HomeMy WebLinkAbout065-100-037N
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WIL IAM M. W CH�
App. 50' W/Of k y ay, beh�r �De
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Perm 8-76 E .-M ly`�ew s �n'�file
0 5-100-037 05-3313
BORDENAVE, NEAL d:: LINDA
6153 SOME WAY, MAGALIA
Cont: WILLIAM SCHULTZ
REPAIR WTR PIPING
Q
w
�iLO
,, M -F
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB l l
FINALED
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Et
r�MIT
NO. 518-76B,P,E,M
PERMIT EXPIRES 24Z4ZZ
OWNER
William M. Welch
CONTR.
owner
! OCATION (A.P. 65-10= 3
App.
250' W. of Skyway, behind DeSabla
Store, DeSabla
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J
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a
10
r
= 5d
v.
y
f�
4
�p
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB l l
FINALED
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COUNTY OF'BUTTE — DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILD&NG BUILDING (Cont'd) . I - PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor — �rs /
Main Bldg.
Restroom Finish
2nd Floor
Footings-2�'
Wind'o'ws
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing 0-6 >G
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts 2—
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
� 1-jO-Z�
9-1.Z-76
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this,form each time you visit the job site.)
J
Mr. J. F. Glander
Chief Building Inspector
March 10, 1980
In referance to the letters sent to me Feb. 27, 1980,
Enclosed you will find a copy of the insulation certificate for
this house. I offer my sincere apolagies for the lengthy delay
in clearing this matter.
As for the matter in the second letter, we sold this property
a little over a year ago, and the only work done on this property,
aside from that on the original building permit, was the construct—
ion of one storage shed and animal shelter. What your building
inspector has noted as a patio cover, was built strictly for use as
a cover for wood storage.
The house was sold with these additions being intended only
for the purposes mentioned above. My recent contact with the new
owner concurres that'this is the only purpose they are being used
for.
me .
Y
If there is any further concern, Please feel free to contact
William 11-1. We -1 -ch
1 P• 0. Box 746 j
�' Paradise, Ca. 95969
Thank' ou,
s
I iam M. Welch
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RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
AT
INSTALLED CONFORMANCE WIC CURRENT ENER(V�� N REGULATIONS
/ (location) l
BUILDING PERMIT NO.��"f — 76 A.:P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge. Single Glazed
Fdn. Wall Special (Insulated)
Floors - CERT. & LABELED WDS.
Walls AP—RA-77- .1-& SLIDING DRS.
Ceiling Roof oe / f % �%1THERSTRIPPED DRS.
Ducts a nr _ i/rtSve.AfiE► ACK DAMPERED FANS
Circulating Pipes- INTERMITTENT IGNITION DEVICES
APPROVED HEATERjGZZTC : 3 � BT. APPLIANCES ke G
APPROVED WTR. HTR. L/'C. L �,pL
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 SUBMITT,ED".
Insulation Applicator Name rjl/�`�// yv► %%J . (��/G�cLi
Signature of (please print)
Insulation Applicator kz-- �z �wG o L
State Contractors
License No.✓�1i2 %�rll fG���'
General Contractor/Owner Name
(please print)
Signature of ..
General Contractor/Owner Date
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
J
COUNTY OF BUTTE J.EPARTMENT OF PUBLIC WORKS
7 County Center Drive = Urovilie, California 95965
fel ephone: 534-4541
APPLICATION AND PERMIT
76
auuionce representatives of the County of ttutte to enter upon the
above-mentioned property for inspection purposes.
X �Date 1r
Signature of /Pe'rmitee or Agent
Receipt No. /!7 ��'
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF/ftBLIC WORKS
BY
uilding permit expires Date
BUILDING
Owner L L ✓Y1 �L-z- , �
SQ. FT. OCC. BUILDING VALUATION
/3 s
Mailing Address SL
0 __ 0
Telephone No.
`y
3' �C9eC s'0
Fireplace s
Contractor — % 7 -1& 2 Qr •
Total Valuation
Mailing Address
Permit Fee 13q -
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
—
Building Address il% Q/=
PLUMBING No. @ �E
PERMIT FILING FEE $3.00
p4 -v f3 /vi s4e c.iTo,lte-
Each Trap 1.50 13 -�
IIA -s 4 SZ4.Water
Repair drainage or vent piping 1.50
piping 1.50 ri
Each gas water heater or vent 1.50
A. P. No. — Q -r
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FftwlW
<U*005
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans
Parcel Map P
60' R/W
Im Provents
Lawn sprinkler system 2.00
Bldg. R s Recd
ParovaI
Plans Approval
Pen -nit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
- ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Main service 1111 OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
00 AMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
NEW OR AD ISIS. C ACCDWELBLDGSLING CC &) 20sgftV3 4f O
NEW CONSTR. MULTI -OU
NON.RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Professions Code under the name
style of:
,
Ex. OCcU P(OUTLETS OR FIXTURES) BALL@104
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee��
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
KA 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 the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE $3.00 3—
Heating
,
Cooling --
Ventilation
Hood 2.00 —
Permit Fee $
—
$ f �%
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
TOTAL PERMIT FEE1$,;);2
t'
auuionce representatives of the County of ttutte to enter upon the
above-mentioned property for inspection purposes.
X �Date 1r
Signature of /Pe'rmitee or Agent
Receipt No. /!7 ��'
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF/ftBLIC WORKS
BY
uilding permit expires Date
` I
j File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
D irector
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
'Const.
Rd. Des:
Br. Des.
Sur. & Loc.
T ra n sp.
R/W
Mapping
Land Dev.
Ref. Disp.,
Drng. / S. I.
Sub. & Pcl. Maps
Perm its
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CAS T LEBERRY, Director
� 7 COUNTY CENTER DRIVE, OEOVILL-E, CALIFORNIA 95965
Toloohono: (916) 534-4541
H. W. McDONALD
Deputy Director
February 28, 1980
William Welch RE: Building Permit
Star Route, 14 Some Way A;P. # 65-10-37
Magalia, CA. '95954
Dear Inc. Welch:
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
Constructed a garage and a patio cover at the above address in Magalia with-
out the required permits, inspections, and approvals of this office.
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact -this office.
JFG:dd
cc: Building Inspector - paradise
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
Chief Building Inspector
E. Other
1. Maintenance and repair:
'2. Fire hazards:
3. Safety hazards:
A., - Weather protection:
5. Underfloor and attic ventilation:
6.„ Comments: -.
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls: _
5. Exits:
6. Improvements: _
7. Zoning:_
8. Comments:
G. Field Problems or Violations
1. Problem or •:bola ion (give complete description):
b� Al Nt!U '% Ltt�. W
2. •.What action taken (gi.ve complete .ies ripti.oxi):
0 ) 1 A° I
3. What action rec amended:
T7A. Information only - file.
/ / C. Write letter.
7 D. Other:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
'SPECIAL 12dSPf'FiTl1hT RF;PflRx
Owner: W �� --(A) L ti
Address -
Tenant: _"
Building Location: &" -4s() - - W.
Type of.Inspection requested:
1. Rousing
C/ 2. Financing
A. P. # (P37—/Q -
Date of Inspection i y
Inspector
0
Ll 3. Change of Occupancy to
/ 4. other (specify)
71
Preseut use: cf bui.ldinLy: )J,,,,,,.. L�
A. Sanitation 11Riin
1. Vater closet:
2. Lavatory :
�. Bathtab or ShcxwPr: — -�
4., Kitchen. sink:
1. Hot and cold water to fixtures:
6. ?seating mac ilities:
7, Natural lfght and venttlat.ion— �'--
8. Romn and space requirements:
9, Bedroom window or door for second exit.
10. Infestation oiC resects, vermin., or rodeizts:
11. Connect-i.on to sewage disposal.:
12. Connect-lon to %rater supply: _
13. Rubbish and garbage facilities:
14. Corments:
B. Structural
1. Piers and footings:
2. Floor r_onstnicti.on:
3. Wall corstr=.action: __�.®—
4. Ceiling and roof construction:
S.
6. Co"nents:
C. Electrical
I . Servicc nd s,>'cund:
ng
D. P1zm:bi
1. F x2:;; es
2. ^..; water
con ectod 'and vented:
hel-iter:
3. Cas h ating ve.4—ii s.
4. Ccr�nenr.:s
William Welch
Star Route, 14 Some Way
Magalia, CA.- 95954
Dear Mr. Welch:
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CAS T LEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Toloohono: (916) 534-4541
H. W. McDONALD
Deputy Director
February 28, 1980
RF: Building Permit
A.P. # 65-10-37
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
Constructed a garage and a patio cover at the above address in Magalia with-
out the required permits, inspections, and approvals of this office.
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact -this office.
JFG:dd
c: Building Inspector • Paradise
Yours very truly,
Clay Castleberry
Director of Public Works
Original- signed by -
J. F. blander
J.F. Glander
Chief Building Inspector
r.
von= ruu=Us i 0�-33I"3
BORDENAVE, NEAL & LINDA
6153 SOME WAY, MAGALIA �' $ •' f. `��
N O T E S Cont:.WILLIAM SCHULTZ
(REPAIR WTR PIPINGt ,., , $r~;,r_•: `s "`�
RESIDENTIAL
APN: Permit No.
Owner.
$
j, Site Address:
Contractor.
i
Type of Permit:
t
—W—
t
Y
SPECIAL CONDITIONS
CHECKED BY
Q SRA
Q FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
Q VERIFY
USE PERMIT CONDITIONS
Q SUB -STANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
0 ENV HLTH CLEARANCE
DATE JOB FINALED:
OK
Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat Q or LP❑
Inch Sz Ft L.ngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation Q
14 Exits .
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers0s
DATE D EC K S'C O V E R S`C A R P O R T S `GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg .
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports- Wndws-Doors
7 Electric
8 Frmg; Si ils-Anchrs -Studs-Rftrs -Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; 5hthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
DATE IPOOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFl
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w1.T-Crcltng Eqp-Htr
8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool Ightg
Bokes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing Alarms
13 Bonding, Diving board or Slide
+
i.
i
Pool Drawing
= OK
Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth,
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub. Acc
6 Stemwalls Garage; Steel-Blockotits-Wrapped
58 Gas Pipe; Sz & Anchrs
63 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
T
12 Elec Undrgmd
DATE IM E C H A N I C A L
13 Plenums & Ducts; Clrnc-Materia"upport-Insultn
61 AC Ducts Insulin & Support
_ 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16, Insulation
64 Furnace -Vet Acc-Comb AiRtrnenOutlet
n cc -Air om /Vt 115 Otl%
65 Attic Acc & Pltfrm if Furnace in attic l
DAlt IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/6d Wall pnls
38 lnsultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
DATE JELECTRICAL
40 Fxtr & Tmsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndrig Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz g ❑ CU or ❑ AL
AC Wire Sz 9& ❑ CU or ❑ AL
48 Range Circ ga ❑ CU or ❑AL
Oven Circ ga ❑CU or ❑AL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dsr-rnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
°ate4` ID \\r.
0
FINAL ';-
66 Ext Steps -Door & Side Lt Prtctn-Landings �-
67 Smoke Detector e
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr !f
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sts &,?Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int.& Ext
76 Ktchn, Fxtr & Appinc; Grnd.-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Frtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
0
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
c�, J "PLEASE PRINT CLEARLY"
/S/ai �%D✓l./if�P � r.n � n
APPLICANT NAME
OWNER
Last NameFirst
City
Name
Af&7D 4 -
Address a 9 2
City
A2A DA
City6211
61741
StatAA
State
Z'S,
Phone
Fax
Fax
E-mail
Lic. # 86
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
City
A2A DA
9
61741
StatAA
Zip
Phone
o
Fax
E-mail
Planner
Lic. # 86
CI s
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
'� sQ
Flood Zone
Cross Street
\
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMEN 15
PERMIT
NO.
33/ �
BIN #
LOCATION
((�
Property Address
'� sQ
City
Cross Street
\
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
�J
Received by�- Amount SS Bldg
SRA
Receipt #: 4432&&
,(j�3 2& & Sheriff
SMTP
11 Date: C Other
19- V r%'�j.� �., (-jC Total
v.%cn0%AC%06 w rvkin rine Pane 1 of 2
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND ININK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -sinned by the engineer..
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ ' 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (53 0) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE All: (630) 638-7641
PERMIT NO.
PO53313
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 12/27/2005 APN: 065-100-037-000
effect.
License Class: License Number. 2% Vas
�
Site Address: 6153 SOME WAY MAG
Dale:' j�,17,5s Contractor: 0,4-44<
Map Index:
OWNER -BUILDER DECLARATION
Ithee
I hereby affirm under penalty of perjury that I am exempt from
Descri tlOn: WATER PIPING REPAIRS
Contractors' Slate License Law for the following reason (Sec. 703
p
Business and Professions Code: Any city or county which require
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to rile a
Owner: BORDENAVE NEAL D & LINDA J
signed statement that he or she is licensed pursuant to the provisions of
2448 WESTCLIFFE LN
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
WALNUT CREEK, CA
she is exempt therefrom and the basis for the alleged exemption. Any
94597-3213
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more then five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: WILLIAM SCHULTZ
such work himself or herself or through his or her own employees,
97 GRINDING ROCK
provided that such improvements are not intended or offered for
PARADISE CA
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
95969
proving that he or she did not build or improve for the purpose of
(530) 872-0325
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: WILLIAM SCHULTZ
pursuant to the Contractors' State License Law.).
97 GRINDING ROCK
❑ I am Exempt under Article 3 of the Business and Professions Code
PARADISE CA
95969
Date: owner:
(530) 872-0325
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #:
❑ I 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.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy fr:
otal Square Ft: 0 S. F.
—/
Valuation: $0.00
�d 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
Census Code:
become subject to the 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.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
,�;# �, t�
m Jll
CONSTRUCTION LENDING AGENCY
This permit is h reby issued under thkapplicable provisions 6f the Butte County Code and/or
inions
I hereby affirm that there is a construction lending agency for the
Reso to o work indicated ovj for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: CL Dater(
v� /� /
PERMIT EXPIRES ON: �o� L / ��70a
Address:
Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance5LgDy official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 21J
Print Name: Signature:
Signature:�'��/���
Date:
❑ Owner Q-16onlractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
O
Culligan Water Conditioning
2377 Ivy Street • Chico, CA 95928
530-895-1666
January 5, 2006
Linda Bordenave
2197 Honey run road
Chico, Ca 95928
RE: PEX LETTER FOR HOUSE LOCATED AT 6153 SOMEWAY, MAGALIA, CA.
Dear Ms. Bordenave:
Your water tested as follows:
Hardness: 40 mg/l
PH: 6.0
Iron: Zero
Total dissolved salts: 59 mg/1
It has been my experience that well water with this low of a PH will cause
premature failure of either copper or galvanized pipe.
I recommend you install PEX tubing or (equivalent) as it is more suitable for
harsher water conditions that sometimes exist in rural areas.
incerely,
Re Munroe
Grade 2 Operator
1
RESIDENTIAL, COMMERCIAL, INDUSTRIAL WATER TREATMENT PRODUCTS AND SERVICES
"` ' ` -CULLIGAN DEALERSHIPS ARE INDEPENDENTLY OPERATED
f
SAMPLE
Certificate of Compliance
for Installation of CPVC Plumbing Materials
(Pursuant to California Plumbing Code § 604.1b(e) and (f))
To Local Building Official(s):
I am licensed by the State of California as a contractor or plumbing subcontractor, and seek a building
permit for residential construction, which involves the installation of CPVC plumbing materials as
provided. for under California Plumbing Code Section 604. lb. Pursuant to Section 604.1b, I hereby
certify that:
a. I am aware of the health and safety hazards associated with CPVC plumbing installations
b. My company's Illness and Injury Prevention Plan satisfies the worker training safety
guidelines of the California Department of Industrial Relations, and includes information
about the hazards associated with CPVC plumbing pipe installations.
c. My company will comply with all of the installation and health and safety requirements of
California Plumbing Code applicable to the installation of CPVC plumbing materials,
including the requirements set forth at Plumbing Code Section 604.1b, and the Installation
Standards set forth at Section 301.0 of Appendix I thereto.
Signed:
SAMPLE
Removable Tag
to Comply with Section 301.0.1 (Flushing Procedures)
A three-inch by six-inch tag would allow the following information to be displayed in a
font which is easily readable:
This new plumbing system was first filled on--D�—B� b
The California Plumbing Code requires that the system be flushed after standing at least one week after
the fill date specified above. If the system is used earlier than one week after the fill date, the water must
be allowed to run for at least two minutes prior to the initial use for human consumption.
This tag may not be removed prior to flushing, except by the homeowner.
El
pw M'. o3'1
1
® �®��
�_�
68(1 Rio I:indo Avenue, Suite.60
Chico, CA 95926
'
RiskPro Insurance Services, Inc.
530.891.8100
Cell 530.864.6407
Neal Bordenave, JD, CPCU
Fax 530.891.8101 �
President
1.80O.RISKPRO (747.5776)
neat@ciskQto.com
License #OF19713