HomeMy WebLinkAbout065-510-014-
Stephecorn H' Sheldo �' !�
SW cor. @ end of rt
La7�ia
mi.N.of Coutelen Rd., Mag
Permit F'1 7-77P,E(util. ,�i) r'
EL EC .�
GAS �e-
1!
SUP T RUCTURE REQ,
"COMPACTION TEST -REQ.'
ontr: Paradise M6duldr=Concepts,, Para:,
ermit-#57-77MHI
®sued + %��r% �O/z9/77,; .
Perm*. #82
3-78B,P,E,M(new single family)�1
' Permit #1614-79$ enewal -off'
#823-78)��
Permit#'1204-80B(2nd renewal/823-
1460 est Ridge, Magalia lqplap i '
Perm 0263 ,E(new private garage) t
Pep k2954-85B(lst renewal/26'3'2-8�+)� P
14609 Forest Ridge Rd, Maga '
ContR: Adonis Pools
Permit#2139-89B,P,E(new swimming pool'
j I,-W-1195B,E,M ..
SHELDON Stephen --k,
•14609 Forest Ridge,'P4agalia '
addition/sf
y
t� +
PERMIT#95-1984 -�
<SHELDON, Stephen &,Gwen
14609 Forest-Ridge'Rd., Magalia.:
Cont; James Dipple_.
Add Family` Room/SF
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Stephecorn H' Sheldo �' !�
SW cor. @ end of rt
La7�ia
mi.N.of Coutelen Rd., Mag
Permit F'1 7-77P,E(util. ,�i) r'
EL EC .�
GAS �e-
1!
SUP T RUCTURE REQ,
"COMPACTION TEST -REQ.'
ontr: Paradise M6duldr=Concepts,, Para:,
ermit-#57-77MHI
®sued + %��r% �O/z9/77,; .
Perm*. #82
3-78B,P,E,M(new single family)�1
' Permit #1614-79$ enewal -off'
#823-78)��
Permit#'1204-80B(2nd renewal/823-
1460 est Ridge, Magalia lqplap i '
Perm 0263 ,E(new private garage) t
Pep k2954-85B(lst renewal/26'3'2-8�+)� P
14609 Forest Ridge Rd, Maga '
ContR: Adonis Pools
Permit#2139-89B,P,E(new swimming pool'
j I,-W-1195B,E,M ..
SHELDON Stephen --k,
•14609 Forest Ridge,'P4agalia '
addition/sf
y
t� +
PERMIT#95-1984 -�
<SHELDON, Stephen &,Gwen
14609 Forest-Ridge'Rd., Magalia.:
Cont; James Dipple_.
Add Family` Room/SF
r
r
�� I _ � � ;i
i. � ��
RE IDENTIA_ L
065-510-014 PERMIT#95-198- 4
SHELDON, Stephen & Gwen
14609 Forest Ridge Rd., Magalia
Cont; James Dipple
Add Family Room/SF
JOB FINA
Signatu
✓=OK
O=Not OK
Not
= Not Readyable MOBILE HOMES
f
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements \
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /-Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B=1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s -
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 e
N.-
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.-Connectors
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 l
Date Card B-1 r 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 -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
J=OK
O = Not OK
= Not Applicable
= Not Ready
Date UN
Plansl OK except ti's
RESIDENTIAL (Single & Duplex)
Ili//on i ng -Setbacks-Easements-Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-//V/" Ftg. Depth
age; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
V&,. Porches & Decks; Soils -Steel-/ /Ftg. Depth
Stemwalls, Main; Steel -Bloc kouts-Wrapped
emwalls, Garage; Steel-Blockouts-Wrapped
y �"G�Fi01f7'Downs and Special Anchors ,.
7. Slab; Steel -Wrapped
1. €rs-Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
A0. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
2; L.,Niater Pipe; Test -Anchor -Regulator -Service Test
i EI frit; Underground
1 Pienums & Ducts; Clearance -Material -Support -Ins.
_rte 1• irders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
76. Insulation
Date Q,(/'j8, Card B-1 U � Date Card B-1
Date Card B-1 Date Card B-1
Dare PLUMBING (Permit).OK except #'s %
-16.-Water Htr.: Vent-Access-Combusti Air -Baffle
17. Water Pipe. Test & Anchor -N aik4rotection
18. D.W.V.: Test -Fittings & An or -Nail Protection
------------ -- — ----------------
19. Shower Pan: Test. Firs too r -Tub Access _
20. Test Tub & Showe ._Second Floor -Tub Access
21. Gas Pipe: - Anchors------�-- -- - -
------- ----'- ---- -----------------
----------------------
Da--te Card, -1 Date_ _ - Card B_t
Date Card B-1 Date Card B-1
Date ELE TRICAL (Permit) OK except n's
-------------- 2 F' lure_& Transformer Clearance -Ins. - Protection tion-------------------
23c. Receptacles Spacing -Lights & Switches at Doors
-------------------------- --------------------------------------------
26e-lize Boxes & No. of Conductors -Stapled '
------ �- �-------- -----------------------------------------------
23;Romex Installed Close to Edge of Studs & C.J.
------- - --------------------------------- -- -
36r9quip'Ground made up w/Meeh. Fastners-Bond Gas & Water
-------- ----------------------------------------------------------------
`7%=Appliance Circuts in Kitchen & Conductor SizetGFI
-------- ------------------------------------------
--------------
/Z8"Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size / ! ga.
Cu or Al
-------------------------------------- - --------------------------------------- -----
aB- Range Circ. ! t ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- - ---- _39 -Service -Riser Conductors & Ground -Main Disconnect-------- -
----------------------- ------------
�3d!
-------- Equip_Clearances Panels -Motors -Meth. Equip.
-- - --- ---
-- -------------
2.- -- - Clothe --s -Closet Light -Shower Light -Spa Light
--- - - -- - --
-- -- -- --- --- ----- -- ------- ----------------------------
Smoke Detector
-------------------------------------------------------------------
------
r - - ---- -- -----------------------------------
Card
------- ---------- ---------- - -
Date / 3 f(�Card B-1 �v Date Card B-1
-------- - ------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft's
3_A C_Ducts Insulation & Support -
-----------------------------------
35.
-----------------------------
35. Vent Fan; Exhaust above insulation
-------- --- ---- -------- - --- ---------- - ----------------------
36. Condensate Drain & Overflow: Size & Grade
---------------------------------------------------------------
-- ----- 37. Furnance-Vent: Access -Comb Air -Return Air Vent - 1-15 outlet -
38. Attic Access & Platform if Furnance in Attic
------------------------------------------------------------------------------------
--------- - =
Date �J Card -B_1-------------- Date ------------- Card------------
- -� - -- -----
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
X. Sils. Proper Material & Anchors
- - -- all's"
-------- ---------------------------------
-------------
Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
4/ Bearing Walls over Girders & Floor Nailing
-- ----- -----------------------------------------------
4t% Draft Stop in Walls (rat proof)
---------------Y-,------------------------------------------------------ ----
4o Fire Stops: Furred Ceilings -Stairs -Chases -Tub
�. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
.JJJJ�,►►►ggqyyyy►q�����gers-Post Caps -Anchors -Connectors
g: Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring.
__ -- -Fireplace Ties or Type A Flue -Fireplace Throat clearance
Ott—r'rc'Access; Size & Romex Protection -Draft Stop -Ins. Baffles
BcRm. Windows or Exiting Doors -Sill Hgt. & Dimensions
e Fire Protection Framing
roperty Line Firewall & Openings
5�e%t_Doors-One 3' -Check Garage -3rd Story, 2 Exits
-f3-"tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54,- -ywood on Roof Overhang -Attic Vents -Rafter Outriggers
----------- -
SS._ eing-Nailing Veneer
_ R_ 5'6 -_Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57 lazing Area -Glass Protection -Skylights -Plastic
--- -- - ar Walls; Nailing -Bolts
5 Insulation -Walls -Ceilings
-------------
60. Infiltration -Walls -Windows
Date U��f��_-Card B_11 7 Date - Card B-1
Date - Card B-1 Date Card B-1
Date FINAL lans) OK except ff's
�Ext. Steps -Door & Sidelight Protection -Landings
6YSmoke Detector
Q3-.5"rrracT,-Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
------------------------- --
------------- �'— -~on Eiting
x -
---=-
65.-C,&. ��-"--tures & Tub Access -Spa
6t !Elec. T 'm & Subpanel; Breaker Sizes & Labels
P._ ___ _ -
airs & Rails
---------------------e or Stov
------------ —
_ ace: Clearances -Hearth
Wood Panel: Int. & Ext.
7A-#rt-Fiici. Appliance; Grnd.-Air Gap -Cooking Clearance
--------------j---------------
7E+ec-6attets-& Receptacles at Kit. Counter - -
--------------
7 oor: Swing -landing -Closer
----------------------- -------------- -
7 c in Garage -Damper
----------------------------------------- -----
. Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
---------------------------------- --
7 _ ch. _Equip. Listed for Location
-- - -- 7- ec_g=p�--splacles in Garage; (G.F.I.)-Romex Protection
'In., sulat- -F -Looked in Attic ❑ Yes --
- 7.. -uarfd -gaits &Deck Construction -Post Caps
79�dn. Vents & Crawl Hole Door Drainage & Wood Earth
Clearance Looked under Floor ❑ Yes
-- - -
ollowing instld. Drive ❑ s o; Walks ❑ Yes N❑ o —
Planters ❑ Yes ❑�
nnect. Electrical. Plumbing
bg.-Appliance-Fireplace.-Clearance to
Openings
14, nnect, Electrical, Plumbing
d ec. Trim; G.F.I. Receptacle -Underground
---------------------------------------- ----
e/nt�'lion Throughout House
d�iGl Protection----------------
C
----------------------
Corrections from Previous Inspections
------------------------------------------------ —--- ------------
--
eters Tagged; Gas -Electric
----- ---------=-------
Connected -C/O to Grade -HD Approval
------------- -- ------------------------ -
ne-rgy Compliance Certificate -Other Certificates
--------------------------------- ------
Daterd 8 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 DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO.
APPLICATION AND PERMIT 9�
SESSOR PARCELNUMBER OGS_
ZONING TM5
BUILDING PERMIT.
OWNER
STEPHEN & GWEN SHELDON
TELEPHONE
873-0240
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 336, MAGALIA 95954
32 R
p
277 0
__17,280
1,939
CONTRACTOR'S NAME
JAMES DIPPLE
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIWOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 207.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 134.55
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14609 FOREST RIDGE RD MAGALIA
S
PERMITFEE 364.55
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT No.
SUBDIVISIONSNAME
PARCEL MAP
Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SF P Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition Y1 Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD FAMILY ROOM
Mobile Home IS I GI W
@20.00
PERMITFEE
$ 35.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service --A oR tFss )
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:
❑ 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.
OR ADONS. ( 8 )
SO.
3.5¢ Fr. 11.21
NEW CONST. MULTI -OUTLET
OUUTLETLE T
NOWRESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
zo @ ,.00
SAL .00
Ex. Occup. ouXtTs PPLNS. OR
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 31.21
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
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'
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.
Q_
X Date O
Signature of Applica 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 $
46.001
OCC
CONST. TYPE
TOTAL FEE $ 476.76
HAZ.
D. FEES
IMP FLOOD
CDF PARCEL PD HD SUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY D
v
applicable provisions
Resolutions to do work
been paid.
Date (� V
3 7
(DWI)
Receipt No. Q 2WIPERMITEXPIRESON
WHITE-C.D.S.•B. D. CA RY-ASSESSOR PINK -INSPECT GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOFDEVLLOPMENT SERVICES -BUILDING DIVISION
*A,
E 'rt
7 COUNTY CENTER DRIVE - OROVILLE;.CALIF:ORNIA 95965 -TELEPHONE (916) 538-7541 rri
PERMITAPPLKATION DATA SHEET
OWNER `4 A. P. No. 5_8-- 2 Ii - ILI
Proposed Building Use Building Inspector Date 811(6196-
A
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted..........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans. .................. .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form. .
VEnergy Design Compliance and supporting documentation. ......... -:.:.... .
Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
1 Fees of $ m ........... .............................
Impact fees as shown on attached schedule. ..�T
1 . California Department of Forestry plan approval ees?agijrneeraf�/ j .
��/13. Flood elevation letter (100 year flood) by Californ . .
f-0( 14. Sanitation and plot plan approval f'otna-cox Health Department . ............ ZZ -
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .
19. Driveway permit (construction approval required prior to occupancy). ... .
} Fre-Inspection requ�
T Pe -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance. ....................
Oen ilder�Cer4cagonvan to owner , Mail to owner
Recorded copy of Agricultural Acknowled ement State .................
25. Lette'-ro s(gna ure authonza (on . ........................................ �a
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . .............................. .......... .
29. Documentation of legal access . .....................:.............& '... .
30. /Documentation of 50% subdivision developed or (A) Road improvements completed
f�. and (B) Parcel meets zoning area and frontage requirements . ...............
%31. Existing violations/expired permits . ......................................
'f 32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date Q (O
Copy of Haz-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 submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. n
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date -a -�r��'1 S Plans approved by 1 6 t3 oar S Date c - 3C�y�.S�
3 Sets of plans on hold in >C File cabinet _SLAP folder
Copy - Department of Public Works Z (0-)
1I
F.H. USE ONLY
Hol Plan Auad,,I VGS
ri„,,r ri:„ n,,:,ci,d
Sent 1" B. D. 5y < I? S S /Q0 -
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
OwnerLocation AP{t
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for, �—bedroom mobile home. Other o�wrt
Hold final for:
Final clearance O.K. for:
NOTE:
L-nvironmentalklejth Specialist,
8/92
&' t 7.
qb
ate
COUNTY OF BUT7E —
DEPARTMENT OF DEVEIAP!�
SERVICES —
3MMING DIVISION
7 COUNTY CENTER
DRIVE, OROVILLE CA 95965
- TELEPHONE
(916)'538-7541 ."
OWNER A.P.
PROPOSED BUILDING USE DATE 15 A. QST
REC. # DATE REC
1. SCSOOL DISTRICT FEES RkAdAi�-L
(paid at District Office) .........................
2. SHERIFF FEES
(paid at Building Department)
Residential....... x =�
unit amt.
Commercial (sqft) x =�
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =�
units amt.
Commercial (per sq.ft) x
sq.ft. amt. .
------------
...
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
G#K6. SRA FIRE INSPECTION =
AND PLAN CHECg X89.00 ...... /Y�
(paid at Building Department)
7. 0THER
S. 0TM
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT `�? ..__:_ _ _ 1-2c'<'_.�_
DATE
Tr iF . w i v.� ,..�•k+ ^".'�rrK.,cr•r.•+r-r.r,�.r;+- ,.,ti.,
>
,�{z
BUTTE COUNTY SCHOOLS IMPACT•FEE CERTIFICATION FORM
(One Fom1 Per Building) y'
School District �' Building Department No.
t A.P. Number ( Jurisdiction: 0 City [ County
�w
Property Owner `SU►._a ('9�
Property Location/Address I L4 9 VLO-A m a4xju, ,
Subdivison Lot No. '
EU a'
Residential Development AEU 0 EX Sq. Footage a0
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
L9
Buildiog-Department Representative Date '
(Floor Plans reviewed by School District Personnel)
k/tri*entification No.
a�l- chool District certifies that C Y
6
r (Applicant)
treet Addres, (Phone Number)
I . AIX,
(City) State) (Zip Code)
has complied with the requirements of Resolution No. ti by.payment of $
representing i square feet. As 2926 $
FULL MITIGATION $!'
of District Representative Date
1-
i
° Paid by Cheol# = Remarks:
Bank Numbe -
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality,Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.,
White (applicant), Yellow (building department), Pink (school district) feeform.wkf (11/94)dmm
Kaurn ill DPW _ AGRICULTIIRNI,' STA�I'I:
EXHIBIT "A"
TOGEMIER WITH a non-exclusive easement for road purposes and public utility pur
.poses over a strip of land 60.0 Leet in width., lying 30.0 feet on each side of the
following described 'line.
Beginning at a .point in the East line of the above described parcel, which point
lies South 00057'33" West, 60.0 feet from the Northeast corner thereof; thence
from said true point ofbegi:nn;ing, North 00057'3.1" I{:�sL, 389.50 feet; thence
North 89030'1.0" Gast., 962.32 feci: to a point: 30.0 fc!i!t West of the. East line of
said*Northwest quarter of
,;; .... .the d:No. ri Lhw�ic.:..s.t `:; ..�..:. ..;.i;.oi 12;:; l
)ence ,parg1�1...
with said'East Tine Sou Ol .. .
52 lJes�� 1420. 39 .feet to (out lolenc Road.
APN 58-24-14
i
"Building Owner
Building Location
ENERGY INSTALLATION CERTIFICATE
Building Permit #
DESCRIPTION OF INSULATION
ROOF i
Material
Thickness(inche )
EXTERIOR WALL ...........
Material
-=Thickness'(inches) -
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness (Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name GC
Thermal Resistance(R-Value) — -
Brand Name
Thermal Resistance(R Value)
Brand Name .
,Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
L�
Brand Name
Thermal Resistance(R Value) —
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
. •1s consistent with- approved building depar-tmen�t-- plans --and attachments -and- con-
forms with requirements of Chapter 2-53 of State of California Energy Requirement
FI&M N/AL 0 nR
�l
SI OF INST_ LATIO APPLICATOR
STATE CONTRACTOR'S LICENSE NO.
v . l0
DATE
I hereby certify the required features, devices, and equipment, ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
(FIRM NAME)
SIGNATURE OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Lot N Dr- n>
e,•�v� ,� <a��.e:61�
"Ae- 10 h /� JCS k I ,0&\
maer /fie . please- C-.e�% Q,Sj
0
Date �� Inspector
REV 10/92 /
1
RESLDENTIAL
--r 92-1195B,E,M i
<
58-24-14
SHELDON , Stephen Tgagalia=b
Ridge
'
14609 Forest
addition/ sf
z
_
Y`
r/
•
h
�.£CT►a� 5 vy a
!
C.dN SrC�1e I anf
JOB FINALED (Date) —
Signature_ T
F
• j
J=OK
O = Not OK
Not Applic
Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water: Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
or/ /"L"ft./
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
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
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.-Connectors
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- Enclosu res- 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
1
CAOK `
Not OK
= Not Applicable
Not Ready RESIDENTIAL
=
Cate UNDERFLOOR (Plans) OK except ti'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- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & 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 #'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 ft's
--- - 22. Fixture & Transformer Clearance --Ins. Protection
-----------------
______ 23. E-lec. Recept--acles 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 madeup w/Meth. 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 At
------ ---- --- --------------------
--- - ----
29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
--- -----------------
-------------------------
-3 1._ 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) Ot< except h'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 ft's
39. Sils. Proper Material & Anchors
-------------------------------------------------------------------------
40.
---- - --------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------ - - ------------------------------------------------------
-41-..
-----------------------
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
3Pngle & 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 ff's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. 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. Plb. Elec. & M_ech._Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7 7. Insulation -Foam -Looked in Attic ❑ Yes
-----------------------------------------
----------------
78. Guard Rails & Deck -Const Caps
--------------------------- -
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor--- ❑ Yes
-------------
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ 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-1Date Card B-1
__ __
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
+:- DEPARTMENT OF.PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53b-7541'
'f.
_ 747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
(2h Of.\1 a12 - I i 35
OWN 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.
TE i :.
• V1 Tlt—T?11
K4 a
Date -'75 4 Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drlvo • Orovlllo, CaIlfordte 0$0613 • TolopFiono: 610,1636.7541 _
APPLICATION ANO 'PERMIT l
58-24-14 TM5 W
BUILDING PERMIT
STEPHEN SHELDON 873-0240
S0, FT, OCC.BUILDING VALVA N
282 R 15,228
NIV41 RXICINO ADOMMI119
P.O. BOX 336 MAGALIA 95954
280 OPEN 1,960
CON N
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is 17,188
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 157.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 78.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ 20.00
Penalty $
BUILDING ADDRESS
14609 FOREST RIDGE MAGALIA
Permit fee $ 271.25
PLUMBING PERMIT FiIingFee 115.00
Each Trap 1 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W T015.00
TYPE OF WORK
New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: FAMTTV ROOM 9 DEM _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service LESS
200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER
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
Main service 200A TO IOOOA1 37.50
OCCUP.9 3.64 sq.ft.
NEW CONST. / DWELLING OR ADDNS. ACC. SLOGS. II
1
NEW CONSTR MULTI -OUTLET ^ 5 00
NON•R ESID BRANCH CIRC ITS
APPARATUS &\
SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES 20 764
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee § 9c; on
—
_ 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 15.00
Heating
DUCT EXT 6.50
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.
also agree to save, indemnify and keep harmless the County of Butte against
liabiliti s, judgments, costs, and expenses which may in any way accrue
against s ounty in consequence the r nting of this permit.
X Date ���
signature of pplicant — 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 $
J
occ
CONST TYPE
TOTAL FEE $1
3.57all
rAz DFEES I
FLo CDF PARCEL
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do i
work indica d yo ch fees have been paid.
I t CT WORKS _
•�FABLIC
B Date ���
PERMIT EXP IRE Date —
Receipt No.
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
� .. � .......,,r ,-...�:..�.:�.t*:..,..-s}`i:l�`,i+t,;:;Y.?;'i'+li"�:7i'ry.:1: 4:•Ur::�:SfI'7k F=3
COUNTY OF BUTTE - DEPARTM IT; ..�kPUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, OALIFORMA 95965 - TELEPHONE: 916/536-7541 /
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER�QJn� A. P. No. �9
Proposed Building Use A.-17Ae4 41 Building Inspector Date � 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........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete pingineered 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 UrbanlArea fees paid .......................................
Park fees paid ....
School Distr-iiFt fees paid ..............
4. Sanitation approval from 0&4AaX.f c— Health Department
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: ...... �' r
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) 1.
"
20. Pre -Inspection for required ... Pre -Ins pec. 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 .........
25. Letter of signature authorization ....................................
26.
27.
When you issue the permit, process as follows: _Mail to owner
Telephone
Other
and hold for pickup at
Applicant
off ice.
Mail to contractor.
_Deliver w/inspector.
ate
Copy of !-laz-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 submitted prior t
1. Index permit for above items No.
2, Additional items required:
t isauance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_rnail_counte by .date
Contractor, designer, owner, was advised of above required data by_phone_mall�u er by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
v . - /L91r00
TO Building Department
FROM: Environmental'Health
SUBJECT: Sanitation ClearanceASO,
-' Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for Water Supply
Pinal clearance O.R. for: Water Supply
Clearanc o room b home. `Other FA/n/L� Deou
NOTE ***
W -M -M -1100M, AMi
a
e
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) signed an application for a building permit
for the proposed work.
I. 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:
Property Owner C�
Social Security Num er
Date l h • GP2
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..
�3COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Cellfornla 95965 - Telephone: 916."538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASS ESSON PARCEL NUMBER
NTNG` vi
BUILDING PERMIT
OWNER
S 1F1F10 11f;_J S N LD o
TELEPHONE
60 7 3 02110
SO. FT. OCC. BUILDING VALUATION
2 (3/5-Z 2 19
OW?MAILINGADDRESS
�sss-v
Afb X, ��
Q
CONTRACTOR'5NAME
a w^� 2
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 17 / $ 26
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ f 5-Z– 57j
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ -78 ."23—
7SARCHITECT
Energy Plan Checking Fee $ 2tJ
ARCHITECTOR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee
15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or_vent 7.00
USE OF STRUCTURE
SF Duplex Mobilehome❑ Other
Z
SPECIFY
Gas piping system 1 ;,outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW 1 15.00
TYPE OF WORK
New ❑ Additionne Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: F4M7 /1l AM ())&_C/T _
Perrnit e $
Contr4clor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
_
Main service 200A TO IOOOA) 37.50 /
CONTRACTORS LICENSE LAW
I declare under penalty ur
p y of perjury i y (Check One):
El 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 .Jo. 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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (DWELLING oCcu &` 3.6Q sq.ft. (0
OR ACDNS. ACC. BLDGS. /
LETT
NEW CONST R. MULTI -OUTLET
NON-RESID BRANCH CIC ITS @ 5.00
R
/POWER APPARATUS S
(54NGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 20 750
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA./ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. luring 15.00
Permit Fee $ 2 S
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
E]
LJ 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 15.00
Heating
C �.�� 6� 0
Cooling
Hood 6.50
Ventilation
Permit Fee _ $ 2 14–
,provisions
Contractor
I certify that 1 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 agre to save, indemnify and keep harmless the County of Butte against
xpenses which may in any way accrue
all liabilit s, judgments, costs,ae7/hegranting
against s d ounty in consequenof this permit.
X Date ?
Signature of pplicant — 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 $ YO
OCC
CONST TYPE
TOTAL FEE $ �7 �s
FIn2
DFEES
IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
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 paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. ��� / 6
WNITE•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
ry-•�,-�l+.r.J��.ero-..:wy+'krtv+.: �Yy:err'thy}'+'+i�f+y'"Fiy[�i'Fra'^.+'Y'C+"`afT"'I�tns"�^y'3:±�t.�(�q�1��sLvY'"�cv�31`�''^`'�i.��dti�.:-�;;�Y�"�.�x:r�`ry^.a;�r+c..-'cr...ar.r�Tr.
i
'BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number. 4 �"f ! Building Department No.
School* District AV&^ el. f -C City r__J County Q jurisdiction-
Property
urisdiction-Property Owner
Project Location/Address
Subdivision Lot Number
:Residential Development: [O'Sq. Footage 4? L
_# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. -Footage.
New Addition (Including Exterior
Roofed Areas).
'i
8ui1147a-g Department Representative ti Date
(Floor Plans reviewed by School District Personnel)
District Id No.
a
School District -certifies that. Alf 1 0 60
(Applicant Name) (Phone Number)
(Street Addr ss)
f �Dy
(City) 61 (State) (Zip Code)
has complied with the requirements of Resolution No.
by the payment orepresenting g� square feet.
/71&
Scho District Representative D to
PAID BY CHECK NO.- REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88) /.
I
WMIA,
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A
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I
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-
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FORM 7
ADDITIONS tO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner OUB/ Climate Zone
Permit # //47,5 ---Floor Area 28Z
The .following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living.areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 R- 8
WALL R-11 19
FLOOR R-11 19
SLAB R-7 -
GLAZING U-.65 (Dual) U-. 5 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or. .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, c.ertified windows; caulking)
8�TT'E 'COUNTY
= �
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 BUILDING bEOAaTMEte
APP O V
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING,'AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*1 HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F) -
13 Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector-
orientation
ollectororientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
Electric Air Conditioner
• (brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
• EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
` '"charts (form #4) or other approved methods, section 2-5352(g), and fill out the
r' following:
Heating: Winter design temperature °, elevation ', heating load BTU
�g^ti elevation factor x heating load = maximum outlet capacity gas furnace
i BTU
Cooling: Summer design temperature ", cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
4IGNAOF BUILDING DESIG OR APPLICANT
Stephen Sheldon
P.O. Box 336
Magalia, CA 95954
Dear Mr. Sheldon:
utte L'o,
LAIND OF NATUR;`.l W E A L T H AND 3_,,� UTv
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
/ COIJN'3Y CENTER DRIvE - ()ROVILLE. CALIFORNIA 95965-339Y
TELEPHONE: (916) 5387541
FAX: (916) 53£3.2140
April 16, 1993
RE: Building Permit # 92-1195 (Family
Expiration Date 5/8/93 Room & Dec:-
A.P. # 058-240-014
With reference to the above subject, our records indicate that your building
permit expires on the above date and your permit falls into the category marked
below:
Permit work started, but not completed. Permit may be renewed for z the
original building permit fee (plus a $15.00 filing fee). The renewal
permit will extend the building permit for an additional year from the
original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building
permit has been issued. For your convenience, we are enclosing a renewal
application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
ElNo inspections have been made on permit work. Inspections are required
to verify code compliance. We are unable to renew a permit where the
work has not been started and inspected prior to permit expiration.
After expiration of your permit, no work may be started until a new permit
has been issued.
If our records are in error or should you have any questions concerning this
matter, please contact the Paradise _ office.
Thank you for your prompt attention concerning this matter.
JFG:hla
cc: Building Inspector
Attachments: [Renewal Application
F—JOwner-Builder Information
❑ Owner -Builder Verification
Yours very -truly,
j'
J.F. Glander
Manager, Building Inspection
Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307
•
58-24-14 2139-89B,P,E i
F --
P SHELDON, Stephen j
1 14609 Forest Ridge Rd, Magalia
P Contr: Adonis Pools
(new swimming pool)
Ci i
CONTR.
ASSESSOR PARCEL
LOCATIONP", V'M V, -
s 7 7 �o
r
P
LQ Rr j) n 1 iG e rS31.a 2�
a
w ,
(`- Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
O
JOB FINALED (Date) O
Signature
= OK
0=Not OK
' = Not Readyiable
'MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch,
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
•5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
. Soils; Com tion -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
N4. Pool Structu a Connections -Thickness -
De Men -Linin
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
_ i�
ec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
-
I c.; Pool Lighting; t5*mOts-G
lec.; Enclosures; Conduit Entries -Terminals -Listed
�y3
I c.; Bonding; Metal w/5' -Circulating Equip. -Heater
X,-L�
Iec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -81 Date
g ment Approval
umb.; Cir -.• �st- atei Supply Test
Card -131 -1 a Card -61 Date 7
Card -131 Date Card -131 Date
= UK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =
Not Applicable
= Not Ready �.
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks: -Easements -Finn(
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
4, Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -B1 Date Card -131 Date
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. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
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 Lioht-SDa Liaht
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 T -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-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
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. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
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 ❑ No;
Planters ❑ Yes ❑ No
(NOTE: An entry must be made each time you visit iob site)
8i. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -81 Date
92. Roofing Certificate
Card -131
Date Card -131 Date
Card -61 Date Card -81 Date
Date
FRAMING (Plans) OK except #'s
Card -B1 Date Card -131 Date
39. Sills, Proper Material & Anchors
Card -Bt Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
( COUNTY OF BUTTE.
DEPARTMENT OF PUBLIC WO�S
( 196 Memorial Way, Chico'= Phone: 891•-2751 ...
7 County Center Drive, Oroville = Phone: 5387541. f
747 Elliott Road, Paradise— Phone: 872-6307
{CORRECTION NOTICE
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.
r
Inspector
Date
f
.
1
fi
1
Inspector
Date
f
3TTUl-1 --.0 VTOUOD
911:1VO-io 90'a lair-oo %linuo"i T
O
60 Ile
"'TN MI-01*1
.Ov, TRAP -q-9 R 3 MWO
sa;iGrOblo vinuoo to 811-112zloiv �nivirlic" aff' Pedt aole;oibnd noil3sjzai snilum A
S31ito Z!e.1 Vtljon ,
,q bq83omoo 9d bluade bus zailbbs evodn ad) Is leixs
elfit W g(linisilaq floltatlup yris evert uaij li bgjgiqmo3 ai ;ho -w to noil"-m3 noem
.xisisibefliml ijafflo,aidj t*01mm easoliq j-oltcv.zJqxa ieuvollibbe, Lion io iepllrm
10JOGven!
COUNTY OF BUTTE - DEP)kATM_&T OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone:,916/538-7541
APPLICATION AND PERMIT
�1 F A . 0
1m,r
ASSES R PARC NUMBER ING
BUILDING PERMIT -
ONE
E.v CDD T ��O� Y
SQ. FT. OCC. BUILDING VALU TION
OWNE 'S MAILING AODR A-
��J / ��l C� ✓
O ..�
CON ACTOR'S N AMSPHONE
CONTRACTOR'S MAILING RESS
- (�
Fireplace
CONSTRUCTION LENDER
�7
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ ZZ S�
A TECT OR ENGINEER
�G �I� C
LICENSE No.
Plan Checking Fee
$ �-ac,
A CHITECT OR ENGINEER'S MAILING ADDRESS
Ener Plan Checking
Energy g Fee
$
Penalty
$
BUILDING WODRESS _ y n
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
Water piping
'55.00
Each qas water heater or vent
5.00
USE OF STRUCTUBW
SF❑ Duplex❑ Mobilehome❑ Other Gal��l% DOS
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
.5.00
Mobile Home S G W
0.00 ea i
TYPE OF WORK
New Addition❑ Remodel[] Utilities❑ Installation❑ Other ❑
Describe work:
!sW O
Permit Fee
$ 16
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
U
Main service eoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare er penalty of perjury
p y p f 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 rce d effect.
License No, Classification
T
❑ , 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.1m
OR ADDNS. ACC. SLOGS. , h¢sgft
NEW CONSTR MULTI -OUTLET 2.50 ea
NON.RESID .BRA CH CIRC ITS
POWER APPARATUS 9)
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 209600
p� 8Ale3o
FIXED P(RESID IREA.P 2.00
Ex- Occup. OUTLETS
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. kyirin g 15.00 �—
Permit Fee $ Z -
WORKMEN'S .COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
E] Tie 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
g
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and kee ss the County of Butte against
all liabilities, jud costs, a xpenses which may in any way accrue
against spid C enc the gr ing of this permit.
te �_��
awre o pplicant — Owner ❑ ControctorAgent ❑
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 $
TOTAL PERMIT FEE $ -��
OCCUP.
CON3T.TYPE
school
r-----
PIDOD
PARC
-
PD
ND I33
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for- which
DIRECTOR OF PUBLIC
BY
PER 1 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7f-7- P9
Receipt No. S�
WHIT[-D.P.W.. YELLOW-A33L33011. PINK -INSPECTOR. GOLDENROD -APPLICANT
. • h ` `" N (...-... , .^ `,,..-.0 i.+•r-i.+..�: ..,v.,� .(. f �':;K'c1 •..� i r ra..-w4'/. '^. 'rtt^wS�'V'w/'J�•i�7L'n"iA' ,+Y'x,r'V. "'l'' .-. �-� -•� !+�' • -.
4k%1.1 1 R,
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION
OWNER
7 COUNTY CENTER DRIVE - OROVILLE, CAL1r.%JH1NIA Roz4RR - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No.
Proposed Building Use \_ Building Inspector Date Y
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
_X� 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation '
t
instructions....................................................... t
9. Fees of $ .......................... 1
10. Chico Urban Area fees paid
11. Park fees paid ..................................................... /
12. School District fees paid .................
3. Sanitation approval from Health Department
14. City of Chico plumbing permit .................................... L.
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to t ';
19. Pre -Inspection for required ...... Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner D) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. '` Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other --------
,r
Copy of plans sent E Health Dept., Fire Dept., Other Date
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_-jnail-counter by date
Contractor, designer, owner, was advised of above required data by -phone -mal l -counter by •date _
Plans checked by
Copy -DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder a
TO: Building Department
FROM: Environmental Health
Si"',JECT: SANITATION CLEARANCE
OWNER
LOCATION
AP �t
�d
Planpproved for:
Sewage Disposal
Water Supply
Hold)final far:
Water Supply
Final Clearance O.K. for:
Water Supply.
Clearance for bedroom mobile
Clear ce for addition of
Not ��
home. Other
PERMIT NO. - - - -
PERMIT EXPIRES
OWNER STEVEN SHELDON
CONTR. owner
ASSESSOR PARCEL 58-24-14
LOCATION 14609 Forest Ridge, Magalia
qtr
t.
i
i� •
�j
Temp. Power Pole
Called PG&E
5,
Temp. Elec. Service
Called PG&E
Temp. Gas Service /
Cal led PG&E
JOB FINALED (Date)
ignatur
d
J = OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
�4
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s -
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location-Test=Fall-C/O-Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector-
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
-
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date ._
Card -BI
Date Card -BI Date
't
L
O =
of Applicable
= Not Ready
RESIDENTIAL'(SlIngie and Duplex)
Cate
U D FLOOR Plans OK except #'s
Date FRAMING (Continued)
Zon' g requirements -Setbacks -Easements
Main; Soils-Steel-Elec. Grnd.- /" Ftg. Depth
xt. Doors -One 3'- arage
g., Garage; Soils -St I , ! /" Ftg. Depth
un-Landin -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
n 4. s
5.' Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
i g -N ng V�TTE2r
te`mwalls, Garage; Steel-Blockouts-Wrapped-
-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
- ction-Skylights-Plast ic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
olts
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
r
t2
Card -BI Date Card -BI Date
Card -BI
Date -27- Card -BI Date
Date FINAL -Pans) OK except k's
Card -BI Date Card -BI Date
Date
PLUMBING (Per it) OK except Ws
Ext. Steps -D Ings
14. Water Ht.; Vent ccess-Combust ion Air
5V7 u -Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Tes & Anchors -Nail Protection
16. D.W.V.; Test7oPttngs & Anchors -Nail Protection
ng
17. Shower Pag,,Test, First Floor -Tub Access
6o—!�: g Co, ,tures & Tub Access
18. Test Tub Shower, 2nd Floor -Tub Access
01,ltlec. Trim & 84 -Bree;c �slaabef-.-
19. Gas Pipe; ize & Anchors
68. Fe Clearances -Hearth
Card -BI
Date Card -BI DateAir
Ext.
Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELEC CAL Permit OK except Ws
it. Counter
loser
Fix &Tran n
- - - b. Air-Connector-P.R.V.-
In 'on
E eceptacles Spacing -Lights & Switches at Doors
• P & McG�Equip. Listed for Location
Size Boxes & No. of Conductors -Stapled
ec. Receptaclese;
a ed u s C.J. �
24 quip. Groun made u Mech. Fas�aersr BoaA 9as^& VV81Esr
7 s C
hen & Conductor Size
c o
ubfeed Wire Size Q/ ga. Cu
r At
r -Drainage arth Clearance
Loes
1 "/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
rhnutffted-fteutrEtl ❑Yes [:)NoPlanters
7 owing instld.: Drive [IYes alks E)Yes nQ.No;
❑Yes Ale `�—
7
round-Main Disconnect
An -equip. Clearances; P -
Clrnces-Brkr. & Cond. Size -115V Outlet
t -Shower Light
Ibg.-Appliance-Firep l. -Clearance to Opngs.
onnect, Electrical, Plumbing
_
8 terior Elec. Trim; G
Card B -I
Dat _ZCard-BI Date
entilation throughout House
8
Card B-1
Date
Date Card -BI Date
MECHANICAL (Pit) OK except q's
&&v-@orrectlorrs-from Previous Inspections
hers Tagged; Gas -Electric
31. A.C. Ducts; In lation & Support
a er Sewer Connected -C/0 to Grade -HD Approval
32. Vent Fan; fAaust above Insulation
86t-Energy-2vmpliance Certificate -Other Certificates
33. Condens a Drain & Overflow; Size & Grade
34. Furnace Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Acc s & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Dat Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMI Plans) OK except q's
Comments at Final:
ill Proper Material & Anchors
3 alls; Studs -Nailing, Spacing & Bracing-Plates-SSeuo>i
30 rders & Floor Nailing
ip-Walls (rat proof)
4 i e s; Fu
Bader & Beam -Size & Bearing
Ging.--3ors"� Rif s-Q_axJasa-Reei-_Br_a_c.�rasS-S _g.- __
Throat
4Draft Stop -Ins. Baffles
Rill Hgt. & Dimensions
(NOTE: An entry must be made each time you visit job site)
Jt"f
NER
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-27511
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
S /_ L S
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,
_9x,rreed additional explanation, please contact this office immediately.
;,
J
InspectorFC��/�' _ Date—C�=`�_ _
:324.21
,.-------(- .iii JS
ti I /�"�)
'
� U �•' , ja � \moi '� � ' � � _ q`r
789. a O
230'9/—
330.95 330.95
!U
33;x.,
3.50 63 OiA
; I O
_ 1
�' I`• � _ --- 1322 /
— O_9/ _ . _ 76 4.3_ _
I i
a C•4 1 i 1 '
rip, I
1'1 Y — 1 O 100
LANE 3: 225-
Iko
4 t,
",NJ I
•? ..',1 I4 � I
87535_
I 298.56 S45 � � ,/"-~�'••'---•�- � '
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15902 Ev' , .� /n; i;-, ?t 20
j9 9 . P`Yi 4/7 •.- - //5 -/ _ �. ,,.
_ .n`430. 37
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74560 to .
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758.89 � ;,.'O,9
'�' �%�oJ f o6G•.19
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
e�
ASSESSOR PARC NUMBE ZONING
— li _
BUILDING PERMIT
OWNER ` TELE r r�EZ
SQ. FT. OCC. BUILDING VALUATION
. MAI LI G ADDRESS
Y-9/6-"
4
O AME
®i�u &N e
-2-Z
LHONE
CONTRACTOR'S MAILIIG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 2 so
SUILWD R SS g
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTUR
�.�►� y►
SF ❑ Duplex ❑ Mobi lehome ❑ Other C�L L��
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
ORYADDNS. ACC LBLDGS.LING CjjW)
21/2¢Sgft 'QO
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
1Z I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR ULT'-OUTLE 2.50 ea
NON -RE SID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &
NON -R I- SID. %SINGLE OUTLET CIR.
Ex. Occu /oX20®50*
Occup(OUTLETS OR FIXTURES BAL®30
APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 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
FiIingFee 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 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 said County in o sequence of the granting of this permit.
X (�% �� �(��
Date d a
Si nature 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 $
TOTAL PERMIT FEE $
'
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PO
HD
SsuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR P LIC
PERMIT EXPIRES Date -
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
Receipt No. RQ7BY
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
PJ
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
Owner. -
1
Location AP
Plans approved for: Sewage Disposal _ Water Supply
Hold final for: Water Supply
Final Clearance O.K. for: Water Supply.
Clearance for bedroom mobile home. Other
Clea ance for addition of
Not *
nitar
Date
COUNTY OF BUTTE - DEPARTMEN`r OF PUJBLIC WORKS - BUILDING DIVISION <. '
7 COUNTY CENTER DRIVE - OROVILLT, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 37- /Li�/i 1 SAI ,,C h(%4J A. P. No.
Proposed Building Use Ak I A -4A -45/c
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other -(Explain) 1,
Building Inspector_uel /'ifit/!1 t4�n Date
At time of permit application, was advised the following data must be submitted prior to permit processing
and/or issuance: . . . . . . . . . . DATE RECEIVED APPROVED
y� 1. All items have been submitted. .
2. Plot plans in duplicate./triplicate. . . . . . . . . , .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No. ,
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , ,
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from,Health Dept.
11. Planning approval for (A) Use: (B) Parking.:
12, Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.) ,
14. Owner -Builder Verification (Given to owner, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
•
17. Pre -Inspection for Pre-Inspec. request to
Required, Building Inspector (Date)
18. Other
When you issue the permit, process as follows:
Y P Mail to owner, —Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by � .��,� Date 2 —
Plans approved by Date _Q 1krV
Other:
Copy—DPW
r
91
91
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. �/ C
(It
� —• a l�
ASSESSOR PARCEL NUMBER
58-24-14
ZONING
TM5
BUILDING PERMIT
OWNER
Steven Sheldon
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
1st Renewal
OWNER'S MAILING ADDRESS
P.O. Box 336, Magalia
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee k of Original) $ 22.50
ARCHITECT OR ENGINEER
None
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
14609 Forest Ridge
Permit fee $ 32.50
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Magalia
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each Gas 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 W 10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work:- _1st Renewal of Permit #2632-84
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. AOD'L 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.SINGLE
/License No. Classification
Lr1a�Ex.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.� ,
ACC. BLOGS. ) �z¢sgft
NEW
CONSTR.� A MULTI -OUTLET
NO I;BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
OUTLET CIR.
Ex. OCcup�OUTLETS OR FIXTURES eAL SOC
ALa3o
FIXED APPLNS.
Occup. OUTLETS IIRESID 1REJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
`The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood , 3.00
Ventilation
it Fee �' "'
perm%:� s:.i'$
Contractor "e-
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree o save, indemnify and keep harmless the County of Butte against
all liabiliti judgments, costs, and expenses which may in any way accrue
against sa' County in consequent f the granting of this permit.
%� Date
Signature of pplicon, — 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,._-, '' I
Energy Inspection Fee
TOTAL PERMIT FEE 32.50
ocCUP.
CONST,TTPE
FLOoo
PARFEL
'-^
PD
HD
sauE
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 paid.
DIR C O47PWORK$
B Date
PERMIT EXPIRES Date -86
Receipt No. 0b / 01/1
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Ar
W co
�
O e+�
ag
a
�+ iii! Ar
f
�+ iii! Ar
`OEAMIT NO. s
PERMIT EXPIRES yr -.
ARM Stephen Sheldon
OWNER
,,CONTR.'
owner
LOCATION (A.P. 58-24-14
SW corner @ end of Larter Ln.,app.3/4 ink. W,
,f
of Coutolenc Rd., Hagalia
t't
r�
at
�. `t
r
Temp. Power P,'le
Called PG&E
'
Temp. Elect Serv. 0
Calle PG&E
Temp.- Gas Serv.
CaPled PG&E
FINALED lel
Q
(Signature)
� -
rinai ♦ 5uD aneis
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service -
Brown 1 Cooling Temp. Pole
Finish Ducts t Underground .
Interior Lath Ventilation Perm n nt '
Door Closer Final A YtS-< Final
MOBILEHOME UTILITIES - - - - - - - - - - Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHi2ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continui
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
4 ,
-
OTEen ry must ma on t is fo eac ime you vis t job site.)
lee—
17
COUNTY OF BUTTE —'DEPARTMENT OF PUBLIC WORKS �t `
BUILDING INSPECTION 'RECORD-,
BUILDING
BUILDING (Corit'd)
Setback
Firewall
Soil Piping'
Forms
/t
Parapets
' 1st Floor' -6-/— ,
Main' Bldg.-
Restroom Finish
2nd Floor
Footings -Windows
3rd Floor
Stemwall
Siding_
To out
Slab
Roof Sheathing -5 i
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
r physlcally a '
handicae
Conformance f ex. _,
structure
Final 4IL31 Im°
Appliances
Gas Piping &Test
Temp. Gas
Sanitation
Patio
'FIREPLACE
Final Ir Lr
Footings
Footing
CTRICAL
Masonry Walls
Throat
Rough 4-15
Reinf. Steel
Final Y-.-,
Fixtures
Bond Beam
FIRE SPRINKLERS-
Motors
Framina
re.• 'N
w_.__ —
rinai ♦ 5uD aneis
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service -
Brown 1 Cooling Temp. Pole
Finish Ducts t Underground .
Interior Lath Ventilation Perm n nt '
Door Closer Final A YtS-< Final
MOBILEHOME UTILITIES - - - - - - - - - - Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHi2ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continui
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
4 ,
-
OTEen ry must ma on t is fo eac ime you vis t job site.)
lee—
t
_
..� ,
_,.... _...._
,,
� e �...
�� _ _ o o �9 �
.. o p• � ' -�. �
�
,.
,
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRE JENERGY CONSERVA ION REGULATIONS
AT ,g h
loca ion)
BUILDING PERMIT N0. �Q- '7�/�� /�� F`� A P. NO.��
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:,
(Check each item.or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls 11U1A
Floors V�
Walls
Ceiling/Roof t/
Ducts
Circulating Pipes
APPROVED HEATER T
APPROVED WTR.HTR._�
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS . 1/
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS)�
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERT_QFICATE AS SUBMITTED.
Insulation Applicator Ndme
Signature of (please print)
Insulation Applicator
General Contractor/Owner Name
Signature of
General Contractor/
State Contractors
License No.
pY�' 1
State Contractor
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Calijornia 95965 - Telephone 916/534-4541
APPLICATION AND 'OERMIT
PERMIT 0.
02 Ili
ASSESSOR RCEL N MBER
RO ( q.- a
ZONING
BUILDING PERMIT
OWNER
St ►. Cr,w dati
TELEPHONE,
73-0-LYd
SO. FT. OCC. BUILDING VALUATION -
OW �jE�R'S MAILING ADDRESS
' .
_L110 te
CONTRAC OR'S NAME
TELEPHONE
CONTRACTO 'S MAILING AD R SS
CONSTRUCTION LENDER
UNKNOW.
Fireplace
-
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT ENGINEER LICENSE NO.
D��S
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEE 'S MAILING A RESS '
a2
Permit fee v
$ V1. 5C
BUILDING ADDRESS-
02 At ,+
PLUMBING PERMIT
Filing Fee 3.00
-" `/ _
e0ey�2 E -OD OF L_ 4 Te &V'71
Each Trap
2.00
Repair drainage or vent piping .
2.00
14Pp 3/ A4 Off' &UTOLC-A& rte. Ntae,�c�
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
�,/
SF LJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
N4 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: t & n =g=j-
'Zn/jj ��(/t/irL� Or— /JPS T23-79
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORLESS5.00
�
Ar PC- 1,&/q_7
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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
NEW NON •RESID R BRANCH CIRCUITS
2.50 ea
NEw CONSTR. POWER APPARATUS &++
NON•RESID. (SINGLE OUTLET CIR. 1
Ex. Occup(o TS OR FIXTURES
BAL@101
BAL@1
FIXED
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID•) EA,)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00.
Misc. Wiring
6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California. I -
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
FilingFee 3.00
Heating .
.
`Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot/.��-
Butte to enter upon the above-mentioned property for inspection purposes.
I also agreo save, indemnify and keep harmless the County of Butte against
all liabilit judgments, costs, and expenses which may in any way accrue
against s -County in consequ e of Ihe granting of this permit.
X - Date
Signature o 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 $
Land Development Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions o the Butte County Code and/or resolutions to do
wor ) dicated above for which fees have been paid.
D1 ECTOR OF PUBLIC WORKS
'<
By 2 //Date c ACU 810
PERMIT EXPIRES Date /�25- 9/
Receipt No. I�� / ��
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
du'" " re esentetives or me county or butte to enter upon the
above -men'' ed property for inspection purposes.
X Date
gnau of Permiteeppor Agent
Receipt No. 01 0
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
IRECTOR PUBLIC WORKS
Zoo
, Date
rmit expires Date ,3�gQ,<y�0
BUILDING
Owner --T 7—
SQ. FT. OCC. BUILDING VALUA ON
Mai I i ng Address
G� i 4S
Telephone No.
, v2�1 D
Contractor (5
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address C
Plan Checking Fee &/or Penalty
Permit Fee l e
,
�pv o
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. �
"'
uy
Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FZ-v<
weC.
Saai•tatterr
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
eve- )e/ 0 -?3" :?
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5•��
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service/ EA. ADD'L 100 AMP 1.00
OR ADDNS. ACCNEW CONST.LBLOGS.LING CCUP. 4) 20sgft
C
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 le of:
y
NEW RESID,BRANCH CIR T
NEW I CONSTR. 1 BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 6
NON.RESID. _SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXT11RES BAL@1
Ex. Occu FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
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 $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
V IQ
du'" " re esentetives or me county or butte to enter upon the
above -men'' ed property for inspection purposes.
X Date
gnau of Permiteeppor Agent
Receipt No. 01 0
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
IRECTOR PUBLIC WORKS
Zoo
, Date
rmit expires Date ,3�gQ,<y�0
_ COUNTY 0r BUTrrfi — DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive proviIle, California 95965
Telephone: 534-4541
�= APPLICATION AND PERMIT
`^U i�cN� JcnlaUves DI the County of Butte to enter upon the
above-mentio d property for inspection purposes.
X Date 9
gn a of Permitee or Agent
Receipt No. I lO &K 7 r•
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have bee paid.
DIRECTOR F UBLIC WORKS
By Date X— zo '7
Bolding permit expires Date -3-?23-7
BUILDING
Owner— S ��"L,�®�
SQ. FT. OCC. BUILDING VALUATION
Mailing AddressIP-10. _? (P`
�
A C4L�
hone No.
"off ®
Ud
Fireplace
Contractor —
Total Valuation
Mai ling Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Gdcn, ti(h
Each Trap 1.50 2
Q( l J A.
Repair drainage or vent piping 1.50
;Obrg an
Water piping 1.50 i
Each gas water heater or vent 1.50
A. P. No.
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F' < W. a i ire Dept. Fire Zone Use Permit
EQA Parking Parcel parcel Ma 60' R/W Im rovements
Plans Declaration P
Building sewer 5.00
Lawn sprinkler system 2.00
Bldg,s Recd
Parce pproval
tans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 100 AMP OROR SLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00NEW
CONST. D W� , u
LING 0
&) 2¢Sgft
OR ADDNS. ( ACCLBLS.27
NEW CONSTR. MULTI -OU T
NON -REST D'2.50ea
NEW CON5TR. /POWER APPARATUS &)
NON.RESID, (SINGLE OUTLET CIR,
/s
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State os California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BAL@2 109
FIXED ALNS.
Ex. Occup.(OUTLETSP(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Z
$Q
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ 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 em
p to an employ y 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 Z
Hood 2.00 —
Permit Fee tm
$
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
.ti
4-,A
TOTAL PERMIT FEE
�� 3m
`^U i�cN� JcnlaUves DI the County of Butte to enter upon the
above-mentio d property for inspection purposes.
X Date 9
gn a of Permitee or Agent
Receipt No. I lO &K 7 r•
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have bee paid.
DIRECTOR F UBLIC WORKS
By Date X— zo '7
Bolding permit expires Date -3-?23-7
RESIDENTIAL PLAN CHECKING GUIDE
TS - .
(S.F., DUPLEX, `& MISC: ONLY)
x Bldg. Permit #
OWNER
A. GENERAL
Zoning requirements (sideyards and parking).
Valuation. '
Signature by R.C.E. or Architect (if required).
L0T PLAN
l.. Complete parcel size and dimensions
2. Setbacks, sideyards, easements,. etc.
t_3.' Other buildings or structures.
4. Grading, fills, drainage.
A. P. #
FLOOR FLAN
Complete to scale plan with dimensions.
. Required windows for light and ventilation (Sec. 1405).
3. Required windows for second exit (Sec. 1404)..
4. Allowable glazing for energy requirements,(20% max. per.State law). '
J3� Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec, -1407).
G.F.C.I.'s.in baths and exterior outlets (Sec. 210-8).
Light--f-fixtures, %w tches, receptaeles, f
mecharrbcwt-"eq ipment .
e9! Locations of water heater, heati•ng-&-e�eol-ing-equ pment-,— th-e-r--electr c-a=l=or-gas°
� equipment; -and,-plumbing, f tu,rpe. i
CEJ Garage firewall, door size, and closer (Sec. 503(d)(4)).
jl! .1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS !
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
oof construction details complete enough'to construct building.
"j' eplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISC LLANEOUS ITEMS TO LOOK OUT FOR
CX plywood on exposed locations and overhangs.
�airway details (Sec. 3305). '
ardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
9.. Adequate bracing.
1 Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
1 . Two (2) exits on three-story dwellings (Sec. 3302).
i
j
i
Stephen and Gwen Sheldon
P. O. Boxj 336
Magalia, Ca. 95954
J. Glander
Department of Public Works
County of Butte, California
Dear Mr. Glander:
In reference to building permit application #;823-78 (Ap 58-24-14),
the mobile home installed on this property (zoned'TM-5) is temporary to
enable us to live on the property to build the house. As soon as the
house can be occupied we will remove the mobile home and its utilities.
Please consider our permit application with this informationQin mind.
Sincerely,;
i� .
Stephen H. heldon
Gwen J. Sheldon
-
f/7/y/7- C,,�2s
i
PERMIT NO. 19%—%%P ,E
PERMIT EXPIRES
OWNER Stephen H. Sheldon
CONTR. owner
LOCATION (A.P. 58-24-14
SW cor..@ end of Larter Ln.,app.3/4 mi.N.of
Coutelenc Rd., Magalia
i
b,
J>
I
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E 54V 77 Q%u
Temp. Gas Serv.
Called PG&E
t/JO B
FINALED 10 28� % 7
(Date)
(Signal'
J
V
INSTALLATION INSPFCTION CHECK ,L,IST �
1. Is the mobilehomt located w1.t .equired separation from lot lines and buildings and generally
conform to plot plan? -Yc?> No
2, Does the inobil.ehome have require -d clearances above ground? (Sec.5085) Yes L-1
3. Are foot"in,s and supports properly sized, spaced, and braced as�pe pproved plans? (Note
possible variation at spring shackles.) (Sec..5082 & 5083) Yes-- No
4. Is the mobilehome level.? (Sec. 5088) Yes J/ No -
5. If more than a'single unit, are crossover connections properly, installed? (Sec. 5088)
Yes No
5. Water
A. Is flex�e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 4- No_
C. Backflow - If coach is not Sta2-V
l' or is approved, does station have backflow device
and pressure -relief valve? Yes
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Y No
B. Does it have minimum ," per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3- ons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of Calif`Via, esstation have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobs ome gas line inlet without reductions other than the mobilehome.
connector. Yes_ No
B. Test OK as per following procedure? Yes to tdo
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer 'to 10"-14" water column, or test with' slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop. '
4. Connect: gas meter to mobilehome with connector, turn, on gas, test connections with
soupy. water.
C. Are all appliance vents properly installed? Yes /.No
a
9.. Electrical.,
A. Is service large enolrgil. t0.". P170Vidc ;adeduat_ amperage to mobilehome. (must equal rating" of
mobilehome iiitk a ::iinii::um. of IPO amp) arid•'other faciliti_c!s on lot, i.e., water pumps,
g rate, cabana, eta.: Yes r, -"N o
B. Is therr� proper clearances around panels? Yes !/ No
C. Is power supply cord or feeder assembly properly fused? Yes_ No_
D. Is continuity test satisfactory as per the following procedure-.? Yes L,//No--
1.
/No__1. De -energize electrical-ui.ring syst_eri of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one Ic-ad of a test instrument to the mobilehome grounding conductor and
appy tale oi-her lead to each rI101 "EflOule Supply cOf-1 . tor, iliCliiuliig YiellLrdt.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of: Y_he above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te;;t shall then be made between the grounding electrode and the chassis of the
1110bilehome. Upon satisfactory completion of the cl.ectrical tests, the lot or site
service equipment- may be approved for energizing.
T,> job card si ned by health Department for water and sanitation?
if everything okay, sign off card and tag- s:.rvices.
MOBTLI;iMME•'_DATA % v/ / C�i�✓/��4�/ '
Manufacturer and/or Namest:yle
Length Width
Vehicle Serial No.
State Identification Igo.
D. dct i t ional Inform t i on or C OMm-ent s :
Q
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number ��— 1. for the following location:
Owner /'7 f 1. 77
Owner's Address �� ✓1�1 ��:�- '�
t
Mobilehome Mfg. Model Year
Insignia No. 17S79,�Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date D ��� �. l By UUA .
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
o;�
BUILDING
BUILDING (Cont,d)
PLUMBING
Setback
Firewall %
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation 3Lag
Patio
FIR LACE
Final ii L 7'j
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SP INKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
ME HANICAL
Grd. Fault trot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final /0 7 IA7:9 �l
DATE
REMARKS OR CORRECTIONS,
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� 31��
r COUNTY OF BUTTE — =DEPARTMENT OF PUBLIC WORKS
.7 County Center Drive --Urdville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
� s
Date /
i nature P it e o A ent
Z
Receip o.
White-D.P.W. — Yelloll Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OOUBLIC WORKS
BY Date_ 3-7- I
Building permit expires Date 7— %� ?�
BUILDING
Owner
o .J
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace ,
6
Contractor S 50"vopTotal
Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
S'
lephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Cif I—
Each Trap 1.50
P_ eq P- }�,�i /iATL
Repair drainage or vent piping 1.50
Water piping 1.50
Co�fTec�
i 1,d, 0 F /-,R,'7 J.A, I 9,PPI-b x TOO 'K/. 0 Rd
Each gas water heater or vent 1.50
A. P. No. S $� - Z, - ! 4
Zoning & PlanningGas
piping system 1 - 5 outlets 1.50
f
Each additional outlet .30
Fs
&anrtation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I ParcelLawn
Declaration
I Parcel Map
60' R/W
Improvements
sprinkler system 2.00
Bldg. Plans Recce//
Parcel Apo�
Pla pprovol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
6 /- A6!ti[ 7-
Main service 600 AMP LOR ESS 5.00
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 1100 AMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ( DWELLING ACC. BLDGS.CCUP. &) 2¢syft
NFW CONSTR. MOLT LOUT LET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON•RESI D. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: a
S?
Ex. Occup (OUTLETS OR FIXTURES) @@1
BAL 2r
EX. QCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
n
License No.�3?27/ y Classification (241Misc.
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 $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE.
$ oc
z�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
� s
Date /
i nature P it e o A ent
Z
Receip o.
White-D.P.W. — Yelloll Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OOUBLIC WORKS
BY Date_ 3-7- I
Building permit expires Date 7— %� ?�
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7. Courity' Center Drive, Orodille, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: o S'fi��ao
2. Installer's name: �,4,Q��o �,�, C�ia�r✓D/C'
3. Is the site currently under permit?. Yes -7_;C7_ No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes'/ / No
(If yes, furnish tiao' (2) 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? -------------- ------ )� n ps
6. What is the mobilehome site service rating? --------------- Amps
P
7. What is the mobilehome site circuit breaker rating? -------------fps
8: m
Is there any'other electric load to be served by the mobilehoe
site service? --------------------------------------------------- - Yes / / No.7-7;�r
(If yes, identify the load and size: (Load)' (Amps)
9. What.is the mobilehome site'gas pipe s,ize?---------------------- '(in,)
10. What is the type of gas service? ------------------------------ Natural / / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.).
12. What is the mobilehome gas demand? ---------------------------- .(B -T7)
(This information not required if pipe length less than 6 ft. on natural gas
or less than;`SQ?`ft . on LPG.)
N' aA0
(
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. �J/�r�, p Setup Model No.g`�?`5 Years
Width _(ft.) Length l C) (ft.) Expando Size ft.x ft.
(Draw support details below)
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 Butte).
le —
*If center piers are other than drawn above,
draw in locations, spacing, and.dimensions.
Footings--(check.-one)
. Wood either
pressure treated or
fdn. grade.
Ll 2. Concrete pad.
/ / 3. Other,: specify
Supports (check one)
'ELI. Concrete block
2. Concrete piers
T 3. Steel piers
4. Other, specify
Typical Support
Footing Size
Max. Pier
Spacing
Max.
Overhang
BUTTE COUNTY
B.UILD[NG DEPARTMENT
APPROVED
V r _ �•
` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
1 .7 County Center Driver'- 0*6ville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ouL "or ze representatives UI the County OT Butte to enter upon the
above-ment'oned property for inspection purposes.
X 41 Date
Sign ure of Permitee or Agent
Receipt No. /J-6 *q13
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT OF PUBLIC WORKS
BY - Date l k
permit expires Date _ 4z,?— ? c9
BUILDING f IF
OwnerSQ.
FT. OCC. BUILDING VALUATION
Mailing Address ®u /H045 A7. I-
Telephone No.
Fireplace
Contractor on I
Total Valuation
Mai I i ng Address �AV/e
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
permit Fee
Building Address/1A)PLUMBING
vrve A? 7-/7 -e- ,E�vc1
No. @ FEE
PERMIT FILING FEE 1$3.00 ,Da
D .L A v%✓ L �/�
Each Trap 1.50
/
/� • d c. Pd
Repair drainage or.vent piping 1.50
4A �nb9LV64ficafj9n
Water piping e50 0
b • f�
Each gas water heater or vent 1.50
_ 7 7
A. P. No -- Z y 7 n a ^s
Gas piping system 1 - 5 outlets 140 /0-0c
$ 33 QC
Each additional outlet .30
e
Ski tion
Fire Dept.
Fire Zone Use Permit
Building sewer 6!60 d. O
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
6
ImprovementsLawn
sprinkler system 2.00
Permit Fee $ 33, as
Bldg. Plans Recd
Par royal
Plans royal
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE 1$3.00 3,00
V OR L
Main service is°o AMP ORSLESS 1 5.00 S,®O
Main service EA. ADD'L 100 AMP 2.50 "Q
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP, &
OR ADDNS. ( ACC. BLDGS. ) 20sgft
NEW CONSTR MULTI -OUTLET
NON.RESID, BRANCH CIRCUITS) 12.50ea
NEW CON STR (POWER APPARATUS &
NON -R ESID. SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am lidensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
.
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occu FIXED APPLNS, OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 1S; (7
License No. Classification
Misc. Wiring 6.25
10 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ .2-5--so-
2-S'•j0MECHANICAL
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
I to
ermit is issued I shall not em
p employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICALNo. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
j/c? veLp ecV- c
0C
TOTAL PERMIT FEE
$ ?37sb
ouL "or ze representatives UI the County OT Butte to enter upon the
above-ment'oned property for inspection purposes.
X 41 Date
Sign ure of Permitee or Agent
Receipt No. /J-6 *q13
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT OF PUBLIC WORKS
BY - Date l k
permit expires Date _ 4z,?— ? c9
This et of plans as J MUST he +
ken+ n-, the iab at all times a+nd it'"w�" +0
-n-» v chances or altPr*� %nns on some without NOTE:—All Materials & Workmanshi Shall B
m " Accordance with Recognized Good Practices
written permission from the Department of Public
Works, County 64' Butte. of a quality prescribed for the Specified use in
Uniform Building, Plumbing & Mechanical Codes
the National Electrical- Code.
�er
Go}`oA
oe
--
-
QP§lo s�fiy� . N
.gUu�ce0e
-
v,
aired {Or }he
- . . _...
,N;11
b �q b;lehpme'
CP
ID
Ib
- - T-- -Aff
•.Ioc
utilit c � �
Y cin;..coons shall be p
ted. wifhin.,4• =ft. outside the
Air
- - on tie
rev`,
1 section of the mobile home
left -(road) -side of the mobile
®`
trn
.
- -
:The_ . Setback sh��i. l i#; -from the
side property line
m urns#; b ut Beni u ely
Of -all easements.
- - - -
- - .A
Ae Qa Iti.
BUTTE COI 1h!TY
BUILDING DFP .4 a T
�p .9s, - t4
APPROVED
Recorded at the, requelf of-, 12.3 12 800K 1344 PAr,183
N08THWESTEHN TITLE CO.MH ANY RECORDED AT THE REQUEST OF
...............................................................
i—Ll4RTHWESTERN TITLE COMPANY
Refum to
i, TIII,
..r
n o'de<►
*„",M^ li , OFFICIAL RrCOZDS OF
' 3_ •„ ..19520...Carstialit4..SL............................
BUTTS COUNTY, CALIFORNIA
�r�y Coenna�...Cxillf.ornLa.. BTWjL M, ESTE Cove Raor1«
.l 00 o[Purr A[coao["
Escrow No. ..by?fl•P............ F2..
No. 8-10-41
y•, ? Grant Deed (Joint Tenancy)
Foi value received ESTHER M. GLENN, a widow
•,. ^•�'� GRANT....... to EDWIN R. PETERSON, SR. and JOYCE 0. PETERSON. his wife
xnil7';ti'..�.
as JOINT TENANTS all that real property situate in the
County of Butte , Slate of California, described as follows,
Being a portton-of the Northwest quarter of the Northwest quarter.
' Of Stotion 19, Township 23 North, Range 4 East, M.D.B. &M., and
Y
,. *robe particularly described as follows:
-i C0?CV= THG at the Northwest corner of said Section 19; the along
the Mast line of said Section South 00° 561 07” West, 988.50 feet
'
-to the true, point of beginning for the parcel horsin described;
,thence from said true point of beginning, North 89" 291 53" East,
'. :330.63 feet to the 9iuthwest corner of a parcel of land described.
;in a Dead from Esther M. Glenn to Lowell R. Larter, at ux, recorded
October, 14, 1963 in Book 1275 of Butte County Official Records, at
Page 366; thence S.)uth 00' 571 33" `•lest 321.50 feet to a point in
4 the South line of a parcel of land described Ln a Deed from Joseph
`a •Sehanone, at al to Tether M. Glenn, recorded May 2?. 1)62 in 'tiook
r 1192 of Butte County Official Records, at pave 659; thence -South 89"
+. ~_291 36" West along the South line thoreof, 330.50 feet to the West
'14ne of said Section 19; thence slonr--,said west line, North 00' 56'
07" East 329.50 feet to the true,.point.Qf beginning.
RESLMVING•TH:]iEPR)M'a non-exclusive easement for road purposes and
publia utility purposes over the North 60.00 feet of the Seat 30.00
`N, 'feet of said parcel.
TOiEPH�M WITH a non-exclusive easenent for road purposes and 'public
utility purposes. over s strip of land o0.GO feet in width, lying 30.00
fejt on either side of a line bepinnLne, at a point in the East line
of the above desoribed parcel, which point lies S •uth 00' 571 33" -est
60.00 feet froth'tha northeast corner thereof; thence from said true
point or'baginning, North 00' 57' 73 [Jest, 389.50 feet; theno•
North 89. 30' 10" hast, 962.32 feet to a point 30.00 feet Beat 'of the
• • East ltn• of sold�Northwest quarter of the Northwest quart�ir of Section
19'; thence' parallel -with said East line South 01' 011 52" hest,' 1220.39
feet to Coutlolene Road. ,
n'
:- . err • ,. + r,-.
Dared ...... D.c•tober.:.22:,...1.964......... 19..........
.................................... .................................................
Ea er'M. dienn
......................................................................................................................................................................... .
VAR OF CMI/ORMA„
......_....................... Co.WV .1 ........... Butte. ................ _................ _......
� �
r oe.._..... Dntabar__.29.,......................................... to::..64, boo,- nw...... the .... unde.rsigne.d.... ............ Moon ruWh
to sits for saw cotter aha ser,.. wr.anaIN appeo—I .............Esther.........Glanrl.........:.... .............. _...................
--_..._._._�__._._....
..............
_....
...........
....................
_...................... _......... ................. ......... ......._................ ................................................................. ....._...........................
,.
'no - tt M we N M Lha _.�_Wb.fdbod o nr wtthln Init-nti ltY wl.de.a to me that ..A he .... "!yw
FAULA D. WILSON L�J,a�.E:e� / r 7
Oon.d..ton o.Wto... .0#0TART ►.. 'C.......... ` �.G,.: ........
�.....
sURf COUNTY, "'Dn'^' ^'e1c
My commission expires October 1 1967
Nort was t=-ompany of Butte County 87121
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following Items:
Shop drawings Prints Plans J�J Samples, t] Specifications
Change order
Copy of' letter
----- - -_osaCw/r,/On045
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THESE ARE TRANSMITTED as checked
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Approved
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for distribution
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R�� r �
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|] Ro�urR ______
corrected prints-
~ (� For, review and comment
[] [:OR BIDS DUE_____-'
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PRINTS RETURNED
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