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Home My WebLink About064-710-01064-71-10 Harold L. Welborn ' 14697 Skyway,, lot 50, P_#2, Magalia Permit #2219-81B,P,E,M(new single j% family) ,��J�IO �.: 064-710-010 99-1643_ WEBSTER; Victor & Kathy i a 14697 Skyway, Magalia Contr: • Owner- �i il4/ Conversion of garage_ to family room �} s +a c • R ' " • Ifs � , — , d 1 M %J • o � •1c� 3 IR: NOTESRESIDENTIAL V. ^064-710-016 -- 99-1643 PERMIT NO... WEBSTER, Victor & Kathy 14697 Skyway, Magalia- -- Contr: Owner Conversion of garage to family room is i j SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) MU Signature V= OK 3. 0 = Not OK 1. - = Not Applicable . MOBILE HOMES = Not Ready 2. Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 2. Soils; Special MH Support Sketch MISCELLANEOUS Date . 3. Sewer; Location -Test -Fall -C/O -Concrete 1. 4. Water; Location -Test -Easement Needed (Sketch) 2. 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 3. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 4. 7. Well Clearance & Disconnect 5. 8. Utility Clearance 6. Carports; Windows -Doors 7. Electric Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date Siding; Nailing -Veneer -Stucco -Mesh 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 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date 8. Card B-1 Date Card B-1 Date 9. Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test MISCELLANEOUS Date . DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Read aisle = Not Ready RESIDENTIAL Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-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. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test (Single & Duplex) Date Card B-1 Date Card B -1 - Date EL ICAL (Permit) OK except #'s ixtur ransformer Clearance -Ins. Protection ec. eptacles Spacing -Lights & Switches at Doors ize Boxes.& No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulgted Neutral O Yes O No ..r a -Riser Conductors & Ground Main Disconnect 3 quip. Clearances Panels-Motors-Mech. Equip. 33. CI thes Closet Light -Shower Light -Spa Light )Smoke Detector Date 12. Electric Underground Card B-1 13. Plenums & Ducts; Clearance -Material -Support -Ins. Card B-1 Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 36. Date Card B-1 Date Card B-1 Date Condensate Drain & Overflow, Size & Grade Card B-1 Date Card B-1 Date 38. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -1 - Date EL ICAL (Permit) OK except #'s ixtur ransformer Clearance -Ins. Protection ec. eptacles Spacing -Lights & Switches at Doors ize Boxes.& No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulgted Neutral O Yes O No ..r a -Riser Conductors & Ground Main Disconnect 3 quip. Clearances Panels-Motors-Mech. Equip. 33. CI thes Closet Light -Shower Light -Spa Light )Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 DateAMING (Permit) OK except #'s S_Wroper Materials & Anchors of"W-0-Studs-Nailing Spacing & Braces -Plates -Sound . BeaLiFtTWalls over Girders & Floor Nailing 4 r top in Walls (rat proof) 44/firq,S16ps, Furred Ceilings -Stairs -Chasers -Tubs 45 eaders & Beams -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors . oast-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. .r eOace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles m. flows or Exiting Doors -Sill Ht. & Dimensions e Protection Framing ne Firewall & Openin _2!Ext.._ 9.ors-One 3' -Check Garage 3rd Story, 2 Exits Fire Protection §5elFfywo oof Overhang -Attic Vents -Rafter Outriggers �Stucco-Mesh-Drib Screed -Fd. Vents-Underflr. Access _ . Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 2+ In Iation-Walls-Ceilings nfiltration-Walls-Windows op Date Card Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s Ext.teps-Door & Sidelight Protection -Landings o metector urnace Vents -clearance -Comb, Air -Connector - In G e; Above Floor-Ducts-Mech. Protection ec!_Lperin Exiting F.I. Bath Fixtures & Tub Access -Spa 6 c. & Subpanel, Breaker Sizes & Labels 6 airs & Rails 9�flTepTor Stove, Clearance -Hearth Zi-Iffe-c. Outlets at Wood Panel, Int. & Ext. I . ixt. & Appliance; Ground -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure in arage-Damper _ZarVdtrR r--, PeTClearance-Comb. Air Connector-P.R.V. in Gar e; Above Floor-Mech. Protection b., Elec & Mech. Equip. Listed for Location 7 . R eptacles in Garage (F.F.I.)-Romex Protection p uiation- Foam- Looked in Attic eck Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearaace Looked under Floor Q Yes I . ollowing Instld./Drive ] Yes I] NoMalks ] Yes 0 No/Planters O Yes ] No oaAde own -Finish C. Uni - isconnect, Electrical -Plumbing is Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater W ,- Disconnect, Electrical, Plumbing xterjgc�ec'Trim, G.F.I. Receptacle -Underground 88. ntilation.Throughout House V6- Correct' from Previous Inspections as Test -Meters Tagged, Gas -Electric er Sewer Connected -C/O to Grade -HD Approval 9 . Compliance Certificate -Other Certificates ddress Posted Date 4VICard B- Date Card B-1 Date % y Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: s COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES: 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. :; A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is.'; completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 a i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT.NO (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-710-010 RT 1 ZONING BUILDING PERMIT W 7- OWNER WEBSTER VICTOR &KATHY TELEPHONE SO. FT. OCC. BUILDING VALUATIOPr 196 R3 1056 .OWNERS MLING.DORESS 14697 SKYWAY, MAGALIA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1056 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 14697 SKYWAY, MAGALIA Energy Plan Checking Fee $21-00 PERMIT FEE $ 206-19 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERSION OF GARAGE TO FAMILY ROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WT_ @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLES "00Main Service 200. OR LESS 23.00 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. ❑ 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 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. / X Date Signature of Applicant - ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DWE111NG OCCUP. SO ORADDNS. ( a.cC. BLAS. 3.50FT. 6.85 ,�µRESID. MULTI -OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. 20 O 1'00 Ex. Occup. OUTLET OR FIXTURES SAL @ .30 Ex. Occup. oF"E' A.ID° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 26.85 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $ 27 H.z. o F Es I FLOOD I CO T16 HD 5SU This permit is hereby issued under of the Butte County Code and/or indicated indicated above for which fees have By r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 0 2 3 D to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE�MI No. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSORP ELNUM130'.� _ �� - ' BUILDING PERMIT ( OWNERX3 1\ �- T LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI fZ ag:a� 1942 O CONTRACTOR'S NAME U rELEP"ONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MNLNG ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee cyARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee l $ BUS.DINGADDRESS I Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. BUBDN1810N'SNARE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other eP�� Solar or heat pump wafer hes r 23.00 Water in 15.00 Each gas water heater vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthWA Describe Work: 0 "&11Mobile Gas piping system 1 - outlets 15.00 Building sewer 15.00 Home/J-6f—W77@20.00 PERMIT FEE _ 01 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo oR LLESe 23.00 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 Lim No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 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: ❑ 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. ❑ 1 have and will maintain workero' 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.) ❑ 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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height min Service aoall To ,000A 46.00 NEW CONST. D• DWELLNG OCCUP. SO ORA+�• Dns• 3.5¢,. NO&RFS10. MULTFOIRCUT @7.50 POWER APPAIurue + SNOIE oun.ET COL � Occu OUTLET OR FM RLE. Ex. Occup.= MEelo.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE _ ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP- $ Mobile Home Installation Fee S Energy Inspection Fee 1 $ -0 occ CONST TYPE O TOTAL FEE $ HAZ 1 o.FE® IMP I FLOOD I COF I PARCEL I PO NO ISSUE This permit Is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE -D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT u r . e �h� � Z�S •COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICATION DATA SHEET OWNER:1 ASSESSOR PARCEL NUMBER: 0 (0 L4 10 " O 1 0 Proposed Building Use: Building Inspector: Date: —7— / (6 —(_?Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted --------------------------- --------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 1:15. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.-----------------= 1 . Fees of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. e�_�'�----------------------------------------------- �!/ 57 ❑ 12. California Department of Forestry plan approvaUfees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit.--------------------------------------- 1:116. -------------------------------------- ❑l6. Plot plan and business license approval from the City of Biggs.---------------------------------------------- El -------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, t] Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for I required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ Cl 22. Workers' Compensation carrier and policy number. -----------------------------------------I ----------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- ❑ 24. Letter of signature authorization. ------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. ---------------------------------- ❑ 27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: '/ When you issue the permit, process as follows TMail to owner, ❑Mail to contractor. ❑Telephone F-23 -' 7S_-'Z�/ and hold for pickup at office. ❑ Deliver with inspector. 'Applicant: ! M W-EEDate: /� 99 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division co ter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division ter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building ' ion unter, by Da . Plans reviewed by: Date: Plans approved by: Date: l Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VAInur Cnnv - r)PnartmPnt ofT)Pl 1l m -f CPTA— n2 ;1.1:.... OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signabm Please complete and retum this information at your earliest opportunity to avoid unnecessary dajuy in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide thajor labor and materials for construction of the proposed property im ovement :YES NO 13 2. I HAVE HAVE NOT signed an application for a building permit for the proposed wa 3. I have contracted with . e following person (firm) to provide the proposed construction;°a: ' '-:.. NA ADDRESS: l�14r v lir -ba CITY:�1��J� �IS PHONE --_f23 `3� CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to' Coote; . supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ' 5. I will provide some of the work but I have contracted (hired) the following persons to prQvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: �,PROPERTYOWNER: _, 41 SOCIAL SECURITY NUM 3ER: Y,,DATE:_-7—,Z — 9 g NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property . improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry ofrecord on such a permit.. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you.shouldr. be aware of the following information for your benefit and protection: . ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state. and. federal income tax withholding, federal social s=uit y,taxes,; workers compensation insurance, disability insurance cosu, and unemployment compensation contrr-buttons. . ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are espec'ially,serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin, their work personally or through their own employees, without a licensed contractor or subcontractor, only under*lirniied conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. I4MIgger, y, '�, l C. Vi iia, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Healdi and Safety Coda OVER BUTTE COUNTY SCHOOLS IMPACTFEE CERTIFICATION FORM (One form per Building) School District Building Department No. IF A.P..Number Jurisdiction:. city County Property Owner 2 /44-Mj -Property, Location/Address Subdivision Lot No. irtoor mans reviewea oy z:,cnooi uistrict versonneo Dist ict Identification No.. School District certifies that P, (Applicant) -7 (Street Address) (Phone Number) (City) J (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ -9 representing 1�6 square feet. AB 2926 $ [FULL MITIGATION $ School District Representative Tbatg' Paid by Check # Remarks: 1, % Notice: You may protest the imposition of the fe�tiiiOentified above by submitting a written I protest -11 . o. the District., in compliance with Government Code,'Section 66020(a), within"90 days from the date fees are paid. Failure to subrttii 'a t . imely wriiiin protest will,prohibit, you from challenging the imposition of the fiei;'in,,pny c'-oprt* scltiqn, 7 _V._ • If, subsequent to the School District Repieseintaflve'ii4ning ihis Bu'ou tte.Cnty;Schools Irnpact,ree Certification Form,the, Scchool District is L notified by.the applicable,,Local Plbnning�Agency that this project is. k;e"ing rey!eyye�dp6ncler the California Environmental Qualit9,.Act,(CEC1AI, ' this project may be subject to. additional schoolfees tqful' lymfligate,its impactVon.tI`ie's'chooI'disirict S, schools:" White (applic6nt), Yellow'(Wilding depart r:qen't), 'Pink (school distri'ct) feef0" rm.xls (10/98)dmm v ........................................................................... : ... .................................. Residential Development : Sq. Footage 1516 No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # .................................................................................................................. *(No.foundation inspection): Commercial/industrial . ..... Sq. Footage,; 'New Addition (Including Exterior Roofed Areas) Building Department RepresNetarive Dafe irtoor mans reviewea oy z:,cnooi uistrict versonneo Dist ict Identification No.. School District certifies that P, (Applicant) -7 (Street Address) (Phone Number) (City) J (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ -9 representing 1�6 square feet. AB 2926 $ [FULL MITIGATION $ School District Representative Tbatg' Paid by Check # Remarks: 1, % Notice: You may protest the imposition of the fe�tiiiOentified above by submitting a written I protest -11 . o. the District., in compliance with Government Code,'Section 66020(a), within"90 days from the date fees are paid. Failure to subrttii 'a t . imely wriiiin protest will,prohibit, you from challenging the imposition of the fiei;'in,,pny c'-oprt* scltiqn, 7 _V._ • If, subsequent to the School District Repieseintaflve'ii4ning ihis Bu'ou tte.Cnty;Schools Irnpact,ree Certification Form,the, Scchool District is L notified by.the applicable,,Local Plbnning�Agency that this project is. k;e"ing rey!eyye�dp6ncler the California Environmental Qualit9,.Act,(CEC1AI, ' this project may be subject to. additional schoolfees tqful' lymfligate,its impactVon.tI`ie's'chooI'disirict S, schools:" White (applic6nt), Yellow'(Wilding depart r:qen't), 'Pink (school distri'ct) feef0" rm.xls (10/98)dmm v LAND OF NAT URAL W EA LT H AND BEAUTY, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 August 13, 1999 Victor and Kathy Webster 14697 Skyway Magalia, CA. 95954 Building Permit Number: 99-1643 Assessor's Parcel Number: 064-710-010 This office reviewed the above referenced building plans. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Complete and return the enclosed school fee form. Plan check will continue upon receipt of the above items. Additional items may be required when plan check is resumed. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, David Wasney Building Inspector III. 2219-81B;P,E,M PERMIT NO. PERMIT EXPIRES a�2• Harold L. Welborn OWNER owner CONTR. 64-71-10 ASSESSOR PARCEL LOCATION 14697 Skyway, lot 59,PP#2, Maga. n or l/ x �r r, Temp. Power Pole Called PG&E-7-'7—.q/,w%. /ala• -c fi I. Temp. Elec. Service ell ` Called PG&E —� /CA Tem ice CalledPG&E , JOB FINALED (Date) Signature �" 4 J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plaris) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3 , Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5, Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date . Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's, 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6? Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/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 Lghtg. Boxes—Enclosures—Panel 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date III = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1 on' grequirements-Setbacks a nts Pr perty Line Firewall & Openings tg., Main; Soils -Steel -Flet. Grnd.- / Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / " Ftg. Depth 50. Stairs Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth- 5 yywo2jLn Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 ng -Nailing -Veneer 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab creed-Fdn. Vents-Underflr. Access P' rs-Fir 54. Glazin Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear W` +ng -Bolts 9. Gas Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI (_ Dat Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI ate Card -BI Date Date F Plans) OK except #'s Card -BI Date Card -BI Date Date PLU ING (Permit) OK except #'s Steps -Door & Sidelight Protection -Landings moke Detector ter Ht.; Vent -Access -Combustion Air 5 ce; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ter Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection edr m Exiting ,-IT—Shower Pan; Test, First Floor -Tub Access. & Bath Fixtures & Tub Access _ .-l& Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 6 - Jae!Trim & Subpanel; Breaker Sizes -Labels 62e,—Stairs & Rails p ace or love; Clearances -Hearth let. utlets at Wood Panel; Int. & Ext. Card -B Dated YJ W Card -BI Date 65 tt t. & Appliance; Grnd.-Air Gap -cooking Clearance Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except #'s 6 le tlets & Receptacles at Kit. Counter 67L -Garage Fire Door; Swing -Landing -Closer ct in Garage -Damper fixture & Transformer Clearance -Ins. Protection 6 r. Htr.• Vents -Clearance -Comb. Air-Connector-P.R.V.- In GaAbove Floor-Mech. Protection c. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. lec. & Mech. Equip. Listed for Location 71. d%rec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. 72,ation -Looked in Attic es quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 ua ails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen &Conductor Size 74 n. Vents &Crawl Hoe r -Drainage &Wood -Earth Clearance Looked under Floor Y _26r-6ubfeed Wire Size / / ga. Cu or Al-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, I sulated Neutral ❑Yes EJ 75�wing instld.: D i e Yes ❑ No; Walks Yes ❑ No; Planters ❑Ye' No Service -Riser Conductors & Ground -Main Disconnect Finish 1S—Equip. Clearances; Panels-Motors-Mech. Equip. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet e0 --Clothes Closet Light -Shower Light 78 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 38fW3t Well; Disconnect, Electrical, Plumbing 80 rior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 8y.*'Veqjilation throughout House 8 la rotection _ 83. orrections from Previous Inspections 4. G st-Meters gged; Gas-Electric -3t.--A.C. Ducts; Insulation & Support 8 W ter P. Se onnected-C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ___-j32�Vent Fan; Exhaust above Insulation _ c3g--C ndensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet %.25yAttic Access & Platform if Furnace in Attic Card -BI Card -BI Card -BI Date a d -BI Date Date rd -BI Date Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FR ING Plans) OK except #'s Comments at Final: 6. Proper Material & Anchors _Sills; _ _ `� y� alls; Studs -Nailing, Spacing & Bracing -Plates -Sound t3ti Jpte_aring Walls over Girders & Floor Nailing 13Q, raft Stop in Walls (rat proof) re Stops; Furred Ceilings -Stairs -Chases -Tub __ Header & Beam -size & Bearing __ _ _ Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-T-Shlhnp.-Rfng. replace Ties or Type A Flue -Fireplace Throat �tiic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 48� Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing11 (NOTE:Anentrymust be made each time youvisit jobsite) STANDARD STRUCTURAL PEST CONTROL INSPECTION REPORT >ti (WOOD-DESTROY)NG PESTS OR ORGANISMS) This is an inspection report onl =not a Notice of Completion. A?DRESS,OF BLDG. NO. STREET CITY P d s e . Pine s PROPERTY DATE OF INSPECTION 8/4/81 INSPECTED .1469 7 S 1Cjr W a y CO. CODE #4' Affix stamp here on Board copy only .Lee's Termite Inspection Service � A LICENSED PEST CONTROL �P : 0 Box 1008 OPERATOR IS AN EXPERT IN Chico, CA 95927 HIS FIELD. ANY QUESTIONS RELATIVE TO THIS REPORT S40ULD BE REFERRED TO HIM. FIRM LICENSE NO. 4496 CO. REPORT NO. (if anyg 1— 80 3A STAMP NO. 2 3 90 7 31 . Inspection Ordered by (Name and Address) Harold Welborn, 6272 Ref;is Road, Paradise, Ca. Report Sent to (Name and Address) Owner's Nome and -Address - -- - - - --- ---' -- - -. r ... .....-. INSPECTEDBY: Lee Keefauve.r --- LICENSE NO. 4496 Original Report )Q Supplemental Report C] Number'of Pages 1 YDS,. CODE SEE DIAGRAM BELOW YES CODE SEE DIAGRAM BELOW YES CODE I SEE DIAGRAM BELOW YES CODE I SEE DIAGRAM BELOW . S-Subterronenn Termites B -Beetles -Other Wood Pests Z•Dampwood Termites EM -Excessive Moisture Condition K -Dry -Wood Termites FG -Faulty Grade Levels SL -Shower Leaks IA -Inaccessible Areas F -Fungus or Dry Rot' EC -Earth -wood Contacts CD -Cellulose Debris FI -Further Inspection Recom. ':I ` SUBSTRUCTURE AREA (soil conditions; accessibility, etc.) see #1 7: Was Stall Shower water tested? N/A Did floor coverings indicate leaks? not applicable t 3: FOUNDATIONS (Type, Relation. to Grade, etc.) concrete - adequate . grade 4. PORCHES STEPS . , ..PATIOS. not applicable 5. VENTILATION (Amount, Relation to Grade, etc.) 6: ABUTMENTS . Stucco walls, columns, arches, etc. 7. ATTIC SPACES (accessibility, insulation, etc.) 8. GARAGES (Type, accessibility, etc.) 9. OTHER . DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures shown on diagram:) T .. General Description New construction - foundation and subarea only. Recommendation; l...Pretreat subarea in accordance with chemical label instructions.. r Signature �' --- ------- YOU ARE ENTITLED TO OBTAIN COPIES OF ALL REPORTS AND COMPLETION NOTICES ON THIS PROPERTY FILED WITH THE BOARD RING THE PRECEDING TWO YEARS UPON PAYMENT OF A $2.00 SEARCH FEE TO: STRUCTURAL PEST CONTROL BOARD, 1430 HOWE AVE., SACRAMENTO, CA: 95825. THIS IS TO CERTIFY THAT INSUkATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE YS. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: Skyway at Rosewood �> 2- Magalia Street —`Lot mumoer City X46.¢7 EXTERIOR WALLS Manufacturer CT Thickness/Type 3 2 a Value 11 CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Unit elnp Thickness 7 • 7 11 No. Bags 29 wt./Bag 40 Sq. Ft. Covered 912 R Value 24 /J//f— Manufacturer / Baffle installed FLOORS Manufacturer Thickness/Type R Value Manufacturer Manufacturer Thickness/Type R Value Thickness/Type R Value GENERAL CONTRACTOP47,y-%fe.46&(.�,)z6w-- LICENSE NUMBER c8 — L3 -a-9— BT TITLE n t(J AJ 1�-- - _ DATE 2; 4 INSULATION I RA' R '� �T�T? TIONLICENSE NUMBER ^ 39'3 551 BY TITLE '1 i.0 e Pres . DATE 9-15-81 RRCTnPM rTAT_ ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN -CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Skyway at Rosewood, .Magal .a Z!!ta9-Z (location) +=t== BUILDING PERMIT NO. 2 al .9- A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: - (Check each item or write N/A if not applicable) INSULATION: Slab Edge X-) - Fdn. Walls Floors Walls Ceiling/Roof R24 . Ducts n9 Circulating Pipes. APPROVED HEATERy APPROVED WATER HEATER v GLAZING: Single Glazed �— Special (Insulated) CERT. & LABELED WDS. / & SLIDING DRS. �/ WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPPLIANCES 1 I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NI:CHOLS'ON Signature of . Insulation Applicator General Contractor/Owner Name Signature of General Contractor/Owner print) " State Contractors License No. 4 Q R S-� �_ I Le )0E4_m Pi� please 7pr !�7411,aw'ate e, ? State Contractors License No. A THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. r ' COUNTY OF:BUTTE_ - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 a Sys / APPLICATION WAND PERMIT AllS1yL ASSESSOR PARCEL NUMBER A -P ZONING P -i ._T BUILDING PERMIT F-01NEERTELEPHONE Y� I^ � Gh P-�' - &07 / SQ. FT. OCC. BUILDING VALUATION ^ NER S MAILING ADDRESS .- CONTRACTOR'S NA E TELEPHONE o� �v Q 7 G. CONTRACTOR'S MAILING ADDRESS M Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Flling Fee $ 10.00 LENDER'S MAIL ADDRESS' '1 - .•--ma/ 1t k Permit Fee $ .GYM LDT LICENSE NO. 12 b Plan Checking Fee $ E?d o Penalty - ' $ AILING ADDRESS ( �� Permit tee $ /.S"6, D4 BUILDING ADDRESS C SKY(K)AY Of PLUMBING PERMIT Filing Fee 10.00 Each Trap S 2.00 /gym Repair drainage or vent piping 5.00 • Water piping LOT NO. "50 SUBDIVISION NAMEPARCEL (,�i ` 2- MAP Off' Each gas water heater or vent 5,00 ,00 Gas piping system 1 - 5 outlets `j ;ea S qa USE OF STRUCTURE SF7LJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Spp ;�� Lawn sprinkler system 5.00 TYPE OF WORK NewX Addition ❑ Remod I ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ ¢Q. Contractor .a ELECTRICAL PERMIT Filing Fee . 10.00 Main service 600V OR LESS 100 AMP OR LESSCID 5.00 ,s Main service EA. ADD'L 100 AMP 2.50 NEW CONST. 1 DWELLING OCfyj P. d\ OR ADDNS. ACC. BLDGS. G ZL 20 sq ft �¢ 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 m license is full force and effect. ^'7 y n c�-°�®9 License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR•ouTL T 2,50 ea NON•RESID BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS S) NON-RESID. `SINGLE OUTLET CIR. 60L Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. OCCUp-OUTLETS P(RESID )R EA. 2.00 Temporary service . 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ (5-9. e.0 Contractor F FO aD-5 MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. NotI(ce 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 shal I be deemed revoked. Heating �-pp Cooling Hood3.00 3 Ventilation 'r/G $ permit Fee / $ Contractor 5 a2t_ S G• 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 of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s/firid Count in c sequen a of a granting of this permit. X Date Av-This er Signature of Applicant — OwnContractor Agent ❑ An OSHA permit is required for excavations over 5'6deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $1 40 OCCUP. GROUP 3 [,TYPE OF CONST, 111AYLI PO H 159U permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7— L ��^ �� 7 Receipt No.. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT