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HomeMy WebLinkAbout064-560-0431 64-56-43 ` Aalcolm Hall 4 95 Racine Cir., lot 120, PP#10, Maga. Permit #5190-79B,P,E,M(new sr le family) 064-56-0-043 .94-0867-P WESSENDORF; Roberta 14141 Racine Circle,. Magalia (change wtr htr from.elec to gas) Contr:-*Mike•Rasmussen 41 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #-- (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052913 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 Issued Date: 10/24/2005 APN: 064-560-043-000 the Business and Professions Code, and my license is in full force and effect. License Class : �� 35 License Number: � Site Address: 14141 RACINE CIR MAG nn Date: -2MA. Contractor: M14rt2yra/V Ma p Index: Description: RE ROOF 26 SQ.'S COMP 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: WESSENDORF FAMILY TRUST permit to construct, alter, improve, demolish, orrepair 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 7000) of Division 3 of the Business and Professions Code) or that he or 14146 RACINE CIRCLE she is exempt therefrom and the basis for the alleged exemption. Any MAGALIA, CA 95954-9603 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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: AAACE ROOFING ' pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PO BOX 1798 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95967-1798 proving that he or she did not build or improve for the purpose of 530-872-4090 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: AAACE ROOFING pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 oft he Business and Professions Code PO BOX 1798 95967-1798 Date: owner: 530-872-4090 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 845894 ❑ 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: ❑ 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 and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 d) 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: _10-24 Applicant: I l 1_ i 7 Z qeP ,o 10 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CJv CONSTRUCTION LENDING AGENCY This permit is ereby issued under t plicable 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.) Res tions do work indicated ove or which fees have been paid. /Q- �,) X Name: By: ^ Date: Address: PERMIT EXPIRES ON: (� (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any otficial form or documen f Butte County. I hereby authorize representativesof Butte County to enter upon the above mentioned property for inspection purposes. Bu-fZ Print Name: Mike -6 . l-��CdQ 60 Signature: Date: ❑ Owner ® Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name W irst Nam Address % n oa 6�,�� ,r f' City 171eA City Q 0� State CA Zip �5 � Phone Fax Fax E-mail . Lic. #f CONTRACTOR ARCHITECT/ENGINEER Name C I et Address Address pO o YY� City Fax City Q 0� State G� Zip �� d Phon -�36 Fax E-mail E-mail Lic. #f Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X- For office use only: Zoning Property Address lqlql Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. IC4,-2-1q/ BIN # LOCATION Property Address lqlql City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built withodt Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. - I I Received by� Amount: Z c Bldg -] UVtK rUK SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt #: ////02-9/ Ci 12,51 Date: o - z,11 -0s SRA Sheriff SMTP Other &715' G d Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, -signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ' ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 _ � F 1 ' 064-56-0-043 1ESSENDORF 94-0867 p ' 14141 Roberta Racine Circle., Magalia (change wtr htr from elec to gas) Contr: Mike Rasmussen' 3 OFFICE COPY Address, ! r{/ �;/--21��.r✓ GAS Meter'By ,-/L.�' _'; Date . t ELECTRIC, — Meter By Datee 0 �- i COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Talifprnia 95965 -Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �'t� AWE OR PARCEL NUMBER 0 -.5fi0-043 ZONING RTI BUILDING PERMIT OWNER WFIRSPNDORP. ROBERTAT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14141 RACCINE CIRCLE CONTRACTOR'S NAME MIRE RASMUSSEN TELEPHONE 4 CONTRACTOR'S MAILING ADDRESS 114411 MT.TF.RWAY MAr.AT,XAFireplace. r• r CONSTRUCTION LENDERUNKNOWNNIA LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14141 RACINE CIRCLE PERMIT FEE $ MAGALIA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 r Solar or heat pump water heater 23.00 Water piping 15.00 15• LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15• 00 USE OF STRUCTURE } SF1,Q[ Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ❑ Otherya Describe Work: CHANGE WATER HEATER FROM ELECTRIC '11*V TO GAS ' PERMIT FEE g S. Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service 1 200AORLESS ) 23.00 Main Service 1 200A TO 1000A ) 46.00 ' NEW CONST. DW8 DWELLING OCCUP. OR ADONS. ( ACC. BLDS. ) S . 3.50 FTO. CONTRACTORS LICENSE LAW ; I e are under penalty of perjury (check one) : /� gFQ am a licensed under provisions of Chapter 9, Divisio��r/3 of the Business and Professions C•de an rFKly Ic nse is in full'force an effect. ? LicenseNo.. r% Classification ❑ 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I 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 Clfl. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occu FD(EDAPPWS.OR Occup. 1 OUTLETS (RESID.) EA. ) 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. I shall not employ any person in any manner so as to become subject to the Worker's ompensation laws of California. .6.50 Notice to Applicant: If after making this statement, should you become subject to the /Notice 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 Ventilation PERMIT FEE $ Contractor I I certify that I 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 mention�ed property for inspection purposes. I also agree to save��inderfinify and keep harmless the County of Butte against all liabi ivies, judgmTts /costs, and expenses which may in any way accrue against said County i C,4"', q�c hof h granting of this permit. X � Date -3 ^ 30 - Signature of Applicanf- 'd Owner Contractor ❑ Agent An OSHA permit is required for a cavations 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 $ 65.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I;j6E Y This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By ^�T.�S`3l/ ��y/atm PERMIT EXPIRES ON (/ '7 !De tel provisions to do work paid. Date 153870 Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 x 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE WSSE,./d oaG 9�/. 0867 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. 1 C fl 41 /ere' c,�J�rcn- li �.✓fvi�l/,a�o.J:< NSp-e'1-// ,s o�•� j�or.l o,ct u .j 0 P'j 4: 4/0 SC e R,yak -------------r .e..--� /L VO G Date Inspector REV 10k COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9 V IPERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-960-043 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 14141 RACINE CIRCLE CONTRACTOR'S NAME MIKE RASMUSSEN TELEPHONE CONTRACTOR'S MAILING ADDRESS 14433 COITER WAY MAGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14141 RACINE CIRCLE PERMIT FEE $ MAGALIA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15.00 USE OF STRUCTURE SFR Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G I W ` 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describework: CHANGE WATER HEATER FROM ELECTRIC PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 TO GAS 111101 LESS Main Service ( 2 00AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) S0, 3.5C FT. CONTRACTORS LICENSE LAW I e are under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Divis- 3 of the Business and Professions - i se is in full force an ct. License / Classification ❑ 1, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 201.00 `5 Ex. Occu FIXED APPLNS. OR Occup. ( OUTLETS (RESID.) EA. ) 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): Cl 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 ertificate of Consent to Self -insure. hall not employ any person in any manner so as to become subject to the Worker's AIsompensation 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 S Contractor I certify that I have read this application and state that the above information is correct. 1 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 mentio property for inspection purposes. 1 also agree to sa ind nify and keep harmless the County of Butte against all Iia j g e s co s, an expenses which may in any way accrue against said County i c s c of granting of this permi . X Date Signature of Applica bv6erContractor ❑ Agent An OSHA permit is required fora cavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I F.LO;7 CDF PARCEL PD HD I'VOE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS) By Date 11YJ4 PERMIT EXPIRES ON V /�� (Date) Receipt 153870 WHITE-D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDEVELOP„MENT SERVICES BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ln/_ 5Sf:,4h,,2 F Roi3F9_T A A. P. No. kiln �/ -SSU-O y_3 Proposed Building Use S F �,� �� Id r Building Inspector Date 3 4 c/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........ ............................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ......... Ireln,ection � . St 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :............ ..... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. _< Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation _ Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE • - -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephpne. 534-4541 APPLICATION AND PERMIT ;V961-?,,,-?' i autnonze represeniatives or ine county or butte to enter upon the above-mentioned property for inspection purposes. Date ignoture of Permitee orge t Receipt No. s� -3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or which fees have been paid. ) am D ECT PUB WORKS l Y ywate Building permit expires Date BUILDING OwnerSQ. Git� FT. OCC. BUILDING VALUATION ON 5 &C) Mailing Address 25L/ 0.4 L yr Cr 'Z6!Rv ,4zr Telephone No. 76 -7 3 -z4 40 -—Z+ Contractor .? Mailing Address Fireplace �6"a Total Valuation -61- , Telephone No. Permit Fee Z Building Address _ vLf� PI an Checki ng Fee &/or Penalty Permit Fee 7_ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,oC> Each Trap 1.50 /2,60 / � (.O r /Zo IK,4e.&_c Repair drainage or vent piping 1.50 ��/' //_t A. P. No. �p �"[ s�o' 14 -5 Zoning & Planning Water piping 1.50 , S-� Each gas water heater or vent 1.50 Fg < W . S atio Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQ Plans Parcel Declaration Parcel Map R/W Improveme Each additional outlet .30 Building sewer 5.00 Bldg. Pla s Recd Parcel k ro I Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ZIT Permit Fee $ / ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OV M, - Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.Cf&&) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &rofesslons Code under the name sty� ylmO !&1 NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTF;L POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. QCcuD{OUTLETS OR FIXTiiRES gALLT 2j FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ;�3 License No.I.;— '�- Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S -,,-Y0$ 35-C({ 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. XzI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 `3-60 Heating (,.,�, ,� Cooling Ventilation Hood 2.00 7c -c Z> Permit Fee $ ,per $ 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 $ ZS — TOTAL PERMIT FEE $ 4 autnonze represeniatives or ine county or butte to enter upon the above-mentioned property for inspection purposes. Date ignoture of Permitee orge t Receipt No. s� -3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or which fees have been paid. ) am D ECT PUB WORKS l Y ywate Building permit expires Date `-gERMIT N0. PERMIT EXPIRES. Malcolm Hall OWNER owner CONTR. 64-56-43 LOCATION (A.P. 95 Racine Cir., lot 120, PP#10, Magalia I r i ji KT f y R t Temp. Power Pole Called PG&E 454 Temp. Elea Serv. t Called PG&E O Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 5x90-793,P,E,M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) — 0 PLUMBING Setback — — Firewall/ -z --XC Soll Pipin 5 _f a per/ Forms _ Parapets 1st FloorD� ' Main Bldg. — D Restroom Finish 2nd Floor Footings 7- �7f Windows %O�/' —79 CO 3rd Floor Final — StemwalI , Siding Q— To out /f -7f Slab ELECTRICAL Roof Sheathin 0 / — i Water Piping ., 7f Piers ® Roofing —Z n C Sewer ., S Garage Final Fdn. Vents 10— - 79 Fixtures — Footings 40 Garage Vents Water Htr. ,Z. I� Stemwall Insulation — 0 Heaters Slab Carport Footings Prov, for physically handed Conformance mance of ex. structure Appliances Gas Piping8 Test Tem G Slab Final — D natation Patio FIREPLACE Final — C7 Footings D- (9 Footing 2 ELECTRICAL Throat — 7 %fGaCL Rough O— /P _7 S Reinf. Steel Final — O Fixtures O Bond Beam rFIRE SPRINKLERS Motors — — I'G Framin —IA 79 ZP Test Water Htr. _ JC Stucco Final Subpanels — J Ta - Mesh MECHANICAL Grd. Fault Prot. — n .TC Scratch Heatin C7 c Service Brown Cooling — ,r C7 T c Temp. Pole �2 I Finish 1 Ducts Underground 3 V Interior Lath Ventllation — O C Permanent 1 Q Door Closer i,2-- 45> Ta I Final Final I p ® ry MOBILEHOME UTILITIE - le W Water Piping Sewer as Pipings , MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity R, Water Piping Drainage Gas Piping DATE �y REMARKS OR CORRECTIONS 7 7f 4 Q T7oa �ji �rrq i OW ro Cozf-CW- CcfG��E/G �,v� X,, GroasE lu £- /- /Z70 ve /e/aof ixf Tcs 4 cJ�-f l/s MrCT I dd v p/Z OtZ( f %ter y 15� . h l r -' a"vwd *00-011z (,�©srtt�cl�o•c/s o.v .��a�u..cfG �krr�l�cT.�✓ ��� GJLi�'/� c��v��cr'xi 140";:Z,6 � Nm be made on t is forme visit the job site.) e/10r�, XI -to Ad C RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lc.e e- ; % -R (location) BUILDING PERMIT NO. 5'/ c/O - % X13, P8 C M A;P. NO. l THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A,if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors J2 - Walls Ceiling/Roof Ducts /yfi Circula g Pipes��t APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) 5 CERT. & LABELED WDS. & SLIDING DRS. /{-1 S WEATHERSTRIPPED DRS./ y -e S BACK DAMPERED FANS `INTERMITTENT IGNITION DEVICES N CERT. APPLIANCES47 I DECLARE THAT ALL REQUIRED ITEMS AS NOTED•ABOVE HAVE BEEN INSTALLED IN'ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.. Insulation Applicator Name (V `k 1 C.6 ( ,, 4 , (please print) Signature of Insulation Applicator��,�.�.✓��' State Contractors License No. ,•, trj srr 3 General Contractor/Owner Name ( cry ( 1� t 1 Signature of (please print) General Contractor/OwneDate 1.2 - State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) /may Bldg. Permit # Z-'> G l U-- A.P. # A. GENERAL f< --Zoning requirements (sideyards and parking). f­-Za-l�uation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 4 -.---Complete parcel size and dimensions. �2!Setback�, sideyards, easements, etc. Other buildings or structures. 4. Grading, fills, drainage. C FLOOR PLAN omplete.to scale plan with dimensions. <f'— Required windows for light and ventilation (Sec. 1405). -Required windows for second exit (Sec. 1404). 44-.,Allowab-le glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). *-.-Required room sizes, ceiling heights (Sec. 1407). -V�-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. 4X. --Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 16 -"—Garage firewall, door size, and closer (Sec. 503(d)(4)). 310" exterior exit door (Sec. 3303d). . i:�5. Fireplace location., IS Smoke detectors (Sec. 1413). D. SXRUCTURAL DETAILS ._-Foundation plan complete enough to construct building. 4::-Xloor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building. C.—Roof construction details complete enough to construct building. 60 �F ireplace construction details and calcs if over one-story in height. ,C.—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. 2. Stairway details (Sec. 3305). guardrail details (Sec. 1716). 4. Brick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). _,Proper roof pitch for roof covering (Chapter 32). ,!r,Rafter ties or bearing ridge beam: IP.--Ga-rage door'or porch header sizes. Adequate bracing. 10. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 11. Two (2) exits on three-story dwellings (Sec. 3302).