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HomeMy WebLinkAbout064-690-006/ 'HALEY, Mikq,- . ��� u� ~~ �� il I 13 RESIDENtIAL' '--64-69-06 484-91B,P,E,M HALEY, Mike 14826 Colter Way, Magalia (new sf) �5-1 /57,-�- JOB FINALE Signature V = Ok 0 Not OK Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requ ire ments-Setbac ks- Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 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 P'LPG 7. Utility Clearance Date Card B-1 Date Card B-11 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Jrs 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas: MH Test- Demand -Valve -Con nector 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. Carl. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requ I rements-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders andior Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; N ai I I ng -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 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; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK 0 Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDEEFLOOR (Plansi OK except #'s I -Slope Main; Soils-EIecJW,"t.--y2" Fig. Depth 13,'-Ftg., Garage; Soils-Steel-Elec. Grnd.-/10.:� Ftg. Depth 4. Ftg,-Porches & Decks; Soils -Steel-/ /Ftg. Depth "tem.waiis, main; Steel -Bloc kouts-Wra p ped mwalls, Garage; Steel-010CROULS-Wrapped 6a. 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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date,!�_-r—q'/ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1< Wat��Htr.; V��Acco-Combustion Air -Baffle &_119ater Pipe;de -*-Anchor-Nail Protection 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 'L,2 -51Card B-1 C JJ Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except It's 21 Fixture & Transformer Clearance -Ins. Protection 2V Elec. Receptacles Spacing -Lights & Switches at Doors 24/size Boxes & No. of Con d ucto rs-Sta pled 2§"Romex Installed Close to Edge of Studs & C.J. 2%aquip. 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. 0 ga. Cu orEj,��ven Circ. ga. Cu or Al. Insulated Neutral 13,fes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Pane I s- Motors- Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light IVY—Smoke Detector Date 1) fCard B-1 C,5 J Date Card B-1 Date Card B-1 Date Card B-1 Date ME4ANICAL (Permit) OK except If's WA.C. Ducts Insulation & Support -35--Vent Fan; Exhaust above insulation Se.-eandensate Drain & Overflow; Size & Grade tT.-Tbrnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 1177Mic Access & Platform if Furnance in Attic Date 10,fi Card B-1 C, 114-4 Date Card B-1 Date Card B-1 Date Card B-1 Date FRPAING (Plans) OK except #'s :�6. sps, Proper material & Anchors 40Aalls Studs -Nailing, Spacing & Bracing- Plates -Sou nd J3earing Wall over Girders & Floor Nailing paft Stop in Walls (rat proof) W-�Ffre Stops; Furred Ceilings -Stairs -Chases -119 44. Headers & Beam -Size_& Bearing Date _FRAMING (Continued) Hp(fe'rs-Post Capy�nchors-C nnectors /2,Wing. jois es-Purlin—roof Brac-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance A --- Size & Romex Protection -Draft Stop -Ins. Baffles 1-j:>, rm. Windows or Exiting Doors -Sill Hgt. & Dimensions ,W,,6rarage Fire Protection Framing 81.,Pfoperty Line Firewall & Openings 5f Ext. Doors -One X -Check Garage -3rd Story, 2 Exits Width -Head room -Rise-Run- Landing-Fi re Protection !t4.,$'ywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer C. - 7- / ­� / TE -1901 56. Ptucco Mesh -Drip Screed -Fd. Vents-Underfir. Access lazing Area -Glass Protection-Skyl ig his- Plastic r Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date 4- 1.0 '; Card B-1 e4;�J Date Card B-1 Date -4-;9 Z�-ard B-1 i;w Date Card B-1 Date FINAL (Plans) OK except #'s Ki. _JExt. Steps -Door & Sidelight Protection -Land i ngs kk. Smoke Detector ,63. Furnace; Vents -Clearance -Comb. Air -Connector - VeX�Garage; Above Floor-Ducts-Mech. Protection edroom Exiting K G.F.I. & Bath Fixtures & Tub Access -Spa 66/'Elec. Trim & Subpanel; Breaker Sizes & Labels ifi.Airs & Rails i�2place or Stove; Clearances -Hearth Kgeiffiec. Outlets at Wood Panel; Int. & Ext. VfO.,Kjj�,Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance tKAlec. Outlets & Receptacles at Kit. Counter .W2. _§4rW§e Fire Door; Swing -Landing -Closer Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. >5;da,rage; Above Floor-Mech. Protection *41��Elec. & Mach. Equip. Listed for Location [-71E;t!qc­Receptacles in Garage; (G.F.I.)-Romex Protection I Wation-Foam-Looked in Attic 0 Yes ;1rd RR4'q & Deck Co nstruction- Post Caps Fdp. Vents & Crawl Hole Door -Drainage &. Wood -Earth .Zlearance Looked under F_Lol!rr 11 Yes M. Following instid.; Drive ET Yes 0 No; Walks 0 Yes 0 No; ,�Planters 0 Yes 0 No Acco; Brown -Finish Unit; Disconnect, Electrical, Plumbing Kv'.nts Above Roof; P[bg.-Appliance-Fireplace.-Clearance to _'Z' Openings #44._Water well; Disconnect, Electrical, Plumbing V6 l;xterior Elec. Trim; G.F.I. Receptacle- U nderg rou n d CaeVeptilation Throughout House &?.-Alass Protection .15<,doge ct ions from Previous Inspections 0§.,,,I.as TO -Meters Tagged; Gas -Electric & Sewer Connected -C/O to Grade -HD Approval Cc Certificates Date fflebjlOf I Card B-1 U&X( Date Card B-1 Date 14 /7�_/ 1� Card B-1 1�45i­ll Date Card B-1 Date , I . . Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Building Owner Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material .Thickn,ess(inches) CEILING * Battor Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR 2 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 Re.sistance(R Value) Brand Name . Number of Bags_ Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Res*istance(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 --cons-i-stent with approved. building department plans --and attachments -and­con� forms with requirements of Chapter 2-53 of State 0 C liforny' En rgy Requirements FIRM R STATE CONTRACTOR'S LICENSE NO. 0 TURE OF INSTALLkTION APALICATOR DATE I hereby certify the required features, devices, and equipment, a'� 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 CONTR TOR/OWNER LPAease Print) (FIRM -NAME) SIGNATURE OF-RILDING CONTRACTOR/9j4NER . ��? Fo_�3 '415, 1 STATE CONTRACTOR'S LICENSE NO. bATE X� I 1V 7 eo '13 x/S HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. NATURE:OF-HVAC CONTRACTOR/OVN DATE THIS CERTIFICATE MUST BE ON FILE V TH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE.BUILDING. SEPTEMBER 1988 OWNER COUNTY OF BUTTE IF DEPARTMENT OF PUBLIC WORKS 146 Memorial Way, Chico — Phone: 891-2751 7 County Ce'Oter Drive, Groville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 anv question pertainina to this Vol COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5�8-75411' 747 Elliott Road, Paradise— Phone: 872-6307 ORRECTIONNOTICE PERMIT NO. A routine inspectfon 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. L Date lr-- � q I Inspector 4il-1111111 COUNTY OF BUTTJE', OEPARTIVIENT OF PUIBLIC 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 P-10 I t If OWNER ly- 7 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 matt o need additional explanation, please contact this office immediately. V 1 1.5 ' P', -V c, st t%A e_ d4;� I CA 0 A/& /Z - /-LW 2)��AqeAltx Le-qiC 1,-) liirv- )/,jc- tr J AC,.Fr ola to / 9 AZO RfkV K-01 4 C - Date— Inspector. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Califdrnia 95965 - Telephone: 916/538-7541 I APPLICATION AND PERMIT PERMIT NO. 484-91 ASSESSOR PARCF-L NUMBER 64-69-06 ZONING BUILDING PERM14,,,_� OWNER Mike TELEPHONE 872-1528 SQ.FT. OCC. BUILDING VALUATION - 1447 R 57,880 OWNER'S MAP4y-DDRESS P 0 'Rnx Paradise 95967 480 M 6,720 CONTRACTOR'S Ownpr TELEPHONE 128 0 640 CONTRACTOR'S MAILING ADDRESS Fireplace i "All 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 66,240 Filing Fee $ '0.00 LENDER'S MAILING ADDRESS Permit Fee $ -3-':.4 - nn ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14826 Colter Way, Magalia Permit fee $ 374.00 PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 8 2.00 16.00 Solar or heat pump water heater 20.00 20.00 LOT NO. 104 UBDIVISION NAME IS Paradise Pines ARCEL MAP P-3 If Water piping - 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFUX DuplexR MobilehomeF� Other SPECIFY Gas piping system I - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S 110-00e� TYPE OF WORK NewMK AdditionD Remodelo UtilitiesEl InstallatiorIF OtherE:1 Describe work: Master #41-88 7 Permit Fee $ 56.00' Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declar 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 e f fect. License No.39�2 55-0---'5 - 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) El I, as the owner, am exclusively contracting with licensed cOIILI.1C;L- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5d) OR ADDNS. ACC.BLDGS. 21/20sq ft 48.20 NEW CONSTFL MULTI-.UTLE:T .0...ES'.. B RANCH CIRCUITS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR 20050t Ex. Occup( OUTLETS OR_ FIXTURES 5AL@ 30C FIXED APPLNS OR Ex. OCCUP. OUTL _ TS (RESI*D.) EA.) 2.00 F Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ -- 80.70 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n 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 / f Consent to Self -Insure. 0! 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: It 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 Filing Fee 10.00 Heating 6.00 Heat Pump Cooling 6.00 Hood 3.00 3.00 Venti lation - 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 Countyot Butte to enter upon the above-mentioned property for inspection purpos S. 1 also agree to save, indemnify and keep harmless the County of Butt:against all liabilities, judgments, c ts, and expenses which may in any way accrue agai id C t , is per X Mozans uence of th grriting of th Date Signature of Applicant - Owner D ControcIr E] Agent El An OSHA permit is required for excavations over 5'0­-d-p25dZemoIition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 1�qergy Inspection Fee $ 30.00' q6A (r ;UE TOTAL FEE $ 5.70 �fi HP �,�J �UA I �ARK I SC ;4,ss�v T.h'.s permit is hereby issued uncer sions of the Butte County. Code and/or work ' icat abov f F which 1/1 ;t DIR.EC 0 PUBLIC B 449 PERdIT EXPIRES Rate tne appiicabae resoluticirs fees have been WORKS Date- 5, provi- to do paid. Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, P R-4 CMECTORI d0l OENROO-APPL I CANT ;PF "A COUNTY OF BUTTE DE�PXRT&X*,'�'�PIQBLIC WORKS BUILDING DIVISION f'AL 95965 - TELEPHONE: 916/538-7541 7 COUNTY CENTER DRIVE - OROVILLE PERMIT APPLICATION DATA SHEET . % Permit No.— OWNER A Le� Y A. P. No. Proposed Building Use Building Inspector Date NI At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .. ................................. 2. Plot plans in duplicate/triplicate, 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) 9. Mobilehome installation data including manufacturer's installation instru Itions. . _1� �10. ees f 11. Chico Urban Area fees paid ....................................... __�2. Park fees paid .................................................... ':dk13, P( Sc ool District fees paid .............. 9 7 -�4. Sa - nit I ation approval from — All P=lq Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Pl�nning approval for (A) Use:—(B) Parking: . ...... :Mg�Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prio� to occupancy) 20. Pre -inspection for required ... Pre-Inspec. request to Building Inspector —(Date) 21. Contractor's license information (No., Name Style, Classification) . .. 22. Certificate of Workmans Compensation Insurance .................. 9/Owner-Builder Verification (Given to owner 0, Mail to- owner 0) 0 9 R T__ __:__�4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Whe ou issue the permit, process f 0 11 ows: — Ma i I to owner. —Mail to contractor. Telephone S -77Z rand hold for pickup at XIM office. —Del.iver w/inspector. Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ---Air Pollution Date Copyofplanssent ___HealthDept. —FireDept. —Other— Date— By. The following data must be submitted prior to permit issuance ircle 1. Index permit for above items No. 1 6 K� �9 � 2. Additional items required: .I( . --- Contractor, designer, hecked above). s advised of above required data by�—_phdne___rnaI I —counter by—date Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date , 0 Plans checked by Date Plans approved by Date —Sets of plansonhold in Copy—DPW File cabinet _AP folder TO: Building Department FROM: Encroachment Permit Section RE: 'Diiveway Clearance o-06 owner location AP # Driveway permit -,V — 04�4 has been issued for the above property. n b s 4ign r e AZ C7 date TO Buildina Department C 0 - FROM: Environmental Health SUBJECT: Sanitation Clearance lop OwnT9 Location AP# Plan Approved for: Sewace Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for _:I_ bedroom nPb&,Iq home. Other NOTE A * * Water Supply _ Water Supply —1k Sianita fan Date N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovnie, Call1ornle 95965 - Telephone: 918/538-7541 APPLICATION AND PERMIT , PERMIT NO ASSESSOR RAML, NUMBE & �4 — Z 0 N )�/ BUILDING PERMIT OWN CRI�H� ON11 OCC, SO. FT. OCC. BUILDING VALUATION Z44 911-7 07R'3 MAILING A007;; ILI9 16,>C 71 44i�-410 &I CONT AE� CONTRACTOR'S MAILING ADDRESS Fireplace I!A A / 0 0 0 CONSTRUCTION LENOER UNKNOWN Total Valuation Is ,-k 4A 49 LENDER*S MAILING ADDRESS ---Ti7FFiZ—N Filing Fee $ 110.00 Permit Fee $ ARCHITECT OR ENGINEER S E N 0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER*S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1.4 162-6 g�- 19 Permit fee $ PLUMBING PERMIT FilingFee 10.00 AWALM Each Trap 2.00 Solar or heat punpr'Vaite��ter 20.00 LOT N 0-4 ZL/)I� SUB IVISIOIN N E F 7 S C-1 I i I #� PARCEL MAP Water piping 5.00 4 Each qas water heater or vent 5.00 17W USE OF STRUCTURE SF Mobiiehomeo Other DuplexF SPECIFY TYPE OF WORK Newx Addition[]. RemodelD UtilitiesD InstallationEl Other[] Describe work: TE le- -4 Z - YZ Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 1-5,C)o Mobile Home S I G I W — 10.00 ea —r Permit Fee $ ig��, 10 P Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service OOOV OR LF SS 00 AMP OR LESS 10.00 ,�9, 69 C) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. Classification. M 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) El 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. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCC OR ADDNS. ( ACC. BLDGS. U P'al �vi�L—qft N E W C 0 N S T R- MULT'-OUT LET N ON R S,., EIR.11C. C, RC., TsL_ 2.50 ea . . ­ .. . — ( POWER APPARATU & -SINGLE OUTLET CIR. Ex. OCCUP( OUTLETS OR FIXTURES 0950t .2ALO 300 F71 X E D Tk'p P --LN s. 3 R Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 H Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement. should you beco ie subject to the W. C. provisions of the Labor Code, you must forthwith comply'rwith such provisions or this permit shall be deemed revoked. Contractor ECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Go-ritractor 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 against said County in consequence of the granting of this permit. X Date_ Signature of Applicant — Owner EJ Contractor El Agent F� An OSHA permit is rTuired for excavations over 5'0" deep and demolition or cons'truct- ion of structures a v. r stories in heighe — Mobile Pome Installation Fee $ Energy Inspection Fee $ -�3 9, /0 C) occ —TIIAZ. CON T TYPE TOTAL FEE $ t L/ CUA I PARK F I PAR JPD JJHD= This permit is hereby issued unaer the applicable provi- sions oi the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B y Date PERMIT EXPIRES Date I R ec e i p t No. (a Z��W' WHITE-O.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. J��.E ....... 11..A.T I 4:1;".tv Return to DPW AGRICULTURAL STATEMENT OF ACIGIOWLEDGEMENT . I I I 71 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code J requires this a�knowledgement be recorded 5_1;8-on� till, prior to issuance of a building permit. The property described herein is adjacent ACCEPTED RECORDING to land or intluded within an area zoned AT 8.01 A.M. for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not' limited to cultivation, plowing, sprayingi pruning, and harvesting which otcasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes; and res - i ' dents within said zones and on adjacent property should- be prepared t9 accept sl�ch inconv i or discomfort from normal, necessary farm operations. ,,!eq�ence All thae-f;ed3:-.--.prope�rty., situate in -the County of Butte, State of California, . described'.1as follows: LOT 104 ;'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 Butte, State of.Californid, on June 10, 1970, in Book 357of:Maps, at -pages -71; 72,-73 and 74. Date: i / , / PROPERTY OWNERS: State 0644u,"'q ) On this the day of 19 ) SS. undersigned Notary Public, personal-l�y appeared County of &773:�_ *�* 0 W A. W op��, % Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) - /�s 10 'O's subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained IN WI NESS'' WHEREOF, I hereunto set my hand and official seal. WO before me, the Present A.P. No. 96 -006 Notary Public J before me, the Present A.P. No. 96 -006 Notary Public 7.----r--74Pi_'--fJW?'-4J.'A" %j'?% -io �. %r, �� BUTTE COUNTY SCHOOLS'DEVELOPMENT,FEE CERTIFICATION FORM (one Form per Building)* A.P. Number Buildinq Department No. School District— /"Wsz�) C'i t y F__1 . County Property Owner Jurisdiction Project Location/Address 67 n Subdivisio Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: New f Buildifig Dopartmer�t Representative Sq. Footage Addition (Including Exterior Roofed Areas) J Date (Floor Plans reviewed by School District Personnel) District. -Id No. School District certifies that 111A ('App -1 ' icant &ame) (Phone Number) ddress) (city) (State) .(Zip Code) has complied with the requirements of Resolution No. $ 0 ae// by the payment of representing s feet. (Ijid a'_?qXz_E Schobl District R6 -presentative DAte PAID BY CHECK NO. REMARKS:, BANK NO / 1_3� PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Return to DPW AGRICULTURAL STAMMiT OF ACXNOWLEDGEMENT 18 4 G FOR RESIDENTIAL, PEVELOPMENT Section 26-8.1 of the Butte Countv Code requires this acknowledgement be ' recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 91-018040 1 Rec Fee 5. 00' for agricultural purposes, and residents I Caeh 5.00 - of this property may be.subject to incon- Recorded I veniences or discomfort arising from the official Record8 I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbf3 I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 8:01am a -may -91 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which 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 discomfort from normal, necessary farm operations. All th-at _redl- �prope�rty, -situate in . the Countv of Butte, State of California, described as follows: LOT 1049' 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 Butte, State of ' CalifornLi, on June 10, 1970, in Book 35 of Maps, at pages -71, 72,-73 and 74. Date: PROPERTY OWNERS: A /-/ Y4- , State OfK�ix.,J.",q On this the day of 19 County of )&7715- SS. undersigned Notary Public, personalZy appeared 0 64 00 00 roo ..O*o .,o - ca� \ 0. Personally known to me. 1:1 Proved to me on the basis V.o 0 . 01 of satisfactory evidence. IN to be the person(s) whose name(s) , ,�S q 10*3 subscribed to the within instrument and acknowledged that '000 '000 executed the same for the purposes therein contained . IN WITNESS Tt WHEREOF, I hereunto set my hand and official seal. before me, the Present A.P. No. 0&y-�96-00 Notary Public END OF DOCUMENT DATE 4/26/96 FROM: Narne: D. Finney Address: 7020 Skyway Attn: np-hhi P Phoric: 877-6244 Fax: 877-5460 'c County Building Division TO: DutL %- 7 County Center Drive Oroville, CA 95965 Phone (916) 538-7541 Fax (916) 538-2140 SUBJ: Request for Building Permit Information I Request you research the building permit records for the following parcel: A.P. # ADDRESS OWNE R'S NAME 064-690-006 ' 14826 Colter Way — — First Int. Bank Please research any building, permits applied for, issued and finaled on this property. I I understand a research fee of $23.00 (minimum) is required by the Building Division. Research and report LiMC in excess of 30 ii-iinutcs will be billed at $46.00/hour in 30 minute intervals. (Butte County Ordinance #3075, effective 7/12/93, rcquircs payment of this fee.) Please &f Mall El Fax report to me at address/Fax # above. Signature of Requcstcj�/ Atch: Check for $23.00 (Payable to Butte County Treasurer) lK n .. ._ r .. "t ... . - w { .. � � � _ .. � �, � } . :�': .. C