HomeMy WebLinkAbout064-690-01064-69�10
Doug ra'�'- C Bradley
14803 KI'agh ct. , 1&t - 152, PP#2, MA9
Permit #5320-- (new s-ingle
family)
4011,OWTU
-.,.-61-69-
Permit #,IrI'6"-&'IB(new open deck/SF)
064-690-010 PERMIT#9jr-1412
BRADLEY, Doug
14803 Klamath Ct., Magalia
Cont; North'State Roofing 11
Repair Roof/S,F
a
. ...............
064-690-010 PERMIT#95--m1412_
BRADLEY, Doug
14803 Klamath Ct., Magalia
Cont; North State Roofing
Repair Roof/SF
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDiNG IVISION
7 County Center Drive - Oroville, CaliforAia 95965 - Telephone (916) 53 /-7541 PERMIT NO.
APPLICATION AND PERMIT 9:5 5.
ASSESSOR PARCEL �UeEj/
e /, q_A —0/(3 11
ZONIr
11 -
BUILDINGPERMIT
OWNER
E
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILINd_ADDRESS
I H ptn,� C_,LAI /0!
CONTRACTORS NAME
won,6
[TELEPHONE
CONTRACTORS MAILING ADORE
VA(7e
Fireplace
CONSTRUCTION LENDER
UNW40WN
Total Valuation
Filing Fee
$ 20.00
LENDERS MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
/,I ALA , j,Okl-k
PERMITIFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONSNAME
IPARCEL MAP
— Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF,VDuple, 0 M,bil,h.rne 0 Other
SPECIFY
40
Water piping
15.00
Each gas water heater or vent
&00
Gas piping system 1 - 5 outlets
78. 0 0
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 1:1 Other
Describe Work: RWE 0454 tj�ZA t 0 960,
A An 14
Mobile Home 7rfl W
PERMITFEE
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0 0
0 Ov OR LESS
Main Service 20 A OR LESS
00
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provision 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.
License Class C - _1 � Lic. No. 7off 3 6 *7 1
OWNER -BUILDER DECLARATION I
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
13 1, as owner of the property, or my employees with wages as their sole Apensation,
will do the work, and the structure is not intended or offered for sal;.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. It
0 1 am exempt under Sec. Business and Professions Code for this
reason I
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
so
3.50 Fr.
NEW CONST. LTI-OUTLET
NON-RESID. BRMAUNCH CIRCUITS
97.50
POWER
( 8. �INGLEAOPUPTALTATUCSR.
Ex. Occup. ( OUTLET OR FD(TURES
20 @ 1.00
11AL Q .50
( OFIXED APPLNS. OR
— Ex. Occup. UTLETS (RESID.) EA
5.00-- 4
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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 C;de, for the
performance of the work for which this permit is"issued. I
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this perinit is issued.
My workers' compensation insurance carrier and policy number ai�e:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject,to workers'
compensation laws of California, and agree that if I should become Subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions. I
/ 9�5
X Date
Signdfuire of Applican e`t0f_bwner KContractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee is
Occ
CONST. TYPE
I
TOTAL FEE $
HAZ.
I D. FEES
I IMP
I FLOOD I
CDF
;Z7PD HD
ISJ�Ljro
This permit is hereby issued under the
of the Butte County Code and/or
'or
indicated above for which f ps ave
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date
pate)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY-AS-5ESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
0.
COUNTY OF BUTTE- DEPARTMENT OF 136ELOPMENT SERVICES -BUILDING VISION
7 County Center Drive - Oroville-, California 95965 - Telephone (916) /5�3-7541e PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBOY 4 q-6 —0
66, - /0
ZONING
1
BUkDINGPERMIT
OWNER '_� I
Dnaq
FE
IrZ X21
S11. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS I
I H 8111:5 r L41
CONTRACTOR'S NAME fll
Aniz P(MFIAI9
TELEPHONE
CONTRACTOR'S MAILING ;j7
"Vqo et") DIL
17 _e;.l
Fireplace
CONSTRUCTION LENDER
UNIKNOWN
Total Valuation $
LENDER'S MAJUNG ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING DDRESS
A 08013 &41m4k 04.
PERMITFEE $
3s,- IOU
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 1 7.00
LOT NO.
SUBDIVISION'S NAME V
IPARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF)j(Duple. 0 M.bileh.me 11 Other SPECIFY
Water piping
15.00
Each gas water heater or vent
-
15.00
Gas piping system I - 5 outlets-
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other)!(
J I
Describe Work: 3,WF INQ Re-DA'Q
j),p rz-0,4 silo&
Mobile Home IS I GI W1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 2 0.'0 0
v R LE:ss
Main Service amo-OA -OR L- 23.00
Main Service 200A TO 1000A
46.00
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.
License Class C_xy Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asowner of theproperty, ormy employeeswith 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.
0 1 am exempt under Sec. Business and Professions Code for this
reason 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.
0 1 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
NEW CONST. DWELLING OCCUR
OR ADONIS. a ACC. BUDS.
so
3.50 FT.
NEW CONST. ULTI-OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
PO ER APPARATUS N
( 8, SINGLE CUTLET CIR. I
Ex. Occup. ( OUTLET OR FVTUAES
20 (9 1.00
BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
orthw"n
' forthwith mply with those provisions.
X ;4, Date 91
of Do
1,� it �"D Owner
Sign Lire of Applican - wrier ><Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
Occ
CONS . TYPE
TOTAL FEE $
HAZ.
1 0. FEES
I IMP
I FLOOD
I C��PARCEL
PO HID
MLW
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above ave been paid.
Da7t
PERMITEXPIRESON j66 714
1 6W.) ,
ReceiptNo. 103-q&
CANARY-ASIESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
oo,
COUNTY OF BUTTE
UILDING DIVISION
DEPARTWENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
1 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A r6idtine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact thi� office immediately. " --
(20
REV 10/92
-3 IL
V-,
PERMIT NO. 5320-80B,P,&-,M
PERMIT EXPIRES-Z(7136/r/
OWNER Douglas C. Bradley
CONTR. owner
ASSESSOR PAR �#C69-10
LOCATION 14803 Klamath Ct., lot 152, PP#2,
Magalia
-T,
Temp. Power Pole
Called PG&E
Z--
,.:'�e p lec. Service
Called PG&E
Temp. Gas Service
CalledPG&E.
I.. FINAL - 1.a�.l
Signature
it = OK
0 = Not OK
- = Not Applicable MOOILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Pla;s) OK except #'s
1 . Zoning Req u i rement s-Setbac ks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ irements-Setbac ks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size-Depth-Spacing-Conneclors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracihg
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: /"L"ft./ Nat. or/ /"L"ft./ P'LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -131
Date Card -Bl Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
-Card-Bl
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test- Demand-Va I ve-C onnec tor
3. Pool Structure; Stee I -Connect i ons -Th ickness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc losures-Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -131 Date
Card -BI
Date Card -131 Date
Card B-1
Date Card -131 Date
Card -Bl
Date Card -Bl Date
I
%I = OK
1) = Not OK r
- = Nq� Applicable RESIDENTIM (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. zor4Rrrequirements-SWAMCks-es-aements
!nE-�
roperty Line Firewall & Openings
2. Ftd,�a �-Is 'k--Elec. Grnd.- / / Ftg. Depth
49'
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. tee I - / /" Ftg. Depth
-
PSI-
tairs; Width -Headroom -R ise-Run-Landi ng -F ire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
F lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Ste4vo'Mls, ZWf'�-B lockouts -Wrapped -S lab
52.
Sid ing-Nai I ing-Veneer
.1._Ste s, Ga4VV' St4W-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
ce Ftg.-Steel
54.
Glazing Area -Glass Protecti on-Skyl ights- P last ic
-T-.D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
5ear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test-Anchors-Regulator-Sery ice Test
11. Electric; Underground
2
12. Plenums & Ducts; Clearance -Material -Support -Ins.
0
13. Girders-Sills-Anchor�Bolts-Joists-Vents-Cripples
Card -BI
Date J;Ic Card-BIQG Date
Card -BI )c
Da I e 10 rard-BI Date
AM J-.4 AJ
Card -BI
Date Card -BI Date
Card -61
I D IL -V Card -81 Date
Date FIN
(Plans) OK except #'s
Card -BI I (�/ Date/Uyl Y Card -BI Date
Date
. I
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
EY.�ps-Door & Sidelight Protection- Land i ngs
67�.-Smoke
38--FAwmace-,
Detector
Vent s -C I earance-Comb. Air -Connector -
In Garaqe.�Floor-Ducts-Mech. Protection
5. Anch rs-Nail Protection
1 WatjvPipe;el�
& Anchors-Nai I Protection
94 --Bed
PLO om Exiting
_,���Shower
Pan; Test, First Floor -Tub Access
26S.L
1. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
6t.
gjae. Trim & Subpanel; Breaker Sizes -Labels
19. Gas PiRe; Size & Anchors
#�_
§ft_-F-irqjxlace
Stai% & Rai Is
or Stove; Clearances -Hearth
1"%A (X
wi-t
a J_ L,,
aZ.-'15-lec-Out
lets at Wood Panel; Int. & Ext.
_-AR
Card-1310�1
OIL -
Date '/'x4t/'W_,/'Card-Bll(,L4[11�bete _V// t- I f 4 '1-
69,-Rit_,Fixt.
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card-
1W. Outlets & Receptacles at Kit. Counter
Date
v I
(Permit) OK except #'s ;,�
�f�Garage
Fire Door; Swing-Landi ng -C loser
�,, , �Mn G�arage-Damper
-ELrPCTRICAL
.-Fixture & Transformer Clearance -Ins. Protection
69C-AYM-Mr.; Vents -C leara nce-Comb. Air-Connector-P.R.V.-
i:71 In aasage; Above Floor-Mech. Protection
KElec. Receptacles Spacing-Li�hts & Switches at Doors
. e
P I lec. & Mech. Equip. Listed for Location
- ---
bf..Size Boxes & No. of Conductors -Stapled
71t-Elec.
Receptacles in Garage; (G.F.I.)-Romex Protec.
Romex Installed Close to Edge of Studs & C.J
jeo
EW,'p. Ground made up w/Mech. Fasteners --AL
MIMMEMK Wat&
on -Foam -Looked in Attic Yes
71
G,,arcl Rails & Deck Construct i on -Post Caps
25.L-1 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size ga. Cu or I-A.C. Wire Size ga. Cu or Al
74.
Fdn. Vents & Crawl Hoje Door -Drainage & Wood -Earth Clearance
Looked under Floor ASWes
27. Range Circ. ga. Cu or Al -Oven Circ. ga.Eu or At,
,�ns led Neutral EDYes El No
75.
�ollowing instid.:/b QVe s F] No; Walks 0 Yes 0
Planters E)Yes UTNo
erE
v!�
Ir c�_Riser Conductors & Ground -Main Disconnect
-Equip-.-Clearances;
row ntFi�A'
i7 Pane Is-Motors-Mech. Equip.
effms!�_
71�_�.C.
Un!PDisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-�B
�.Iothes Closet Light -Shower Light
78,0VeatyAbove
Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79,
Woof -tell; Disconnect, Electrical, Plumbing
80fit'
-terior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
___�jate7 Card -BI Date
81,
VsLAilation throughout House
Card B -I
Date Card -BI Date
8�1�
Protection
Date
MEPHANICAL (Permit) OK except #'s
8Z;Torrections from Previous Inspections
M I Tagged; Gas -Electric
84-eaTTT - e
K� A.C. Ducts; Insulation & Support
85.
,qT-
& Sd1$Ntonnected-C/OUo-6Ya -HD Approval
WaLefl 'de
)r
ge Vent Fan; Exhaust above Insulation
4
86.
Energy Compliance Certificate -Other Certificates
4-aT-Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent-11L�-6tiet
-eEr-Altic Access & Platform if Furnace in Attic
Card -BI t)L-. Date I Card -BI Date
Z"
Card -BI ��e Card -BI Date
Card -BI f V1 Date Card -BI Date
Commepts at Final: I
Ca Card -BI Date
6� ,d -B! Date Card -81 Date
Date FP
,OAMING(Plans) OK except #'s
36. -Sills; Proper Material & Anchors
§f�,Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
C Ali 91 lu I I th:K
7 a
+:a-
AAMAe
Draft Stop in Walls (rat proof)
61
_40r,
Fire Stops; Furred Ceilings -Stairs -Chases -Tub w,
-,�JA'j /V A
-AP Ya
_CK
** Header & Beam -Size-& Bearing
W. -Hangers -Post Caps -Anchors -Connectors
VCln-g-. Joist-A-itr. T-ies-Purlin- Roof Brac.-Truss-Shthng.-Rfnp.
1Z Fireplace Ties or Type A Flue -Fireplace Throat
4
45��Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
.
4?6/bdrm. windows or Exiting Doors -Sill Hgt. & Dimensions
___
' -6-
arage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
CE YIFICATE OF
,;�vOE OF Tlhfe,,
op
4� e)
CP
z
4
Cr
ME A I Tac 9z
4 a- Z
-MANCE
C 0 N F 0 R
1HE UNDERS16NED MA NUFA C TURER HEREB Y CER TIFIES
that the products identified below and on attach - ed eets Nos. are marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of U. S. Product Standard
PS 56-73, for Structural Glued Laminated Timber, and that such manufacture has been at our plant in
Swisshome. Oregon , which plant has a quality control system approved by
the Inspection'Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected
periodically by such Bureau. The undersigned manufacturer further certifies that the work has been
done in accordance with the applicable job specifications.
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
JOB NAME: r -1-1i Tz:oM Timber, Tnr-.
JOB LOCATION: San Jose, CA
CUSTOMER'S ORDER No. 1091 DATE 10-1-80 MFGR'S ORDER NO. 1509-A
SIGNATURE
WV413�429e% a ITEWMA timvm r4r. 1�19 0
COMPANY American Laminators Inc.
Ess Box 46A Swisshome, OR DATE
10-1-80
A / TC HEREB Y CER TIFIE S- that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of
products which comply with ap6licable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant'is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the under-
signed, said company is capable of complying with applicable manufacturing and testing provisions of
said Standard in respect of products manufactured at said plant. Conformance with the Standard in
respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's
guarantee hereunder being that the said company is qualified to produce a product meeting the said
Standard and that its plant is.peri9dically. inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA
AITC Certificate No. A 43220 Signed for
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
'���PDinec,J.a,. Inspechon Bureau
Paul R. Bearrie JacA Minneci
Executive Vice President
9) 1978 AMERICAN INSTITUTE OF TIMBER CONSTRUC�ION
e -
PERMIT NO. 116-81B
PERMIT EXPIRES
OWNER Douglas C. Bradley
CONTR. owner
ASSESSOR PARCEL 64-69-10
LOCATION 14803 Klamath Ct., lot 152,PP#2
Magalia
Temp. Power Pole
.Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
-le
V = OK
0 = Not OK
- = NotApplicable -MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date (
DECKS ERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
�:��g
Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2.1!jRg��s; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3AI-ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Locat i on -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -Bl Date
Card -Big
r, -Date fj!Z467Card-B1 Date
Card -Bl
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1 . Zoning Requ i rements-Se tbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers- Brea kers-C I eara nces
Card -BI
Date
Date I I I Card -BI Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Soils; Compact i on -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GF1
6. Water; MH Test- Regu I a tor-Connec tor
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding: Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgh1g.
Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -Bl
Date Card -31 Date
Card B-1
Date Card -B] Date 1[_Card-Bl
Date Card -Bl Date
%1-= OK
0 = Not OK
= Not Applicable
= N�t Ready RESIDENTIAt (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Sternwalls, Main; Stee I -B lockouts -Wrapped -S lab
52.
Sid ing-Nai I ing-Veneer
6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect i on-Skyl i ghts-P last ic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails -
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -81 Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swing-Landi ng -C loser
68.
A.C. Duct in Garage -Damper
20.
21.
Fixture & Transformer Clearance -ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb, Elec. & Mech. Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
72.
Insulation -Foam -Looked in Attic El Yes
73.
Guard Rails & Deck Construct i on- Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ED Yes
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
27.
Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral E]Yes El No
75.
Following instid.: Drive 0 Yes E] No: Walks C:) Yes F1 No;
Planters 0 Yes 0 No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane Is-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrrit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
_35,
Attic Access & Platform if Furnace in Attic
I
Card -61
Date Card -BI Date
Card -BI
Date Card -61 Date
Card -BI
Card -81 Date
Card -BI
Date
Date Card -BI Date
FRAMING(Plans) OK except #'s
Card -BI
-Date
Date Card -BI Date
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing over Girders & Floor Nailing
-38.
39.
-Walls
Draft Stop in Walls (rat proof)
40.
41.
42.
43.
44.
4-5.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
RanTer -P�m daps -Anchors -Connectors
CIng. Joist-Rftr. Ties- Purl in - RooFBra��. -Truss-Shthnc
.1.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: - Size & Romex Protect i on -Draft Stop -ins. Baffles
46 .
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage -Fire Protection Framing
I (NOTE: Anentrymust be made each time youvisit jobsite)
RES IDEW TAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLTANCF CERTIFICATE
THIS IS TO CERTuy vlAT ENLRCY CONSERVATION IT-QUIREMENTS HAVE BEEN
INSTALLED IN CONFOlUb%NCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Klamath Ct Magalia
(location)
i5un.DIN(', PE101IT NO.S3,
I V Ae� A.P.. NO.
THE FOLLOWTNC HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check cach item or write N/A if not applicable).
YNSULAT ION: CLAZTNC,:
Slab Edge NA Single Clazed
Fdii. Walls NA Special (Insulated)
Floors"'k,J1 1000 CERT. & LABEL,FD WDS.
WallsR-13 1800 & SLIDING DRS. jig
Ceililig/iloof R-30 1920 0 WLATHLILSTICIPPED DRS.
Dtic t s BACK DA14i'ERED FANS**
Circulating Pipes-Ljj9.,e-' iNTEmITTENT ICNITION DEVICES -NA
APPROVED HEATER 4;g .';, CLWE. APPLIANICES
AHROVED vrR.11TR. A&Le-11
I DECLARE THAT ALL. REQUIRED- ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE wiTit THE ENERGY CONSERVAT10N REQUIREMENTS AND A6REF TO
'rill: COMPLETENESS OF THIS CERTIFICATE. AS SUBMIWED.
insuLacion Applicat,
Signature of
Instilation Applicat
kstate Cont -factors
Lice e No. 378407
Cenoral Contractor/owner Name. 2)6064151s X1211,1
si�,Imttive of (PIC" pri rit) .1
Con,-r.il Contractov/(mlcr ZZ Date 7-12-P
State Yntrac. . tors
ld'con6t No.
THTS CERTrFICATr 1111ST 'BE ON FILE WITH THE BUILDING DEPARTMENT. PRIOR TO
REQUESTING, FINAL INSPECTION AND SlIALL BL POSTED IN A CONSPICUOUS LOCATION
WITHIN 'rill-: DWEI-1,INC.
. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way; Chico — Phone: 891 -�751
7 County Center Drive, Orovi Ile — Phone: 534-45.0'
Skyway and Elliott Road, Paradise — Phone- 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OFr PI1q0PERTY ADDRESS
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
Inspector
Date—;7z5p �9�-
f
COUNTY OF BUTTE - DEPART�ENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 --� 0 —AC)
APPLICOON AND PERMIT V6
ASSESSOR qRC&JUM7
ZO
xt /
PILIA)q BUILDING Pd6K
/o-oc)
SQ. FT. OCC. BUILDING VALUATION
OWNER'S tvrAILING ADDRESS
2-r;7 retic- CT. 4 A�lAel,1941119,Z C4 �;�c7_5,4L
69t -Ad
46, 41f .6 1)
CONTRACTOR'S NAME f.
I—LEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LEND;;
JUNKNOWN
Fireplace I A'
25V CO
Total Valuation $
60
LENDER'S MAILING ADD.RESS
Permit Fee
ARCHITECT OR ENG
ILICENSE NO.
Plan Checking Fee
$ A,92!9, 5V
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
G
.UILDIN 4E6 ;3 K"A4A774
PLUMBING PERMIT
FilingFee /jD00
Each Trap
& 2.00 :20.06
Repair drainage or vent piping
2.00
Water piping
57� oo
LOT N 0
ON N
b �2E
ARCEL MAP
P,.36- 7Y--.
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [kr'� Duplex Mobi lehome r-1 Other SPECIFY
Building sewer
55. C7 4
Lawn sprinkler system
2.00
SOLAP_
ZIS-0
TYPE OF WORK
NewEr Addition[:] R emode I [] UtilitiesEl Installation[2 OtherF�
Describe work:
Permit Fee
P
contractor
ELECTRICAL PERMIT
FilingFee /1)00
Main service 600V OR LESS
100 AMP OR LESS_
5.00 0
Main service EA. ADD -L 100 AMP,
2.50
NEW CONST. (DWELL I NG
OR ADDNS. ACC.BLDG�V
20 s q I t
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e fect.
f
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)
1, 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 "QN5TR. MULTI -OUTLET
NON . RESID. BRANC H CIPC UITqJ 2.50 ea
NEW.CON,STFL POWER APPARATUS.6)
NON RES D. SINGLE OUTLET CIR
50 @ 25C
Ex. OCCUP(OUTLETS OR FIXTURES IBAL@10t
FIXED APPLISIS OR
Ex. Occup.(OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
'e-1 't f
&,.F4 A 0
Permit Fee
Contractor
MECHANICAL PERMIT'
Fi I Ing Fee /'Moo
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F -I 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 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 ftiaking this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating 9,0100 0
276—WT, pa" P
_57,00
Cool ing
—
7s -
Hood
_0
__-66 3-0c)
Venti lation
Permit Fee
$ 15
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 s County in C quenc o the anting of this permit
X At-
Date /& Iry
Signatur of Apflicant Owner El Con
,�i4
,/tar n Agent
An OSHA permit is required for excnvatmons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE U7-".
OCCUP. (;ROUP
E
JjfV01 COISI,
JPAR�J
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
By 4ZA
PERMIT EXPIRES Date—
the applicable provi
resolutions to do
fees have been paid.
WORKS
Date..
Receipt No.— 3Z<��
WHITE-D.P.W.. YELLOw-A4Lkov4O�g./FI:TOR/�&�.1&101-APPLIC.NT
COUNTY OF BUTTE — DEPARTMEW OF PUBLIC WORKS — BUILDING DIVISION
7 County,qentef Drive — 0 roville, California 95965 — Telephone 534,4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A.P. No.
Proposed Building 'Use
Permit fee based upon: Complete Contract Price __t,!n6PW Valuation
Building Inspector 7� er (explain) Date /;?— &0
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
1. All items have been submitted ...................................................................
2. Plot plans in duplicate/triplicate ...............................................................
3. Complete plans in duplicate/triplicate ...................................................
4. Complete engineered plans and calcs . ............................................. : ......
5. Plans with Energy Design Compliance Statement . ...........................
6. State Energy Forms No. ....................
Statement of I t t for n -Heated & AC Buildings.
,e
e e, s of $ 14
e
9. Letter of signature authorization .............................................................
:Q�?f6- Sanitation approval from A2441111V Health Dept.
11. Planning approval for- ..............
A
12. Certificate of W5rjkKm'en's Compensation Insurance ........................
0
dn' t r. a �co Ks , AMdfimtlation (no., name style,
L/ classification) . ..................... 4-
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ................................................................................................
15. Pre -inspection for required. Pra,inspec. request to
16. Other bidg.inspector (date)
When you issue the permit, process as follows: _t-_,-<aiI to owner Mai I to contractor.
Telephone and hold for pickup at office. —Deliver w/ins ction.
pe -
Other 4
Applicant
ate I;v _A4
Copy of plans sent — Health Dept., — Fire,"'Dept., , Other'— Date—
During the plan checking process, the following data must be submiktedotior to permit issuance:
(For required items not checked above at time of applicati 0?ot item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans approved by
OTHER:
Copy/DPW
Telephone
Mail
Other
Date
To: Building Department
From: Environmental Health
Subject:' Sanitation Clearance
W"4'!!k
I"
Sanitariafi-
te
MOM
Owner
Location
AP#
Plans approved for:
Sewage Di sposal
Water
Supply
,Hold final for:�
Water
Supply_
Final Clearance O.K. for:
Water
Supply.
Clearance for '2 bed room
mobile Other
Clearance for addition of
Note**
—Z
I"
Sanitariafi-
te
MOM
In
TMOC' L A N D OF NAT U.R A L W E A L T H A N D 13 A U T Y
DEPARTMEINJIT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVICLE, CALIFORNI'A 95965
Telephone: (916) 514-4681
-H. W. McDONALD
Deputy Director
May 20, 1980
Bill Birge
RE:. Prop6s'ed Abandonineat, PUE
9215 Skyway
Paradise Pines #2, Lot 152
Paradise, CA 95969
Dear Mr. Birge:
Pursuant to your,letter of May 16, 1980, concerning
the abandonment of a. public utility
easement located on Lot 152, Paradise Pines
Unit No. 2, please complete the following
on,the attached petition for abandonment:
1. Get signatures and addresses of adjoining property owners who may have an
interest in said public easement, plus other property owners in the area,
totaling five or more.
2. Date petition.
3.- We need letters from all utility companies and Paradise Pines Property Owners
Association stating they no longer need said. easement..
4. Submit a check to this 'office in the
sum of Fifty Dollars ($50.00) made out
to the Butte County Treasurer.
If we can be of further assistance,*please.notify
this office,
Very truly yours,
Clay Castleberry
Director of Public Works
Original sigited. 6),
W. M,D...M
HWM:jm
H. W.' McDoftald
Encl.
Deputy Director
cc: Mapping/wo encl.
partm
3t-u�idin�. -De - -entlwo--e-n-Z.
COUNTY OF. BIJTT-El - DEPARTMENT OF PUBLIC WORKS
7 CouVty Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT 0
7 -
AA
ASSESCqA�EL NUM
6ER
Z014ING
BUILDING POAF_
• ER
Ait Ofu^ t 1
. I- . --2" -
TELEPHONE
?7 -.2 6
SQ.FT. OCC. BUILDINP
VALUAT ION
Y
• NERIS IT' ESS
ef
_2J
CONTRACTOR'S NAME U
I &kQJ%LA_) I
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Altrl�
UNKNOWN
I
Total Valuation 3
Filing Fee
$ 10.00
I
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
Alkw�
LICENSE NO.
I
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRFSS
ILA? 0,? e&UAJ-
PLUMBING PERMIT
Filing Fee. 10.00
1V CA_ PVI -L
Each Trap
2.00
Repair drainage or vent piping
5.00
U
Water piping
LOT NO.
SUBDIVISION NAME
I & ,
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
I
USE OF STRUCTURE
SFK DuplexF� MobilehomeF� Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New R �ddltion"K Femodel[] UtilitiesF� Installation[] OtherEl
Describe work:
Qvisr/ 119e C.A1_1 -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.01)
OR ADDNS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1
0 1 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 —
El 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)
F1 I am exempt under Sec.—, Business and Professions code
for this reason
NEW CONsTR- MULT'_OUT LET
N.N-RESI., BRANCH CIRCUITS) 2.50 ea I
N E W C 0 N S T R. POWER APPARATUS It
NON-RESID. I SINGLE OUTLET CIR .
Ex. Oc-7— R FIXTURES 50 25C
CUP OUTLETS 0 BA@L @ 100
(FIXED APPLN5. OR I
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
-T
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00 1
Ventilation
:J
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County 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 liabilities, judgments, costs, and expenses which may in any way accrue
I .
against/�pid County in consequen o the granting of this permit.
Date
X z2e_e_� . !�,? e/ -
Signature of Aw/Kcant - Owner 1:1 con&o, E] Agent 0
An OSHA permit is required for exc avations '0" deep and demolition or construct-
ion of str ctures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occUP. GROUP
IL4 _ /
I TYPE OF CONST.
7/— Al
JPARrELJ
L"�
Z�,
Iss E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF BLIC
B AL
PERMIT EXPIRES Dat
the applicable provi7
resolutions to do
fees have been paid.
WORKS
Date 1-144--001
I 4—J6!:n�
Receipt No. -LIV-3 k�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
W MAN.'
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