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Home My WebLink About065-340-046'T' �(�M�*ih. �•'-'�•..w .'�-•y��R" _ -!yww. _ c. r = .. ,..r v � m �� .i .e ,. ' I X17 9 s Hopp, w ood 3q .9 F f OFFICE COPY Address a GAS Date�' Meter By \ ELEC Date et r By i CQUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Teleptlone: 918.'538.7541 APPLICATION -AND HUM PERMIT NO. ASSESSOR PARCEL NUMBER 65-34-46 ZONING RM BUILDING PERMIT OWNER E. F. FOR1'BR T LE "ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14795 HDLMW00D MACALIA 95954 CONTRACTOR'S NAME TEsIsEp�i OJV�� 7� CONTRACT R'S MAILING ADDRESS 2838 HWY 32 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing -Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14795 HOLMWOOD MAGALIA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 96 SIERRA DEV EST UNIT #2 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehome� Other Building sewer 15.00 Mobile Home S pul W @ 15.00 sOU SPECIFY TYPE OF WORK New❑ Addition El Remodel❑ Utilities[A InstallationC Other❑ Permit Fee $ 30 Describe work: PROPANE GAS Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1o0OA1 _ CONTRACTORS LICENSE LAW NEW CONST./ DWELLING OCCUP.h\ _37.50 3.6Q sq.ft. I declare under penalty of perjury (check one): OR ADDNS. 1 ACC, BLDGS. II NEW CONSTR. MULTI -OUTLET @ 5 00 I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•RESI BRANCH CIRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. '� License :Jo.o�. 3 � / � lassificffiiion�� %. Ex. Occup( OUTLETS OR FIXTURES pl, -2-09761 A - J ❑ I, as the ower or. mjy�woF,"pipyees.with 0a'ges as'their sole compen- sation, will do'ftbe k,and the structure is not intended FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ I 3.00 or offered for sale. (Sec. 7044) Temporary service 15.00 El I, I, as the owner, am exclusively contracting with licensed contract- Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ - Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES 30.00I all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISS against -said County in consequence of the granting of this permit. I I I I I I X —�u :3622t Date 3. 9/ This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor EP' Agent ❑ Bions of the Butte County Code and/or resolutions to do I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work dl ated a o or whic fe shave been paid. ion of structures over 3 stories in height. DIREOF PU ORKS 101145 By Date f No. Receipt PERMIT EXPIRES Date tAr WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541 APPLICATION -,AND PERMIT PERMIT NO. f/ "T /1_7��/ ASSESSOR PARCEL NUMBER 65-34-46 ZONING RMH BUILDING PERMIT OWNER E.F. PORTER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14795 HOLMWOOD MAGALIA 95954 CONTRA ARTIC NAME TELEPHONE TE873 0419 CONTRACTOR'S MAILING ADDRESS 2838 HWY 32 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation$ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 14795ESS HOLMWOOD MAGALIA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 6 SUBDIVISION NAME SIERRA DEV EST UNIT #2 PARCEL MAP 1 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S IyalW I @ 15.00 .0 TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities= Installation] Other ❑ Describe work: PROPANE GAS Permit Fee $ 30 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect.SINGLE License Ao. 3 / -1 Classification El 1, 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.&) OR AODNS. l ACC. BLDG S. 3.60 sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID% BRANCH CIRC ITS @ 5.00 POWER APPARATUS & OUTLET CIR. ) Ex.Occu / p\OUTLETS OR FIXTURES 20 760 Ex. OCCUp. OUTLETS IRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 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. 21 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 FiIingFee 1 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, judgments, costs, and expenses which may in any way accrue again Id County in consequence of the granting of this permit. X d5�`-" 92.3 .71This Date Signature A g pp - owner❑ Contractor � Agent ❑ Applicant re of An OSHApermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAz 1 0FEES I IMP I FLOOD CO F PARCEL PD HD Iss permit is hereby issued under the sions of the Butte County Code and/or w/ork di ated a o or whic fe DIR OF PU By PER IT EXPIRES Date applicable provi- resolutions to do s have been paid. ORKS Date C� Receipt No. 101145 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - D@PAAI� MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �0 GM ( I ZONIry —/J C/ BUILDING PERMIT O WNE�, TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9 _ s9s�{ I CONTRA OR•S NAME TELEPHONE SZ ^D CONTRACTOR'S MAI iNG ADDRESS 7_"C, j Fireplace CONSTRUCTION LE ER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER ILICE.NSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Pian Checking Fee $ Penalty 3 SUILD1 G ADDRESS _ Permit fee '• $ PLUMBING PERMIT Filing Fee 1 15.00 ! Each Trap i Solar or heat pump water heater ! 20 Oci LewO. 10 SUBDIVISION NAME / /� PARCEL MAP L U i Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome6r Other SPECIFY Gas piping system 1 - 5 out!ets ; 5.001 Building sewer 15.00 Mobile Home %V @ 15.00 O TYPE OF WORK New. — Addition:_ RemodelI UtilitiesOther —�� Fi !_!�stallation — Describe work: �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS Main service 200ATOI000Ar l X18.50 I 37.5p1 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 :Jo. 9l3 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) r 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONS. O'NELLING OCCUR.&) OR ACDDiS ACC. EILDGS. 13.66 sq.ft. JEW CON57R- '.,uLTI.OU rLET NON D. BRANCH CI RCt':TS �@ 5.00 /POWER APPARATUS a l SINGLE OUTLET C:R. ) Ex. 0ccu0(O:TLETS OR FIXTURES 20 764 Ft c =''CED APPLNS. OR Ex. Occup. o TLETs IPES!CJ EA.) 1 I 3.001 Temporary service 15.00 Mobile Home Facilities I I 15.00Misc. SVirin 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I The permit is for S100.00 (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. J 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 FilirtgFee 15.00 Heating Cooling 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 PP C Contractor C 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 !TOTAL EEE $ I nAi; DFEES IMP I FLEO 111 COF PA CEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I NHITE-O.P.W., YELLOW -ASSESSOR. PINA-INSPECTOR, GOLDENPOD-APPLICANT T RESIDENTIAL 65-34-46 1879-91B PORTER, Edward 14795 Holmwood Dr, Magalia (new detached garage) �X1 OFFICE`COPY—---___; a t' Address�i y �� Noi-m W -00p. \ A GAS Meter By A.%` Date ELECTRIC ,. � --, Meter By Date t JOB FINALED Signature — ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (: ' = Date UNDERFLOOR (Plans),OK except #i's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 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 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------ ------ ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ---------- --- ----------------------------- 18. O.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. 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 Al - ------------------------------------------------- 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 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 rr's 34.- A. -C.- Ducts Insulation & Sup upport------------------------------------- 35. Vent Fan: Exhaust above insulation ---------------------------------------------------------- 36. ------------------ --- 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 --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft'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 ►ingle'& Duplex) Date FRAMING (Continued) 45..Hang ers-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-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-Sk li hts-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 H's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- 63. -------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------------- - 64. Bedroom Exiting -------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------- ------------ 67. Stairs -&-Rai-Is ___ _ 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. 74. Wtr. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------ 7;. Insulation -Foam -Looked in Attic 0 Yes ------------------------------------------ - - 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters --0-Yes-0 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: J=OK O = Not OK Applic NNototReadyable 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 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 34 MISCELLANE US Date DEC OVERS, CARPORTS S,(Plans)OK except #'s 1. ning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -C ftnectors-Steel 1 ec ; Griders and/or Joists -Dec ' g -Bracing -Stairs -Rails ood Awn.; Posts -Beams- -Cfnect C Shthg.-Rfg.-Bracing '',, �� J -e 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors EIe� `C wrlrmg; Sils-Anchors-Studs-Rftrs-Trusses 91 -'ding; Nailing -Veneer -Stucco -Mesh 1 . Roof; Shthg-Roofing 1 Ext.; Steps -Doors -Landings Date -Q�' Card B-1 CS Date % S,. Card B-1 Cj / Date rd B-1 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-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -f96 Memorial Way, Chico — Phone: 891-2751 j' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE I OWNER PERMIT NO. A routine /abov indicates that the following violations of County Ordinance exist at tddress and should be corrected. Please notify this officewhen corrrk is completed. If you have any question pertaining to this matter, ortional explanation, please contact this office immediately.de e Date—/� Inspector �/ — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil,le, California 95965 - Telephone: 916/538-7541 •- APPLICATION AND PERMIT PERMIT NO. hQ 14 ASSESSOR PARCEL NUMBER ;EX 65-34-46 ZONING RMIJ BUILDING PERMIT OWNER � �,71 Porter 'OW NE rA.DDRESS TELEPHONE 873-0419 SO. FT. OCC. BUILDING VALUATION 288 M 5,184 'S MAILING 4795 Holmwood Dr MA alia 95954 308 C 4,604 CONTRACTOR'S NAME iwner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 188 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 4 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14795 Holmwood Dr, Mapalia Permit fee $ 130.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Detached cI raga SP FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New M Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: P-arape & carport Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of p i y (Check One): I declare under penaltyperjury ❑ 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, ani exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N/ OR ACDNS. ACC.BLDG� '/z2sgft NEW CONST R. U TI -OUTLET NON.RESID BRANCH CIRCU, TO 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES .ALO300 ALO 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIDJEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 of Consent to Self -Insure. Ishall 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 10,00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid Count in consequence of the granting of this permit. /y�� X p. 2 �7 Cr y Date l 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 TOTAL FEE 0. HAz. CUA PARK SCHL FLD C P PD I H . ISS y This permit is hereby issued unaer sions of the Butte County. Code and/or work indicated ab ve for which OR F BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Data ` `-'9ceipt No. RR 511 AITE-D.P.W., YELLOW-ASSC350R. PINK -INSPECTOR, GOLDENROD -APPLICANT ►t PICO" FW' COUNTY OF BUTTE - DEPAR,TN OF PUBLIC WORKS -BUILDING DIVISION,T • 7 COUNTY CENTER DRIVE-a,OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' PERMIT APPLICATION DATA, SHEET, Permit No. a �W fes- % r / COS ' 3L� - y q 1_6 OWNER A. P Proposed Building Use Building Inspector 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 .......................................... . Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructiohs....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid . ................................... . 12. Park fees paid ............................................ chop). istrict fees paid .............. - (D Sanitation approval from le- Health Department MZ 15. City of Chico plumbing permit ..................................... f 16. Plot plan and business license approval from City of r (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: _ 18. Improvements may be required. Contact Land Development Section DPW F _ 19. Driveway permit (construction approval required prior to occupancy) _ 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) -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. -27. =When y issue t ermit, roses follows: Mail o// er. Mail to contractor. eleph a nd hold for pickup at /office. Deliver w./inspector. Other - C l y Applicant G 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 prior to per it Issuance: (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—ILGnail_co nter by ..date Contractor, designer, owner, Plus checked Copy—DPW was advised of above required data by_phone_mall_c unter by date Dafe Plans approved by Date _ Sets of plans on hold irN File cabinet AP folder TO Buildinv Department( CeJ FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locationy"��a AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for �— bedroom mobile home. Other NOTE * * * Sans a is Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSr PA CEL NUMBER_ zON1 BUILDING PERMIT °WN��wTt!� T.�� SO. FT. OCC. BUILDING VALUATION OWNERL7AILI G-A-DDK ESS �In�� —' C//J,E CCC///J O CON ACT 'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ Ops ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD RES Permit fee $ r PLUMBING PERMIT Filing Fee 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 vent 5.00 USE OF STRUCTURE // SF ❑ Duplex❑ Mobilehome❑ Other �V SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK NeWX Addition ❑ Remo�del ❑ Utilities ❑ In tal ationn❑ Other ❑ Describe work: GA /C/n/16 F_, 6_4 2 77— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NO 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 -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.N OR ADDNS. (ACC. BLDGS. , /:¢sgft NEW MULTI -OUTLET N•RESIESIDD. BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOS eALO 30 FIXED APLNS. Ex. Occup. OUTLETS PRESID IREA.7 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 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. ❑ 1 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. Ishall 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 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 against said County in consequence of the granting of this permit. X Date 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-hAight. Mobile Home installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30 / H AZ. CUA-1PARK SCHL FLD CDF PAR PD 1 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-ASSE330R, ,Nx-INSPECTOR. aOLaENROD-APPLICANT COUNTY OF BUTTE- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes. or no) / 2. I (have/have not) signed an application for a building permit l for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 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 ci z U - &IWLA_V Social Security Number Date 1-0 -- ll — 9 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 EDWARD PORTER 14795 HOLMWOOD DR MAGALIA CA 95954 With reference,to.�he above subject: DATE JUNE 19, 1991 RE: BP APPL. #1879-91 GARAGE & CARPORT A. P. # 65-34-46 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 talcs 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: 196 Memorial Way, 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. /XXY1 OTHER ENGINEERED TRUSS DETAILS Should you have any questions concerning the above,. please contact DAVE WASNEY of this office. (BETWEEN 3PM & 5PM) Yours very truly, . JFG/aj William Cheff Director of Public 14orks . J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2936-91 i ASSESSOR PARCEL NUMBER 65-34-46 ZONING MH .. �` BUILDING PERMIT OWNER Edward Porter TELEPHONE 73-0419 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14795 Holmwood Dr, Ma alfa 95954 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14795 Holmwood Dr, Magailin Permit tee $ PLUMBING PERMIT Filing Fee 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 vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea. TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities,)E Installation Other El Describe work: Garage elec & mh _ =cam Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 2,50 CONTRACTORS LICENSE LAW 1 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. 1, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e OR ADDNS. ACC. BLDGS. ,/20sgft 7.00 NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS a SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20ee0aeAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15,00 Misc. Wiring 15.00 Permit Fee $ 44.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q 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. MECHANICAL PERMIT Filing Fee 10.00 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 against said County in copse uence of the granting of this permit. XQOma— 2 9 Date i� Signature of Applicant — Owner X 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 — TOTAL FEE $ FiAL I CUA-1PARK I SCHL I FLD I CDF I PAR PD I HD. ISSU This permit is hereby issued unoer the applicable provi - sions of the Butte County.Code and/or resolutions to do s have been paid. work i ted above 4pujiL DIRE WORKS 114 BY PE IT EXPIRES Dat Receipt No. v WHITE-D.P.W..YELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT e. --,,,b. •r.1 ,r(- +ren-•.,.Tyw^.. yy. COUNTY OF BUTTE - DEPART•MENT_OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 611CMEM CALIFORNIA 95965 - TELEPHONE: 916/538-7541 s s PERMIT .APPLICAff 1,04 DATA SHEET / Permit No. OWNER 1/Y�+'N✓�it-d /d�n,6eri� A. P. No. < 57' //3 Proposed Building Use cii9�� /�4�t '- Building Inspector ��''J Date O -Z e ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: V/ 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 .. 75. 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 .................................................... 13. School 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 ,Eiuilding Inspector (Date) 21. Contractor's license information (No., Name Style, Classificaticiri) ... 22. Certificate of Workmans Compensation Insurance n . 4. 23. Owner -Builder Verification (Given to owner❑; Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25-Letter-ef signature authorization :.................................. 26 .. 27.' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant G�� 91 �2�„-A .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 prior to permit issuance: (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_—nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE-- Department of Public Works 7 County Center Drive, Orov ille, CA 95965 Phone: 916-538-7541 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 at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is rgceived. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) JCtsigned an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 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 S ig ned : Property Owner fie a Social Security Number _ - - Date Date .2 1 0 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 per- mitted to issue the permit. ^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' I APPLICATION AND PERMIT PERMIT NO. ASSESSOR P RCEL NUMBER �5_- 3L/ y ZONING %.!?.t1 BUILDING PERMIT OWNER TELEPHONE / 0 L.w a p an-rw 1923- o v, 9 SQ. FT. Dec. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 DLA oo.1 Each Trap 2.00 L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP J,4 Water piping 5.00 __5_ Ded 4 0 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other 2— - Building sewer 5.00 SPECIFY Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ I stallation❑ Other Tr/ Permit Fee $ Describe work: g t; /�C [r!i i L %?.% _ Contractor tfe4C, rD ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �O. D Main 2.50 service EA. ADD'L 100 AMP ) CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCJy d� 1 , �4sgft I declare under penalty of perjury p y p I y (check one): OR AODNS. ACC. BLDGS. NEW CONSTR ULTI.OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRCUITS POWER APPARATUS &) CIR. and Professions Code and my license Is In full force and effect. SINGLE OUTLET License No. Classification. Ex. Occu pOUTLETS OR FIXTURES S eALOL930 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS P(RESID )LISIS REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service P.00 for sale. (Sec. 7044) Mobile Home Facilities15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ V41 Si Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject penult Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE /� f=� Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ y7 I also agree to save, indemnify and keep harmless the County of Butte against HAz CLIA PARK $CHL FLo Cor PAR PD I Ho. IssuE all liabilities, judgments, costs, and expenses which may in any way accrue I I I I I I again said County in conse�ce of the granting of this permit. (� � This permit is hereby issued unaer the applicable X (((�___ �•�/� \��--«<444rrr Date d�" J sions or the Butte County. Code and/or resolutions to to do do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories height. �in g b 7 By Date Receipt NO. WHITE-D.P.W.. YELLOW-ASSE550K, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMI IRES Date