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065-360-059
65-36-59 Jack Prudhomme 15 Crescent Dr., lot 281, SDc#4,Maga. contr: Lloyd Roberts, Paradise Permit # 608-77B(new deck/MH) (% 7 �5-36-59 contra C. Hinkle Const., Paradise Permit #3486-8TB,P,E(new� pri.det.g,arage & elec.serv.ch.for MH) I-v�Q 0 0 065-360-059 #98-2483 STIFF, JAMES & IDA 1 4828 CRESC R. MAG LI WOO AT & SPA WOOD STOVE 0653G0_059 05-0454 STIFF, JAMES 1482S CRESENT, MAGALIA f Cont: MARVIN PLOURD � El SITE PERM FND ji BSA' REC &DING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded i REC FEE 10.00 Official Records fi CONFORM 1.00 County Of I BUTTE fi CANDACE J. GRUBBS 1 Recorder i ROSEMARY DICKSON i Assistant i Myles 03:12PM 88—Mar-2005 i stage I of 8 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY i NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recordin- of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAMES & IDA L STIFF REAL PROPER1 Y OWNER/LESSOR 1584 WAGSTAFF MAILING ADDRESS MAGALIA BUTTE CA 95969 CITY COUNTY STATE ZIP 14828 CRESCENT DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 96969 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0454 , 530 538-7541 BUIL ING PERMIT NO TELEPHONE NUMB R t SIGNA—FURE OF LOCAL AGEF OF ICTAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. LEVIT CONST 1971 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 10134XX/U 48'X 24' 503323/4 SERIAL NUNIBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP# 065-360-059 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 05-0454 Address or location of unit: 14828 CRESENT DR, MAGALIA CA 95969 Legal Description of Real Property: AP#:065-360-059 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JAMES & IDA L STAFF Owner's address: 1584 WAGSTAFF, MAGALIA CA 96969 INSIGNIA OR HUD NUMBER:503323/4 SERIAL NUMBER OR V.I.N.: 10134XX/U MANUFACTURER'S NAME:LECIT CONST YEAR:1971 X/1 OFFICIAL APPROVING INSTALLATIO �� a l ilk DATE: 3 •�C�S PHONE: (530) 538-7541 H.C.D. 513C RECORDIW: kaOUESTED BY: Fidelity National Title Company When Recorded Mail Document and Tax Statement To: James Stiff Ida L. Stiff 14828 Crescent Drive Magalia, CA 95954 Escrow No. 366905-SML Title Order No. 366905SML Recorded ;_Official Records County Cif CANDACE J. GRUBBS Recorder 03s11PII cc -Seta -1998 REC FEE 101.00 .LAX 80 30 Myles Pape 1 of SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY APN: 065-360-059 GRANT DEED JPN The undersigned grantor(s) declare(s) Documentary transfer tax is $ 80.30 City tax $ [ xx ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ xx ] Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOSEPH W. ADAMS, an unmarried man hereby GRANT(S) to JAMES STIFF and IDA L. STIFF, husband and wife as JOINT TENANTS the following described real property in thaof the unincorporated area of Magalia County of Butte State of California: SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF DATED: September 15, 1998 STATE OF CALIFORNIA COUNTY OF BUTTE ON September 18 .1998 before me, Sarxfra K Linville Notary Public personally appeared ;:JOSEIH W. AD*S,': AW0b >V*)MV0 � proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) +is%are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in (his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS mhand and official Signature i ild ,seph Adams n A A A._ A A w.. SANDRA M. LINVILLE 0 COMM. # 112.7221 88 NO PM PUSLIC4N IFORNIA13UTTE COUNTY o Myaanm. Expires March 3, 20.01 V 7V MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 3/94) GRANT DEED STATE OF CALIFORNIA : FOY 665-360-059 - oT(T454j PERMIT NO. STIFF, JAMES 14828 CRESENT. MAGALIA Cont: MARVIN PLOURD EN SITE PERM FND SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date Signature S G - CHECKED BY J=OK 0 = Not OK Not = NotReadyable 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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 i 7. Water and Sewer Connected -C/O to Grade -HD Approval i 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANRE END SYSTEM (ONLY) 1. ZXng Requirements -Setbacks -Easements Card B-1 Date Card B-1 Date ootings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Lc.� "- S033Z3 1-'q MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining i 4. Elec.; Receptacles and Lighting, Distance-GFI i 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable « = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-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 -Anchors -Regulator -Service Test Date 12. Electric Underground 47. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 48. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 49. 15. Access & Ventilation 50. 16. Insulation 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Date Garage Fire Protection Framing -RC Channel Card B-1 Date Card B-1 Date Property Line Firewall & Openings Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 62. Insulation -Walls -Ceilings Date 63. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Card B-1 Date Card B-1 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 75. Garage Fire Door; Swing -Landing -Closure Date 76. Card B-1 Date Card B-1 Date 77. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Plb.; Elec. & Mech. Equip. Listed for Location 36. A.C. Ducts Insulation & Support Elec. Receptacles in Garage (F.FI.)-Romex Protection 37. Vent Fan, Exhaust above insulation Insulation -Foam -Looked in Attic 38. Condensate Drain & Overflow, Size & Grade Guard Rails & Deck Construction -Post Caps 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 85. 41. Sills Proper Materials & Anchors 86. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 87. 43. Bearing Walls over Girders & Floor Nailing 88. 44. Draft Stop in Walls (rat proof) 89. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 90. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: ,� q 3 t % 3 Date: � Contractor: ft l4R U A) -E L.NM6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): PERMIT NO. BP050454 Issued Date: 03/02/2005 APN: 065-360-059-000 Site Address: 14828 CRESCENT DR MAG Map Index: Description: ex mh, ex site, perm fnd Owner: STIFF JAMES & IDA L 14828 CRESCENT DR MAGALIA, CA 95954-9314 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: PLOURD, MARVIN owner of property who builds or improves thereon, and who does DBA PREMIER BUILDERS such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1584 WAGSTAFF sale. If however, the building or improvements are sold within one PARADISE, CA 95969 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-872-1096 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, Contractor: PLOURD, MARVIN and who contracts for such projects with a contractor(s) licensed DBA PREMIER BUILDERS pursuant to the Contractors' State License Law.). 1584 WAGSTAFF ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 Date: owner: 530-872-1096 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit /is Issued. d I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: '7 r--rx c_o i4A P Policy #: i 'Z.7 0 2– Q ` Zy ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with %those provisions. Date: 3 ZI r Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) License #: 343173 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: �(2 3` V _ This permit is hele y issued under the applicole provisions of the Butte County Code and/or Resolutions t do work indic d a ve for ch f 's have been paid. By ✓" Date:�� PERMIT EXPIRES ON: �� "eqe�_ Address: _ 1 (L)ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ,V V Print Name: 4 t -o (Al FL -0 L.)Jam'/ Signature: Date: .3 D (— ❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor 3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name S.7I FE First Name I Address L Z 9 dJZL5C,.F_),_7 D9 T City if E-mail State Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name 9 P,7W 6tj01Z�l Address 11, 6 �` ���� '� , City Pi4kA-DIsc Stated Zipgs- & 9 Phone a,7"),_ to 96 Fax E-mail Lic. #34131 i —5 Classf3 APPLICANT NAME ARCHITECT/ENGINEER Name City 7��1D75i�5 Address Zip 9S7.569 City ax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Ah11�Zzv d sJ pi -o .> pab Address City 7��1D75i�5 tate TF Zip 9S7.569 Phone �© �a- ax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA ves No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP J `Sb `/ BIN # LOCATION AP# 60 -- 0.5 Property Address City W14GWIt Cross Street WORKER'S COMPENSATION Policy Number G� G �zeo Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: VPL;r_�-_ F_W577�JC 440731 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: 75 3 L/ Sheriff SMTP Other Date: i ) Total REV 7-27-04 The fol permit. C77711 SUBMITTAL & PERMIT REQUIREMENTS ng drawings and specifications must be submitted to the Building Division in order to apply for a ,'OMPLETF,-SUBMITTALS WILL NOT BE ACCEPTED._ ALL PLANS MUST BE LEGIBLE AND IN INK. M 1. Site plans,3 r 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. EV 6. Manufactured homes: (A s rriagP-lige-+a#o �' or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation, Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health'Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for.driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required), ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date 'of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits' refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ❑ j �+: ASSESSOR PARCEL NUMBER 1 [6 Proposed Building Use: L- X �� L- 3t `5/ � , PAW /"'Counter Technician: Date: \Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. M I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. \ ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �❑ fN 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in 27. Encroachment Permit for driveway from the Public Works Dept ........................... duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these 29. Contractor's license information. (Number, Name Style, Classification) ................... must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ -ees \❑21. as shown on the attached Schedule of Fees Due Sheet .............................. C]City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval El paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form....................................................................I........................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... \❑ 36. Deed Restriction......................................................................................... O rr% 37. �❑ Grant Deed, ❑ M.H. Title/Statement of Facts, 13 Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39.. Other: When issued Telephone tmeg v) al Fl ov LW) A7-? -/� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: .; cP f �Date: 1. Index permit applicatiori for the above items numbered: C Plan Check Letter ` 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou er, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: �' Yellow: Building Division �;PC) L COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER l < / ' "(C _ A.P. # �a —'os / PROPROSED UILDING USE �-� C S �� XVI f��ATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ I --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking P/rolss. APPLICANT ` DATE O z�_ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) PERIAIT NO. 608-77B PERMIT EXPIRES✓/ r OWNER Jack Prudhomme CONTR. Lloyd Roberts, Paradise LOCATION (A.P. 65-36-59 / 15 Crescent Dr :, lot. 281, SDO#4, Mag alfa Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. VCalled PG&E B JO / FINALED l/ (Date) (Signature) 67 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final �� ` % �� Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) -' •A COUNTY OF BUTTE-, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / �f �% Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti property fo spect' rp ses. Q X j Date J 5' at�reof Permitee or Agent j Receipt No. ` S (o (0q - — 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—DF PUBLIC WORKS B Date Z' "S_— 77 Building permit expires Date �� "2-1^r7 BUILDING Owner 1%iJ��,y�kn jack S0. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Iko x/10 ® is oe _-A Total Valuation Mailing Address •to ""^-'� �`' o �` Permit Fee Plan Checking Fee&/or Penalty �� 0 J' ( 11:// 4 L+ I T eepo�e� ; ! �� Permit Fee $ R '— Building Address PLUMING No. @ FEE PERMIT FILING FEE $3.00 nn JI % - �(G Each Trap 1.50 J 7� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F LVIW Sa I 'o FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Parcel Ma Plans Declaration P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. GYans Recd arcel Approval Plans A oval Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 _ Main service 6111 OR LESS 5,00 100 AMP OR LESS Main service EA. ACC'L 100 AMP 2.50 Main service OVER 6111 25,00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 110 AMP 1.00 • 40 C & NEW CONST. DWELLING CCUP. 20sgft OR ACDNS. ( O ACC. BLCG CONSTR. MULTI.OUTLET NEW ( NON-RESID. BRANCH CIRCUITS 2.50ea - NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. 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: C O j Ex. Occup(OUTLETS OR FIXTURES) BAL�@251¢ Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N Classification 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 have placed on file with the County of Butte a certificate of W men'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -menti property fo spect' rp ses. Q X j Date J 5' at�reof Permitee or Agent j Receipt No. ` S (o (0q - — 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—DF PUBLIC WORKS B Date Z' "S_— 77 Building permit expires Date �� "2-1^r7 COUNTY OF BUTTE Oroville, California GENERAL CLAIM G,_r"n e. CLAIMANT: v ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT I, PERMIT ISSUED IN ERROR. A.P. 065-360-05 BP 8-2483 RECEIPT #2510 4 DATED 10/26/98, OWNER: JAMES & IDA STIFF.)' TOTAL AMOUNT PAID... ....................... ......$55.00 TOTAL AMOUNT TO BE REFUNDED...........::. :...........$55.00 (i I I I i I E-7 TOTAL $55. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, a d that this claim is true and correct as stated. Dated this day of 19S at V�ZV IL. L—e-- Calif. ignature of CI an� I, the undersigned, hereby certify that, to the best of my knowledge, the services or a 'c s specified abo ve ben performed or delivered and that there is a Budget Appropriation [ I or Specific Board Approval I 1 (Check one) f r t e. Dated this 4TH day of NOV. , 19 98, atOROVILLE Calif. D partment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: Q Date- Issued To:,iS Amount: Fees Retained: n Processing Fee: Bldg Filing Fee: $ — Plbg Filing Fee: Elec Filing Fee: $ _ Mech Filing Fee: $ Energy P/C Fee: $ oG��� 10 Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ Total Amount Retained $ TOTAL REFUND DUE $ CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: REFUND CLAIM APPLICATION J�m�s � TAca- 6A4 1 A? D -S DCos -- 3 _ o _(os RECEIPT NUMBER(S) (0101+ Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) (U�Z Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. -DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. ` % COUNTY OF BUTTE - DEPARTMENT _OF DEyELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 T NO. (Rev. 12/96) APPLICATION AND PERMIT a�-� ASSESSOR PARCEL NUMBPfL' 5-360-059 ZONING BUILDING PERMIT OWNER STIFFF,, JAMES & IDA AE`/�!(n41 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIWV4�STI18S CRESENT DR. MAGALIA CONTRACTOR SY.tUY D HEAT & SPA STORE TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 15 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14828 CRESCENT DR. Energy Plan Checking Fee $ $ MAGALIA PERMIT FEE $ 55 .00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SHOP SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW WOOD STOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AOR.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No, OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: — ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. :y I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5Q 0.ID.T MUULCTI-OUCLEC @7,50 APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 @ I.0 BAL @ .550 Ex. Occup. OUTELETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pro isions. ((' X �� ___ Date _1 d c�—b ` Signature of Applicant - l� Owner Contractor ❑ Agent An OSHA permit is required for excavati s over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' h fees have been paid. /"�6)-8at 19 PERMIT EXPIRES ON �(/ �C7'�6/ (Date)�— Receipt No. 2-5(06A WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNEi2-BUIY.,DE12 VEItiFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signat�a+e. 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 2. 3. 4. property improvement: YES O NO I HAVEM. HAVE NOT 13 signed an application for a building permit for the proposed aho�lt. I have contracted with the llowing person (firm) to provide the proposed eonstrizction:. , �, ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: ' = i NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to rrlvtde the work indicated: WOW NAME ADDRESS PHONE TYPE OF WQRX SIGNED: PROPERTYOWNER:' SOCIAL SECURITY NUMBER: V A DATE:— , O '4 , �� -- NOTE: -Thu Owner -Builder Verification is required by Section 198.3T—U7983 California Health and Safety Code. This verification must he completed 9n d returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder ofproperty :: improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such ' . a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades thatyou plan to subcontract, you should be aware of the following information for your benefit and protection: v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contraetors`or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contn'butions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially- seri its with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service. (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. l If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracprs may be obtained by contracting the Contractors State License Board in your -. community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned 4icly, l C. Vi ira,C.B.O. r, Buili��ding Inspection NOTE. This Owner-BuilderInformatlon is required by Section 19830 of the California Health and Safety Code. OVER ' PERMIT NO. 3486-81B,P,E .P ERMIT EXPIRES OWNER Jack Prudhomme CONTR. C. Hinkle Const., Paradise 65-36-59 ASSESSOR PARCEL LOCATION 14828 Crescent Dr., Magalia Temp. Power Pole i Called PG&E l /! Temp. Elec. Service �1/'t! �Cl (, Called PG&E !l��r/�l �2L �ZCY Temp. Gas Service Called PC t .l 4 JOB FINALE[ i Signature V = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 1. Zoning Requirements -Setbacks -Easements 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec: Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -B-1 Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL * = Not. Ready Date ERFLOOR (Plans) OK except#'s (Single Date and Duplex) FRAMING Continued Zoning requirements-Setbacks-Easements Property Line Firewall & Openings 2. ., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth Ext. Doors-One 3'- heck Garage-3rd story, 2 exits Ftg., Garage; Soils-Steel- / " Ftg. Depth 50. Stairs i eadroom- Rise -Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils-Steel- / /" Ftg. Depth 51. P on Roof Overhang-Attic Vents-Rafter Outriggers 5. mwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding-Nailing-Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. P' rs-Firepl ce Ftg.-Steel 54. Glazing Area-Glass Protection-Skylights-Plastic f �y K D.W.V.: I-Fi ings-T t-2 way C/O Test 55. Shear Walls; Nailing-Bolts 9. Gas Pipe; Size-Anchors 10. Water Pipe; Test-Anchors-Regulator-Serv' 1.1. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Support-Ins. 13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI Date Card-BI Date K L Card-BI Date Card-BI Date Card-BI ' Date Card-BI Date Card-BI Date Card-BI Date Date FINAL (P s) OK except #'s Card-BI ,/Date Card-BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent-Access-Combustion Air 56. t. SteRs-Door & Sidelight Protection-Landings 57. Smoke D tector 58. Furnace; ents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Meth. Protection 15. N�nter Pipe; Test & Anchors-Nail Protection 48- ,V.. Test-Fttngs & Anchors-Nail Protection 59. Bedroom_Exiting 17. Shower Pan; Test, First Floor-Tub Access 60. G .I. & Bah Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor-Tub Access 6 lec. Trim & Subpanel; Breaker Sizes-Labels 19. Gas Pipe; Size & Anchors 62. Stairs 8 ails --- 63. Fir ace r Stove; Clearances-Hearth Card-BI Card-BI Date Card-BI Date Date Card-BI Date 64.L,Efec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & liance; Grnd.-Air Gap-Cooking Clearance 66. Elec. Outletsk& Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except #'s 67. Garage Fire D or; Swing-Landing-Closer 68. A.C. Duct in arage-Damper Fixture & Transformer Clearance-Ins. Protection 69. Wtr,_Htr.; V Clearance-Comb. Air-Connector-P.R.V.- Gar e; Abov Floor-Meth. Protection Elec. Receptacles Spacing-Lights &Switches at Doors Y PI ., Elec. & Mech. Equip. Listed for Location 2 . Size Boxes & No. of Conductors-Stapled 71. lec. Receptacles i Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-B66<-as & W 72. Insulation-Foam- oked in Attic ❑Yes 73. Guard Rails & Dec Construction-Post Caps _26Appliance Circuits in Kitchen & Conductor Size -PG:. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Cra I Hole Door-Drainage & Wood-Earth Clearance Looked under Flo r ❑ Yes -il Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al, I sulated Neutral ❑Yes ❑No 75. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Ye ❑No S . Service-Riser Conductors & Ground-Main Disconnect 76. Stucco; Brown-Finish -29-Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disco nett-Cirnces-Brkr. & Cond. Size-115V Outlet -JO7.-Crthes Closet Light-Shower Light 78, Vents Above RotPlbg. -Appliance-Firepl.-Clearance to Opngs. - 79. Water Well; Disc nnect, Electrical, Plumbing TA m; Exterior Elec. T m; G.F.I. Receptacle-Underground Card B-I !'\L Date Card-BI Date 81• 82. Ventilation throughout House Glass Protection Card B-I 1 Date Card-BI Date Date MECHANICAL (Permit) OK except #'s 83. 84. _ Corrections from Previous Inspections Gas Test-Mete Tagged; Gas-Electric 31. A.C. Ducts; Insulation &Support 85. Water & Se r Connected-C/O to Grade-HD Approval 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate-Other Certificates 34. Furnace-Vent, Access-Comb. Air-Return Air Vent-115V outlet 35. Attic Access & Platform if Furnace in Attic ----.--- Card-BI Date 111P.11%, Card-BI Date Card-BI -_ Date _-_ Card-BI Date Card-BIDa 19 - ar - Date Card-BI Date Card-BI Date Card-BI _ ate and-BI Date Date FRAMING(Plans) OK except #'s Comments at Final: Sills; Proper Material & Anchors _ Walls; Studs-Nailing, Spacing & Bracing-Plates-Sound 38 earing Walls over Girders & Floor Nailing_ -39:-Draft Stop in Walls (rat proof) 4@-Fi Stops; Furred Ceilings-Stairs-Chases-Tub Header & Beam-Size & Bearing -42-hangers-Post Caps-Anchors-Connectors CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 1437-7ireplace Ties or Type A Flue-Fireplace Throat -t3:--Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles `7r6--8drm. Windows or Exiting Doors-Sill Hgt. & Dimensions image Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext.. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. c Inspector COUNTY OF BUTTE a DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phony: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 BUILDING 'OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist .at the above address and should be corrected. Please notify this,office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date ;— I� COUNTY OF BUTTE - DEPARTMENT OF PUBLICWORKS A T NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A ASSESSOR PARCEL NUMB 6 NI�I.G BUILDING PERMIT O :EaCk R TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MA[LfNC ADDR CONT TON AM J!T ELEPHONE COI RACTO MAI I G. ADDR S ��� Yl �_� �rjCONSTR Fireplace CTION LENDER ) 1 UNKNOWN Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 'I 0-6 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS � Rae PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 II'yy Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCZ RE SF [J Duplex -1 Mobilehome❑ Other SPECIFY Building sewer ice' Lawn sprinkler system 5.00 TYPE OF WORK New 0� Additio 'R;del [IUti lities ❑i Installation Other ❑ Describe work: �Ie c'i" `- IC. Permit Fee $ 411D Q Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 10°V OR o AMP ORLESS5.00 r Main service EA. AOD'L 100 AMP 2.50 NEW CONST. ( DWELLI G C OR ADDNS. ACC. P.Bi\ B 20 sq ft ,? ' CONTRACTORS LICENSE LAW I declare under penalty Ur p y of perjury i y (check one): F-1NON-RESID. 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. %'Q{! Classification j6 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner,.am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2.50ea NON-RESID BRANCH CIRCUITS NEw CONSTFL ( POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a @� IXED APPLNS. OR Ex. Occup.(OUTLETs (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 x ` Misc. Wiring 7.50 Permit Fee $ Contractor 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. 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 10.00 Heating . Cooling Hood 3.00 Ventilation Permit Fee S 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 said County in c nce f the granting of this p97it. t X Date _ Signature of Applicant — Owner ❑ ` Contractor Agent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3/stories height. Mobile Home Installation Fee $ f_ TOTAL PERMIT FEE $ 3 r OCCUP. GROUP TYPE OF CONST. I PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE EXPIRES -Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7in I -T Receipt No. _XM J / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF "PUBLIC.WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEP,H01`1L 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. / t— OWNER A. P. No. Proposed BuiI44ng Use Permit Fee Based Upon: Complete Contract Price DPW Valuation x 1�--� other (Explain) Building InspectoDate At time of permit application, I was ad1Vised the following data must be submitted prior to permit processing and/or issuance: p DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . 6. State Energy Forms No: 1.7• atement of Intent for Non -Heated and AC Buildings. Fees of $ I .y . . . . . 9. Letter of signature authori(zatlion. . . 10 Sanitation approval from ``��.JHealth Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ti 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . Pre-Insp17. Pre -inspection for Required- Building request to (Date) P q Building Inspector 18. Other i When you issue the permit, process as follows: Mail to owner. ail to contractor, Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant�_4i5LX�_ �o Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must.be submitted prior to permit issuance: (For required items not checked above at me of application, circle item.) 1. Index permit for above Items NO., 2. 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