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065-420-027
A.P.'%5= �- o ROSS E. BROWN 25 Torey Pine Rd., Paradis Pince, Mag. STRE \Permit 1732-72B,P,E,M _(new single family) A.P.- ROSS .P. ROSS E. BROWN - 25 Torey Pine Rd . , PP#3, Lo � L, LOT BLOCK SUBDIV. -Permit- -4391-73B---(-RENEWAL--of 1732-72-)-- TYPE OF PERMIT NO. PLAN NO. DATE ISSUE ROSS E. BROWN PERMIT 25 Torey Pine Rd, lot 9, ap#3, Magalia Permit#k 3654-74B �� (2nd RENEWAL of 1732-72 65-42-27 Permit,#4437-80B(add carport/SF) _� z /a v/ MOORE, DEAN - 15041 TORYE PNE, MAGALIA Cont: LNTRONIES ELECTRICA C/O ELECTRJC MEZER REMARKS PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT DEPARTMENT OF T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT D — DEMOLITION BUILDING AND SAFETY 600.1 LIE JL7 �!j7. 77 INSPECTION RECORD BUILDING APPROVALS F'w , 1 W3 IL Z DESIGNATION p 0wI- a K D UOZ �LLIL O Z_ UJ O W LL a w rc 2 f Q LL _O E F W 1-g Z _O W w g _Ow w y W a O_W I w 0 W ��ca W W u 0 UOJ om U J WJ Q W 3 <rc 5U. W UU J a m Q z IL SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE i SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG DATE. PLUMBING APPROVALS PERMIT NUMBERS SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES 3 VENTS FINAL ELECTRICAL APPROVALS M PERMIT NUMBERS SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION 4 r NOTES RESIDENTIAL PERMIT NO. _ 065-420-027 05-0258 — MOORE, DEAN 15041 TORYE PINE, MAGALIA Cont: LINTRONIES ELECTRICA C/O ELECTRIC METER F SPECIAL CONDITIONS 7 . CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER O OFFICE COPY n f1A Address 0 GAS Date— meter By ELECTRIC Dater + Meter By JOB FINALED (Date) 1 D� d6 Signature �_J J=OK 0 = Not OK . = NotReadyabte Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Carports; Windows -Doors 1. Zoning Requirements -Setbacks -Easements Electric 2. Soils; Special MH Support Sketch 9. 3. Sewer; Location -Test -Fall -C/0 -Concrete 10. 4. Water; Location -Test -Easement Needed (Sketch) Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect Date POOLS (Plans) OK except #'s 8. Utility Clearance 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI Date Elec.; Pool Lighting; 15 Volts-GFI Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 9. 1. Zoning Requirements -Setbacks -Easements Plumb.; Cir. Test -Water Supply Test 2. Footings; Size -Spacing -Marriage Line 12. 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 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 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 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main 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 Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped 60. Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Outlets at Wood Panel, Int. & Ext. 12. Electric Underground Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 13. Plenums & Ducts; Clearance -Material -Support -Ins. 74. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 75. 15. Access & Ventilation 76. 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 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 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 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 Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 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.F.I.)-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 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-T541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds 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/ 5— D License Class : ��D License Number: ! o f / Dater `Z–�'D S Contractor. L r n �LoP►r-C S 4e - OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury (hot I am exempt from the Contractors' Stale License Law for the following reason (Sec: 7031:5 Business and Professions Code: Any cfly or county which requires a permit to construct, eller, improve, demolish-, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, 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' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden. of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for. such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 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. Policy #: Ue 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 forthwlth.ccomply with those provisions. Dale: rt 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 allomey's fees. PERMIT NO. Issued Date: 02/16/2005 APN: 065-420-027-000 Site Address: 15041 TOREY PINE RD MAG $B index: Description: replace 200 amp panel Owner: MOORE DEAN & KAY 15041 TOREY PINE ROAD MAGALIA, CA 95954-9126 Applicant: LINTRONICS ELECTRICAL & SECURITY COMPANY 695 DAMROW LANE PARADISE,- CA 95969 530-877-3020 Contractor: LINTRONICS ELECTRICAL & SECURITY COMPANY 695 DAMROW LANE PARADISE, CA 95969 530-877-3020 License #: 815847 Architect: Engineer: )tal Square Ft: 0 S.F. Valuation: $0.00 Census Code:" CONSTRUCTION LENDING AGENCY I I This permit is hep6y Issued I hereby affirm that there Is a construction lending agency for the Resolutions to o work Indic performance of the work for which this permit Is Issued (Sec 3097 Civ.) By. Name: PERMIT EXPIRES ON: Address: provisions of the Butte Cnunly Cods enrUor fees have been paid. Date: ❑ 1 hereby certify (he( the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, whlch regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 10827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. ' I hereby certify that I have read this application, that the above Information Is correct, and thall em 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 f rm or document of Butte County. I hereby authorize repres(enntatiivves of Butte County to center upon the above mentioned property for Inspection purpose . P r I n I Name: /-10'Signature: Date: '2r -? D Sr 6 Owner onlraclor Cl Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER La me Firs ame Ade - City State Z' �- Phone ax E-mail /-I/ / __, //e7 CONTRACTOR Name L. _- Addres SRA City INo State Zip Phoneg , Map Book Fax E -m il,Li wSt�G # Cas s /-I/ / __, //e7 NT SIGNA X For office use only: ARCHITECT/ENGINEER Name _- Address SRA City- INo State _ Zip Phone Map Book Fax E-mail Planner State License Number NT SIGNA X For office use only: APPLICANT NAME Name ' Addre SRA City INo State Zip Phonex,30 Map Book Fax 77 -30 q2 E -ma' Planner NT SIGNA X For office use only: Zoning Pro Address 4 '! y r `/t Flood Zone 'Cross Street SRA Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 0 �5_0 BIN # LOCATION API Pro Address 4 '! y r `/t Cit Q l a 'Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIKEMEN 15 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: a Sq. Footage/- ❑ ._ Structure Built without Permits ❑ _ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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: 6�A Receipt #: L0936I Date: W31 D CIP-0 Amount: 5 Bldg Total REV 7-27-04 91 4. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 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. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (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 en iq neer. ❑ 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. A ricultural-Buffer-clearance and site Ian approval from_the-A -Commisslonerxs.office if re wired P PP 9 . q ire) __....:.- ,. 2T ..9_ ,Impact -Fees. �❑ 3 : �..- ..o..i:. California Department of, Fore Ian a royal if re ulred - �. try P PP, . j .. q_.. _.�,.��._ ❑ 4. NPDES Forma 0 T_" 5.--Encroachrrient'Permit for driveway from the Public Works.Dept .(construction -approval prior -to -occupancy). ._.-- ._. ❑..=-=- 6. -Contractor.'s.-icense information. Number, Name Style, Classlficatlon ❑ 7. Worker's Compensation Carrier and Policy Number. - - - ❑ === 8: Owner -Buil -dor Verification (if required). . -..7. ❑ 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 - 4437-80B PERMIT NO. ' PERMIT EXPIRES Ross Brown OWNER owner CONTR. 65-42-27 ASSESSOR PARCEL LOCATION 25 Torey Pines Rd., lot 49, PP#3, Magalia a ,i 9 _t is i q • .� s. Temp. Power Pole k Called PG&E ' "" •yY Temp. Elec. Service Called PG&E Tempjice&EJOB (Date) Signature J = OK ► O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) y 1. Zoning req u ire ment s-Ueacks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. pth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fi J =OK,* 0 = .Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date fDECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors _ 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-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 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BILL,. Date f (� 2 �/ Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF 16UTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californiaf 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i ASSESCR PARC NUMB R �•—�. — 7 ZONING BUILDINI OWN TELEPHONE 9'73-/ SO. FT. OCC. BUILDING V UATI OWNER'S. -5-- l ADORESS fo;-s L,/� PTELEPHONE CONT TO ''S -NAME ,/ . in W � CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ 00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER AA&K.A— LICENSE NO. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A DR PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 C. cu- Water piping LOT No. SUBDI?Ior AME '`� 3 PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mob ilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �/n•�((-_�� I,� • • ��f�/� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div.3 of the Bus Iness and Professions Code and my license is in full force and effect. �} License No. Classification IXI I, as the owner, or my employees with wages as their sole compen- 777"' 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 ULT' -OUTLET 2,50 ea NON -RE BR BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@250 BAL@tO�T EX. OCCU FIXED APPLNS. OR \ p•(0UTLETS (RESID•) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The 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 shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 ag t said C. Ifount in consequence of the granting of this permit. Date Signo re of ApplicOn — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP 'r( I TYPE of CONST. PARCEL °� PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ZDy'J� o i2 -O4 Receipt No. q/ b;z WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE: ---.:All Materials & Wo.manship Shall Be in Accordance with Recoanized Good Prri tices and of a quality prescribed -for +he Sn,ecified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. :0' £ -v,y/ i I This set of plans and specifications MUSTbe kept' on the job at all times and it is' unlawful to make any chanaies or alterrtions on some without - written permission from the Department of Publl@ l Works, County of Butte. 0 el 8U7TE COUNTY BUILDING D'EPARTME-f4T F APPROVED is 7 a v A setback of 5 ft. from the I Property lines and a setback of 54ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. . el 8U7TE COUNTY BUILDING D'EPARTME-f4T F APPROVED Provide adequate 6SS .6r0wru oi-er F/ lv e-5 I BOTE COUN., ICDING L)EpA T AppRO VES BUTTE COUNTY BUILDING ®LEPARTMeNT APPROVED )LINTY "U'IDING 'APPROVED � 1 . m I J�I�IV R T '4!i6 t PERMIT NUMBER - B 17-3-2-72-B, P P E PERMIT EXPIRES OWNER Ross E. Brovm .YCONTR: owner kLOCATION (A.P. 57-64-27 25 Torey Pine Rd., Paradise Pines, I'lagalia COUNTY OF BUTTE Department of. -Public Works BUILDING INSPECTION RECORD Zoning — Setback -- O q ms /D (/��'/�//� . Foundation Piers & Girders / Fireplace V%s!L �/ L9 22 �( Rgh. Plumbing CM Bond Beam Lath & Plaster Rein. Steel ) -' — Gas Piping & Test Found. Vents lzveoO Framing — Plmg. Topout _ Rough Elec. 4VL Wtr. Htr. Furnace 51, Kitchen Vent Firewall Garage Vents —� Sanitation & Water ELECTRI aUt <���,yTem GAS BUILDING Temporal �h Temporary P Y Cert. of Occup. - P•' Final Final _ _ Final Final DATE 7.) - REMARKS OR CORRECTIONS cvu - ( c�� Se CC .s '1- /1//7 40 dl -L. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S / 7 County Center Driv& '—' eroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property fpTAspection purposes. X X Date Signature of Permitee or Agent Receipt No. !,2•S6 .V -n 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 JO PUBLIC WORKS ey Date ��-ii Al / Iding permit expires Date ......................`.. SJ..... BUILDING Owner S e0 W SO. FT. OCC. BUILDING VALUATION Mailing Address 3 / �' C CC>d 2 XAQ 9 Telephone No. `G- Fireplace Contractor ©CA.) Total Valuation Mailing Address Permit Fee S Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ 3 ' C Building Address E ; APLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ` L 0 S E' /X/ES Each Trap 1.50 • L 1,a Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 6-7— 6 —.2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W . SME-1—ion-1 Fire Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW J4 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Lc E �, �,_,W/ j Main service incl. 1 meter _ Additional meters, each 1.00 Sub -panel (12 or less) (more than] 2) Single Family`® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 P bal to Receps., switches & fix outlets 20 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ><*I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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-mentioned property fpTAspection purposes. X X Date Signature of Permitee or Agent Receipt No. !,2•S6 .V -n 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 JO PUBLIC WORKS ey Date ��-ii Al / Iding permit expires Date ......................`.. SJ..... COUNTY OF BUTTE — DEPAPTMENT OF PUBLIC WORKS 7 County Center Drive7 OroviIIe, California 95965 �— Telephone: 533-1230, Ext. 259 APPLICATION ANDPERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing -A'd'dress Fireplace e—rJ Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address yy °L PLUMBING No. @ FEE PERMIT FILING FEE $2.00 z Each Trap 1.50 ,7 Repair drainage or vent piping 1.50 Water piping 1.50 %3 Each gas water heater or vent 1.50 1 A. P. No. f JPlanning Zoning Gas piping system 1 - 5 outlets 1.50 J Each additional outlet .50 Fire Zone Fire Dept.Sanitatio f.4 Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ v $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i Main service incl. 1 meter L Additional meters, each 1.00 Sub -panel (12 or less) (morethorrl2) USE OF STRUCTURE Single Fami ly Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light Jixtures ,L Re ops., switt pes & fix ojDOts 07cjinsle 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: H d, Ex. an or F. A. Fd<Motor 1.00 a ' Evap. cooler, gar, isp. or iii 1.00 Z Air conditioner or heat pump Water pump Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I 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. EJ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this PQ 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. I certifythat I have read this application and state that the above information is correct. I agree top comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating i Cooling Ventilation Permit Fee $ tate Fee for S+rrro Motion $0.07/$1000 Evaluation nate Fee for n Rn gMot $ 7i $ TOTAL PERMIT FEE $ ` auutunce repr ves of the county of butte to enter upon the above me ned pr erty for inspection purposes. Signature of Permitee or Agent _ -mss Receipt No. � %?�D��,� 4:A co White-D.P.W. — Pink -In pector — Goldenrod -Assessor — YeKo` sN-j 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. >r DIRECTOR OF PUBLIC WORKS BY Date-�-i Building Permit Expires Date �`-7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DKivea- =- 0,'oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the iX above- ne property for inspection purposes. ate ignature of Permitee or Agent Receipt No.�� 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. DIREC OR OF PUBLIC WORKS BY Date Building permit expires Date,/,j✓/_% BUILDING Owner -SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking ee&/or Penalty Telephone No. Permit Fee Building Address / PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — _,Z Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F4etW Sanidltion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEWMLI ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter �ti Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) amily Duplex ❑ Mobil Home ❑ Others ❑ Single Family-Q, Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures pal__ 41 Receps., switches & fix outlets Zo(d25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE s ff .s_ authorize representatives of the County of Butte to enter upon the iX above- ne property for inspection purposes. ate ignature of Permitee or Agent Receipt No.�� 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. DIREC OR OF PUBLIC WORKS BY Date Building permit expires Date,/,j✓/_%