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HomeMy WebLinkAbout065-080-012— -- ---- - - A. P. ANDREW H. LUCKEROTH f - W�S • Skyway . 1 of . De S t Io-� ., Permit 3587-73P,E (utilities for MH)_.. LUCXGVoTN 65-08-12 Andre 06Sha.Lane, Magalia Permit #104 B,E(new ramada & =2' cabanas/MH) 65- =12- Permit#1878'-83B(lst rene /1045=62 & wood burning stove) caban ram a 5-0 Permit�k173-g5B(2 renewal/1045-82) 65-08-12 Perm tlk86B(3rd renewal/173-85) 1 .� _. VV) ; I j PERMIT NO. PERMIT EXPIRES_( OWNER Andrew Luchoroth P i r CONTR. owner ASSESSOR PARCEL 65-08-12 ` 6146 Shawnee Lane, Magal is LOCATION lily a 1' oltz 44 i s 4• � n 4�.�if /v�I� % � -��.~ I . •y�ilt-GSL ' i Temp. Power Pole _ Called PG&E _ Temp. Elec. Service Called PG&E_ T J' W A 'S .� _. VV) ; I j PERMIT NO. PERMIT EXPIRES_( OWNER Andrew Luchoroth P i r CONTR. owner ASSESSOR PARCEL 65-08-12 ` 6146 Shawnee Lane, Magal is LOCATION lily a 1' oltz 44 i s 4• � n 4�.�if /v�I� % � -��.~ I . •y�ilt-GSL ' i Temp. Power Pole _ Called PG&E _ Temp. Elec. Service Called PG&E_ T J' W J = OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES i MISCELLANEOUS ) Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Woad Awn.; Posts-Beams-Rftrs.-Con nec.-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 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. J Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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/O 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 -BL' -7 T- Date_ Card -BI Date Card -BI Date Card B -I Date Card -BI . _ .Date _ Card -BI Date Card -BI Date ',, d 'OK 0 = Not OK - = Not Applicable �k = Not Ready RESIDENTIAL -(Single and Duplex) Date UNDERF OR Plans OK except #'s Date FRAMIfIICi.tContinued) 1.426nin equirements-Setbacks-Easements 48. P pew Line Firewall & Openings 2. 0,rf, Main; Soils-Steel-Elec. Grnd.- / " Ftg. Depth 49.IL,5�f.Doors-One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. D pth 5 s; i--eadroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab hiding -Nailing -Veneer 6. St walls, Garage; Steel-Blockouts-Wrapped-Slab- p Screed-Fdn. Vents-Underflr. Access 7. iers-Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 541 55. rearGlass Protection -Skylights -Plastic ea`S lraTrS-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. 14f ers-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Dated -BI Dale Card -BI -47 Date and -BI Date Card -BI JW Date -7 Card -BI Date Card -BI Date %- Card -BI Date Date F AL (Plans) OK except N's Card -BI IOUat Card -BI Date Date PLUMBING (Permit) OK except p's <L54, -'Ext. Steps -Door & Sidelight Protection -Landings e _ �- 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection Lei�ece;,Ik*nts-Cla'afance- - or - n 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection room Exiting 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & - s 19. Gas Pipe; Size & Anchors 68. tr it OF h 6,e-Elec. Outlets at Wood Panel.;4ty& lim Card -BI Date Card -BI Date d. -Air Gap Cooking Clearance Card -BI Date Card -BI Date s at Kit. Counter Date ELECT CAL Permit OK except N's 61. _813yu Fire Door, ng= anding-Closer - ge-OMper 20 i &Transformer Clearance -Ins. Protection 6 omb. Air-Connector-P.R.V.- In- h. Protection 21 I . eceptacles Spacing -Lights & Switches at Doors �I & M quip. Listed for Location 22. iz oxes & No. of Conductors -Stapled „ tec. 23. o stalled Close to Edge of Studs & C.J. 24. quip. Ground made up w/Meth. Fasteners -Bond Gas & Water Z - s 7, /� uar Deck CmuatTOction-Po 2 Appliance Circuits in Kitchen &Conductor Size 7 ravel F191943,15 -or -Drainage & VCozc6lEafTh Clearance Loo ed under Floor _ _ 26. ed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated eutral ❑Yes ❑No 7 ollowin instld.: Drive Yes N alks g ' ❑ E] Yes No " Planters ❑Yes ❑Nc/ h ces-Brkr'& Cond. Size -115V Outlet 28. Service-Ri r Conductors & Ground -Main Disconnect 29. Equip. Clearan s; Panels -Motors -Meth. Equip.- 30. Clothes Closet Light -Shower Light ents a Roo , .-App ce-Fi -Clearance to Opngs. 7 flg c. rim; ecep - and Card B-1 ate 2 Datetdlw3 113- 8,t,. entilation throughout House Geweet*en&4rem ions Inspections _ gged; Gas -Electric Card B-1 Dat Card -BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support85onnected-C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulationlance 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 - Card -BI Dale -i Card -BI Date Card -BI Date Card -BI Date Card -BI DateX DateCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING lans) OK except q's 36. S' roper Material & Anchors 37. Spacing & Bracing -Plates -Sound �all�Ssuds-Nailing, 38. Se g Walls over Girders & Floor Nailing 39. raft Stop in Walls rat proof) 40. _Firms Stops; - tairs-Chases-Tub 41. re.er & Beam -Size & Bearing -7 ngers-Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-POn-Roof Brac.-Truss-Shthng.-Rfng. VilireplaceTies or Ty A Flue -Fireplace Throat 5.t _ ess; Size & Romex Protection -Draft Stop -Ins. Baffles 46 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ _ arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751„ 7 County Center Drive, Oroville — Phone: 5344541 4 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 'ERMIT 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 co ection of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. r S ti � io 5r n ,1 r,, , / ,, a/ .l 12� �7 Ole' Inspector_ ./I Date�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . ' 7 County Center Drive, Oroville — Phone: 534-4541 1 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext:,57 CORRECTION NOTICE BUILDING OR PROPERTY 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 matter, or nee itional explanation, please contact this office immediately. -17 49 Inspector �'1J��! Date ��V "�"^�— r COUNTY OF BUTT,t, DEPARt4ENT OF PUBLIC WORKSP IT NO. 7 County Center Drive - Oroville, Califorpi-a 95965 - Telephone 916/534-45 1 O a APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (Os- _ bst — 2' ZONING BUILDING PERMIT OWNER !\• /') ZL �1 ' / L4 c. / 012.0 I TELEPHONE 3 ^j0 j L SO�./FT. OCC. BUILDING VALUATION C OWNER'S MAILING ADpRESS y ko S h Y. t, �� n< i'Yl a 021 pay rh k, 3 C ONT R A C T OR A- C) W 1^ �t�/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ IS— ARCHITECT OR ENGINEER 11\_� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS (oy Y to S k �q�,NL ,�� PLUMBING PERMIT Filing Fee 10.00 2n Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome ,Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othery Describe work: P��•..tti_ .fl.� �' a e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DELLING O� P�y� OR ADDNS. ACWC. BLDG 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 my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- LIN 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 NON.RESID CONSTR. MUI BRANCH CIRC ITs 2.50 ea NEW CONSTR.( POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ 21 BAL FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ (o Contractor 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. (� 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 Ventilation Permit Fee S (' Contractor 1 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. 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 againstsaid County in consequence of the granting of this permit.�v X / /`d p� Date / Z %— -z' Signature of Applicant — Owneg Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- over 3 ion of structures stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE l �8 7n occUP. GROUP M_ I I TYPE OF CO ST. v_AJ � /[—I PAR CkL ►V/ PD HD Il This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC � By I PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �_ Receipt No. rr(PI q q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT It OWNER COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISIO.N- 7 COUNTY CENTER DRIVE - OROVILLE, CALI�ORNIA►95965 - TELEPHONE: 916/534: 541 PERMIT APPLICATION DATA SHEET AvN oIzN� � Q c � I? o T- r f Permit No. A. P. No. 67� S-- 'Z , Proposed Building Use /LIZ \\` Permit Fee Based Upon: Complete Contract Price DPW Valuation �n Other (Explain) r t Building Inspector �I _ /lam �-� Date V 7 r 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. . . . Plot plans in duplicate tri licate. 3. . LQ atri Iicu"Com tete plans in u Iit tj 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 1! 0. Sanitation approval from {� Health Dept. . . Z Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . •Pre-Inspec. request to 7 Pre-Inspe n for u11 B ilding Inspector (Dote) Other i'l c'�td�S' // �,� . �� When you issue the permit, process as follows: X_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant �f�. �h- - :�' >6 - -4< Date `/ 2 Copy of plans sent Health Dept., Fire Dept., Other Date - During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above a . ef ppIic t iorL circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, n r) as advised of above requi ed aldy I I 'S a Mail Other By Date Plans checked b Date Plans approved b Date 2 2— Other: Other: Copy—DPW fi To: Building Department From: Environmental'Health Subject: Sanitation Clearance At6 d,&J LC4C2,Ot, Owner Plans approved for: Hold final for: Final Clearance O.K. for: C9 4 �Vl 6FLJVJ e -p— kw- (05-0k—(Z Location ,,,n „ AP# Sewage Disposal Water Supply Clearance for bedroom mobile home. Other Clearance for addition of 022, k d L -I U - Note" Sanitarian Water Supply, Water Supply, Date COUNTY OF BUTTE - Department•of Public Works 7 -County Center Drive, Oroville, CA.` 95965 Phone: 916-534-4541. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope.provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No'building permit will be issued until this verification is received. .1. I:personally plan to provide the major labor and materials for construction of�the proposed property improvement (yes or no) �S 2. I (have/have not) ,qy� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the'proposed construction: + Name Address City Phone Contractors License No. 4. I plan to -provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name tis, Address City Phone Contractors License No. F 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: " Name Address Phone Type of Work Signed: Property Owner Social Security number�� Date Z— 7- `7— �2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEP.AR?.k.NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -ANB Pf RMIT A^SESSOR—PAgCEL NUMBER (O5- O$- l2 ZONING BUILDING PERMIT OWNER /aND, 4) L 4CI514o X T LEPHONE 73—�0� Z SO. FT. OCC. BUILDING VAL ATION OWN t 7 -9AAILING ADDRESSAIE6-, LAI CONTRACTOR'S NAME ©✓ A lff TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ 000,00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINE n' LICENSE NO. a $ ,5-() Penalty $ ARCHITECT OR ENGIN 'S MAILING ADDRESS Permit fee $ y2i 50 BUIL,DItJGJ�DDRES�������`/'I/V� ll//OO__ ��[[iijl//fib__ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 IVA467&-1ji+� Water piping 5.00 LOT NO. SUBDIVISION NAME'PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE on��1�J SF ❑ 6'��� A4Duplex❑ Mobilehome❑ Other7W PA- SPECIFY Building sewer 5.00 Mobile Home S I G I W 1 1 110.00eE TYPE OF WORK New ❑ Addition ❑ Remodel ❑I litie Installation ❑ Other Describe work: /5T- r 1ay6-$Z A09 A -9P ��p%� 8anLal S/�� -Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 21/ZPSgft 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 in full force and effect. %r 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 ULTI.OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NO N•R ESID. SINGLE OUTLET CIR. Ex. Occu BAL@30 P�o OR FIXTURES &AL@30Q FIXED APPLNS, OR FIXED A EX. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this permit. %� ��j �_��_ c7 c���1� Date l3 Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ FS -.50 OCCUP. GROUP TYPE OF CONST. I PARCEL PD 1) I ISSUE This p rmit is hereby issued under sion o the Butte County Code and/or wor i dica d abo a for which 1 TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 6 —/O ^ Date (! �`_� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature: ' Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) h fiy 2 signed an application for a building permit for the proposed work. 3. I have contracted with the. following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, butI have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner �...- Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'95965 - Telephone 916/534-4541 - APPLICATION -ANII PERMIT /PERMIT NO.. / 6 ,J ASSESSOR PARCEL NUMBER 65-08-12 ZONING BUILDING PERMIT OWNER Andrew Luckeroth TELEPHONE SQ. FT. OCC. BUILDING VALUATION 2nd Renewal OWNER'S MAILING ADDRESS 6146 Shawnee Ln Ma alfa CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee k of original)_$ 57.50 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 67.50 BUILDING ADDRESS 6146 Shawnee Lane PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Magalia Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Cabana/Ramada SPECIFY Building sewer 5.00 Mobile Home TSTG FW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: 2nd Renewal of Permit #1045-82 — (lst/1878-$3) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1DD°o AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgft 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 effect. 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 CON5TR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES gA 50 L4? 300 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. INI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation 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 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 gain said County in conse uence of the granting of this permit. Date '�� Signature Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 67.50 OCCUP. GROUP I TYPE OF CONST, PARCEL T77 suE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B Date PERMIT IRES Date 6-22-85 Receipt No. WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 17. 2. I (have/have not) signed an application for a building.' permit for the proposed work. 3. I have contracted with the construction�X4- Name di/ Address. / Phone following person (firm) to provide the proposed C ity Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to cooAlinate, supervise, and provide the major work: Address / City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name I Address Phone Type of Work Signed: . Property Owner 7�� Social Security numbgr Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Z27�T_ NO.7 County Center Drive - Oroville, Californ`a 95965 - Telephone 916/534-4541�� APPLICATION••ANB PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT 65-08-12 OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION Andrew Luckeroth OWNER'S MAILING ADDRESS a 6146 Shawnee Ln., NX4M Magalia CONTRACTOR'S AME TELEPHONE,- owner 3rd renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN G� Total Valuation $ none LENDER'S MAILING ADDRESS Filing Fee F $ 10.00 Permit Fee @ FEE $ 57.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ! $ none Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty 1 $ BUILDING ADDRESS Permit fee $ 67.50 PLUMBING PERMIT Filing Fee 10.00 6146 Shawnee Ln., FIX Each Trap 2.00 Magalia Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other cabana/ramada Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: 3rd renewal of permit #1045-82 _ Contractor (2nd renewal #173-85) ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ,NEW CONST. DWELLING OCCUP.d , 2/22sgft I declare under penof perjury p p l y (check one): I OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS Y (POWER APPARATUS 6) I and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 20 a 50t License No. Classification eAL030 I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS PIRESID•IREA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) - Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thi reason .Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling (� I shall not employ any person in any manner so as to become subject M Hood 3.00 w� to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home InstallalFon Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-menttionedipeoperty for inspection purposes. TOTAL PERMIT FEE $ 67.50 1 also agree to save, indemnify end keep harmless the County of Butte against OCCUP. CONST.TYPE FLOOD D HD (SSU PARCEL P all liabilities, judgments,•.cpsts, and expepses which may in any way accrue a ainst said County in consequence. off ,hegranting of this permi . C This permit is hereby issued under the applicable provi- �= Date Bions of the Butte County Code and/or resolutions to do '� Signature of Applicant —-<)wner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been aid. p An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIREC R OF PUBLIC WORKS ion of structures over 3 stories in height. ' By 0�� Date Receipt No. WHITE-O.P.W.. YELLOW-ASS[990R, PINK -INSPECTOR, GOLDENROD -APPLICANT PER EXPIRES Date 6/22/86 COUNTY OF BUTTE -=DEPARTMENT OF PUBLIC WORKS 7 County Center rive,,,Oroville, CA 95965 PHONE: 916-534-4541 ANDREW LUCKEROTH P.O. Box 912 Magalia, CA 95954. With reference to the above subject: DATE January 31, 1986 RE: Building Permit Renewal for Permit #1045-82 A.P. 11 65-08-12 X Attached is: I Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development•Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department., 7 County Center Drive, Oroville, .for Completed Owner -Builder Verification form. Recorded copy of deed showing. Recorded copy of agricultural acknowledgement statement. OTHER Please complete the attached owner -builder verification form and return to this office as soon as possible so we may issue your renewal permit, Thank you. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. �Glander Chief Building Inspector 1,1,41 - ! • Ndrew Luc:•c � �-oY�N COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965. Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) __y 2. I (have/have not) AA.vc,- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I'have hired the following person .to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner_ Social,Security Number ��_ � ry Date . J� r, NOTE: This Owner -Builder Verification is sent to you as required by Sect-e`ons 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 6 1