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Home My WebLink About064-600-028X6,-6�0-28 William House �4�+-•.a� i 35 Calvary Ct., lot 64,,P 11, Magal' `. contr: Sierra Dev.& Const., Magalia Permit #314-78P E(uti .,) E LEC. ( '� GAS SUPPORT STRUCTURE REQ. (� i� COMPACTION TEST REQ. .��.�imi_64-60-28- Contr: J.B. Mobile Service, Par Permit #k3412-78MHI IssuedV6 e 64-60-28 - Permit # deck/MH) /0-10 � 8 Gloria House 35 Calvary Ct., lot 28 ermit #2048-80B,E(new�pri.garage�alia ` 064-600-028 ; 06-1867 MOUSE 6204 CALVARY CT, MAGALIA L -Cont:OWNER- WOODSTOVE(GAS) A4 T MAI hTlA- All COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number'A2 ; = for the following location: Z 1 61/-1: Owner Owner's Address Mobilehome Mfg.~'''� o Model_ Year Insignia No: �� Serial No..° ~- L It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date G ) � ? 1 By ` — THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. S -s { PERMIT NO. 314-78B,E PERMIT EXPIRES `OWNER William House CONTR. Sierra Dev.& Const., Magalia LOCATION (A.P. 64-60-28 35 Calvary Ct., lot 64, PP#11, Magalia Gas Serv. /Called PG&E JOB ' FINALED 3 A 1 r r� r� Temp. Power Pole Called PG&E V Temp. Elec. Serv. Called PG&E 1z 74E q0L-1-1Q ZZ2 Temp. Gas Serv. /Called PG&E JOB ' FINALED 9 0 r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 4_•� Y BUILDING BUILDING (Cont'd) PLUMBING Se ck ewall S I Piping Fork PaXpets At Floor MA Bldg. Rest om Finish 2n Floor Fo tins WIndo4 3rd k0or Stem all Siding To out Slab Roof Shea Ina Water PI i i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handica ed Conformance of ex. V structure Appliances Gas Pipina & Test Temp. Gas Slab A Final Sanitation Patio REP ACE Final Footin s Footina E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors nal Mesh MECHANICAL Grd. F It Prot. Scrat4h Heati Servl B n Co Ing T p. Pole F Ish D Cts nder round In rlor Lath entllation Permanent oor Closer Final Inal MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - • Elec. Service fir_ Elec. Pedestal Water Piping �� —'� "/3,y— Sewer �,— Gas Piping MORILEMOME INSTALLATION Support — Elec. Continuity Water Piping.� —"'1 Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 'COUNTY OF BUTTE" - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orc�ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorze re1/1e5erllaLIVe5 Ur the County of Butte to enter upon the above-mentioned property for inspection purposes. X �" 6 Date Signature of Permittee oor' Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF nBLIC WORKS BY Date B 1lding permit expires Date— G 7 n BUILDING Owner LZL I AO >� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 13. DbeL ` -S-e-ev1 c_ c, Mailing Address Fireplace Total Valuation P1 � r S Telephone No / 7c� Permit Fee Building Address 3 S� ✓�✓ a y-- Plan Checking Fee&/or Penalty Permit Fee MA e. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 a% !f A- t ' Repair drainage or vent piping 1.50 A. P. N G r 6 O .- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es a ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel eclaration I Parcel Map R/W Improvem s Each additional outlet .30 Building sewer 5.00 Bldg.ans Rec'd I Parcel AEEr val I Planspproval Lawn -sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ r n e ✓ �$ e- nhr It 3 I-/ - 7of' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Famil ❑ Duplex ❑ Mobil Home ❑ Others 9 Y ❑ Main service 600V OR LESS 100 AMP LESS 5.00 -L Main service E4. 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 CONST OR ADDNS. ACCLBLDGSLING CCUP. 2P Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pro essions Code under the name Style Of: T- `� (C Axo�'IVI C NEW CONSTR -OUTLET 1 NON -REBID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L;j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 t 7�-J` %�� i��, ,0 r? f_ Mobile Home Facilities 15.00 //�� License No._ �� T Z Classification C— Misc. Wiring 6.25 . ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of �! Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ee TOTAL PERMIT FEE $ $ _36 lee authorze re1/1e5erllaLIVe5 Ur the County of Butte to enter upon the above-mentioned property for inspection purposes. X �" 6 Date Signature of Permittee oor' Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF nBLIC WORKS BY Date B 1lding permit expires Date— G 7 n IV COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driae . UroviIle, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT' above-mentioned property for inspection purposes. v V "y yrV X�^.G�- Signature of Permiitee or Acg�entt Receipt No. [ i /`' Gr G / White-D.P.W. — Ye11ow-Assessor — Pink -Inspector — Goldenrod -Applicant I nis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY Date ilding permit expires Date Z— Z 7% BUILDING Owner W ILLI SO. FT. OCC. BUILDING VALUATION Mailing Address Tel-ephone No. Fireplace Contractor S' C iQD62, S Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty TelephonN e Permit Fee $ Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE 1$3.00 —tea Each Trap 1.50 Repair drainage or vent piping 1.50 FC.n;hSl Verificaflon Oidy Water piping 1.58 Q t) Each gas water heater or vent 1.50 A. P, o. %J 1p/ t�� /�f� i -Zoni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes / Wk' S •o Fire Dept. FireZone 11 Use Permit Building sewer egg- D EOA PPlans Declaration Parcel Map 60' R/W Impro ements Lawn sprinkler system 2.00 Bldg. ns Recd TGP/arcel'Approvol Plans Approval Permit Fee $ �p(� NEW Rr ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 0� Main service eoov OR LESS 100 AMP OR LESS 5.00 :...0 Main service EA. ADD'L 100 AMP 2.50 Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMPORLESS 25.00 Main service EA. ADD'L 100 AMP 1.00 $_00 SQ. FT. MINIMUM. NEW OR ADDNST .( ACDWECLBL GLING S.CCUP. &) 2¢Sgft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ _ i1Q4 /��✓✓�� 0 F/w LA).T � Ex. Occup(OUTLETS OR FIXTURES) BA@L@@1 IXED ALNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 CQ Mobile Home Facilities 15.00 ) 00 License No. -3 _3 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5-0 $SS� 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. have placed on file with the County of Butte a certificate of I; 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.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $=8,0 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 Fa TOTAL PERMIT FEE $ SO above-mentioned property for inspection purposes. v V "y yrV X�^.G�- Signature of Permiitee or Acg�entt Receipt No. [ i /`' Gr G / White-D.P.W. — Ye11ow-Assessor — Pink -Inspector — Goldenrod -Applicant I nis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY Date ilding permit expires Date Z— Z 7% 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes.!,/ No B. Is there proper clearances around panels? Yes ✓ NO_ C. Is power supply cord or feeder assembly properly fused? Yes V No D. Is continuity test satisfactory as per the following procedure? Yes/4- No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral .conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor, 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. 'A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service"equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length St`Y Width y // Vehicle Serial No. 2� State Identification No. Additional*Information or Comments: !' s MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes L_ -No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes' No_ 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes —�" No 6. Water A. Is fle &ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes , No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L---�"No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ' No. `_-1 B. Does it have minimum 4" per foot slope and is it properly supported? Yes No_ C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as.the mobilehome gas lige inlet witiout reductions other than the mobilehome connector. Yes No \ / B. .Test OK as per following procedu t1. Open all appliance connector .2. Shut off appliance burner and P 3. Air test with manometer to 10"0 ® 6oz.-maximum 8 oz.) calibrate drop. Ve. No alves. t4'water column or test with slope gauge (minimum in t nth pound increments. Test for 10 min. without 4. Connect gas meter to mobi71yinstalled? orqe with c nnector, turn on gas, test connections with .soapy water. C. Are all appliance vents prop e Yes No 1: Owner's name: 2. 3. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 Countv Center Drive, Oroville, CA. PHONE: 534-4541, MOBILEHOME INSTALLATION SHEET Of Y Is the site currently under permit? Yes No ( If yes, furnish permit number 7 ) OR BUTTE COUNTY BUILDING DEPARTMEN1 APPROVED Is the site an existing site? Yes / / No (If yes,* furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No �� ( If no, clarify ) 5. What is the mobilehome electrical rating? ------------------------ Amps .O 6. What is the mobilehome site service rating? ---------------------/ Amps 7. What is the mobilehome site circuit breaker rating?-------------� ` Amps 8. Is there any other electric load to be served by the mobilehome --------------------------------------------------- Yes / / No % site service? (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG./ / .11. What is the gas pipe length from meter or tank to the mobilehome? �' (ft.) 12. What is the mobilehome gas demand? ---- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMEN1 APPROVED N MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. s;/,Ver CN�s'f furnish Setup Model No. Year Width 9-) (ft.) Box Lengths (ft.)' Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets if not on file with the County of Butte). All center supports measured from of mobilehome unless otherwise specified. _ Footings (check one) �ar ... Single j 1 W d ith 5 o ` x 3a (ft.)(in. (in.) (in.) Center support Center support locations* footing sizes (in.) x (ft.)(in.) (in.) (in.) (ft.)(in.) (in.). (in.) (ft.)(in.)' (in.) (in.) (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in—locations, spacing, and dimensions. oo a er pressure treated or /Y foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support details. ,x061 -- Typical Support .) (in.) Footing Size -- Max. Pier Spacing (ft.) (in.) �� -- Max. Overhang OERMIT NO. 3433-78B PERMIT EXPIRES OWNER Bill House owner L CONTR. LOCATION (A.P. 64-60-28 35 Calvary Ct., lot 64, PP#11, Magalia .Temp, Power Pole Called PG&E Temp. Elec. Serv.. Qailecl PG&E Temp. Gas Serv. Called PG&E JOB FINALIED- (Date) (Signatu (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS- BUILDING INSPECTION RECORD BUILDING' BUILDING (Cont'd) PLUMBINd Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor i Footings Windows 3rd Floor Stemwall Sidin To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for ph sically Appliances Carport handica edy Conformance of ex. Gas Piping & Test Footin s. structure Temp. Gas Slab Patio Final Sanitation 6 FIR PLACE Final Footings Footing E ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam F E SPRINKLERS Motors Framing U Test Water Htr. Stucco Final Subpanels Mesh MF&HANICAL Grd. Fault Pro- r .Scratch Scratch Heatin Service Brown Cooling Temp. Po e Finish Ducts Underciroind Interior Lath Ventilation Permanent Door Closer Final Final • MOBILEHOME UTILITIES --•-- ------------- Elec. Service Elec. Pedestal Water PipingSewer Gas Piping 1 ME INST LATION - - - - - - - - - - - - - - Support Elec. Con ' uity Water Piping Drainage Gas P49 DATE REMARKS OR CORRECTIONS_ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF.BUTT-E — DEPARTMENT OF PUBLIC WORKS 7.1 ounty,.center Drive — O�oville, California 95965 Teleph(Tne: 534-4541 APPLICATION AND PERMIT A authorize representatives of the county or ttutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 1-L7 93 LJ- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR/Of-171JIBLIC WORKS BY Date Building permit expires Date BUILDING 111111 Ownerf (, C. _ SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. G d • O - Contractor m A f/l. QS Mailing Address Fireplace Valuation Q. Telephone No. Permit Fee Building Address L ��" Plan Checking Fee&/or Penalty Permit Fee C>7 %,/ PLUMBING No.1 @ FEE < PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �� /_ 0 .� C� A. P. No. tv C7 Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sa�• Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ens Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ is ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 Sin le Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L 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 CONST DWELIN. OR ADDNS. ACCLBLDGS.CCUP. S) 20sgft. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of: Y T NEW CONSTR BRANCH CIRCUITS NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50@280 BAL@102 Ex. Occu FIXED APPLNS, OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 CR(am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. "j;;Yl certify that in the performance of the work for which this 1 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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county or ttutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 1-L7 93 LJ- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR/Of-171JIBLIC WORKS BY Date Building permit expires Date S� S " 2048-80B,E s.PE�iMAIT NO. PERMIT EXPIRES Gloria House ~.OWNER CONTR. owner :LOCATION (A.P. 64-&28 ) t 35 Calvary Ct., lot -28, PP#11, Magalia i Temp. Pow f Pole CalleG&E Temp. ec. Serv. led PG&E 1 Temp. Gas Serv. Called PG&E �k OB FINALED (Date) (Signature) t3 k 1 11 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback.4-Z--FO ff-0 Firewall Soil Piping Forms ,U p il Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 6 - Z —70 A 3rd Floor Stemwall Sidinq & To out Slab Roof Sheathin —yo 6 Water Piping Piers Roofing 6- Ziy, p 4D Sewer Garage Fdn. Vents Fixtures Footings -P Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically ca Pe C nonfdiormfoancc e of ex . C structure Appliances Gas Piping & Test Temp. Gas Slab Final Z -60O Sanitation Patio FIREPLACE Final Footings 4 Footing ♦ ELECTRICAL R Relnf. Steel S - Z;7 -.Vo LFInal I Fixtures 6-24i 9n tM FIRE SPR FI mean MEPHANICAL Grd. Fault Prot. - >7 Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final a MOBILEHOME UTIL IES - - - - - - - - - • - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH 'ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE � 37Y, REMARKS OR CORRECTIONS S'. -PO ®/V /1JDVey>61 s 4/ �P��f r�� ''' S7w - /G,.��c%f �oa7:✓� 3T� �-/z "w;df �-a�7;✓t �'l /��. �dt G O� �4z4y f✓ (Rir4� o VW -i o/41>/ s� �� /;y,� r �r � , V,,00 zo o D//- � y uzVJ L75- -7 % 6E Cls ew i cl L ,i 7Z) Co -Z _, o 40 (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE,. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — broville, California 95965 �Telephone: 53-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. b Date Gwoll Signature of�Permite�eor Agent " Receipt No. �j � 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date l%� Z�i B Ilding permit expires Date BUILDING Owner�GQiE:d v 'go"5'3 SQ. FT. OCC. BUILDING VALUA ION 520 Mailing Address Telephone No. Contractor OW)L Mailing Address Fireplace Total Valuation Y160 Telephone No. Per Z. Building Address� anCheckin F /or Penalty (10 Permit Fee ' P� / ° PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 �A t!A, Repair drainage or vent piping 1.50 A. P. No. &7-16110 Z� Z• ] I g a Planning Water piping 1.50 Each gas water heater or vent 1.50 F V4W. Sa on. Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking arcel Ps ans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 Bldg Ions Recd Parcel Ap royal Plans Approval`"— stem 2.00 sprinkler s s Lawn P Y NEW g ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -� 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 ///''�� NJU�/1 . '•' o`C'� Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 ' NEW CONST. DWELLING U 4 OR ADDNS. ACC. BLDG 20sgft Q CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y T NEW RESID. BRANCH NON-RESID, 1 BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. Occup{OUTLETS OR FIXTURES [50BAL21 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 191 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 -� $ �d WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. k N I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is E TOTAL PERMIT FE('0 is authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. b Date Gwoll Signature of�Permite�eor Agent " Receipt No. �j � 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date l%� Z�i B Ilding permit expires Date COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner /M/k_._)111.06 VSA/ z1al-;#/z/ Location 9.5 C.4 1U,4"e C'a 4,4 Mobilehome Installation Permit No. 2Z IwIIZ FILL IN INFORMATION FOR ITEMS 1 THRU 10 ` - Watts 1. Width_, x Box Length- x 3 = 374-1�1 2. 2 Kitchen Appliance Circuits ....... .... = 3,000 3. 1 Laundry Circuit .: ............. = 1,5000 4. Ovens ....... , ...: ..... 5. Cook. Stove Top ......... ....................... _ 9 /fD 6. Hot Water Heater ....... ......................... 7. Dishwasher '& Disposal ................., ...... 8.- Clothes Dryer .................. . ........ _ ,/ 0 9. Other (specify, i.e., motors, exhaust fans etc.) �2 oc� Sub=total Watts ..... First 10,000 watts @ 100% = 10,000 Remaining :3c SW watts @ 40% . _ 0/7 10. Air Conditioner 5-/ J�o� watts @100%.. = c/ Largest Demand Central Heat System e'o watts @ 65%.. = TOTAL DEMAND WATTS REQUIRED ............. ��DU "Demand Watts Required" 230 ............. .. AMPS De -rate Mobilehome to .... AU'N'TY .�� AMPS BUILDING DPARrMEN•t PPR ,, COF)64-600-028 NOTES I.fOUSE 06-1867 .. CALVARY•CT; MAGALIA Cont: OWNER - i i`�' STOVE(GAS) VOOD r - �• RES IDENTfAL -5. APN: Permit Na Owner. Site Address: Contractor. Type of Permit: i I yfi ii t 61C - nn, SPECIAL CONDITIONS - . 1{ R CHECKED BY Q SRA F FLOOD CERTIFICATE EQUIRED r Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS l 0 VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE F r ' DATE J08 FWALED• ' r SIGNATURE . =OK o = Vat OK MANUFACTURED HOMES 1 ufa�c I U 1-tXMANEN11-UUNUAIIUN U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer, Lorin -Test; FaWCIO-Concrete 4 Wtr, Locin Test-Easeinent Needed -Regulator 5 Elec Loctn-CImr-s-Gmd ' Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP( -1 Inch Sz Ft Lngth 7 Blckng; SzSpadng-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Dimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers MISCELLANEOUS- DECKS*COVERS-CARPORTS`GARAGES 1 ZoningSetbadcs-Easements 2 Figs; SoitsSz-DpthSpacing-CnnctrsSteel 3 Decks, GirderdJoists-Dcking-Brcing Stairs-CuardlHandratls 4 Wood Awn; P6sts-Beams4btrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Fang; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VeneerStucco-Lath 10 Roof, Shthg-Roofing 11 Ezt; Steps -Doors -Landings 12 Braced Wall pnis 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability) 3 Pool Structure; Steel-Cnnctrts-Thickness Dead Men -Lining 4 Elec Reptdsllting; D-rstanee-GFl 5 Elec Pool Lung; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries-TermInals4Jsted 7 Elec Bonding; Metal w!5'-Crcltng Egp4* 8 Elec Grndng; Eqp w1T Creltng Eqp-Pool Ightg Bargs-Encisrs-ppMoards4risuitn•to Main Conduit 9 Health Depk App' m 10 *Plmb; Cir Test-Wtr Supply Test 11 Lt Niche ' 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide o'`o`er rid a3� Drawing o = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Rood -Slope 2 Ftg Main; Sails-Elec Gmd Fig Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwails Main; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd 13 Plenums & Ducts; Cirnc-MaterialSupportansultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntitn ' 16 Insulation o' tea` da e`er DATE jFrRAMING 1T Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls ovet Girdert.' fir Nailing 20 Draft Stop in Walls (rat proof)' 21 Fire Stops; Fiirreii Ceilings -Stairs -Chasers -Tubs 22 Headers & B6"s i &"Bearuig' 23 Hangers-Posf:Caps-Anchrs�itncbts 24 Ceiling Joisf-Rffr Tjes-Purl_-Roof Brac TnssShthg 25 Frplc Ties or Type A FIue=F ' Ic Throat CIrnc 26 Attic Acc; Sz WRinz pitch -Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting DocrsSiU Ht & Dimensions 28 Garage Fire Prtebi Framing -RC CMi noel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Gauge 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Piywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 33 Siding -Nailing Veneer - 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Are Prtctn-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 lnsultn-W ails -Ceilings 39 Infiltration Walls-Wndws o'er �a' d oa DATE JELECTRICAL 40 Fxtr & Tmsfnnr Clrnc-Ins Prtctn 41 Elec Rcptcts Spacing-Dts & Switches at Doors 42 Sz Boxes & No Of Cndetrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz oa ❑ CU or DAL AC Wire Sz as ❑CU or ❑AL 48 Range Clic o, ❑CU or ❑AL Oven Circ [❑ CU or DAL Insulated Neutral D Yes D No 49 Service -Riser Cnddrs & Gmd Main Dscnnct 50 Eqp Cimcs pnis-Motors-Meth Eqp 51 Clothes Closet LI-Shwr Lt -Spa Lt 52 Smoke Detector UAM IPLUMBING 53 Wtr Htr, Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings &Anchr.Nail Ptfctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tull & Shwr, 2nd fir - Tub Acc 58 Gas Pi ; Sz & Anchrs 59 F prinklezr; Test and Gas Piping A � DATE MECHANICAL 61 AC Ducts Insuttn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrilw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrin if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtcin-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Dnnctr In Garage; abv4lr-Duds-Meeh Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Ctmc-Hearth 75 Elec Outlets at Wood Pnk Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Dap -Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Dud in Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRY; abv fir. Mech Prtctn; LPG Appince Undr House 3' drain - 81 Plmb; Elec & Mech. Eqp Listed for Locin 82 Elec RcpWs in Garage (GF) Romex Prtctn 83 lnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Drnge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnck Elec-Pimb 89 Vnts abv Roof, PlmbAppinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnck Eiec, Plmb 91 Ext Elec Trim, GFl Reptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irtspclns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to gradeaHD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler .. COUNTY OF BUTTE BUILDING DIVISION t.. DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 ; CORRECTION NOTICE 14(l 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 call for re -inspection when correction of - work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. "CI VIo ALT i fJ}• rte' Date Ins ector 5 �� ' REV 4/05 Phone # ✓ 1 FOR RE-INSPECTION.CALL:-.538-7636 OR 891-2834 Er sµ: BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061867 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 08/03/2006 APN: 064-600-028-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 6204 CALVARY CT MAG Date: Contractor: Map Index: Description: REPLACE WOODSTOVE W/GAS STOVE 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HOUSE WILLIAM E & GLORIA E to its issuance, also requires the applicant for such permit to file a 6204 CALVARY CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the 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: HOUSE WILLIAM E & GLORIA E owner of property who builds or improves thereon, and who does 6204 CALVARY CT such work himself or herself or through his or her own employees, MAGALIA, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Profoee/ 'onsCode c 4, f ' " " Date:,?/.3/4Owner: WORKERS' COMPENSATION DECLARATION License #: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 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: otal Square Ft: 0 S. F. Policy #: Valuation: $0.00 C� 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 compl with those provisions. d 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 of compensation, damages as provided for in Section 3706 of the Labor interest, and attorney's fees. code, CONSTRUCTION LENDING AGENCY This, permit is h re ed unde he applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolution ' rk icated ove for which fees have been paid. performance of the work for which this permit (Sec By. Date: vy Name: v PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpoosspgJsD�1 Print Name: ��L D� I/d�s Signature: Date: J3%wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ts. G. bonding Permn 0 i- i6 -vv pg ;.a 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. BP061867 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 08/03/2006 APN: 064-600-028-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 6204 CALVARY CT MAG Date: Contractor: Map Index: Description: REPLACE WOODSTOVE W/GAS STOVE 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HOUSE WILLIAM E & GLORIA E to its issuance, also requires the applicant for such permit to file a 6204 CALVARY CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the 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: HOUSE WILLIAM E & GLORIA E owner of property who builds or improves thereon, and who does 6204 CALVARY CT such work himself or herself or through his or her own employees, MAGALIA CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of the Business and Profe sions Code e Date' Owner: WORKERS' COMPENSATION DECLARATION License #: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 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: otal Square Ft: 0 S.F. Policy #: Valuation: $0.00 1 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. d 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 of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h r ed unde - he applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the for this is issued (Sec 3097 Civ.) Resolution rk icated _ ove for which fees have been paid. ' 3 - performance of the work which permit By: ' Date: V� Name: U �/) PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to center upon the above mentioned property for inspection purpos . Print Name:�L I L / Signature: C� ' Date: ym Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 ��uTr BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES o i 0 BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS o - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o 0 OFFICE #: (530) 538-7541 - y A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 01INWebsite: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name. i me Address a City Mate Zip Phone Fax E-mail ,Z 11 APPLICANT INFORMATION CONTRACTOR Name - Address Zip City �n -6ttate State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name - Address Zip City Fax State Zip Phone Book Fax Email Planner State License Number APPLICANT INFORMATION Name Address City St a Zip Phone Fax E-mail APPLICANT SIGNATURE X A"- j 2f , For office use only: Zoning Pr erly .2) d- IQ 0 Y rnY Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT dam• �7s� ... EP BIN # PROJECT LOCATION AP# Pr erly .2) d- IQ 0 Y rnY SRA 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 � De cription or Scoof W � ki �aY csl . C Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: -' Bldg SRA Receipt #:c t_�s ) 3 Sheri ff SMTP Date: 316 5 -Other I Total K-%PnPhAC\RI III nINr; POP MC\RlrinAnnlCiihRnmtc dor. Paoe 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not`refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I'personally plan to provide the ajor labor and material for construction of this proposed property improvement: YES[ ] . NO[ ]. 2. 1 HAVE HAVE NOT [ ] signed an application for a building permit for the proposed .work. 3. I .have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK. SIGNED: PROPERTY OWNER: g DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR 1 PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner-builder" =building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, k-0.'�'/ Scott Rutherford Manager, Building Divi ion ]VOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. R 'k, rl 10 ® x - *3 /0 9,6 0 .r COUNTY BUILDING ISIO APPROVED m � N i F BUTTE COUNTY BUILDING DIVISION APPROVED re/oi, r qVAA.D iZ4i :510 poo -c -pi n 6 1-6 10( co a I IIopp 'T- 5 to, r KI c, T t iu s OAV 0- �s p ----------- A----4 9/c_ 2— cd k -e4 w 000 2-1 O/C Lo Aril 2_ C) G C A L M 4�A-t, 14 c,4 - _. _I I ------ll lt9