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Home My WebLink About065-530-023T ,h a- r, Eugene_ Browning i - E/S Coutolenc Rd., 2rmi.N.of Doon �Grade Rd., Magalia r" contr: Aicel Ballard, Paradise + Permit #6634-79B,P1 //�E,M(neejw sinnggle�//% y ` ' family) f I + 4 065-530-023 • , 04-0803. ? RICHARDSON, ROBERT 15192 COUTOLENC RD, MAGALIA ,. Cont: OWNER ' ELE FOR KILN 065-530=023'• 05-3207 RIC HARD- SON, ROBERT 15192 COU TOLENC, MAGALIA` Cont:.REMODLERS INC aow --REMODEL BTHRM -' B07-0810 5-530-0.23,; '�;. MISCELLANEOUS{Zoo n- ry ADDITION: D 15192 COy'� } Yx: a RICH OCABL-EIVvTRUS7 " r T '.v LCI3 1 c+? Butte County Department of Development Services. euTrf, "R� N ® T E S 7 County Center Drive, Oroville, CA 95965` (530) 538-7601 www.buttecountyngVOIS eeOUN�y. RESIDENTIAL APN: Permit No. r 065-530-023 05-320 7"� Owner, i RICHARDSON, ROBERT 15192 COUTOLENC, MAGALIA Site Address' Cont: REMODLERS INC + r Contractor. REMODEL BTHRM Type of Permit: - +a 1 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE rug=rrrcn ay. DATE JOB FINALED: `� I SIGNATURE: OK Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test -Demand -Valve -Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp wl5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pn1boards4risultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide °' Pool Drawing t = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wt r; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth tr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel -Flet Grnd Ftg Dpth. WV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth ' 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test I Z' 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 ASC Ducts Insulin & Support _ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Crippies r67 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic mac` 1" c DATE IFRAMING 17 S' roper Materials & Anchrs Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Being Walls over Girders & fir Nailing %201 t -Stop in Walls (rat proof) Mr tops, Furred Ceilings -Stairs -Chasers -Tubs s & Beams-Sz & Bearing angers -Post Caps-Anchrs-Cnnctns ening Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 St Lath -Weep Screed-Fndtri Vnts-Undrflr Acc azing Area -Glass P rtctn-SkyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 Infiltration-Walls-Wndws (2 g --OE s f1Ao _S' DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 611t—lec Rcptcls Spacing-Lts & Switches at Doors 42l.—Boxes & No Of Cndctrs Stapled ex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or --IAL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ea ❑ CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clo�es Closet Lt-Shwr LtSpa Lt 'Smoke Detector 12-5-05- ralb S• o` FINAL _3 Steps -Door & SideLt Prtctn-Landings .6Z34noke Detector _I& +truce Vnts-Clrnc-Comb, Air-Cnnctr n1 Garage; abv-flr-Ducts-Mech Prtctn -4. oom Exiting _ 7JYGFI & B*r*xtrs & Tirt� _.�1-�FF�lraFault 42 glee Ti .,,-& Subpnl, Breaker Szs & Labels __Z3-Ska , �Iard/Handrails _love, Clrnc-Hearth _4TIec U lets at Wood Pnl, Int & Ext .-i6-KtctM-,7xtr & Appinc; Grnd-Air-Gap-Cooking Cimc _ T'4_ -Atl is & Rcptcls at Ktchn Counter _78-Oarage Fire Door; Swing -Landing -Closure Duct in Garage -Damper -$9-Wb-H#; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Me Prtctn; LPG Appince Undr House 3" drain Imb; Elec & Mech Eqp Listed for Loctn a2 E1er Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic .>i4-6Nacd Rails & Deck Cnstrctn-Post Caps X35-F"dn-Vnts & Crawl Hole Door Drnge & Wood -Earth 86-etrrm Drnge Planters ❑Yes ❑No -8T-StUMb Brown -Finish _88-AeUnit Dscnnct, Elec-Pimb _ 89-Vrrtr- v Roof, Plmb-Appinc-Frpic-Clrnc to Opngs WVDscnnct, Elec, Plmb ec Trim, GFI Rcptcl-Undrgrnd thru House _ s Prtctn _t 941corrections from previous Inspctns '95-63s Test -Meters Tagged, Gas-Elec _96'VM & Sewer Cnnctd-C/O to grade -HD Apprvl _'97'Energy Cmpinc Cert -Other Certs §T=dresS Posted _fie Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (536) 538-7541 PERMIT NO. BP053207- B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/05/2005 APN: 065-530-023-000 the Business and Professions Code, and my license is in full force and effect. �3 1 S a g Site Address: 15192 COUTOLENC RD MAG _F13 License Class��1 License Number: t'2 5 oS Ae mod r? (0 Vs 1 n c- Map Index: Date: Contractor: Description: REMODEL BATHROOM 68 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or -county which requires a Owner: RICHARDSON ROBERT K & VICTORIA F permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of P O BOX 839 the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner.of the property, or my employees with wages as their sole compensation, will do the work, and the structure' is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: REMODLERS INC., THE owner of property who builds or improves, thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PO BOX 899 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of FOREST RANCH, CA 95948-0899 proving that he or she did not build or improve for the purpose of. 530-893-4741 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed Contractor: REMODLERS INC., THE pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 899 FOREST RANCH, CA 95948-0899 Date: owner: 530-893-4741 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License M 813508 ❑ 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. Architect: I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: •f jru.., d Carrier: ✓-ty �— 7 13-00 12 `� cl _ a 3 Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l� ' S ' D S Date: Applicant: A G_ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' hereby issued under applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resolution to do work indicated _.S for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: l B o� �� Name: PE IT EXPIRES ON: Address: (Date) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I•hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the.above mentioned property for inspection purposes. J - A- L 14D uae R �' V JA, Print Name: r "t.C'N ► t Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 a BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION L1,5— �n 61 AND SUBMITTAL REQUIREMENTS' 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY* OWNER Last Namer Firs Name 'V tC kyr I k t C- I/L (L v- c( 5 0 /-) 0 be Address i s -� D'L' iJ t e ViC City PA u ek I t rn.. State e+ I Zip S� Phone9-30 � .� � � � S Fax _ E-mail CONTRACTOR p Name il'f w D Ct L D rG l Vl C Address 17 6) 0 X g City li0 rc S + Q n G State C 4 Zip qS_�qL Phone "3 , rhe Fax PDQ $ I I _ Sq't 5 E-mailI. r^C 4%bo . Li lac.# �� 3 �(7� C a_ rw.w. � APPLICANT NAME ARCHITECT/ENGINEER Name N Address —7'pL pt �� City State Zip Phone Fax E mail State License Number APPLICANT NAME Name k&VV1 o c(e Ulrf rl L Address . D O M q City (,0 V-tj G �^ State C A— —7'pL pt �� .�1 Phoney,,) FS 13 -11 q I Fax ,;., D) g ol E-mail APPLICANT SIGNATURE X k k_' SMD For office use only: Zoning Pro erty Address t � qZ Flood Zone Cross Street n n to e, SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# Pro erty Address t � qZ Cit Cross Street n n to e, WORKER'S COMPENSATION Policy Number Carrier S ��k "( If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address �— Description or Scope of Work: ►3 eL tt1_ r- 0 o i''t? VK o 0( a,( f u m 67 Sq. Footage . ❑ Structure Built without ermits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I Received by: Amount: ' /. " Bldg I I Receipt #: 1.114_—;u SRA Sheriff C SMIP Other Date: J, 7,2-5 W S �. Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 NOTES; ' RESIDENTIAL PERMIT NO 065-530-023 RICHARDSON, ROBERT 04-0803 151.92 COUTQLENC RD, MAGALIA - Cont: OWNER' ` ELE FOR KILN -t. L n if ji 4' f i 7, e ' L f. 1• SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER a .JOB FIN AILED (Date) 3 i Signature CHECKED BY I) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040803 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 03/23/2004 APN: 065-530-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 15192 COUTOLENC RD MAG Date: Contractor: Map index: Description: 50 AMP CIRCUIT & EXHAUST FAN FOR KILN p - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 ' Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: . RICHARDSON ROBERT K &VICTORIA F to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 839 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RICHARDSON ROBERT K &VICTORIA F such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with t licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article/33 off the Business and Professions Code 4W12±Owner: Date: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code' 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. Date: �J Applicant: U WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is reby is u u er he ap lic le provisions of the Butte Coun)y Code and r I hereby affirm that there is a construction lending agency for the Resol ion t do w ich ee a been paid. O performance of the work for which this permit is issued (Sec 3097 Civ.) �� Name: By: Dat PERMIT EXPIRES ON: D e Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction.. I acknowledge it is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. / PrintName: Signature: Date: 2.3 /a,,& 1fd Owner LIContractor ❑ Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK . = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected B. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s _ 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftp. -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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle _ 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: X BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040803 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/23/2004 APN: 065-530-023-000 the Business and Professions Code, and my license is in full force and effect. License Class; License Number: Site Address: 15192 COUTOLENC RD MAG Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: 50 AMP CIRCUIT & EXHAUST FAN FOR KILN Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: RICHARDSON ROBERT K & VICTORIA F to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 839 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RICHARDSON ROBERT K & VICTORIA F such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article33 of the Business and Professions Code Date: 3 23 Zof Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: 9 insurance carrier and policy number are: Carrier. Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. Date: �� y / d __ - A �!* 3 �� U Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is Aeby is u u e he ap lic ble provisions of the Butte CounW Code and r I hereby affirm that there is a construction lending agency for the Resol iun t do r w ich ee a boen paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �� O Name: BY Dat PERMIT EXPIRES ON: (L)We) Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: NUl�" k �C /1I Signature: Date: Vd Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. DATE: / /) APN: &67_ �✓'/) -() (FI ZONING: O ER' LAST NAME: Advi�o 111% - - OWNE✓Rf'S T E: I ? F- , PHONE: STREET ADDRES FAX CITY, ZIP: E-MAIL: SITE ADDRESS: CITY. ZIP: �/'� // / eg NEAREST CROSS STREET: TRACTILOT #: APPLICANT NAME: PHONE: STREET ADDRESS: FAX CRY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E -MAIL - DESCRIPTION OR SCOP OF WO K: - ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date:ff — Receipt number: �/�� 2� /) Amount Receiveq0 Ile Tel: 925-973-4226 Fax: 925-973-4160 16 Oct 02 To: Ms. Tammy Powe F4 sc NO 3 Q S 3 8 Z 140 From : Robert Richardson 2t ��-: T, Subj: AN 065-530-023 - Copies of microfiche drawings Swla�..Y►S*r: 6.n' �( Hello Tammy, Following our telephone conversation, I did the following: • Again went to the web page for Calif Professional Engrs - I found a civil and a mechanical engineer with the license number you gave me - the civil is cancelled, the mechanical is delinquent. The civil has the same name that Tammy Holt gave me from the drawings (Rolla Beryl Boughan). I could not find a listing for the name you gave me ( John Maciejunes). • Tried to find the manufacturer (RPG Manufacturing Inc.). They were not on the internet, under RPG Manufacturing Inc. or carousel houses. Telephone Information has no listing for them in Portland. Since the house was built 20 years ago, the company may be out of business. It appears that the engineer was civil engineer Rolla Boughan (her name is on the drawings, and the drawings are structural, not mechanical), and that the manufacturer is probably out of business (at least not in business under the. same name in Portland). We would like copies of your drawings of our house. I hope we have provided enough information for you to release them. If not, please let me know what else I can do. Thank you, X��e 4&01� Enclosures / • Search Results for Professional engineers 10/16/02 2� • "Cancelled" Status Definition 3 • Filled -out Affidavit requesting duplication of plans 4- • Copy of our letter to Tammy Holt 18 Sept 02 .�.Ei IYj License Holders : Search Results for Professional Engineers The information on this page is updated five days a week (Monday - Friday). To see all the information for a licensee, click on the highlighted name. Name Type Number Status Address BOUGHAN C 20540 CANCELLED P O BOX ROLLA 8063 BERYL VINLAND M 20540 DELINQUENT 1266 SO STEVEN MARSHALL JOEL Records 1 to 2 First Previous Page 1 of 1 '54/c 1-'/j) City Zip County Actions? PORTLAND 97207 OUT OF No STATE LAKEWOOD 80232 OUT OF No STATE Disclaimer All information provided by the Department of Consumer. Affairs on this web page, and on its other web pages and internet sites, is made available to provide immediate access for the convenience of interested persons. While the Department believes the information to be reliable, human or mechanical error remains a possibi lity, as does delay in the posting or updati ng of information. Therefore, the Department makes no guarantee as to the accuracy, completeness, timeliness, currency, or correct sequencing of the information. Neither the D epartment, nor any of the sources of the information, shall be responsible for any e rrors or omissions, or for the use or re sults obtained from the use of this information. Other spe cific cautionary notice s may be included on other web pages maintained by the Department. All access to and use of this w eb page and any other web page or internet site of the Department is governed by the Disclaimers and Conditions f or Access and Use as set forth at California Department of Consumer Affairs' Disclaimer Information and Use Information. Back;' Return to Main License Listing http://www2.dca.ca.gov/pls/wllpub/WLLQRYNA$LCEV2.ActionQuery 10/16/2002 Status Definition The license has been delinquent for more than th ree years. The right to practice has expired. Please Note: There is currently no inactive status for engineering or land surveying licenses; therefore, some licensees choose to allow their licenses to expire. 0 o .. o 11 02 10:29a �P AFFIDAVIT REQUESTING D UPLICA TION OF PLANS (California Health and Safety Code Section 19851) The official copy of the building plans may not be duplicated without M6= pernission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for Orr-MUra,LeNc ,2D, Permit Number - and the building known as Mq G c.. A (Raidmcc or Bush= Name) I am aware of the following three provisions of the Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the. plans, specifications, reports, or documents'was-not also approximate cause of the damage. Current Building Owner: K,O a t Design Professional of Record: RIV LI. d I✓ uG N�fN Signature of person requesting copies: Printed or typed name of person requesting copies: A P- 75o rel Date: Address: 1 �l9 [�,�t�TOLP�lc,T ! %� �t19; 39 ,4 44 4-1-4 Reason for requesting duplicated set of plans: �J SrA4 dz For Building Department Use 0 Owner Permission received - Date Sent: O Professional Permission received - Date Sent: Receipt Number: DateReceiver DateReceiveiL �,Ucct4� 15192 Coutolenc Rd. Magalia, CA 95954 18 September 2002 Ms. Tammy Holt Butte County Building Division Department of Development Services 7 County Center Drive Oroville, California 95965 Fax: 530 538-2140 Ref: Assessor's Number 65-530-023 Dear Ms. Holt: On Monday, you found in your files microfiche drawings of our house at 15192 Coutolenc Rd. in Magalia. Since the drawings had an engineer's (Rolla Boughan) stamp, you asked us to get the engineer's permission to. release the drawings. The attached sheet from the California Board for Professional Engineers and Land Surveyors' web site shows that the engineer's license is CANCELED. We understand that the cancellation of the license permits you to release the drawings. We would like to pick up copies of the drawings at your office next Monday, Sept. 23. We will pay the $23.00 fee. If you would like to contact us, our contact information is: Telephone: 925-973-4226 Email: vfrrkr96@aol.com Thank you for your help. Yours truly, Robert and Victoria Richardson OA �C? ilz /� !� }PERMIT N0.6634-79B,P �E,M ` PERMIT EXPIRES Eugene Browning OWNER S£ � • C-IONTFi. - Ancel Ballard Paradise 4,e aticlv�f^ /�J AcG• S.7✓� 58-48-23 ' LOCATION (A.P. ) C I ��r 1J�G� -colt 70 )F4-5G a 7G At.,-7� E/S Coutolenc Rd., z mi.N.of Doon Grade Rd., ,Cui 74 �O(Ad£ �o L£rii/t��T� yob Magal is /loo p 41i #44 r I `ZOfI e� /�Ii j Lt78�G fs � apo-IS i + R' 4►� #�r�, ~ � 77 F 4 �°' ✓ •, /s(I G%El l Gfdt �// � .iAr 7 ` • ! '�I� < .,;;-�} ...I7 ' •'``°'� '"� 1 ry'►.>" � ' '` �5c �„ ,/o' E6CPf12 �1J�c �/ 1` i°�:' x'� �,�`.�. wx` ,�..�y `• �: � i .��.. i/ yam, !'C �Q�F • '�� - - .- <�- w UV� I",� Gfr'<4 limit �f 4 4 '41C e OIL vsr � � • • �F ` .s Temp. PowerPole 'I. CalledPG&E rl` �/fCO u.AI £CI'� Temp. E,I�ec. Serv. _ �, �i �� "`r • -• Cal,led PG&E 7S /NsiCrd .r dc//s i'df Com/ .. Tempt: Gas Serv. Called. PG&E Ale I'o INALED_• / a (Date) L V,., dc i3d��!/��✓ C�ia�' '.ti (Signatu �J C/) N rd�no ✓, j w J, RES IDENT IAL ENERGY CONSERVATION STANDARDS 1. CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Ce 16d/ / /i,/ '0 (location) BUILDING PERMIT NO. 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 r? Floors v' Walls r/ Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) Y CERT. &. LABELED WDS.' & SLIDING DRS. WEATHERSTRIPPED DRS. r/ BACK DAMPERED FANS ✓ INTERMITTENT IGNITION DEVICES CERT. APPLIANCES v 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 CERTIFICAT§ AS SUBMITTED. ; Insulation Applicator Name ic�x Signature of (p ease • 'nt) Insulation Applicator State Contractors License No. General, Contrac-tor/Owner Name�EU N I A) ci — ' (please print) Signature of 4 General Contractor/Owne ii Date / D State ontract. s Licen No. THIS CERT IFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. U COUNTY OF BUTTE — DEPARTMEAIT OF PUBLIC WORKS , -BUILDING INSPECTION RECORD °• BUILDING BUILDING (Cont'd) PLUMBING Setback / l 7i Firewall /—/6 — O C2,4 Soil Piping Forms Service Parapets 1st Floor Main Bldg. FlAlsh Restroom Finish 2nd Floor Footings Il / r -77 Windows 3rd Floor / C7 Stemwall -anal- I Siding To out Slab Water Piping Roof Sheathing Water Piping Piers /l 7p Roofing Sewer Garage Gas Piping Fdn. Vents Fixtures _,P0 Foot in s Stemwall t 12 i715 Garage Vents Insulation Water Htr. a Heaters Slab Carport -- 6� c Ir Prov., for ph sically ha di ed Conformance of ex. Appliances Gas PI Ing& Footings Slab Patfo Footinas 7 [REPLACE I Final Roua ICA L Bond Beam C�I 4a - FIRE SPRINKLERS Motors � — d Framing �- L_l i 1 Test I Water Htr. -7—// --Po 60 meso x MECHANICAL Grd. Fault Pro Scratch Heating Q�9 Service .. Brown7 Cooling u Temp. Pole FlAlsh Ducts Under roun< Interior Lath —" Ventilation t 4 Permanent` Do6r:Closer _ O Final -anal- I MOBILEHOME UTILITIES -------•--------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0816EUQME INS ALLTI N - - - - - - - - - - - - - - Support Elec. Continui Water Pipjng Drainage Gas Piping DATE REMARKS OR CORRECTIONS O ,�/, �/;,7 400&,v 0001'e- l Qac Yea �� Gm oc/ss R s� /l� � r XV 9Cal:�y Z caoex, Vc� 4 (� ;f d;, Yz4J1� (NOTE: An entry must be made on this form each time you visit the job site.) C144WXwF ^A.L14-LU w� 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '—' Oroville, California 95965 4J i . Telephone: 534-4541 APPLICATION AND PERMIT ILA BUILDING lyl Owner �G �� SQ. FT. OCC. BUILDING vALLTATION Mai I ing Address Telephone No. 411Dn e-� Contractor fttFh MaiIingMailing Address—ssd Building Address AIA , 1)", one A. P. No. �— Z Zonin an nI F Fire Dept. Fire Zone Use Perm t Parking Parcel EQA Plans eclaration Parcel M 60' R/W Improvemen Bldg. Plans ec'd Parce roval I Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: License No —?/% -] Classification I am exempt from the Contractors License Laws of the State of California. 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. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date d Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace - Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets "ch additional outlet Building sewer Lawn sprinkler sysiem Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP Main service OVER e00v 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 .50ea Ex. OCCUR{OUTLETS OR FIXTURES,I� a25C BAL 0 IC FIXED APLINIS Ex. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 m Permit Fee $ , 6, MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 .� Hewing /" 9.1 CJZJ ling M Ventilation Hood 1 2.001 ge,2 Permit Fee $ i $ Land Development Fee -$25--- TOTAL 25" -- TOTAL PERMIT FEE79 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. DIRECTO F PUBLIC WORKS I- By Date_%/—�� B ilding permit expires Date /%—/—L� Y :. �. ,, �� ,� '� � ., .. � �� ... r; 1` 1 �� _ I it pi 6 � I , � C Y