Storm .Water P�IIEtion Prevention
Pian (sWPPP) AcknowledgementjLESS THAI�d ACR i F
Project Description:
Project Location andlor Parcel Number: / Y2
ect owner/owner's agent, certify that this project WILL NOT DISTURB
By signing below, I, the proj
1 acre or more of land and that -1, therefore, d0 not need to apply for a Construction Storm Water. Permit
fron the, State of California Regional Water Quality Control, Board. *;Phased projects that contain
multiple site build -outs of less than one acre but when combined -With subsequent phases total more
than one acre of disturbed soil will require a Construction Storm}Water Permit -from the State 'of.
,California Regional Water Quality Control Board.
. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water .Quality Control.Board for a project.
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law. ,
Signed-
Title-
Date:
ignedTitle:Date:
Butte County"Department ofDevelopment services 0 J!" 0 -
7 County Center Drive 0`
Oroville, CA 95965
c o
(530)538-7601 .Telephone c y
(530) 538-7785 Facsimile oull
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
I need ' to submit applications for septic and/or well to Butte County Environmental Health
immediately.
I am .required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained.
® I 'am'. responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans. ;
The Building Division will ,process the application through the plans ' examination process, as submitted,
without input from other regulatory entities that.,could prohibit issuance of the building permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur, additional fees. ,
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application:
Typically other required permits/clearances include,,but are~'not .limited to, verification the parcel was
legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print: ,
Applicant Name: �/���...�s� ��: APN: 0y co 5�G _ Q ys
Building site address: /�f2 S!T ' �� Permit No.:
I have read, understood and accept'the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
SIGNATURE OF APPLICANT DATE
w
Copy to ApplicanJEH/File 'K:Forms/BldePermitwithoutClearances 020705
Attention property Owner: +' '
'An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this infonnation.at your earliest opportunity to.avoid unnecessary
delay in processing and issuing your building permit. No bili din permit wilhbe issued until this
verification is received.
1. I personally plan to provide the major labor and material for construction nstruchon of this proposed .
property improvement: 'YES.rx ] NO [ ]
2. I HAVE [ V ] HAVE NOT [• ] signed an application for i
build
/� PP ng permit for the proposed
work. .
3. I have contracted with the following person (firm) to provide the proposed construction:
} NAME:
ADDRESS:
PHONE:'-' CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the'following person to coordinate,
supervise, and provide the major work:
NAIv1E: '
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
r .
S. I will provide some of the work but I have contracted (hired) the following persons ,to provide
the woik indicated:
NAME ' ADDRESS. PHONE TYPE OF WORK
f
SIGNED: r.
PROPERTY OWNER:
DATE: Ql /Z &S
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.
Butte County Department of Development Services
ADMI141STP.ATIO14 t BUILDING `GIS `PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
i';.,�-.....�-
Dear Property Owner.
O O
An application for a building permit has been submitted in your name listing yourself as the builder of the 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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact 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 "owner -builder" 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 contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Mic el C. Vieir+C.B.O.
Mallager, Building Inspection
NOTE: This Owner -Builder Tnfnrsnal-inn is rPnrnir" by CPrtinn 1 nRin of the Wo%Ifh n"A CnfPfv ('nd#-
SITE PLAN REVIEW APPLICATION
Date:
Permit Number (if applicable) O �� 2 `� 3� Bin Number '
APPLICANT INFORMATION Parcel Size:
Owners Name:
Owners Address:
Telephone No.: T
Situs Address: Z ('5-r G
Proposed Use:
Residential ' » r• '
New Single Family Residential. ,
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory `
❑ Permanent Second Dwelling {
❑ Temporary Mobile Home (Aunt Minnie) . . `
❑ Temporary. Travel Trailer ;
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial. Remodel
New Industrial.. .
❑ Industrial Addition. ❑ Industrial Remodel + ,
r.
Other
❑ Septic ❑ Well'
❑ Agricultural Exempt. Building E], Agricultural Buffer Form F1',Applicable ❑ :N/A;
❑ Other: -
Brief Explanation (if necessary): -
DO NOT WRITE BELOW THIS LINE
1
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
WApproved ❑ Conditionally Approved, ❑ Resolve Problems Prior to Approval
Site P n Stamp Approved
4
By , ' Date Z$ -COT.
V,
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain: (See attached)
• Flood Zone: X
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
---------------------------------------------------------------------------------------------------------------
❑ Detached Building User Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: e - f 6 da
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. t CDF approval needed for encroachments into SRA setbacks.
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
i
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. t CDF approval needed for encroachments into SRA setbacks.
rJ
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire •,
❑ . School* ,.
❑ Parks/Recreation
:❑ Roads r
❑ =Sheriff r
❑ Drainage ;
NCSP/CSA 87 '
❑ Chico Urban Area - Road
Thermalito Drainage Area
❑ Thermalito Urbari Area
M. Other
Subdivision Map Special Fees
❑ Water Tender # :
❑ Road Improvement
❑ North Oroville Area "
Other (per map) .
* Check with school district to verify actual fee if pre -application review.. A final determination will be made at the time of
the building permit. '
Parcel Crealed1By
❑ Deeds: ^ ,
Date of Creation: , LegaLAccess Provided: ❑ No 1-1 Yes
Deed of Reference: ...Legal Access Required ' ❑ No ❑ Yes
Parcel. Frontage on Publicly Maintained Road: —1No ❑ Yes; Road Name:
Complies with County Standards for Deed Creation:❑,No ❑ Yes
Comments: ,
❑ Parcel Deemed to be legal '
Verify Legal.Parcel ❑ Verify'Legal Access ❑ Provide Deed. of Creation
Obtain a Certificate of Compliance
l ❑ Obtain a Merger ;; ❑ Obtain a LotiLine Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone `
❑ Meet current Environmental Health Department requirements
------------------��-��--��----------- _---------- -------- _---___----------_-----------------------____--------
z
Subdivision Map/Parcel Mme: Pr;\J6;f
Map Date of Recording: g ��
Lot: 3G Book: 3 57- Page: Z 7
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes; NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
C
All,
' - , - E� � .NO•PTy- 90UTy L.' SEC. 23 '
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46
i
1 CALCULATED POINT........•..
°8
r
y ,4/
vL"
V / \
OVERHANG EASEMENT ............ ................ I7PLZID
+ SET BACK LINE ...-
PUBLIC UTILITY EAS-,TIENT IP.U.E.),,,_.,..-�"-�-'--
* DRAINAGE EASEMENT (D.E.) ..... ...�.......=-�`''� - +�..OF..S SUBDIVISION NO. Lf
RECREATIONAL EASEMENT (R.E.)............. CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED 'PARADISE PINES. UNIT N0. 6
'FROM TRIANGULATION STATION 'SAA'MILL' 1X•2.12-0.255.90. "
SET CENTERLINE MONUMENT .........................a - Y-781.619.91.1 TO TRIANGULATION STATION 'BALD MOL.\iAIN' PTN.. SEC. 23, Ek 261, . T 23 N., R.3 E., M.D.M.
SET 2'X 3' IRON PIPE TAGGED R.C.E. 9033.... • 55 481..57 F0:63. Y•832,9A8.11.) BEARING N 22'7.3'29'E F BUTTE COUNTY, CALIFORNIA
i ALL LOT CORNERS HOT INDICATED BY THE ABOVE SYMBOLS J SCALE% I'z 100' • JULY, 1970
TO BE MARKED BY 3/4' IRON,PIN w:TH TAG R.C.E. 9033' - MURRAY a MCCORMICK INC. -, -
CIVIL ENGINEERS LAND SURVEYORS
1
FOUND 2'z-3' IRON PIPE TAGGED R.C.E. 9073..,E 4 1912 F ST SACRAMENTO, CALIFORNIA
FOUND MONUMENT AS 5110'NN.... .. • ..............f ' _ SHEET 2 OF 3 SHEETS
' .
RECORD................................... ..0 ] /
LARWIN DEVELOPMENTS INC., A CORPORATION AS OWNER OF 'fHE LANDS INCLUDED
WITHIN •PARADISE PINES UNIT NO. 6"AS 5XOWN WITHIN THE COLORED BORDER
LINE ON THE ANNEXED MAP. AND ALLIANCE ESCROW CORP., A CALIFORNIA
CORPORATION AND TITLE INSURANCE AND TRUST COMPANY, A CALIFORNIA
CORPORATION AS TRUSTEES UNDER RECORD DEEDS OF TRUST. DO HEREBY CERTIFY
TX AT WE ARE THE ONLY PERSONS WDOSC CONSENT 15 NECESSARY TO PASS CLEAR
TITLE TO SAID LAND AND WE CONSENT TO THE PREPARATION AND RECORDATION
OF SAID MAP AS SHOWN WITHIN THE COLORED BORDER LINES. THOSE PORTIONS
OF 'WYCLIFF 'NAY, CULVER COURT, ST'ONEHILL COURT. SINCLAIR CIRCLE, AND
MANATEE CIRCLE. AS SHOWN WITHIN THE COLORED BORDER
LINES ON SAID MAP ARE HEREBY OFFERED FOR DEDICATION FOR PUBLIC USE FOR
COUNTY ROAD PURPOSES. WE ALSO OFFER FOR DEDI CA'f I ON, AND DO HEREBY
DEDICATE FOR SPECIFIC PURPOSES, THE FOLLOWING:
IA) RIGHTS OF WAY AND EASEMENTS FOR WATER. GAS, SEWER, AND DRAINAGE
PIPES, AND FOR OVERHEAD PND UNOE RGROUND WIRES FOR ELECTRIC AND
TELEPHONE SERVICES, TOGETHER WITH ANY AND ALL APPURTENANCES APPERTAINING
THERETO, ON. OVER. AND UNDER THOSE STRIPS OF LAND DESIGNATED PUBLIC
UTILITY EASEMENT CONTIGUOUS TO THE REAR AND/OR SIDELINES OF LOTS AND
OF THE WIDTHS SHOWN HEREON.
(B) EASEMENTS FOR LIGHT AND AIR OVER THOSE STRIPS OF LAND LYING
BETWEEN THE FRONT AND/OR SIDELINES OF LOTS AND THE LINES SHOWN HEREON
AND DESIGNATED "SET BACK LINES SA10 STRIPS TO BE KEPT OPEN AND FREE
OF BUILDINGS.
ICI RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES TOGETHER WITH ANY
AND ALL APPURTENANCES APPERTAINING THERETO ON, OVER, AND UNDER THOSE
STRIPS OF LAND DESIGNATED 'DRAINAGE EASEMENT' IN THE LOCATION'S AND OF
THE WIDTHS SHOWNHEREON.
(0) EASEMENTS FOR EARTH. SLOPES, ANCHORS, GUYS, OVERHEAD AND UNDER-
GROUND WIRES AND CONDUITS FOR ELECTRIC AND TELEPHONE. WATER. SEWER
AND GAS SERVICE TOGETHER WITH ANY AND ALL APPURTENANCES THERETO ON.
OVER AND UNDER STRIPS OF LAND 10 FEET IN WIDTH WITHIN THE LOTS
AND CONTIGUOUS TO ANY STREET OR OTHER PUBLIC 'WAY TOGETHER WITH THE
RIGHT 'f0 TRIM OR REMOVE THE NECESSARY TREES. TREE LIMBS OR BRUSH.
(E) EASEMENTS FOR POLES, ANCHORS AN GUYS ON, OVER AND ACROSS THOSE
STRIPS OF LAND LYING WITHIN 2 FEET ON BOTH SIDES OF ALL S10E LOT
LINES AND EXTENDING 35 FEET BACK FROM THE FRONT PROPERTY LINES.
IFI A RIGHT' OF PINY AND EASEMENT TO THE COUNTY OF BUTTE FOR CON-
STRUCTING. RECONSTRUCTING AND MAINTAINING NECESSARY DRAINAGE
FACILITIES AND APPURTENANCES THERETO. ON, OVER AND UNDER ALL OF LOTS
E AND F SHOWN HEREON.
lli EN,ZURANCE�,A,N.D TRUST COMP A'.Y All, ij f� S
TION. AS
atat
PU TRUSTEES
._
r
STATE OF CAL(F9V't71".,. I 5S
COUNiY OF•
ON IH.5�1970 BEF,O „M TH- UNDERSIGNED A NOTARY
PUBLIC >NiA`M D>r 04 _ 11 CGI Ty OF ��-oa�/�YYrreyE $ONALLY APPEARED
Fes? X j N _ '
RNOYM TO'M� TOt 04r���'J'
RESPECTIVELY. OF TITLE 'I URtiNCE, ii-TRUS COMPANY: --A IFORNI
CORPORATION IYHI CH EXECUTED THE FOREGOING CERTIFICATE, AND KNOWN TO ME
TO RE THE PERSON WHO EXECUTED 1'HE FOREGOING CERTIFICATE.ON BEHALF
OFTHE CORPORATION THEREIN NAMED, AND ACKNOWLEDGED TO ME THAT SUCH
CORPORATION EXECUTED TME SAME.
LARWIN DEVELOPMENTS. INC.. A CORPORATION, AS OWNER
fir?
EXEC 1'E VICE PiF,SIDEf ASSISTANT SECRETARY ~�--
STATE OF CALIFORNIA )
COUNTY OF 8U'f TE ) SS
ON'
!UN THIS�.� DAV Of n
,1970. BEFORE ME. THE UNDERSIGNED, A
RL If. IN AND fOR THE COUNTY OF BUT
1'TE. PERSONALi.Y APP CARED
JERRY ER ER AND GRANT CLINE KNOWN TO MF. TO BE THE EXECUTIVE VICE
PRESIDENT AND ASSISTANT SECRETARY, RESPECTIVELY OF LARWIN DEVELOP-
MENTS, INC.. A CORPORATION, VM ICH EXECUTED THE FOREGOING CCRTIFICA TE.
AND KNOWN TO ME TO 8E THE PERSONS WHO EXECUTED. THE FOREGOING CERTIF-
ICATE ON BEHALF OF THE CORPORATION THEREIN NAMED. AND ACKNOWLEDGED
TO ME THAT SUCLWO R PPORRtT�IIOQV�uFT� THE SAVE.
EIy.", L•'Al:cf. 04Jr/.LLY� � A Bf �,/_
`b :+ E40TARY PUBLIC
z e....m as Y COMMISSION EXPIRES•i-Y
A.,.,ruuau.u.rn,wa+u,u.umr_+•+a '
ALLIANCE ESCR��'I Cy112PORAT7',A ,t,ALIFORNIA CORPORATION. AS TRUSTEE
'-99919 Y�"R a�-VaL�s.o P..r.:'T' 'Pssrs+p-.r setae �aaV.
STATE OF CALIFORNIA
I 55
COUNTY OF�G P+77"o)
ON THIS SI_ DAY OF %i)L rJ . 1970. BEFORE ME. THE UNDERSIGNED, A
NOTARY PUBLIC IN AND FOR THE COUNTY OF -5 GL euT _ PERSONALLY
A PPE AREDA�/P,JC,..� r°N QLL�R o'O1
KNOWN TO ME TO BE THE B.�Sfi_C�1f��B'E- -ANO St°
NESP ECTIVELY, OF ALLIANCE ESCROW CORPORATION. A CALIFORNI CORPO-
RATION, 'WHICH EXECUTED THE FOREGOING CERTIFICATE. AND KNOWN TO ME
TO B[ THE PERSONS WHO EXECUTED THE FOREGOING CERTIFICATE ON BEHALF
OF THE CO RPO RATIOMI THEREIN NAMED AND ACKNOWLEDGED TO ME THAT SUCH
CORPORATION! EXECUTED THE SAME. /'/
51 lll�-
�,;'�{•J�- i'It')4 u.tl!Hi i.iU.F.i,RM ` NOTARY PUfiIIC
I; ljf.r�• + MY COMJAI 5510N E
1. DONALD D. MCCORMICW, DO HEREBY CERTIFY THAI' 1 AM A REGISTERED
CIVIL ENGINEER OF THE STATE OF CALIFORNIA, TH4T THE 4N NE XED :AAP OF
PAN ADISE PINES UNIT NO. 6° CORRECTLY REP RCSEN'fS A SURVEY MADE UNDER
MY DIRECTION IN APRIL 1970. THAT IT IS 'TRUE AND COMPLETE AS SHOWN,
THAT THE MONUMENTS SHOWN THEREON ARE SET IN THEIR CORRECT POSITION
AND ARE SUFFICIENT TO ENABLE THE SURVEY TO BE RETRACED.
y II f�
NOTARY PU91 f ••y v.:p.,+�-
+,.;.• •_ +,Gu"+'� my C6MM 1 s S 10� `.
1. F.H. SEELY. JR. AUDITOR OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA
DO HEfl EBY CERTIFY THAT THERE ARE NO LIENS AGAINST PARADISE PINES UNIT
A HEREON SET FORTH UNPAID N0. 6 S , OR UN A D STATE, COUNTY MUNICIPAL OR LOCAL
1AXE5 OR SPECIAL ASSESSMENTS COLLEC TEO AS TAXES EXCEPT -TA X ES OR
SPECIAL AS SEESSSMENTS NOT YET PAYABLE. TAXES OR SPECIAL ASSESSMENTS
WHICH ARE
`,,,IA BUT NOT YET PAYABLE, I ESTIMATE TO BE IN THE AMOUNT
�F.H.
JR„ CO,ITY AUDITOR f
1. ALBERT J. WALSH. DIRECTOR OF PLANNING OF THE PLANNING COMMISSION
OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA DO HEREBY CERTIFY THAT
THE ANNEXED FINAL MMP OF 'PARADISE PINES UNIT NO. 6' CONFORMS SUB-
STANTIALLY WITH THE OCSIGN SHOWN ON THE TENTATIVE MAP 'WHI CII WAS
APPROVED 8Y THIS COMMISSION ON ..." P II IQ 70
ALRERT 'MALS., D!REC CA OF
PLANNING
I. CLAY CASTLEBERRY. DIRECTOR OF PUBLIC WORKS OF THE COUNTY OF BUTTE.
STATE OF CALIFORNIA DO HEREBY CERTIFY THAT I PAVE EXAMINED THE FINAL
-AAP OF 'PARADISE PINES UNIT N0. 6' THAT IT IS SUBSTANTIALLY THE SAME
AS APPEARED ON THE TENTATIVE MAP ON FILE AND ANY APPROVED ALTERATIONS
THEREOF. THAT ALL PROVISIONS OF THE SUBDIVISION MAP ACT OF THE STATE
OF CALIFORNIA AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL
OF SAID TENTATIVE MAP HAVE BEEN COMPLIED WITH. AND 1 M. SATI 5FI ED THAT
SAID MAP IS TECHNICALLY CORRECT
CLAY ASTLERERRY, R,C. , 19224
DIRECTOR OF PUBLIC 'RORKS, COUNTY
OF BUTTE
I, CLARK A. NELSON, COUNTY CLERK OF THE COUNTY OF EUl'TF., STATE OF
CALIFORNIA. DO HEREBY CERTIFY14AT ON THERr�DAY OF�LYGuOT 1970,
THE BUTTE COUNTY BOARD OF SUPERVISORS OFFICIALLY APPROVED THE SUB-
DIVISION MAP OF 'PARADISE PINES UNIT NO. 6' THE RECEIPTOF SATIS-
FACTORY SECURITY IN THE AUDITORS CSTI MATED AMOUNT OFTO
INSURE PAYMENT OF TAXES WHICH ARE A 1.!E.4 BUT NOT YET I'IPPPPPP AY ���AAAffBBBDDDLE W'AS
ACKNOWLEDGED. THOSE PORTIONS OF WYCLIFF WAY, CULVER COURT. STON EHILL
COURT. SINCLAIR CIRCLE.AND MANATEE CIRCLE. A$ SHOWN
WITHIN THE COLORED BORDER LINES ON SAID MAP AND OFFERED FOR DEDICATION
FOR PUBLIC USE WER i. ACCEPTED ON BEHALF OF THE PUBLIC FOR COUNTY ROAD
PURPOSES.
- ClAff 1J/LZ� A/
CLARK A. NELSON, COUNTY CLERK
BY DEPUTY Y7'N
RECORDED IN THE OFFICE OF THE RECORDER OF BUTTE COUNTY, STATE OF
CALIFO NMA, AT T111E REQUEST OF OROVI LI.E TITLE COMPANY AT�ZMINUTES
PAST O'CLOCKSjE Ei 9y36BAYCORDl�G N�4.BE p67T ' IN BOOK_
OF MAPS AT PAGES y% ICM
rXliuul/ iT.( et.a,/W
LO ISE KLUENDER, BUTTE COUNTY
BY DSPU
SUBDIVISION - NO Ir
PARADISE PINES UNIT N0. 6
PTIAL SEC. 23 a 26, T 23 N., R.3 E., M.D.M.
BUTTE COUNTY, CALIFORNIA
JULY, 1970
MURRAY d McCORMICK INC,
CIVIL ENGINEERS LAND SURVEYORS
1912 FST, SACRAMENTO. CALIFORNIA
SHEET I OP3 SHEETS
w ,
WILLDAN
Serving Public Agencies ,
November 9, 2005
Scott Rutherford
.Butte County Building Department
7 County Center Drive .
Oroville, CA 95965 ,
(530) 538-7169
5 !
(530) 538-2140 FAX
BUTTE COUNTY PLAN REVIEW REPORT
Status: Approved
Jurisdiction Job No: 05-2536
Assessor's Parcel No: 064-450- 045
Description: Gould-Nsf
Willdan Project No: 14353-1896-M
f
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
* Plans: Two (2) copies, sheets 1 through 7, SN, SDI through SD3 dated 9/20/05 by Michael D.
Hubley.
* Structural Calculations: Two (2) copies dated 9/20/05 by Michael D. Hubley.
* Truss Calculations: Two (2) copies dated 8/24/05 by Jarrod P. Holliday.
* Eneru Calculations: Two (2) copies dated 8/18/05 by Troy Lindquist.
* Misc. Documents: Two (2) copies CDF Fire Requirements. -�
The plans have been stamped with the Willdan approval stamp and dated. According to our.previous letters
relating to this project, the superseded plans and documents will be discarded within 10 days unless we
receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions-of.approval and identification of any deferred submittals.
APPLICABLE CODES
Our review was based on requirements of the 2001 California Building Standards Code found in the
California Code of Regulations, Title 24:
• Part 2, known as the California Building Code (CBC).
• Part 6, known as the California Energy Code, and Energy Commission Standards (CECS).
A WI L" LDAN
Serving Public Agencies +
CODE ANALYSIS
Specific
Use
Type of
Occupancy
Type of
Construction
Stories
1" Floor Sq Ft
2"d Floor
Sq Ft
Total Sq Ft
nS.,�:'.:zA 1
M-W....k�
' .w'U'' k
NSF
R-3.
V -N
1
1438
N/A
1438
OPN DECK
R-3
V -N
1
487
N/A
487
COV PORCH
R-3
V -N
1
87
N/A
87
GARAGE
U-1
V -N
1
440
N/A
440
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments and/or
agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
3. All plan sheets shall be signed by designer or person responsible for the plans as required by
California Health & Safety Code Section 5536.1.
4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to
Butte County's satisfaction.
5. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking
responsibility for the project design and the Title -24 -documentation author (where different).
CES 10-103(a)1 and California Residential Manual 1.4.8
6. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms
and hallways leading to bedrooms (may be either battery operated or 110 volt with battery
backup) as required when the valuation of any addition made to a Group R -occupancy exceeds
$1000 per CBC 310.9.1.2 through CBC 310.9.1.5
7. Gable -End Truss calculation submittal is deferred to Butte Co.'s review at their discretion.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
Tom" T'rueb
Plans Examiner
Cc: Alice Mefford, amefford@buttecounty.net
Page 2 of 2
Gustavo Franco., P.E.
Structural Plans Examiner
Butte County 05-2536
Wi.l.l.dau 113534896-.11 -PC1F
E ONLYONLY
Plot Plan Attached
Floor Plan Atladied
Sent to BD/DS {{ I
TO:. Building Division — Development Services �.
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal: `� Water Supply: Public Private Well
Clearance for dwelling. Otherd4tjY::' e,6' cc>
Hold final for: 7—/ eFinal clearaAce O.K. for:
NOTE: ZI
Environmental Health Sp
Building Clearance 9/2005
r.
PERMIT: 1744-73 PE
Miller, Lincoln N.
95 Manatee Circle
Unit 6 Lot 36
(Utilities for mobile home)
-COUNTY OF BUTTE - _ QEPARTMENT OF PUBLIC WORKS +
7 County Center Drive IF— OrWille, California 95965 //z/ITelephone: 534-4541
-APPLICATION AND PERMIT -
`'-ru c�
BUILDING
1 •, , itt
Owner ,(/� `/J� "it/./{ ✓ Q.r r 'r +
SQ. FT. OCC. BUILDING VALUATION
Mailing Addressl��
✓"/5/i5/ Ei.•✓1FE` /% /'� �/�
r l" --- 1�J
Fireplace -
Contractor
Total Valuation
Z
Mailing Address � ,%�,� �C�l%�,lj1l%/�!� /J.
Permit Fee
Plan Checking Fee&/or Penalty
"
Teleph
'/.one No.
Permit Fee
$
$ �.
Building Address {��/ f C� Z1,2 7e 34
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
_-9 DU
Each Trap �;2 1.50
3,00
Repair drainage or vent piping
1.50
Water piping / 1.50
Each gas water heater or vent 1.50
A. P. No. �/ y.j —'l
'
�ZZng'& Plann' g
Gas piping system 1 - 5 outlets
/
1.50
/� $O
Each additional outlet .30
FeesW-C.
i
'Sanitation,
:Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
,QQ
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
"Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
{.�QO
$ /� �G
NEW r' ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
.3,00
Main service incl. 1 meter / 300
3 iiD
a
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family Q Duplex ❑ Mobil Home �, Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures ba. lld1a
ball
Receps., switches & fix outlets —bal 1@10
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
r��l//� �/, ��7�i�/✓�G C'QiC/Sy/�
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities / 5.00
Temp. Power Pole 5.00
License No. 0-'%1D{gMisc.
Classification
wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
11,4)
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X '�� �!'�.Yi^r/l./.i .�>�'' pate//%%l'
l '
"Signat//ure,of Permitee or Agent
Receipt No. - /`tel
f/
7/ 9 /
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applican
DIRECTOR OF PUBLIC WORKS
By ` - t' r i�_�� Date
COUNTY OF BUTTE 7 DEPARTMENT OF PUBLIC WOR n
7 County Center Drive_,, OfoviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authunce represeniadves of the County utte to enter upon the
above -menti d property for inspection urposes.
V7 1
Xzi IF" Date/7
Sig f Permitee o gent
Receipt No. �j
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date J.+.�...
BUILDING
Owner L/fie Lx/
,SQ. FT. OCC. BUILDING VALUATION
Mailing Address/a,�2 /. 1�O A17 -4,52*7
Telephone No. /
023— lf(j
Fireplace
Contractor �/
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
T e hone No.
&_//
Permit Fee$
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
-,O0
Each Trap 1.50
3.00
/.
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �S
�ZZ s
Gas piping system 1 - 5 outlets
/
1.50
/., So
Each additional outlet .30
FA)cksj
an' a i ire Dept. Fire`_Zone
Use Permit
Building sewer 5.00
2F,,00
_EQAJParking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Plans Recd
Parcel piiproval
Plans Approval
Permit Fee
$
/� DO
$ �� QL'
NEW 00 ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE / $3.00
S.06
Main service incl. 1 meter / 300
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
rvi
Single Family19 Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 pal Bio
Receps., switches & fix outlets —bal 1@10
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: ,e/
Hood, Ex. Fan or F. A. Furn. Motor
1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities / 5.00
00
Temp. Power Pole 5.00
License No. a%/Ol;� Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
&, DD
$ 77 Tae
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
rkmen's Compensation.
have placed on file with the County of Butte a certificate of
YWoorkmen'sCompensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not em
p to an employ y person i n any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE,PERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
_
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ "-? Igo
authunce represeniadves of the County utte to enter upon the
above -menti d property for inspection urposes.
V7 1
Xzi IF" Date/7
Sig f Permitee o gent
Receipt No. �j
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date J.+.�...
,a ,
COUNTY OF BUTTE
Department of.. Public Works'
BUILDING INSA610.V RECORD
Zoning __
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
,Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
' DATE
REMARKS OR
CORRECTIONS
a
a
f
COUNTY OF BUTTE. - DEPA$RRT"EVT'OF PUBLIC WOR �•
7 County Center Drive - -Oroville, California 95965-
,
v Teleo8h+e:534-4541 / 7-
APPLICATION AND PERMIT ` . /►
..y W.-- • 1 uNvn uic
above -men ed property for: inspection purposes.
ate 7-1,9-73
Signature of P rm-tee or Agent '%
Receipt No. / / ,
White-D.P.W. — el low- — Pink -Inspector — Goldenrod -Applicant t.
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS.
BY, 1 Date 7'-;L,, � 7 _1_
'Building permit expires Date
R
BUILDING
V " /It/,SQ.
Owner IV"
FT. OCC. •. BUILDING VALUATION
Mailing Address C�
f1`
Telephone No.,
Fireplace
Contractors
Total Valuation
Mailing Address
Permit Fee ' `
(7 e/
Plan Checking Fee&/or Penalty
_
Telephone No.
Permit Fee
• OL�
nL
Building Address /Yf C/�ZCL�
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
%lj f
Each Trap 1.50
• ,,
+
Repair drainage or vent piping
1.50
4
Water piping' 1.50
Each gas water heater or vent 1.50
A. P. No.
Z
• oning & Planning
Gas piping system 1 - 5 outlets •
1.50
Each additional outlet ' it .30
Feed
W.
Sa at n
. FireDept.
FireZone'
Use Permit
Building sewer- 5.00
EQA
ParkinPlans
Declaration
Parcel Map
60' R/W
Improvements.
Lawn sprinkler system 2.00
Bldg. Plans Rec' Parcel A p{Ssev51��
�`
Plans Approval
Permit Fee
$
NEW ❑ DI TION ❑- . UTILITIES ❑ OTHER [:]ELECTRICAL
_
No.
@
FEE '
'PERMIT FILING FEE $3.00
�C
Main service incl. 1'meter-
Additional meters; each'
1.00
Single Family ❑• Duplex ❑ Mobil Home Others ❑,
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 2
ba- I (a110
Receps., switches &fix outlets b �5
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor.
1.00
'
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
+ '•
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
._,® I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
,for Workmen's Compensation. .
❑ I have placed on file•with the County of'Butte a certificate of,
Workmen's Compensation Insurance.
}� I certify 'that in the performance of the work for which this'.
permit is issued I. shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood ,2.00
Permit Fee $
$
I certify that I have read this application and state that the above ,
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, .and hereby
TOTAL PERMIT FEE'
$ D�
..y W.-- • 1 uNvn uic
above -men ed property for: inspection purposes.
ate 7-1,9-73
Signature of P rm-tee or Agent '%
Receipt No. / / ,
White-D.P.W. — el low- — Pink -Inspector — Goldenrod -Applicant t.
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS.
BY, 1 Date 7'-;L,, � 7 _1_
'Building permit expires Date
R
7 ► —6n
Lo k9 I
7 r _(fin �,�C3 �.3 ► -.0rr 32 ► _6n
I —A►► �ti
"bL
--`` ENRONMENTAL HEALTH
�` ` AN 10 Lui
; BA �o r.
! IGoUgffCENiMRDRUE
MASTER BACK DEQ
BEDROOM
�.._ !
111
WALK- �i QAbl- l 7 ' -- 6 rr L=1j•- 151-0 rw
5 ► _ p �r �.. _ _ _ .....i Q
40 GAL. GAS LR4tN,� ! ;'
llrArr D
v
PLFLOOR0AN
SCALE: 1►.O"
_