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HomeMy WebLinkAbout065-190-095r { r e s ! Y y • � tt 1 r ; c c 65-19-95 J. L. GORE -' .- 6586 Hollywood, N'� yw z 453 Firhaven Sub .,,Maga lia * Permit#602-83B,P,E,M(new 'ngl)i? family) - - , 65-19-95 F n0. permit#llj3-83P,E(util, MH) t ELEC } B GAS y SUPPORT-STRUCTURE.RE COMPACTION TEST RE i r Permit#2996-83B(ope.;deck/602-8 ' 065-1190.-095 • 1 ;" 00-2336 ���/$ F0RREST-JAMES `, dO-aG 6586 HOLLYWOOD, MAGALIA CONTR•; DEL JOHNSON' ':4'.;3,•. `' FURNACE. 065=190 095xs�* t yp .i�v •042082 FORREST, JAMES 46586 HOLLYWOOD RD;MA LIA,', i CQntaRELIANCE PROPANE INAL.E� INSTALL 'GASHTG STOV 1 j,'; r r C NN, ■�K cri il LO d` i v65' -p10-. a 1757 rY� S ?' /Z�V-Zosl- BUTTE COUNTY PERMIT NO. evrr�0 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP042082 00 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) o -:af' r :�. `o OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds covN�y . LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penally 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 affect. License Class: License Number: / 7 3#3I G Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars ($500).): ❑ 1, as owner or 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 such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sate. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, 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 properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors'State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of periury one of the following declarations: ❑ I have and will maintain a certificate of consent to selfinsure for workers' compensation, as provided for by Section 3700 of the Labor Code. for the performance of the work for which this permit 14<1 � is issued. 4 ' have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation ec insurance carrier and policy number are: Carder. J rR'�e_ �'/ G Policy d: / 6 / 774 2— GZ . ❑ 1 certify that In the performance or the work for which this permit is Issued, I shall not employ any person in any manner so as to 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 Civ.) Issued Date: 07/14/2004 APN: 065-190-095-000 Site Address: 6586 HOLLYWOOD RD MAG Map Index: Description: INSTALL GAS HTG STOVE Owner: FORREST FAMILY TRUST FORREST JAMES A & FRANCES JANETTE TRS P O BOX 1028 PARADISE, CA 95967 Applicant: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 Contractor: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 License #: 734318 Architect: Engineer: Total Square Ft: Valuation: Census Code: do work EXPIRES 0 S.F. $0.00 �L- 4?y I() !d under the applicable provisions of the Buma County G iicaled abovpjor whiiCh fees have been paid. / Address: I _ (Ddte) 'I ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage. handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 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 ail county and slate laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpose Print Name: �-7 �'✓/n �`�'n Signature: Date: MlY O 47 0 Owner 0 Contractor Agent for Owner \r!l'rrr Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds 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 effect. License Class : License Number: 73#-3/!L Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 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 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than 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 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, 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 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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. 'GS ' have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �4R7e r -L"7 2 Policy #: 71Z 2- GZ ❑ 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 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: Applica 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP042082 Issued Date: 07/14/2004 APN: 065-190-095-000 Site Address: 6586 HOLLYWOOD RD MAG Map Index: Description: INSTALL GAS HTG STOVE Owner: FORREST FAMILY TRUST FORREST JAMES A & FRANCES JANETTE TRS P O BOX 1028 PARADISE, CA 95967 Applicant: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 X206 Contractor: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 License #: 734318 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereby issued under the applicable provisions of the Butte Resoluti s)6 do work indic�a�ed abo0�r wh h fees have been paid. EXPIRES ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety 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 substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /7�i/7� 194,1) 01 Signature: Date: �T- ❑ Owner ❑ Contractor Agent for Owner Contractor vo 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 APPLICATION OWNER Name 51 J J a,. c,rl, + Address G gok �GZE .City Pay chi Stated Zip S%4, -7 Phone7 • j Z gs Fax E-mail Fax APPLICANT NAME CONTRACTOR Name... Address 6426 SKVM�y City City ARAD Zip State Zip Phone 872._9200 Zip Fax E-mail Fax Lic. # 734318 I 1 Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Planner Fax E-mail State License Number APPLICANT NAME Name k6o s2.n t -115 Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use oril : Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMSOUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 PERMIT NO. 0q,p_c)gR- BP BIN # LOCATION Property Address 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. Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP Date: Other �•� Total REV 4-30-04 �3.,, ,.� _ .... .'n-;.. .*jl°.4""'g:`�our-wsx�;•'�Ft' i ;»_.;rte ,r �Hw�: b.: a�3yrR.=.. _=n.�+..�vrr�.:;ei'�-�grC;+#i;.��w.s�!.;9.-a,�'irf�•,�fii�;.i'�?"�th.Y.::�^s+r :�y-�'-":rya:"xF ."'.;�`.u'"�Y�:dv�,:,�s°ec^fi'� i . � t. .. �- �.. •• . .. .i � , �� . + � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538x7541 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 4 zONING BUILDING PERMIT OWNER ... j --- r-,. J. TELEPHONEJE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAR1Jl+LDRE�J St.yJ CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS of ((-``T Tl{ =L'Arl Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (".9 ;JPT: l Gas piping system 1 - 5 outlets i 15.00 1. Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE GO ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A 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.POWER License Class C -�!p C -Y �i Lic. No. i 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: ❑ 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. Qk011 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier A,1/� Y]/'!'/�� r r, o�>.J/ 7-4f Main Service a TO 46.00so Eo CCU000A NEW CONST. ( owELUNo occuP. 3.52sFr°: OR ADDNS. 6 ACC. BIDS. INpµRESID, MU LTI.OUTLET @7,50 APPARATUS S SINGIE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES �0 ®':00 Ex. Occup. OFI D$ . El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET_ $ Policy Number !""C �s�-EC.-1 :X _l (The above sections need nQt.be.comple.tedylf the permit is for work of a valuationEnergy"(n�{�®cU&PFE+e" of one hundred dollars ($100)- of few:)* - - ❑ 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 forthwith comply with those provisions. r- �'✓� "`�� Date �l% e S� hr.% Signature of Applicant - ❑ Owner lawCOntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 777 ner — $ k.c , .,i coNsr: YPE 3 ­ TOTAL FEE $ -a. Co HA2. D. FEES IMP I FLOOD I COF I PARCEL I PO 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. . ! , By &# /�� ;,,, " . fk"Date PERMIT EXPIRES ON to ReceiptNo. C WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR, GOLDENROD -APPLICANT . =i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D SION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT' 00-2621 ASSESSOR PARCEL NUMBER 055-190-095 ZONING _ B ILDING PERMIT OWNER JAIL ES FORREST TELEPHONE 73-5285 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6586 HOLLYWOOD MAGALtA CONTRACTOR'S NAME DEL JOHNSON TELEPHONE 87-4564 CONTRACTORS MAILING 5800 COPELAND PARADISE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6586 HOLLYWOOD, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CA; PTPT% Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR IPSS 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. 3 / 9� .cense Class ` ZO CCF`? Lic. No. 6` 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 rformance of the work for which this permit is issued. 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' compensation insurance carrpr and policy number are: Carrier (f�0/LiP/./fZ ti/ TN Main Service 200A TO tOOOA 46.00 NEW CONST. DYE LNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. s0 3.50FT. NON g61D. T. MULTI..... 07.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FOREs &,�':� LNS Ex. Occup. oimt�s AEslo °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Policy Number A—=C .r/j6 (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,e..) X Date �® a =�C/ Signature of Applicant - ❑ Owner a<ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CDC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated abovefor whi h fees have r By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate &� /219 Date Receipt No. 308874 7 WHITE-D.D.S.-B.D. CAN Y•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 - PERMIT NO. 754 (Rev. 12/96) . APPLICATION AND PERMIT -- 2:*12alr" - AsseasonvARca"uMeER _ zoNNOt — BUILDINGPERMIT OWNER "E SO. FT. OCC. BUILDING VALUATION Owl", "A""'0A 751 CONrRACTOR'S NAME ' `upAWNE CoNTRACToNIa MALIAD s t (Jy CONSTRUCTION LENDER LEN081'9 MAILING ADDRESS Fireplace Total Valuation L ARCWTECT OR LMNEER LICENSE NO. Filing Fee $ 20.00 ARC49 ECT OR EWMEER S MAu►a ADDRESS Permit Fee $ Plan Checking Fee $ BULMO ADDRESS 8 Energy Plan Checking Fee S a PERMIT FEE _ IDT NO. sUBDIVSKMS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 SFX Duplex O Mobilehome "Other Water piping 15.00 sPEesv Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 ,IJ New ❑ Addition ❑ Remodel ❑ Utilities Installation O Other O Building sewer 15.00 Mobile Home S G W 020.00 Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service �w OR IFSS 23.00 Main Service 200A TO ICOOA 46.00 NEW CONST. OWE111NO OCCUP. OR ADONS. l ACC. BIDS. 3.5CSO NOKRESID. raw GUMT. MULTI -OUTLET @iG 7.50 OWER APPAMTUS IPS WOLE OUTLET C10. EX. OCCU . OUTLET OR FORURES SAL ® I.00 Ex. Occup. MD PPLM OFI. -Temporary 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ *PERMIT �� �� MECHANICAL PERMIT Fling F"720.00 FEE PAID $ Heating .SRA - - $ Cooling SHERIFF $ Hood 6.50 Ventilation OTHER. $ $ PERMIT FEL: it Mobile Home Installation Fee $ $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE _ , AMOUNT RECEIVED $ �3S �7) "� °FEES IMP n.00D CDF PARCEL °° "° ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work *RECEIPT 3�gg7� Indicated above for which tees have been paid. NUMBER * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON ro �� ... _ •--•- i .. .: V+•we.•.-' yt?. t+ a:� ..r r.. _ !, c� .. ,y: ..-k�llK.. . s'. • t rs5 . r ur". . , ,,.yw: 1 ,'065'190.095 I 00-2336 y. FORREST'JAMES y3 ; "6586 HOLLYWOOD, MAGALIA CONTR: DEL JOHNSON S {, FURNACE • ti 4t t .. . .. P .r. -....,r,..a.�.... ..c. ,. .-.w+�a.:�-w,n;�.-�+.-n'Vv'rwn'w.`9�R�+A�'.^�,c �,,y. ;'VtsAsrR �:_'�T";,wva.-•n�'+r.7�JRT7'. w.�'�"�`,.;.'n/"T°'.I.' I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541Q���PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JAMS EST TE ONE 87M285 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Q CONTRACTOR'NAMS TELEPHONE CONTRACT _ ILING DRESS MANGE 95969 CONSYRUCTI N 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 $ BUILDING. ADDRESS AI�LG SAM Plan Checking Fee $ S PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FURNACE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A 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,yOT}ga1p. and my license is in full force and effect. License Class C,10 e--13 Lic. No. 373/197 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. V"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' compensation insurance carrier and policy number are: 4 /�,"V/L�4 IWI� e'e Carrier e4/ / Ft?Q*1 1fr Policy Number jif C Z/6 17-7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X• •�1""""' Date �' aG - Signature of Applicant - ❑ Owner ®—Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 1 46.00 Main Service ,DWEL NEW CONST. 'DWELLING OCCUP. SO ING C OR ADONS. (' & ACC. BLDS. 3.52FT. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q 100 Ex. OCCU . OUTLET OR FD(TURES BAL @ .50 FlXEO APPLNS. OR Ex. Occup. ouTLETs (R .1 EA 5.00 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.00 MECHANICAL PERMIT Filing Fee 20.00 Heating FURNACE 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35 W Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE NIJ.� TOTAL FEE $ 00 HAZ. D. FEES IMP 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 ab'Ove for wFiich fees have been paid. `�y Z 14 Daate ��(/( fir✓ PERMIT EXPIRES ON % .� l� _0 Dere Receipt No. 308509/$60.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. t ' ' ' ' 'COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE F�Re� i OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, -�;t please contact this office immediately. Date Inspector / Inspector' REV 10/92 It V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 1 PERMI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1165-190-095 ZONING BUILDINGPERMIT OWNER TEE -SUE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME DEL JQ�:'NSQN TELEPHONE 877-4564 CONTRACTORS MAFLING ADDRESS ELAND, PARADISE 95969 — CONSTRUCTION NDER ' 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 $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FURNACE. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOV OR LESS Main Service 20.AORLESS 23.00 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.(Q �,/ License Class C -W C `%�Lic. No. 3 % 3 / 7 S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: b 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 To 200ALICENSED 46.00 NEW CONST . DWELLING oCCUcuv. WELL OR orS. ( BIBS. 3.5Qso. FT MULACC. NON-RESID, q TDl. 97.50 POWER APPARATUS 6 SINGLE OUTLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''50 BAL @ .SO Ex. Occup. ouriErs RES16.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25,00 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. V 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' compensation insurance carrier and policy number are: Carrier 64L/ --,0&V14 1.0-w?W/ j!�/ xy!5S ed - MECHANICAL PERMIT Fling Fee 20.00 Heating FURNACE 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number r _`S/ / 7-z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall h comply with those provisions. / Date �'C� "�J _ Signature of icant - ❑ Owner �ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated a for Ic fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. / to Q�`(/((�j� 6 Date Receipt No. 308509/$60.00 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 a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12M) APPLICATION AND PERMIT — ASSESSOR PARCEL NUMBER /„ lc�� G} /CZon r I BUILDING PERMIT OWNER TELaE11140Ne SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORF�99 /LYS &Y V 1 CONTRACTORS NAME t TELEPWNE -?:? CONTRACTOR'SMAUNO AD Co yoGv_to CONSTRUCnON LEND C`—C7 C� J ( Fireplace LENDERS MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.0 Permit Fee E ARCHITECT OR ENOINIEERS MAS1NO ADDRESS Plan Checking Fee S BUwwG ADOREss Energy Plan Checking Fee b PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sP�� Each Tre 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �/L/ C Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W (0320.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .. on LF..4S 23.00 *PERMIT FEE PAID $ ` SRA - - $ SHERIFF $ OTHER. $ $ $ d` nl / O CJ AMOUNT RECEIVED $ *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Main Service 200A TO 1000A 46.00 NEW CONST. OWEUJNO ffUP. 3.SQ FT, OR ADONS. ( t ACC. BLDS. NEW CONST. MULTFOUTttT NON-RESIO. �Q 7.50 POWER APPARATUS 8 SMIG.OUTLET 010. Ex. OCCU OUTLET OR FOCTURES a20 ® 1.00 Ex. Occup. oirrLFTs 610.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL P RMT Filing Fee 20.00 Heating U l '— Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S OCC n, CONST' r`PE TOTAL FEE $ J HA2. I FEES IMP FLOOD COF PARCELPD 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 (Date) PERMIT NO. 2996-83.B PERMIT EXPIRES .2// g OWNER J. L. GORE ' CONTR. owner ASSESSOR PARCEL 65-19-95 LOCATION 6586 Hollywood, Magalia. t4A . ir. t" A J I Temp. Power Pole Called PG&E Temp. Elec. Service t Called PG&E Temp. Gas Service a Called PG&E JOB FIN ED (Date) Signature t: T 1 J = OK y 0 = Not OK — = Not Applicable MOBILEHOMESMISCELLANEOUS " = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's Date ECKS VERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1 ni quirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2, ngs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ^- 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -B/\ Date Ca -BI Date Card -BI Date Card -BI Date Card -BI _ Date fCard-BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1 • Zoning Requirements—Setbacks—Easements 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 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Y V = OK ' 0 = Not OK ' - = Not Applicable RESIDENTIAl(Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg: Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth ' - 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except H's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection _ 21. Flet. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ❑No 75, 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish - 28. Service -Riser Conductors & Ground -Main Disconnect --- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------------- Card B -I ----- - --_-_.-- --- _Date- -- -_ Card -BI Date -_ 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except p's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - - 31_ 32. 33. A.C. Ducts: Insulation &Support Vent Fan: Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 85. Water & Sewer Connected -C/O :o Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI -- -----. _- -- _- - - - - ---- ..---.--.--------_-_- - Date __Card -BI Date Date Card -BI Date Card -B I Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except k's 36. Sills; Proper Material & Anchors -37. Walls; _Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing__ 39. Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hg_t. & Dimensions___ _ Garage Fire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) J , _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Groville, California 95965 - Telephone 916/534-4541 APPLICATION,AND PERMIT PE MIT NO. ASSESSOR PARCEL BE ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATpbN OWNER'S G DRESS CONTRA TORS NA r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Z� = ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAI NG ADDRESS Permit fee $ �— BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 o s 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Add ition❑ Remodel ❑ Utiliti ❑ installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0v OR LESS 1000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. t 2/20sgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS. 2,50 ea NEW NON.CONSTR RESID. ( SINGLE OUTLET CIR. POWER APPARATUS &' 20 @500 Ex. Occup(o Ts OR Es BAL®30 IXED . Ex. Occup. OUTLETS P SID )REA.) 2.00 Temporary service 10.00 Mobile Home F!Al ities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Coun y in consequence of the granting of this permit. Date � Si tore of Applicant — Owner Contractor I]Agentwork An OSHA permit is required for exc vations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD 11,;J ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE ROF P LIC -4 BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �–� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PI K -INSPECTOR, GOLDENROD -APPLICANT II P/[ M -ix, ~R 134v91 y,,eaow R,,68jY G S' REPZ�cr'r�r'.r�' ARccR GS` 5CA4e- 57 'j COTE:—Ali" Materials & Workmanship Shall Be in �- - Accordance with Recognized Good Practices an o� d q ' v Dresc; ibed for the Specified -use i th — /3 lr'niform Building, Plumbing �& Mac anica, Codes ail e National ecr ca en t 2., x YL *noo0 D43:"� to setback of 5 ft. from the p operty lines and a setback of 50ft. from the road centerline shall be cle o structures or equipm lc.-�YE —� € . r a 2. ft. eave overhang, o' o' r9AR�FR Z6r � y0' 36" yo' DRi vEWAx ov vo Lj J� N.E PRA;/ MA,4K�R y�' QUITE CO1JNTI 7 j r BfN!/JD �L: q�tic POLE��1 ®I� „ ILD16VG DEPARTM N' RED/di{ire 201$ET8AG,/( Pot E Rn�DAR g�' FRar9 �i. w. roeyF.0 I /;o/� SES !✓.i %f.0 ✓`��`'�c /i ,r!OG.a% i ON rye yWooQ RA This set of plans and specifications MUST be kept on the job at all times and it js�u� awful toOc 5 make any changes or alterations on�sa wiflivit = written permission from the Department of Public Works, Coun•y of Butte. /� h4 N.E PRA;/ MA,4K�R y�' QUITE CO1JNTI 7 j r BfN!/JD �L: q�tic POLE��1 ®I� „ ILD16VG DEPARTM N' RED/di{ire 201$ET8AG,/( Pot E Rn�DAR g�' FRar9 �i. w. roeyF.0 I /;o/� SES !✓.i %f.0 ✓`��`'�c /i ,r!OG.a% i ON rye yWooQ RA This set of plans and specifications MUST be kept on the job at all times and it js�u� awful toOc 5 make any changes or alterations on�sa wiflivit = written permission from the Department of Public Works, Coun•y of Butte. /� wffs. couwrv, Ob"ILOING DEPARTMEta APPROV ED., '01K vi wffs. couwrv, Ob"ILOING DEPARTMEta APPROV ED., '01K S PERMIT NO. PERMIT EXPIRES g/ /ff + OWNER T.L- GORE CONTR. owner ASSESSOR PARCEL 65-19-95 I 602-83B,P,E2m JOB FINALE( Signature LOCATION 6586 Hollywood, Nk 453,Fir Haven Sub, Magalia f. 2 Temp. Power Pole C a I I e d P G & E Temp. Elec. Service C-.1 Called PG&E Temp. Gas Service Called PG&E JOB FINALE( Signature 0 _ OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Vs 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 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-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 except N's 1., Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V, J J=OK 0 = Not OK Not Applicable :{; = No1*Ready RESIDENTIAL (Single and Duplex) Date UN FLOOR Plans OK exce t#'s Date FRA G Continued i 1. Zonjrag requirements-Setbac Easements 4 erty Line Firewall & Openings 2�t , Main; Soils -Steel -EI c.'Grnd.- / /" Ftg. Depth X. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ig., Garage; Soils -Steel- / /" Ftg. Depth 50. S irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fes., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers __ 50oTte alis, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer walls, Garage; Steel-Blockouts-Wrapped-Slab 53. I Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Pier irepiace Ftg.-Steel lazing Area -Glass Protection -Skylights -Plastic _ 8. V.: Fall -Fittings -Test -2 way C/O -Sewer est Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Tes ,4& _r 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date r rd -BI Date Card -BI Date and -BI Date - Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date F N (Plans) OK except N's Card -BI at r Card -BI Date Date PLUMBING (Permit) OK except q's Steps -Door & Sidelight Protection -Landings 540'.-STLke Detector _ 7 a Ht.; Vent -Access -Combustion Air 8 urnace; Vents -Clearance -Comb. Air -Connector - ar e; Above Floor-Ducts-Mech. Protection 1 a Pipe; Test & Anchors -Nail Protection r W.V.: Test-Fttngs & Anchors -Nail Protection oom Exiting 1 Shower Pan; Test, First Floor -Tub Access I. & Bath Fixtures & Tub Access __ _ 18. Test Tub & Shower, 2nd Floor -Tub Access . Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors - - S & Rails F' lace or Stove; Clearances -Hearth Card -BI K Date and -BI Date 59k -E utlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date :'Outlets & Receptacles at Kit. Counter Date ELE RICAL Permit OK except q's 677 Garage Fire Door; Swing -Landing -Closer C -Duct in Garage -Damper -- 2F' ture & Transformer Clearance -Ins. Protection 7� tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In age; Above Floor-Mech. Protection 2 / Receptacles Spacing -Lights & Switches at Doors ., Elec. & Mech. Equip. Listed for Location -7 2 e Boxes & No. of Conductors -Stapled E C. Receptacles in Garage; (G.F.I.)-Rom_X_Kotec. ! 2 $cf'iiex Installed Close to Edge of Studs & C.J. _ _ 2 Ground made up w/Mech. Fasteners -Bond Gas &Water � Insut tion -roam -Looked to Attic s 7 uard Rails &Deck Construction -Post Caps 2 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole r -Drainage &Wood -Earth Clearance Looked under Floor Yes --- _2_ eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At ____In_sulated 27., Fjange Cire. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, (/ �- Neutral ,_.Yes ;ANO 28 vice -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive Yes o; Walks g ' ❑ Yes o; Planters ❑Yes o 7 wn-Finish -- 2 Equip. Clearances; Panels-Motors-Mech. Equip. 77 it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _ 7 e bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- _-.— ------ _ CardAW-__DdB _ate �iCar-I Date —__ Card B -I Date Card -BI Date 79 a ell; Disconnect, Electrical, Plumbing 801K I r Elec. Trim; G.F.I. Receptacle -Underground 81. Cation throughout House 8 GI s Protection Date ME ICAL (Permit) OK except ti's 83. _ Correcti rom Previous Inspections 4.. T -Meters Tagged; Gas -Electric er & Sewer Connected -C/0 to Grade -HD Approval _C. Ducts; Insulation & Support — - / Vent Fan; Exhaust above Insulation 3. _Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date -f- Card -BI Date Card -BI Date Card -BI Date g, nergy Compliance Certificate -Other Certificates r...• Card -B D t Card -BI Date Card Dae Card -BI Date Card -BI Date Card -BI Date Date FR Plans) OK except q's Comments at Final: ills; Proper Material & Anchors 37. alts; Studs -Nailing, Spacing & Bracing -Plates -Sound_ 3�Baring Walls over Girders & Floor Nailing ft Stop in Walls (rat proof) _ -4to;;; Furred Ceilings-Stai -Chases-Tub 4 5tj,r&Beam-Size & Bearin ders-Post Caps -An hor Connectors-- Cing. Joist-Rflr, u i t Brac.-Truss-Shthng.-Ring. 44.'lace Ties r T e FI - place Throat cess: Size & Romex Protection -Draft Stop -Ins. Baffles _ 4��B�PWI:ndows 4or Exiting Doors -Sill Hgt. &Dimensions 4,Fire Protection Framing 44 (NOTE: An entry must be made each time youvisit jobsite) S COUNTY OF BUTTE j DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 =y Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1-0 -1K I-, A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, orneed additional explanation, please contact this office immediately. /Lv Z Inspector__ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction f work is completed. If you have any question pertaining to this matter, or neeff additional explanation, please contact this office immediately. Inspector Date/ _�` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 jCORRECTION NOTICE BUILDING OR PROPERTY A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector✓ Date PERMIT NO. _ n Q�J 1132-82P,E (MH) r PERMIT EXPIRES /�(Z OWNER J.L. GORE h CONTR. owner ASSESSOR PARCEL 65-19-95 LOCATION 6586 Hollywood, N2 453, Fir Haven Sub, Magalia r Y f, F t Temp. Power Pole_ Called PG&E _ r Temp. Elec. Service_ Called PG&E_ Temp. Gas Service _ Called PG&E_ JOB FINALED (Date) Signature 19 RESIDENTIAL 1 , . ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS JI AT 6586 Hollywood Rd. Paradise Pines, Magalia (location) BUILDING PERMIT NO. A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or urrite_N/A .If _not .app licabic): n Y INSULATION: GLAZ ING ; Slab Edge Single C1azed _ Gar.Ceili --Ic �' -L-J3 Special (Insulated) Floors CT/FG 611 R-19 CERT. & LABELED WDS. xt WallsCT/FG 3 5/811 R-13 & SLIDING DRS. Cc iling/RooLT /FG 6k" R-22 WEATIII-.'RSTRIPPLD Ducts BACK DAMPL•'RED FANS - Circulating Pipes INTEWITTENT IGNITION DEVICES APPROVED BEATER CERT. APPLIANCES APPROVED IJTR. l!T R, I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDAWCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLF ENESS OF THIS CERTIFICATL; AS SUBMITTED. Insulation Applicator Name__114Xk; Signature of v Insulation Applicator %� ' Ccneral,Contracto Own r.Name Signature of Cenoral Coutractovl w e R ',plea ( State l.WktraCLUrL License No.378401 ;,• .�4_ - (please print) Date State Contractors 1,icrnsc No. THIS CERTIFICATE MUSTrME ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO RLQ)UESTINC FINAL INSPECTION AND SHALL DE POSTta) IN A CONSPICUOUS LOCATION WTrIII1.T11 D1J1:L.1.iNG, J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS ' Date MOBILI;.HOME UTILITIES (Plans) OK except #'s Date.. DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1,0'2 Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Soi , Special MH Support—Sketch 2. Footings; Size_Depth—Spacing—Connectors 3 ewe • ocation—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. �er Location—Test—Easement Needed (Sketch) _ 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ lectrtcit '.on—Clearances—Gr6d.=/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—Test—Wrap:/ P'L" ft./ /"Nat. or/ /"L" ft./ /" LPG 6. Carports; Windows—Doors " 7. Utility Clearance 0 C 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 except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s V 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 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFt 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 Card B -I Date Card -BI Date Card -BI Date Card -81 Date , Card B -I Date Card -BI Date Card -BI Date Card -BI Date 4 V = OK , O = Not OK = Not Applicable } = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg..Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52., Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -__ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI -- 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral '--'Yes❑No Service -Riser Conductors -& Ground -Main Disconnect 75. Following ❑ instld.: Drive Yes No; Walks Yes E:) No, Planters❑Yes EJ ❑ ❑ 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I --Dale _ Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except Ws 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval 32.Vent-Fan=Exhaust 33. above Insulation _Condensate Drain _& Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date - Card -B l- Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Wafts; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls _over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access:Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill H_gt. & Dimensions__ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsile) J COUNTY OF BUTTE - DEPARTME:)LT OF PUBLIC WORKS 7 County Center Drive - Or6ville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARyEL VUMBER_ �� `/L/n(✓✓��" 1 ZONING A- BUILDING PERMIT O N J Com TELEPHONE SQ. FT. OCC. BUILDING VA UA ION NE%MAI Llys, ADDF��� S/• CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ s.00 Penalty $ ARCHITECT OR ENGI E R'S MAILING ADDRESS Permit fee $ BUILDING /W gDD��S,$S(SJ({/[ J PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 L o/T N�%� �2 7 —3j SUBDIVISION NAME I �+ p /'7/P !�i¢ 0 sow' PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [Other SPECIFY Building sewer 5.00 Mobile Home I KG 10.00e TYPE OF WORK -,/Installation❑ Other ❑ New ❑ Addition [:]Remodel [:]Utilities [?***'Instal iation 0 Describe work: — Permit Fee $ 5a 6V Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 .G� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS2.50 ea NEW CONSTRPOWER APPARATUS & NON -R ESID. ( SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES g0 50( 300 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ,J 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. 1�P I shall not employ any person in any manner so as to become subject yV to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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, judgme s, costs, and expenses which may in any way accrue against said Co consequence of the granting of this permit. X %x-91, 9'3 Date Sign re o(/Applicant — Owner ❑ Contractor ❑ Agent ❑ A OSHA permit is required For excavations over 5'0" deep and demolition or construct- io of structures over i h,pLeight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. V1 I PARCE I PO HD SSU This permit is hereby issued under sions of the B tte County Code and/or work indic d above for which ODIECT74 PUBLIC By. PERMIT EXPIRES D e the applicable provi- resolutions to do fees have been paid. WORKS ' Date �3istories Receipt NO. ` WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Is This set of plans and specifications musVibe WITZ—A1.3 AAateria. &Workriianship'. Shal.1 Be in' kept on I he job at all -times and it is unlawful to A =wrdaace with Recogni,zed Good Practices and imake an changes or alterations on same with- of o q:vA0y-pre-,0.d.bed for the Specified use i 'bing & Mechanical the (out writs im permission from the Department of 80.1di"a-,'PlIuril PuRNINIA or s, County or Butte. an cl Tne, -qaTfu. I., i L,;[ar-ii ica, ecde. �Ll ro'e,4 $'l V 1,:lv7' Xvelye,14-1 4g 0 H1,f,0A fe setback of 5 ft. rom the property lines and a . setback cf 50ft. from the ioad enterline shall b clear of structures or equ:i ment exce flor a 2 ft eave verlianq!%, E ,4 Po Apem.?P?atio mfte i I be required for.the 2 f the mobilehomej �nil I PRI ve WAS/ of 0 9121 2D 0 147-BACAl N Utility connections shat b b ' ' within 4.ft. of the mobileho L,.her ry �62t 'to. directly behind or withip-Me 90 half of the roadside (Wf I �_(f rear the O,z mobilehomei j lu 0 11 UsWaLE ww� gy. W. BUTTE COUNTY Holl�woo,o RP .BUILDING DEPARI MEW APPROVED This set of plans and specifications MUST be kept on the job at all times and it is unlawful tc NOTES: -All Materials & Workmanshi Shall :Be in make 1-0-rks, y changes or alterations on same with- � D P out wrn permission from the Department pf icc�dance with Lecognized Good Practices and Public Count of Butte, - of a quality prescribed for the Specified"Use in.the E M,apXFi2 FA/4,&%v�Tional Electrical. Code. B[u� Es4✓ R�,$deN -- - — - ED P&IFF . . F�C ,eC74-1C Po4E WX ?D' S,0-BAeAo' Ho/Lxtrooz> RD ycA1E K. W. LoRNE,T �_ - - - -- SO o' i D� n . A s I � tb4k of 5 ft. from t o ' pro ert� lines and a setb ick of 5 Oft ifrom the road cen erlie shall be clear f r6= stru curbs or.equipment,?xcepf e for s 2 i�t. eave overha _-- ,2 •. 10 • 3% S�oPE ✓F WAS/ ®� _,►• UTILI TIES 22 0 )b' 0i . NiiJ�B *01t 3' lgzli,vp clt?T ;r: /pa<c �1 • �� _ rz" . P&IFF . . F�C ,eC74-1C Po4E WX ?D' S,0-BAeAo' Ho/Lxtrooz> RD ycA1E K. W. LoRNE,T COUNTY OF BUTTE'- DEPARTMENT 6F PUBLIC WORKS 7 County Center Drive - Oroville HCalf,forgia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • PERMIT NO.' 67 .�1 ASSESSOfi PARCIEL NJUMBERCWM � BUILDING PERMIT OWN -RpR T�E}yEPHONE SQ. FT. OCC. BUILDING VALUATION 7 V- V4M)1N1W0CA- -f,30/0 �7 �Mt IINGW,5 CONTRACTOR'S NAM E®WA) TELEPHONE �i� //� 1o0 //-,_7- CONTRACTOR'S MAILING ADDRESS('(fJ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ , 00 Flling Fee $ 10,0(] LENDER'S MAILING ADDRESS Permit Fee $ ,. 0 ARCHITECT OR ENGINEERLICENSE a I f i�_ NO. IPenalty Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee l $ BUIL gING ADD� Ess v PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 101 2.00; &,C0 Solar Water Heater 20,00 / Water piping 5.00 157-00 LoNo _ Z Lb;_31 SUBDIVISION NAME ,.� / %iL y/�Y(/GN 5106. PARCEL MAP 1 Each qas water heater or vent 5.00 ' .00 Gas piping, system 1 -5. outlets 5.00 S,.-0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 6-i 00 Mobile Home S I G I W • 10.00e TYPE OF WORK New 2' Addition E] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Permit Fee $ 50...00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q,�yp Main service EA. ADD'L 100'AMP 2`6� 2.50NEW CONST. DWELING OR ADONS. ( ACCL& BLD � °Z 2Y20sgit , a 0 CONTRACTORS LICENSE LAW declare under penalty of perjury (check One): - ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, Will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRMULTI-OUTLET 2,50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR./ POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. - Ex. Occup(OUTLETS OR FIXTURES gA 0300 FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Q rC Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ LQ , <0 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating 10,000 (0,00 Cj/�CS Cooling Hood 3.00 •Ob Ventilation Permit Fee $ / rgd Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in OTnify and keep harmless the County of Butte against all liabilities, e s costs, and expenses which may in any way accrue against s d o t onsequence of the granting of this permit. X Date Sign r of Applicant — Owner ❑ Contractor ❑ Agent ❑ An A permit is required for excavati s over 5'0' eep and demolition or construct- io of structures over/3 sstor, s in height s Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 9 occuP GROUP TYPE DF CONST. :t� .IO PARCEL PD H ssa This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which (RECTO OF PUBLIC BY - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to Recei t NC�Q/a� 75" OZ ���.040 WHITE -D. W.. YELLOW -A ESSOR. PINK- 1 SPECTOR. GO DENROD-APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 93— 7895 FOR RESIDENTIAL DEVELOPMENT stir �:�►.: Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior. to issuance of a building permit.G�-C-e� The .property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of ELC�HeFa _ , this property may be subject to inconveniences or discomfort arising �L�g1C_F'E(;OROER from the use of agricultural chemicals, including, but not limited to herr icides, f pesticides, and fertilizers; and -from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and'harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: , The North half of Lot 453, as shown on that certain Map entitled, "Fir Haven Subdivision", which Map was recorded in the office of the Recorder of the County of Butte, State of California, May 19, 1955 in Book 21 of Maps, at pages 31, 32, 33, 34 and 35. Date: `�•$� State Aif ) SS. County ci ) OFFICIAL SEAL D AJDRANE m NOTARY PUBLIC CALIFORNIA BUTTE COUNTY My comm. expires JUL 13, 1984 Present A.Y. NO. -- fi-� 3 PROP OWNERS: /1 On this the day of�Z�1 , 19 r-:3_9before me, the undersigned Notary.Public, personally appeare6 to be the person(s) 'whose name(s) subscrib to the ithin instrument and acknowledged that executed the'same for the purposes therein cont ned. IN WITNESS W REOF, I hereunto t my and and official seal. ,. Notary Public RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) OWNER A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). $.' PLOT PLAN il! Complete parcel size and dimensions. _.?W. Setbacks, sideyards, easements, etc. X Other buildings or structures. )0 Grading, fills, drainage. Bldg. A. P. Permit C. FLOOR PLAN : Q1.. Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater,'heating & cooling equipment, other electrical or gas equipment, and plumbing 'fixtures. `.8 Garage firewall, door size, and closer (Sec.'503(d)(4)). k. 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. �2 ij? Smoke detectors (Sec. 1413). :'D- --,STRUCTURAL DETAILS Foundation plan complete enough to construct building. e Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct'building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). guardrail details (Sec. 1716). $rick or stone veneer (Chapter 30). •Exterior plaster - weep screeds (Secy. 4706 & 4708). Proper roof pitch for roof covering KChapter 32). ?�-',,--4after'ties or bearing ridge beam.' .,.,Garage door or porch header sizes. Adequate bracing. Diving area over garage..- complete-1=hour separation walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302). required including supporting „�rmsrs. e,wrrw�r�zv�i°`�n+� +w iwar t�,��»w..,w�se.�sa+•YRr +w�taa e i "^�""""""”" �.,R.`.n,y,,��r�w�..nw..�w.•"M .w...�,...w,."+n, 77 «�+da^.��� +rx� kti�v fj< for r � +.r.4r,{. ••hv+-+•++W�Ba�v �N"Mgn yam.,, ni+er i.z+, t �f a +wmawd. www