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HomeMy WebLinkAbout065-310-020r 65-31-20 _ /y D. F. Crum �� ��/ 0 320 Imperial Way, =o , PP��il, Nlagal Permit #1971-80P, (uti1vMH) ELEC ..S- 3LIf-8Q 2-Q©&, )O GAS S-aA-Sf0 SUPPORT STRUCTURE REQ. ///—V COMPACTION TEST REQ. /PlO 65-31-20 yPermit #2140-80B(new pri.det.garage) �_ ---- 65-31-20 Contr : KEntwood MH, Chico Permit#267 OMH Issued C7 ion 65-31-20 Permit##2498-8dp (el 2140-80) garage Gil Cn PERMIT NO. 2140=80B PERMIT EXPIRES D. F. Crum OWNER CONTR. owner LOCATION (A.P. 65 31 20 320 I*erial Way, lot, 55;�Pfl Magalia . � Temp. Power Pole ' Called PG&E Temp. Elec. Sery-4L s Called PG&Ey Temp. Gas Sx. -- t Called "PG&E t JOB F �FIN ALED S'I (Date) - (Signature) f COUNTY'OF BUTTE — D EPARTMENT•OF-•PUBLIC WOR .- KS BUILDING INSPECTION RECORD BUILglLG BUILDING (Cont'd) PLUMBING Setback D v1 Firewall t, Soil Piping Forms Parapets 1st Floor Main Bldg. Restroominish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab - - Roof Sheathin9f Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents - Water Htr. Stemwa I I Insulation Heaters Slab Prov. for phsically Appliances Carport handicappel _.--- Conformance of ex. Gas Piping Test Footings structure - Temp. as Slab Final 7 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough 0 Reinf. Steel Final Fixtures Bond Beaml I FIRE SPRIN LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH4NICAL Gird. Fault Pro Scratch Heating Service i Brown Cooling Temp. Pole Finish Ducts J Under round Q Interior Lath Ventilation Penman t Door Closer Final Final Jl •i c MOBILEHOMEUTILITIE- ----------------- Elec_ Service Elec_ Pedestal Water ng Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS of °., J �• - ZLA . (NOTE: An entry must be made on this form each time you visit the job site.) r. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill•e, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER IT N0R c ASSESS�T1 PARCEL NUMBER v 1—Z[ -j ZONING FT ( BUILDING PERMIT OWNER T2. r, TELEPHONE SQ. FT. OCC. BUILDING VALUATION D o OWNER'S MAILING ADDRESS t -3 4o I J2,I0,36 TOJ 'Pe. CONTRACTOR'S NAME W ak, TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER 6416 UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Perm $ Z ARCHITECT OR ENGINEER LICENSE NO. Ian Checkln Fee Penalty $ $ ARCHITECT OR EJGINEER'S MAILING ADDRESS Permit fee $ ^Z BUILDING ADDRESS—. - PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVI ON NAME Q it Ne *a{. PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other f �x SP eCI FY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New;& Addition❑ Remodel❑ Utilities [I Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service SDOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACC`BLOGS.CCUP.&) 22 sq ft 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.BAL@10S 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 CONSTF1 U TI.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS NEW CONSTFL ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETSOR FIXTURES 50@� FIXED APPLNS. OR EX. OCCup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The pe -mit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Cert ficate of Workmen's Compensation Insurance or a Certificate of Con=sent 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. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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. 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 against d C n 'n consequence of the granting of this permit. C/This X Date / Signature of Applicant — OwnerA Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures Dver 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCcuP. GROUP I TYPE OF CONST. 1 /' A PARCEL V PD ✓ HD ✓ ssuE v permit is hereby issued under sions of the Butte County Code and/or work icated above for which E BLI By PERMIT EXPIR& Date the applicable provi- resolutions to do fees have been paid. WORKS _ 0(�//1� ate S=�-6V Receipt No. S1 1 L:71inp WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE'- Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in'your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest. opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mater als for construction of the proposed property.improvement (yes or no)_. 2. I (have/have not) MyS signed an -application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City IC Phone l I "I - I V ` (. Contractors License No. Z J1 9 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date d• NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. l^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE I N0. 7 County Center Drive - Orovill,e, Ca'lifdrnia 95965 - Telephone 916/534-4541 s v -APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING (p 97—f BUI DING PERMIT OWNERe / ELEPHON$ SQ. FT. OCC. BUILDING VALUATION W A I D S 121 CONTR CTOR NAME TELE .ONE Ri J— CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ol—w UNKNOWN Fireplace Total Valuation$ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER N6/-)4' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU D NG ADDRES6' PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 t Water piping LOT NO. SUBDIVISION NAME P RCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �rl. SPE FV Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F1 Add ition❑ Remodel❑ Utilitie ❑ stallation❑ Other Describe work:�� ��fM�i (`�y Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 3.00 g Main service 600V OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING 0 OR ADONST ( ACCLBLOGS. P &) 22 sq it O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I 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 1, as the owner, am exclusively contracting with licensed contract- s ors. (Sec. 7044) �I ❑ I am exempt under Sec. , Business and Professions Code for this reason N" ESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. /POWER APPARATUS & 1 NON-RESID. \SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 50L� BAL@10Q FIXED APPLNS, OR Ex. QCcup.(OUTLETS (RE SID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. XI 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 2.00 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 liabiliti , judgme ts, sts, and expenses which may in any way accrue against d ou co s quence of the granting of this permit. X Date' �9 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which n1C R OF PUBLIC By PERMIT EXPIRES Pate the applicable provi- resolutions to do fees have been paid. - WORKS Dat — Receipt No. 3 e( 2(a- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT {_ 1971-80P,z PERMIT NO. PERMIT EXPIRES D. F. Crum OWNER i CONTR. owner I LOCATION (A.P. 65-91-90 ) 320 Imperial Way,lot 55, PP#l, Magalia Temp. Power Pole Ca I}ed PG&E Temp. Elec,. Serv. o, Called PG&E —.�— Temp. Gas Serv. Called PG&E JOB S ) O FINALED (Date) - UCA/ (Signatur) r , 9. Electrical A. Is service large enough to provide adequate amperage -to mobile'homd'.(must.equal rating of mobilehome with a minimum. of 100 amp) -and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances.around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per 'the following procedure? Yes No , 1. De -energize electrical wiring system of the mobilehome at the ped stal. 2. Make sure that the power supply cord'or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and -appliances, shall be tested for continuity from such equipment and the grounding conductor. 6: Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing, 10. Is job card'signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or.Namestyle Lengths Width Vehicle Serial No. State Identification No. Additional Information or Comments: 1. 2. 3. 4. 5. 6. 7. MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located'th required separation from lot lines and -buildings and generally conform to plot plan? Yes_ o_ Does the mobilehome have required clearances above ground? (Sec.5085) Yes No Are footings and 'supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes—_ Is the mobilehome level? (Sec. 5088) Yes_ No:�, If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes^��,'\ o_ Water A. Is f e .ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water pipinwithstand working pressure or 50 lbs. air test? Ye No C. Backflow - If coach is not to of California approved, does station have backflow device and pressure -relief valve? Y _ No— Wastes o_Wastes and Drains �. A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4" per foot .slope and is it properly supported? Yes C. Are any leaks detected in drainage system after runni \ gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of Californieapproved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than '6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line irilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-i4" water column, or test with slope gauge (minimum 6oz,-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Ye No COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS y • BUILDING INSPECTION RECORD + BUILDING BUILDING (Cont'd) PLUMBING FI wall J SoNA Piping Para ets 1s Floor' Restro Finish .2nd loor Windows 3rd F or Siding To out ' Roof Sheat Water PI in Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters V Prov. for phd sicall handica e Conformance of ex. structure V Final Appliances Gas Piping & Test Temp. Gas Sanitation FI PL CE Final Footing JELECI F i bluccol Final Subpanils M eth MECHANICAL Gird. Ault Prot. S atch Heatin Sery e grown Cooli emp. Pole Inlsh [Ducifnder round terior Lath Ve tllation Permanent boor Closer al final MOBILEHOME UTILITIES EI lec. Pedestal Water Piping _ D 136 Sewer _ ® Gas Piping _ BI E OME INSTALLATION - - - - - - - - - - - - - Support _ %hElec. Continuity p Of Wa rainage Gas Piping DATE R MARKS OR CORRECTIONSxt49 A r P o _tee 014 t.. (NOTE: An entry must be made on this form each time you visit the job site.) s�/2�, r �u � ��� �� ., ��� �� �� �/� ��s, ��d COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 r 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE ILDING 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 of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. X ce)1 ')'5�-Ot2M!lvG s ,/',moi ✓�< � E ©� � � ,,e � l� �`Zh . %�e Co O &xx v s �z Qv Inspector v"`'c— Date 3 0/041 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1:6-771— -10 for the following location: 'fir. T .. �� � ,.^, r✓� '% Owner Owner's Address Mobilehome Mfg.- s't/ Model Year G Insignia No. ! - Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 74134Nnty Center Drive - Oroville, California 95965 ITeI ephorte: 534-4541 APPLICATION AND PERMIT autnonze representatives or the c;ouniy OT butte to enter upon ine above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Ins actor — Goldenrod -Applicant This rmit is hereby issued under the applicable provisions of the ut a County Code and/or resolutions to do work indicated a ve w ' h fee have been paid. I OF UBLIC WORKS Dated Building permit expires Date s^ all — T I BUILDING Az Owner 1,2AVAV SQ. FT. OCC. BUILDING VAL TION Mailing Address Telephone No. Contractor Mailing Address o so Fireplace Total Valuation C Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE ^ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �- A. P. N0. �3/ '710 �1- Ein i & Planning Water piping 1.50 Each gas water heater or vent 1.50 F' s . •Saraft"en I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 _!QA J Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel ApEroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE ` .r PERMIT FILING FEE $3.00 Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Er Others El Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. AOD'L 100 AMP 1.00 NEW OR ADONST % ACCLBLDGS.LING CCUP. 9e) 22sgft 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: �,' il�i�� Ilc 6 We- We- NEW RESIO.CONST( BRANCH CIRCUITS) NON.R ESI D. `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON•RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES) g @ 250 ,@iN Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No0_nV15:_3 Classification C-6 / Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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 Yf have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I r-11 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.$ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ 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 Land Development Fee $ TOTAL PERMIT FEE $ O autnonze representatives or the c;ouniy OT butte to enter upon ine above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Ins actor — Goldenrod -Applicant This rmit is hereby issued under the applicable provisions of the ut a County Code and/or resolutions to do work indicated a ve w ' h fee have been paid. I OF UBLIC WORKS Dated Building permit expires Date s^ all — T I 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - QroviIle, California 95965 Telepfione: 534-4541 _ V APPLICATION AND PERMIT AA1 _ d i authorize representatives- of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date nature of Permitee or Agent Receipt No. 37 12-5- 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 Date Z(- Z} F -V Z_.g permit expires Date IV-73—ej BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION Mailing Address w&y-e,4 Pei Telephone No. r Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Z� v Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ / �J/J LCP T '55 �` olds -r-1.1 Repair drainage or vent piping 1.50 A. P. No. - l - Z Q ZoniKWPlanning Water piping 1.50 OZ) Each gas water heater or vent 1.50 Fked' I VLO, S at' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 , DD EQA Parking Parcel Plans Declar tion Parcel M 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 , U Bldg. Plans Recd Parcelroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESE] OTHER ❑ Permit Fee $_53-1$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, 0Z0 Main service 1000V OR 0 AMP ORSLESS 5.00I 06 Single Family El Duplex ❑ Mobil Home Others ❑ Main service EA. AOD•L 100 AMP 2.50 vy Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONSWELING OR ADONST \ ACCLBLDGS.CCUP. 4) 20sgft 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 st le of: y NEW CONSTR BRANCH CIRCUITS) NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&, NON -RESID. SINGLE OUTLET CIR. Ex. OCCU13(OUTLETS OR FIXTIIRES)��� BAL@1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 60 License No. Classification Misc. Wiring 6.25 , I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r $ 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to'become subject to the Workmen's Compensation Laws of 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 Land Development Fee is TOTAL PERMIT FEE $ authorize representatives- of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date nature of Permitee or Agent Receipt No. 37 12-5- 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 Date Z(- Z} F -V Z_.g permit expires Date IV-73—ej i "i 4i�if t loiI ~ ~= ' �� ' cl- � ` � �. � . . \ . ' � | i i / . | / . . / : FCC), 0 rM �� r Department C o u n t y J. Michael Crump, Director Warner C. Phillips. Assistant Director February 5, 2004 Patrick M. & Wanda L. Carman . 14862 Northwood Drive Magalia, CA 95943 of Public 0 f B u t Re Application for Certificate of Single Merger AP 065-310-018 & 019 Dear Mr. & Mrs. Carman: Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 BUTTE COUNTY FEB 0 6 2004 DEVELOPMENT SERVICES On January 22, 2004, the Department of Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project. Enclosed please find a conformed copy of the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on January 28, 2004, under Serial Number 2004-0004816, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp cc: Environmental Health Department /Building Division L & L Surveying (04-01-008) RECORDING REQUESTED BY and AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 28 -Jan -2004 2004-0004816 Has not been compared with original BUTTE COUNTY RECORDER CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBERS) 601' -310 J NUMBER OF EXISTING PARCELS:. EXISTING PARCELS CREATED BY: ❑ PATENT ❑ GRANT DEED ❑ GIFT DEED ❑ PARCEL MAP .9 SUBDNSION MAP ❑ OTHER RECORDING DATA: YEAR ! 9 70 BOOK / PAGE OR SERIAL NUMBER: -3 S ,Gc a705 SUBDIVISION/ PARCEL MAP: BLOCK LOT(S) 53 "5e As of the date of recordation, those lands noted above are merged to create one single parcel of land as described in Exhibit A attached hereto. JANUARY 22, 2004. MIKE�CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that single parcel as described in Exhibit A attached hereto. OWNER S SIGNATURES MUST BE NOTARIZED Print name and title (if applicable) below signature line A/',ai mrj H'ax-l�eet Vic, Sign and print name & title Sign and print name &title Wanda L: earman D tort e/, / - 5-- e>l- Date / Date a CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ,,-�—� ss. County of 13'x_E On s: cLn before me, Date ''11.' Name and Title of Officer (e.g..'Jane Doe. Notaryblic") _ personally appeared'p'-_' k V�� C4:vIIit CaIr 1(y1l, , Name(s) of Signer(s) .,personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) /are SUSIE C. PRATBt subscribed to the within in and CornmWon# 1282877 acknowledged to me that h&sWthey executed Z Notary Pub5c: - aldarrtia the same in I fs/Agr/their authorized Butte County capacity(ies), and that by >Wtiddtheir c�1'hlav12,2>�t signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document., Description of Attached Document rr Tile or Type of Document: G` P�' � l ► � e4 Me-*., DDcument Date: "'_'> O L Number. of Pages: �. S gner(s) Other Than Named Above: A oy, 2 Capacity(ies) Claimed by Signer t "' ( S',gner's Name: ��d 1 e, k- 1�� t,v G�c�. j Individuals Top of thumb here C► Corporate Officer — Title(s): Partner — ❑ Limited ❑ General C Attorney in Fact C Trustee C Guardian or Conservator C Other: S,gner Is Representing:) 01999 Naional Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth. CA 91313-2402 • www.nationainotary.org Prod. No. 5907 Reorder. Call Toll -Free 1-800.876-6827 Exhibit "A" Al that real property situate in the County of Butte, State of California described as follows: Lots 53 and 54, as shown on that certain map entitled "Paradise Pines Mobile Horses Estates, Unit No. 1", which map was 'recorded in the Office of the Recorder of Butte County, California on April 10, 1970,..in Book 35, of Maps at pages 65, 66, 67 and 68. Containing 0.46 acres, more or less. These parcels are to be merged into one parcel and cannot be sold separately. CADaly WorkU-egat Descriptions\04-01-008 Carmen.doc END OF DOCUMENT n.; F. RESIDENTIAL _...__ " 065-31-0-01'8 92-32--67'------t B, CARM Pat /-/J-) b NOrthwood Dr, MAgalia garage l U JOB FINALE Signature F r.. a J=OK O = Not OK Not = Not Ready.. '.,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./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card 8-1 Date Card B-1 Date Card 8-1 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 8-1 Date Card B-1 Date Card 8-1 MISCELLANEOUS Date DECK$(COVERS, CARPORTS, 4ARAGEV (Plans)OK except #'s 110fgpiRg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ectric 8. mg; Sils-Anchors-Studs-Rftrs-Trusses 9 iding; Nailing -Veneer -Stucco -Mesh 0 o f; Shthg-Roofing LVExt.; Steps -Doors -Landings Date ; l b / `J f Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date 7 POOLS (Plans) K- xcept #'s 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability i 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining / 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -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 J=OK O=Not OK =Not Applicable Not Ready ;RESIDENTIAL (Single & Duplex) • ' = ri Date UNDERFLOOR (Plans).OK except ti's Date IFRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 5. Stemwalls, Main; Steel -Bloc kouts-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 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. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except q'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 ft's 22. Fixture & Transformer Clearance -Ins. Protection ---------------- ----- -- -------------------------------------------- --- - - 23. E-lec. Recept--acles Spacing -Lights & Switches at Doors - ------- ------------------------------------------------ -- - 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --- ------------ 26. Equip. Equip. Ground made up w/Meth. Fastners-Bond Gas & W+ter ---- ---------- ----------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------- ----------------------------------------------- - --- -------- 28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size / ! ga Cu or AI 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ 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 Ws 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 oufet - ---- - ----------------------------------------------------- 38, Attic 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 a's 39. Sits. Proper Material & Anchors ------ --------------------------------------------------------------- 40. Walls Stu -ds -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 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -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. Infiltration -Walls -Windows ----------------------- ------ -Date ------ -----Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting .--------------- ------------- ---------------------- 65. G.. 1. & 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 7I. -Pec. -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 ❑ Yes -------------------------------------------- -- 78. -Guard -Rails & Deck -Co nst ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters E) -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-Under9 round 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: ,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION ANDYERMIT PERMIT NO. j RXXXXX 92-326 , ASSESSOR PARCEL NUMBER 065-31-0-018 ZONIN12 RT1 BUILDING PERMIT It OWNER Pat Carman TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14862 Northwood Dr, Ma alfa 672 M 12,096 CONTRACTOR'S NAME -ems UNK TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 120.00 ARCHITECT OR ENGINEER -77-ENS ICENSE NO. Plan Checking Fee $ 60.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4 49-'05 36 Northwood Dr. Magalia Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUB Dq�VISION NAME y- IEach PARCEL MAP Water piping 7.00 qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New LTX Addition[] Remodel❑ Utilities[] Installation❑ Other El Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR A OR LESS 18.50 CONTRACTORS LICENSE LAW • I declare under penalty of perjury (Check one): ❑ 1 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 Main service 200A TO 1000A) 37.50 NEW CONST. / DWELLING OCCUP.8j OR ADDNS. l ACC. BLDGS. II 3.6d sq.f NEW CONSTR ULTI.OUTLET NO N.RESI BRANCH CIRCUITS @ 5.00 3 0 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. EX. OCCUp. OUTLETS P(RESID )REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g •15.00 7,00 Permit Fee $ 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 Consent to Self -Insure. 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 Filing Fee 15.00 Heating Coolin g Hood 6.50 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 alff!.0gmeinL costs, and expenses which may in any way accrue agy isequence of the granting of this permit. X174 Date Signature a A Iicant - Owner �'�/ g pp ❑ Contractor ❑ Agentl�I An OSHA q permit is required for excavations over 5'0" dee nd demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ c TV' 262. 00 TOTAL FEE $ HAz �' DFEES IMP ✓ FL 0 COF PARCEL V/ PD Is This permit is hereby issued under sions of the Butte County Code and/or a ich fees work i icate abOXCORF P ELIC B PE IT XPIRES Date `0-)^"' the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 2-' 7 IZZS 'V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENR -APPLICANT X % — 'W COUNTY OF BUTTE - DEPARTMENT OF: PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE, C61-IFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER /111er PERMIT APPLICATION DATA SHEET Proposed Building Use 91;A4- Se ' Building Inspector A. P. No. C S 37 / ;�) C- h tl%-- Date /8 _- At . At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED / Hy 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ - 6. Energy Design Compliance and supporting documentation . .................. G 7. Statement of Intent for Non -Heated and A/C Buildings . ........ :............. 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year flood ),b Cali rnia Engineer . ............ . 14. Sanitation and plot plan approval �'CHealth Department. ........... 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ _,Z,, 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 9. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -Inspection for Preuildin Ins regi required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ). ........... Recorded copy of Agricultural Acknowledgement Statement. . 5 Letter of signature authorization. ...........�..,.�` ....................... �O�< Copy of recorded deed of parcel creation and 60'right of way to a public road. .... . 27. Letter of intent on building use . .............. i.......................... . 28. Mobilehome utility clearance . .......................................... K 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits. . 34. When you issue the permit, pro ss as follows: Mail tow r_. Mail to contractor. Telephone and hold for pickup at moi' office. Deliver with inspector. Other Parcel Creation�7 9 Z Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p io 139r'ss c : ' e new item not check d abovel. 1. Index permit for above items No. -C - 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by Date Plans checked by �� Date `l 05 Z -Flans approved by Date Sets of plans on hoJ.d�nL /File cabinet SAP folder Copy - Department of Public rks r.H. LISr ONLY Hol 1'1:,n nunci e'l�S Floor ria„ mach, a Sent I') is. u. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan.Approved for: Sewage Disposal Water Supply: Public Clearance for �elr home. Other Hold final for: Final clearance O.K. for: NOTE: �/U�( ,C�lr1/1 r�//� C- (0 - � I -d (�f AP# Private Well -FZ—N — _ r f, Environmental Health Specialist n Date 8/92W L'25 t �7 G� a Cvn13 r,J� �--o S :� 14 TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance /UlGrl�Gt C�Cc/n'lC1j� owner location AP �k Driveway permit/� �,� �Z has been issued for the above property. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance gug/—,gWIt,a 3/ -ley owner location AP # Driveway permit has been issued for the above property. date I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. A99ESSOR RC NUMBER - -3IAr - Z �'"14a' BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 67Z M OWNER'S MAILING ADDRESS I Lj g.6 _J_ J(I LN VJO CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Al"LENDER'S UNKNOWN Total Valuation Is 12094 Filing Fee $ 15.00 MAILING ADD ESs� Permit Fee $ 2 p ARCHITECT OR EJGINEER LICENSE NO. Plan Checking Fee $ C 15 „ Energy Plan Checking Fee $ ARCHITECT OR EJGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o r vol. Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 5-3 NAME ] 109 P /?i /77/Z 1 PARCEL MAP Water piping 7.00 Each qas water heater vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other C- t PECI FY Gas piping system 1X5 outlets 5.00 Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK Newly Additio-1 ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ 11! Describe work: _ r Lv� tL+f�'rL.^-,, _ v i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under enact of perjury penalty I y (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 CONST. /DWELLING occuP.E\ 3.64 sq.lt. 23�� OR ACDNS. l ACC. SLOGS. / NEW CONST R.MULTI-OUTLET NON-RESIDJ BRANCH CIRC ITS @ 5.00_ /POWER APPARATUS h) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS P(RESID )'�EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ (3 Contractor — 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 f Conservt to Self -Insure. L� ' shall not employ any person in any manner so as to become subject to the W. I„ laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provis ons of the Labor Code, you must forthwith comply with such provisions or this Permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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, judc s, cost ,and expenses which may in any way accrue against said Count in nse ence of the granting of this permit. X Date ' — If Signature of Applicant — Owner ❑ Contractor ❑ Agent SiOSHA y An permit is re uired 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 $ DCC CONST TYPE TOTAL FEES HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I � X11 I 1 i . i�� I � II II I!!i`` I!I �I �� I�� I� ,� t; -. � , �; I . ,. �. ,. ,. !� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 9-25-92 PAT CARMAN RE: B.P. APP. 92-3267 14864 NORTHWOOD DRIVE MAGALIA CA 95954 A.P. # 065-310-018 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement.. Complete plans in including plot plans. Plot .plans in Structural details in _.Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County'Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway.& Elliott Rd.,.Paradise Planning approval from Butte County Planning -Department, 7*County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement -statement. 0 Should you have any questions concerning the above, please contact Bob Keith of this office. BETWEEN 3 & 5 P.M. - ._. - Yours very truly, _ William Cheff Director of Public Works J.F. Glander JFG/aj COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE�ccPT 1 C 4 TzM t� RE : g, �- �P��C 0T�o tJ q 2- �z�7 A.P. # With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List'of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License -Law information or check exemption statement. Complete plans in including plot. plans. Plot plans in Structural details in Complete plans and.calcs in by registered engineer_or architect. Energy design including Street -and drainage improvement- plan -approval from Land Development Section (DPW). sets of plans in accordance with.the•changes marked.in'red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico _ 7 County Center Dr., Oroville „ Skyway & Elliott Rd., Paradise Planning. approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. ��y�Ln�►-����- Should you have any questions concerning the above, please contacti`r%� of this office.- Yours very truly, William Cheff Director of Public Works Gl ander JFG/aj SQ -- "P vyam � IC) ��//