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064-560-040
'7-64-56-40 -90B, P, E, M CARVER, Mike 14146 Racine Circle, glia (new sf) �k Racine e e Circle 4 au I -a'r 64-56-40 91 Permit#142-191B //��� IJ f ) ((§pen deck/sf) -3340 064-560-040 PERMIT#94 JJESSENDORF, ROBERTA -' 14146 RACINE CR.,-MAGALIA' CONT: WOOD HEAT & SPA 'PROPANE HTG/SF PROPANE 060116 ----0186 064-560-040 T, WESSENDORF FAMILY TRUST, A r14146 RACINE CIR, MAGALIA C t 'S ' HVAC Cont: GALLAGHER'SLLGHER!S HVAC CHANGE OUT HVAC Ed .._ .._n,4.. -r, •a r. ;�,'.,'^` a'^.,,',� N"'rl , _ y:j_:� - r.. y,«., tY ,..,...�..,.;•. �c,.x;,r b.Tr4. r yY-s.r r_. s. :sr. .. .. 064-560-040 PERMIT#94—340 , ' WESSENDORF, ROBERTA-. 14146 RACINE CR.;•MAGALIA CONT: WOOD .HEAT & SPA PROPANE HTG/SF OT re Rcv 1- V. r _ COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) -754a PERMIT NO. APPLICATION AND PERMIT -T ASSESSOR PARCEL NUMBER ! 064-560-040 ZONING RTI BUILDING PERMIT OWNER ROBERTA H 5 NDORF TELEPHONE 873-3702 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14146 R.. N IA 95954 CONTRACTOR'S NAME WOOD PA TELEPHONE 877--0799 CONTRACTOR'S MAILING ADDRESS AY.PARADISE 95969 Fireplace • CONSTRUCTION LENDER I . . UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14146 RACINE CR MAGALIA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 1 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 73 Describework: PROPANE HEATING APPLIANCE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00' Main Service 800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) so' 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. ' Classification ❑ (, as the owner, 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) ] I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) CII am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ' POWER APPARATUS ) asIN'LE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1,50 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.! EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 •1 WORKER'S COMPENSATION INSURANCE II declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ,E] I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. I ag[ee to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enteiI upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all z liabilities, judgQients, costs, and expenses which may in any way accrue against said County in consequence of the granting /of this permit. X&4 d,.. ¢Gl�p.?,d�:,L-,(� 1 Date 14 r' Signature of Applicant - ❑ Owner ❑'Contractor' ❑ Agent 'An OSHA permit is required for excavations over 5"0" degand demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ• I D. FEES I IMP I F100D I CDF I PARCEL PD 1 HD 1 ISSUE 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. ) % BY i Date �t (5/�J�'%. ' PERMIT EXPIRES ON11../it)&r- (Date! Receipt No. -7 S F+ ,. WHITE-O.D.S-.-B.D. CANARY -ASSESSOR! , PINK -INSPECTOR` GOLDENROD -APPLICANT - r.v i W COUNTY OF BUTTE BUILDING DIVISION ,DEPARTMENT OF DEVELOPMENT SERVICES —1.469 Humboldt Road, Chico, CA - (916) 891-2751 ;xu> 7 County Center Drive, Oroville, CA - (916) 538-7541 ., 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER `� PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. '01: M ;« vT L t I [ C_C: Date2 (s Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date — Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OFbEVELOPMENT SERVICES - BUILDIN IVISION 7 County Center Drive - Oroville, Calif®;n'fa 95965 -Telephone (916) 5 -754 �c ?�RnT No. APPLICATION AND PERMIT* - `/-j� ASSESSOR PARCEL NUMBER 064-560-040 ZONING RT1 "BUILDING PERMIT OWNER DORF TELEPHONE - 873-3702 30, �, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS RACTNE r , -MAGALTA 95954 CONTRACTOR'S NAME WOOD HEAT & SPA TELEPHONE 877-0799 CONTRACTOR'S MAILING ADDRESS -,7";7 SKY1JALPARADISE 99969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14146 RACINE CR, IA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF IR Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities D Installation O Other 00 Describework: PROPANE HEATING APPLIANCE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceB00'OR LESS 1 200A OR LESS 1 , 23.00 Main Service ( 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 8 ACC. BLDS. S0. 3.50 FT, CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. : 1 License No. Classification O I, as the owner, 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) f� 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS / @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , 20 @ 1.00 BAL, 11 50 FIXED APPLNS. OR Ex. Occup. (OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. D Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling -- Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to `save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County�in consequence of the granting of this permit. Xt' Q/ �j Date lob Sighature of Applicant - O Owner Q6tontractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ- I D. FEES I IMP FLOOD CDF PARCEL PD HD ISSUE 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. By. i Date I 9 PERMIT EXPIRES ON L jral9� (Date) Receipi O WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I s —�ARESIDENTIAL• �4 ,r 64-56-40 4274-90B,P,E,M V CARVER, Mike 14146 Racine Circle, Magalia (new sf ) . 1l ' I } t Il r is OFFICE COPY Address Me 3y \ Date ELECTRIC Meter By Date) JOB FINALED (Date) Signature ' v=OK O = Not OK =Not Applicable MOBILE HOMES =Not Ready ,. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete / 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except,,'s 1. Zoning Requirements -Setbacks Easements t 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS .41 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O = Not�K = At'Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date UNDE OOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -Slope t ain; Soils-Elec. . / " Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-//-2 Ftg. Depth 4. Ftg. orches & Decks; Soils -Steel-/ /Fig. Depth Stemwalls, Main; Steel -Block outs -Wrapped temwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors . Sla ; Steel -Wrapped Pier -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas ' e; Size -Anchors ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pipums & Ducts; Clea,ance-Material-Support-Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date %- / Card 13-1 Date Card 13-1� Date ' l Card B- Date Card B-1 Date PLU ING (Permit) OK except #'s er Htr.; Vent -Access -Combustion Air -Baffle 7. Water Pipe; Test & Anchor -Nail Protection . D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access Pipe; Size & Anchors Date -9-1"I j Card 671� Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except #'s ure & Transformer Clearance -Ins. Protection 3. EI c. Receptacles Spacing -Lights & Switches at Doors Si Boxes & No. of Conductors -Stapled Flamex Installed Close to Edge of Studs & C.J. 12167 E ip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30 rvice-Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 3 moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH NICAL (Permit) OK except #'s . A.C. Ducts Insulation & Support ent Fan; Exhaust above insulation Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except #'s ae Proper Material & Anchors IIs Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing 4 . Draft Stop in Walls (rat proof) 4 F' a Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Continued) 4 . ngers-Post Caps -Anchors -Connectors 4 . Clog. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 4 . Fireplace Ties or Type A Flue -Fireplace Throat clearance At is Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ar ge Fire Protection Framing 51. ro erty Line Firewall & Openings 5 . xt. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection pl wood on Roof Overhang -Attic Vents -Rafter Outriggers ,55'Siding-Nailing Veneer t eco Mesh -Drip Screed -Fd. Vents-Underflr. Access . Gla7.ing Area -Glass Protection -Skylights -Plastic _ear Walls; Nailing -Bolts (5J. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Dat - - `j Card B-1 Datel1 _Gf / Card B-1 Date Card B-1 Date FINA (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 6 . Smoke Detector 6g!Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6A!6edroom Exiting 65!G.F.1. & Bath Fixtures & Tub Access -Spa 66� c. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails 6& -Fireplace or Stove; Clearances -Hearth 69'-Elec. Outlets at Wood Panel; Int. & Ext. W'Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 Elgc. Outlets & Receptacles at Kit. Counter 72. rage Fire Door; Swing -Landing -Closer 731"A C' Duct in Garage -Damper 7 . Wtr. Htr.; Vents -Clearance -Comb. Air -Connector -P. .V. In Garage; Above Floor-Mech. Protection 7 . Plb., Elec. & Mech. Equip. Listed for Location 76'Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7f. Insulation -Foam -Looked in Attic ❑ Yes 7lj Guard Rails & Deck Construction -Post Caps 79iFdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under FI r ❑ Yes 80. Following instld.; Drivees ❑ No; Walks Iff Yes 13No; Planters ❑ Yes ❑ o 8 . S ucco; Brown -Finish A C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Water Well; Disconnect, Electrical, Plumbing 8�/txterior Elec. Trim; G.F.I. Receptacle -Underground SfiiV ntilation Throughout House 8 . ss Protection Corrections from Previous Inspections 89 as Test -Meters Tagged; Gas -Electric 90 at r & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date ;M�ard B-1 e&Aj Date Card B-1 Date T� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 17 County Center'Drive, OroviIle— Phone: 538-7541 a T C 747 Elliott Road, Paradise - Phone: 872-6307 � CORRECTIONNOTICE 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. Date Inspector r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 1 7 County Center Drive, Oroville — Phone: 538-7541- 747 38-7541747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION -NOTICE OWNER 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. _. Date—/— / � Inspector / _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE cel_t�� 9,2 7q -1V 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. S Date �� ` �� Inspectors COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 „ -.- APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 64-56-40 ZO I - BUILDING PERMIT OWNER Mike Carver Inc. TELE H N 891-883 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A OR -ESS •• P.O. Box 63�$, Chico, CA 95927 CONTRACTOR'S NAME Same - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14146 Racine Dr., Magalia 95954 Permit fee $ PLUMBING PERMIT FiIingFee 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 SF [M 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 New ❑ AdditionU Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Open deck _ Z7— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR 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 BUSIneSS and Professions Code and my license is in full force and effect. License No.2 Classification _ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING occuP.�� OR ADDNS. ACC. BLDGS. 2y2¢sgft NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 8, SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20@SA ®90 ❑ FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.)\\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department 1� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 said County in c nse ence of the granting of this permit. X �� �%" -�' -�� Date l ' �G i Signature of Applicant — Ow r 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 $ occ CONST TYPE TOTAL FEE $ 35.0 HA cu PAR Sfbe F1 CIAPA P Ho Iss This permit is hereby issued under sions of the utte Co my Code and/or wor is ed abov f which fees (44D F PUBLIC BY PER IT EXPIRES Date the' applicable provi- resolutions to do have been paid. WORKS Date Z fZ .Z Receipt No. 83968-$35.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT C&NTY OF BUTTE - DEPARTMENT,OF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE ',OF�b' *& E, CALIFORNIA 95985 -TELEPHONE: 918/538-7541 PERMIT,APPEICATION DATA SHEET _ p`/'` Permit No. OWNER �%���� C9��' A. P Proposed Building Use /��iG%� 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. Hazardous Material Form .............. .....................:... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ................................................. .... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... SchRoI istrict fees paid .............. Sanitation approval from /9 /� Health Department 1/17 12 5. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (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 ........ .......... . 23 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 3 27. When you issue the permit, process as follows: Mail too ner. I Mail to contractor. telephone 1211/�19 3d and hold for pickup at office. Deliver w. /inspector. Other ' /_ i Appl icant ����'r % _Date _ , ///4� Copy of Haz- Mat corm 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 issuaq�e: (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 Contractor, designer, owner, was advised of above required PLaQs checked by Sets of plans on hold in Copy—DPW Date _phone_—naiI—counter by ..date t by—phone _mal.l�j^ co ter by date ans approved by (�JJy ✓ Date File cabinet v AP folder TJ Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance ` w • o y o Owner Location yKAv �� a AP# Plan Approved for: Sewaqe Disposal_ Water Supply Fold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for' -bedroom mobile home. Other w� NOTE * * * n .t i h n Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive..- Orqvillle, California 95965 Telephone: 916.'538-7541 APPLICATION AND PERMIT A55ESSOR PARCEL NUMBER _OWNE^may Fr_ ZONING BUILDING PERMIT'-- ._.. _ -. M �� � vT 1i( C TELE PHO �q/F ED D i o SQ. FT. OCC. BUILDI VALUATION 01170 MA LING -HADD ES� CO/NTRA��N AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 1000 Permit Fee Plan Checking Fee $ v $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINrpADDRESS Gc Permit fee $ Q� 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 500 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex[] Mobilehome❑- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G'JW 0.00e TYPE OF WORK NevAddition Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe w ��G� G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): -•-,. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑EX. 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) 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.� OR ADONS. ( ACC. BLDGS. , /z¢sgft NEW CONSTP_ MULTI -OUTLET .,_9 D. BRANCH CIRCU ITS r 2.50 ea � POWER APPARATUS e) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 200501 IIALO 30¢ OCCU FIXED APPLN5. OR p• OUTLETS lRES1D.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 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 said County in consequence of the granting of this permit. X _ _ .- _ �: .; Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3Csttoriies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE r - TOTAL FEE $ HAZ CUA PARK SGML FLO PAR PD Ho IssuE This permit is hereby issued under sions of the Butte County 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. ! 6 fy 5-, Q WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT rr be and sqeclficl%tl'ons� MW I set of plans . t is unlawful to This the lob at .11 times and Witt* is on same kepton changlo or alteration parwenf. of make anY f ro—M the Do ,,t We fmlsslorkalks, cou Pub1k4 & wa IOAe8rW6 C"Oodiolb: vwithRecogo Pf 8Sc n�b.& 0, I ( Ii �+Il � , �jj 54 1-t r) WA W - seon& Cl 5h bvM the SOMQ* prop" Rngo and & 60 ft. from the road SWl be ckM co bra 2 ft .OMS OvSOW, 9 IR, 14, 14& C'OU"v SPAOTMW' PQ\'E� 3d I�M nS O'nse doi * an q Ylls ens od 4# a JW I i M Ue7 0*1r- 9 , to OZ IWAD IftrNi"Pe lo yid y� SVOO A j f - F �► 4,j 1-17 Olt 4-1 Itt �r�tv i t i f f O V t <. � r t ! s "` -3',-:t `tib k-j'-� � i -� .S-• �• � ` , , t 1 #-'� .'� . _�1 °ii r _,iii. .. �. 't- �..��. .-f-•� � ..�,' � , t ,�.. ,� ! , 111 •. � cift 11 }( { i f T, t.., l %a" T� G PLYWOOD CC EXT --- - - MOBILE HOME<"d IX -7[Z:�r-- OR DELL IT -A 12" PIERS +� Z- 2"x(Y DECKIIJG -(ALT) ZZI'xL DF- 2 GIRDERS IYs' T4L PLYWOOD CC EXT. / — C-rUARPRAIL ielmhy rnrr, v I I I r- 1=I''—xi ii, ' MIN. h-vc'l-!r.!G 4F MAX. GIRDER �y FINN G. CLI P. -- 4"x V is. n 2' x 12" STAIR 'STRIWGER. 4B'o.c- MAX. -TDF VIEW HRLIDQAIL MDT SHOWM FDR ELN9IT`(. A�, r 3/0" f30LT "x l" POST - ADE'C C^7 GIf1;UN,�i b RRCI NCS. � Yi — T //� �\\ . •. • * .may Al D. ,,A 7 _ T YP I OAL. R Ef / U k %/ T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, Camornia 95965 Telephone: MOBILE HOME<"d IX w OR DELL �' Q MAX. � I — MTL. FRMII--- CLIP (EA. SIPE) = — .1�)"Mli�. 4"X (o„ 4",x 4" POST 2 11 X 12'j - ll2DF (2) 3/g„ _ DOLTS "x l" POST - ADE'C C^7 GIf1;UN,�i b RRCI NCS. � Yi — T //� �\\ . •. • * .may Al D. ,,A 7 _ T YP I OAL. R Ef / U k %/ T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, Camornia 95965 Telephone: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICAT10firAND PERMIT PERMIT NO. , ASSESSOR PARCEL NUMBER -96- ZONING BUILDING PERMIT OWNER Mi k TELEPHONE S0. FT. OCC. BUILDING TIO 1550 R _62-000 OWNER'S MAI ING ADDRESS 498 M 672TOR'S C . NNPw9AC NAME TELEPHONE 17 COV 17"0 1,040 CON T LING ADDRESS _ Fireplace "All 1,000 CONSTRUCTION LENDS - UNKNOWN Total VdlUatlOn $ 71.182 LE rN99S MAILING ADDRESS Filing Fee $ 10_00 Permit Fee $ 349.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 AR CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14146 Racine Circle, :. Permit fee $ 389.00 PLUMBING PERMIT Filing Fee 10.00 ago is Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOTNO. 140j SUBDIVISION NAME - Q PARCEL MAP 3,��/ Z� Water piping 5.00 9-00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00 e TYPE OF WORK NewXX Addition[] Remodel❑ . Utilities[] Installation❑ Other ❑ Describe work: Master #12-88 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;00V OR LE 0 AMP ORSLESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of, Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. 7 `/6 Z 7 Classification /3 F1I, 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 ode �.&` OR ADONS. ( ACC. BLOGS. I 21/zOsgft NEW CONSTR. ULT' -OUTLET NON•RESID BRANCH CIRCUITS) 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES aA 090¢ FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 73.70 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 6.00 Cooling g 6.00 Hood 3.00 3.00 Ventilation 6.00 p Permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 said County in consequence of the granting of this permit. X Date �Z - Z - �0 Signature of Applicant - Owner Contractor ❑ Aged An OSHA permit is required for excavations over 5'0" deep a h io construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOTAL FEE 573.70 HAz - CUA '"' PARK SCH LD 1,��PD b. Issu Th's permit is nereby issued under sions of the'ButteCounty Code and/or work indicated abov for which fees DI �C ROF UBLIC By PE IT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS ate �� Receipt No. 848-11-70.00// /C WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ._.PPL CANT i�'i'�'1�Mi�'��i'a _'�~a�����'�r�!''y{"..t'+aM'�•c•t�:yv• o- .. COUNTY OF BUTTE'- DEPARTOIFEN .OF4?BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-,OROVILLE, 00t FORf�'IA 95985 - TELEPHONE: 918/538-7541 f ' PERMIT -APPLICATION DATA SHEET --�-- ' Permit No. 7 1 !� OWNER i.. i I/ P. o. < ^� / Proposed 'Building Use qui S l-- Building Inspector Dat t`t 'f I 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 . . rr 4. Complete engineered plans and calcs, with wet signature onplans .. 6 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9 Mobilehome installation data including manufacturer's installation A. instructions. ; , l.; . �0. Fees of $ 15 Chico Urban Area fees paid ....................................... Park fees p d .............. -3� �a t �� 1ool Dist iE fees paid .............. Sanitation approval from r r� / Health Department �Z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17 Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 2 . Pre -Inspection for required Pre-inspec.request to Building Inspector '(Data) 21. Contractor's license information (No., Name Style, Classifications ... 2 Certificate of Workmans Compensation Insurance .................. AN 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 1711 Letter of signature authorization ................................... 26. 27. Whe you issue theRA�and s follows: Mai�to�owner. Mail to contractor. Telephone hold for pickup at O,y office. Deliver w. /inspector. OtherA Applicant Z_D�7, to/7a i f2 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. a mi is ace' ( rc new item not checked above). 1. Index permit for above items No. l 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_lnail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone _ma _co nter by date Plans checked by Date P ns approved by Date l Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit -Section RE: Driveway Clearance owner location AP # Driveway permit O �l l �� has been issued for the above property. si ature date TO Buildinq Department FROM: Environmental Hej::3thv SUBJECT: Sanitation Clearance /At CA-mac1 1,,. Ca/.vc;2 44 /4r -r —504-cD-C3 Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Clearance for 3 bedroom home. Other NOTE *« Water Supply 3 San+tI'An Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 25965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO. 0 A ES OR PARCEL NUM y ZON1 BUILDING -PERMIT OW R r v& TELEPHONE' SQ. OCC. BUILDING VALUATION -Ls o 00 O ER'S MAILING ADDRESS 5 6 N. CO TR CTOR'S N EL9EP E l/ W Vn C ACTOR• AILING AD R SS l Q / SCO (S —(�� `S Y' Fireplace Q© CO RUCTION LENDER UN NOWN 1 Total Valuation $ 1 LENDER'S MAILING ADDRESS Filing Fee $ri 10.00 Permit Fee $ t? AR H TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /5-. l lLO// ARCHI ECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ �L`.�J Penalty ; BUILDING ADDRESS /1/ Cc �e ��!!'' Permit fee ; d PLUMBING PERMIT]F— 10.00 Each Trap Q, Q e Solar or heat pump water heater OT NO. SUBDIVISION NAME PA EL MAP Water piping QO Each qas water heater or vent Q USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Q Building sewer Mobile Home S G WTYPE New OF WORK X Addition ❑Aaq emodeI ❑ Utiljties ❑v� in II Io%❑ Other [J Describe work: tr, d - F) a U. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service °°V OR o AMP ORSL o ESS10.00 QiQ� CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 1, 2.50 S© NEW CONST.DWELLING Occ OR AOONS. ( ACC. SLOGS. /z¢sgft J� Q NEW CON5TR. MULTI-OUTLE 2.50 ea NON.RESIO BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL@ 30 EX. Occup. OUTLETS (RESID )'iE A.) 2.00 Temporary service 10.00 �— Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee ; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 11 4 .� G-ct t Exg Coolin cQ1 Q 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 said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavatio s over 5'0" deep and demolition or construct. ion of structures over 3 stories in Neigh -to Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $ HAz I CUA I PARK I SCHL FLD I PAR PD HO I Issue Th;s permit is nereby issued under the appiicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do been paid. Receipt No. (—,zllbo WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR OLDENROD-APPLICANT anship Shou go lb -ALM40l6rialsl Workm This set of plans and ipKif 16 14t MOST lbo t40T&�4 , ' ' 6 - AcOrddndol tied -Good Practices 04 *ifhi R9669h kept on the job at all times ano it is ;uhl��f tr, ali fol t6 S &Cited use in On make any changes or alterailOnsi onsar�� vF6:of lumbing 4 Mosanical Codes.400 Uniform.1WOng. P out written permission from:thiId'e0irIm'0 Fhe No;wW E60,; -al C -10 - Public Works, Cotinty of Bilft!': -AJ 51.5 1! 1 1 AI 'i it Vi. -ACI AID AFIE-A IT list . L A 90back of 5 ft. from he property fines and a setback 'ol 50 ft. from the road centerline shalt be clew of structures or ecopment.exoW for a 2 ft.. eave overt iang. 4(-v C) L;(7r 1"140! AP SUILWNG DEPARTMENT ngPOSfOr.16A an M (30 APPROVED e vor Sift. cla.- MARS! QAII 4MU& ifYG�3iEri tai 6ldoibwfluj 6i t t�S IL0us9tl ,u,9;FjW 4 ve ICK&I. hoN. ,alx puce Jia a $e3"t"i 04 v1plic move" con -L-A of qnj4. wore, SuA cj..Do -';' OL 914604PUZ OW Or-Wr- Alt" Or -b1 *U 1PEO 100 91'ap1 Is,WG2 nuq it }2 nts;q%�rij 4L 1. 1' zsi of bfqua sub I ;HO ED r``'�i of A �t��c� aac>x ,fit 7iC:+"f"�ti;:':a:� �.O.aa' • 3,S,t c.,C;R r. +t:"?,^s.'Yrs:s7�ij'°'�w�,�`r1,"s�Fr�✓9:!.ar'`'S�„`'ti"row^^vr.. �.�;y�,r,�.,,rr�;��s. .. r... ,,.,;... ..�r��.•�9Wr"'•"(r+3Yt - -.R -,, ...� _ f.:i. .,.-..: ,�yw..7,,,.. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One /Form. per Building) A.P. Number !n __/ Building Department. -,No. School District Property Owner •I- QI ael 1 0 " .City L County r V4 rl Jurisdiction Project Location/Address � � (Q (,� G ( V1 C_ Subdivision Lot Number / Residential Development: � a Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) Date (.Floor Plans reviewed by School District Personnel)- Distri Id No. -' o C p School District certifies that JJA i ALAOD OJJ)L�Aq(q — 150 A plicant N-ame) (Ph6n.6 Number) l 66t�� (0 6 � . (ntrl /eet' A�ddre s s ) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ 9i� representing i �Q square feet.' I % I Sc ool District- Representative a e PAID BY CHECK NO. �'�( REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department -,.pink -school district SCHOOL.FEE (8/88) 9) 00 m N O O M I STATE OF CALIFORNIA Iss. COUNTY OF Rutte I On JANUARY 3, 1991 , before me, the undersigned, a Notary Public in and for said State, personally appeared MICHAEL L. CARVER and personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within instrument as THE President and Secretary, on behalf of MICHAEL L. CARVER, INC.; A CALIFORNIA CORPORATIQU...,,,,,,,,„,,,,ureeu++euuou+++nuue' the corporation therein named, and acknowledged to me that such corporation executed the within instrument pursuantto its by-laws or a resolution of its board of directors. WITNESS my hand and official seal. n OFFICIAL SEAL TAMI BARLOW NOTARY PUBUC — CALIFORNIA a ;! s PRINCIPAL OFFICE IN t,,l BUTTE COUNTY a My Commis9Ion Explres October 24,1992 .•�. (This area for official notarial seal) C- 91-Q1559 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPiINMNT Section 26-8.1 of the Butte County Code requires, this acknowledgement be r.,ecorded prior`to issuance of a building permit. The property described herein is adjacent Rec Fee 7.00 to land or included within an area zoned 91—pQ1559 7, 0,0 Check for agricultural purposes, and residents Recorded of this property may be subject to incon- veniences or discomfort arising from the Off oun Records ; use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte da and fertilizers; and from the pursuit Cance J . Grubbs of agricultural operations including, Recorder 9:37am 11 -Jan -91 XX 2,. but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'fhat'r.eal :property...situate in the County of Butte, State of California, described as follows: Date: I - 3—(q State of County of _&UT ) N PROPERTY OWNERS: MICHAEL L. CARVER, PRESIDENT On this the -'-'D day ofY 19a, before me, the SS. undersigned Notary Public, personally appeared j �Q Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged executed the same for the purposes therein contained. WHEREOF, I hereunto set my hand and official seal. Present A.P. No. I 119!�t -.�6 — 40 Notary Public that _ IN WI` NESS i . .. a �"a,� i _.. t, r i �y. irR`�y.�,f.•y�h 1` d ,rrt�. ,. - t i f•` , ° _ .,h ;car• : i"t ORDER` NO} 'BU 116067 fiB DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• LOT 140, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT .NO. loll, WHICH MAP WAS- RECORDED IN THE OFFICE OF 'THE RECORDER OF -THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 19, 19701 IN BOOK 38 OF MAPS, AT PAGES 11, 12,,13 AND 14. EXCEPTING THEREFROM ALL MINERALS; OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, -AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. n. t PARCEL II: A NON-EXCLUSIVE EASEMENT ,OVER +LOTS'A AND B, 126, 127 AND 167 (THE COMMON AREA) �OF SAID - PARADISE PINES UNIT NOS 10, AND THE LOTS DESIGNATED FOR'COMMON AND RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV,�vi, VIII, Xy* XI, AND XIII. n LAND OF DOCUMENT -i �r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (536) 538-7541 PERMIT NO. BP060186 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Date: Issued Da • 01 /26/2006 APN: 064-560-040-000 the Business and Professions Code, and my license is in full force and effect. 4— . License Class :c 21,5L Z J9 License Number: -7 -7-T 33q Site Address: 14146 RACINE CIR MAG 2 Contracto +FV AC, Map Index: Date: Description: CHANGE OUT HVAC 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: WESSENOORF FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of WESSENDORF ROBERTA H TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 14146 RACINE CIR 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 MAGALIA, CA 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than ive 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 Code: The Contractors' State License Law does not apply to an Applicant: GALLAGHER'S HEATING & AIR owner of property who builds or improves. thereon, and who does such work himself or herself or through his or her own employees, PO BOX 35 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of LOS MOLINAS CA 96055 proving that he or she did not build or improve for the purpose of. 800-892_3556 sale.). O 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 not apply to an owner of property who builds or improves thereon, Contractor: GALLAGHER'S HEATING &AIR and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors' State License Law.). PO BOX 35 ❑ 1 am Exempt under Article 3 of the Business and Professions Code LOS MOLINAS., CA 96055 Date: owner: 800-892-3556 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 777334. O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: O I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier andpolicy number.afe: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #. �� cS� O I certify that in the performance of the work for which this permit is • Census Code: 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 forthwith comply with those provisions. ( Date: Applicant: 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 or compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here4y issued under the applicable 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.) Resolutiont ark indica ed above for which fees have been paid. 7 Name: By: Date:l U� PERMIT EXPIRE O Address: (Date) O 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 ocument of Butte County. I hereby authorize representatives of Butte County to enter upon the.above mentioned property for inspection purposes. i� �:1 {�t� Print Name: / V1 1 Signature: c / Z5 /0 62 Date: a� ❑ Agent for Owner UAgent for Contractor ❑ Owner ❑ Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR NSPECTIONN: OROVILLE: ($30) 536-7536 • CHICO: (530) 841-2834 OFFICE t': (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: wN-A,.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE 7, u, MJj J W � � -4 V Nix, M, II For office use only - ,'OWNER Last Name e4c beZ amts _ I. Address , Racine C rchf, City od l�Q. State LIM Zip Phone 2-3 -7 Fax E-mail } APPLICANT SIGNATURE 7, u, MJj J W � � -4 V Nix, M, II For office use only - CONTRACTOR Name /" iCk I i CLCI hers A Address City l CJS State Zi (o U5 Phone �g Lot # Fax E-mail Date Approved: Lic. # -7 3 - lasOs UEA APPLICANT SIGNATURE 7, u, MJj J W � � -4 V Nix, M, II For office use only - ARCHITECT/ENGINEER 'Name S kviq6 Address City 5 State Zip' Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE 7, u, MJj J W � � -4 V Nix, M, II For office use only - APPLICANT NAME Name C 1 1 Gi S kviq6 Address City 5 Stale Zip Phone Lot # Fax E-mail Date Approved: APPLICANT SIGNATURE 7, u, MJj J W � � -4 V Nix, M, II For office use only - AP# ob6j ' T o T Zoning Flood Zone SRA I Yes T No per. Type Const. _ Subdivision Name Carrier 54-ct+e -C-LAnd Map Book Page Lot # Planner Date Approved: PERMIT � NO. BP.v)�i�o I BIN # LOCATION AP# ob6j ' T o T Property Address l ne Ciff, Cit Cross Street WORKER'S COMPENSATION Policy Number -113 001 3 8 S s Carrier 54-ct+e -C-LAnd If hhing anyone other than license contractors, a certmcate of worker's compensation must be shown at the time of permit lssuence. LENDING AGENCY Name Address Description or Scope of Work: Sq, Footage O 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 foe. The request must be made prior to the expiration of the permit and no conduction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. C r Received by: Amount: ✓ J -� Bldg SRA Receipt #: Sheriff SMIP other f Date: t ENERGY CER"I' I F I CATION /Z/A,+ LOCATION ROOF Material Thickness__ EXTERIOR WALL Material FIBERGLASS Thickness (tnches)� CEILING .P. NO. Brand Name_ 'Phermal Resistance (R Value) Brand Name CERTAINTEED_ _ Thermal Resistance (R Value)__L3 3 1 Batt or Blanket Type FIBERGLASS Brand Name_ CERTAINTEED_ Thickness (Inches) /D Thermal Resistance (R Value) Loose F111 Type_...>4L11EU..1,ASSBrand Name CERTAINTEED_ Minimum Thickness (Inches)_jg_ No. of slags /,3 Weight/Bag_.Z5 lbs Area Covered (Sq. Ft.)_ �zThermal Resistance (R Value)�Q FLOOR,ELEVATED Material_ FIBERGLASS Thickness Inches)^ (p FLOOR, SLAB Material Thickness (Inches) FOUNDATION WALL Material _ _ Thickness (Inches)_ Brand Name CERTAINTEED _ Thermal Resistance (R Value),/ 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. HAWKll�J�_I.N.RIl�I.S I_ __ 379407 Firm Name/Owner State Contractor's License No. .Signature Date I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. Firm Name/Owner Signature en. Contractor/Owner ate Y Date