HomeMy WebLinkAbout065-100-032AL
165-'10-32- 689-91B;P,E,M
DE FRIES
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6122 Lraga i }
(new SO -
065 -10-32 #98-2825 -
6BELL) SUSAN
LAMBERT, IVIAGALIA
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RESIDENTIAL
PERMIT NO.
PERMIT EXPIRES
065-10-32 #98-2825
RELL,SUSAN
/o?,?-)— LAMBERT, MAGALIA
OWNER
NEWSF
OWNER
,t
CONTR.
;ASSESSOR PARCEL
r
LOCATION
;1
r
r
i
F
i5
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
i emp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) 2)/
Signature --✓`'" —
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
except
RESIDENTIAL (Single & Duplex)
Q!FLg., ain; Soils-Elec. Gmd.A- 1' Fig. Depth
AM—Ftg.Garage; Soils-Steel-Elec. Gmd/�r/' Ftg. Depth
44-ftqR=hes & Decks; Soils -Steel-/ C Ftg. Depth
a . to IIs, Main; Steel-BlockoutsAAfrapped
ells, Garage; Steel-Blockouts4Nrapped
Hold Downs and Special Anchors
7. Slab, SteeMrapped
S. 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
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date /% % Card B- Date Card B-1
Date ' Card B-1� Date Card B-1
Date VMBING (Permit) OK e
ater HOr, a -Access r Baffle
18 �NP' • Test & Ancho4UProtection
1D.W. s rttings & Anchor-Nad Protection
7- o. er Pan; Test, First Ftoor-Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date B 'B ( Card B-1 G,I Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (PermB) OK except ft
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & S ' at Doors
Size'Boxes & No. of Conductor pl
Romex s Close to Edge of Studs & C.J.
Equip. made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen,4 Conductor Size GFI
29. Subfeed Wire Size / AI-A.C. Wire Size / / ga Cu or Al
30. Range Circ. / / ga Cu or Al Ov n Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disxonect
32. Equip. Clearances Panels-Motors-Mech. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date t Card B-1 ' Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit OK except M's
C. Ducts Insulation Su port
Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
Attic Access & Platfofm if Furnace in Attic
Date o6 JZ�Z( Card B-1 Date Card B-1
Date or Card B-1 Date Card B-1
Date ,FRAMING (Plans) OK except #'s
4_q, -Proper Materials & Anchors
41l s Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
ZfE aft Stop in Walls (rat proof)
• . Fire Stops, Fu ed Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
/Cling. Joist Vies-Purlin-ruff Brac: Truss-Shting.-Rfng..'
Fireplace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
I Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
5 operty Line Firewall & Openings
Doors -One 3 -Check Garage 3rd Story, 2 Exits
Width -Headroom -Rise -Run -landing -Fire Protection
> on Roof Overhang -Attic Vents -Rafter Outriggers
Siding-Nailina Veneer
Vents-Underflr. Access
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #s
t Steps -Door & Sidelight Protection -Landings
04'.Sfnoke Detector
�B.. Furnace; Vents -Clearance -Comb, Air-Conector-
,f(Garage; Above Floor -Ducts -Meth. Protection
. Bedroom Exitina
W .F.I. & Bath Fixtures & Tub Access -Spa
X. EIec. Trim & Subpanel, Breaker Sizes & Labels
6 . S irs & Rails
xreplace or Stove, Clearance -Hearth
71//Elec. Outlets at Wood Panel, Int. & Ext
771. Kit Fi xt. & Appliance; Ground. -Air Gap -Cooking Clearance
Elec. Outlets & Rece ticales at Kit. Counter
L47 Gara a Fire Door; Swing -Landing -Closure
A.C. Duct in Garage -Damper
7 . Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Z' Plb., Elec. & Mech. Equip. Listed for Location
7)( Elec. Receptacles in Garage (G.FI.)-Romex Protection
7,91 Insulation -Foam -looked in Attic
Guard rails & Deck Construction -Post Caps
Irl dn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
BZjFollowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
,83 Stucco Brown -Finish
84.4C. Unit Disconnect, Electrical -Plumbing
8,5 Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
—afiWater Well, Disconnect, Electrical, Plumbing
8 /6terior Elec. Trim, G.F.I. Receptacle -Underground
Ventilation Throught House
89/Glass Protection
90/dorections from Previous Inspections
9L./Gas Test -Meters Tagged, Gas -Electric
W,^ater & Sewer Connected -C/O to Grade -HD Approval
193 Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V=OK
O =Not OK
� _NottReady
NoMOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-Dept)Spacing-ConnectersSteel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
3. Sewer Location les 11 -CIO -Concrete
4. Wood Awn.: Posts-Beams4iftrs.-Connectors
Shthg.-Rfg: Bracing
4. Water, Location -Test -Easement Needed (Sketch)
S. Alum. Awn.; Columns-ConnecbonsSplice4)ecal-Encbsures
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. carports; Windows -Doors
6. Gas; Location -Test -Wrap; / /LYL
/ /NaL or/ /Lt/ /LPG !
7. Electric
7. Well Clearance & Disconnect
8. Fang.; Sils-AnchorsStuds-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Root Shfhg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; SmeSpacr"arriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-DemamWalse-Connector
1. Setbacks Easements
4. Electricity: MH TesWnnsovers-BreakersClearances
2. Scas: Compaction -Structure StabUiity
5. Drain; MH Test-Fa9+1ex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -lining
6. Water, MH Test-Regulator�Connector
4. Elec.; Reoeptades and Lighting. QisLsncelaFi
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.: Pool Lighting: 15 Voltslifl
8. Gas and Electricity legged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert
7. Elec_. Banding; Metal w/S4riraAatng Equip.-i-leater
10. Exits; Insp.-Sketch
8. Elec.; Grourdling; Equip. w/5 Ckct&* g Equip. -Pool Lghtg.
Banes-Ernclosures-Panelboerds-lns. to Main in Conduit
11. Cert of Occupancy -
9. Health Department Approval
12. Perrnanent Foundation Orgy: License Decal
10. Plumb.: Cir. TesWater Supply lest
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ¥'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Dept)Spacing-ConnectersSteel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.: Posts-Beams4iftrs.-Connectors
Shthg.-Rfg: Bracing
S. Alum. Awn.; Columns-ConnecbonsSplice4)ecal-Encbsures
6. carports; Windows -Doors
7. Electric
8. Fang.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Root Shfhg-Roofing
it. ExL;Steps-Doors-Undings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks Easements
2. Scas: Compaction -Structure StabUiity
3. Pool Structure; Steel -Connections -Thickness
Dead Men -lining
4. Elec.; Reoeptades and Lighting. QisLsncelaFi
5. Elec.: Pool Lighting: 15 Voltslifl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec_. Banding; Metal w/S4riraAatng Equip.-i-leater
8. Elec.; Grourdling; Equip. w/5 Ckct&* g Equip. -Pool Lghtg.
Banes-Ernclosures-Panelboerds-lns. to Main in Conduit
9. Health Department Approval
10. Plumb.: Cir. TesWater Supply lest
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 8-1
APAJUIFF40
Certificate. of
Conformance
Certificate 054053
THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of
' Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards
and associated specifications indicated below:
ANSI Standard A190.1-1992, For Wood Products — Structural Glued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "GAP"
Computer Program For Determining Design Stresses .
AITC 117-93 — Manufacturing — Standard Specifications For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject to regular audits in accordance with the Engineered
-Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify
conformance to industry standards for lumber grade and glueline bond quality.
40�•�C.� W 0 040"***
CP 0.0
Zai1-41.0.b
CM: SEAL =m: y --
y s i C,* G. Williamson
Executive Vice President
40*
81f IN GO ��\... lP�zz l��
ENGINEERED WOOD SYSTEMS is a related. corporation of APA — THE ENGINEERED WOOD ASSOCIATION
7011 South 19th Street • P.O. Box 11700 • Tacoma, WA 98411-0700
Telephone: (253) 565-6600 • Fax Number: (253) 565-7265
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.
aAk 55
• F..i
I
?7lC1
Date /` CJ / Inspector
REV 10/92
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
►M �R�LL Cie L42 -s -
OWNER PERMIT NO.
A routine inspection indicates that following violations of butte county Ordinances exist at the
above address and should be rrected. Please notice this office when correction of work is
completed. If you have an uestions pertaining to this matter, or need additional explanation,
pleases ntact this offic mmediately. a
S
AO✓C iPIA fC.A. + r/ IL O J r
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COUNTY,. OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
`-�7 County Center Drive • Oroville, California 95965,• Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT J
ASSESSOR PARCEL NUMBER 65-10-32
ZONING TMI
BUILDING PERMIT
OWNER
t
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1628 R 87 912.00
OWNERS MAI %ftZSS`FIRLAND DR. PARADISE 95969
414 COV 5,382.00
CONTRACTOR'S MER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace A 1,500.00
LENDER'S MAILING ADDRESS
Total Valuation $9479
ARCHITECT OR ENGINEER
LICENSE NO.
-00
Filing Fee $ 20.00
Permit Fee $ 617.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ Ani oc)
BUILDINGADDRESS / n/J
LAMBERT
Energy Plan Checking Fee $
23.00
MAGALIA
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF R Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 91 7.00 63.00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
Each as water heater or vent 15.00 15.00
TYPE OF WORK
New CN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: A SF/ 3 BEDROOM
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00 15.00
Mobile Home ISI GI 920.00
PERMIT FEE $ 143.00
ELECTRICAL PERMIT Fling Fee 20.00
Main Service =,, OR LESS )1()Op 23.00 23,00
LICENSED CONTRACTOR'S DECLARATION
1 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.FOWER
License Class Lic. 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 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
Main Service zoOA TO lOooA 46.00
NEW CONST. OW %NG oCCUP. 3.5¢so
( S.
hereby
NEW CONST. MU COU�TL
NON-RESID. @7.50
APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES .00
SAL @ 1.50
Ex. Occup. oFIx�ED R. oR� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 99.98
MECHANICAL PERMIT Fling Fee 20.00
Heating 80,000 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed 0 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 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
e���`��
X /_/(< Date 1G�J
Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 $ 46.00
occ
2 TOTAL FEE $ 1, 39 .08
HA2.
D. FE IMP FLOOD
CDF EL
PD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON d
Date
.2 i ��
Receipt No.
WHITE-D.D.S.-B.D. CANA -ASSESSO PIUK-INSPECTOR GOLDENROD -APPLICANT
Y
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT.
(pov.t2/96)
APPLICATION AND PERMIT q?-o�`8DS
ASSESSOR PARCEL NUMBER
2ONIN°
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDINGVALUATION.S
WIM91
2
OWNERS MAIUNG ADO 3 .95.7,4q
CONTRACTOR'S kAMt
/v . -I—
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
}�
Fireplace D D
LENDER'S MAIUNG ADDRESS
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ , &V
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
i qoz,
BUILDINGADDRESs
Energy Plan Checking Fee
$ ,0-o
a ` Com--
PERMIT FEE 10 & 1. 0
LOT NO.
SUBDNISIONSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF t8' Duplex ❑ Mobilehome ❑ Other
SPECS
Each Trap
Cy 7.00 e^�
Solar or heat pump water heater
23.00
Water piping
15.0015'.0`0
Each as water heater or vent
15.00
TYPE OF WORK
New �dition ❑ Remodel ❑ AAriities ❑ Installation ❑ Other ❑
Describe Work: 3 isd 4111, 14- k
Gas piping system 1 - 5 outlets
15.00 ' , po
Building sewer
15.00 /50-0
Mobile Home I S I G I W
Q20.00
PERMIT FEE
1 LJ 3 - &0
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z�ow oa LTSs
23.00 i
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 Lic. 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 workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis 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 1 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. tr
Main 2 TO
46.00so
NST. CCU000A
NEW CONST. DWELLING OCCUP. SO
EL
,
OR ADONS. ( 8 AGC. BIDS. 3.50FT.NE
CONST
NOp}RES. MULTI-OLTLET @7.50
POWFA APPARATUS
a swOLE otTLET CIR
40 ®1.00
Ex. Occup. OUTLET OR FMTURES BAL ® .w
Ex. Occup. D ETSM�,D.G� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating jJ "-t7 $�"a
Cooling
Hood 6.50 Z._60
Ventilation l 501 . 50
PERMIT FEI= i q& r 0-0
Mobile Home Installation Fee b
Energy Inspection Fee $ 0-0
occ
CONST. TYPE
TOTAL FEE _ (�
HAz
I o. FEES I
FLOOD
COF
PAR
Fo w
IssuE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
ro
Receipt No. 2Y
WHITE-D.O.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 (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: •,10 i ASSESSOR PARCEL NUMBER:ProposedBuildingUse:Ale,,;- S G Building Inspector: Date: /Z — -- 9 3'I
At time of permit application, I wds advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
E13.
---------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
El 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
118.
-----------------------------------------------
❑8. Hazardous Material Form.---------------------------------------------------------------------------------
actured Home data and installation instructions including Tie Down Specifications .------------------
of$ -S 9 4, A -------------------------------------------------------------------------------------
ct fees as shown on the attached schedule. -----------------------------------------------------------------
Dmia Department of Forestryan approval/fees.
__$ 4a -t -°n ---------------------------------------
i elevation certificate. -----------------------------------------------------------------------------------------
ation and plot plan approvalHealth Department. -------------------------------------------
City of Chico plumbing permit.
1116. Plot plan and business license approval from the City of Biggs.
1117. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------------
_
❑20. Pre -inspection for required Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- 4
2 Workers' Compensation carrier and policy number. -----------------------------------------------------------
V2Letter
er-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
er of signature authorization. --------------------------------------------------------------------------------
orded copy of Agricultural Acknowledgment Statement. -------------------------------------------------
ofintent on building use. ----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits- ---------------------------------------------------------------------
❑29. ❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
1130.
--------------
❑30. Other: -------
Wh issue the permit, process as follows 11 Mail to owner, []Mail to contractor.
[�'felephone and hold for pickup at.c U office. ❑ Deliver with inspector.
Applicant: �! Date:
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: �(� , I) , Z , 7� ❑ 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 counter, by Date:
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
Divisio anter, by Dat .
Plans reviewed by: Date: Plans approved by: Date: 1
Sets of plans on hold in ❑ Plan Cabinet, 13A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
L.�
E.H. USE ONLY
Plot Plan Attached
1 `
Floor Plan Attached
Sent to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-5"cSael .fl' vi k rdl 612-2— Last 6w -,f 0 3 2 -
Owner
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for ,_i , dwei irig. Other
/h,oujes
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE. (916) 538-7541
SCHEDULE OF FEES DUE
OWNER ��► f�.. I ( A.P. # G S" /0" 3'2 --
PROPOSED
'-PROPOSED BUILDING USE e W` DATE
REC # DATE REC
1. BUILDING PERMIT FEES
-- Balance Due ................ $ ~
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
/DISTRICT
evied Plan Checking Fee ....... $
2. SCHOOL FEES
(paid at District Office)
SHERIFF FEES (paid at Building Division)
Residential ......... x $360.00 = $
Units
Commercial (sq.ft)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq.Ft. Amt.
tl
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
1`0�7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may be changed during the plan checking'process.
/fir✓ . • �, �,:,t
APPLICANT ��G: �ti- DATE
Original -Owner Copy -Building Div. (Rev. 12/96)
LAND DEVELOPMENT
OROVILLE / CHICO
BUILDING / ENVIRONMENTAL HEALTH -PERMIT CLEARANCE
OWNERS BERMLIO, ROBERTO.
NAME
PRINT LAST NAME FIRST
ADDRESS / LOCATION:
COUNTY ZONING
DESIGNATION: FLOOD MAP:
APPROVED: CONDITIONALLY APPROVED: ✓
PARCEL CREATION BY DEEDS
DEED INFORMATION:
Building Permit No. 99-0493 (MH UTIL )
A.P.
NUMBER 071-440-008
FLOOD ZONE:
RESOLVE PROBLEMS PRIOR TO APPROVAL:
OR MAP ✓
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION:
COMMENTS/CONDITION
MAP INFORMATION:
LEGAL ACCESS REQUIRED: YES NO
YES NO
DATE OF RECORDING: LOT BOOK 3 2 PAGE SO
COMPLIANCE -WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
_ A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
—2. Maintain a ft. building setback from right-of-way/centerline
—3. Comply with Zoning code for building setback from road.
—4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
—6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
—7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
_ 9. C.orinect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire
Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA
Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the
park:el: 47�'
m
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
—12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
—13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
—14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the
Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
—15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety.
Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of
the Uniform Building Code.
_ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County
Code.
19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending
examination of the site by a professional archaeologist. This person would then be able to assess the site significance and
suggest appropriate mitigation measures.
21
22.
23
24.
25.
26.
LD 6/98
FORMS\BLDG PERMIT CLEARANCE
WO iN3Wd013A30 aNVI
311n8 j0 Grim
6661 6 t 8VW
®3nI3038
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFI13ATION FORM
1 (One form per Building)
School District0BLi d1 ing Department No.
A.P. Number " Juri . iUion: = City County
Property Owner < ��+ if' l k Y.— t C
Property Location/Address
Subdivision
Lot No.
Residential Development (L–�.1
No of Living Mobile Home Addition/ *Supplemental to
Units Installation Conversion Permit #
I '(No foundation inspection):
........................... ...................................... l ..........
`Commercialflhdustrial.:-.-....—F#...,
•t
New Addition
Building Department
Sq. Footage
(Group R)
Sq. Footage # , Y
(Including Exterioi
Roofed Areas)
Date
boor runs reviewea Dy scnooi uistnct r'ersonne!)
No. -0 3 7
-
School District certifies that / _
(Applicant)
Ay� �� d7�
(Street dress)
yhc�
(city)
has complied with the requirements of Resolution No.
representing /tom " " square feet.
School District Representative
Paid by Check # /(/ / Remarks:
(State)
(Phone Number)
g SSG
(Zip Code)
by payment of $ �ycQ. 6,41
FU L MI f
FULL MITIGATION =
Date G•�``
r
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm
,q
OROVILLE / ICO
BUILDING / ENVI T TH
LAND DEVELOPMENT
- PERMIT CLEARANCE Building Permit No.
NAME RS e,,Z,�Z� NUMBER 1) laO — (J -32 -
PRINT
ZPRINT LA T NAME FIRST
ADDRESS / LOCATION:�/�1YI��]'— G,c�
COUNTY ZONING
DESIGNATION: P FLOOD MAP: FLOOD ZONE:
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL
PARCEL CREATION BY DEEDS_ OR MAP V
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION:
COMMENTS/CONDITIONS:
LEGAL ACCESS REQUIRED: YES NO
YES NO
MAP INFORMATION:
DATE OF RECORDING: LOT_ BOOK r7S PAGE
COMPLIANCE WITH OLD SU DIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES V NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIWS/ON UNLESS OTHERWISE NOTED.
�1. Maintain a 50 ft. building setback from centerline of road.
—2. Maintain a ft. building setback from right-of-way/centerline
3. Comply with Zoning code for building setback from road.
X4. Maintain a 100 ft. leachfield setback from all existing wells.
—5. Maintain a fL leachfield setback from
—6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
—8. Connect to a public water supply.
—9. Conned to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire
Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA
Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the
parcel.
w
_ 11. Pay T.D.D. (Therrnalito Drainage District) fee in the amount of $
—12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the
Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety.
Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of
the Uniform Building Code.
—16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County
Code.
_ 19. Wood stoves and fireplace inserts. st>eti be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended. ---
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease In the area of the tied pending
examination of the site by a professional archaeologist. This person would then be able to assess the site significance and
suggest appropriate mitigation measures.
21
22.
23.
24.
25.
26.
LD 6/98
FORMS\BLDG PERMIT CLEARANCE
nl 38 j0 SOD
6�Zt 134
46
aaN-300311
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
65-10-32
ZONING
:;J '
BUILDING PERMIT
OWNER
Jean De Fries
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 877-6005
P 0 Box 1532 Maoal'
2052 R 82 0
538 M 7,532
CONTRACTOR'S NAME
Owner
TELEPHONE
6 Cl)V• 560
CONTRACTOR'S MAILING ADDRESS
open 1,890
place "All1 000
CONSTRUCTION LENDER
U N
N
otal Valuation $ 93.062
L'ENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICEN�,E o.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$ 41 .00
$ 207.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 15.00
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 24.00
Solar or heat pump water heater
20.00
LOT NO.
1
SUBDIVISION NAME
PARCEL MAP
55-86
Water piping
5,00 0
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF QX Duplex F-1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 9.00
Building sewer
5.00
Mobile Home S
10.00e
L
TYPE OF WORK
New [?gX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: hdrm _
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP00v OR ORLESS10.00
10,00
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑I am licensed under p
provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense 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
Main service EA. ADD -L 100 AMP
2.50 2,50
NEW CONST. (/ DWELLING 0O�{�[ '��.{{.f�� p`
OR ADONS, l ACC. BLDGSG.Jy I
21�Z t�SQ ft 65,00
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
EX. OCCU p(OUTLETS OR FIXTURES
20@50C
SALO 30
Ex. Occup. OUTLETS RESID IRE A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ 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
Consent to Self -Insure.
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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
6.--
_❑E]
dual ac
Cooling 31 ton
11.501
Hood
--1
3.00 3.00
Ventilation
3.00
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 upo a above-mentioned property for inspection purposes.
I also age to e, in mnify and keep harmless the County of Butte against
all li bi ie udgm costs, and expenses which may in any way accrue
agains unty ' conse uence of the granting of tfy� permit. �j
X L �Z — ! /
Dat
Signature of Appli nt — Owner Contractor ❑ Agent
An OSHA permit s required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h ight.
Mobile Home Installation Fee $
Energy Inspection Fee $
o
CONST TY E
TOTAL FEE $
-3o��
52.5G
HAZ
�
CUA
PARK
SCHL
FLD
PAR
PD
D ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable prov.-
resolutions to db
have been paid.
WORKS
Date
^�
Receipt No6C- f - 2„671-� Z /'W
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECT GOLDENROD -APPLICANT
•`.y ..nf:.
FA I:_ ... v v '�.I �ww�.r .-.�'<lrw-......ye-1- � r,t (`i. � t'y✓'�•''"'` .�f�arr�-. �-�ti �•.+ .� ..y - ,i,. -i �; -tet:.. •�_I'
COUNTY OF BUTTE - DEPARTMENT OF) PUBLIC WORK$-- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALI ORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICAT K DATA SHEET
Permit No. /
OWNER ,r' N, �" S A. P. No. O^� - Z—
Proposed Building Use /��'�' �� S /� Build,i:n Inspector CS-./ Date 3 % L c1 /
�l
At time of permit application, I was advised the following data t be'sub ii,hed prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
kil
aZK1. All items have been submitted. X.. ...
2. Plot plans in duplicate/triplicate, si Aied by'p4parer f�plans........
3. Complete plans In uplicate/tri licat signed by pre arer. of plans . .
4. Complete engineered plans an�calcs, wi�. weksignature on plans ..
5. Hazardous Material Form ...... I .... .....................
6. Energy Design Compliance and sdpportin cumentation .........
7. Statement of Intent for Non-Hera/ted and/AC/Buildings ..
�L 8. Engineered truss details and layout�in duplicatei'(required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions
10. Fees of $ 9 .o
11. Chico Urban Area fees paid .......................................
Park fees paid ..................................................
As4R/wl_Slt- School District fees paid ..............
Sanitation approval from 104A A 01-9*4 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
,22. Certificate of Workmans Compensation Insurance ..............
23. Owner -Builder Verification (Given to owner ❑, Mail to owner...
g2Recorded copy of Agricultural Acknowledgment Statement .........
Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner, c. ax Mail to contractor.
Telephone and hold for pickup at �fice. Deliver w/inspector.
Other 2
Applicant .Date
t`
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date'
Copy of plans sent _Health Dept. _Fire Dept. Other Date By
The following data must be submitted prior to pqrpit issuance: ( ircle ne_w item not checked above).
1. Index permit for above items No./�Jdl
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phon&nail—counter ate—�
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT C' Sanitation Clearance
Omer Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
^inal clearance O.K. for: Water Supply
Clearance for bedrooms home. Other °)
NOTE * * *
SanitarIva n Date
_5 62 2 �P - / 4S
�'; -5 Z� -/,;, -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
/ 7 Cour ty Center Drive - Orovflle, California 95965 -Telephone: 916/538-7541
pil`Ir. ' APPLICATION AND PERMIT
PERMIT NO.
OR PARCEL NUMBER
�ci /1D - 3 �—
ZONING
T y Aj
BUILDING PERMIT
LASSES
wNER
Jf4�%�r_
TELESQ,
�23W
FT. OCC. BUILDING VALUATION
ER'S MAILING ADDRESS
o, 8�n 1 S
CONTRACTOR'S NAME O/t — - '. ELE PH ONE
bwMrTIL - -
Z Q
7 2
s�
�E-7�1
CONTRACTQR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
s rJ o- o 5 J "Jcj
-76
Fireplace / C7 0 Q
Total Valuation $ O,6
LENDER'S MAILING ADDRESS
/ _ - C4
ARCHITECT OR ENGINEER LICENSE NO.
FiIing.Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$ 2 0 s
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit tee
$
M,6gxf% 1,J
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
of1L 2.00 L Lf
LI /T1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL A 3r
S- S6
Water piping
I 5.00
Each qas water heater or vent
5.00 S
USE OF STRUCTURE
SF [2/ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
7 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
NewO/Addition❑ Remodel[] Utilities❑ Installation[] other[—]
Describe work: �2
Permit Fee
$ 57Y
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
1 10.00 10
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON-RESID
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.
Icense No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service ADD'L 100 AMP
I 2.50 ? S
(EA.
NEW ADDNST \ ACCLLING O zCU �)
2Y2Qsgft Ej s
NEW coNSTR 1ULTI.OUTLET
BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCCu p OUTLETS OR FIXTURES
20®50CSAL030
FIXED APLNS.I,
Ex. OCCup. OUTLETS PRESID )NEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ Fj'�� S�
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
erti icate of Workmen's Compensation Insurance or a Certificate
onsent to Self -Insure.
❑Z1�f all not employ any person in any manner so as to become subject
W. C. laws of California.
JNotice to Applicant: If after making this statement, should you become subject
o the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating x < )DD V Af PJ
19 /'lJGY OF LI°4
Cooling }t 3 jz / �,�
( 1 /}� /; -50
Hood
j 3,QQtothe
Ventilation
( ,3" 3
Perm
Permit Fee
$ 3.4-5-0
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
utte to enter up he above-mentioned property for inspection purposes.
I also agr o e,ind nify and keep harmless the County of Butte against
all liabil' ludgmen , costs, and expenses which may in any way accrue
ag ounty i onsequence of the granting of this permit.
X 3, 'L_ I
Date
Signa re of App/-— Owner ❑ Contractor ❑ Agen
An OSHA permit is required for excavations over 5'0" de p and demolition or construct-
ion of structures over 3 stories in height
Mobile Home Installation Fee $
Energy Inspection Fee $ 3 .
occ
CONST TYPE
TOTAL FEE $ a
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HD ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
B Y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. C. P"'4_'0_11'12Z .(�
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12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
xterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
wo exits on three -story -dwellings (sec. 3303 & see Mezannines - 1716).
tic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
. Combustion air for fuel burning appliances - L.P.G. requirements.
oise requirements on duplexes.
15. Energy design.
lashing at all exterior openings.
DF responsible area requirements.
/2r G(e4-17 4,)4
h0 r z AV -
Flo -
a
RESIDENTIAL PLAN CHECKING GUIDE 12/90
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # %
OWNER A.P. # (4115- /0 -3a
Plan Checker L,5
GENERAL
C Zoning requirements: (sideyards and number of permitted living units).
Valuation.
ans signed by designer.
Proper description of work on application.
�Existing violations on property.
ftems on data sheet. (W.C., fees, Health,
.-?---Recorded notice of violation.
LOT PLAN
omplete parcel size and dimensions.
2. Setbacks, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
5. Flood hazard.
Developer Fees, License law, etc).
6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. FAU & FAS road setback.
8. Building or utilities across lot lines (Record form).
FT.nnR PLAN
Complete .to scale plan with dimensions.
;2-IRequired windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
room sizes, ceiling heights (Sec. 1207).
�?Iequired
FCIs in baths, garage, kitchen°, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles; and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
0 -.-Garage firewall, door size, and closer (Sec. 503(d)(3)).
r'1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
(!Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V) fa4,? e�
::.�,.Unusual shape, size, or split level house requiring lateral design.
3. Foundation plan complete enough to construct building.
4. Floor construction details complete enough to construct building.
5. Elevations and wall construction details complete enough to construct building.
6. Roof construction details complete enough to construct building.
--?-- Fireplace construction details and calcs if necessary.
8. Rafter ties or bearing ridge beam.
9. Garage door or porch header sizes.
-10-Stud heights.
-1-17 Adobe soils - special foundation design.
4--2:"Retaining walls requiring design.
Special Inspection required.
March 17, 1991
TO WHOM IT MAY CONCERN
This letter is to certify that Kay Taylor is my partner in building a house
on Lambert Lane, Magalia, and may act as my Agent in all matters
pertaining to the house.
Yours truly,
Jean P. DeFries
183 East "I" Street
Benicia, CA 94510
(707) 746-7623