HomeMy WebLinkAbout064-680-028-1572 B, 1�
9�
064-�6 '�'.,07028
BRINER, TOD'
148691-MASTERSON WAY',1MAGAL.I.A..
DETA&Ep'��,, -
B08-0213 064-680-028 -NEWTVIAN Roy E. 2335-72B
'MISCELLANEOUS Electrical
4w -
NEW ELECTRIC SERVICE
14869 MASTERSON WAY
20 Masterson Way., Lot 97, P.
KALLIGAS, BONGSOO P. 2
(patio cover for mobile home)
A-7
n
RIESIPENTIAL
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date/initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"tt.
I / P'Nat. or/, P'L"ft.1 /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Datelinitials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements-Setbscks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Domand-Valve--Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade-!-!D� Approval
.8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
MISCELLANEOUS
Date/initial DECKS,.C4DVERS, CARPORjjbMRAQE8APlans)0K except #'a
Requirements-Setbacks-E'�M(nents
k. -footings; Solls-Size-Depth-Spacing-Connectors-SteeI
q Decks; Griders and/or Joists-Docking-Bmcing-Staim-Rails
4. Wood Awn.; Posts-Boams-Rftm.-Connectors
Shthg.-Rf6.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Ckrports; Windows -Doors
-"tectric
JK��mg; Sils-Anchors-Studs-Rftrs-Trueses
G A Siding; Nailing -Veneer -Stucco -Mash
t- I
-J"oof; Shthg-Roofing
ly'Ext.; Steps-Doors-Landingi
Date/initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compactlon-Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GF1
6. Elec.;Enclosures; Conduit Entries-Torminals-Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane lboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
0 = Not OK
Not Applicable
Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNDERFLOOR (Plans) OK except #'a
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ f' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6s. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. LIF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except Va
22. Fixture & Transformer Clearance -ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & CJ
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect -
31. Equip. Clearances Panel s-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33 . Smoke Detector
Date/initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date/initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Coil i ngs-Stairs-Chases-Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued) .
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. ' Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Ceilinas
60. Infiltration -Walls -Windows
Date/initials FINAL (Plans) OK except #'a
61. Ext. Stops -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66.. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct In Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection
77. Insulatlon-Foarn-Looked In Attic 0 yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth
Clearance Looked under Floor 9 -Yes
80. Following instid.; Drive 13 Yes 0 No; Walks 13 Yes 13 No;
Planters 13 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Flreplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.-538-7541
APPLICATLONAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
064-680-028
ZONING
RT -1
BUILDING PERMIT
OWNER
Tod Briner
TELEPHONE
873-1132
SO. FT. OCC. BUILDING VALUATION
440 M 7,92-0.00
OWNER*S MAILING ADDRESS
14869 Masterson Way, Magalia 95954
CONTRACTOR'S NAME
Owner
ITELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
JUNKNOWN
Total Valuation 1 $ 7.920.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ s2 -9n
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee_
$ 41.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Fii ing Fee 1 15.00
14869 Masterson Way, Magalia
Each Trap
1 5.001
Solar or heat pump water heater
1 20.001
LOT NO.
f-7
UBDIVISION NAME
sef IVAII-rg-z-
PARCEL MAP
I
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [:1 DuplexF� MobilehomeR Other C,,q r A
AFEC I FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New)E, Addition E] Remode I El Utilities [] InstallationEi OtherE]
Describe work: Detached Garage
r=
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
main service 600v OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A)
37.501
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCU P'&)
OR AODNS. ACC.BLDGS.
X 3.64 sq.ft. 15.40
—NE - MULT'-OUTLET
W CONSTP
NON-RESID, BRANCH CIRCUITS)
@ 5.00
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76
AL 0 4F1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
-
15.00
Misc. Wiring
15.00
Permit Fee
$30.40
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
1 1 The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
,,of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
1
6.50
I Venti lation
Eer�lt Fee
$
LSontractor
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 ot
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
al] liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date -74-?
Signature -of Applicant Owner*K Contractor 1:1 Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
hi
c"s';�7
V—
I TOTAL FEE $169.15
74���
ILOOD CD1 PARCEL
___L__j _
LI T ---r
This permit is hereby issued under the
sions of the B C ode and/or
work indic e a f r which fees
OF PUBLIC
By2w
PERMIT EXPIRES Date :&MAX
applicable provi-
1
resolutions to (if)
have been paid.
WORKS
Date � �4r
Receipt No. 135526
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
COUNTYOF BUTTE - DEPARTMENTOFDEVELOPM ENT SERVICES -BUILDING DIVISION
Z . I
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 �Y7
OWNER / (1) 1
Proposed Building Use
PERMIT APPLICATION DATA SHEET
1512 EqkL, o-06
Building Inspector Date
.- 6r /0-12 ?
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 $ . .......................................... 47-
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by C iforniaEngineer ...................
Sanitation and plot plan approval _ n 9 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 Developmentabout (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy) . ............
Pre4n oction nequM
I. B.'IT
20. Pre -inspection for required. . . 'ng Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: L--' Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicaht2&",--,"� -Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air P61lution Date
Copy of plans sent Health Dept. _ Fire Dept.. Other Date By
The following data must be submitted pr*
1. Index permit'for above items No. k;�p permit issuance: (Circle new- item not checked above).
2. Additional items required:_
Contractor, designer, owner, was advisea of above required data by _ phone - mail Counter by - Date
Contractor, designer, owner, was advised of above required data by _ phone - mail nter by _ Date
Plans checked by Date Plans approved by ��ou Date
/ - Sets of plans in File cabinet A --"'-AP folder
Copy - Department of Public Works
-a
TO: BUilding Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
V. If. I IS I; () N, 1.),
Plot Plan Alladled
Floor Him Aluiched
svill
(K) �29�
Owner Location AP#
Plan Approved for: Sewage Disposal Watu Supply: Public Private Well
CleA���,�'jil �1110 77�
Hold final for:
Final clearance O.K. for:
NOTE
'— �Dvironrnen�talHealth =pecia&ist�/
8/92
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONI
BUILDING PERMIT
OWNER
ro JP 1641AIC—Al
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
_7�1_2_
�r_9
OWN MAILING AbORESS
C NTRVI R'�SA
V EC:�HONE
CO`NTRACTOR*3 M -AILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is -7 4--1 Z-&)
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
—Fermit Fee
$
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
13 8-,
PLUMBING PERMIT
FllingFee 15.00
Each Trap
5_QG
Solar or heat pumpwater heater
-120.00
LOT NO.
USCIVISION NAME
is
PARCEL MAP
Water piping
7.00
Each qas water heater or vept"
7.00
USE OF STRUCTURE
SF0 DuplexE] Mobilehomeo Other 619 j914 6—
SPECIFY
Gas piping system I - 5 tiets
5.00
Building sewer 4
15.00
—
Mobile Home S I G I W 1
615.00
TYPE OF WORK
Newo AdditionE] RemodeIE] UtllltlesEJ Installation[] Other
Describe Work:
Pen
$
Contractor
ELECTRICAL PERMIT
FillngFee is.00
OOV OR LESS
Main service 6200AORLESS
0
18.50
Main service 200A TO IOOOAi,
So
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I ain licensed under provisions of Chapt. 9. Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
[J 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)
E] 1. as the owner, am excl usivel y'contract Ing with licensed contract-
ors. (Sec. 7044)
EJ I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.81
OR ADONS. % ACC. SLOGS.
__37J.50
3.64 sq.ft.
MULT"O _rT
NEW-JI�—ONSTR. _UrL
NON-RESIO, BRANCH
@ 5-00
POWER APPARATUS &I
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
20 S 75S
I AL 4F;
OCCUP. FIXED APPLN3. OR
Ex. OUTLETS (RESID.) EA.)
3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ �30, (/0?
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] -The permit Is for $100.00 (valuation) or less.
E] 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 Sell -Insure.
El 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
FlllngFee _,AS'.'00
Heating
Cooling
Hood
6.50
Ventilation
ermit Fee
Contractor I-,"
I certify that I have read this application and state that the above information
Is correct. I agree to comply to all 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 wall accrue
against said County in consequence of the granting of this permly.
X Data __12 /��
Signature of Applicant — OwnerEl ContractorEl AgentEf
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE $
=_H�Sl
IMP
I FLOOD
ICOF
I PARCEL
I PO I
HD
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Recelpt No. 4�
WHITt-O.P.W., T�LLOW-ASSZSSOII. PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - Department of Pu-bl-ic--Wo'rks
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 issuinj your building permit. No building permit'
will be issued until this verification is received.
-1. 1 personally plan to provide the major labor and paterials for construction of
the proposed property -improvement (yes or no)
sign 'a building permit
-2.- 1. (have/have not) ed an adlication for
for the propos,ed work.
3. 1 have contracted with -the following person
construction:
Name
Address
(firm) to provide.the proposed
Phone Contractors License No.
City
4. 1 plan to provide portion� of this work, but I have hired t�e following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
'Name. Address . Phone Type of -Work
-,Signed:
Property Owner
Social Security Number
,Pate _2 2--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.
P 1.
RE-) ROSA;�.10-- .... ..... . (S 1) /2 V-1 a E.--.
0,D -7-,VF0,Qj1;
.140 9 V-)tT 15- r2s CV -i W'/
.M-A.CZALIVI) CA 9 5 9 5
c9T5..--./J3Z
This set of plans and specifications MUST be
kept on the job at all times and -it -is unlawful to
make any changes or alterati'o'rTs on same without
"en ion from the Department of Public
Woriii�,=of Butte.
n6 oe
_+ - 6_d_Q - p 2.9 10
NOTE—All Materials & Workmanship Shall Be In
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in t6e
Wiform Building, Plumbing & Mechanical Codes a. -id
w.00xlhe National E*trical Code.
. . ....... .....
X
v Nrj% '�)
SA
ALL U AND EQUIPME LUDfN0
OVE NGS SHALL BE CLEAR OF ALL EAS TS.
A S BACK OF FT. FROM THE SIDE AN.
FT. 1713610 THE REAR PROPERTY LINE,i 0-0
FT. FROM THE ROAD CENTERLINE SHAL.. i,3E
CLEAR OFSTRUCTURES AND EQUIPMENT. EXCEPT
FOR A 2 Fr. EAVE OVERHANG.
PRc3PO G�50
2-2
1 CCJVeAP-0 1) Fr- e -
DO a" C,, tt
0 13 IS79
-0 BUTTE COUNTY
in
L BUILDING DEPARTMENT
A P P R. �'Q V E D
60
Ao C)
7 OFC40-0
.G
OR 1%/E
rn
clooNTY OF BUTIF.
BUILDING DEP'T SPECIAL ROOF -COVERING REOUIRED.
,M�
Ay 2 8 1 ?"3
2 )e.44.
P1 orr:
rP FnTt.ro
I
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rN
L
/A cive'd iw A �.j a
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GYM in garage, and
6Xt9ric)r outaete p&- Art, 2 0-3 NEW.
P&, Aft 2
BUTT COUNTY
BUILD17NDNRARTMENT
V El D
a P_�
1. TOO TINGS TO BE EXCA VA TED IN TO
. UNDIS 7URBED SOIL TO DEP TH D
2. ANCHOR BOL IS SHALL BE PER UBC
SEC. 2907 (f)
J. STEM HEIGHT OVER 32" REQUIRES
REINFORCING (SEE STD 12.3)
.4. SEE UBC SEC 2404 (f) 2 FOR
CONCRETE BLOCK STEM WALL
0
RED WOOD OR
P. T SILL -,
FL OORS B
D TW T
ONE 12"
120 6 " 6
TWO 15"
180 80 7"
FL OORS REFERS
TO NUMBER OF
FLOORS PER UBC TABLE 29-A, -
FOO TNO TE J
GIRDER
6" MIN
J2" MAX
TW (NO TE J)
D
T
. I
8
RAISED FLOOR FC
RED WOOD OR
0 T Cill
6 " MIN
18" A41AI
12" A41N
3 112" SLAB
0
BUTTE -COUNTY
BUILDING DEPART ENT
A P P R 0 E 1)
SLAB ON GRADE FOOTING
TYPICAL RESIDEN77AL FOUNDATION DETAILS REV DA TE SCALE. J14 -V-0' DATE. 419 -4 -
BUTTE COUNTY BUILDING DEPARTMENT �!n4DWG. STDFTGI S TD 12. 1
AP -02.8-oacJ
�O.D
-M- A.CZAL-1
.8-7.'Z). -- J 3. Z.,
L!L =- / 5 J4
COUNTY Or BUTT&
1*10'
COUNTY OF B T DEPAR EN F PUBLIC WORKS RMIT NO.
7 County Center Dri T 01 M To -7 q1 — (S
P I'l le�C Ilto I a 9596 Telephone: 916,"538 541 1
1; P MI
AA A N -T;ND E� T
;SOR PARCEL NUMBER
Main service 20CATO 1OOOA) 37.50
Fireplace
ZONING
D64-680_028
Q25.66
0 -1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
RTZ
and Professions Code and my license is in full force and effect.
Filing Fee
$ 15.00
LUPHONK
Slid Briner
Permit Fee
$
8 73,1132
NIPS MAILING ADDRE35
14869 Masterson Wa*,
Ma 2 a i
$ 41 - 25,
I
FRACTOR'5 NAME
Energy Plan Checking Feie
$30.40
RPHONK
Owner
Penalty
$
MECHANICAL PERMIT Filing Fee 15.00
BUILDING PERMIT
0. FT. OCC. BUILDING VALUATION
7.920.00
CONTRACTOR*S MAILING ADDRE33
Main service 20CATO 1OOOA) 37.50
Fireplace
NEW CONST DWELLING OCCUP-&) X 3.64 sq.ft 15.40
OR A...S. ACC.EILDGS. .
CONSTROCTION LENDER UNKNOWN
Q25.66
0 -1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
POWER APPARATUS &)
(SINGLE OUTLET CIR.
and Professions Code and my license is in full force and effect.
Filing Fee
$ 15.00
LENDER*S MAILING ADCRESS- -V-,' I"
1, as the owner. or my employees with wages as their sole compen-
do the work,and the structure is not intended or offered
Permit Fee
$
ARCHITECT OR ENGINEER
ICEN SE NO.
Plan Checking Fee
$ 41 - 25,
I
I am exempt under Sec._, Business and Professions Code
Energy Plan Checking Feie
$30.40
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit Fee
Penalty
$
MECHANICAL PERMIT Filing Fee 15.00
1 declare under penalty of perjury (check one):
$ -,IR
BUILDING ADDRESS
Permit fee
i s
a Certificate of Workmen's Compensation insurance or a
Cooling
PLUMBING PERMIT
FilingFee 15.00
,q
to the W. C. laws of California.
Each Trap
5.00
p ermit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Solar or heat pump water heater
20.00
LOT NO*. SI�BDIVISI NAME
AP
W7 .1
ater piping
7.00
4
to building construction. and hereby authorize representatives of the Countyot
Each qas water heater or vent
7.00,
TOTAL FEE $169.15
I also agree to save, indemnify and keep harmless the County of Butte against
Gas piping system 1 5 outlets
5.00
USE OF STRUCTURE
DFEISJ
IMP FLOOO
-1
PARCEL
SF D Mobilehome[] Other
n rn
fir—.
Building sewer
@ 15.00
.Dupiexn
C I F Y
Mobile Home
TYPE OF WORK
JPDJ
Newc AdditionD RemodelE utilities[]
installation[] Other[]
Permit Fee
Detached Garage
Contractor
Describe work:
ELECTRICAL PERMIT
Filing Fee 15.00,
OR LESS
18.50
applicable
Main service 26000OXORLESS
Main service 20CATO 1OOOA) 37.50
CONTRACTORS LICENSE LAW
NEW CONST DWELLING OCCUP-&) X 3.64 sq.ft 15.40
OR A...S. ACC.EILDGS. .
I declare under penalty of p'erjury - (check one): —NEW
CONSTR. MULTI:UU—TLE T @ 5.00
NON-RESID� BRAN ITS)
0 -1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
POWER APPARATUS &)
(SINGLE OUTLET CIR.
and Professions Code and my license is in full force and effect.
20 761
—EX--.0ccup (OUTLETS OR FIXTU'RE5 AL.
No. Classification
..License .
FIXED APPLNS. OR I
Ex. OCCUP. OUTLETS (RESIO.) EA.y 3.00
1, as the owner. or my employees with wages as their sole compen-
do the work,and the structure is not intended or offered
Temporary service 15.00
sation, will
for sale. (Sec. 7044)
Mobile Home Facilities 15.00
D 1, as the owner, am exclusively contracting with licensed COnlrdct-
Misc. Wiring '15.00
ors. (Sec. 7044)
I
I am exempt under Sec._, Business and Professions Code
$30.40
for th is reason
Permit Fee
Contractor
WORKMEN'S COMPENSATION INSURANCE
MECHANICAL PERMIT Filing Fee 15.00
1 declare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
Heating
I have placed on file with the County of Butte Building Department
Certificate
a Certificate of Workmen's Compensation insurance or a
Cooling
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
Hood 6.50
to the W. C. laws of California.
Venti lation
Notice to Applicant: If after -making this statement, should you become subject
p ermit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Contractor
provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee $
to building construction. and hereby authorize representatives of the Countyot
occ CONSTTYP
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL FEE $169.15
I also agree to save, indemnify and keep harmless the County of Butte against
HAZ
HAZ
DFEISJ
IMP FLOOO
-1
PARCEL
all liabilities, judgments, costs. and expenses which may in any way accrue
ICOF
I
JPDJ
d County in consequence of the granting of this permit.
issued the
applicable
provi-
Date �5-1-2— Z/
!EZ
This permit is hereby under
sions OT The Butte Cou'rity Code and/or resolutions to do
Signature of Ap plicant Own. Ul Contractor 0 Agent[:]
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct
DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
By Date
Receipt No I J -1) -1) z 0
PERMIT EXPIRES Date
V9LL\0W-A389330It. PINK-IN3PCCTON. 40LOKWROD-APPL I CANT