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065-510-020
Bil Van Zant W/S Larter Ln.,300'N.of Coutelenc Rd., ...,. Magalia contr:•Triple "S" Custom Homes., Para. -Permit #2945-77B,P.;E,M(new single ' family) 06.5-510-020't % PERMIT#9570823 VANZANT`i Billy.& Depha �, �1 14559.Larter Ln.', Magalia.)[Vn "' Gas Stove/SF IC 0657510-020 ,..PERMIT#96-1669'; VAN ZANT,__ Bill, '-"-'i , 14559 Larter,,'4 i. , 'Magalia. Cont: Ely Roofing Inc Reroof/S] v' -,, ,q / 065-510-020_ t VANZANT BILLY "& DELPHA,: ' 145591ARTER RD, MAGALIA' �, •+, r Cont: NINE 9ROS._VI-1,WL SIDING-VINYI 4 „ i r F] LnL r Y 2945-77B,P,E,M PERMIT NO. PERMIT EXPIRES _ 17, OWNER Bill Van Zant ;CONTR. Triple 's' Cusbm Homes, Paradise LOCATION (A.P. 58-24-20 r, W/S Larter Ln. `,300'N, of Coutelenc Rd., Magal ie A 7. gid iI Temp. Power Pole Called PG&E /7-77 0. 1 b. C�)GUen.- Y`. Temp. Elec. Serv. Called PG&E ` Temp. Gas Serv. Called PG&E JOB / FINALED ! / (Date) (Signature J Owner Mailing Address ,;. COUNTY OF BUTTE_ — DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 7 APPLICATION AND PERMIT M Contractor c 0 U:u Mailing Addres 14-12 04-A0 f 3 f- 13''-IL7ding Address S f _ , ia0 04")7— Contractor 4P)7" P 1 +J V CA A-V Telephone No. ephone No. (� N 4_C4 14 L / 14- Zoning Verificafion O.nl. A. P. No. �'d 0 TPzn. — onin F S do Fire Dept: Fire Zone Use Permit EQA Parking Parcel parcel a 60' R/W Im r ,�_Plans Declaration P p ovements Bldg. fns Recd Parc pproval ns Approval NEW JTe;I ADDITION F— UTILITIES I-1 OTHER 11 Single Family � Duplex ❑ Mobil Home ❑ Others ❑ BUI SQ. FT. I OCC. ILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING N PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent r Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st Ie o °C Y r %� •� C c_ 640 A"1 Z O '` 'L Permit Fee Ex. Occup(OUr_ETS OR FIXTURES)@25C $ OUT $ ELECTRICAL No. @ FEE 10.00 PERMIT FILING FEE $3.00 Main service 0V OR 10000 AMP ORSLESS 5.00 6.25 Main service EA. ADD•L 100 AMP 2.50 Permit Fee Main service 100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST (ACC. DWELING OC P. & BLDC S. 22sgft .� NEW CONSTR. NON. MULTI -OUT E ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. NON-RESID- (POWER APPARATUS .& \ SINGLE Ot1TLET CIR. Ventilation CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st Ie o °C Y r %� •� C c_ 640 A"1 Z O '` 'L Ex. Occup(OUr_ETS OR FIXTURES)@25C BAL�1 Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 T License No. -o71G�`y Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ " 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 propert2;0:te s. X Signature of Permitee or Agent Receipt No. 1(02,o09, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE 1$/97 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BYDate —1 - % Building permit expires Date —� -� i RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPU4, &.MISC. ONLY) Bldg. OWNER A.P. A. '.GENERAL v 4! Zoning requirements (sideyards and parking). 0, --'Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 4— Complete parcel size and dimensions.. 1r Setbacks, sideyards, easements, etc. tether buildings or structures. 4. Grading, fills, drainage. C. FLOOR PLAN Permit '# 7 7 v �:"-'Complete to scale plan with dimensions. 2:I --Required windows for light and ventilation (Sec. 1405). 46 --Required windows for second exit (Sec. 1404). &_Allowable glazing for energy requirements (20% max. per State law). 4: ---Human impact glass (Sec. 5406). 6 ----Required room sizes, ceiling heights (Sec. 1407).• tl�.F.C.I.'s in baths.and exterior outlets (Sec. 210-8). -4--Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ` 9 --Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 0'. &&age firewall, door size, and closer (Sec. 503(d)(4)). R1 - _'0" exterior exit -door (Sec. 3303d). Fire lace location. moke detectors. (Sec. 1413). D. STRUCTURAL DETAILS i --Foundation plan complete enough -to construct building. Floor construction details complete enough to construct building. d,Elevations and wall.construction details complete enough to construct -Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs if over one-story in height. LG —Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR •'�-.CCX plywood on exposed locations and overhangs.' 'Stairway details (Sec. 3305). 4,---6u'ardrail details (Sec. 1716). 4. Brick or stone veneer (Chapter 30). 5. -Exterior plaster — weep screeds (Sec. 4706 & 4708). '6 -.---Proper roof pitch,for roof covering (Chapter 32). �/— ..'ter.ties or bearing ridge beam. �.--tiara- a~ -door' or porch header sizes. - de-quate--bracing 10. Living area over garage - complete 1 -hour separation walls and posts, etc. 11. -Two (2) exits on three-story dwellings (Sec. 3302). building. (State law). required including supporting ii iti =,r• -,lir' r,e.4„w?` .T,. !_ r. dna.-W*qR?Fffi "p .3�� .,. COUNTY OFBUTTE -DEPARTMENT OFDEVELOPMENTSERVICES -BUILDING DISf ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 41 PE MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065—AMM-020 ZONING TM5 W B DING PERMIT OWNER BILLY & DEIRHA VANZANT TELEPHONE 87 —0742 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14559 KAGALIA 95954 CONTRACTOR'S NAME UNKNONW TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS' Penalty $ BUILDING ADDRESS 14559 LARTER LN MAGALISA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME , - 9 PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑5 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping ' ' " 15.00' ` Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS STOVE INTO EXISTING WOOD STOVE LOCATION — Mobile Home I S I GI W 1 920.00 PERMITFEE g 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 19 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. '❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURO OR ADDNS. 8 ACC. BUDS. 3.5Q F . ) ST. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL .00 Ex. Occup. FIXED E APPLN . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars -($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 shallTOTAL not employ -any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions, of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� � 0111 a� X -- Date --- Signature of Applicant - 18 Ow ef/ ❑ Contractor ❑ Ageen7t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE FEE $ 70.00 HAZ. 0. FEES 'IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. P BY Date V12, /f r L 2 i; 1 7 (Date) Receipt No. /-75" -79PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 065-510-020 PERMIT#95-0823 VANZANT, Billy-& Depha 14559 Larter Ln., Magalia Gas Stove/SF COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDI BUILDING (Cont'd) Motors PLUMBING Setback r Firewall (III Pr, <.' Soil Piping Final Forms ^ . Parapets 1st Floor Grd. Fault Prot. Main Bldg. Restroom Finish 2nd Floor Brown - Footings Windows 1 .7 3rd Floor Ducts `'v - -7 Stemwall Cz V Siding To out - Slab Roof Sheathing Water Piping MOBILEHOMEU ILITIES ---------------- Piers Roofing of Sewer Sewer Garage Fdn. Vents Fixtures Elec.Continui Footings Stemwall Garage Vents Insulation t 1 t Water Htr. Heaters Slab Carport Footings Prov. for phsically handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICA Masonry Walls Throat it —V -9 Reinf. Steel Final Fixtures I0 1 7 1 i,, Bond Beaml FIRE SPRINKLERS Motors Framing - Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts `'v - -7 Underground -- Interior Lath ( C Ventilation I Permanent Door Closer Final Final MOBILEHOMEU ILITIES ---------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ARLI&WME INS A TI N --------------Support Elec.Continui Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /1 /77 AvIaA-N, CQ OT A* -v (NOTE: An entry must be made on this form each time you visit the job site.) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. et 91 License Class: r-✓ `"f � license Number: Date: -7 2 DS Contractor: OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior. to its issuance. also requires the applicant for such permit to file a signed statement that he or she is licensed '• pursuant t6the provisions of; the Contractor's State License Law (Chapter 9 commencing with Section 7000) of'Divlsion 3 of the'Business and Professions Code) or that he, or she is.exempt therefrom•and the basis.forthe. alleged. -exemption: Any.. violation. of:Section; 7031.5 by any applicani`for a permit:subjects the . . applicant to a civil penalty of not more than five hundred dollars ❑ Cas -owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not -•.,,�„intended or,off.-ered.forsale.(Sec�.70,44„Business; and,.Professions- „ , Cade: The Contractors'- State License Law does.,not apply to an owner.of property who builds or improves thereon, and who does such work himself or herself or through his or• her own;. employees, provided•that such improvements are not intended or offered for S2. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of provingthat-he or she did not buii&or improve for the purpose of sale.). ❑.,- I. :as.,owner..of,,the.,,,property,_,am_.exclusively.,contracting,,with licensed contractors to'constructthe .project .(Sec.•7044, Business and Professions Code. The Contractors' State License Law does not apply -to an owner of property who builds orJmproves thereon, and.who contracts for such projects, with..a contractor(s) licensed pursuant to the Contractors: State License Law.). ❑ 1 am Exempt. under Article 3 of the Business: and Professions Code Date: Owner:, WORKERS'. COMPENSATION DECLARATION I herebyaffirm, under penalty'of perjury one of the -following declarations: 4 ❑ 1 have and will, rnaintain a certificate of consent to self -insure for workers ;,compensation, as provided. for by .Section, 3700 of,the Labor _C .0e, for the performance of the work for which this permit is issued. ❑ I havef and wilF maintain workers` compensation: insurance, as -.required by Section 3700theLabor Code, for -the performance. of the-work•for.which this permit is issued. "My workers' compensation insurance. carrier and/ policy:number are: , Carrier: Policy #: O R : 2 L( 0 ❑ 1 certify that in the'performance of the -work for: which this permit is issued; 1 shall. not employ any person in any .manner so as to become subject:to the workers' compensation, laws of California. and agree that.•,if, I should becomes subject to the workers' compensation provisions of Section 3700 of the ;Labor Code, I shall forthwith.comply with those provisions. Date: Applicant:= vw U 1- Q . ! �fL".., (eQ'-,QG -Is'/ �f WAANING:"-'Failure'to-secure workers' compensation coverage is unlawful, -and shall subjectan-employer to;criminal penalties and one hundred thousand dollars ($100,000); 'in addition 'to the cost of compensation; damages as "provided for in -'Section 3706 of the Labor code, interest, and.attomey's fees. CONSTRUCTION LENDING AGENCY' I hereby affirm that'there is a construction lending'agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Byt PERMIT NO. BP052021 Issued Date: 07/29/2005 APN: 065-510-020-000 Site Address: 14559 LARTER RD MAG Map Index: Description: SIDING-VINYL(27) Owner: VANZANT BILLY O & DELPHA•C•-,.- 14559 LARTER LN MAGALIA, CA;.-,; ' 95954 .. App-licant:.,KALACHIK„VLAD...__ M.- .. �- ..,....,. ....,., .- .,2...,., 317 HATTON CT ROSEVILLE, CA 95747 (916)425-6440 Contractor: NINE BROTHERS VINYL SIDING 30 ARDEA PLACE SACRAMENTO,CA 95835 - 916-743-3165 License M 847142' G Architect„ Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 This permit is hereby is Resoluti�n� to do work applicable provisions of the Butte County Code anrVor : for which fees have been paid. 7 Address: PERMIT EXPIRES ON: Jf ` U - - ate O I hereby certify that,the use: of this -facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attachedare copies of the'required E.P.A. notification forms. I hereby yancertify that t have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 'I agree to comply with all counad state laws relating to building construction. I acknowledge it is unlawful to alter the substance of anyffi ocial form or document of Butte County. 1 hereby authorize representatives of Butte County to'enter upon the above mentioned property for inspection purposes. Ott, ✓l f/ / I Ot!A/Ltt 1 Print Name. II�� ��� /�- ' ' f�l3 L A'_L' y 1 1� Signature: V+ � � �,�O C>2!r/ C Date: T 2.Cf' K - • O Owner i ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDINGSION 7 .County Center Drive - Oroville, Caiifornii-95965 - Telephone (916) 531y8-41/A1_PEaMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 065—AX1510-020 ZONING TM5 W BUifDINGPERMIT OWNER TELEPHONE 873-0742 SO. FT. OCC. BUILDING VALUATION OWNERS "IUNG ADDRESS 14-559 TARTER T.N, MAGAT.IA- 95954 CONTRACTOR'S NAME IJNr NONW TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14559 LARTER LN, MAGALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF 11X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS STOVE INTO EXISTING WOOD STOVE LOCATION Mobile Home I S I GI W 1 920.00 PERMITFEE $35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e000A V OR LESS ( 20OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. D1S 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. '❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. ) OR ( 8 ACC. / SD. 3.5Q FT. ,--ONSDONS. UTLEBUDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 100 BAL .50 Ex. Occup. GFIXEEDTSPPUNS OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t ose provisions. X Z d t Date 'y �� 9� Signature f Applicant - 19 Own r ❑ Contractor ❑ AgeKt An OSHA permit is required fore vations over 60" deep and demolition or construction of structures over 3 stories in hheight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE It 70.00 GIMP HAZ. D. FEES FLOOD CDF PARCEL PD HD ISSUE This permit is Hereby issued under the applicable provisions of the Butte' County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date X,7 PERMITEXPIRESON i.T.D.S.•B.D. (Date) rReceiptNo. �� �71 / CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI t N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL ZON1`V-U2U BUIL15ING PERMIT OWNER pill Van Zant T of/3-0742OCC. BUILDING VALUATION OWNERS MAILING ADDRESS i4)7y Larter Ln 1•;agalia CA 95954 CONTRACTOR'S NAME L1y aooring Inc TELEPHONE 343-7603 CONTRACTORS MAILING ADDRESS 1 SL`�L 6ontractorb or Chico CA 95973 Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 145.)9 La r t e r Ln — iia�u l i ti PERMITFEE $ �- -... • PLUMBING PERMIT Filing Fee 20.00 ,t, ac �wTiaP,�j:.....° ..,.�•-.,;� , �s-�.�:..-« .•�.-X7,.,90_...,- , LAT NO. S UBDNISION'S NAME % PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mbbilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPEOF WORK a New ❑ Addition ❑ •Remodel ❑ "Utilities ❑ Installation ❑ Other O, remove & replace rooting. u/l5 r Describe Work: p %' y arch — l7 Sq:i Mobile Home S G W @ 20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( zooA oR LEss ) 1 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3'of the Business and Professions Code, and my license is in full force and effect. ,,.,,y,^,. License Class L -' 14 p t!' 3 y Lic. No. 6 U 7 3 u U • OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to. construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason - NEW CONST. DWELLING OCCUR sO, OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 (s 3°INGLE WER APPARATUS\) PARAT OUTLET ICIC R / Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 p' ( ) BAL Q .50 PUNS. OR EX. Occup. OUIXED TLETS(RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .Q I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier M ar-e r�und MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as ,to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions•of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Y /�G�/� CsC.J �t�N-d JDate — �_ Signatur6, 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. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ y , u� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / sr' / J/ BDate , PERMITEXPIRESON 4 (Date) Receipt No. !' / �� WHITE-D.D.S.-B.D. Y CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^^"�tif��:..'7'rvH+�+.�:5i'tt%i1�i'�� ���'�3%4 � =.f. --•-••![N- . � `"K':r tia 7 065-510-020 PERMIT#96-1669 VAN ZANY, Bill 14559 Larter Ln., Magalia Cont: Ely Roofing Inc. Reroof/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION-AN"D PERMIT -1 Z 'b'6'3 A11IJI.IMBF,�20 ZONING BUI INGPERMIT owfill Van Zant TELEPHONE 873-0742 SO. FT- OCC. BUILDING VALUATION °wMILTfarter Ln 14agalia Cry 95954 2700 1620 cTT "'Ofing Inc NE T 343-7663 CO O S MAILING ADDRESS ` c�Contractors Dr Chico CA 95973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14559 L a r t e r Ln - Aa a l i a PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR re,nove & re g w/25 yr lace roofing Describe Work: P o arch - 27 S q s Mobile Home S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 .:Mai.n Se OArvice,.(. - 20.TO. I000A. ) - - - - - LICENSED�.CONTRACTOR'S' DECLARATION _ I hereby affirm under penalty of perjury that I am licensed undeiprovisions of'Chapter ` 9 ( commencin g ) with Section 7000 of Division 3'of the Business and Professions Code, and my license is in full force and effect. License Class C -14 , C – 3 9 Lic. No. 6073 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to, construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ,�N' CONST. 'DWELLING DCCUP SO. `GR ZNs. '. ( a LA ILSs . ) •; 3.5¢'FT: . NEW CONST- MULTIOUTLET . •NON-RESiD! '• - ( ::BRANOHCIRCUITs POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 �L Ex. Occup. °uTLEeTSPPLNS .OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' comperisation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. P I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier State Fund MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 538-148 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTALFEE not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with o e provisions. _ ) y� X ��C�J__ Date �'—q4t;.— Signatur of Applicant - ❑ Owner )] Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionAw/ of structures over 3 stories in height. Moble Home Installation, FeeI $ Energy Inspection Fee $ . TYPE $ ,UO LZE 0. FEES IMP FLOOD CDF PARCEL PDJIMSUE 11 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica-ed above for which fees ave been paid. ay/ / B Date , 7"" (O PERMITEXPIRESON (DJ.) Receipt No. J WHITE-D.D.S.-B.D. CAN RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 5A-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARL ** OWNER Last Name First Name Address �y� g y L Q,'� CityQ �� Slate �� Zip S(% Phone 3 -07-1/2 Fax E-mail CONTRACTOR Name E1U/41t,f 1V E t?S L{ "L Address � e,*�q L City rC�L°l' Ct PN�p State �� Zip (��3 Phon�1/675-2 - 525-2 Fax E-mail Lic. #�J�/ C1%s APPLICANT NAME ARCHITECT/ENGINEER Name City y�� V I Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 1a ►Vk I Z Address 317 9 a%n 01 City y�� V I State Zip PhoneF- 6 L,2 2 5 GI qW Fax E-mail APPLICANT SIGNATURE X V� a r SIM e , (a oh A-_ For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc IM PERMIT NO. BIN # LOCATION / q API j`7 55✓ L Property Address City, �Q u Cross Street WORKER'S COMPENSATION Policy Number . I Q Carrier S,__ _` If hiring anyone other than license contractors, a certificate df worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or, Scope -of Work: h Sq. Footage q2 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 2-24-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: —Other 110,0 Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans,, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation. Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, (2yplifornia 95965 - Telephone (916) 538-7541 aT . �l - OL.,_- APPLICATION AND PERMIT PERMIT NO. ASS ESSOF. PARCEL NUMBERZONING I , rM (( w BUILDING PERMIT OWNER r/ir ]� )e V � � � IJ V f/AD TrNN,E 67 Z SO. FT. OCC., BUILDING VALUATION 'C>/ OWNERS MAILING ESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS/ ./ �G �� 2�� J ' _ PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP SGlar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15- Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4 Aa S 2 ') C_ f,ICa Z� 5 ro JG roCelt Q / Mobile Home S I G1 W 1 @20.00 'PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( eoov oR LEss ) 20oA OR LESS 23.00 Main Service ( 200A TO I000A ) 46.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OC . OR ADONS. ( 8 ACC. L.S.B) 3.SQ FT. NEW CONST.MULTI.OUTLET NON-RES10. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( a SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) zo p I.00 BACd .SO Ex. Occu FIXED APPLNS. OR p ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) C3I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Heating Cooling Hood 6.50 Ventilation PERMITFEE $ (� Contractor Mobile Home Installation Fee I $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ I HAZ. D. FEES I IMP I FLOOD COF PARCEL PO HDI ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON me applicable provisions Resolutions to do work been paid. Date (Daze) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r r-UI'I . I/HV 1 U-LHbHLHUK Date: FAX N0. :19163319675 Dec. 31 2004 10:45PM PI U IT TERS .9 BRUT VINYL SIUING iaaiarmm- 30 Ardea Place, Sacramento, CA 95835 Phone: (916) 752-5252 Fax: (916) 419-1206 CCL# 847142 To 'Whom It May Concern: C is authorized to (Firvt N1 mo) (Coat Numc) obtain a permit and business license on behalf of NINE BROTHERS VINYL SIDTNG. License Number: 847142 Sincerely, Veniamin Lashchuk Owner Nine Brother Viny) Siding (916)752-5252 11 �� c a ,.41 i .i l 8_,zr0FRS INSULATION STATEMENT i ` BLOWN INSULATION Manufacturer's minimum thickness to provide the,lleve! of :insulation ;resis'.ance' (Rt''Values as shovm- i H Values are,determined in accordance with ASTM 0-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above recom- mendations to provide a value of R_ using__bags of insula- tion to cover i s re feet of area. f Insulation Cjontractrn (Sign) wilder (Sign) Ccmpiny Nam- Cnri pany Name 1 BATTS AND BLANKET Date R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS •R-22 olz' R 13 3�i'e" Meets Federal Specification HHI-521 E Fiber glass -- lass batty or rolls have been installed in accordance with the manufacturer's 'reconmendation to provide an R -Value of -yr in the ceiling, 7 in the exterior walls, �� in the floor or crawl space perimeter.' -. tr(�r Insulation Contractor (Sign) r +L-uilder (Sign) _ ` "Sly CUSTOM HOME ourof� Q�p�E "'S" • CUSTt�M HOME BifI1 DE AAaa . woY Ot'&W ,y WhmC77.8871 8084 03#t➢t�r V N" '877-9871 Paradise, Ca. 9590 r � Pam'"i a �o° ' `CSG.52-11-C - Date / qey Z� CERTAIN -TEED PRODUCTS CORPORATION. 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