HomeMy WebLinkAbout065-290-039A. P. - G. -M. STOCKTON
21 Magalia Dr. ppgalia
Permit 997-74B`M 666 elecl� decks
for MH)'
F6539 4141-89B
June Scotts Mobile Fnt.
agalia Drive, Magalia
cover) '
l �
i Y _
RESIDENTIAL
1 65-29-39' 4141 89B i
SLIGH, June
Contr:•- Scotts Mobile Fnt.�
14823 Magalia Drive, Magalia
' (patio cover)
JOB FINALED (Date)
Signature
J=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL -(Single & Duplex)--,
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope -
2. Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth,
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ,
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation s r
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu'or At
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing '
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic,
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Inf iItratio n -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 .
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 11 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes 0 No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J=OK
O = Not -OK
Applic
No Readyable MOBILE HOMES
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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
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. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
ELLANEOUS
�(Zon)ng-A6q u ire ments-Setbac ks-Easements
,Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Decks: Griders and/or Joists-Deckina-Bracina-Stairs-Rails
4/Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
.BrFrmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
t
Date (% Card B-1 rL' Date Card B-1
Date ('�(;, Card B-1 I -z Date Card B-1
Date POOLS (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, Distances -GA
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 -Panel boa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
v
COUNTY OF BUTTE - DEPA*TM ANT OF PUBLIC WORKS PERMIT N .
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 G _
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
S -2 IF
ZONING
I
BUILDING PERMIT
OWNER ,i C
TELEPHONE
SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1 Lf c� 1 .
ZW
CONTRACTOR'S NAME
Cv c
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
/p
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10 00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Z_
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
ilingFee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or ent
5.00
USE OF STRUCTURE
SF El Duplex ❑ Mobilehome❑ Other i2'f �c7 ��(yef
SPECIFY
Gas piping system 1 - outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
NewzAddition ❑ Remodel ❑ Utilities E]Installation❑ Other ❑
--
Describe work: _ wz e -tit l/��- 0e/e:-- I
Permit F
$
__Sjontrodtor
ELECTRICAL PERMIT
F' ingFee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declar nder 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.
nn /
License No. oo���V � 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)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCC
OR ADDNS. ACC. BLDGS. U
21A Osq ft
NEW CONSTR MULTI-OUTL
NON-RESID BRANCH CI ITS
2.50 ea
POWER APP ATUS e1
SINGLE o LET CIR. /
EX, OCCUp�OUTLET OR FIXTURES
20®SO¢
30C.
Ex. OCCUp. OUF IXT ETS P(RESID.)ALNS.REA.)
2.00
Temporary s9Kice
10.00
Mobile a Facilities
15.00
Misc iring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Ell -f 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 shall be deemed revoked.
Contractor
MECHANICAL PERMIT
F i Ily&ee 10.00
Heating
Cooling
g
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 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, judgments, costs, and expenses which may in any way accrue
againsaiCounty in cons quence of the granting of this permit.
X_ � � Date /2 la
Signature of Applicant — Owner ❑ 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 $
Energy Inspection Fee $
occ
CONST TYPE
ilN
TOTAL FEE $
HA2
EUA
—
SCHL
LD PAR D
HD
Issu
J_fARK
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
P444 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat/e/ x
Receipt NO.
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
c.J .1 . ...t....,.._ y. .,._........._ .'.. _......_ yr ' n+ ,.._.._..e.....w....'. _..,......_.........y:.._...r .... �...,.....__y.__ ., -. 4+.. .L.�,?:.._ _ - —
TO Buildinci bepartment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
po r ocation AP#
Plan Approved for: Sewace Disposal Water Supply �..
Hold final Lor: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
l�J
is-�-�- J9
ana tarian
Z�_ Date
OWNER
COUNTY OF BUTTE - DEPARTMENT C*- .AU.3LIC WORKS - BUILDING LJO'
7 COUNTY CENTER DRIVE - OROVILLE, CALI 91`INIA 95965 - TELEPHONE: 916/538-7541 I
PERMIT APPLICATION DATA, SHEET
I Permit No.
Proposed Building Dse 11g!cV0 e) y- Building Inspector
A. P. No. ,I2.�— 'A 9 3 4?
_ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer°of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
Sch PI District fees paid ..............
14. Sanitation approval from Health Department /
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications .:.
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
(Date)
27.
When you issue the permit, process as follows: Mail to owner. K Mail to contractor. /
Telephone and hold for pickup at office. Deliver w/inspector.
Other. ,Ll
ApplicantLll_:__�_1 Date v2.. _4A,
..
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issua c . (Circle new item not checked above).,.
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by phone--naiI—counter 61�..date /a��
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by adat
Plans checked by
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Date
PRODUCT 206-1®Inc. GMIM MzM 0471. To Order PHONE TOLL FREE I.M225=
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N
PERMIT NO. 997-74B
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4
MH UTIL.
PERMIT NO.
i?
PERMIT EXPIRES
—OWNER
G. M. Stockton
CONTR.
Owner
OCATION
(A.P. 57-41-39
21 Magalia Dr., Magalia
u
A
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
ni
Called PG&E
JOB
FINALED 7
t
( ate)
(Signa re)
i
.i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) I PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final 2
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf. Steel
Final
Fixtures
Bond Beam >
FIRE SPRINKLERS
Motors
Framing/?.
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
/Z, 7
xf/
G��
COUNTY OF BUTTE —' DEPAR7iMENT OF,PUBLIC WORKS
7 County Center Drive — Oro%7ille, C2lifornia 95965
Telephone: 534-4541 Nq2,
APPLICATION AND PERMIT -7el
BUILDING
Owner
SQ. FT. OCC. BUILDING-VAL ATION
Mailing Address - 3
Telephone No.
Fireplace
IV
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
$
-
Building Address ��"'
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Q ` -
Each gas water heater or vent 1.50
A. P. No. Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet' .30
F
ion
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parc
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. P ° Rec'd
Parcel 41 ovol
Pr. Val
Permit Fee $
$
NEW .� ADDITION ❑ UTILITIES ❑ OTHER' ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 20 bal__ djo
Receps., switches &"fix outlets zo�fs
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑'have placed on file with the County of Butte a certificate of
�1 Workmen's Compensation Insurance.
, 1 I certify that in the performance of the work for which this
J ® permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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.
Date l
`� Signature of Permitee or Agent
Receipt No.// 2�3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ _;T=
This permit is hereby issued under the applicable provisions of
the -Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
�_ �-
Date / J/
21dinag/
permit expires Date...................L��....f....7..
BI'Tf' CO;�NTY
Puhlir Worls D^�,
Dirr.; ror
Dea.
Sec.
Rd. Mdnt.
shop_
Bldgs. i /Ing•
Planning --
Permits
Mapping
sub. Chill.
Co. Bldgs,
IDet. � Con.
Constr.
Rd. DIs.
'
or, Des.
RAW
Wafo: Rot.
(For Action • 1, 7. 3)
(Oor Inform, V i
G.M. Stockton RE: Building Permit
2399 t. 14th Si.
San Leandro, California 94577
Dear Sir:
With reference to the above subject, your letter dated March 6, and the plans
you submitted for two (2) porches to be constructed on your property in Magalia,
tae are attaching, herewith, a permit application to be completed and signed by
you where indicated.
Please return all copies of the application together with your check in the
amount of $12.00 payable to Butte County Treasurer. Upon receipt of the applica-
tion and fees, we will check the plans noting any corrections to be made and
return one set to you with the required permit.
Should you have any further questions, please feel free to contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander*
JFG:dd Assistant Director'
Attachment
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
:- 7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner f!�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address . • 3 j
/
7 v
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
.
Telephone No.
Permit .Fee
$
$ v�
�
Building Address Z,,/� , i
PLUMBING
No.
FEE
PERMIT FILING FEE $2.. 00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. _%�
/
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 21_)�_
Recaps., switches & fix outlets 2023
bo
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification'
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the
J) ❑ y performance of the work for which this
J permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
autnonze representatives or ine uounry or butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Rprroint Nn _.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date..........
Dat
COUNTY OF BUTTE ----- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 916=534-4541
DATE April 10, 1974
G.M. Stockton
29 St. RE BUILDING.PERMIT APPLICATION
San Leandro, California 94577 NO. 997-74
With reference to the above subject: .
Attached.is:
Application for permit
Building Plans
Engr. Calcs.'
Other
We need the following information.:
Typical Plan Sheet
Mobile Home Sheet
List of Codes Enforced
Permit application signed with all copies returned.
Fees of $
Certificate of Workmen's Compensation Insurance.
Contractors License Law information.
Letter authorizing signature of
Complete plans, in duplicate, including plot and floor plans and complete
structural details.
xxx Plot plans in duplicate.
Structural details in duplicate.
Complete plans, in duplicate, prepared by registered civil engineer or
architect.
Engr. calcs.
Two ,(2) sets of plans in accordance with changes marked in red.
- Sanitation approval from Butte County Health Department., Paradise.
Planning approval,'i.e., use permit, variance, rezoning, etc., from Butte
County Planning Department.
Improvement plans.
Parcel declaration recording data.
Verification of access or right of way by deed.
Verification of'legally created parcel by deed.
Deed for right of way.
Parcel map recorded.
/X)q Other
Paradise,
avva .awe
weeww will t
Please contact the Health I
hone -0852, or remit an
n regards to the location c
,ly at Skyway & Elliott Rd. in
plan and any other informatia
or sanitat
or vou.
As soon as we.receive the above data, we will process your application; or, should.you
have any questions concerning the above, please contact this office.
JFG:dd
Yours very truly;
Clay Castleberry
Di ctor of Public Works
M.F. Glander
Assistant Director