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HomeMy WebLinkAbout065-430-017i.B r t. 65-43 7 ..1159-91P, E - dto !T 3 0 �• ' '. ` lj t; CARUSO, Tho s 6386 -Columbine, aradise (utilities/mh),�•,� '�• � �. r ELEC o�DD' GAS _ COMPACTION TEST 'REQ ,�jo ' SUPPORT ' STRUCT REQ },: ' :65,.'43-'17�w=� , ° 4 ; Permit#1568-9Hffl ~ a(istallation 65-43:7 7-� -� ' ^ �,¢*-� .,• a- . a,4 . r , 1'22 CARUSO;. •Thomas 6386 Col m •' nn'� -"''�"` garage)- .412, arage)., 0654'3 0017. ` n rr �' ,--- �92-0055'�w 3CARUSO; THOMA"S�', - iA� 4 0 Aew� �,z l /R?1; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `�715 ASSESSOR PARCEL NUMBER ZONIN BUILDING RMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESSzJ7,760. 6-186 C01-IRMINE Rn MAGALIA CA 95954 , CONTRACTOR'S NAME RON"; TELEPHONE _ CONTRACTORS MAILING ADDRESS R) v05 ANDERSON, CA _ CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total y4luation $ ARCHITECT OR ENGINEER LICENSE NO. Flin e $ 20.00 Per t Fee 540,512 $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS PI Checking Fee $ 23.00 BUILDING ADDRESS 6386 COLUMBINE MAGALIA nergy Plan Checking Fee $ PERMIT FEE $ 313.25 LOT NO. SUBDIVISIONS NAME RCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each as water heater or vent 15.00 TYPE OF WORK m New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe work: EX MH ON PERM FND y Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 1 9 -nn Mobile Home I S I G I W @20.00 PERMIT FEE S50.001 ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DEC A ION I hereby affirm under penalty of perjury that I am li ensed er provisions of Chapter 9 (commencing with Section 7000) of Division 3 f th Busi and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER D R ION I hereby affirm under penalty of perjury that I am ex pt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my emplo wi wages as their sole compensation, will do the work, and the structure is no in Tided or offered for sale. ❑ I, as owner of the property, am exclusive contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. usiness and Professions Code for this reason WORKERS' COMPENS TION DECLARATION of the following declarations: ❑ 1 have and will maintain a cate of consent to self -insure for workers' compensation, as provided fsection 3700 of the Labor Code, for the 1 hereby affirm under penalty of perj/erformance performance of the work for whis permit is issued. ❑ 1 have and will maintain workerspensation insurance, as required by Section 3700 of the Labor Code, for they of work for which this permit is issued. My workers' compensation I surance carrier and policy number are: Carrier Policy Number (The above sections nee not be completed if the permit is for work of a valuation of one hundred dollars $100) or less.) ❑ 1 certify that in the pert rmance of the work for which this permit is issued, I shall not employ any per n in any manner so as to become subject to workers' compensation laws f Cal'Ifornia, and agree that if I should become subject to the workers' compens 'on provisions of section 3700 of the Labor Code, I shall forthwith comply ith those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. 3.5Qso QCs ORNEW orS. ( MULACC. ET NON -REBID. @7.50 POWER APPARATUS 8 SINGLE OURtT CIR. .00 EX. OCCU OUTLET OR FIXTURES SAL @ 00 ,. 0 Ex. Occu . °unEEDrs Ao .°ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TO AL FEE $ 4 363.25 D FEES ,M -- FLOOD DF f P PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt No. __281068/$63.00// I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,. �- .. i •�•v^•..-.•w�:-.�,y+.+.....+r'�:.�.:...^rJ�"�'Y Y�'�L•1•..-."r-^z..t"``�i,}........,_ �...!:.:.•r�Y`�'•w�_.`r:r'r..y.-,�:n, .. y««C®UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDII Gffff�JJJ�•LLLjy'VISION 7 COUNTY CENTER DRIVE - OROVILI;,F:,9C/:IFORNIA 95965 -TELEPHONE (530) 538-7541 I - PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCJMBO" - Proposed Building Use: Building Inspector: Date: 11Q A, At time of permit applicition,lwasladvist# the following data must be submitted prior to pergtit proess' g d/or issuance: ------------ Date Received By El 1. All items have been submitted.---------------------------------------------------------------------- - ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------- ---------------- 113. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------- ------------------ ,.off. M4Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be sho on plans. - - --�- _ :15. Engineered truss details and layout in duplicate (required prior to plan review) N axes! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ----------------------- ---------------------------- Q 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------ -------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------- ---------------------------------- 7 --------------------------------- anufactureddHoome data and installation instructions inc ' g Tie Do Specifications�������������---- UFees of $ 30() . 015 --------------------------------- n--------------------------------- --------- ---------------------------------------- El -- -- -� ❑ 11. Impact fees as shown on the attached schedule. ------------- - -- ------------------------------------------- ❑ 12. California Departm1.ent of Forestry plan approval/fees. ---- ----- --------------------------------------------- ❑ 13. Flood elevation certificate. ------------ '--- --------------I - ----------------------------------------------------- ❑ 14. Sanitation and plot plan approval _ ❑ 15. City of Chico plumbing permit. ------ ❑ 16. Plot plan and business license appro. ❑ 17. Planning approval for (A) Use: 1118. Contact Land Development about ❑ ❑ 1 Encroachment Permit for driv way( . Pre -inspection for 021. Contractor's license inform ion. El 22. Workers' Compensation carrier and 023. Owner -Builder Verification (G v u ❑ 24. Letter of signature authorization. ❑25. Recorded copy of Agricultural A 026. Letter of intent on building use. - El 27. Manufactured Home utility cleap ❑ Drainage, ❑ Legal Parcel. approval prior to occupancy). ---------------------------- _ required Request to Building Inspector on — (Date) Style, Classification). ------------------------------------ number. -=------------------------------------------------------- 'r ❑,Mailed to owner El). -------------------------------------- Statement. W Existing violations and/or exp/ed permitts. -- -----------------------^---------------------------------------------- . 13433 A, ❑ G=�� H. Tit e, �7Check to H.C.D $ 0 • .--------------- L13t). Other:`JIqM 1 �------- Wh you issue the per1prss as follows ❑ Mail to owner, ❑Mailt , ntractor. Telephone 3�p J '" and hold for pickup at �\ I LL office. ❑ Deliver with inspector. Applicant: b' �t•C�( Date: Copy of Haz-Mat form alth Department, ❑ Fire Department, ❑ Air Po 1 tion Date: By: Copy of plans sent ❑ ealth Department, ❑ Fire Dep ent, ❑ Other: Date: By: �+ 1. Index permit applic lon for the above items numbered: D �� O ❑Plan Check List 2. Additional items Contractor, desig� , owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: pZS Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: < Yellow Copy - Department of Development Services, Building Division. �� �i-xec� (�.•J I � S COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION DIVISION AUTHORIZATION r TO CONNECT Address _b 3 c C o(�tlHi�ii✓.� GAS Meter By Date ELECTRIC Meter By Date DETACH FOR SERVING UTILITY Address [0 396 C,of 0M,9,^f GAS Meter By Date ELECTRIC Meter By Date OFFICE COPY Address 63 6 Co 4. GAS I Meter By Date ELECTRIC Meter By Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION DIVISION AUTHORIZATION TO CONNECT Address GAS Meter By Date ELECTRIC Meter By Date DETACH FOR SERVING UTILITY Address 63 B a A vv too--/�— GAS Meter By Date ELECTRIC Meter By Date OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date i RESIDENTIAL 65-43-17 1159-91P,E CARUSO, Thomas 16386 Columbine, Paradise (utilities/mh) i OFFICE COPY Address GAS Meter By Date ELECTRI � Meter By Date JOB FINALED (Date) Signature J=OK O=Not OK a -=Not Applicable MOBILE HOMES Not Ready ' = i Date MOBILE HOME UTILITIES (Plans) OK except #'s 4,2e'Soils; Special MH Support Sketch psi ewer; Location -T st- tr-C/O Concrete moi✓ / W4ter; Locatio T ment Needed (Sketch) /0// ' fYElectricity; Location-Clearences-Grnd-/ /Amp -Concrete (,Gas; Location- est -Wrap: / P'L"tt. / /"Nat. or/,Zt L" it.//"LPG tility Clearance Date,!. �`y2� / Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s oning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line . Gas; MH Test-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances VDrain; MH Test -Fall -Flex Connector 4._Water; MH Test -Regulator- onnector 7. W r and Sewer nnecte - O to rade-HD Approval and Electricity Tagged Ex' , 'Insp.-Sketch Cert. of Occupancy Date Card B-1 Date Card B-1 Dat g,/ Card B-1 Date Card B-1 e •Zt 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date ~Card -B-1 Date Card B-1 'J OK O = Not OK Not Applicable Not Ready RESIDENTIAL if; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage: Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No _ 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq Hngle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting t 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 rDate Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541'. 747 Elliott Road, Paradise — Phone: 872-6307 n ' CORRECTION NOTICE C 'V L) /z.�3 � ( OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter or need additional explanation; please contact this office immediately. Y / i�R[�P. /him CL4AAAj&c- 0.6eAr L'Id A-, %5',+c ReJe"��e2S Date VI 1 C `aA,L Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise —. Phone: 872-6307 `CORRECTION. --NOTICE R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question 'pertaining to this matter, or need additional explanation, please contact this office immediately. Date �— ' +. ,:Inspector r. i•= ,a j MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA — 534-4541 J G'PERMIT NO. r Address or location of mobi lehome V3 '�3 6 C- V"47,6 G Owner's name 7t-/OMAS C Owner's address -� rpt' ` Insignia or hud number Manufacturer's name Serial number of V.I.N. S . Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMEN, B C 7 County Center Drive - O.rov %e, California 95 phone: APPLICATION AND PER } WORKS PERMIT NO. 916/538-7541 i ASSESSOR PARCEL NUMBER 65-43-17 ZONING RTl BUILDING PERMIT OWNER Tom & Theresa Caruso 619 TELEPHONE 630-4216 S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 6386 Columbine Rd. Ma alfa 95954 CONTRACTOR'S NAME - Executive Homes TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 Esplanade, Chico Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ ;0,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN^,INEER None LICENSE No. Plan Checking Fee $ 15.0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6386 Columbine Rd. Ma alfa Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP' 35'_79 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation a Other ❑ Describe work: M -PT— _ MHU #1159-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �+ IYX'I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my License is in full force and effect. (.., / License No. /✓� I Classification. /Y�. Lf `7 Eli, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP..\ OR ADDNS. 1 ACC. BLDGS. I yzQsgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20®30Q SAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Pelt 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 "'hses which may in any way accrue against un eque%a granting of this permit. S- `,>— �/ Signature KApplicqAt*"�—'� Owner g❑ Contractor Agent ❑ OSHA mit is required for excavations over 5yU deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAL CUA PARK I sCH FLD I COF I PAR MI HO ISSU This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. pAn DIRECTO OF PUBLIC WORKS BY Date PE EXPIRES Date Receipt No. 93664 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I r... .{ c ra r`[�...r, , .)-.;� ,, r�`.M..•`,, l`.1.^.i. f_'h'Y•��r71i J¢yy'0��M1}�.'.{r..j•. i4� -t• .. r _..t...... j� J..S-.._ ^, « r 1 COUNTY OF BUTTE - DEP PTIMENT+OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTEP„pRIVE - OROVIILLL`E,; ,kIFORNIA 95965 - TELEPHONE: 916/538-7541 ' PERMIT'rAPPLIATION DATA SHEET Permit No. OWNER J Om `( �hCs Sct s, I^ (AS d A. P. �S 3/ - Proposed Building Use -} Building Inspector , [.t' Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................................. * * ' 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Park fee paid --� 13. L/a raj 1' S Q School District fees paid .............. 14. Sanitation approval from Health Department -a3--9L 10 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. •23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... v25. Letter of signature au$Mization 6. ((na�c,n �C�........................... a� `il 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �� �'�OgQa�tand hold for pickup at0CQ office. Deliver w/inspector. Other Applican �����.Date. Copy of Haz-Mat form sent Health Dept. FirODept. -'----Air' Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked"abo'Ve)-:."- 1. )-."- 1. Index permit for above items No.A 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone___jnail_counter by ..date Contractor, designer, owner, was advised of above required data by_phorie_mall_counte'r by date Plans checked by—PL-0—Date—s—2.111Date-s-W.111 Plans approved by Date __qV 19/ Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUT_ TE'; -DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve'- Orovlller California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT PERMIT NO. ASSESSOR CRICEL NUMB ZONI s '- �, -:- BUILDING PERMIT OWNER TEL0%,Q 'Tot+ i -i%.�res1! �} R -V 5'0 b� -bio -�1Z1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR E�SO\v.�,u o 110_-S S 110_ G Iw 1'+'�R6 �t,t f4 CONTR5 �o R'Si AME I; e I TELEPHONE -+�^,7fi/ s CONTRACTOR'S MAI ING AVDRESS Fireplace �_:... CONSTRUCTION LENDER UNKNOWN Total Valuation $ - - LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee . , ., $ `, . ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee *0,,., , $ Penalty $ BUILDING AR� g§�� _ �Da , L.VIH QIn C �� Permit fee $ ^ D YVI-6b-AL1A PLUMBING PERMIT -Filing Fee 10.00 Each Trap 2,00 Solar.or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping •55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation% Other ❑ Describe work: .� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 rt 71 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): )KI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess* ICC de�fa'nd y license is in full force d effect. License No. v v1� Classification v ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 DWELLING OCCUP.G NEW CONST./ACC. SLOGS. OR AODNS. 1 , 2� 22sgftNEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRCUITS-) 2.50 ea (POWER APPARATUS &) ( SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES BALO 0 Ex. Occup. OUTLETS ED APPIRESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation - Permit Fee ;rte+" $ Contractor 4-5 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 Count of Butte to enter upon the above-mentioned property for inspection purposes. Y also agree to save, indemnify and keep harmless the County of Butte against expenseswhich may in any way accruez agaf.the grantingof this permit. ealz!�5eDate S� S .. l� Signature of Applicant — Owner ❑ Contractor ❑ Agent1wiwork An OSHA'permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation -Fee $ ' Energy Inspection Fee $ [OHCCCONSTTVPEI TOTAL FEE $all CUA PARK SCHL yam^ +%� FLD PAR PD HD ISSUE This permit is hereby Issued under sions of the Butte County. Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. l0 _WHITE-D.P.W.. TELLI W -ASSES OR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,�;.na�. ` ►s : i� �;r K„ r d s� wry.. 71 y. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM :(,One Fo.rrd per Building) A.P. Number�S- 3 "':� % -;Building Department No. ....�...' School District Pa rad Cit.y D County r-'71 Jurisdiction Property Owner �pcn-� �" I �� r� Sq 0-o ru S o Project Location/Address (l3n C) u /./1 laa1 Subdivision Lot Number Residential Development: O Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) t SM Building Department Representative Date (F1oor'Plans reviewed by School District Personnel) District Id No, l I" -I �p� ,•• , School -.District certifies that (Applicant Name). (Phone Number). µM ( Street. Address)+' (city)- . ( State) ( Zip Code). has complied with the requirements of Resolution No. by the pa ment of $ `�J'��o2O representing I`j square feet. Sch of District Representative Date PAID BY CHE K NO "t- BANK NO PAID BY CASH white -applicant; yellow-building.department, pink -school district SCHOOL.FEE (8/88), r. CC) L u %" I B ilvI - �- ZG�, • T PA t i � r Q if - ! J Gam; N r.� J ......_ ..- .._.... ; ...... A sstbacic off_-- . _...._ _..... _._. ... r.d t , 1 ; � ase act: 7o M y- r, RI C f, 2 U4,n �rt�; ,irt� - r"( _....._.....-.. ! ®i .5 from road - r�3i clear of a eXce lk,iffunims atfitGlecalor p� a-'� - Q Se R n s--. y 3 -...17 ln Oft -4 �o�e—past f, (Dd s,i `J •� .f^.il li; �' r J'f �i i i �l i -C.1 :,,�'1�•T��'I��i+T�iJ•r:'�=� • �� N`\�\ �J �� �j 0'7.1 +pNt 1 `• -�.� V SQ �`� • u v >� ( , o Y a OTE. --All AA,- !4r;., €�\Kor!�mans; in Sha I'Be�i� $ - - --- — _ r► j •I rGC_OfC}-8'RCB-vtttf­v�^-��?'t�• f tu`a7'rtr- ��sc.rire;! fc tii�.St: c.i` �c! usec?�=t4_-ie_ '- -/VYl"!-�I� 15(v 3 T C) of s.q -- 0►ii or 6u;�aIn, snd the R1ntibne1 Ei7a. jca ::oc:e, F 66 x BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oro ville, CA ...PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. owner.'s Name: ...2..... Installer's- Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? 'Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Z" Amps 7. What is the mobilehome site circuit breaker rating? ----- v �� Amps 8. Is there any other electric load to be served by the ------------------------- mobilehome site service? -------------------------------- Yes No - (If yes, identify the load and size: (Load). (Amps) 9. What is the mobilehome site -gas pipe size? -------------- - ��Q MINI,_(in.) ------------------- of as service. Natural LPG .10. What is -the typeg 11. What is the gas pipe length from meter or tank.to the mobilehome?--------------------------------------------- 12. What is the mobilehome gas demand? -----=-----== (BTU) *(This information not required if pipe length less than 6 ft. on natural gas . or lessen COON a,.� i�UIDING ®FPA RTME`re � M H _ ... -_-------'— - . -. „_ � .. , - _ ..� ,.''� .< �-- • --- ...rte ._ .. I 'DIMENSIONS ARE FROM FRONT OF UNIT. r X"S "1 29 1186 w 1 DOUBLE WI•DE,PItRING WORKSHEET MODEL:__ 660-ZL � PSF ROOF LOAD PLANT*_Li__ SEE PERIMETER PIERING - \� S E NOTE ---,, P"EC',;*PEMENTS TABLE SEE MATING LINE PIERING TABLE FRONT OF SEE PERIMETER UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE'. RIDGE BEAM INITIAL POST 1ST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL POST LOCATIONS ATFRONT POST POST POST POST POST POST P!ER LOAD CAPACITY IN LBS. 3853 0224' 45y5 L1989 21. 33 S9 pAI"JI?�II;M FOOTING SlzE `� �i 24X2 �� 30 ' �'X �' u 30 k 2y X it 30r� 2� x 3o Z4 Z4,�x t�os� m ,. (�� Si. y NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the piering plan drawing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL' ROADSIDE WALL' JAMB STUDS AT DOOR OPENINGS/ -Z ! 2�� A4J� Z C)" 01f..OVER N �'l `f 24" MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT RE- CESSED S/WALL WHEN L POSTS EXCEED 42" HEAVY APPLIANCES 11�uwvt IN OVERHANG OF FLOOR tUILDiNG DEPARTMEN' 'DIMENSIONS ARE FROM FRONT OF UNIT. r X"S "1 29 1186 w 1 2. .o • � "�• y 30 � (ft.)(in.) (.in.) (in.) =3TS Page 9 MOBILEHOME SUPPORT DATA If • othe.x Mobilehome Mfr. �•����ftiin�s `than single wide-' Setup. Model No. Year Width Z'� (f t.) Box T,ength__ le _( f.t , )• . Tagalong or Rxpando . Size f: t . x f t . (SHOW SUPPORT DETAILS BELOW) (in.)1 (in.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual.and structural setup sheets (if not on file with* the County of Yuba). TYPE OF SIDING: �'�'►� All center supports measured from front of TYPE''OF.ROOF: C-0 mobilehome unless otherwise spec ifiedi•' Footings (check one) ngle... " -'..1. y :j Wood' either pressure treated or ••�•'��• oundat'ion grade, f ® 53 2Y x3 (ft.)(in:) (in-) (in.);2..Other . ];2..Other(specify)' support Center support locations* footing sizes' Supports (check one) (in.) 2¢4 :....; 1. Concrete block, 1 S S 3b x 3 E] 2. Other ( specify) (ft.)(in.) (in.) (in.) tin 6 2. .o • � "�• y 30 � (ft.)(in.) (.in.) (in.) =3TS 'If center piers are other than-4rawn above, draw in locations',-,,spacing,',`and'dimensions. . 4—Tagalong or Expando, show support details. Z- x*3 D -- Typical. Support in.) (in.) Footing; Size 5`-0`' -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft,)(in.) ILO It 1 Ou (ft.)(in.) (in,) (in.) �D.33 (ft.)1.(in.) (in.)1 (in.) 'If center piers are other than-4rawn above, draw in locations',-,,spacing,',`and'dimensions. . 4—Tagalong or Expando, show support details. Z- x*3 D -- Typical. Support in.) (in.) Footing; Size 5`-0`' -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft,)(in.) ILO It 1 Ou COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 1159-91 _____, , APPLICATION AND PERMIT A59E990R:IARCEL NUMBER 65-43-17 Z0 Nlk4 O -/ BUILDING PERMIT OWNER Thomas Charles Caruso TEL PHONE 619-0416 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 151 E Vista Way, Vista 95969 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6386 Columbine Paradise 93 Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. G Z SUBDIVISION NAT J PARCEL MAP 7 �'7f Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomiffl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation[] Other❑ Describe work: Permit Fee $ 40.•00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV DR LESS 100 AMP OR LESS 10.00 10.25 Main Service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsinesS and Professions Code and my license is In full force and effect. License No. Classification. [ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.tr1\ NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. I '/zQsgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Occup OUTLETS OR FIXTURES 20050C BAL030 FIXED APPLNS. OREx. Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15-00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against 1 all liabilities, judgments, costs, and expenses which may in any way accrue against said Coup -in consequence of the granting of this permit. (� y �+ � ?b X Date Signa re of Applicant — Owner ❑ Contractor ❑ Agent P An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ 2.)0 HAz. cuA PARK _ SCHL _ FLD _ cDF PA Po Ho IssuE. This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. ITO OF PUBLIC WORKS B 7 Date P RMIT EXPIR Date 7 Receipt No. 88695 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I TO: Building Department FROM: Encroachment'Permit Section RE: Driveway Clearance 7 owner location AP Driveway permit / / SZ has been issued for the above property. TO Buildina Department tI& FROM: Environmental Health SUBJECT: Sanitation Clearance —tea s Caauso Owner Location 0 AP# Plan Approved for: Sewaqe Disposal A Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom mobile home. Other 4- 2 ZZ NOTE * * * _ Sant 9 Fis I Date `4(t y:• -(°,k � �. .. �. 1`�'t��.f`wi7.�"�.�'.��,.�l�w'r"yv'f'�.l Y""�7i '11..t .. ,J, r a a COUNTY OF BUTTE - DEPAPTMENWOWPUBLIC WORKS - BUILDING DIVISION -' COUNTY CENTEP DRIVE - OROVIL<LE, _,CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT yAPPLICATION DATA SHEET j" �' "' Permit No. OWNER U�---> L— �9,0 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 . ....................... -04/4............. � 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non-Peated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobllehome Installation data Including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13 School District fees paid .............. _ < 4. Sanitation approval from Health Department Q •a' ' 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW �v w 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requiredPre-Inspe°' request to Building Inspector (Date) 21. Contractor's license information (No., Name .Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26: 27. 4. When you issue the permit, process as follows: Mail Vera _ Telephone and hold for pickup at c-offiice. Mail to contractor. _Deliver w/inspector. y /Checked above). F Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution D�te Copy of plans sent Health Dept. Fire Dept. Other Date _ By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2, Additional items required: (Circle new item n Contractor, designer, owner, was advised of above required data by_phone_—jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by I Date 11n Plans approved by PAA) Date 41,Z6 - Sets 2Sets of plans on hold in File cabinet AP folder Copy—DPW N LC S (-,III Ic- A. P. 7 Proposed Building Use / / Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ....................... -04/4............. � 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non-Peated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobllehome Installation data Including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13 School District fees paid .............. _ < 4. Sanitation approval from Health Department Q •a' ' 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW �v w 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requiredPre-Inspe°' request to Building Inspector (Date) 21. Contractor's license information (No., Name .Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26: 27. 4. When you issue the permit, process as follows: Mail Vera _ Telephone and hold for pickup at c-offiice. Mail to contractor. _Deliver w/inspector. y /Checked above). F Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution D�te Copy of plans sent Health Dept. Fire Dept. Other Date _ By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2, Additional items required: (Circle new item n Contractor, designer, owner, was advised of above required data by_phone_—jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by I Date 11n Plans approved by PAA) Date 41,Z6 - Sets 2Sets of plans on hold in File cabinet AP folder Copy—DPW N NDT COMPAM 1M H ORIGINAL DOCUMFW ACCEPTED FOR RECORDING AT 8:01 A.M. BUTTE COUNTY RECORDER APR 19 1991 Retuzn to DPW AGRICULTURAL STATEMENT OF.ACKNOWLEDGEMENT :,.-,.FOR RESIDENTIAL DEVELOPMENT .t y. Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. `. The property described herein is adjacent to land or 'included .within an area zoned for agricultural purposes, and residents of this )roperty may be subject to inconveniences or discomfort arising from ". :he use of agricultural chemicals, 'including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise; and odor. Butte County has established agricultural zones•which.have as a ?riority use for productive agricultural purposes, and residents within. Sdid zones and on adjacent property should be prepared' to accept such inconvenience or di sconforfil-from normal, lecessary farm operations. All that real property situate in the County of Butte, State of California, described is follows Lot 92, as shownon.that'certain Map entitled, "PARADISE PINES UNIT N0: 3 -r,�hich Map was filed- in the 'office . of .the Recorder of .the County. of.: Butte State of California, June 17.; 1970 in Book 35' of Maps at Pages' 78,• 79,'809 81, and 82. ate: ?'-/ i- +s PROP RTY OWNERS: �t C LLCGss-� TO 1950 CA (0638 I J TICOR TITLE INSURANCE (Witness -Individual) STATE OF CALIFORNIA COUNTY OF Butte } On April 17, 1991 before me, the undersigned, a Notary Public in and for said Statc, personally appeared Kathleen L. Leveroni personally known to me to be the person whose name is subscribed to the within Instrument, or proved to be such by the' oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in Chico, CA and that said witness was present and saw Thomas Caruso and Theresa Caruso ,' „ OFFICIAL SEAL personally known to said witness to be the same person MEtiiOA DAISY described in and whose name is subscribed to the within °' NOTARY PUBUC • CALFORNIA and annexed Instrument as a party thereto, execute and BtJT?F COUNTY o My Conm. fip n Feb. 2 1998 deliver the- same, and that affiant subscribed .his/her name to the within Instrument as a Witness. WITNESS my hand and official seal. Signed `(This area for official notarial seal) 11 before eared the basis i evidence. ibscribed to hey Lned . tficial seal. CAT. NO. NNO0634 TO 1950 CA (11-84) (Witness—Individual) ` STATE OF CALIFORNIA t W C W I W J L a V J TICOR TITLE INSURANCE COUNTY OF Butte } SS. On April 17, 1991 before me, the undersigned, a Notary Public in and for said State, personally appeared Kathleen L.' Leveroni personally known to me to be the person whose name is subscribed to the within Instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in Chico, CA and that said witness was present and saw Tnomas Caruso and Theresa Caruso "'> OFFICIAL SEAL personally known to said witness to be the same person r1- MEUNDA DMY described in and whose name is subscribed to the within r yG':aaPUBLIC BUM CALIFORNIA and annexed Instrument as a party thereto, execute and �'�;r.:.; , ' ;q c�T,r, F�a!res Feb. ?2,1995 deliver the same, and that affiant subscribed his/her' < name to the within Instrument as a Witness. WITNESS my hand and official seal. �l Signed 1/ v ULX-'�ff-,C'y - A ZL ' ` I (This area for official notarial seal) Ir - -I COUNTY OF BUTTE J Department ,iof! Public Morks, 7 County Center Drive, Oroville, CA 95965 Phone 916-534-4541 r OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder;' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until ttiis verification is received.. 1. I ;personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) / signed an application for a building permit for the proposed work., 3. I have contracted with the following person (firm) to provide the proposed .. construction: Nacre Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to'coord.inate, supervise, and provide the major work: Name _ Address City Phone Contractors License No. .J 5. I will provide some of tLe work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owne �C Social Securi y N " Date TE: This Owner-Builder.Verification is"sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we. are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT PUBLIC WORKS PERMIT No. 7 County Center Orlve - Oroviiler California 9X%RIt,, elephone: 916/538.7541 1159-91 APPLICATION ANDT A33ES3R R L NUMB 65-43-17 ZONINAl BUILDING PERMIT OWNER Thomas Charles Caruso HIM TELEPHONE 619-0416 WSF . OCC. BUILDING VALUATION WNER'S MAILING ADDRESS 51 E Vista Way, Vista 95969 NTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6386 Columbine Paradise RH Permit tee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. " 2 SUBDIVISION NAM/PARCEL MAP J 7;-`_7 y Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE U ne `m Other '— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00SF Mobile Home 0.00 ea _ TYPE OF WORK----` New ❑ Addition ❑ Remodel y~ ❑ Utilities installation[] OtheramQ Describe work: �Permti ��._� _ Contractor $ 40.00 -- �-� ELECTRICAL PERMIT Filing Fee 10.00 Main service 1,100V OR 0 AMP ORSLESS 10.00 10.25 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. IVFIXED I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOD'L 100 AMP 2.50 2.50 NEW CONST. DWELLING OCCUP.a` OR ADDNS. ACC. BLDGS. / , AftgIt NEW NST U TI.OUTLET NO.- BRANCH CIRC ITS 1.2.50 ea (POWER APPARATUS 61 �`''• SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES P 200301 BALs 30 APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 9_00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 sbject to the W. C. provisions of the Labor Code, you must forthwith comply with" such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun consequence of the granting of this permit. CF -Y � Date gna re of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2.50 HAL I CUA PARK FKETi7o CDF PA PD HD• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 88695 WNITE-O.P.W.. YELLOW-ASeE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Arovlller California 95965 • Telephone: 916/538-7541 L • APPLICATION AND PERMIT ASSES OR PARCEL NUMB R —Ll 3 ZONING BUILDING PERMIT _ OWNE�R p / GHf�� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE MAILING ADDRE33 S/ 6, V11;TA wQq ✓� ��} J CONTRACTOR'S NAMETELEPHONE CONTRACTOR'S MAILI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN d Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ i0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ B LOINERESS Permit fee $ PLUMBING PERMIT FilingFeel 10.00 Each Trap 2,00 gS -)61? Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP' Water piping - 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5-001, Mobile Home SI G Iwo .00e c26' TYPE OF WORK New ❑ Addition[]_ Remodel ❑ Utiliti;k Installation[] Other. ❑ Describe work: //��� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS 1 100 AMP OR LESS 10.00 /a1p� CONTRACTORS LICENSE LAW I declare under emelt of ur p y p er I y (check one): ❑ I am licensed under provisions of Chapt. 9. Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification, 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. SLOGS. ) �2¢sgft NEW CONSTR. ULTI.OUTI.ET NO N•R SID, BRANCH CIRC ITS 2.50 ea -ON" POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCU P OUTLETS OR FIXTURES 20930e eAL(Y30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15,00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 300 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner E] Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ . Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ r Z. I CUA PARK I sCHL I FLD I COF PAR PO I „O, IssuE permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work Indicated above for which fees have bewt paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.O&W11,15— WHIT(-D.P.W.. YELL0W-A3eE330R. PINK-IN31PL ECTOR. GOLDENROD-APPICANT .. ._-_._. 4 ._._..____....•_.:•--..._..].,_ .. ... ..... ..._. .. ,. ..... _. .. ...... .... ....... ......... ,.... ...._..... .. ........ ,.. ..._..._ ..._... .. ....... ..._.. ............ i; rr 20 i r 20 - •--� ._.. _ :._._ __�._-lII-1-- -� -- •-- -pia N "------ �-__ — — _._- ._ - ___. — _.___. �'�' -- �� 0i R To M LA TER! C A 2 V.id'O I r r d ...-.._.__�_.. __ _ _ . _ . � „ ... I •: _-. _. .I� aAtbacrc_of a_#,. from t"�p - r ' _PMpWy lines and a setback a _..:®f.SQft..from the read _ __......:._....___- _..... �enterline shall be clear of b*..equrpr?�rent extent . _._..�._._..___.,__....._..._..._..._._...___....._._::,. ...._.��._alb._�s�.e�.�_._...___...__.__...._-..�__.. _ .. _ ... ofi plerns and speci, ications MUST bt J e i b.m: .?-isl th-mm and itis �a�c�WH.$iG _. on sm.-Ae W€'r�lot-A f BPr rni 514sir_ "s` M—t(m.Dpp, l iY4t3i5To1, ....... ---•-- _..... ;_ LL p asQ - PiOTE:--All l+ltatei Is `Jitor!zrarrship. S all Be ii f 4P i Pf-ac ices-anwc - of a quality prescrif ed .:cr the Specified us*e. in .thc Uniform Bvilrc�, u �ci�n�..i �'ncJ the P�1I+:t'Itd-mal Code. o Iq .� , j � � _ • ' . ����� � ...E {tr� / .y CAT. 4 TO 195050 CAA (1 (111-- 84) J TICOR TITLE INSURANCE ?!� (Witness—Individual) STATE OF CALIFORNIA COUNTY OF Butte } On April 17, 1991 before me, the undersigned, a Notary Public in and for said State, personally appeared Kathleen L. Leveroni personally known to me to be the person whose name is subscribed to the within Instrument, or proved to W be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness W thereto, said subscribing Witness being by me duly sworn, = deposes and says: That this witness resides in � Chico, CC < and that said witness was present and saw ThOMS Caruso and Theresa Caruso ;; OFFICInAL SEAL personally known to said witness to be the same person MEiJA DAISY described in and whose name is subscribed to the within }'� NOTARY PUBLIC -CALIFORNIA r and annexed Instrument as a party thereto, execute and COUNTY Feb. a; voa My.Cflrrvn.fxra�sFeb.2 199S deliver the same, and that affiant subscribed .his/her -a•�•. name to the within Instrument as a Witness. WITNESS my hand and official seal. Signed / (This area for official notarial seal) 41 '• T5 91-.0 � 9 � � g 3 151@3 Re.a Fee i Check 5.00 I Recorded 5.00 • Official Records County of Butte. , ;:.Candace J. Grubbs ' t Recorder .B:Oiam 19 -Apr -91 Return to DP1141 AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT :=tea; Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned -for agricultural purposes, and residents of this ?roperty may be subject to inconveniences or discomfort arising from �. :he use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones"which have as a -)riority use for productive agricultural purposes, and residents within .said zones and on adjacent property should be prepared to accept .such inconvenience or disconform--from normal, iecessary farm operations. All that real property situate in the County of Butte, State of California, described is follows Lot 92, as shoian- onthat :66'rtain Map entitled, "PARADISE PINES UNIT NO. ' 3"', Th i.ch Map was filed -in the:'office . of .the Recorder of the County of= -Butte,- State of California, June 17,'1970.in Book 35 of"Maps, at Pages 78, 79 80, 81, and 82. ,ate: /7— IT PROP RTY OWNERS: tate of ) On this the 17th day of April , 19 91 , before SS. me, the undersigned Notary Public, personally appeared ounty of ) Kathleen L. Leveroni /X/ Personally known to me.../ / Proved to me on the basis of satisfactory evidence. to be the person(s) whose dame(s) is subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 1. • / Notary Public :esent A.P. No. 6J A EN® OF DOCUMENT i ", CC) L.. u M B IMC 20 . __._._..._ .__..�.___.._-.-- -----._.._TILL- - _.__ ._. .�X •q .__.___._,�_.__. -- _ -- _ _ ___. . P ' w6 TOM Y- TEC'! HA2 VysO 4ii:��" o• 1rorn .i ,fines and a setback. of 50ft. from the road centeri'ne s -al' be dear 011i. Stru-tvles or ery'Jij'iir`w'slt F.Xcr?7i I �L NOTE:—All P1l6, iaH & Wot,l,c-ran•ship hell Be in Accordance wit.z Re.ognized Good..Pr dices and. of a quality preys -ib • for the Specifie use in the JN` Uni#Orin •BuildjgR, PH'Mbing_ & Mechanical Corip• 0 \x— end the I Elor.a. -icI Corte . _ GL_ s \9 f E� eciticai'ionrs Ml � i t o � �i� • �'� � i tfFf wtOf plows Odd $ p ,s,pi on the j©� citaes and it is unlra�v'f k �'� �� •'� i' ` �.Q b`i�� ,nal* ea r choir es c r C.4 odors on gcme without Ston permission m toe Department of IWDW % �' OWNER, PERMIT MH UT IL . CLEARANCE DATE'��' .. INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YESI NO YES NO Size Load Type Size Len'frth f� y •F 5 ,f t {, (F � i ? ?COUNTY OF BUTTE _ 1 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Orovi Ile — Phone: 538-7541 " 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION. NOTICE �d 2 V sy q2 -yo OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. t -- Date I `�` Inspector :'J'• RESIDENTIAL 92-0055 065-4370-017 I S0, THOMAS CARU CONTR: OWNER 6386 COLUMBINE, MAGALIA OPEN DECK/MH 4 y JOB FINALE Signature f L 4 O O = Not OK = Not Applicable MOBILE HOME = Not Ready MOBILE HOME UTILITIES (Plans) OK except #'s Date I. Zoning Requirements Setbacks Easements 2. Soils; Special MH Support Sketch t 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) , 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /' L" fl./ /"LPG 7. Well Clearance &Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ' ---Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B - Date Card B-1 Date POOLS (Plans) OK 1. Setbacks -Ease men. 2. Soils; Compaction-Stt. 3. Pool Structure; Steel -Cot. Dead Men -Lining 4. Elec.; Receptacles and Lighting .,ices-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i G,y�O o`'o arc J ay \Qe�O e� A6 //"rtg. De Grnd.-/ /" &-6ecks; Soils -Steel-/ /Ftl Main; Steel-Blockouts / / / /6.-Siemwalls, Garage; Steel -Bloc kouts-Wrapped ' ' 6a. Hold Downs and Special Anchors TL (Single & Duplex) Pate FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel - 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------- --- ------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------- -- - --------------- -- _- ---19. Shower Pan: Test, First Floor -Tub Access ----- --- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------------------------------------------- - - -------------------- ------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Tran'sformer Clearance -Ins. Protection ----------------------- ----- ----------- ----- -------- --------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of. Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. --------------------------- ------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond & Water ---- - --------------------------------------------Gas----------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------- ---------------------------------------- 28 Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At ----------------------------------------------- ---- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No --- ------ ------- ------------------ ------------------- 30. ---------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- -------------- ------------------------- - 31. Equip. Clearances Panels-Motors-Mech. Equip. -------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------- ----- ------ -------------- 33. Smoke Detector ------------------------------ --------------------------------------------------- Date Card B_1 Date Card B-1 ----------------------------------------------------------------------------- Date Card B-1 Date Card B -t Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------- ---- - -------------------------------------------------------------- ------------ 35. Vent Fan: - -above above insulation --------------------------- ---- 36. Condensate Drain & Overflow; Size & Grade ----------------- -- -------------------------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------- ----------------------------------- - ------------------------------------- Date Card -B-1 ------------------Card----B-1 -------------- -- Date ------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- ------------- ----- --------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - ----------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------- ----------------------------------------------------- 42. Draft -Stop -in. Walls (rat proof) ----------- ------------------------------------------------------------- -------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - ---------------------------------------- 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &'Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed-Fd.�Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - ' --- --------------------- Date Card B-1 -Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 61. 'Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting -- ------------- .65.- --------- 65. G. -F. 1 & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- _----------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------- 69. ------- --• 69. Elec. Outlets at Wood Panel: Int. & Ext. - -------------------- - 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --------------- 71.--Elec.-Outlets & Receptacles at Kit. Counter ---------------- -- ----- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------------------------------ 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec,Receptacles in Garage: (G.F.I.)-Romex Protection -----------=------------------ --- 7`. Insulation -Foam -Looked in Attic Yes ------------------------------------- 78. Guard Rails &Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes O No --------- - ---- - 81: Stucco: Brown -Finish - 82. A.C. Unit: Disconnect, Electrical, Plumbing ----------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------ 85. ----------------------------85. Exterior Elec. Trim: G.F.I. Receptacle -Underground _ 86. Ventilation Throughout House ------------------------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections - - -- -•------------------------------------ 89. Gas -Test -Meters -Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------- , 91. Energy Compliance Certificate -Other Certificates ----------------------- -------------------------------------------- --- -- Date Card B-1 Date Card B-1 --------------------------------------- -- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 65-43-17 7m- - BUILDING PERMIT 111, OWNER THOMAS CARUSO TELEPHONE 873-3437 1-1' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 65-43-17 ZONING '-• RT 1 - BUILDING PERMIT 111, OWNER THOMAS CARUSO TELEPHONE 873-3437 SO. FT. OCC, BUILDING VALUATION 330 OPEN 2,310 OWNER'S MAILING ADDRESS P.O. BOX 1729 MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 01N ER UNKNOWN Total Valuation $ 2 310 Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6386 COLUMBINE MAGALIA 95954 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 92 SUBDIVISION NAME PARADISE PINES UNIT 3 PARCEL M P — Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: DECK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING oCCUP. OR ACDNS. 1 ACC. BLDGS. 9 II 3.64 sq.ft. NEW CONSTR MULTI -OUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A20 9 76 FIXED APPLES. OR EX. Occup. OUTLETS IRESID.1 EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Notia to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against a' County in cons quence of the granting of this perm' XDate / Signature of Applicant — Owner Contractor ElAgent❑ 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 S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 82.50 HAz -- 1 DFEES I °— IMP I FLOG CDF PARCEt I PD 11 H ISS This permit is hereby issued under the sions of the Butte County Code and/or work indicated abo for which fees D R O UB IC By PE IT EXPIRE ate applicable provi resolutions to do have been paid. WORKS Date Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT TOr FROM: Buildinc Department Environmental Health SUBJECT: Sanitation Clearance mew', C0I-UWLBtdC •owner Location AP# + Pian Approved for: Sewage Disposal Water Supply Water Supply Hold final for: Water Supply ^anal clearance O.R. for: clearance for ed m e home. Other NOTE * * * D to Sanitarian r.V4 ._ .r, �„ .-q..,zn.s._�..�--•.srlrvr[�*rw.'-r+q. �."'i"*tii'P'ntg �.-r'� t+ +�'. +�, COUNTY OF BUTTE - DEPARTMENT OF 7 COUNTY CENTER DRIVE - OROVILLE,CAL,JI PERMIT APPL'I'CAT OWNER UBLIC�WORKS - BUILDING DIVISION 95965 - TELEPHONE: 916/538-7541 ATA SHEET Permit No. A. P. No. Proposed Building Use Q,22.✓ &611,S Building Building Inspector 11-JIJ Date S- S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in, duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/tti"pl.i'cate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. 14. School District fees paid .............. Sanitation from /42201 approval Health Department 15. City of Chico plumbing permit ..................................... ,t 16. Plot plan and business license approval from City of ;: 3 �' f,;..: (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements.may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for 4' required... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Maid to owner ❑) .:.. . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant W"&W` .Date" - Copy of Haz-Mat form sent Health Dept. Fire Dept. —�—A Ir Pollution Date Copy of plans sent Health Dept. Fire Dept. Othdr Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder. COUNTY OF BUTTE - DEPARTMENTIOF PUBLIC WORKS 7 7 County Center Drive - OroVllle, California 9599' r 5 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUMBER j -,-y3 ./% ZONING BUILDING PERMIT OWNER r7 if TELEPHONE ®73-3Y37 SQ. FT, OCC, BUILDING VALUATION OQQNJN�S MAILING ADDRESS �w i � // ice/ !y 7 CONTR,nOR'S NAME IV TELEPHONE CONT R TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN e� Total Valuation $ 23 t' Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 3: ARCHITECT OR ENGINEER LICENSE NO., - Plan Checking Fee $ 2Z c` .Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 15.00 .— i - Each Trap ',1-5.00 l Solar o'r heat pump water heater .20.00 LOT NO. C%2 SUB ( VISION NAME /) ^ A (e?.¢ Uiy1.GG �S PARCEL MAP t Water piping 7.00 Each Uas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo/ Other SPECIFY Gas piping system 1 -outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New❑ Addition 2'/R,emodel❑ Utilities❑ Installation❑ Other El Describe work: GCLS _ I - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 60ovORLESS 200A OR LESS 18 0 Main service 200AT01000A1 7.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. 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-Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. BLDGS. / 3.64 aq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC I S @ 5.00 l: POWER APPARA S e SINGLE OUTLE CIR. ) Ex. OCcup(OUTLETS O IXTURES 2L.0 76 dA FIXED AVLOR Ex. Occup. OUTLET IRESI0.I EA. I .3.00 Temporary service 15.00 Mobile Home F ilities 15.00 Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERM Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabIH ies, judgments, costs, and expenses which may in any way accrue agai t id County in conseguqnce of the granting of thispermit. 9� X �— Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES �2 S� I1Az DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 9? !F3gh 3 J COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner.: An 'owner -builder" building permit has been applied for in your name and bearing your, signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. " 1.. I personally plan to provide the major labor and materials.for construction of the proposed property improvement (yes or no) 2. I (have/have not) ^' V signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. . 4. I plan to provide portions of this work, but I have hired the following person .to coordinate, supervise, and provide the major.work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I�have "contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ��f Q� Property Owner �%� � 7 T Social Security Number (. Date NOTE: This Owner -Builder Verificationis sent to you,as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. C0L.V1/11I P A /vL AP PROVP it r : � l t'e Ctwi �ty Envircnrnentat, Hzt 'Ai o 4 — y�- Da I t CAI Lq j..' f"'T�T�r- . N 1 I i o{ Si�ctur Shown + i i I Ocatjo eot mall pe as ! �Qcle� of all easements. ' . 00 b386 CbLviVI //9- C4 51 "!r yS I/ EWIRONMFJ rrA HEALTH JAN 0 9 P818d188, C orra 35i' i. i + � \ N • V t / iG + Top rail to be 36 in, hig� it tntermediate rails to be over- in. apart T jmm B°t of Plans and specifications MUST be kOi, on the. job at aU times and it is uniawfw to maka anY-changes .or'lterations cal sane without written Permission from the DePartmsnt of Ptah g 11 4W4 COM%V of B,,,,: (.C'q i�2 X ,✓ 1> 1' 11'� 11 j F9�-r,"YS yxy (; J /�_a 9 9'4L ) L A I 4 X , .­) 'N>CC� I�L ?—/ -o t✓ . Rtux RUh MA the to te: 112 W STfZ.., vt C oJ-r� vs vV 1 CA [— %�S l S E 7 3- .� y� f Gin h P191�-7' 6 j F9�-r,"YS yxy (; J /�_a 9 9'4L ) L A I 4 X , .­) 'N>CC� I�L ?—/ -o t✓ . Rtux RUh MA the to te: 112 W STfZ.., vt C oJ-r� vs vV 1 CA [— %�S l S E 7 3- .� y� cool col i BuTTE COUNTY ItDING DEP . ART mc - I NIT, oVED APPR Cx Irn '. ' - ix m _ . --r ra 0 B L 3 3 c oL. �►3; w 1,114 Iq �. ��} , C,4 L L3 y CUTE C,�r ►�� BU ILING V AP P o 4Q) 24-f ll%f a,r� 13 C v A-1 C_ G $I. -Tr STs y'x y A . �--, )z Y F 10 D r' T C3Z LULVAlr3/Ah c,¢ %� �y er-s I- 9 7 :f .. `4 qus a CSS GDEDNPT TEL/2 JAN 0 9 1992 I RESIDENTIAL 65-43-17 1223-91B,E CARUSO, Thomas 6386 Columbine, Magalia (new garage) JOB FINALE Signature J=OK - �O = Not OK , - = Not Applicable ' ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except tt's Zon'ng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. C orts; Windows -Doors 6. Gas; Location -Test -Wrap: / P'L'Yt. / P'Naf. or/ /"L"ft./ /"LPG _ lectric 7. Utility Clearance ; Sits -An chors-Studs-Rftrs-Trusses ding; Nailing -Veneer -Stucco -Mesh 1 of; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except N's Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements 2/ oyi Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKSOCOVERS, CARPORTS, GARAGES, (Plans)OK except N's . Zon'ng Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C orts; Windows -Doors _ lectric ; Sits -An chors-Studs-Rftrs-Trusses ding; Nailing -Veneer -Stucco -Mesh 1 of; Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date /, 2/ oyi 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date ----'.Card B-1 Date Card B-1 V=OK O = Not OK - = Not Applicable RESIDENTIAL {S = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. -- 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s _ 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s _ 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled _ 25. Romex Installed Close to Edge of Studs & C.J. _ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. _ 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 • • APPLICATION AND PERMIT PERMIT NO. ASSIBSON In ZONING BUILDING PERMIT NMR e 619-0416 SO. FT. OCC. BUILDING VALUATION 528 9,904.00 OWN IND DDR6>!0 151 Vista Wa Paradise 95969 CONTRACTOR'SN M Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation $ 9,504.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ 40.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6386 Columbine, Magalia Permit fee $ 130.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 92 SUBDIVISION NAME PARCEL MAP PP #3 35-79 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0,00 ea TYPE OF WORK New p Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: i4ew gar -age 22 X 2-/i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -1- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. Eli, 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) H— as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I.am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCS12IS.) OR ADDNS. ACC, BLDGS. yz2sgft ' 20 NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®80Q e AL030 Ex. Occup. OUED PR TLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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 1 to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor r 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. 1 also agree to save, indemnify and keep harmless the County of Butte against t all liabilities, judgments, costs, and expenses which may in any way accrue _ again Count 'n equence of the granting of this permit. / � X Date ��?_ 3 —f/ _ Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , Energy Inspection Fee $ PHAL CONST TYPE TOTAL FEE $ 153 5 E CUA- PARK SCHL FLD PAR PD I HD ISSU This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DE OR O BLIC WORKS �= By Date PEi XPIRES VDate Receipt No. 88847-153.95 WNITL-D.P.W., YELLOW-ASBL330R. PINK -INSPECTOR. GOLDENROD -APPLICANT TO Huildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal k Water Supply Hold final for: Final clearance O.R. for:, Clearance for _2b__ bedroom mobile home. Water Supply Water Supply_ Other NOTE .*,* SanCc7rIa-- .... Date -"C n1V a 95965- Telephone: 916/538-7541 PERMIT NO. 1159 -moi NO PERMIT L° BUILDING PERMIT 16 SO. FT. OCC. BUILDING VALUATION BUILDING 77 - 1 - _ScA.,Y LOT N [/ �Z; .• SF ❑ DUpli i"icooc `vw ac`c unnecessaryY aqua.. as luavawaLtvu delay is processing and "L �.� Yuur COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OR,QVALCE, CALIFORNIA 95965 —TELEPHONE: 916/538-7541 PERMIT AP,PLICATI.ON DATA SHEET t /l� 1 s Permit No. OWNER- /7 d �� S . <. f7Gi �^ /PS (/'a r P,,s d A. P. No. Proposed Building Use Der— GgYAGe" Building Inspector RD Date "7 "2 Z('�� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............::................... \ 2. Plot plans in duplicate/triplicate, signed by preparer of plans.....�1. 3. Complete plans in duplicate/triplicate,.signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. ., 5. Hazardous Materiarm............. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for -Non -Heated -and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) ` 9. Mobilehome installation data including manufacturer's installation instructions....................................................... ' 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13. ch of Dis rict fees paid ............. . 14. Sanitation approval from — Z 0 Health Department !Y --z 15. City of Chico plumbing permit ...................................... 16. Plot plan and business.license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B), Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for = required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ..... .:....... .. ___y_ 2 Owner -Builder Verification (Given to owner ❑, Mail to owner) ..... X_ . Recorded copy of Agricultural Ack ow?� �(ed ment State ent ......... - t_ �2/C . .. QtK 25. Letter of signature authorization 26. ' 27. .. When you issue the permit, process as follows:' Mail o owner. Mail to contractor. Tele phone, �73</, _3652 -sand hold for pickup at office. Deliver w/inspector. Other SZ/ Z ZZ Applicant Date y, 2 3 9/ Copy of Hdz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte r to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: 7 Contractor, designer, owner, was advised of above required data by_phonQ_ counter bdate ZS - Contractor, designer,, owner, was advised of above required data by_phon --mall—counter by date Plans checked by Btd1 Date Ala (91 Plans approved by PW Date Sets of plans on hold in File cabinet AP folder Copy—DPW L $ 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 V APPLICATION AND PERMIT ASSESSOR PARCEL NU ER zo�NG / BUILDING PERMIT Ow ER r /%ate 7, TELEPHONE -mom/ SO. FT. OCC. BUILDING VALUATION o ,oa OWNER'S MAILING ADDRESS // j`�'�/ .. .S / zL r /Dt �►/a CONTRACTOR'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 50 ,DO Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ &0 -5-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ o Energy Plan Checking Fee $ ARCHITECT OR E G , ER'S MAILING ADDRESS 1;{ Penalty $ BUILDING ADDRESS • / "e , -L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT //NO. %a SUBDIVISION NAME 1/ PARCEL MAP 7,51 Water piping ' 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ XOther PECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: d✓GI Permit Fee $ Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service 1001 OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury one): P Y P er I Y(check oe: ) F-1NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 Of the BU$IneSS and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- El 1, sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP a. OR AODNS. AGC. BLDGS. v ) /z¢sgft / U 3� NEW CON5TRMULTI-OUTLET BRANCH CIRC ITS 2.50 ea " " POWER APPARATUS tr "/ SINGLE OUTLET CIR. ) Ex. OCCup\OUTLETS OR FIXTURES 2AL93t eLa 3o FIXED APPLNS Occup. OUTLETS ((RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. ❑ l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g H33. Hood Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ElContractor [IAgent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heighhtt. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ HAZ. CUA PARK scH Fro coF PAR Po j HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. 88py7` /- 5 WHITE-O.P.W., YELLOW-ASSr3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) d 2. I (have/have not) AaUzf, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hied the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owne Social Security Number Date ,rT NOTE: This Owner -Builder Verification is sent ,to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i,^