Loading...
HomeMy WebLinkAbout065-100-037N i f i O f37 WIL IAM M. W CH� App. 50' W/Of k y ay, beh�r �De S bbl. S'vt,>oge�eS baa / ` Y 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 f 1 t 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 v / J 'w 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 ti 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 r' i � n• c 1 _ � n• c r 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