HomeMy WebLinkAbout064-630-02864-63-28''—
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ZHumbug
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64-63-28
BALES
5952 ilgrim Lane, Magalia
Contr: Fuller
Permit# 22 --83B, P, E.(new... private garage)
64-6 28n
Contr: Wm Fuller
Permit#101-84P elocate gas pipe)gar
64-63-28
PErt#3510-88B,P(to complete work)SF j
`064 -,*-028 _ - 93-3330 .B
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MCCAMPBELL, CASSIE
5952 PILGRIM LN,-MAGALIA` • . ,
CONTR CLARK PEST CONTROL`„/(���/y
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COUNTY OF BUTTE - DEPARTMENT OF CSEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT "w-3
ASSESSOR PARCEL NUMBER
4—ARM10
ZONING
BUILDING PERMIT
OWNER
C r
TELEPHONE
a
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 5952 PILGRIM LN "IAGALIA 95954
T R
()(1
CONTRACTOR'S NAME CLARK PEST CONTROL
Tg=- 900
CONTRACTOR'S MAILING ADDREX15 GARDEN M;Y 1flUi3A CITY. CA
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
41.M
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS H 5952 PILGRIM LN MAGAI.iIA
�A�
PERMIT FEE $
i5
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF O_; Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
,
New O Addition IJ Remodel O
Remodel Utilities O Installation Other El
Describework: DRY ROT R6AIR SUBLOOR & WALL AAM
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 800V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
So,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
OSI am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code an y license is in full force and effect.
✓
License No. Y� � L� Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. , Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
_NON.( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. 2 . @ 100
Ex. Occup.FIXED APPLNS. OR
UTI (RESID.) EA.
( O )
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
L lA I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, -judgments, costs,fand ex which may in any way accrue against said
County in consequence ofyihe graldting of this permit.
X 1 al i--- ( 1 Date /Q —?— 7
Signature of Applican - ❑ Ow er ❑' Contractor ❑ Agent
An OSHA permit is require for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 61.00
HOZ.
D. FEES
IMP
F100D
CDF
PARCEL PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whit) yJees have been paid.
DIRE¢TO OF PUBLACIWORKS /
/
By7=7e / Date /� �/ 5
PERMIT EXPIRES ON y
A)
[Date)
148993
Receipt
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.D.
k
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
64-630-028
\
SOI
ZONING
ARM110,3
BUILDING PERMIT
CASSIF MC CAMPBELL
TELEPHONE
813--LW6..
SQ, FT, OCC. BUILDING VALUATION
—
OWNER'S MAILING ADDRESS
5952 PILGRIM LN MAGALIA 95954
EST 1800.00
CONTRACTOR'S NAME CLARK PEST CONTROL
T _2900
CONTRACTOR'S MAILING ADORES 15 GARDEN WY YUBA CITY, CA
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS H521RN 5952 PILGRIM LN MAGALIA
PERMIT FEE
S
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF EXDuplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ClRemodel ❑ Utilities ElInstallation ❑ Other
Describe Work: DR`_' ROT REPAIR SUBLOOR & WALL PLATE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO t000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
1 dec1pre under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C�n� rpy Classification license is in full force and effect.
' 1 �1 ! _
License No. � O� �7
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 0 .50
Ex. Occup.FIXED APPWS. OR
(OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
�5A 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
® I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, ind nify and keep harmless the County of Butte against all
liabilitie d 5n , c is and a enses which may in any way accrue against said
Count in seq ence of he gr ting of this permit.
X I Date /6 'l 7
Sig re of Applic - ❑ O er ITContractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 61.00
HAZ.
D. FEES
IM P
FLOOD
CDF
PARCEL PD
ND
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indica bove for whic fees hav b n paid.
DIRVEO F PUB ORKS
BY Date/�
PERMIT EXPIRES ON
(Date) �—
Receipt 148993
.D.
WHIT E•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans, 3/4 sets, signed by preparer of plans.
3: Complete plans, 3/4 sets, signed by preparer of plans.
4. Engineered plans and calcs, 3/4 sets, with wet signature on.plans.
5. Hazardous Material Form.
6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C Buildings.
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets.
10. Fees of $
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees.
13. Flood elevation letter (100 year flood) by California Engineer.
14. Sanitation and plot plan approval Health Department.
15. City of Chico plumbing permit.
16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage.
19. Driveway permit (construction approval required prior to occupancy).
re -inspection for required.
ontractor's license information. (No., Name Style, Classification).
rtificate of Workmans Compensation Insurance.
wner-Builder Verification (Given to owner , Mail to owner
Recorded copy of Agricultural Acknowledgement Statement.
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60 right of way to a public road.
27. Letter of intent on building use.
28. Mobilehome utility clearance.
29. Documentation of legal access.
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
31. Existing violations/expired permits.
32. Plan check list.
33.
34.
When you issue the permit, process as follows:. Mail t w r. Mail to contractor.'
Telephone and hold for pickup at office. Deliver with inspector. .
Other
Applicant Date 62
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation 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.
FEE REFUNDS
Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom
the date of fee payment on permits not issued, and one yearfrom 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 checking fees for work plan checked
and other department costs are not refundable.
Original - Applicant
' . ..H. . .,-v^.tiy....r�.r,,�,..Yl,.,,--x.r•..r`•.,,�f+'��rrr���:.���r„r�i7'R�-'�;,�vy�”-�.:_• k /,,•,./�,..,'- -,.,, r -.. },.
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 t :
.t
PERMIT APPLICATIOWDATA SHEET
Proposed Building Use
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans.
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............ .
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .
20:–Pre-inspection for required. .. e�°, ���pa�� (Date
ontractor's license information. (No., Name Style, Classification) . ..............
certificate of Workmans Compensation Insurance. .. ............... .
Owner -Builder Verification (Given to owner , Mail to owner ........... .
2 .Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ...................................................... L
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date 11
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required. data by _ phone —mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Cofpy - Department of Public Works
. I COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
'z 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville —Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
,r
4. CORRECTION NOTICE
t^ OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at t e above address and should be corrected. Please notify this office
when c rection of work is completed. If you have any question pertaining to this
1'r matte , or need additional explanation, please contact this office immediately.
.
QiU.I.�S- M?AAJ, (9 0 1 41<1 aMea -r-x
A Crge,S T r� I nt SRS r 'raft
3-'-TAyt 101A No LL 7)IR AS e -)F
-SOY► c111'S Jaz .5 J J 5:r4 r ( ��
5t
I.F..
7:
S
T; Date
Inspector
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REpyLATIONS
AT J R/ L
(location)
BUILDING PERMIT N0. A.P. N0. 676
THE FOLLOWING HAVE BEEN,INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors 4--
Walls
iWalls
Ceiling/Roof
Ducts e�
Circulating Pipes
APPROVED HEATER ✓
APPROVED WTR.HTR. ✓
GLAZING:
Single Glazed
Special (Insulated) IvId
CERT. & LABELED WDS.
& SLIDING DRS. c�—
WEATHERSTRIPPED DRS. J
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES_
CERT. APPLIANCES 1—�
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
/
Insulation Applicator Name /4// 1,4 ti X ,��,� L- Est
Signature of (pleas rant)
Insulation Applicator �e
State Contractors
License No. /// 961
General Contractor/Owner Name r )e,
ease print)
Signature of
General Contractor/Owner �� Date /
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
F
A
—4AAMIT
NO. 2797-79BP,E,M
aPERMIT EXPIRES���—�—/
!
{'OWNER
William R. Fuller
�CONTR.
owner
64-53-28
(A.P.
)
lILOCATION
3
S/S or end oPilgrim Ln. app.800'N.of
Humbug Rd. & ' shew Stage junction,
Magalic
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F
A
—4AAMIT
NO. 2797-79BP,E,M
aPERMIT EXPIRES���—�—/
{'OWNER
William R. Fuller
�CONTR.
owner
64-53-28
(A.P.
)
lILOCATION
3
S/S or end oPilgrim Ln. app.800'N.of
Humbug Rd. & ' shew Stage junction,
Magalic
r
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l�.
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" it1
}
Temp.ower Pole
a�
C fled PG&E
Tem . Elea. Serv.- •t
}j
Called PG&E
e/mp
T . Gas Serv..
'F
Called PG&E
r
OB
D
'
INALED
(Date)
'1
(Sign ture)
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION`RECORD
BUILDING
BUILDING (Cont'd)
PL
MBING
Setback C
Firewall
Soil Piping.�
Forms \.
Parapets
1st Floor -
Main Bldg-,-.,
Restroom Finish
2nd Floor
Footings `
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathin k-7 `t
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents Loo,
uxtures
Footin
Stemwall %Insulation
Garage Vents -
er. Htr.
Heaters
— —/i
06
Slab
Carport
s
Prov. for physically
handica ed
Conformance of ex.
structure
144—
A liance
Gas Piping &Test
Temp. Gas
�` L146Footin
Slab
Final — '—
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELEICTRICAL
Masonry Walls
Throat MaJ29��
Rough Z
Relnf. Steel
Final — /'G9—
Fixtures
Bond Beaml
FIRE SPRINKLERS
Motors
Framin 7�
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MEtCI4ANICAI
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp.-floiey 4'12
Cf'
Finish
Ducts "7 ) Q /1
I Underaround
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES --------------- Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
I E ME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
I- Ll - Sv � c e' r—`2&uol_t�
to
co-,A��
I
I
(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 Qrive" -6' Orville, California 95965
Tel ephbne:' 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-ment' ned property f inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. 2— J 69 Z--
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
Blitzing permit expires Date - Z- - kq)
BUILDING IVI 11.0001
Owner
SQ. FT. OCC. BUILDING VAL ATION
L
Mailing Address Address �_ /fj
Z ew
T e hoye�
Contractor
Mailing Address
Fireplace e
Total Valuation
-
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
•
AeJWa�e�w
PERMIT FILING FEE $3.00 d'O
Each Trap 1.50 pU
I/ .
Repair drainage or vent piping 1.50
A. P. No.
vn�
oning & Planning
Water piping 1.50
as water heater or vent 1.50
a i' Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
Parking
EOA Plans
Parcel ' '
Declaration Parcel M 60' R/W
Improvements
Each additional outlet .30
B 'lding sewer 5.00
Bldg. PlanVl2ec'd
-'- Parcel royal
Plans Approv
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 1 g Q
J 1.0
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 D
+ 1
Main service 600V OR LESS
100 AMP OR LESS 5•Q�61
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
i
Main service EA. AOD'L 100 AMP 1.00
NEW OR ADDNST (ACE 1 CUP. R) 22sgft ,%a
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of C lifornia Business & Profusions Code under the name
style of: //
NEW CONSTR U L T
NON.RESID (BRANCNCHH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXT11RES �@�
BAL;1
Ex. Occup(OUTLETS (RESIFIXED APPLNS. OR
• D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/ IMisc.
License No. ( Classification
Wiring 6.25
Ida—w
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ •/�
$ /Q
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
yforr Workmen's Compensation.
j► 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. @ F_EE
PERMIT FILING FEE J$3.00
Heating O 1374,1. pa
Cooling
Ventilation
Hood 2.001 DO
Permit Fee $
$ Ot
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
$ 25'a!
TOTAL PERMIT FEE
$� "�
authorize representatives of the County of Butte to enter upon the
above-ment' ned property f inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. 2— J 69 Z--
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
Blitzing permit expires Date - Z- - kq)
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,.&.MISC. ONLY) �y
Bldg. Permit # ! 5P%'%1
OWNER ✓ A.P. # !o --G
A. GENERAL -
,elr- Zoning requirements.(sideyards and parking).
2� Valuation.
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills; drainage.'
C. FLOOR PLAN
4!. Complete to scale plan with dimensions.
,2- Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
.4-."- Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
�t Required room sizes, ceiling heights (Sec. 1407).
.a! G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
-8:' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
A: Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)). ;
alb 1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
J,
X13: 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.
.,f! Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
,--.2'. Stairway details (Sec. 3305).
�! Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
C Rafter ties or bearing ridge beam.
,8� arage door or porch header sizes.
,9. Adequate bracing.
Living area over garage - complete l -hour separation required including supporting
walls and posts, etc.
1 Two (2) exits on three-story dwellings (Sec. 3302).
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS .
196 Memorial Way, Chico- Phone: 891-2751'
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
�22se- -83
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1' _ 2A It
S'(i L. 0` nl Vi2%.A,)A�L W�rN 15I TVPtd.x
�V2 TA12(ZE-
3 JZ
-oJZ q-LCCAT 61�
n6SAIMr 'io Coni'Pt r,rr/ ` IA
X Q , (Z, V, TO ?a INT jo1WN tVA/0S'
Inspector Date 1 d -,?/ — R t
COUNTY OF BUTTE
•� DEPARTMENT OF.PUBLIC WORKS ,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
z 2-�3- 9
OWNER PERMIT I
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 needitional explanation, please contact this office immediately.
A -
,A,, _ _'V _ /Ar- / i o /1-i /J—
} t PERMIT NO. 4225-83B,P,E
i PERMIT EXPIRES/,] J
OWNER H.W. BALES
f { CONTR. Wm R Fuller
ASSESSOR PARCEL 64-63-28
LOCATION 5952 Pilgrim Lane, Magalia
�1
t
,X
OFFICE COPY
%i
Tem P
P
Address
`
Cal
f
El
Temp.E
GAS
f� IL
Meter By
Dat
ELECTRIC
Call Meter By
Date/-
Temp. G_
Ca11edPG&E
r
JOB FINALED (Date)
i�
r
Signature
4
1
J I= OK
0 = Not OK
= Not Applicable MO B I LEHOM ES
* = Not Ready
MISCELLANEOUS c-,
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch 1
_
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-Rfirs.-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 Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1• Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N'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/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas'and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- 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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
l
}
. t
J OK
Q = Not OK
Not Applicable
Not Reay
J
RESIDENTIAL (Single and Duplex)
Date
UND R OOR Plans OK except H's
Date
FRA
Continued
1 o ing requirements -Setbacks -Easements
4
P erty Line Firewall & Openings
tg., Main; Soils-Steel-Elec. Grnd.- //17-k 'Fig. Depth
.
Ex cors -One 3' -Check Garage -3rd story, 2 exits
.--8--Pi'T.-,Garage; Soils -Steel- / /" Ftg. Depth
50cS
' s; Width -Headroom -Rise -Run -Landing -Fire Protection
�L--�1grPIIPChes & Decks; Soils -Steel- / /" Ftg. Depth
5T -Plywood
on Root Overhang -Attic Vents -Rafter Outriggers
. 0.. / emwaIIs Main; Steel-Blockouts-Wrapped-SI
03 `Oi
52.
Siding -Nailing -Veneer
6. s, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
rs-Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
-�
. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
,0,9. Gas Pipe; Size -Anchors
X10. Water Pipe; Test -Anchors -Regulator -Service Test
_
Y!11. E ric; Underground
Plenums &Ducts; Clearance -Material -Support -Ins.
"l 3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date 'Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -1311
i Date Card -BI Date
Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
Iq
PLUMBING (Permit) OK except q's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
_
14. ; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. er Pipe; Test & Anchors -Nail Protection
1 . D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
Show an; Test, First Floor -Tub Access
18. st Tub & Shower, 2nd Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
141�Gas Pipe; Size & Anchors
62.
Stairs & Rails
-
-
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date and -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECT AL Permit OK except #'s
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
--
2 re & Transformer Clearance -Ins. Protection
.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
21. Elec., Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
_-
& No. of Conductors
2L-.-5'-Stapled
74--Elec.
Receptacles in Garage; (G.F.I.)-Romex Protec.
-
�t�oxes
231H Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24r Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
_
ante Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor El Yes
re Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
_-_
-
ange Circ. / / gn Cu or AI -Oven Circ. / / ga. Cu or AI,
_Insulated utral .-Yes_ ❑No
28. _Service -Riser Conductors & Ground -Main Disconnect
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
-_
29. quip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30. C thes Closet Light -Shower Light --
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I
Card B -I
_
G{I.�
_Datej,//` Card -BI Date _-
kDater Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
8
822..
Ventilation throughout House
Glass Protection
Date
MECHANICAL (Perrc,it) OK except N's
wR'corrections
84.
from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent an; Exhaust above Insulation
33. Conde sate Drain _& Overilow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34. Furnac Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Ac ess & Platform if Furnace in Attic
-
Card -BI
Card -BI
Date__ -_ Card -13 I__ Date
Date Card -BI Date
Card -BI
��
Date 3 Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMI (Plans) OK except q's
Comments
at Final:
36. Proper Material & Anchors
_
_
37. Wa ; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.1'5" ring Walls over Girders & Floor Nailing--
39.. Draft_S p in Walls (rat proof)
40. Stops; Furred Ceilings -Stairs -Chases -Tub
r Beam -Size & Bearing
42. an Post Caps -Anchors -Connectors
43. oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
es or Type A Flue -Fireplace Throat
j4W Attic ccess-, Size & Romex Protection -Draft Stop -Ins. Bafflesm. Windows orExiting Doors -Sill Hgt. & Dimensions7 Garage Fire Protection Framing
_
(NOTE: Anentrymust be made each time youvisit jobsite)
CAL OAS-FAKAU1Jt
-
(if no one is Home/Available, so state)
X
0094!AP.O.
BOX 640 • 7668 SKYWAY
CRL GR5 SERVICE WORK ORDER/INVOICE
•
PARADISE, CA 95967-0640
��
(MINIMUM 100 FOR �1 (DIU TION)
3. WATER MANOMETER TESTING:
/M�IN.)
5. SINGLE STAGE SYSTEM PRESS. TEST---f-'�' WC_MIN.
(916) 877-4955. An M�eriGas Company
(WATER MANOMETER-APPL. CONN.) OD- MINIMUM) (10 MIN. MINIMUM)
'
(3 MIN. MINIMUM)
A. SINGLE STAGE REGULATOR LOCKUP ..l WC.
B. SECOND STAGE COMPLETE SYSTEM TEST ' WC. MIN.
B. SINGLE STAGE SYSTEM MAXIMUM FLOW PRESS. ' WC.
(APPL. CONN.) (10' MINIMUM) (10 MIN. MINIMUM)
(ALL BURNERS & PLOTS ON)
C. SECOND STAGE REGULATOR SET POINT SHOULD BE ADJUSTED
C. SINGLE STAGE SYSTEM MINIMUM ROW PRESS. WC.
TO 10.5' WC. WITH HALF OF THE BTU LOAD TURNED ON.
(ALL PILOTS ON - ONLY)
O. MAXIMUM ROW PRESS ' WC. (ALL BURNERS 8 PILOTS ON)
PRICE
E. MINIMUM FLOW PRESS - WC. (ALL PILOTS ON - ONLY)
6. Date of TESTING IQ,.2 (c Time of TESTS letion ' % o0 e
7. Signature
ZBl S.
Account No.
9A. -W -7v S
m
Date lv� Time
am/pm
Customer Name—;,�/
S L /`tom �h
Phone (Res)%T
g
Person Taking Order 4c -e—
Address
�11i f.(y
Person Placing Order
Date/Time Promised
JOB LOCATION � f� •�Z -. / %� wG`'
SIGNED APPLL
NOS ®
E• S PAID DEPOSIT NO ❑
SIGNLEASED- RENO
CREDIT S
POLICY
LQ
/ ...
....,./%�� '' w . J. iG/^ 1
/' l ry.« O ��/ ��
LCJ . e—e�
CALLED I OR
INSPECTION
YES
NO
CRY R 'STATE ❑
COUNTY LJ PERMIT ♦
)NSP SIGNED YES
OFF NO GT
SERVICE WANTED „ tip fQ. •�. 1:! �—1 - '.` l�I
Al
SERVICE PERFORMED DATE O .
Y
Witness to test (Owner/ Responsible Party)
-
(if no one is Home/Available, so state)
X
I. FIRST STAGE LINE PRESS. TEST (AIR ONLY) LBS MIN.
Inucnase urr er No.
(MIIMUM 600 FOR 30 MIN.) (DURATION)
2. SECOND STAGE LINE PRESS. TEST (AIR ONLY) LBS. MIN.
0. SINGLE STAGE UNE PRESS. TEST (AIR ONLY) LBS MIN.
(MINIMUM 10N FOR 15 MIN.) (DURATION)
(MINIMUM 100 FOR �1 (DIU TION)
3. WATER MANOMETER TESTING:
/M�IN.)
5. SINGLE STAGE SYSTEM PRESS. TEST---f-'�' WC_MIN.
A. SECOND STAGE REGULATOR LOCKUP -7 WC. MIN.
(WATER MANOMETER-APPL. CONN.) OD- MINIMUM) (10 MIN. MINIMUM)
'
(3 MIN. MINIMUM)
A. SINGLE STAGE REGULATOR LOCKUP ..l WC.
B. SECOND STAGE COMPLETE SYSTEM TEST ' WC. MIN.
B. SINGLE STAGE SYSTEM MAXIMUM FLOW PRESS. ' WC.
(APPL. CONN.) (10' MINIMUM) (10 MIN. MINIMUM)
(ALL BURNERS & PLOTS ON)
C. SECOND STAGE REGULATOR SET POINT SHOULD BE ADJUSTED
C. SINGLE STAGE SYSTEM MINIMUM ROW PRESS. WC.
TO 10.5' WC. WITH HALF OF THE BTU LOAD TURNED ON.
(ALL PILOTS ON - ONLY)
O. MAXIMUM ROW PRESS ' WC. (ALL BURNERS 8 PILOTS ON)
PRICE
E. MINIMUM FLOW PRESS - WC. (ALL PILOTS ON - ONLY)
6. Date of TESTING IQ,.2 (c Time of TESTS letion ' % o0 e
7. Signature
" Serviceman (2nd)
9A. -W -7v S
AUTHORIZATION TO FILE OFFICE COPY
A0042 7/87 OM aM AIr)T SFPARATF HKMI WORI
Charge
I
I On Acct.
I Credit
I: Refund
Inucnase urr er No.
urvun:e wee
�{
HOURS
DATE SERVICEMAN(last name)
=on
: RATE
AMOUNT
QUANTITY
PART NUMBER AND DESCRIPTION
PRICE
AMOUNT
9A. -W -7v S
RFGULATOR INFORMATION SUBTOTAL
First Stage Second Stage single stage SALES TAX
Mfg. Mfg. Mfg.
Model NP Model # Model NY
Mfg. Date Mfg. Date Mfg. Date '
Pigtail Dia. 8 Length TOTAL
TANK INFORMATION
Size goo LP in tankQ O� Meter Ser.
Ser. LP Invoice Meter Reading
Customer
Purchaser agraes that title in the above merchandise shall remain in the Seller until suc time as the
purchase price is paid. In the event suit is commenced to collect the amounts due on this invoice,
an additional amount to be set by the Court as and for attorney's fees may be charged.
TERMS: NET 10 - Due and payable 10 days from date of purchase.
fEDlinquent accounts will be assessed a late payment charge.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �7
4: APPLICATION AND PERMIT Y
ASSESSOR PARCEL N BER
�ao–rp -z 9BUILDING
ZONING
PERMI
OWNER /��
9 �• �/7�-G JFaW
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
p{!
'•�
OWNER'S MKILING ADDRESS
O 70
/i
CONTR}1 C-T�t'S ME�
y(/V/�f P
TELEPH ONE
.
CONT CTOR'S M� LING ADDRESS
�S itL_6
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
$ / --
BUILDING ADDRES
3 L. Al
PLUMBING PERMIT
Filing Fee 10.00
e-
Each Trap
Solar Water Heater
2.00
20.00
Water piping
5.00 S
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other Ot.&
5 ECI
Building sewer
5.00
Mobile Home I S I GJWJ
10.00 e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 41�� —
Permit Fee
$ .—
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW C\
OR ADDNS. ( ACCLBLDGS.00�jC /
2'/21tSgft D
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 C e a,d my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR U TI.OUTLET 2.50 ea
NON•RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS IN)
NON•RESID. SINGLE OUTLET CIR. /
z0®s0C
Ex. Occup( OR FIXTURES BAL®30
FIXED APPLNS. OR
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.
❑ 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.
1 shall not employ any person in any manner so as to become subject
104 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 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 liab' ities, judgments, costs, and expenses which may in any way accrue
agai st ai ounty in nsequence of the granting of this permit.
X Date 2,.12 /x�
Signature of Applicant — Owner ❑ Contractor Id, Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ��
OCCUP. GROUP
(,'. /_�
t4-1
TYPE of C NST.
PARgEL
ci
N
Ss
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
)17J OF PUBLIC
By
P MIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date J—
0 �/
Receipt No. 07lqht
WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
Al
ASSESSO PA CEMBER
ZONING
BUILDING PERMIT
OWNER
I S
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S ME �. �l
TELEPHONE
CONT A TOR'S M
NG ADDRESS
Fireplace
CONSTtZUCTION LEND UNKNOW
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
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
a
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water.heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTABuilding
SF ❑ Duplex ❑ Mobi lehome ❑ Other a
SPEC FY
sewer
5.00
Mobile Home S I G W.
10-00ea
TYPE OF WORK
New Addition[] Aerrodel U ilities Installation❑ Other
Describe work: - JUS
r h
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L too AMP
2:50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2I/20sgft
- -
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.
I l'
License No.- %I � r 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
NON.CONST
REsID R BRANCH CIRLF
CUITS. 2.50 ea
NEw NON.CONSTR. RESID. (( SINGLE OUTLET CIRPOWER APPARATUS .&')
&
Exao®som
. Occu P�OUTLETS OR FIXTURES 9AL®30
FIXED APPLNS. OR
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.
❑ 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.Fr
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains saFd C u ty in cop2ence of the g anting of this perm
/%
X- �� ���++ E„ K Date
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP, GROUP
I TYPE OF CONST.
PARCEL
PD HD'
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI F PUBLIC
L--
By ° {
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
511
Date. L-1 -3" 0 7
Receipt No. 072q4 ?)
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
To:
Building Department
From: Environmental Health
Subject: .Sanitation Clearance
Owner
Location" AP
Plans. approved for: Sewage Disposal "..Water Supply,
Hold final for: Water Supply
Final Clearance OeK. for: Water Supply-
Clearance
upplyClearance for bedroom mobile home. Other
Cle rance for �di ti on of1y„�
No . e 41*7 j S6
i
R
- a
OWNER
COUNTY OF BUTTE - DEPARTMENT -OF -PUBLIC WORKS - BUILDING DIVISION /
7 COUNTY CENTER DRIVE - ,OROVILLE,`&LIFORNIA 95965 - TELEPHONE: 916/534-4541
0
PERMIT APPLI'CATI'ON DATA SHEET
. Y
Permit No. 1
A. P. No.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price VDPW Valuation
other �(Fx Iain)
Building Inspector �:Date Zq
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . .
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑,)
15. Improvements may be required. . . . . . . . , . . .
16. Mobilehome Installation Data. . . . . . . ..
17. Pre -Inspection for
•Pre-Inspec. request to
Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant /' �'�;.-�0 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. Add itiona1.items required:
(Contractor, Design r, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked y Date
Plans approved by Date
Other:
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COUNTY OF BUTTE - D55PARTMENT OF PUBLIC WORKS PER IT N0.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/53$=75.41 :•S`�%/f �i1
APPLICATI)AI�IPERMIT
ASSESSOR PARCEL NUM
/BER1 1(/
ZONING .
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAI LING ADDRESS .✓'
CONTRACTOR'S NAME /
�.�J'7 'A /
TELEPHONE
�'/`f /
b /— r >01
-
CONTRACTOR'S -MAIL'I'NG 'ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
' a)
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /r
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$$
BUILDING ADDRESS f ^ <1 Z 1
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 (jam
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installll`ation❑ Other ❑
Describe work: �`►`
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
l —
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
penalty I declare under of perjury .
p I Y (lcheck one):
❑1^
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. I 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.SI
OR ADDNS. ACC. BLDGS. , /20sgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
I POWER APPARATUS &)
%SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES eA 090
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
-
WORKMEN'S COMPENSATION' INSURANCE
I declare under penalty of perjury (check one): t
❑ 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.
jam, j,. I'shatI not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become -subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabi•14ties, judgments, costs, and expenses which may in any///way ccrue
X ainst7 aid my i sequence of the granting ofthis./
J/ (� a
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEEj� $
Occu P.
CONST.TYPE
ISC11001-1
FLOOD
PARCEL
PD
ND
159UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By •M -- rl. fli=t-' i 1
PERMIT EXPIRES Date
the applicable prow
resolutions to do
fees have been aid.
p
WORKS
Date
Receipt No. r% `a. ���,
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD=APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ANYri�'
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION D PERMIT
ASSESSOR PARCE NU ER =3T6
INGBUILDING
PERMIT IJOWNER
V
LEPHONE
PQ
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAI ING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S'rAAICING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
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
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea.
TYPE OF WORK
New F-1Addition❑ Remodel [:1Utilities [:1lnnstal tion❑ Other E]Permit
Describe work:
��� </kJ
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
;— --
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
1krsation, 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.O
OR ADONS. ACC. BLDGS. , /20sgft
NEW CONST U TI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200600
.ALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.� 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
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 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 liab' ties, judgments costs, and expenses which may in any way yrccrue
again id my �dk, nsequence of�the granting of this p rmit.^
X v Date V7
Signature of Applicant – Owner E]Contractor ElAgent Llwork
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCu P.
CONST.TYP!
SCHOOL
FLOOD
PARCEL
[713
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
By
RM
PET EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
91
—
Receipt No. 2
WHIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541
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 major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have 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 City
Phone Contractors License No.
4.. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I 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
Social Sam
tyAumber Date 7
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification,must be completed and returned to our office before we are per-
mitted to issue the permit.
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