HomeMy WebLinkAbout064-690-005�
90F64--6?—.05
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(new sf
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03-3689`
SEE ATTACHED, PARADISE
Cont: WESTCOAST COMM
PLACE CATV POWER SUPPLY
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Cbnter Drive * Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT .4- 2 �z L Q _Cil -
ASSESSOR PARCEL NUMBER
SEE ATTACHED
ZONING
I ---
BUILDINGOERMIT
OWNER
COMCAST COMMNICATIONS
TELEP�FO_NE
SQ. FT. Occ. BUILDING VALUATION
OWNERS MAILING ADDRESS
4350 PELL DR SAcRA�= CA 958_1S
CONTRACTORS NAME
WESTCOAST COMMUNICATIONS/VCI
TELEPHONE
1143-2473
CONTRACTORS MAILING ADDRESS
140 M=S STREFr CHICO CA 95928
CONSTRUCT10N LENDER
LENDERS MAILING ADDRESS
Fireplace
Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
—Total
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
—Permit Fee $
Plan Checking Fee $
'1111MLIA LOCATIONS --- SEE ATTACHED
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
I
PARCEL MAP
I
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 11 Addition 0 Remodel 0 Ulilities 0 Installation 13 Other 0
Describe Work: PLACE 19 CATV POWM SUPPLIFS
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G_[W]
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
R ' '
Main Service "."A oR LE:S 19
23.00 437.06
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. ;-7/
License Class Lic. No. i ZPE 'I I Lo
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
11 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
__WEW —CONST.
46.00
DWEU.JNG OCCUP,
— OR ADONS. ACC. BLDS.
so
3.50FT.'
_b
-NO"f4-RESID.'-
@7.50
ER AP= U
01 .0
IPS �G C SIR.
Ex. Occu OUTLET OR FIXTURES
"o
BAL @ .5o
Ex. Occup. ..E' A '(,.s,6.)0E.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
457. 00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
D I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' ompensa i provisions of section 3700 of the Labor Code, I shall
forth i h om ith se provisions.
X Date
Signatur 0 Owner /�r Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
— MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
— Hood 6._50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST- TYPE
1T6TAL FEE $ 437. 00
HAZ.
D. FEES I IMP
I FLOOD
I COF
PARCEL
I
I PD
HD
IISU
--I
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.
a
PERMIT EXPIRES 0
IReceipt No.
WHITE-D.D.S.-B.D. 'CXNARY-ASSESS(4 L PLO-IRSPECTOR GOLDENRO D-AP7PLICANT
RESIDENTIAL
90-91B,P,E,M
64-69-05
HALEY, Michiel
14834 Colter Way, Magalia
(new sf)
OFFICE COPY
Address Co V�
'GAA
aeter Date
EL TRIC /-7
239
Meter y 'N—�l Date/ V
JOB FINALED (Date) L j 4,
Signature . W--46��
V = OK
O=NotOK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
Date Card B-1 Date Card B-1
MISQfUANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. 76ning Req u irer6Q'nts-,%etbac ks- Easements
2. Footings; $oils-S�;e-pepth-goA!iing-Connectors-SteeI
3. Decks; Griders 690/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Postj�Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracir%g
5. Alum. Awn.; Co.lur�ns-Connections-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anct�ors-Studs-Rftrs-Trusses
9. Siding; N ai I I ng-Ve.neer-Stucco- Mesh
10. Roof; Shthgrfl.00fing
11. -Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; CompactionmStructure Stability
3. Pool Structure; Steei-connections-Thickness
Dead Men -Lining
4. Elec.; Receptaclw�'ind Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elbc.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res -Panel boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. T�at-Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PV'ft.
/ P'Nat. or/ PV'ftJ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -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 -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISQfUANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. 76ning Req u irer6Q'nts-,%etbac ks- Easements
2. Footings; $oils-S�;e-pepth-goA!iing-Connectors-SteeI
3. Decks; Griders 690/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Postj�Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracir%g
5. Alum. Awn.; Co.lur�ns-Connections-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anct�ors-Studs-Rftrs-Trusses
9. Siding; N ai I I ng-Ve.neer-Stucco- Mesh
10. Roof; Shthgrfl.00fing
11. -Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; CompactionmStructure Stability
3. Pool Structure; Steei-connections-Thickness
Dead Men -Lining
4. Elec.; Receptaclw�'ind Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elbc.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res -Panel boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. T�at-Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
� = OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL
Date UNDERFLOOR (Plans) OK except #'s
(!��ning-setbacks-Easements-Flood-Slope
Z,--5t'g., Main; Soils-EW6��//%' Ftg. Depth
Wfig., Garage; Soils-Steel-Elec. Grnd.-O-t. Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5,,Sit-emwalls, Main; Steel-Blockouts-Wrapped
&'Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
V15-,e;s- Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe: Test -Anchor -Regulator -Service Test
12. Electric: Underaround
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle /,7
1.7 -Water Pipe; -*e'st & Anchor -Nail Protection
1,0�,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
Q'I 9L A U Iri 10ft- IN - -
Date Card B-1 &11 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22.,ogxture & Transformer Clearance -Ins. Protectiop
6?EjeC�teceptacies Spacing -Lights & Switc��t Doors
)Biz�yBoxes & No.,of Conductor x5TO)
25_,P(omex instangd/bose to Edge o_f_9Tu`cffs& r
:)nade up w/Mech. Fastners-Bond Gas & Water
-Eq u i p. 4r3dn d
27,,eAppliance 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. W / ga. U. -d or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 9 -Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Pane Is- Motors- Mech. Equip.
3_Z,Clothes Closet Light -Shower LightSpa Light
33--S-moke Detector
Date t4,J,,,Z, Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
J)kL,0,,36. Condensate Drain & Overflow; Size & Grade
37. F6rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date L/.)-5 i Card B-1 CS1,Y Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
30r, Sils, Proper Material & Anchors
40-'W-alls Studs -Nailing, Spacing & Bracing -Plates -Sound
41,-6earing Walls over Girders & Floor Nailing
42113raf�,Stop in Walls (rat proof)
vftf Stops: Furred Ceilings-Stairs-ChasescT
4A-IlTeaders & Beam -Size & Bearing
Single t Duplex)
Date �RAMING (Continued)
4S.'Hang ers- Post Caps -Anchors -Connectors
Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
ez--*OW�rireplace Ties or Type A Flue -Fireplace Throat clearance
-__48_Att!.g. Access; Size & Romex Protection -Draft Stop -ins. Baffles
9!V<,drm,Windows or Exiting Doors -Sill Hgt. & Dimensions
,Qrd'r'age Fire Protection Framing
Property Line Firewall & Openings
_Reixt. Doors -One T -Check Garage -3rd Story, 2 Exits
f�s; Width -Headroom -Rise-Run- Landi ng- Fire Protection
V��p'lywood on Roof Overhang -Attic Vents -Rafter Outriggers
56--'giding-Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
5;--Glazing,Area-Glass Protection -Skyl i g hts- Plastic
58. lilaefr Walls; Nailing -Bolts
. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date "NI'51 Card B-1 Date Card B-1
Datej4L_Z-1/-W, Card B-1 OOF Date Card B-1
Date FINAK(Plans) OK'except #'s
xt. Steps -Door & Sidelight ProtectioWa2n_dn�g_
Kj_-�gmoke Detector
A3--ru-rnace; Vents -Clearance -Comb. Air-Connector-
Iq_Garage; Above Floor-Ducts-Mech. Protection
A -C -Bedroom Exiting
65-15-F.I. & Bath Fixtures & Tub Access -Spa
66, -Ere -c. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Pails
�i_ �ir.pj.ce -®r Stove; Clea ra nces- Hearth
69-15rec. Outlets at Wood Panel; Int. & Ext.
7.0'kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7,1�Elec. Outlets & Receptacles at Kit. Counter
02Garage Fire Door; Swing -Landing -Closer
73,&� Duct in Garage -Damper
(nltr. Ht� I Vents -Clearance -Comb. Air-Connector-P.R.V.
t t�
ln�arage; Above Floor-Mech. Protection
75,151'b., Elec. & Mach. Equip. Listed for Location
76,,Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7j,-rn-su iatio n - Foam- Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
89��)llowing instId.; Dri�e
_P -Yes 0 No; Walks 0-Y s 0 No;
Planters 11 Yes 0"No
---&+-,STucco; Brown -Finish
82,�I�C Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
. Exterior Elec. Trim; G.F.I. Receptacle -Underground
8_& -Ventilation Throughout House
&�'Glass Protection
88. Corrections from Previous Inspecti �QL
-4W-Ga& Tdst- Meters Tagged; Gai-.erectric
W. r & Sewer C nnected-C/O to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
-7 Date Card B-1 C-5-/ Date 7,/PCard B-1,��
Date Card B-1 09 � / Date Card B-1
Datezz_42 i Card B-11,ArL,"' Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 El nfo t Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
vo-
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, 9� need additional explanation, please contact this office immediately.
Em
`W , —V
/ 4 0/1 C: 'IV A 1*111e4 e
�Orj -a tT ---I. j 'I.' e- --- .18 A /1' 14 A-- 6 —
V
Date— 04 4;/ 'Inspector C L
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordina'nce
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
matt or need additional explanation, please contact this office immediately.
0,415 -JCHtj
A
c4c-> OrJ40 /v7.f q;,e 13,o dLej
.1Y
14
ri
Date— Inspector— C
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
e
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.
j � J ( 4 '9.'1A " / e- 'A -
Date— Inspector L
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi I I* Ca I if erni a 95965 - Te I ephone: 916/538-7541
I
'APPLICATION AND PERMIT
PERMIT NO.
90-91
ASSESSOR PARCIEL NUMBER
64-69-05
ZONING
RT1
BUILDING PERMIT
OWNER
Michiel Haley
TELEPHONE
872-1528
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
P 0 Box 1682 , Paradise 95967
1447 R 57,880
480 M 6,720
CONTRACTOR'SNAME
Owner
TELEPHONE
128 open
640
CONTRACTOR'S MAILING ADDRESS
Fireplace i "At' 1,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 6,240
LENDER'S MAILING ADDRESS
Filing Fee
$
10.OD
Permit Fee $
334.00
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
15.CO
Energy Plan Checking Fee
$
15.CO
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14834 Colter Way, Magalia
Permit fee
$
374.00
PLUMBING PERMIT
FilingFee
10.00
Each Trap
2.00
16.00
Solar or heat pump water heater
20.00
20.00
LOT NO.
P0 -3
UBDIVISION NAW -E
I /�?
PARCE L MAP
-3r' 7 ?-
Water piping
5.00
5.00
-Each qas water heater or vent 5.00
USE OF STRUCTURE
SFXX DuplexF� MobilehomeE] Other -
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 5.00
5.00
__T__F_
Mobile Home 1SFG W 1 0.00ea
I
TYPE OF WORK
NewM Addition[] RemodelF� Utilities[:] InstallationE) Other
Describe work: Master # 41-88
Permit Fee $
56.00
Contractor
ELECTRICAL PERMIT Fi I ing Fee
10.00
Main service 600V OR LESS
tOO AMP OR LESS
110 .00
10.00
CONTRACTORS LICENSE LAW
1 deClar rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and T I*
y icense is in full fwwrW effect.
License No. 3 �v`&f? 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)
I am exempt under Sec.-, Business and Professions Code
for this reason
Main service EA. AOO-L 100 AMP
1 2.50
2.50
NEW CONST. DWELLING OCCUP.8i)
OR ADDNS. ( ACC. BLOGS. 21/20sq ft 48.20
N E W '-OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50 ea
(PO ER APPARATUS.&)
SINWGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 20@50C
5AL@ 300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 70.70
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100-00 (valuation) or less.
F-1 I have placed on file with the County of Butte Building Department
,� 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 beco e subject
to the W. C. provisions of the Labor Code, you must forthwith complymwith such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT Fi I ing Fee
-
10.DO
Heating
6.00
Cooling
6.00
Hood 3.00
3.00
Ventilation
Permit Fee $
25.00
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 ot
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 liabilit.ies, judgments, costs, and expenses which may in any way accrue
again ;aid County in f t.
X n/j/1 , ,,,co �squence o Jhe anting of this per I
Date rl C�
I
Signature of Applicant Owner El Contro5)orEl AgentEl
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 30.00
occ
CONST TYPE
TOTAL FEE $/ 535.70
AZ
I CUA
PARK
ISCHL
PAR PD
D IS
Th;s permit is hereby issued under
si�ns oi the Butte County Code -and/or
work indicated ab e for which fees
IC
By
1;�,
PEXMIT EXPIREiK Date
the applica6le prov,-
resohitinns o d`0
have been paid.
WORKS
Date*
7
Receipt No. 83920 - 70.00// IJ -V6
WHITE-D.P.W., YELLOW-ASSr.SSOFV)�LNK-INsprCTOR. GOLDENROD-7PPL I CANT
�w IK -7)
COUNTY OF BUTTE DE AR
_V&,,OP PUBLIC WORKS' BUILDING DIVISION
7 COUNTY CENTER DRIVE?o9Z)vILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
P ITAOLICATION DATA SHEET
Permit� No.
OWNER Ila /.I y
Proposed Building Use 141� Building Inspector Date
At time of permit application, I was advised the following data must be submitted priorfo permit processind qnd/or issuance:
DATE RECEIVED APPROVED
1 . All items have been submitted . ........................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
q Mobilehome installation data including manufacturer's installation
instructions . .
_a4 Fees olf $ ...............................
........................
11. Chico Urban Area fees paid .......................................
_06n. Park fees/paid _. .........................................
,15 — Pa r C1 School District fees paid .............. -U 44 'D_'
-�� 4. Sanitation approval from Health Department I Z 1012
lz� ,
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancv) lli 9 7�T_
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector 'ZDate'
21. Contractor's license information (No., Name Style, Classificati 0 n) ...
22. Certificate of Workmans Compensation Insurance ..................
,9.1 Owner- Builder Verification (Given to owner 0, Mail to owner 0) .....
OK, (a Recorded copy of Agricultural Acknowledgment Statement ......... �tlqZql-�
25. Letter of signature authorization ...................................
26.
27.
Whe ou issue the6jj.,. - s&a" follows: owner. —Mail to contractor.
Telephone 0 0- and hold for pickup at office. —Del.iver w/inspector.
Other A .4 4
Applicant _"k -.Date &
Copy of Haz-Matiorm sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent ___HealthDept. ---FireDept. _0the,r_ Date— By.
The following data must be submitted prior to permit
1. Index permit for above items No. -
2. Additional items required:
suance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _61hone--mal I —counter by 014/ ..date IASI&
Contractor, designer, owner, was advised of above required data by—phone —ma I I —counter by— date
Plans checked by Date Plans approved by A,/ Date 4/1SA,
Sets of plans on hold in —File
Copy—DPW
der
TO
FROM:
SUBJECT:
Buildina Department
Environmental Health
Sanitation Clearance
14 ?#,42
(e
owner Lod a ti off AP#
Plan Approved for:
Hold final for:
Final clearance O.K. for:
Sewaqe Disposal Water Supply
Water Supply
Water Supply
clearance for bedroom mebi-17e home. Other
NOTE * * *
�o
Date
s�-n Ata 4ia!T`
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diixeway Clearance
owner location AP #
Driveway permit has been issued for the above property.
n b
signa
./ure date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orov4le, Cai4rfornia 95965 - Telephone: 916/538-7541 6 — Q /
APPLICATION AND PERMIT _V_
ASS SS, PAR�ELC)UMBER Z.
ZON
BUILDING PERMI1T---_-----
07,10-h C,
A 6
TM H_ U&
I SO. FT. OCC. BUILDING VALUATION
OW ER
�51VIAIL;og ADORES
X -Pa—r d .
I
tly r�
CO
,,SRACTOR'S NAME
41141 OL
T'
I d 11
/_ 410
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONST UCTION LENDER
/f ;G rl C—
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 0
A CT OR ENGINEER
bi C_
LICENSE NO.
Plan Checking Fee
$ 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
41_ Q=C2 I f-& a
Permit fee
$ 196
PLUMBING PERMIT
FilingFWJ 10.00
V
Each Trap
1 2.00 1 OC
Solar or heat pump water heater
120.00 1 06
LOT NO.
UBDIVISION NAME
is
P A L MAP
Water piping
5. 00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplexf_� Mobilehome[] Other
SPEC[ FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
NewAn AdditionFj Remodel[:] Utilitiesto
�srllationEl other
Describe work: 6e -,. L8 c 14—
Permit Fee
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
110-00 Z), V_Z7
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
F1 % 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] 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 SC
OR AOONS. ACC. L..O. 'up"k)
12'/-,(tsqft
NEW CONSTR. MULTI-OUTLE T
NON-RESIC. BRANCH CIRCUITS)
12.50 ea
(POWER APPARATUS
-SINGLE OUTLET CIR.&,I)
Ex. Occup( OUTLETS OR FIXTURES
-6
1.20 0 50t
ALO 300
I —APPLWS- 0 ---
OCCUP, F XE
Ex. OUTLETS (RESI*D.)'F_A.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
. WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� 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.
F -I I shall not employ any person in any manner so as to become subject
to the W. C. laws of California. subject
Notice to Applicant: If after making this statement. should you become
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECH NICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.6-0 19
Venti I ation
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.
1 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 Contractor El Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of struc tureS over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST YPE
TOTAL FEE $
HAZ
I CUA [_P�L
I FLO
J
PAR
PO
T.h's permit is riereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. r??LL-D1JJ0— tvi, m&
WMITE�D.P.W.. YEL ` L ........ 11 -LI ... T
Cow i�ft -, 0 n Yar_)�14-
BUTTE COUNTY SCHOOLSDEVELOPMENT FEE CERTIFICATION FORM
�On;e For�m per Building)
A.P,. Number Building Department No.
School District Ptl rQ(j J*S City County rV1 Jurisdiction
LA�_J
Property,,Owner
Project Location/Address
Subdivision
Residential Development:
# of Living MHI
Units
New
Commercial/Industrial:
/BuildiW 15,e -p'art�-m(�ntR(�-presen,t�ati�
Lot Number
Sq. Foot!,age
Addition (GroUp'R5
Sq. Foot -age
Addition (Including Exterior
Roofed Areas)
///tv 171
I ' Date
(Floor Plans -reviewed by School District Personnel)
D i s t r,3',c t I d
-School District certifies that
(Applicant Name) (Phoh6 Number)
s)
Nity) (State) ((Zip -Code)
has complied with the requirements of Resolution No.
by the pa ment of, $ representing 4 s are feet.
MAkAk-A �Iql
Slhool District R&-p-resentative Date'
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:
white -applicant, -yellow -building department, pink -school district
SCHOOL.FEE (8/88)
-.91
tew. i
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8. 1 of the Butte� Qourity Code
reqLres this acknowledgeirient"' be.-tecorded
prior to issuance of a building permit.
91-006407
The property described herein is adjacent
to land or included within an area zoned
Recorded
for agricultural purposes, and residents
official Records
of this property may be subject to incon-
County of
veniences or discomfort arising from the
Butte
use of agricultural chemicals, including,
Candace J. Grubbs
but not limited to herbicides, pesticides,
Recorder
and fertilizers! and from the urs"it
8:01am 20 -Feb -91
9 1 -06407
i I '
Rec Fee 5.00
Check 5.00
k'
of agricultural operations including,
but not limited to cultivation, plowing,
sprayin . g, prun I ing, and harvesting which
occasibnally generate dust, smoke, noise, and odor. Butte County has established agricul-
t6ral zones whic ' h have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to' accept such inconvenience
or discFmfort from.normal, necessary farm operations.
-All—bT-at—redl prope.rty---*'situate in the County- of Butte,. State -of California,
foliow's:
DESCRIPTION
All that certain real property situate in the County of -Butte,
State of California, described as follows:
Lot 103, as shown on that certain map entitled, "PARADISE PINES,
UNIT NO. 2", which map was filed in the office of the Recorder of
--the,County-of--B-utte, State -of California,, on June 10,_*19,70, in_
Book 35 of Maps, at pages*71, 72, 73 and 74.
Date:
PROPERTY OWNERS:
I AAA-,�J�
State of On this the day of 19 b j fore me, the
SS. undersigned Notary Public, personal�y a42(peared4 I
County of /-)") 7 / /
descri,�ed -as---
Personally known to me. Proved to me on the basis
L.M. GALLEGOS
rZ.10 M , of satisfact y evidence.
U L C
1C. A IFORNIA
Coun
I n Expires
9
:'19 9 2]
NOTARY PU13LIC-CALIFORNIA to be the person(s) whose name(s)
tte N
Bu
M C Butte County
y Commission subscribed to the within instrument and acknowledged that nr�-
Sept. 22,
Lia., executed the same for the purposes therein contained. IN WTTNESS
WHEREOF, I hereunto set my hand and official seal.
i
Present A.P. No. � 4-69 -a.
/)/ , " Ya a � S
NoLary Public
END OF DOCUMENT
CD
k'
of agricultural operations including,
but not limited to cultivation, plowing,
sprayin . g, prun I ing, and harvesting which
occasibnally generate dust, smoke, noise, and odor. Butte County has established agricul-
t6ral zones whic ' h have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to' accept such inconvenience
or discFmfort from.normal, necessary farm operations.
-All—bT-at—redl prope.rty---*'situate in the County- of Butte,. State -of California,
foliow's:
DESCRIPTION
All that certain real property situate in the County of -Butte,
State of California, described as follows:
Lot 103, as shown on that certain map entitled, "PARADISE PINES,
UNIT NO. 2", which map was filed in the office of the Recorder of
--the,County-of--B-utte, State -of California,, on June 10,_*19,70, in_
Book 35 of Maps, at pages*71, 72, 73 and 74.
Date:
PROPERTY OWNERS:
I AAA-,�J�
State of On this the day of 19 b j fore me, the
SS. undersigned Notary Public, personal�y a42(peared4 I
County of /-)") 7 / /
descri,�ed -as---
Personally known to me. Proved to me on the basis
L.M. GALLEGOS
rZ.10 M , of satisfact y evidence.
U L C
1C. A IFORNIA
Coun
I n Expires
9
:'19 9 2]
NOTARY PU13LIC-CALIFORNIA to be the person(s) whose name(s)
tte N
Bu
M C Butte County
y Commission subscribed to the within instrument and acknowledged that nr�-
Sept. 22,
Lia., executed the same for the purposes therein contained. IN WTTNESS
WHEREOF, I hereunto set my hand and official seal.
i
Present A.P. No. � 4-69 -a.
/)/ , " Ya a � S
NoLary Public
END OF DOCUMENT
10 4 a 0 - I e
i
Building Owner _
Building Location
ENERGY INSTALLATION CERTIFICATE
Buildirfg Permit # >0 —
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material 0 —
.Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimim Thickness(Inches)
Area covered(ft.2) —
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
.-FOUNDATION WALL -
Material
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance (R Value) ...
Brand Name
Number of Bags_ Wt. per bag _ lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
. i - s,consistent with appr.oved-building department plans -and attachments and con-
forms with requirements of Chapter 2-53.of State of California �Perg y Requiremen
C)
FIRM NAME/O STATE CONTRACTOR'S LICENSE NO.
/�17
4 -- Z2/
SIG"KkTLfRE OF INS-TALfATION APPLI!� OR DATE
I hereby certify the required features, devites, and equipment, ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy equirements.
BUILDING CONTRACTOR[OWNER P ase Print) STATE CONTRACTOR'S LICENSE NO.
(FIRM - NAME)
SIGNATURE OF BUILDING CONTRACTOR/OWNER DATE
-!�"�7 ? x"
HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
-// /;�/ A
SIGNATURE.:OF HVAC CONTRACTOR j OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
.. .. _. - - _ .r_........ _ _. �..._ ___.. _. _., . _ __ _ _. ., ... _ _ - _ __.. __. ..
`p lj.
i{ic�itions M�
of pians and spy ,
set
and it is unla
fon+e, to at all times . X
e o ttei'attions On tam
k changes of a p
from the peparttr+��f
.make any
o t written permission ; /
Pubiic Wofks: Ga�'vntY f f ,
& orkrti►onsi+ip 'Std coldSpec
�rerur +�r�tl+ fEec+9ifiad in
rty pr"scr''bad• t1"fh es
IWA
'J
Of qUol
ng
Unlfert+a.'a "
_.<_.
�.40,4
0 1 i an
o
k
,� /103
i /CU Y1 C • ' /� .
Ai�b ot6it'fro�mthe �
/ party fines and of
r wct�/ t setback
.:.-
50 tt. from the fwd
ow tertine shall be dear at See Mesut no onf li ! Tar bwu",
' structures or equipment exoepl
ptant. Q/` O,e/
fora 2 it. save overhang.,4j1l�
OF Au Eric—
,s �5p, 00 l
G��� qo` a l