HomeMy WebLinkAbout064-630-027.� L
64-63-27
William R Fuller f
2'Pilgrim•Lane; Magalia "
contr: Fuller Const.Co., Magalia
Permit #L962-81B,P,E,M(new single
family)
!? / 64-63-27 '
W.L_ KINCHELOE
5984 Pilgrim Lane; Magalia
Contr: Fuller Const 2/S40
Permit��3085-85B(new private de ached
g arage)
64-63-27
Contr : • AMRE% �'�� 8 }
Permit #2817-.88B(vinly siding S
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e}
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• Permit#2817-88
William Kincheloe
NA
5984 Pilgrim Ln, Magalia
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,
7 County Center Drive - Orovil le, Californi4 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARC21L NNUMBF
7
ZONING
BUILDING PERMIT
OWNER
EF r ,v
TELEPHONE
_ -'I)•N
l �, % L,
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
r IV 6� /irT t_4! 1
CONTRACT. R -S NAME /
TELEPHONE
CONTRA CTOR'S"AILING ADDRESS,
F 7ireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 9;.-, � -Ll-
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
..r
Each Trap
2.00
L
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
SFE Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other(fl
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
�� I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
L/ ! , _
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-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.N) +/z¢sgft
OR ADDNS. ACC. BLDGS.
NEW CONSTRMULTI-OUTLET 2,50 ea
NON.RESID BRA CH CIRC 1 S
/POWER APPARATUS e1
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES A0 0 LO 30
( .2200990
FIXED PR
Ex. Occup. OUTLETS (RESID )EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
0 I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X / Date �
Signature of Applicant — Owner El Contractor ❑ Agent �
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures o�v^er3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPE
ISCHOOLIFL100.1P.-IC11]
PD ND
s9vc
1/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
f
By / �/� �.� •j
PERMIT EXPIRES/Date K
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/
Date l 9
1
Receipt No. �.-�
WNIT[-O.P.W.. YKLL0W-A3$C330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville.,California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ERyI IT
ASSE SOR PARCFL NUMB
ZONING
BUILDING PERMIT
OWNER �•, f.
/
S0. FT. OCC. BUILDING VALUATION
d
v
O N R'S AI ADDRESS
1
A R'S ME -.0
TELEPHONE
C TR GTOR'SIMAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$!F�2t SID
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee$
oa.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each Qas water heater or vent
5.00
USE OF STRUCTURE
SFCDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Otheri
Describe work: A
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
9
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. q! � � 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
NEW CONST. DWELLING OCCUP.a\ , h
OR ADONS. ACC. BLDGS. / 2SQft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX, OCCUp(OUTLETS OR FIXTURES DAL@320@5t
20@530
FIXED Ex. OCCUp- OUTLETS PREA.) 2.00
(RESID )
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
g
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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 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 Ila ities, I dgments, costs, and expenses which may in any way accrue
agains s id Cc ty in onsequence of the granting of this per 't.
X Date 3/ Ape
Signature of Applicant — Owner E) Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTO
ion of structures over3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $00
d�o
OCCUP.
CONST.TYPt
JSCHoo@
PLooO
PARC!@
PD
ND
Iss
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
F UBLIC
Y
P MIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date V ` " "
'�
Receipt No. ( /
WHIT[-D.P.W.. YKLLOW-ASDL,SOR. PINx-INSPICTOR, COLD[NROO-AP►LI CANT
' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
G 196 Memorial Way, Chico — Phone: 891-2751 4
7 County Center Drive, Oroville — Phone: 53411541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION- NOTICE
cl
;ks-
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 nee
it�ional explanation, please contact this office immediately.
,v
A1,9 1-;"C
si 4/5 Arc/
'
Inspector _ "[v!�w --Date `G f % 4L-1 - e_ -
Y.
(PERMIT NO*. 3085-85B
PERMIT EXPIRES
OWNER W, L, KINCHELOE
CONTR.- Fuller Construction Co
ASSESSOR PARCEL 5984 Pilgrim Lane, Magali'a
LOCATION
tT
ill
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E / '
Temp. Gas Service
Cal led PG&E
JOB FINALE[
Signature
J = OK
0 = Not OK
= Not Applicable
* = Not Ready
MOB_ILEHO_MES ' ( MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date .
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy --
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
1 Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
0
Gld
J OK
0 Not OK
- Not Applicable
SIE Not Ready
RESIDENTIAL (Single and Duplex)
Date
UN
FLOOR Plans OK except #'s
Date FRAMING (Continued)
Zoning requirements -Setbacks -Easements
nings 1
g., Main; Soils-Steel-Eteere+rd--7 /" Ftg. Depth
Ext. Doors -Onell-Checkj4iea-ge-'r4,4,axits
.
Ftg., Garage; Soils -Steel- / Ftg. Depth
oom-Rise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
yw d on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Ste IIs, Main; Steel-Blockouts-Wrapped-SlabJZ,iding-N
ng -Veneer
Aelsternwalls,
Garage; Steel-Blockouts-Wrapped-
53._S�3h-Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
lazing Area -
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
%5 Rho w• u,iis; "� i,^g a tt
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Dat ,r Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
08Date
Card -BI Date
Date FIN Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Per t) OK except q's
Ext. Steps -Door & Sidelight Protection -Landings
SZrbmatct-=ector
14.
Water Ht.; Ven ccess-Combustion Air
0ents-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test h Anchors -Nail Protection
16.
D.W.V.; Test -F ngs & Anchors -Nail Protection
17.
Shower Pan; est, First Floor -Tub Access
res & Tub Access
18.
Test Tub & hower, 2nd Floor -Tub Access
nel; Breaker Sizes -Labels
19.
Gas Pipe; Size!"nchors
-63 Eireptaee-eriftre-, Clearances -Hearth
64. ood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
lance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
s eceptacles at Kit. Counter
Date
ELECTRICAL Per OK except p's
6;9 Qa;aqa-,r-iFe 988F: 6whygr Land in -Closer
n -Dam er
20.
Fixture & Tr sformer Clearance -Ins. Protection
- nce-Comb. Air-Connector-P.R.V.-
Inr-Mech. Protection
21. Elec. Recept acing -Lights &Switches at Doors
22.
Size Boxes & No. Conductors -Stapled
7 .Listed for Location
Location
23.
Romex Installed lose to Edge of Studs & C.J.
7 F.I.) Protec.
24.
Equip. Groun made up w/Mech. Fasteners -Bond Gas & Water
- e Attic ❑Yes
25.
2 Applianc Circuits in Kitchen & Conductor Size74-
hstruction-Post Caps
26.
Subfeed Wire ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
F or-Drainag od-E earance
Yes
27.
28.
Range Circ. / / g u or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes EJ No
Service -Riser 96nductors & Ground -Main Disconnect
ollowing instld.: Drive Yes Walks ❑Yes [�te��
COUNTY OF 90TTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville � Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
jov 64 r, Le j_
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. It you have any question pertaining to this
matter, 'or need additional explanation, please contact this office immediately.
zz
Olt
Inspector
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSfr-y-o
NO.
7 County Center Drive - Oroville, Californiias95965 - Telephone 916/534-4541 /J-�
APPLICATION -AA PERMIT
ASSESSORARC L NU p,B
b r
ZO 1
BUILDING PERMIT
OWNER)'S-
T L PHO E
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD PS
1 I
CONT T
Syy��A��ME
eJ l
TEL HONE
CON TOR'SMAILYITq ADRESS
/44 -aw
Fireplace
CONSTRUCTION LEND R
UN N
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee _
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
,
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
'PARC AP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehome❑ Other I' ��SPEC IFY r
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New V --"Addition❑ Remodel❑ UtilitiesInstallation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
S00V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare u der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Co a my license is in fuI forc 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-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.0 ,
OR ADDNS. ( ACC. BLDGS. /2 Osq ft
NEWc0NSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20030C
5AL@30
Ex. Occup. OUTLETS FIXED P(RESID )KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Iyirin 15.00
9
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
.911 -Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s Id o my in consequence of the granting of this permit.
X Date l' % 2� s
Signature of Applicant — Ownern Contractor � Agent F-1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oyer 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
^
TOTAL PERMIT FEE $ o`
occu P.
CONST.TYPe
7
1 FLooD
ARCELPD
ND
1390E
This permit is hereby issued under
sions of the Butte County Code and/or
workindicated above for which
DIRECATIP OF PUBLIC
BY
PE20T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/ C -O p 1 -
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
COUNTY OF BUTTE - DEPARTMENT" OF PUBLIC WORKS - BUILDING DIVISION ,
7 COUNTY CENTER DRIVE - OROVILLE CAFLI_F6RNIA 95965 - TELEPHONE: 916/534-4541
a. j0
PERMIT APPLICATION DATA SHEET r
Permit No.
OWNER 1/l�• /��✓ICA. P. No. `6*—&'3��/
Proposed Building Use �ii✓Gr�F'
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explai
Building Inspector I Date
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. . . . . . . . . . .
3. Complete plans in duplicate/tri•plicate. . . - . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
A. Letter of signature authorization .
Sanitation approval from J �/GC 1 C Health Dept..
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_ 15. Improvements may be required. , . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
17. Pre -Inspection for Required- BuildingPre-Insp
request to (Dote)
p q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement. . . A
19. Other
When you issue the p r it, rocess as follows: Mail P owner. Mail to contractor.
_ Telephone /S —1 and hold for pickup at office. Deliver w/inspector.
Other
Applicant �dt'-=" —_�� Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone - Mail Other
By Date
Plans checked by Date
Plans .approved by Date /U '
Other:
Copy—DPW
T0; Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
.3 1121 - CID C 1 2 � ( (q -r k — L'�"C9 s-, - e. -5 - L q
OWNER,"t LOCATION AP #
Plans approved for:
Hold final for:
Sewage Disposal Water Supply
Final Clearance O.K. for:
Clearance for bedroom mobile home. Other
Clearance for addition of 7 Z t-- 2 c--(
Note**
SANITARIAN
Water Supply
Water Supply.
DATE'
5
(f I - ! •. is ti�. • `
+� 4
r _ ' 11)62-81$2P,E,M
i PERMIT NO.
PERMIT EXPIRES
4 /l&2
OWNER William R. Rifler
• - CONTR.
Fuller Const., Magalia
64-63-27
ASSESSOR PARCEL
LOCATION 2 Pilgrim Lane, Magalia
w
/ r
1
Temp. Power Pole
x
ti Called PG&E G
+•� 4 Temp. Elec. Service 0 3 v
k Called PG&E U `7 -v
Temp. Gas/Service
Y
CalleG&E
• ' JOB FI ALED (Date) - /Z//
fi.
Signature
. 5 +
1. •
J = OK �w
0 Not OK -
= Not Applicable MOBILEHOMES
_. Not Ready _
MISCELLANEOUS
I
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1• Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete - -j
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ •/"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI t Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing, -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances,,
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval•
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch -
10. Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures-PaneIboards- Ins. to Main in Conduit
9. Health Department Approval
_
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date - Card -BI Date,---'-,,
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI ' Date ' =
Card -BI
Date Card -BI Date
V = OK
0 = Not OK
'- = Not Applicable• RESIDENTIAL (Single and Duplex)
* = Not Ready
Date UNDE FLOOR Plans OK except #'s
Date FRAMING (Continued)
Z ing requirements -Setbacks- E ments
%_4a-4 coperty Line Firewall & Openings
il
2 Ftg., Main; Sos-Steel-Elec rnd.- / Ftg. Depth
49 --Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
36_Ptf., Garage; Soils -Steel- / /" Ftg. Depth
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
%/Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
iding-Nailing-Veneer
mwails, Garage; Steel-Blockouts-Wrapped-Slab
ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Piers -Fireplace Ftg.-Steel
W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
Glazing Area -Glass Protection -Skylights -Plastic
-53I3hear Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
1 • Water Pipe; Test -Anchors -Regulator -Service Test
T1.Electric; Underground
lenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -A or B Joists -Vents -Cripples
Card -BI Date fS Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date �i „Card -BI Date
p,
Date FINALs(Plans) OK except N's ��� `.
Card-BrDate Card -BI Date
Date PLUMBING (Permit) OK except q's
14. ater Ht.; Vent -Access -Combustion Air
Ext. Steps -Door & Sidelight Protection -Landings
glleoe Detector
urnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
�Water Pipe; Test & Anchors -Nail Protection
1' D.W.V.; Test-Fttngs & Anchors -Nail Protection
89elBledroom Exiting
,4,7 --Shower Pan; Test, First Floor -Tub Access
!G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
92,.Iogitirs & Rails
Fireplace or Stove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date r Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
!!6yElec. Outlets & Regeptacles at Kit. Counter
Date E CTRICAL Permit OK except N's
67. Garage - ing I
-(38—M. Duct in Gar a -Dam er
0. 4xture & Transformer Clearance -Ins. Protection
9• tr.; Ve -CI . nce-C61Sib. 8r(-CctLWcto -
In Garage; Aboloor=,ierotection
lec. Receptacles Spacing -Lights &Switches at Doors
PIb., Elec. & Mech. Equip. Listed for Location
L2e2. Size Boxes & No. of Conductors -Stapled
. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
. Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
7ZIt`fnnsu[ation-Foam-Looked in Attic �YeT-
7743 -.-Guard Rails & Deck Construction -Post Caps
2 Appliance Circuits in Kitchen &Conductor Size
r211:-"Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
4!fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 54 -yes -
Yes-
2; Range
2;Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
l9sulated Neutral ❑Yes El No
75. Following instld.: Drive ❑ Yes (!4.No,;-Walks ❑ Yes o;
Planters El Yes ETNo—
�$" Service -Riser Conductors & Ground -Main Disconnect
1-76—.Stucco; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
.-*PF-A, .,. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_ —99:-etothes Closet Light -Shower Light
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
"79 -Water Well; Disconnect, Electrical, Plumbing
60111terior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I DateCard-BI Date
Ventilation throughout House
Card 13-1 Date Card -BI Date
Date MECHANICAL (Permit) OK except N's
tl ;A.C. Ducts; Insulation & Support
—��
82""G ass Protection
89—C rrections from Previous Inspections
i'��� as Test -Meters Tagged; Gas -Electric
85. W r &Sewer Connected -C/O to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
_ Vent Fan; Exhaust above Insulation
-.----
_ ondensate Drain & Overflow; Size & Grade
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
-5T.-Iltic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
.___.��
Card -BI Date Card -BI Date
Card -BI l.i Date / and -BI Date
Card -BI Date and BI Date
Card -BI Date Card -BI Date
Date FR MING(Plans) OK except k's
Ppmments at Figal: _
Sills; Proper Material & Anchors
Its; Studs -Nailing, Spacing & Bracing -Plates -Sound
k V14 JQV UA
KW
_
Baring Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
—,K_F�re Stops; Furred Ceilings -Stairs -Chases -Tub
Y1._j,eader & Beam -Size & Bearing
ngers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Pu�rlin-Roof Brac.-Truss-Shthnq.-Ring.
44. Fireplace Ties or Type4A Flue -Fireplace Throat
_
_
tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
/gdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
0T Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
UNIFORM
BUILDING CODE, 1973 Edition - Loose Leaf $16.00
1976 Edition - Loose Leaf 22.00
Soft Cover $14.00
Soft Cover $19.80
or
DWELLING
HOUSE CONSTRUCTION PAMPHLET, 1973 Edition
1976 Edition - $3.30 per Fopy
$2.75 per: copy
Send to:
International Conference of Building
Officials
5360 South Workman Mill Road
Whittier, CA. 90601
,
UNIFORM MECHANICAL CODE, 1973 Edition o $8.00 per
copy
1976 Edition - $10.80 per copy
Send to:
International Conference of Building
Officials
5360 South Workman Mill Road
Whittier, CA.. 90601
or
same address as shown for Plumbing Code
_
UNIFORM
PLUMBING CODE, 1973 Edition - $8.00 per copy
1976 Edition —Loose Leaf $12.30
Send to:
International Association of Plumbing
& Mechanical Officials Soft Cover $1^0.80
5082 Alhambra Avenue -
r
Los Angeles, CA. 90032
or
same address -as shown for Uniform Building
Code
NATIONAL
ELECTRICAL CODE, 1975 Edition - $5.50 per
copy
Send to:
Stacey's Technical Store, 581 Market
Street, San
Francisco, CA. 94104 or
National Fire Protection Association,
470 Atlantic Avenue, Boston, Massa 02'210
1978 Edition available for $6.25 per copy at: '
International Conference of Building Officials
5360 South Workman Mill Road, Whittier, CA. 90601
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS RAVE BEEN
INSTALLED IN CONFORtiANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT. Parcel #2 -Pilgrim Magalia
(location)
BUII.DING PERMIT NO.,/�/=p�� Z7 A.P.NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Clieck each item' -or -write N/A_ if not applicable)
INSULATION: CLAZING:
Slab Edge. NA Single Glazed NA _
I'dn. Walls NA Special (Insulated) NA !�
FloorsR-11 CERT. & L.ABILED WDS.
Walls R-11 & SLIDING DRSr, • NA
Ceiling/Roof R-22'. WEATHLRSTRIPPED DRS. NA
Ducts NA BACK DAMPL•ED FANS NA f
Circulating Pipes NA INTE101ITTENT IGNITION DEVICES NAy
APPROVED HEATER NA • ✓ CERT. APPLIANCES NA
APPI:OVED WTR, I1TR. NA'.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLTTENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name i Insulation Co Inc.
_Si.gnature,of _ (pleas _
Insulation Applicator / lG
State l,UUtraCLUrL
License 1`10. 378407
General Contractor/owner Name d,' 1Z -'Z !E12
Signature of (please print)
Ccnoral Contractor/Owndr/,J//,. Date-""":
State Contractors
License No.
THIS CERTIFICATE. MITSTrBE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL rNSPECTION AND SILALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN Till" DWELLINC.
COUNTY'OF BUT; E - DEPARTMENT OF PUBLIC WORKSERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1,141�
APPLICATION �AND'PERMIT 'A
ASSESSOR PARCEL'NUMBER -
0 _ _� •._0 ._ � :
ZONG
- 1-10
BUILDING PERMIT
OW ER _ /
iIlf
TELEPHONE
c
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS r
CONTRACTOR'SN ME
-'S
TELEPHONE
CONTRACTOR MAILING A • DRESS
P-2 LA --L. QV1,� pe4-%-
Fireplace
CONSTRUCTION LENDER_
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ % —
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ri o '6,
BUILD NG ADDRESS i
PLUMBING PERMIT-
Filing Fee 10.00
Each Trap
2.00 (b --
Repair drainage or vent piping
5.00
Water piping
LOT r
SUBDIVISION NAME
PAFiC� MAP
i
. Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,—,� USE OF STRUCTURE
SF Lam" Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work:
Permit Fee
$ r
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
�-
5.00
Main service EA. ADD'L 100 AMP
2.50 0�
NEW CONST. ( DWELLING O •111
OR ADDNS. \ ACC, SLOGS.
2� sq ft • 3
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�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:,/// AZ -5;"- Classification ,a /
❑ 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
NEw CONSTR OUT L T 2.50 ea
NON.RESID BRANCH CIRC TS -
NEW CONSTR /POWER APPARATUS D\\
NON-RESID. (SINGLE OUTLET CIR. 1 ,
EX. Occup OUTLETS OR FIXTURES_ BAL01
00
IXED PN
APLS, OR
Ex. Occup.�OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ .�.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
Heating o 0 q^
Cooling
'
Hood
3.00 '
Ventilation
Permit Fee
$
Contractor 1AYolV-&--
I certify that I have -read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against laid County in consequence of the granting of this permit. /
X / cf'�i..� ��_-;{ � Date �5��y/ caV
Signature of Applicant — Owner ❑ Contractor ❑ AgentT1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
structures over 3 stories in height.ipt
Mobile Home Installation Fee $
D� a 0
TOTAL PERMIT FEE $ d�
oCeUP GROUP
3
TYPE 01- CONST.
Al
A
PARCE
PD
11
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO"F PUBLIC
By
PER XPIRES Date4%_q
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date l—((P/
-.p
No. 5'd�3
r
-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
A. GENERAL -
Zoning requirements
Valuation.
Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX; & MISC. ONLY)
Bldg.
r:
A.P.
(sideyards and parking).
or Architect (if required).
B. PL PLAN
Complete parcel size and dimensions.
.2'."_ Setbacks, sideyards, easements, etc.
Other buildings or structures.
/P
Grading, -fills; drainage.-
C..
rainage._
C.. FLOOR PLAN
Permit #
# �- L /
ti
!Y. Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec'. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches,.receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment,'and plumbing fixtures.
Yr. Garage firewall, door size, and -closer (Sec. 503(d)(4)).
1X 1 - 3'0" exterior exit door (Sec. 3303d).
12�. Fireplace location.
e Smoke detectors (Sec. 1413).
D.' STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall.construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if, over one-story in height.
Sufficient data and details to satisfy enegy insulation requirements (State law).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
CX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708)..
roper roof pitch for roof covering (Chapter 32).
^/ after ties or bearing ridge beam.
�• arage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
i Two'(2) exits on three-story dwellings (Sec. 3302).
,
A" CI
li 1'
+ 1
" f
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