HomeMy WebLinkAbout064-480-018` 64-48-:ezoasfz
M. F. Marks
45 TempIl�e Cir o�3 ,,NtaQa,ia
lrIi t +1.0 �E ,M'( �w ing� e
✓famil& pri�.eletached garage
64-48-18
ntO�PFR • �� ® �.��
OA
RCIF.R'•P ASCH
14108 Temple Circle, lot 35,-PP#8, Magali
Contr: R.C. Dasch Const, Shingletown
Permit#2285-84B,P,E,M(new single family)
I
' Pd/16v�
64-48-18
LORI & ANDY ESTRADA
14108 Temple Circle,maQalia 01.3017
Conti: Sam Behar
PErmit#3229-87B,E(addition/SF)
--- - --64-48-18` ---
Contr: Sam Behar
t
PErmit#3776-87B(add decks)
0
-- -.
�J I \J�
t
PERMIT NO. _
PERMIT EXPIRES
OWNER T•QRT R Amny ECTRATIA
i CONT% Sam Behar
ASSESSOR PARCEL
64-48-18'
' LOCATION
14108 Temple Circl, Magalia.
`.��. 4/�i�. ,. G 257.✓
.
t ` # Temp. Power Pole
;' •. Called PG&E
Temp. Elec. Service
Called PG&E.
ji Temp. Gas Service
Celled PG&E
�#? JOB FINALED (Date)
Signature
l6�Lu S5 f;,r G f • Olcif Za <`�ch� " .
Owner: Permit No.
LOCATION
ENERGY CERT IF ICAT ION
DESCRIPTION OF INSULATION
A. P. No.
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material _Z 6 Brand Name (!�jej
Thickness(inches) /f Thermal Resistance(R Value) /1
CEILING
Batt or Blanket Type/ -64-137 Brand Name
Thickness(inches) //' Thermal Resistance(R Value) C,3z,
Loose Fill Type Brand Name
Minimum Thickness(Inches) Number of Bags Wt. per bag lb.
Area covered(ft.2) Thermal Resistance(R Value)
FLOOR, ELEVATED
Material e/yf7e7e_ 4
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
Brand Name ®
Thermal Resistance(R Value) Cir T
Brand Name
Thermal Resistance(R Value)
FOUNDATION WALL
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME/OWNER STATE'CONTRACTOR'S LICENSE NO.
SIGtAtURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on: the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
IE-��Irvr Cis -�- ' -?v 76) s- z --
FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO.
SIdNAttRE OF GENERAL C RACTOR OWNER � DATE
THIS CERTIFICATE. MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED ;WITHIN THE BUILDING..
January '1984
i
COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-27511
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
1�1_el
R
�s —
k' ;,
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 correc fwork is completed. If you have any question pertaining to this
matter r,need additional explanation, please contact this office Immediately.
7 r -,
/o2b�r1,4�!!l�''
Inspector Date
s , 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
OWNER
J;-' ;-7-
T NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the bove address and should be corrected. Please notify this office
when cor ction of work is completed. If you have any question pertaining to this
mattpe, or need additional explanation, please contact this office Immediately.
57
l4
Inspector Date
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
72z,- k 7
OWNER 4, PERMIT.NO.
1
A routine inspection indicates that the following violations of County Ordinance S.
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, need additional explanation, please contact this office Immediately. a
aooc -5 Z) /10Y 6 z f v,/ d
J D G . : G / / �.✓ GW �i
C-/ /.cfS
Inspector Date
s
= OK
0 = Not OK • .
- =taliai Applicable f RESIDENTIAL (Single and Duplex) •.x
= No JF�aady / T, "t
Date. _
UNDE OOR (PI s) OK—except #'s
_Date
FRAMING (Continued).
o g requirements- etbacks-Eas2Rffts
gers-St Caps-Anchurs--ftTmecters
rta4tg., Main; Soils -S el-Etec-9rrd-.-/% •L/" Ftg. Depth
46.. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Tr s -S g.-Rfag--
th
hroat
-
- s. a es
Stemwalls, Main;out -
!T 9
. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
d
49. Go -age li-e 12-eteelien
50. PFO iiiiiiiiihi-i e gs .
Pius- reel
xt. Doors -One 3' -Ch Garag% 2Fd-s4oWr2-exits
- est-
on
- =
I od on Roof Overhang -Attic Vents -Rafter Outriggers
- est
ing-Nailing4eneer-'
1
-Sur-ed-Fd s -Undo cess
- -
5 . Glazing Area -Glass P g - a
ers-Sills-Anchor Bol
s o• ts-Vents-Cripples
o
nsulation 0-n i
f.0 7 y
nfiltration- -Witd�
Card -B1
Dat q Card -B1 Date
Card -B1
Dat -.f ^ Card -131 Date
,Card -B1
ef4 Datq(0,-,5-,87Card-B1 Date
Card -131
9 Dat�6-474-Xard-B1 Date
Date
PLUMBING (Permit ,OK except #'s
16. Water Ht. V -Access-Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test Anchors -Nail Protection
18. D.W.V.; Tesl-,Ftfngs & Anchors -Nail Protection
¢ frr-Detector
19. Shower P n; Test, First Floor -Tub Access
+
-Clearance-Comb. Air -Connector -
In-6er , Above Floor -Ducts -Mach. Protection
20. Test Tub & wer, 2nd Floor -Tub Access
21. Gas Pipe; Sjzi5r& Anchors-
oom Exiting
cepa
. Elec. Trim -& Subpenet; Br -
Card -81
Date Card -B1. Date
Card -B1
DateCard-B1 °Date
h
-
Date
ELEPTOCAL (Permit) OK except #'s
Alec. Outlets at Wood Panel; Int. & Ext.
;gKFixture & Transformer Clearance -Ins. Protection•
Grnd--Air-6ap-600ktrrg-eleamnee
QeE. eceptacles Spacing -Lights &, Switches at Doors
anter
ize Boxes & No. of Conductors -Stapled
r
mex Installed Lose to Edge of Studs & C.J.
7 • - mPer
0--(%
26. quip. Gr made up w/Mech. F Hers-
73=99f►--�K€r. Vents=Ctearance_Comb - .V.-
In ge; b4v
• 4 Conductor Size
rPtb�E & Equip. Listed for Location
2 ire ize g . Cu or AI-A.C. Wire Size / /ga.
Cu or At-
7�
2 - ven Circ. / / ga. Cu or AI.
Insulated Neutral Yes No
ulation-
d Tail
Tjp
7 . dn. Vents & Crawl Hole Door-Drainnaage.& Wood -Earth
_ Argi�ce Looked under Floor ---D] Yes
3 Ground -Main Disconnect
31. Equip. otors-Mech. Equip.
es ose ig - hower Light -Spa Light
ollowing instld.; Drive O Yes O No; WaNd3 O Yes C*to;
Planters O Yes QLNe- -
Card -B1
Dated ,-fS' (Card -131 Date ' ' .
ca , u
Card -131
DatV6 ,/94-7Card-61 Date
to
Opeaiwgs. .
Date
MECHANICA ermit) OK except #'s `
33. A.C. Duc s Insulation & Support
eri ec. Trim; G .. Rec cle-Underground
34. Vent Fan; Noaust above insulation
95. Ventilation throughout House
35. Condensate phin & Overflow; Size & Grade
Ofealass Protection
36. Furnace- nt; Access -Comb. Air -Return Air Vent -115 outlet
37. Attic Ac ss & Platform if Furnace in Attic
0-44-10F & SOM-- - proval
71
?Sb�`nergy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
Card -B1
Date' Card -B1 Date
,Card -B1
64j Datyt)- ,yard -B1 Date
.
Date
FR G (Plans) OK except #'s
Card -131
, Dat�O-,4fard-B1 Date
S• , Proper Material & Anchors
Card -131
Date Card -B1 Date
33-W S acing & Bracing—Plates-Sound
Comments at Flnal:g,
4 (Bearing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
d Staifs�6pas,@,� Tub
-
eader & Beam -Size & Bearing
..
(NOTE: An dntry must"be made each time you visit lob site)
= OK t
0 = Not OK
Not Ready
dyMOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,GARPORT.S,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4., Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -81 Date
2. Footings; Size -Spacing -Marriage Line
Card -61
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy k
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS'P RM Of
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
- APPLICATION AND PERMIT
ASSESSOR PARCE NUMBER `
ZONI
'
BUILDING PERMIT
OWNER 1 1T
LEPHONE
SQ. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS /
CONTRAC OR'SE
L�
TE�EP ONE
CONTRAC OR'S ILIN A OR S '
^
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking _Fee
$ i
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMITFiIingFee
10.00
Each Trap
2.00
Solar or heat pump water heate
20.00
LOT NO.
3�
SUBDIVISION NAME PARCEL MAP
/��j2j/SCS C 3g-1--51
Water
Water piping
5.00
Each qas water heater o ent
5.00
USE OF STRUCTURE
SFV. Duplex F-1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - outlets
5.00
Building sewer
5.00
Mobile Home S G W
IO.00 ea
TYPE OF WORK
New ❑ AdditionX) Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
t
Main service 1000 AMP V OR ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
. I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
L, Q
License No. 8.76,5 Z--� Classification (i
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)-
❑ I am exempt under Sec. , Business and Professions Code
for this'reason
NEW CONST. DWELLING OCCUP.Bi
OR ADDNS. ACC., BLDGS. I 2h0sgft 40
NEW CONSTR MULTI -OUTLET 2,50 ea
NO N•RESID BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCup(OUTLETS OR FIXTURES SAL030
°"`®30
FIXED ALNS.
Ex. OCCUp. OUTLETSP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
114
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
o.f Consent to Self -Insure.
II 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
FiIirig Fee 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s id County in consequence of the granting of this permit.
B 7
X Date '7r '�9 G /
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST,TYPFJ
I
I FLOOD
PARCEL PD HD s
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
B y
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
to �� %
— � Z ,,??
Receipt No. 1 / / Z0
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
s - w °. 1. - j..r.. `• ("w: V t y. "A t -4 1 -
COUNTY OF BUTTE- DEPARTMENT -OF. PUBLIC 'WORKS - BUILDING D IV SIGN + °^
7 COUNTY CENTER DRIVE - OROVIIYLE, CAL)FORMA 95965 - TELEPHONE: 916/534-4541 r
PERMIT APPLICATION DATA SHEET
' Permit No._
OWNER cN� �l/i�Gr%!/i G�!/�IIGZ�CL. A. P. No.—
Proposed
o. Proposed Building Use cga� Building Inspector / Date 9'�
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
�1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . ... .
6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . .
7 Statement of Intent for Non -Heated and AC Buildings., .
8. Fees of $ , , , , , , , ,
9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
15. Improvements may be required. . , . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the p*tvrocess as follows: Mail to owner, Mail to contractor.
Telephone �5S'7� and hold for pickup aoffice, Deliver w/inspector.
Other
(Date)
Applicant �� Date
Copy of plans sent Health Dept., Fire Dept., Other Date
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:.62.&e_ 2t
ntracto designer, owner, wa a v t above required data byte_rnail_counter bA� "te
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date
If 4C
Plans checked
LPlans approved by /y/
-2-==-Sets of plans on hold in File cabinet AP folder
Copy—DPW
Date /0
— Flours: 10:00 a.m. - 3:00 p.m.
i
TO. Buildina Department 4
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner LocatiK --- AP#
Plan Approved for:Water Suppl
Sewage Disposal
y
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for f.__._ bedroom mobile. home. other
(� �
NOTE *. * .— lvG�G��t"Qo &I �i i Z I(�/
,.TanitT"ari
I
/ Date
FORM
ENERGY SHEET
FOR.
ADDITIONS•TO•RESIDENTIAL BUILDINGS
PERMIT NO., aZJ PACKAGE nA�'
(Additions)
NAME SQUARE FOOTAGE
JOB ADDRESSVC Existing Residence
TYPE OF WORK New Addition li '
New Total
The following information sheet showing mandatory features and -required features of
Package "A" must be completed and attached to all plans for -additions::to dwellings.
Additions to dwellings I ncl ude, room add tions . converting garages and patios to l i vi ng
areas, house moves that add footage•and attic conversions and any.space that.is ex-
fisting non -conditioned space that is converted to conditioned space,. Remodeling of
existing conditioned space is not included.
ZONE '11 ZONE 12 ZONE 16
INSTALLED 'APPLIES TO NEW AREA "
CEILING D=30 _30 38
WALL R-11 R- 1 R- 9
FLOOR R-11 R-1 µ R-1
SLAB. R_ 7 R-11 R- 7
GLAZING 65 .65 .65
SHADING
SOUTH OPTIMUM OVERHANG '
or .36 S.C.
WEST - .36 S.C.
LOOSE FILL INSULATION (Density)
y INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking).
)
.••;6;Gu 1NG K21CHRN f. RAIR NOT I FSS T
MAXIMUM'GLAZING.16% OF AREA PLUS REMOVED GLAZING
R IN CONJUNCTION WITH AN'ADDITION SHALL COMPLY
ANr T ^^71'T� ?�QTA ON BACK OF THIS SHEET'
7/83
*1 HEATING VENTILATING..AIR-CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity).
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
£t2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
MINELS
❑ *2
L'
■
(lthpr
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(cooling capacity at 95°F)
Other
(describe)
(seasonal EER)
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) - (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
S ATURE OF BUILDING DESIGNER OR APPLICANT
'PERMIT NO. 2285-84B.,P,E,M.
PERMIT EXPIRES l7 //U�
OWNER ROBERT DASCH
CONTR., R,C, Dasch Const, Shingletown
ASSESSOR PARCEL 64-48-19
LOCATION 14108 Temple -Circle, Magalia
5
Temp. Power Poie
Called PG&E
'Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E it
JOB FINALED (Date)
Signature
• .. .t.:v'��.•°.•aFP
= OK
0 = Not OK
= Not Applicable MOBILEHOMES A x MISCELLANEOUS _
= Not Ready - - -
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements -
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) _
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ •4/"Nat.or/ : /"L"ft./ _ /"LPG
6. Carports; Windows -Doors _.
7. Utility Clearance
7. Elec. NA _
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date r
Card -BI
Date
Date Card -BI • ,Date_ i r
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
rPOOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector "
5. Elec.; Pool Lighting; 15 volts-GFI r.l
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater _
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch S
10. Cert. of Occupancy a
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test '
Card B -I
Date Card -BI Date
Card -BI
Date • - - Card -Bl Date
Card B -I
Date Card -BI Date .
Card -BI
Date Card -BI Date
r
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
o ing requireme -Setbacks-Easemen
-P operty Line Firewall & Openings
tg., Main; s-Steel-Elec.Cr-- // -'/" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
,4,-'Ftg., Garage; Soils -Steel- //" Ftg. Depth
J%jt50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
• Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
emwalls, Garage; Steel-Blockouts-Wrapped-Slab
_4&r-6t=LU_lV%sh-Drip Screed-Fdn. Vents-Underflr. Access
s -Fireplace Ftg.-Steel
94eGlazing Area -Glass Protection -Skylights -Plastic
U.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
-X4-•SheerVhlls; Nailing -Bolts
9. GasSize-Anchor
Water Pipe; Test- c Reg" -Se est
Electric; Undergroun
Plenums & Duc "C le ce-Material-Support-Ins.
Girders -S -Anc Bolts -Joists -Vents -Cripples
Card -BI :
Date Card -BI Date
Card -BI
Card -BI
OPate Card -BI Date
ate Card -BI Date
Card -BI 1 Date Card -BI Date
Date
�.LL_ - -C3
( tans) OK except N's
Card -BI DateQ--S=Card-BI Date
Date PLU ING (Permit) OK except q's
J,xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
14. Water Ht.; Vent -Acte - ombustion Air
-587 -Furnace; Vents -Clearance -Comb. Air-Connector-
I ,Garage; Above Floor-Ducts-Mech. Protection
fPipe;Anc ail ection
V.; Test- Ftt nchors-Na rotection
Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
I c. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
t 'rs & Rails
ireplace or Stove; Clearances -Hearth
Rec. Outlets at Wood Panel; Int. & Ext.
Card -BI I oate and -BI Date
Card -BI Date Card -BI Date
Date ELECTRICAL Permit OK except q'suct
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
6 c. Outlets & Receptacles at Kit. Counter
arage Fire Door; Swin -Landing-Closer
i e amper -
20. F' ure & Transformer Clearance -Ins. Pro tectio
tr. Htr, learance-Comb. Air-Connecto P;
, ove Floor-Mech. Protection
In GarageIb.-Elec.
lec. Receptacles Spacing -Lights &Switches t r
ize Boxes & No. of Conductors -Stapled
& Mech. Equip. Listed for Locaticn
omex Installed Clos f Studs & C.J.
i4_ . Receptacles in Garage; (G.F.I.)-Romex Protec.
Equip. Ground ma up ech. asteners-Bond Gas & Water
7 nsulati -F m -Looked in Attic El Yes
n&
2 Appliance Circuits in Kitchen & Conductor Size
Deck Construction -Post Caps
iz./ a. Cu or AI-A.C. Wire Size ga. Cu or Al
Fdn nt Crawl Hole Door -Drainage &Wood -Earth Clearance
under Floor ❑ Yes
27. Range Circ. 111V/ ga C' r AI -Oven Circ. f191 ga.Cu r AI,
_Insulated Nadi ❑ es
Following instld.: Drive es C] No; Walks Q o; Yes N
Planters C-1 Yes Ta'No
Service -Riser Conductors G Main onnect
�6-5t'co; Brown -Finish
2f. fiquip. Clearances; Panels-Motors-Mech. Equip.
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-04; Glfthesinset Light -Shower Light
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
09 --Water Well; Disconnect, Electrical, Plumbing
86. Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I ; Date Card -BI Date
entilation throughout House
Card B -I Date Card -BI Date
Glass Protection
Date I�NICAL (Permit) OK except q's
rection rom Previous Inspections
Gas -Mete Tagged; Gas -Electric
A.C. Ducts; Insulation & Support
Wfater & Se Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
6 Energy Compliance Certificate -Other Certificates
33. -Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
8.' Attic Access & Platform if Furnace in Attic
Card-
Card- B
Card -BI
Date and -BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING Plans OK except q's
Comments at Final:
&—sills; Proper Material & Anchors
QYW� Is; Studs -Nailing, Spacing & Bracing -Plates -Sound
gAafing Walls over Girders & Floor Nailing
_WDr!.!LStop in Walls (rat proof)
ire Stops; Furred Ceilings -Stairs -Chases -Tub
7510E+
, Bader & Beam -Size & Bearing, .
a =Post Caps -Anchors -Connectors
Ing. Joist-Rftr. Ties - Purl in - Roof_Brac. s Shth_nq_.-Rfng._
ireplace Ties or Type A Flue -Fireplace T
(45") Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
1:; x4 TAC i ' . Ci . '_' #
j`o/o
( /�j�.` E �_
0
Inspector Date
Owner: Pasch
Permit No,
E N E R G Y. C E R -T="I F;hC A T-1 O N
14108 Temple Cir
LOCATION
A. P. No.
DESCRIPTION OF INSULATION
ROOF
Material N/A Brand Name.
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches)
CEILING
Batt or Blanket Type Fiberglass
Thickness (inches). 10"
Loose Fill Type InsulSafe II
Minimum Thickness(Inches) 1 0'y
Area covered(ft.2) 1015
FLOOR, ELEVATED
Material Fiberglass Batts
Thickness (inches). 6"
FLOOR, SLAB
Material N/A
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material N/A
Thickness(inches)
Brand Name Certainteed
Thermal Resistance(R Value) R-19
Brand _Name Certainteed
Thermal Resistance(R Value) R-30
Brand Name Certainteed
Number of Bags_2_6 Wt. per bag 25 lb.
Thermal Resistance(R Value) R-30
Brand Name Certaintepd
Thermal Resistance(R Value) g-19
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify.that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements..
Hawkins Insulation Co., Inc. #378407
•FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE.NO.
_��_
1/3/89
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and material's are -of the quality prescribed or are
specifically approved by the State of California.
R C: asci _rasikdivry 60
FIRM NAME/OWNER (Please print)
Q�e�-- .__ _
SIGNATURE OF DE.NERAL CONTRACTOR OWR R
STATE CONTRACTOR'S'FL•ICENSE NO.
3 k6-
' DATE -
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND ACOPY-SHALL BE POSTED WITHIN THE BUILDING.
January 1
:984
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WbRKS
196 Memorial Way, Chico — Phone -,.891-2754
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
,:!--DAgPy+ -7-7 -may
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
matt o need additional xpl t o please contact this office immediately.
r
bs
AQ-0001'PE:
��UST��
Inspector Date //�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,, California 95965 - Telephone 916/534-4541
APPLICATJON A'Tu
" PtRMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
.–
ZONING
T–/
BUILDING PERMIT
OWNER.-.
In a
TELEPHONE
SO. FT. OCiC. BUILDING VAL JION
OWL R
I;�r� l�o
ACTOR'S NAME
S
LEPHON
CONT ACTOR ' AILING
ADDRESS
1 T- lA �Q�j
Fireplace " r/
,
CONSTRUCTION LEND ^�
AJ tl„
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ µ
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ t
Penalty
$ SrVV
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS O C— /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 `rf
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
3�
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 .S^
Gas piping system 1 - 5 outlets
5.00 n
, �� USE OF STRUCTURE
SF [" Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New e Addition ❑ Remodel ❑ Utilities ❑ Installatio ❑ Other ❑
Describe work: —
A5 �—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service so0V OR LESS
100 AMP OR LESS
10.00 �j
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. OWEOR ADDNS. ( ACC N SC &�
21/20sgft xxg:,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
'11<
and Professions Code and my license is in full force and effect.
License No. 3 5:SS`7 a:2 Classification GEL)
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am�6empt under Sec. , Business and Professions Code
for this reason
NON.RESID R BRUL T
ANCH CIRLE
CTITS 2.50 ea
NEWCONSTR. ( POWER APPARATUS a�
NON . RES I D. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 6AL®9 0
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
6. Oct
—
?u
Cooling -.DL6t
j)
Hood
3.00 3
Ventilation
Permit Fee
$ o>�
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s un n copse uence of the granting of this permit.
X �� 7 ,_6 !t
�.� Date
Signature of Applicant — Owner ❑ Contractors Agent Elwork
An OSHA p rmit is re d for exco tions ovq�5'0" deep and demolition or construct-
ion of str c s v t ' hei
Mobile Home Installation F $
TOTAL PER T
FE
OCCUP. GROUP
I TYPE of CONST.
PARCE
PD o
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
LD17RRIOF BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate'a / J
9Receipt
'� '
WHITE-D.P. OW ESSOR, P K-INSPE R, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT.= -OF PUBLIC WORKS - BUILDING DIVISION
♦ 7 COUNTY CENTER DRIVE - OROV°ILL_F CP�.3.1`ORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No. {�1�
OWNER �%Q��1 �C �-�"�'I A. P. No. `�'! ` — q h1 —1 9i
Proposed Building Use / r `
Permit Fee Based Upon: Complete Contract Price L --'DPW Valuation
/ 1 I / the,0=(?Explain)
A/ �
Building Inspector- � � �!�� Date 7 —1c7 R-#'
y
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
a -C2. Plot plans in duplicate/triplicate .••''
0 Complete plans in dupl�� ate. • - �?v.
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for NAn-*ated and AC Buildings.
Fees of
9., Letter of signature author izat`i'on.
40P Sanitation approval from C�e�Z�i Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre -glen
17., -Pre -Ins ecttion for A Re °uired- BuilInspec. request top qBuilding Ins ector
Other Wl-� ' - -wyou issue the permit, process as fol,ows.; Mail -too owner. Mail to contractor.
Telephone and hold for pickup at —office. Deliver w/inspector.
Other
Applicant ! Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at' f a liytim circle item.)
1. Index permit for above Items No. a
2. Additional items required:
( tra or, Designees Owrer) was advised of above requi
By
Plans checked by-
Plans
yPlans approved by
Other
Copy—DPW
Telephone ---- #IVlailOther
Date -3G 'i
Date
Date
To: Building Department L,
From: Environmental Health
Subject: Sanitation Clearance
Owner Location AP
_- Water Supply* approved for:'Sewage Dis osal
Hold final for: Water Supply
y
Final Clearance O.K. for: Water Supply.
Clearance for 2 bedroom 40tMU-home. Other
Clea ance for' addition of
ani t%ffgh VAte
RESIDENTIAL PLAN CHECKING GUIDE
(S.F.•, DUPLEX,., & MISC. ONLY) ,
n ]� Bldg. Permit # ZZl•5 ifi�
%Z
OWNER gEaT //ASU -l• A.P: # 61/4 i
A. GE RAL
;�.,Zoning requirements (sideyards and parking).,
Valuation.
_51-9nature by R.C.E.,or Architect (if required). ,
`B. PLOT PLAN
41r.Complete parcel size and dimensions.
21"�Setbackg, sideyards, easements, etc.
'�. Other buildings or structures. -
`14 ----Grading, fills, drainage.
`.• C. FLOOR PLAN
Complete to scale plan with dimensions.
Z. Required windows for light and.ventilation (Sec. 1405).
u. Required windows for second. exit (Sec. 1404).
4. Allowable glazing for energy requirements (20% max..per.State law).
g`:/ Human impact glass -(Sec. 5406). `
Required room sizes, ceiling heights (Sec. 1407).
1--�G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures', switches, receptacles, and.exterior,receptacles for maintenance of
mechanical equipment. I
Locations of water heater, heating &'cooling equipment, other electrical or gas
equipment, and plumbing -fixtures. -
Garage firewall, door size, and closer (Sec, 503(d)(4)).
1 1 - 3'0" exterior exit door"(Sec. 3303d).
]� Fireplace location.
p3. Smoke detectors (Sec. 1413).
D: STRUCTURAL DETAILS
Foundation plan complete'enough to construct building.
R" Floor construction details complete enough to'construct building.
"Elevations and wall construction details complete enough'to construct building.
4� Roof construction details -complete enough to construct building. e Wfg)
'Fireplace construction details and talcs if over one-story in height.
Sufficient data'and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on.exposed locations and -overhangs.
-0. Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716)., "
.1r.- ;Brick or stone veneer.'(Chapter-30). y"
-&-r— Exterior plaster - weep screeds (Sec. 4706 &'4708).
roper roof pitch for roof covering (Chapter 32).1-
i�YRafter
ties or bearing ridge beam.,7100SS '
Garage door or'porch header sizes.' -
Adequate bracing.
1-0:•- Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
+t:"" -Two (2) exits on three-story dwellings (Sec. 3302).
F iIT OF ACKNOWLEDGEMENT I�.'i�i R'Ic�
Return to DPW AGRICULTURAL STAT , : TF. CObiRlTi'a �
FOR RESIDENTIAL DEVELOPMENT_A I_.
E.�D p��.���i ry T
Section 26-8.1 of the Butte County Code requires. this acknowledgement llG
be recorded prior to issuance of a building permt:i.� ( 41
The property described herein is adjacent to land or included CL
within an area zoned for agricultural purposes, ,and, residents of thiss4_,3468 FOE
property may be subject to inconveniences or discomfort,arising from 0
the use of agricultural chemicals, including, but not'limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes,, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California,.described
as fol lows
Lot 35,_ as shown on that certain Map entitled, "PARADISE PINES UNIT 8",
recorded in the office of the Recorder of the County of Butte, State of
California, on October 21, 1970, in Book 38 of Maps, pages 1, 2, 3 and 4.
EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and. other
hydrocarbon substances, with provision that any and all mining operations
shall be done from or if ices outside the surface area of the land'
described herein and that no damage shall be done to the surface of said
- land.
Date: 8/22/84
Robert C. Dasch
PROPERTY OWNERS•
'Cheryl7A. Dasch
State of California ) On this the 22nd day of August , 1984 , before
SS. me, the undersigned Notary Public, personally appeared
County of Butte )
Robert C. Dasch and Cheryl A. Dasch--------------------
%x/ Personally known to me. //'Proved Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) are subscribed to
VIVIAN H. CLEVELAND � the within instrument and acknowledged that they
executed the same for the purposes therein contained. o;
' NOTARY PUoIIC ,G
t.��. Butte County IN WITNESS WHEREOF, I her unto set my hand and official seal.j�
State of California'
My Commission Expires Mar. 22, 1985 i i5 D C�
c�
Notary lic
Vivian H. Cleveland CA)
Present A.P. No. 64-48-018
'ENO OF -DOCUMENT
1 '
i
7t'
3
co
CD ,�
V-
clq
4Lo
Ica
-D
0
e
1 '
i
Xtate
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: M.F. Marks
Star Route
ADDRESS:
CITY & STATE: Magalia, CA. 95954 IMPORTANT:
April 12, 1979 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT J
Decided not to build. (Permit #1909-78B,P,E,M - Receipt #174815
----
AP 64-48-18)
Building permit fee ----- $130.00
Retain- ot tee ------- 43.33----
Amount of refund due ----------------$ 86.67
Plumbing permit fee ----- $ 16.50
R-etalm filing fee 3.00
Amount of refund due ----------------$ 13.50
Electrical permit fee --- $ 38.50
i
Retain filing fee - ---- -3.00—
Amount of refund due ----------------$ 35.50
--
Mechanical permit fee •-- $ 15.00
Amount of refund due ---------------- 12.00
Total erm ees Kefafid Due
Land Development Fee Refund Due ------ 25.00
TOTAL REFUND DUE $172.67
—I
17267
-
TOTAL
$172167
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Datedthis .................................. day of ............................. 19......, at................................. Calif.....................................................................................
Signature of Claimant -
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation or Specific Board ApprovalQ (Check one) for the same.
12th Apr 79 Oroville
Datedthis .................................... day of ............................. 19......, at .............................. . Calif.....................................................................................
Department Head or Authorized Deputy
Dept. Exp.
Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROJ•
SUB.
B.I.
CLAIM
NO.
INVOICE
I0 N0.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
INSTRUCTIONSAo-CLAIMANTS;
All claims against the county must be itemized, giving dates and
character of service rendered or work performed, quantities, de-
scription and unit prices of article's-furrdshed or delivered.
Claims must be certified by the claimant and submitted to the -.De- .
partment head for approval. Upon _-approval -the-Department head
will forward claim to. County -Auditor -for -payment procedure. ' Do
not file with the County Auditor first.
Claims should be presented to officials _for appioval immediately
upon completion of seivices requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's off ice- before -preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
f
r COUNTY OF BU-TTF — DEPARTMENT OF PUBLIC WORKS —
7 County Center Drive -z; Orovi!46, California 95965
Telephone: 534-4541
t APPLICATION AND PERMIT M
BUILDING
Owner 77
SQ. FT. OCC. BUILDING VALUATION
J Q
Mailing Address
Telephone No.lw�
/' r
Contra or
Mailing Address
Fireplace
Total Valuation o Z
oo
Telephone No.
Permit Fee
Building Address �!" /
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING
No.1
@
FEE
PERMIT FILING FEE
$3.00
.00
Each Trap 1.50
-
Repair drainage or vent piping 1.50
A. P. �p ���'(41�
�T—
zoni
Water piping
1.50
-
Each gas water heater or vent 1.50
F s
S on Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parkin Parcel
P ns Declaration
Parcel Map 60' R/W Improvements
Each additional outlet 30
Building sewer 5.00
g. Plans Recd
Parcel rovol
Plan pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE
$3.00
B00V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others
Main service EA. ADO'L 100 AMP 2.50
- -
ER 60
Main service 10 0 AMP OR LESS
25.00
1.00
Main service EA. ADD'L 100 AMR 1.00
CCLBLDNEW CONSWELING
/ 2�Sgft
OR ADDNST AJa
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 o � I
NEW CONSTR MULTI. U L T
NON-RESID (BRANCH CIRCUITS)
12.50ea
NEW CONSTR POWER APPARATUS 5
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTIIRES 5 L
Ex. OCCUy. (OUTLETS P(RESID.)FIXED APLNS.REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. � Classification 94
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
ZI)
$ -
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.
certify that in the performance of the work for which this
Ir 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
Nol
@
FEEPERMIT
FILING FEE J$3.00
t7
Heating
Cooling ,z ,
Ventilation jZ,Q6
Hood 2.00
-
Permit Fee $111,1919
_
$
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
Land Development Fee
$'
TOTAL PERMIT FEE
$ n
�cr�c.�pnwalvco VI Ulc VUullly UI OUllr. lU VIILVI UPUII UIC
above-mentioned property for inspection purposes.
i� X - 2 2Date
Signature of Permitee [or Agent
Receipt No/ ZVE-43
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.
DIREC R 0`E P LIC WORKS
By ` Date
Building permit expires Date
OWNER
RESIDENTIAL PLAN CHECKING GUIDE
(S.F. , DUPLEX,,..& MTSC,. - ONLY)
Bldg. Permit # �i V
A.P. —
A. GENERAL
-Zoning requirements (sideyards and -parking).'
d.–'Valuation.
3. Signature by R.C.E.-or Architect:(if required).
T
B. PLOT PLAN
Complete parcel size and dimensions.
Z-.--_Setbabks, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
. Required windows for light and ventilation (Sec. 1405).
eff—sRequired windows for second'exit (Sec. 1404).
,dV,— Allowable glazing for energy requirements (20% max..per.State law).
-Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
"G.F.C.I.'s in baths and exterior outlets .(Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
4 --Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
image firewall, door size, and closer (Sec. 503(d)(4)).
�- 3'0" exterior exit door (Sec. 3303d).
14 -.—Fireplace -location.
location.
�lSmoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct -building.
,2"� Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.'
5::: --Fireplace construction details and calcs if over one-story in height.
r_Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
�-6CX plywood.on exposed locations and overhangs.
44—S-tairway details (Sec-. 3305) .
4-_�-ardrail details (See. 1716).
4. Brick or stone veneer (Chapter 30).
5. Exterior plaster - weep screed's (Sec. 4706 & 4708).
-8�--P-roper-roof pitch for roof covering (Chapter.32)..
.Rafter ties or bearing ridge beam.
,9' --Garage door or porch header sizes.
�l�dequate bracing.
10. Living -area over garage - complete,l-hour separation required including supporting
walls and posts, etc.
11. Two (2) exits on three-story dwellings -(Sec. 3302).
G
I
= OK
'0 =.Not OK
NNt otReadyable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC ,COVERS,CARPORTS,GARAGES, Plans OK except #'s
A. Zoning. RegUirements-Setbacks-Easements
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
4. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
-
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
-Wood Awn.; Posts_Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'l- ft.
/ /"Nat. or/ /"L"ft./ P'LPGs;
onnections-Splice- Decal- Enc losures
in Doors
7. Utility Clearance
7- EfeC7:
Mss"
i ailial -V' sh
Card -B1
Date Card -131 Dated
1 off -Roofing
Card -131
Date Card -B/ Date -
�iB
t.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -B17:7/7-
Dat •-S%Card-B1 Data
1. Zoning Requirements -Setbacks -Easements .
2. Footings; Size -Spacing -Marriage Line
Card-Bj
Dated -,Y k,FCard-131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and.Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
-Pool
Card -B1
Date Card -81 Date'
8. Elec.;Grounding; Equip. w/5' -circulating Equip. Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1
Date Card -81 Date -
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
'Card -B1
Date Card -B1 Date
Card -81
Date Card -131 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex) -
- =Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Dkte
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -81
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -61
Date Card -81 Date
66. Stairs &Rails
Card -131
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72• A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Floor-Mech.
Pr Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑Yes ❑ No; Walks ❑Yes 13 No;
Planters O Yes ❑ No
80. Stucco; Brown -Finish
Card -131
Date Card -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -61
Date Card -81 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -131 Date
38. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR AR EL, ER
-
ZO 'NG
-
BUILDING PERMIT
OWNER 1
Tt P ONE
S0, FT. OCC. BUILDING ALUATION
Zia
OWNER'S MA G ADDRESS
CONTRACTO 'S AME -
TEL PHONE_
a
CONTRACTOR'S MXILING ADD FESS ,
1:5Fireplace-56
1
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation $
IVO
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
"
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
-ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS _/
a(Y
Permit fee
$ ,
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
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
10.00 ea.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Innsta�llattion ❑ Otherx
Describe work: Ad- ��
Permit Fee
$
Contractor
ELECTRICAL PERMITFiling
Fee 10.00
•
Main service 100V itOR LESS
100 AMP OR LESS
10,00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions
/.� Code and my license is in full force and effect.
Classification
License No. V / 0 Z- Q/�
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ontract-
❑ I, as the owner, am exclusively contracting with licensed contract-
ors
ors. (Sec. 7044)
❑ i am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8d
OR ACDNS. ACC. BLDGS. 2/20sgft
NEW CONSTRMULTI-OUTLET
NON-RESID BRANCH CIRCUITS
2,50 ea
/POWER •APPARATUS a)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050Q
BALD 30
Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
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
Consent to Self -Insure.
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
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s Count in copse nce of the granting of this permit
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h 'ght.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCOP.
CONST.TYPE
PLOo,D
AR E
D ND E
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�
By.
PER E PIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
G
Date
��.
,�t Q�J<
i7,.
Receipt No. ' O U O
WNIT!-D.P.W.. YELLOW-A98C9SOR, PINK-INSPlCTOR, GOLDENROD -APPLICANT
..r..�•�,,;.-.,.r . n... r.f1: =1.: ,y.� .vri7 Hiw�,Y. �. '"Sa r,X'da,�'+.tiy'�•f�l i`eiu'. .• it �yc,,,t � .,5•", �.ry• ..�' ,. '.,s, .r -..'�1
i�
t `
COUNTY OF BUTTE - DEPARTMENT OF PU LIC WORKS -.BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,°IFORNIA 95965 - TELEPHONE: 916/534-4541 r
PERMIT. APPLIQ,AT1.0P=DATA SHEET
Permit No.
OWNER �%�./� /�Q/ A. P. No. % 7
Proposed Building Use ayl� i, Y Building Inspector O Date I//— 1610
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or/issuance: DATE RECEIVED APPROVED
v 1. A 1 ' h by
2.
3.
4.
5.
6.
.7
8.
9.
10.
11.
12.
13.
14.
—15.
16.
17.
18.
19.
20.
21.
22.
items ave VV" submitted. . . . . . . . . . .
Plot plans in duplicate./triplicate, signed by preparer of plans. .
Complete plans in duplicate./triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement. . . . . .
CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ . . . . . . . .
Letter of signature authorization. . . . . . . . . . .
Sanitation approval from Health Dept. . .
Planning approval for (A) Use: " (B) Parking: .
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to
Pre -Inspection for Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
Plot plan approval from city of
When you issue the perm�it,G roce� as follows: Mail to owner, Mail to contractor.
Telephone 7d �S 5 and hold for pickup at l,4 14ffice, Deliver w/inspector,.
Other
r
(Date) i
art
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
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---nail_counter by
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter frq
Plans checked by
Sets of plans on hold in
Date Plans approved by
File cabinet AP folder
date
Date r
— Flours: 10:00 a.m., - 3:00 p.m.
Copy—DPW
f
i
TO: Building Department
FROM:. Environmental Health
S13BJECT: SANITATION CLEARANCE
OWNER LOCATION AP #
Plans approved for: Sewage Disposal• -k Water Supply
Hold final for Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
r.1,/
Clearance for addition of i2C3� (��/(�i//! ��,24O7f
No t ` ! ! 1i Z2 L
S NYTAkfAN DATE
r
yYsut.0 mdmlm� mod ' ftv�
MIN BRG
SPAN'
1.50,E
20' itJ
FURNISlf A COPY OF THIS DESIGN TO ERECTION CONTRACTOR A-Mb-GUMN- D- Z4
.r k�.xx ww�ax'•�. '•w a..+i.+iws ww+iwean.nawr't-c�:r.+w veN�+•/���na.+�.=�=:.srr.W.wrf�"' +dam. i+M k�iw.w,rM1+• rtsmrG nw.i�Y.+.�M (+
.:'w..�,.«��.��r�ti.r.........>�....... va...d�,,.�,•�.._v ....._.-«.. .. ,: .-. _ u.l � ...w+.-«.�.W...... .........,._........-.....:......w.r..J.Y�..+rv..k..... �.n..r--a