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065-180-040
65-18-40 0 r ' .. GARLAND NICHOLS Cor Tikker & 'Rosewood Dr,' `lot 246, Fir aven Sub, Magalia , Per 8-81E emp� f k to/O X65 -g18-40 I F { 36604 Rose ��� <<� 4 q aa1ia w Permit 322, 1 r . • �. # -8 B, P ,.E., M (new_ _S./F...____,. rFI�t etached garage) %ter ter- tS.. 3i 0 040 � 99-`1019 PETEr *;"f'�`AOSEWOOD xMAGALIA',� PURO EPAIR:SIDING'�WINDOWS k. _ - I• u .fi F I _ r ' NOTES RESIDENTIAL (0651$0:040 g99zj,ol9 PERMIT NO.., 4RICGA; Pete 16604 Rosewood, Magalia; CContrfTim repair, siding & window i LP:&&F rst�z; Sq.Fan .ti SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. . SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER /_` I J O/L— �fC• gee fPJ JOB FINALED (Date) Signature V = OK 0 = Not OK - =Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Discorinect ' I � MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES.(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 6. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date 8. Utility Clearance Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Date 3. Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks -Easements 8. 2. Footings; Size -Spacing -Marriage Line Health Department Approval 3. Gas; MH Test -Demand -Valve -Connector 11. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date DECKS, COVERS, CARPORTS GARAGES.(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 6. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche , Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Door; Swing -Landing -Closure 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Duct in Garage -Damper 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 15. Access & Ventilation Plb., Elec. & Mech., Equip. Listed for Location 16. Insulation Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Clearance Looked under Floor O Yes 17. Water Htr.; Vent -Access -Combustion Air Baffle Following Instld./Drive J Yes ] No/Walks ] Yes ] No/Planters J Yes ] No 18. Water Pipe; Test & Anchor -Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor -Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 21. Test Tub & Shower, Second Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sixe & Anchors Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 23. Fixture & Transformer Clearance -Ins. Protection Water & Sewer Connected -C/O to Grade -HD Approval 24. Elec. Receptacles Spacing -Lights & Switches at Doors Energy Compliance Certificate -Other Certificates 25. Size Boxes & No. of Conductors Stapled Address Posted 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Card B-1 Date Card B-1 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech., Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes ] No/Walks ] Yes ] No/Planters J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: � ,COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION C� • = 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-180-040 RT -1A ZONING BUILDING PERMIT OWNER RICCA, PETE TELEPHONE 873-1910 SO. FT. OCC. BUILDING VALUATION EST 2,500 OWNERS MAILING ADDREs16604 ROSEWOOD, MAGALIA CONTRACTORS NAME PURO FIRST TELEPHNE 1222— 8800 CONTRACTOR'S MAIuNG IZ92 TARMAC ROAD, REDDING 96003 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6604 ROSEWOOD MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S 74.00 LOT NO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ff Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other ❑ Describe Work: FIRE REPAIR: SIDING, WINDOW Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 0OR UE Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 441to4a OWNER -BUILDER DE�CL� CATION 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 Main Service aooA To f000A 46.00 NEW CONST. DWELJNG OCCUP. ( NRA 3.5QFSE T. cors . MULWTI-ou NON RESIO. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'50 BAL @ ,50 Ex. Occup. ou E' qa D•oEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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. �a I 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' co ensati i insurance carrier and policy number are: Carrier Policy Number (The above sections need not be complete if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortI h c Triply with those provisions. X Date 5 ,'`t- Sign o pp Ican - ❑ Owner ❑ Contractor �SAgent An O permit is required for excavations over 60" deep and demolition or construction of str tures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE 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. N { Q By ate J I PERMIT EXPIRES ON ! Q D to Receipt No. Z.� y�%� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT—� 1—,— ASSESSOR PARCEL NUMBER �6 �J " _ l60 - Oqo % ZONING f�-�� BUILDING PERMIT OWNER �; Pe_+P_ TEONONE S73 -)q/ C7 SO. FT. OCC. BUILDING VALUATION es I- 2 o a OWNER'S MAILING ADDRREESS n � 1 ���� UI A /`O_ l/l '-1 CONTRACTOR'S E ^ 1 �I/`v"e TELEPHONE OO CONTRACTORS LWU ADDRESS C kr (�AO/,4 9 qV 003 CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS 0 ! / �os���, Q b G{X4V4/.1 Energy Plan Checking Fee $ $ PERMIT FEE S 7 q LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPEC" Solar or heat pump water heater 23.00 Water Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FiRf RyA1tQ' - 51 n,pNG amtaOL-0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service soOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / a License Class ,� Lic. No. 7'� Q2 1 � 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. IF (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 we: Carrier (-W? em SiU1 A I eA,YL Policy Number -7L_iLo (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 of employ any person In any manner so as to become subject to workers' c mpensa on lws of California, and agree that if I should become subject to the nson provisions of section 3700 of the Labor Code, I shall w rkers' plaati f witho ply it those provisions. qnn X Date ^ 'Jy Signat a Applicant - 0 Ow5ar ❑ Contractor 04gent An OSHA rmit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACc. ac.C. 3.5¢Fr: N"ONRESIo ' MULTI -OUTLET @7,50 P.Or APPARATUS a swOLE 0 r. CR °t�f OR �� Ex. Occup. aA20L @':w Ex. Occup. GLrntISA ES o °EL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ O� IMP FLOOD COF PARCEL Po I HD I ISSUE 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 I (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "Y4.Ti ;,,,rr.''v i,'�i""'�'K'�'4"'�,.-t".L'✓",��"�� r `_'.'i.fP R<<.y n;,r.�y,E,.G ,a\� C' :.Y�C'.'x'� �.,},;,a!? 'W ly ��v u._.,✓,.y..uyi�y�...,+.r rL..../.b3L'..:...r �.�ll �'Y v l' i� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICATION DATA SHEET OWNER: I'l1rK ? 1C 4,4 ASSESSOR PARCEL NUMBER: C5 - /60 - 0 yo Proposed Building Use: �/x Kmo Building Inspector: GA,t L Date: / Y M,4q / q 9 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted.------------------------------------------------------------------------------------- - ❑2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ _ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans.-------------------------------------------------- 04. ----------------------------------------------- ❑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. ---------------------------------------------------❑7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑8. Hazardous Material Form.------------------------------------------------------------------------------------------ _ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .----------------- _ ❑ 10. Fees of $------------------------------------------------------------------------------------- _ ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- _ ❑ 14. Sanitation and plot plan approval Health Department. -------- ----------------------------------- _ ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- _ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: __________________________ ❑ 18. Contact Land Development about 11Improvements, ❑ Drainage, ElLegal Parcel. ----------------------- _ ❑ 19 ncroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- _ 20. Pre -inspection for r/RX Q/0/hA 15 required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. -----------------------------------❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ______________________________________ ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- - ❑ 25. Recorded copy of Agricultural Acknowledgmeiii'` Statement .-------------------------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- _ ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- - ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 1130. ______________❑30. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Telephone q`9 �7 P'J and hold for pickup at G NiAce. ❑ Deliver with inspector. APPlican ' ft(oDate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department; ❑ Air ution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: JDate: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: " Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division 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: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 11 A.P. folder. Note transfer by: Date: OWNER: LOCATION: (i6 400LI 603ec000d ��. 'tTjf CONTRACTOR: DATE TO INSPECTOR: Pyr TYPE OF OCCUPANCY: 'ORY: [ ]NONE [u/]AS '/ DATE: % ZONING: eF 14 BUn-DING INSPECTOR'S REPORT ing Description: [ ] Commercial/Usage: [ ] Residential/# of Units: [ ] Currently Occupied. [ J Abandoned/Vacant. 1c' [ KYes [ ] No Electric is currently: VfOn [ ] Off Condition of electrical? Natural( ] Propane[ ] Obvious problems: tion: Plumbing working. Yes Well: Yes[ ] No[ ] Mobile Home: Yes[ ] No[ ] Currently On[ ] off[ ] No[ ] Potable water: Yes No[ ] Obvious Sewage Problems: scription of Damaged Area: imate valuation of Damaged Area: pector• Date: :: 94&� j 1 �FIBU�T-TE��CO�UINITY FIRE. INCIDENTmom L DATE 1NCfDEfliT rfUMSER 376 tOGfaED 8YtBEENY REPORT TIME 00:44 LOCAL FIRE NUMBER 0 Rp -STA EfiRE NUIVBER 13 S7 AT ION 7# CASE NUMBER 0 MEDICS: LOCATION 66 SEWOOD DR OFFICER 2108 RP INECM M MBER J8736732 $ COUNTY NOTIFI�'.ATIONS ❑ OES ❑ EMD ❑ WRA V2 AGENCYID BTU i STATE WILDLAND FIRES ❑STATE ACRES 0 LOCAL WILDLAND FIRES ❑LOCAL ACRES 0 STATE STRUCTmE FIRES RESIDENTIAL LOCACSTRUCTURE FIRES STATE OTHER FIRE LOCAL OTHER FIRES STATE MEPICAL AIDS LOCAL MEDICAL AIDS STATE PSA/OTHER LOCAL PSA/OTHER: STATE H/QNfAT -LOCAL-HAZ-MIA: INCIDENT NAME RICCA START TWE: -CAUSE LAND US'E DOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGEJ 50001 LOCAL TYPE $ DAMAGE: SAVE 75000 DIAMOND#: 12.0 INJURIES/FATALITIES .❑ # CIVILIAN INJrES: r---Ol# CIVILIAN FATALITIES: � FF INJURIES: � FF FATALITIES �0 /C40 ❑ DATE OFFr40INC.. 9ft SAT 38. AGENCY INC #:I'INC P# LOG'.... ®... _-WTJALS-� COMMENTS: "PERMIT NO. �\ 322-81B,P,E,M • PERMIT EXPIRES ✓ �0(- (3WNER Garland Nichols td CONTR.. owner ASSESSOR PARCEL 65-1840 2(P LOCATION A604 Rosewood, Magalia j 4 t, 1� y ' y� Temp. Power Pole c, K Called PG&E 4 Wf C Temp. Elec. Service Called PG&E-9--,/YO T O Temp. Gas Service t CalledPG&E JOB FINALED (Date) • Sign ur J OK ` 0 = Not OK - - = Not Applicable •MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date- DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch -+ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete r 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Fars.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK excepf q's 1. Zoning Requirements -Setbacks- Ease mint 0. Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval' 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater . 8. Gas and Electricity Tagged 8• Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test rd B-1 Date Card -BI Date Card -BI Date Card -BI Date and B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLO Plans OK exce 's Date FRAMING Continued 1. Zon' requ' emen s- acks-Ea s Property Line Firewall &Openings 2. ., M s -S - // /" Ftg. Depth 4 . xt. Doors -One 3' -Check 2arage-3rd story, 2 exits 3. F e; Is- - / " Ftg. Depth 50. rs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. , Ps & D s; Soils -Steel- / /" Ftg. Depth fp�5. 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers Ste alts, el-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste Is, G ge; S _,BJcsket"-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. P rs-Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D .V.: -F TQe -"f way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Wa ipe; T -An -Re or -Service Test 11. Electric; Underground 12. PI s & Denc -Uateri -Support-Ins. 13. Girders!SAIT- ch -Vents-Crl �T ( 1 - �� Card -BI Card -BI Card -BI Date t Card -BI Date D C ard-BI BI Date Date Date Card -BI (, Date. ( J Card -BI Dates Date FINAL ns) OK except N's �,-i- Card -BI L1 L Date 5 / ' .?/ Card -BI Date Date PLUMBING (Permit) OK except q's 5 xt. -Door & Sidelight Protection -Landings 57. oke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. ace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor -Ducts -Meeh. Protection ater Pipe; Test & Anchors -Nail Protectigg D.W.V.; Test-Fttngs & Anchors -fail ft?btecr`ftot% 59. edr om Exiting 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 60. 61. ZEIFS F & Bath Fixtures & Tub Access rim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. airs ails a ce or Stove; Clearances -Hear Card -BI Date () V_ Card -BI Date 64. 65• _�utlets at Wood Panel; Int. & it. 'xt. & Appliance; Grnd.-Air Gap -Cooking Clearance CardCard-BSI Date Card -BI Date 66. ec. Outlets & Receptacles at Kit. Counter Date ELE TRICAL Permit OK except q's 67. g ire Door; Swing -Landing -Closer 6 :- . . uc to Garage -Damper fixture & Transformer Clearance -Ins. Protection 69. . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In G e; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights & Sw' hes at Doors 70. b lec. &Mech. Equip. Listed for Location Size Boxes & No. of Conductors - 71. ler. Receptacles in Garage; (G.F.I.)- omex Protec. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up a asten-BendiaRS�& er 72• , In lation- ooked in Attic Yes 7 y4. uard Rails & Deck Construction -Post Caps ents & Crawl Hole,�C�er�Drainage & Wood -Earth Clearance Looked under Floor ["les. •� 2 Appliance Circuits in Kitchen & Conductor Size •-S'-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cuor At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, I ulated Neutral ❑Yes ❑No 75. -'Following instld.: Oriv Yes ❑ No; Walks Yes ❑ No; Planters ❑Yes No M.Service-Riser Conductors & Ground -Main Disconnect 76ae.SlaCCo Brown -Finish Q . Equip. Clearances; Panels-Motors-Mech. Equip. 77 t; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light 78. is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79.• ell; Disconnect, Electrical, Plumbing _ t r Elec. Trim; G.F.I. Receptacle -Underground Card B -I �% i Date / j^ Card -BI Date 89R etion throughout House Card B -I Date Card -BI Date 82. rotection Date MEC ANICAL (Perrr,it) OK except q's 83. orre tion from Previous Inspections 'I 184. -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & Support 85. W66 & Sewer Co cted-C/0 to Grade -HD Approval Vent Fan; Exhaust above Insulation 86 nergy Compliance Certificate -Other Certificates 33. Condensate Drain,& Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Dat4/o.rd-BI Date Date Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA ING Plans OK except q's Comments at Final: s; Proper Material & Anchors s; Studs -Nailing, Spacing & Bracing -Plates -Sound ring Walls over Girders & Floor Nailing oe __ raft Stop in Walls (rat proof) _ ire Stops; F et in 6Ean-S-Ci>zcx- _ 1. Header & Beam -Size _& Bearing 4"��angers-P_Caps nchors-Connectors aS _Ctng. st r. Pu -Roo rac.- russ- h g. fng. _ 44. Fireplace Ties or Type _ireplace Throat _4"5".�Attic Acce ize & tech Draft Stop- s. affF gti. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) �` RES IDENT IAL s ENERGY CONSERVATION STANDARDS ' CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFO�E WITH CURRENT EN!p=CONSERVATION REGULATIONS AT �O(�01�t�$P� yP .1 ` (location) BU ILD ING PERMIT NO. A -6'P.. N0. 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. Walls Special (Insulated) 1/ Floors 1 CERT. & LABELED WDS. Walls l & SLIDING DRS. t Ceiling/Roof K WEATHERSTRIPPED DRS. !/ Ducts © BACK DAMPERED FANS Circulating Pipes IVIIINTERMITTENT IGNITION DEVICES APPROVED HEATER- CERT. APPLIANCES APPROVED WTR.HTR. a I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE -HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. i Insulation Applicator Name Signature of (please print) Insulation Applicator i State Contractors General Contractor/ er ame Signature of General Contractor�er L'cense No. please p nt i O Date tate Contractors' License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATHIN AND PERMIT ASSESSOR,PARCEL NUMBER _ .8 _ ZONING 7 /— A ' BUILDING PERMI OWNER TELEPHONE - OCC.OWNER'S ESQ.. =290 OO MAIL NG ADDRESS 0r0 0 _ CONTRACTOR'S NAME f ONE' d 600, 00 CONTRACTO •S MAI ING ADDRESS Fireplace sd, 0 b CONSTRUCTION LENDER UNKNOWN Total Valu On $ b O 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER �U LICENSE :NO. Plan Checking Fee •$ L o Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUILDING DD Ess / �" �E Fee Filin Fee PLUMBING PERMIT Filing 10.00 r E Each Trap 2.00 ,0 p Repair drainage or vent piping 5.00 Water piping 5�49Z7 LOT NO. SUBDIVISION NAME PARCEL MAP p?� /� Each qas water heater or ven r 5.00 0 Gas piping system 1 - 5 outlets / O O USE OF STRUCTJ4R,E ❑ ❑ � ��� ���$� SF Duplex Mobilehome Other SPECIFY Building sewer — Lawn sprinkler system 5.00 TYPE OF WORK New 0, --Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ , Op Contractor &1 ELECTRICAL PERMIT Filing Fee .10.00 Main service 100V OR LESS 5.00 100 AMP OR LESS J7 0 in service EA. ADD'L 100 AMP 2:50 Q NEW CONST. // DWELLING 0 22 Sq it OR ADDNS. % ACC. BLDG , O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) , ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW -CONSTR /SINGLE OUTLET CIRPOWER APPARATUS 6) NON RESID. . EX. Occup OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR EX. Occup. �p UTLETS (RESID.) EA.1' 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 ' Permit Fee $ () Contractor fD E,c MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury _ (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. V I shall not employ any person in any manner so as to become subject 'P' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling ,cJ 00 Hood 3.00`Q Ventilation 44 0 O Permit Fee $ rOU Contractor (feclA/'Zlz 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an expenses which may. in any way accrue agains said ounty in copse uenc f the granting of this permit. X Date /—� Signature of Applicant — + Owner Q Contractor ❑ Agent,❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures��over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �� �� OcCUP. GROUP - �_� I TYPE of CONST. �- AI I I PARC q, EL Po ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF PUBLIC WORKS By Date -7A -?3 - P% P IT EXPIRES Date Receipt No. Zz" WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT GENERAL CLAIM CLAIMANT: Garland Nichols - ADDRESS: 14851 Upland Rd; CITY & STATE: Magalia, CA. 95954 IMPORTANT: DATE OF CLAIM: January 29, 1981 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE ( DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT -j i I Not going to do work. (Electrical Permit #118-81E d Receipt #44387- 44387 — e AP AP 65-18-40) _ Electrical Permit fee paid ----------- $20.00 Retain filing fee .Amount of refund due -------------- $10.00 $10E00� — I I I TOTAL $10 .:00 - I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and corrree''c''t as stated. - ';4Dated this...........2..!:................. day of ..1�/Y%!j.............. 19 �'`, at.A".0,4 14 P....... Calif. `� yG'�.'..�................. ignature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) for the same. r Dated this ...?9th dayor ,,.Jan. . 1981 et Oroville Calif.... ................. I - Department Head or Authorized Deputy Dept. Exp. CodeCode PAYABLE FROM FUND j DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR DEPT. CODE & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. ! r I COUNTY OF�BUTTiE - DEP:' ` TMENT OF PUBLIC WORKS- P RMIT O. 7 County Center Drive - Oroville, G :fo�nia 95965 -Telephone 916/534-4541 � APPLICAT AND PERMIT AS ESSOR PAR�E1�. 4Iy�ABER S _ /k _ CeIVJ ZONING BUILDING PERMIT OwN O L-1 TELEPHONE X02, SO. FT. OCC. BUILDING VALUATION OWN R' MAILING ADDRESS �` /) CO RACTOR•S NAME fXL`EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN _ Total Valuation$ Filing Fee$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - ,Jr ' `- LICENSE NO. Plan Checking Fee $ ' Penalty $- ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDG ADDRESS e PLUMBING PERMIT Filing Fee 10.00 Each Trap X2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NA PARCEL MAP • Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other> SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other -W Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.0i) OR ADDNS. ACC., BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ • I am licensed under provisions of Chapt. 9, Div. 3 of the Businesss0 and Professions Code and m license is in full force and effect. r y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, ,am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NO N.RESID BRANCH CIRC S NEW CONSTR. (POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. / zs¢ Ex. OccupOUTLETS OR FIXTURES 100 Ex. Occup.(OUT ETS FIXED P(RESID )LISIS REA. 2.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County*of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f1 I shall not employ any person in any manner so as to become subject la to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the. W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County :Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 'Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai:��C in cons ce o he granting of this permit.X c Date Signature of Applicant'— Owner X Contractor ❑ Agent ❑ An OSHA permit is required for,excovations over 5'0" deep and demolition or construct -DJ ion of structures over 3 stories in heightt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. , ]PARCELI PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C OR OF PUBLIC By /� PERM EXPIRES Date - the applicable provi- resolutions to do I fees have been paid. 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