HomeMy WebLinkAbout065-430-01565-43-15
M�I-
BEHRENS
240 ne,lot 90 PP#3, Maga
-Contr- E d an, Paradise
Permit#326- P, (new S/F)
5-43-
contr-.F* Broa., Par e
28.19:-808(6ew'd� '8F)'
4
6 '4j-
5- -15'
Peter Fox
rip) dt
- iumbirle,Rd. Magali
-6346 Co a
I Permit-# -81B(new ooen',deck/SF)
4515
'��'065 ' 'Of
-43- 5 -2230
J 9 - N I -
-IFOXITETE
_,6396 A!
IINE MAGAL
A
�'OWNER' V
REROOF C
W/ OND
X
f
I --I - -I I
r- -M- - - I I E 3, - - 3"--- - (119;
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Orovilld, California 95965 9 Telephone (530) 538-7541 qg -;,,PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT C) 60
ASSESSOR PARCEL NUMBER
6,5- V3 -01.5
ZONING
(2r I
BUILDING PERMIT
OWNER P
TELEPHO j NE
SO. FT. OCC BUILDING VALUATION
4T
OWNERS MAILING ADDRESS
J 4J /,- 0 5 18e; Jgj r; 1416 1 CA. 9,5
COkWCTbRS NAME
14"1 WAA g*
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS Al -f
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME IPARCEL
MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF [L#oduplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation [3 Other 0#4`e
Describe Work: W a
piping system 1 - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
600V OR LE::
Main Service .A OR LE
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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
(9 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW:�LINGffUp.
OR ADDNS. C S.
-
so.
3.50FT.
NEW CONST.
NON-RESID. m"TiocuX�,
@7.50
OWE.RAPLPARATUS
PSIN. 0 IT. C..
Ex. Occup. OUTLET OR FIXTURES
"00
BAL @ .50
FIXED APPUNS. OR
Ex. Occup. OUTLETS (RESID.) EA
5.00
- -L
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
-
I I
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
Policy Number
(The above sections need not be completed if the permit is for work of a �aluation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor C---. I
forthwith comply with those provisions.
- I -
,� z_T 17
X , , ��e Date
Signature of Applicant '_ `0 Owner 0 Contractor 0 Agent'
An OSHA permit is requireii for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FdEl $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
I COF
PAR CEL
This permit is hereby issued under the applicable provisions
?f the Butte County Code and/or Resolutions to do work
dicated above for which fees have been paid.
By Date
PERMIT EXPIRES 0.
I (Date)
Receipt No. 3!Y
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV S ON
7 County Center Drive Oroville, California 95965 9 Telephone (530) 538-7541
(Rev. 12/96) APP - LICATION AND PERMIT
ASSESSOR PARCEI. NUMBER
655- q3 -01-6
ZONING
(Z7-1
BUILDINGPERMIT
OWNER
P",+",
TELEPHONE
973-0315
SO. Fr. 09CC. BUILDING VALUATION
aya
OWNERS MAILING ADDRESS S5.,
bV40
CONTRAR=R'S NAME I
f!), W-4, e-,,'--
TELEPHONE
—
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS (e C1 1,4.*14 Al -e-
Energy Plan Checking Fee $
W&A A-0 91—
PERMIT FEE $
'y 91.
LOT NO.
SUBDIVISIONS NAME Q
IPARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 13,15uplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00.
TYPE OF WORK
New 0 Addibo.n 0 Remodel 0 Utilities 0 Installation 0 Other 01_�_
Describe Work: Re_r 49 0 f p
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W I
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LESS
Main Service .A OR LESS
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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
,for the following reason:
VL 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm urider penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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.)
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 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
91with comply with those provisions.
�_f
X Date
��Ignat&e of Applicant Y 11 Owner [3 Contractor [3 Agen17
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DW:�JNG OOCUP_ so
OR ADDNS. C. S. 3.50FT.'
NEW CONST. MULTI -OUTLET
NON-RESID. BRAM
@7.501
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. OCCUp. OUTLET OR FD=RES 20 @ 1.00
BAL @ .50
P - OR,
Ex. Occup. OUTLETS (P.M.), E
5.00
Temporary Service 23.00
Mobile Home Facilifies 20.00
Misc. Wiring 23.00
LE!l
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation 1
PERMIT FEE
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$ Y&7,
HAZ-
D. IMP
2
I FLOOD
I CDF
PARCEL
I PO
HD
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.
Byl k, Date
PERMIT EXPIRES�N _.-.2 8'_ �? 7 _
- (Da to)
ReceiptNo. Aq!5 qq
WHITE-D.D.S.-B.D. - CANARY -ASSESSOR PINK -INSPECTOR GOIDENROD-APPIICIANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signaum
Please complete and return this information at your earliest opportunity to avoid ir'"ecessay do*
in processing and issuing your building permit. No building permit will be issued until ft
verification is received.
1. 1 personally plan to. provide the major labor and materials for construction of the propoiied
property improvement: YES �q NO C3
2. 1 HAVE C3 HAVE NOT C3 signed an application for a building permit for the proposed V,06&
3. 1havecontracted 'Ith the following person (fim) to provide the proposed --tructio=
NAME:
_6k
ADDRESS:- 6a 3 1-3 CITY:
CONT]Rq
PHONE: 44 CT S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the followmiperson to coorft�a*
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to pr9vide
the work indicated:
NAME ADDRESS PHONE TYPE OF -WOR*K*-
SIGNED:
PROPERTYOViNER:
SOCLAI SECURITY NUMBER:
DATE:_S,�Z 12—T. C/_,�'
I
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of &a.
California Health and Safety Code. This verification must he -completed exd
returned to our office before we are permitted to issue the permit
OVER
�7 - 1. 1
OWNER BUILDER INFORMATION 4' a
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of pro&rty
improvements specified.
For your protection. you should be aware that as "owner-buildee, you are the responsible party oftecord on such
a permit Building permits are not required to be signed by properry 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.
Contmctors are required by law to be licensed and bonded by the State of California and to have a businew
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 that you plan to subcontraM you'should'
be aware of the following information for your benefit and protection:
4 Ifyou employ or otherwise engage any persons other than your immediate family. and the work (Includlig muerial
and other costs) is S3300 or more f" the entire project, and such persons are not licensed as contrac:tahi or
subcontractors. then you may be an employer.
+ If you am an employer, you must register with the -State and Federal Governments as an employer and you- . am
subject to several obligations including state and federal income tax withholdk& federal social ' secm* t Mims.
workers compensation insurance, disability insurance costs, and unemployment compensation contribittions.
* There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
* For more specific information about your obUgations 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.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform�their
work peirsonally 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 arehot required to be signed by property owners unless they are performing their own work personally. '
Information about licensed contract rs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95914.
Please complete-the'X)wner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit �Yill -not be issued until the verification is returned.
i rely,
0.
Mic el C. Vidira, C.B.O.
e
4mgeyr, i8Vuii1?d'2ng CTnspection
NOTE: This Owner-BuIlder.Information is required by Section 19830 of the Caqornla Health and Safety Code -
OVER
PERMIT NO.
4515-81B
PERMIT EXPIRES—
OWNER
'Peter Fox
CONTR.
owner
ASSESSOR PARCEL
65-43-15
6396 Columbine Rd., Magalia
LOCATION
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
6�11z2N- -2—
JOB FINALED (Date)
Signature
OK
0 = ..Iqot OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (�lans) OK except #'s
Date
DECK_�.XOVERS, CARPORTS, ETC. (Plans) bi, oxcept 4
1. Zoning Requirements -Setbacks -Easements
llf-�pairrg Requ i rements-Setbac ks- Easements
2. Soils; Special MH Support -Sketch
2-Fql;,�s, Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
'11;'6Pcks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-.Rftrs.-Connec.-Shthg.-Rig.---Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc;os,ies
6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
41
Card -131
Date Card- 131 Date
Card-B<F-_Date(-q/a(&
Z -Card -BI Date
Card -131
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'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-Cleirances
4. Erlec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GF1
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 Lghig.
Boxes -Enc I osures- Pane I 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 -131 Date
Card -61
Date Card -Bl Date
Card B-1
Date Card -Bl Date
Card -61
Date Card -131 Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAC (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
1.
Zoning req u i rement s-Setbac ks- Easements
48.
Property Line Firewall & Operilings
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. Depth
50.
Stairs; IN idth-Headroom-R i se -R un- Land i ng- Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / / Ftg. Depth
51.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
5.
Sternwalls, Main; Steel -B lockouts -Wrapped -Slab
52.
Sid ing-Nai I ing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7.
Piers -Fireplace Fig. -Steel
54.
Glazing Area -Glass Protect ion -Sky I ights-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Date Card -BI Date
Card -BI
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect ion- Land i ngs
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -C leara nce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
O.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
-.17.
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
66.
Elec. Outlets & Receptacles at K,t. Counter
67.
Garage Fire Door; Swi ng -Land I ng -C loser
68.
A.G. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C learance-Com b. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listec. for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
1 nsu lat ion -Foam- Looked in Attic E) Yes
73.
Guard Rails & Deck Construct I on- Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearan:e
Looked under Floor 0 Yes
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
27.
Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or At,
Insulated Neutral r7Yes 0 No
75.
Following instld.: Drive 0 Yes No; Walks E3 Yes 0 No;
-No
Planters []Yes EJ
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane Is-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs._
Card B -I
Date Card -BI Date
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -61 Date
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
__33.
Condensate Drain & Overflow; Size & Grade
34._.Furnace-Vent;
Access -Comb. Air -Return Air Vent -115V outlet
Card -61
.Ca d -BI
35. & Platform if Furnace in Attic
Date Card -61-.- Date
D' -at -e---'
Card -61 Date
Card -131
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
37.
3-8.
-39.
40.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over G - irders ' & Floor Nailing__
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Clng. Joist-Rftr. Ties-Pu-rlin---Roof drac.-Truss-Shthnp.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
t -tic -A cess: _ize &-Romex Protect ion -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill HgI. & Dimensions
Ga"rage Fire_�ro�,ecion_F_r_aming
(NOTE: An entry must be madeeach timeyouvisit jobsite)
COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS -PERMIT NO
7 County Center drive _- Oeoville, Californi.a 95965 - Telephone 916/1534-454
A 1WIt
APPLICAVION AND PERMIT
ASS
BUILDING PERMIT
OWNtPKT_b 0
_
TELEPHONE
SO. FT._j OCC. BUILDING VALUArioN
V!9� -
y 91
- —
OWNER'S MAILING ADDRESS
(-A �_ � . a I I A- -4 _� 0.4u. 1�
COtTTRACTOR'S"N'-AME '-ITELEPHONF'
I�s \-kj e\ te il�-
10-1
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Nan!__L -
Total Valuation $
Filing Fee
$ 10.00
L`ENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
AA�ry� I
LICEN5E NO.
I
Plan Checking Fee
$
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS In
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system 1 5 outlets
USE OF STRUCTURE
SFNk Duplexn MobilehomeF� Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
NewF_J Addition% Remodel[:] Utilities[] InstaliationEl OtherE]
Describe work:
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 101V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OCCUP.51)
OR ADDNS. ACC.BLDGS.
20 sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e ffect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET
N.N.RES,., BRANCH CIRCUITS) 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. %SINGLE OUTLET CIR.
50 @ 250
Ex. Occup(OUTLETS OR FIXTURES BAL@104t
P.(OFUIXEI APPLNS. OR I
Ex. Occu TLE TS (RESID.) EAJ 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
E] The permii is for sloo.00 (valuation) or less.
Ej 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
S
Contractor
—
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
again t aid Cou y in ce of the granting of this permit.
F�l
X Date
Sign f Applicall 0111ne�< Contractor 1:1 Agent
An permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
ocCUP. GROUP
H_J
I VJIST,
PARCEL
"I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT" OF PUBLIC
1-1-1
By-
PE2(V EXPtRES Date—
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
7, —1 i_- e -2-i
!�_ to QL
Receipt NO. — 0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTEi4i-DIEPARTMENT OF PUBLIC WORKS - BUILDING DIVIS,ICfN
C NTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/.534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER PX t,,A_1P d�-R A. P. N o. tl-
Proposed Building Use
Permit Fee Based Upon: —Complete Contract Price 77�PW Valuation
0ther (Expl ain)
Building Inspector Date r Z -1t t) (L—i
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted . . . . . . . . . . . /.
2. Plot plans in duplicate./tripl,icate . . .. . . . . . . . .
3. Complete plans in duplicater/triplicate. . . . . . . . .
4. Complete engineered plans and calc's . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
tjz�Q Sanitation approval f rom 40 0--_1 Health Dept.
11. Planning approval for (A) rse: — (B) Parking:.
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerE])
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
Other
When you issue the permit, proc�ss as follows: Mai I to owner. —Mail to contractor.
Telephone and hold for pickup at —office. —Deliver w/inspector.
Other
Applicant' Qr�,/,47 llbx� 6,
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 issuanceA
ov
(For required items not checked ab e aVe of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, &nir) was advised of above required k-TeleDhone —Mail —Other
/� ,.;, I By Date
Plans, checked 4 Date . / , /
Plans approved by Date (A 14 91
Other:
Copy—DF�
To: Building Department
I
From:. Environmental Health
Subject: Sanitation.Clearance
Owner
-TW- e2�,?Lo .
Location
AP#
Plans approved for: Sewage Disposal Water Supply
Hol d final for: Water Supply
Final Clearance O.K. for: Water Supply -
Clearance for bedroom mobile home. Other
Clearance for addition of
Note**
Sanitarian- 'Date
COUNTY OF BUTTE -�- D4artment o , f Public Works
7 County Center Drive, Orbville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
4
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete� and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)
2. 1 (have/have not) signed an appliZtion for a'building
permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the'proposed
construction:.
Name
Address City,
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5., 1 will provide some of the -work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned:
Property Owner Ix , /I
Social Security nu
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections,19831,
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
NOTE:—All Materials 8,
Workmanship Shall Be in
Accordance with eco.,,,gnized Good Practices an,� PLD -F
Thi's set.of plans and soecifications MUST be f
kept on th� iob at all time�s'ancl it is unlawful to of a qua I ity presc�r pe � or the Specified use in the
make any,changes or alt4rations on same with- Uniform Building,!Plu;, nbing & Mechanical Codes'
t . . and the Natio-nalflectrical Code.
out written permission fr�m the Departmeint of
Public Works, County of Butte.
Ap
...................
f 5 ft. from the
A,sptback'�,p
j 'pfdperty lines and a setback
(y, 'of,50ft. from the road,
"i 'ce-Aterline shall be clear of
�X, :Structures or equipment except
V -for a 2 ft ea e overhang.
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8UTTF_ COUNTV
BUILDING DGPARTMEN'
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PERMIT
NO. 326-80B,P.E,M
PERMIT EXPIRES
OWNER ROBERT BEHRENS
CONTR. Ed Holohah, Paradise
(A p. 65
LO -43-15
2�ATION
0
Colurg ine, lot 90j,PP#3, Magalia
/X;Y OL
r
Temp.Po e
'w
Called PG7EE I
Temp.. Ele/Sery
C 11' B PG -e1v
&E
Temp;Zais Se
PG&E
/alled
0 B
ti��A
FI N A LED
(Date',
(Signatu
jZkA,,,$ J -VC"
97, (Y
hb,v �/t �,
(Acv/
Ef
Vu-
C/I
4/414-
-12,eiuz. &ray jg)
Ic,
f 11
Forms
Main Ell
Footi
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDIN BUILPING (Cont1d)
Firewall Soil Piping'
Parapets list Floor
Restroom Finish*-., 2nd Floor
Windows 3rd Floor
PLUMBING
Slab
Roof Sheathing Le ir -I
Water Piping 6 yk L
Piers
Roofing
Sewer 0
Garage
/--qJJ& V -
Fdn. Vents
Fixtures to/ 14! `11 1—
Footings
Stemwa I I
z
Garage Vents
Insulation' (dv4- dl!�O
Water Htr. Wki 8-0 A.,-
Heaters -
Slab
Carport
q
Footings
Prov. for 1) sically
ndicappe.1
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
10 4P
Final 4, Z17,
Sanitation
Patio
FIREPLACE
Final 490
Footings
Footing
I ELECTRICAL
Masonry Walls
Throat
Rouah -ZAL)y?L-
ReInf. Steel
Final
Fixtures (4,1y1P%,-
Bond Bek
4
FIRE SPRINKLERS
Motors
F r a m I n qY1.2,51-k
0
Test
Water Htr.
Stucco k
Final
Subpanels.-.6 -zn
Mesh
MECHANICAL
Grd. Fault Prot. 6 —W5" --,F0 a
Scratch
Heatina
Service
Brown
Cooling $ : ean J
Temp. Pole —
Finish
Ducts S — f f4v
Underground
Interior Lath (ply
t
Ventilation
Permanent
Door Closer
Final 6—
Final
MOBILEHOME UTILITIES ....... -----------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME
Water Piping
INSTA&LAXULN ---------
T5-7707&4,�O
Support
go
Elec. ContinuitV
14 WPipin
DATE REMARKS OR CORRECTIONS
e7
,e -
P'.
g
&,q
o Ll -LL
"LlIA11,
(NOTE: An entry must be made on this form each time you visit the job site.)
P L U M B I N G
Check List
Permit
Underfloor Stage
D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
-in Loeations.
(5) Cleano.uts & Accessibility. (6) Clearances. (7) Rough
0* (8) Wrapping. (9) Test -including "Ts". (10) Additional test Dot
required.'
Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapp�ng.
(6) Dissimilar metals. (7), Service regulator installed or not required.*
E] Gas:, (1) Sizing. '(2) Materialst (3). Support. (4) Log Lighter. (5) 'Wrapping.
El Framing Stage (Top Out)
E] D.W.V.: (l) Size'j (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) -Grade & Support. (6) Cleanouts'. (7) Traps*. (8) Nail Protection.
(9) Plumbing Access. (10), Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
(14) Additional 2nd floor-te.st not required.*
Water: (1) Pipe Test. (2)' 'Miker Valves. (3).Support. (4) Roof drains.
Gas: (1) Size. (2) Materials,.
3) �R,Valve Drain.
F Water Heater: (1) Vent. (2�.Lotat'ion. (3).'PR Valv6 Drain.
E] Final
D.W.V.: (1) Connected to slewer system. (2) Special systems.
Water: (1) Water Source. (2) Shut-off. (3), Anti -siphon Valves.
Gas: (1) Test. (21) Connectors.
Water Heater: (1) Location. (2y Accessibility. (3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) -Shut-off and
connector. (12) PR Valve & Drain.
Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped.
(5) Connections. (6) Cross-tconnections. (7) Dishwasher Air Gap.
5/79
M E C H A N C A L
Check List
Permit
Underfloo Stage
Underfloor Supply Plenum: (1).One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch
_(7) Fire -stopping. (8) Boots. (9) Supply
receptacles and registers.
ducts. (10) Gas lines and plumbing cleanouts.
Ducts: (1) S.ize. (2) Materials. (3) Support. (4) Fittings.* (5) Wrapping.
(6) Insulation. (7) Clearances ground, crawlspace, cleanouts�,
plumbing, etc.
Combustion Air: (1) Size.
Ehefrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
Framing Stage'
Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances.
(4) Combustion air.
Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap.'
(5) Termination.
Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings.. (5) Insulation.
(6) Fire Damper.
EIRetrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Ehinal
F-1 Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shuts -off.
Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure- relief
valves. (5) Class 2 refrigerant.
5/79
UNDERFLOOR Permit No.
1. Plans
2. Setbacks --Easements
3. Soils—Footings & Stemwall--/ Fill Req'uired--Steel--Block-outs--Elec.Grbund
4. Piers—Fireplace Footing & Steel
e
5. Plumbing--Drain--Fall-Fittings--Wrapped iri Concrete 4211 test/
6. Gas Pipe --Size & Test
77--
7. Water Pipe --Test & Anchors—Regulator
8. Electrical
9. Plenums & Ducts—Clearance—Material & Support & Insuld tion
10. Girders--Sills--Anchor Bolts--Joists--Vents--Cripples
11. Sign Job Card
ALL -OF ABOVE COMPLETED EXCEPT
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
FRAMING
Sills--ProDer Mater
Walls--Studs--Nailine & SDaciwt & BracinR--Xlat
W. Bearing Walls over Girders & Floor Nailing
Draft StoD in Walls
Fire Stops --Furred Cellings--Stairs--Chases--Tub
Header & Beam --Size & Bearing
Haneers--Post CaDs--Anchors--Connectors
Permit No.
19. Ceiling Joists, Rafter Ti�s, Purlins, Roof Bracing,(� Sheathing --'.Roofing
94'.' Fireplace Ties or Type A Flue --Fireplace Throat
VIf. Attic Access --Size & Romex Protection
P4"'. Bedroom Windows or Exiting. -Doors- -Sill Hgt. & Dimensions
"-.-'Garage Fire Protection Framing
+4v-Axjea-Separation Walls --1 hr. Fire --2 hr. Fire
%k<"'Ext. Doors --One 3' - Check Garage
IL�. Stairs --Width, Headroom, Rise, Run, Landing --Fire Protection
LII'.� Plywood on -Roof Overhang --Attic Vents --Rafter Outriggers
-Veneer
19. Stucco Mesh, Drip Screed & Foundation Vents & Underfloor Access
ion if required
21.,Sign Job Card
ALL OF ABOVE COMPLETED/ / EXCEPT
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
-2-
FINAL Permit No.
1. Plans
2. Entrance SteDS. Door & Sideliaht Protection -
3. Smoke Detector 4
4. Furnace --Vents. Clearances. Combustion Air.:Connectorvin GaraRe-HeiRht & Mech.Piotection
5. Bedroom Exiting
6. G.F.I. & Bath Fixtures I
7. Electric Trim & Sub Panel -:Labels
8. Stairs & Rails
9. Fireplace or Stove --Clearances, Hearth
10. Electric Outlets at Wood Panel --Int. & Ext.
11. Fixtures & Appliances in Kitchen--Grounded--Air Gap --Cooking Clearance
12. Electrical Outlets & Receptacles at Kitchen Counter
13. Garage Fire Door --Swing & Landing, Closer
1 1. A r' r%.. - - i- T%-----
15. Water Heater --Vents, Clearances, Combustion Air, P.R.V., Connector'.ILn Garage -Height &
Mech.Protection
16. Firewalls & Openings --Area Separation Walls
17. Electrical Receptacles in Garage (G.F.I.) Romex protect
18. Insulation --Foam--'
19. Steps at Ext. Doors & Landings
20. Guard Rails and Deck Construction
21. Foundation Vents &.Crawl hole Door --Drainage & Wood -Earth Clearances --
Yes
Looked Under Floor /
22. Following Installed: Drive L_1 Yes J__1 No; Walks Yes I--/ No; Planters or
Wing Walls /M Yes = No --- Creating Drain ge Pr��s 7-7 Yes = No
23. A.C. Unit --Disconnect, Clearances, Breaker & Conductor Size --115V Outlet
24. Vents Above Roof --Plumbing, Appliances, Fireplace--Clearanice to Openings
25. Water Well -Disconnect, Electrical, Plumbing
26. Exterior Electrical Trim & G.F.I. Receptacle
27. Ventilation Throughout House
28. Glass Protection
29. Corrections from Previous Inspe�tions
30. Gas Test -a -Meters Tagged -Gas & Electric
31. Water Supply & Sewage Connected
32. Energy Compliance Certificate
33. Sign Job Card
ALL OF ABOVE COMPLETED EXCEPT
S igned: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date
.-4-
PLUMBING --Above Floor Permit No.
a.-.' water Heater--Vent--Access--Combustion Air
L9,'.'*7,-Water Pipe --Test & Anchors --Nail Protection
e. -Drain Pipe--Test--Fittings & Anchors --Nail Protection 42"Test LZZ
14��'Shower Pan --Test, First floor --Tub Access
3-.--1'e--sFTu-T-&'Shower, second floor --Tub Access
lz;::�—as Pipe --Size & Anchors
7. Sign Job Card
....................
ALL OF ABOVE CONPLETED EXCEPT Signed: Da . te:
ABOVE LISTED CORRECTIONS COMPLETED Date:
ELECTRICAL --Above Floor Permit No.
3e.,` -'Clearance & Insulation Protection at Flush Light Fixtures
2'.", Elec. Receptacles Spacing --Lights & Switches at Doors
t3<1 Size Boxes & No. of Conductors --Stapled
*'. Romex Installed Close to Edge of Studs & C.J.
1577-Rauin. Ground made UD w/Mech. Fasteners
k:.:�-2 Appliance Circuits in Kitchen & Conductor Size
-J,---S�e�ers--Wire size ga. Cu or Al, Breaker Size = Amp. --
_Insulated Neutral, Yes No L—Z
16 '(Ran e --Oven Circuit ga. Cu or Al,
a �
54 ��ircuit ga. Cu or Al, Breaker Size Amp.
`-�ea er Size Amp. &,V� /A),
Service --Riser Conductors & Ground
'PT.- Bond Gas & Water Pipes
hes Closet Light --Shower Light
12. Sign Job Card
ALL OF ABOVE COMPLETED 4--J EXCEPT <1,C1
I I Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED �Date:
....... .. .... � I ....... ... ... ......................................
MECHANICAL --Above Floor Permit No.
.......... ...........
ts--Insulation & Support
2. Vent Fan --Exhaust Above Insulation
3:;--Gendensate Drain & Overflow --Size & Grade
(A2 Furnac e- -Vent - -Acce s s -Comb. Air-rc Ret -I I 5V Outlet
I
-5v--*t-tic Access & Platform if Furnace TrTE-tic
6. Sign Job Card
ALL OF ABOVE COMPLETED EXCEPT
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED Date:
-3-
I
--4, T -
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THiS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALL�ED IN� NFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT NO. AjP. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:'
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edg
Fdn. Walls
Floors
Walls
Ceiling/Roof.
butts
Circulating Pipes
APPROVED HEATER 7
APPROVED WTR.HTR. /
GLAZING:
Single -Glazed
Special (�Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMIiTE,NT IGNITION DEVICES
CEWf. A PPLIANCES
A
I DECLARE THAT ALL REQUI I RED ITEMS AS NOTED ABOVE IIAV� BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIRE-MENTS.AND AGREE TO
THE COMPLETE14ESS OF THIS CERTIFICATE AS SUBMITTED,0�
Insulation Applicator Name' A'14 i,_) X, IAJ'.rIJZ .4 7-11VAJ IAJc_
Signature of lease print)
Insulation Applicator
State Contra6tors
i License No. 7
General Contractor/Owner Name
(please print)
Signature of
Date
General Contractor/owner
State Contractors
License No-. - 0? �40
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING F,INAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WTT]11-.N THE DWFT.1,'rNC.
00 e.
PERMIT NO. 2818-90B
PERMIT EXPIRES.
OWNER Robert Behrens
Fisci Bros., Paradise
CONTR.
`4 3
LOCATION (A.P. 65S -15
lot 90, PP#3, Magalia
240 Columbine Rd
Temp. wer Pole
/0
Y lled PG&E
Te - E l:c- Serv.
(e PG&E
emp. Ga's Serv.
Called PG&E
JOB
FINALED
(Date)
zaa
(S i gnature)
-0
Q f" J,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING-
BUILDING (Cont'd)
Ulm
PL BING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg-
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Sternwall
Siding
Topout
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 ph sl ally
_±andicappew (
Conformance of X.
structure
Appliances
Gas Piping & Test
Temp. as
Slab
Sanitation
Patio A7151Y
FIREPLACE
Final
Footinq
EL ECARICAL
Masonry Walls C
Throat
Rouah
Reinf. Steel
Final
Fixtures
Bond Beam
FIWSPRINKLERS
Motors
Framing 0 40
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILNTIES ------------------
Elec. Se7vice
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALL&INN --------------
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE —REMARKS
OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vislt the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County.Cent, 'grive - Oroville, California 95965 - Telephone 916/534-4541
it' -. 4. V � w 4� 6�2 &Z
APP.LICATJON AND PERMIT fA -
AS�ESSOR PAF�FE U M 134'
ZO V G
T
BUILDING PERM141
OWN
TELEPHONE
SQ.FT. OCC. BUILDING VAkl� ON
OWNER:S MAILING ADDRESS
C 0 VX4� TOR'
��e_l S lAj(f
T E)�>P 11K
9 _3
ACTOW MAILING Or
6OX 41�7,ss
CONSTRUCTION �YER ]UNKNOWN
Fireplace
Total ValuE $
I_Et,IDER'*�MAILI
&C-q-tv C4'
Permit Fee
$ 0 0
ARCHITECT OR ENGINEER
L It E -N S I-. N 0.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0cp
BUILDING D E
PLUMBING PERMIT
Fi ling Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT W.
SUBDIVISION N t:
AAE
RCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets.
USE OF STRUCTURE
Awother 105-MYL
SF I E9"__DupIexn Mobilehome SPECIFY
Building sewer
_.Lawn sprinkler system
2.00
TYPE OF WORK
New WIlAdditiong-lRemode'l[] UtilitiesO InstallationD Other W*f
Describe work: D Ec 4—,-,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 3.00
600V OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA'. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC,BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am I)censed under provisions of Chapt. 9, Div. 3 of the Business
f
and Professions Code an d my license is in full force and e fect.
License No. �_166 6 �? —Classification Iff—I
g
1, as the* owner, or my 'employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
F1 I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST -R.- ULTI-OUTLET
. RESID. (MBRANCH CIRCUITS) 2.50 ea
—NON
NEW.CONSTFZL ( POWER APPARATUS &)
NON RESID. -SINGLE OUTLET CIR .
50 @ 25q
Ex. Occup( OUTLETS OR FIXTURES
_.BAL@10,t
. oCCU P. ( F I X E D APPLNS.OR
Ex OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi I Ing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one): -
The permit is for $100.00 (\;aluation) or less.
I have placed on file with ' the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as -to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
2.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is core6ct. 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 sa�e, indemnify and keep harmless the County of Butte against
all li4bilities, judgme9ts, costs, and expenses which may in any way accrue
aga i. uoZuy 4ipnsecpience of the granting of this per . t *
._V� — 6 /f '0
Date
Sign?ture of Applicant - OwnerEl Contractor t��Agent F1
An OSHA permit is required for excovati ons, over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h�ght.
Mobile Home Installation Fee $
Land"Development Fee $
TOTAL PERMIT FEE $
ocCUP. GROUP
P_ 3
I TYPE OF CONST.
V
IPARCELI
PD
I H
ISSUE
This permit' is hereby issued under
sions of the Butte County -Code and/or
work indicated above for which
DIRECT OF PUBLIC
B y
P,9Q'1T'liXPIR'ES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -6 6 -Yo
Receipt NO. 3 & 2-�E -
WHITE-D.P.W.. YEL LOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
OUNTY OF BUTTE.— DEPARTMENT O.F�',PUBLIC WORKS — BUILDING DIVISION
4
-4541
7 County Cent ive — Croville, California 95965 —Telephone 534
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. N 0.
OWNER
Proposed Bui . Iding Use DEC//—
Permit fee based upon: Complete Contract Price DPW Valuation
t /e/lexplain)
h,
Building Inspector Date 0
At time of permit Tp`pI[_c_at_io_n_, -1 was advised the following data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
1.
All items have been submitted .............................................. * ........... * .......
2.
Plot plans in duplicate/triplicate ...............................................................
3.
Complete plans in duplicate/triplicate ....................................................
4.
Complete engineered plans and calcs . ....................................................
5.
Plans with Energy Design Compliance Statement . ...........................
6.
State Energy Forms No. ....................
7.
Statement of Intent for Non -Heated & AC Buildings . ..................
8.
Fees of $ ..................................................
Letter of signature authorization .............................................................
i
orz9
Sanitation approval from Health Dept.
11..
Planning approval for ..........
12.
Certificate of Workmen's -Compensation Insurance ........................
13.
Contractors License Information (no., name style,
classification) . ..............................
14.
Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ................................................................................................
15.
Pre -inspection for requ ired Pre-inspec. request to
bldg. inspector (date)
16.
Other
When you issue the permit, process as follows: —Mai I to owner __zmail to contractor.
Telephone and hold for pick-up at —office. —Deliver w/inspection.
Other
I
A p p I i c a nf`�Yl'l J/ 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 time of applicatiori, circle item.)
1 - Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by — Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by Date
OTHER:
Copy/DPW
I Building Department
Fr 0111: Environmencal. IlealAh
Subject: Sanit:atton Clearance
OWA r Loca t 1. on AP#
Mans aporoved for: Sewage Disposal. Water Suppl.y
Hold final. for Water Supply
Final Clearance O.K. for:. Water SLIPPIY____-__
Cle---Crance for bedroom mobtle home
Cloarmice for a d (I I t to n o f
Note**
0 the r
A;
ur
-14
L;
LS
icL
du
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C: IN.
P6 z
tj
QL I
14
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is
Ab, S
Is
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-FRI
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to
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ro'—*
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D-zw
41L
CS)
41
VA
Q44
oj
jo
Top'rail to be 36 in. high with
Intermediate rails to be not
-1 =7. I over 9 in. apart.
IV
2
Iv
q Y14
BASE,
BUTTE COU NI
BUILDI.NG DEPARTMEN4
�APP
Og-
AO,� A, 7j
q Y14
BASE,
BUTTE COU NI
BUILDI.NG DEPARTMEN4
�APP
Og-
COUNTY OF BUTTE —, DEPARTMENT OF PUBLIC WORKS
7 County 6enter Drivle- Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
A
BUILDING
Owner B0J6A6;_4_1"_
SQ. FT. OCC. BUILDING VALUATION
?!�3p 1: / 2 7 52-0, 6 0
Mailing Address
q1y D T , 0Q(V Lt C>, co
Telephone No.
15- C -c"', 60 Z> C)
Contractor 4 e-
Mailing Address 1.5e) -se- !k7-7
Fireplace sp 01' TOO 00
Total Valuation
1,-,a- 4 9vv
T I phone No
-7-0V
77 34
Permit Fee 00
Building Address
PlanChecking Fee&/orPenalty 22. no
Permit Fee $
407- �?10 ZZ A) /7-
PLUMBING No.1 FEE
6
PERMIT FILING FEE $3.00 c>o
Each TraD 7 A60 /y, t)o
Repair drainage or vent piping 1.50
A. P. No. 4�
19Aning &LIKI'anning
Water piping gao oo,
Each gas water heater or vent 1.50
F S
S2!21!:tSkn
Fire Dept.t Fire Zone
I Use Permit
Gas piping.system 1 - 5 outlets 1.50
EQA�
Parking
Pia ns
Farce
I Declaration
-fL-
P arc ap
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
B I d g. P ra-5--sle c d
P arca Vn!
Plans AW4.1
Lawn sprinkler system 2.00
..Uro
NEW 2S ADDITION UTILITIES OTHER
Permit Fee $ 7,60
i$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS S 5.00
100 AMP OR L FS
Single Family Duplex 0 Mobi I HomeE] Others El
Main service EA. ADD -L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. AOD'L 100 AMP 1.00
NEW CONST * OW LV
CC. :20sq ft
OR ADDNS. A I
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:
0
NEW CONSTFL MIILT1-OUTLI--T
NONeRESID, BRANCH CIRCUITS) 12.50ea
NEW CONSTFL (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
50 @
Ex. OCCUD(OUTLETS OR FIXTIIRES) B A L ;251g�Oj
( F U XED APPLNS. OR
Ex. Occup. 0 'TLETS (RESID.) EA) 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
License No. 34/409Z Classification
Misc. iring 6.25
I am exempt f rorn the Contractors L i cense Laws of the State of Cal i forn i a.
Permit Fee s -,?z cts
s--3/ 7?
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot 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.
XrI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 ob
Heating )57-L,�
h'--�
Cooling
Ventilation
Hood 2. 0 0 Cks
Permit Fee $ Z -3,6c%
$ 13
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 Couqty of Butte to enter upon the
above -men property for inspecti u rposes.
"IV Tt) 1—
Land Development Fee
$
TOTAL PERMIT FEE
VIM ISZ
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.
DlRE4PTOR OOPUBLIC WORKS
wingate f
'L_J=gn.ture of Permitee or Agent By Date
Receipt No. :5 q "/ -3 1: -.,
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant Building permit expires Date Az� et_
QUNTY OF BUTTE — DEPAR ME, T OF PUBLIC WORKS — BUILDING DIVISION
k9 3 - , N. " 1, -
PCount"jv Center Drive — 0 roville, California 95965 — Telephone 534-4541
-4f
4.1 PERMIT APPLI'CATION DATA SHEET
Permit No.
OWNER le" is=" 7 A, z 4 ee s A. P. N o. 4/
Proposed Building Use
Permit fee based upon: — Complete Contract Price �DPW Valuation
_-, Otho'r-7(explain)— 1,�?
Building Inspector Date _.Z/
At time of permit�551�(plication, I was advised th.e-fiol lowing data must be submittedprior to permit processing and/or
issuance: bATE 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. ....................
7. Statement of Intent for Non -Heated & AC Buildings . ..................
8. Fees of $ ..................................................
9. Letter of signature authorization ............ ! ................................................
10. Sanitation approval from��Aj/i-f- d, Health Dept.
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) . ..............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ................................................................................ I ................
15. Pre -inspection for required. P re-inspec. request to
bidg.inspector (date)
16. Other
When you issue the permit, process as follows: —Mai I to owner —Mail to contractor.
Telephone 9? 7— '/93 and hold for pick-up at off ice. —Deliv6r w/inspection.
Other
Applican,t,7t Date —el
Copy of plans sent — Health Dept., F ire 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 time of application, circle item.)
1 . Index permit for above Items No.
2. Additional items required:
(Contractor, Designet, Owner) was advised of above required data by— Telephone
Mail
Other
By Date
Plans checked by 4 Date
Plans approved by x�;Z;__1 Date
OTHER:
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