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Home My WebLink About066-030-023i 66-03-23 63R. Rauen / W Shaw Cir., lot 77, PPCC#1, Maga. contr: Triple "S"Custom Home B1drs,Pa Permit #301-80B,P,E,M(new single6 family) - I-/ 66-03-23 v contr: Ken Young, Paradise Permit#23 6-81B(cover over exis. deck/SF) .066-030-023,PERMIT#9 -0592 HASVIKE,James '��S�yB N, •kms f -6443-Shaw Circle; `Magalia'_,_._. Cont: Pacific Sun'Room • Add `Deck VSunroom on".Ex. Deck/SF RESIDENTIAL + 066-030-023 PERMIT#98-0592 •HASVIKE, James 6443 Shaw Circle, Magalia _ PERMIT NO.Cont: Pacific Sun Room Add Deck & Sunr`oom76ri Ex.'-Deck/SF PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION r , Temp. Power Pole Called PG&E , Temp. Elec. Service ' Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION __. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM11 NO. (Rev. 12/96) APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER 066-010-093 ZONIN0 BUILDING PERMIT ffV OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION " OWNERS MAILING ADDRESS 6443 SHAW CIRCLE MAC.A.I.I.A- 64 448.00 CONTRACTOR'S NAME PACIFIC, SJJN ]ROOM TELEPHONE 877-5901) CONTRACTORS MAKING ADDRESS PQ BOX 836 PARA-DISF- CA 95969 CONSTRUCTION LENDER - Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ 16 R -nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6443 SHAW CIRCLE Energy Plan Checking Fee $ $ MAGALIA PERMIT FEE t LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition M Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SUNROOM 8x16 and DECK EXTENSION 4x16 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee Main Service zo a oa mss 23.00 r 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.POWER License Class Lic. No. �L % 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by -section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Perone hundred dollars ($100) or less.) 9/1certify 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 comp) ith those provisions. X 4 y-- _Date i� - • )__ Signature of App icant ❑Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT;NEW r NON -R SIIDT S. AULCHTI-)CIRCOT. @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 'o Q 1'00 SAL p .s0 Cc Ex. Occup. D�Ix PM.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE s MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 123.00 HA2. D. FES IMP FLOOD7T;ARCEL PD _ HD SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �7L Q DAdT69ZOto p `7 J / Daf Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR OLDENROD-APPLICANT /'„:r-...•.'Y'1....,r-u^ir4+.4.��4:7!`it.('iir'�<Yr�^.. '•'ijr8`!y+4i:3„t'�1b-7t,..,✓;�^py;"1�'.+►kiM''+r �aT.-r...,�...y...,r•,.,...�. , --- OUNTY-01 JTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '1 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 i PERMIT APPLICATION DATA SHEET l�✓ OWNER: ASSESSOR PARCEL NUMBER: OV G " 0 36W � Proposed Building Use: Building Inspector: V, / Date: 1:v- 9 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 the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12.California Department of Forestry plan approval/lbes. - ;,J-%-/---------------------------------------- ❑ 13. ' ood elevation certificate. --------------- �------------------------------------------------------------------------- 4. Sanitation and plot plan approval C Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. --2 41 0 l ❑ 16. Plot plan and business license approval from the City of Biggs. --------------- ----------------------- ------ ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- --------- El 18. Contact Land.Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encro chment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- 0 22. ------------❑22. Workers' Compensation carrier and policy number.----------------------------------------------------------- , ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. El 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------- t- ----------------------------------------------- 1128. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- XO. Other: S --,----- y When you issue the p t, pro ss aollows ❑Mil to owner;, Mail to contractor. ❑Telephone and hold for pickup at office. ❑ D er with inspector. _50- Applicant: , **'� A�_-Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll n Date- By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: D By: 1. Index permit application for the above items numbered: 30 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: 5�25,- Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder.. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. . E.H. USE ONLY •' ,;',,,� Plot Plan Attache Floor Plan Attached v Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance J wL 144A-w-lce- 6443 S"w Cor. A14%" &(o —030- 02-3 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for. Other L;krj< as- 3:4,0,,-M an. annruu-e'l � V Hold final for: Final clearance O.K. for: NOTE: Is - S Environmental Health Specialist 4- io-9s Date (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7. County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES SORPAR�p�I� BER C� �3 v 3 =GNI I Q BUILDING PERMIT OWNER 0 .� ASUCLIft,e�S T LEPHONE 3-D38 SO. FT. OCC. BUILDING VALUATION _ OWNERS MAILING ADDRESS � �� (6 (4LIO CONTRACTORS E � TELEPHONE N� W CONTRACTORS MAIUNG 0 , CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ a PERMIT FEE t LOT NO, SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Tra 7.00 USEOFSTRUCTURE SF )( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition A Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 11 k -I^ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE t 8ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2200AORLLEESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. sG OR ADDNS. ( a ACC. BLDS.;ONS 3.5¢x, N 'ESIDT MULTI. OTLETU@7,50 POWER APPARATUS a SINGLE OUTLET CIT. .00 EX. Occup. OUTLET OR FUTURES BAL @ I.S0 Ex. Occup. OUTLETS p�D, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT PEt S Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE •O� TOTAL FEE $ HA2. D. FEES IMP FLOOD CR PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dara ReceiptNo. 231161 - 12.7,00 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P .400 . s a /tr Beanc inti �ICO�i@$andthe National Elvc;rlcJ,t Coin,.�•�� wLLc ►i "' ruu°�LAJ �/LQ �`; �'I.t', SU fu Ca 1ST ..�: cn -41 IU.j�' '' irwfthotn �•1' ut17.n „ �C, �.1 •1 _ -. .; ,crl}' Public 1 � -tars►^c,n 4 on 00 w�i, t' ibz JL �f 4?t,!'!it'- t 161 As tback 1f 5 ft. fjfiom the ! t i pro erty li es and setback VI ��• r 1 ! ,, • , of „Oft. front the rad o '� cen crline shall be MMrytear of ° t IIi1, 1 I�:!I 11 � VI ru C: •� I _ _ _ _ _ u.e3 qr equip'�hicnt except F , ritcfn ra I >F I w FCJ J { ij' . % 1 f, j•s . . 7..I�" /h II .. .' .. I �• J.. �' f� 1 ' ` t •-,•B•s s 41. oz f � � a. lY 4L) Ca'. 9 b--4 - A*- P 066 - 030 -093 /O, PW -4 c, (?,uun-M-m, (?. . pcEox 83(a Pa.T(2SAise, '3x- 96-967 8?�7- 6--V-700 Pro3e%4: -qweerjs� r c oTr L' F -T 0 c Oz per ev f}eT in mew 91'"" �laae C60T Imo-- /& JI io m�.:�•n}cin ,5" M'�n . iaulk C�cTaa.� e:;K611- i m do p� Butte County Environmental Health Environmental Health APR - 81998 ___�-=w_-_ -- ChICO, California - Date Signature 0 III fu 11 —11,11 Be an �.� ii CI ^ C�.::.i'; r r..y..n 1 IIS 1 ~ :: ..:_ �� 4/ a.l •' .. :lC.. �.1•liC•::.1 OHCS {_' _`� !" •�- the National Efec;ricu1 CUue. rid c -J V V) Ins ,} r°":� ,�,, • � i; nt ° I -fills of p,`�;t :i} } r. :1 f1Q6 ,r (''� 'f ^•� f public ° I1' I •.r ""`") \i kens y chrn"�� -�trit�e -,.. .a cn hor n:, •..c. 00 O wri� I L'%/ V4 flits, COL! t l _ o 1� A ��4 II i• — — --- --- +;i U u:l. l I � ;�) � ? �� I � �� U 111 �I•,1, {�a,l (.� •. 1 I � ' II r �• f " 1' ..Cr • �.a ' 1 A s tback �f 5 ft. fIom the N '', i pro erty lir�ys and setback I �I : , of f Oftfrog, the r( ad o W hi ► Jill , i I cen crlinc 4hall be Wear of . 1 � , ilii `� J. �'• � ru uses Ir equipricnt except 9- t 1 i JV LU w _ _ `t i li 'Z i 0 III fu 11 —11,11 Be an �.� ii CI ^ C�.::.i'; r r..y..n 1 IIS 1 ~ :: ..:_ �� 4/ a.l •' .. :lC.. �.1•liC•::.1 OHCS {_' _`� !" •�- the National Efec;ricu1 CUue. rid c -J V V) Ins ,} r°":� ,�,, • � i; nt ° I -fills of p,`�;t :i} } r. :1 f1Q6 ,r (''� 'f ^•� f public ° I1' I •.r ""`") \i kens y chrn"�� -�trit�e -,.. .a cn hor n:, •..c. 00 O wri� I L'%/ V4 flits, COL! t l _ o 1� A ��4 II i• — — --- --- +;i U u:l. l I � ;�) � ? �� I � �� U 111 �I•,1, {�a,l (.� •. 1 I � ' II r �• f " 1' ..Cr • �.a ' 1 A s tback �f 5 ft. fIom the N '', i pro erty lir�ys and setback I �I : , of f Oftfrog, the r( ad o W hi ► Jill , i I cen crlinc 4hall be Wear of . 1 � , ilii `� J. �'• � ru uses Ir equipricnt except 9- t 1 i JV LU w _ _ `t 4k Owner : Tm Hoauke &,wa Ste) A.P."o&;-O3o-o�3 Co4rMA .- Po. Pox $3(�, P®T 9-V67- ?7'7- 6-70O PTV-eJ: 20, -Teo (&on-TooTrL a<s �eT y9 mew fro eco *eg �'or,ebe �OeP®®�eOre� p I pl A'4041,8e N zzoe 4Z2 '618 aot of PIPM5 �a.s e� g � d it ie, tan's; rn�t � (��e t on t'hcjjob au a� V . on 3,�e of '0444,0 4" k.QP� �bI1tT nidewaJcl-- g'3so e . �,�rit`, Po�'�°n Oona G=ax e Homme JO`IAq� P4,01 �5 P0� Q� Deek Ex�er►o st ¢ P� PGS4 e • J � qIws c6oT P . BUTT, F COUNTY 4 r p F1 o r/ F C ASHTON, VANCE. and ASSOCIATES, INC. consulting engineers' structural engineering fel W. FOOTHILL BLVD. • CLAR[MONT. CA 91711 • MAI 924.6965 � 2] SUBJECT PA/ /O CoyER ,Ef CL JOB NO SHEET SHEET NO OF_—L FOR PA �/ 0 Cowl CEP?' DATE 6/69 DESIGNED BY MM A D DEti1 Dc�l M 7"O Z C 6 0 =.p , 39--oo _ r�OJQ PORT/015 /V O 7" SNO �l �l - - S�E s E C TiO,�,J ® 0" co WC- 'S. v ?)/8u� MAX- FRONt EA. SHOE of ff'oi� /FiANEL� W.�15HeR�4 DECKINCy 1 Fling. FROM EA, Sl CC�*E OF= MA TE D I'" (a/ FPA A,l EL) u W000 BEAM ENCLOsuRiS7"7-,A A7"7-' �o t�/Ooci ECS tip. COUN r^ w 1- �v 16-x- � • � - 0 v ,;f Co-y4,aeicr: POL61�Ic Sumoom co. . PO. Box 83(' 'W a,x ? Tc>l$� u Y? gew® �os�s ® 7' O.G- pec�inc� pe,Gk ixley\zkcn �xi��►� per. M I 0 COON . r 4 --I the Codes and the National Elecys,ricol Coje. I': U V) -I vins I S:T plc 1- k'Inlowl"Iottt CQ 0,0 rn lln- h1(, of Public ,rjrj,,nen 0 z SL rn 00 V. 0 W$rks, X 4- lit !!j, vj < A soback �f 5 ft. fl(om the' _j pro crty 11 CS andsetback VI of Oft the r4ad erline cen Thal! be Wear of 01 ru--tu.-e3 jr,equippont except .1 hy 7r-91 J4' a z f tI IU j Uv I ru 0-e . r 4 --I the Codes and the National Elecys,ricol Coje. I': U V) -I vins I S:T plc 1- k'Inlowl"Iottt CQ 0,0 rn lln- h1(, of Public ,rjrj,,nen 0 z SL rn 00 V. 0 W$rks, X 4- lit !!j, vj < A soback �f 5 ft. fl(om the' _j pro crty 11 CS andsetback VI of Oft the r4ad erline cen Thal! be Wear of 01 ru--tu.-e3 jr,equippont except .1 hy 7r-91 J4' a z f tI COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: PACIFIC SUN ROOM ADDRESS: PO BOX 836 CITY & STATE: PARADISE, CA 95967-0836 DATE OF CLAIM:_ 4/14/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS nN RFVFRCF cines DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 71 CLERICAL ERROR, CHARGED TOO MUCH. (A.P. #066-030-023, B.P. #98-059:, RETTCET�IATLP 4/8/98, OWNER: JAMES HASS2V11IKE.') A#M231N9T61pp,AAIDATED j89?OSO TOTAL AMOUNT TO BE REFUNDED- ---------------- $89.00 TOTAL $89. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this •--GSE— day Signature oJ Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or arti es cified above bee performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for t e s Dated this 5TH day of MAY 19 9$ at OROVILLE Calif. Dep ment Head or Authorized Deputy Dept. Code 440-002 Exp. Code4210500 PAYABLE FRO CON Dept. Code Exp. Code PAYABLE FROM Dept Code Ex Code P• PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY RUCTION PERMITS FUND FUND FUND DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ,S C c Aflo--L /,Cl ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / /Fig. Depth 3. Fig. Garage; Soils-Steel-Elec. Gmd/ /"Fig. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth 5. Stemwalls, Main; Steel$Iockouts-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/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-RegulatorService Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts.foists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card 0-1 Date Card B-1 Date 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; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or Al -0v n Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance•Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. �ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purtin-roff Brac: TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Insdd./Drive 0 Yes 0 NoNWalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: v~cm o=Not ox Not Applieable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'a 1.1 Zoning Requirements - Setbacks- Easements 2. Soils; Special MH Support Sketch - , 3. Sewer, Locafion-Test-Fali-C/0-,concrate _4. Water; Locafion�116st-Easement Needed (Sketch) S. Electricity; Lorabon-Clearances-Gmd-/ /Amp-Cibncreie 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 Fs ' Zoning~ 2. Footings; Sbs-Spacirg-Marriaje Line 3. Gas; MH TesM)emarKWaK*-Connector 4. Electricity; MH Test-Crossows-Breakers-Clear.ances 5. Drain; MH Test -Fall -Flex Connector, - - 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Gracie -HD Approval 8. Gas and Electricity Tagged 9. Tie Dorwns-l��nstallation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation only: License Deical Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L� Date DECKS_COVERS, CAR -PORTS, GARAGES (Plans) OX except #'a t2o'Decks* Girders and/or Jois"ecking-8racing-Stairs-Rails 4. Wood Awn.; Pos"eams-Rttrs.-Connectors 6. Carports; Windows -Doors 7. Electric 9. Siding; Nailing-Veneer-Slucco-Mesh 10. Roo�Shthg-Roofing 12. Braced Wall, Panels Da Date POOLS (Plans) OK except #'a i 1. Setbacks-Easernents '2. Soils; Compaction-Structuie Stability 3. Pool Structure; Steel -Connections -Thickness De�d Men -Lining 4. Elec.; Receptacles and Lighting, Dista6ce-GFI, 5. Elec.; Pool Lighting 15 Volts-GFI -j -- 6. Elec.; Enclosures; Conduit Entries-Terr�inals-Usted 7. Elec.; Bonding Metal wffl-Circulating Equip.+feater 8. Elec.; Grounding Equip. wffl Circulating Equip. -Pool Whtg.- Boxes-Enclosures-P�f%4boards4ns. to Main in Conduit 9. Health Departrnent Approval 10. Plumb.; Cir. TestWater Supply Test -11.- Light Niche Date Card B -I Date Card B-1 Date Card B-1 Date Card B-1 ' 1 [ , 't e PERMIT NO. 2356-81B PERMIT EXPIRES OWNER R. Rauen CONTR. Ken Young, Paradise ASSESSOR PARCEL 66-03-23 LOCATION 6443 Shaw Cir., lot 77,PPCC#l, Maga Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Service _ Called PG&E JOB FVALED (Date) 7i Signature I V =OK 'r 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) SIE = Not Ready Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. 27. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI _- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. 40. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ -41. 42. 43. 44. 45. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors . CingJoist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK = Not OK = Not Applicable MO g ILEHOM ES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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 Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE i DFPART..MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 Qeq / r APPLICATION AND PERMIT ,A ASSESdOR PARCEL NUMBER �— ZONING B ILDING PERMIT OWNETELEPHONE 2�1,c �� SO. FT. OCC. BUILDING VALUATION Vr E vv OW ER'S MAILING ADDRESS CONTRACTOR'S NA E TELEPHONE �7u CONTRA(!TOR'S AI ING ADDRESS 5, 7}L f S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ P ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ U Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ o — BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 �0 7 f1 l� r+ � / S ' � Each Trap 2.00 Repair drainage or vent piping 5.00 2y) C, c� Water piping LOT NO. SUBDIVISION NA PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF)�_ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: [� `` _ C0 ULP-� U�/�R- C yc( S I r-sy l�/usyc • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. / 20 Sq ft CONTRACTORS LICENSE LAW I decla under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessiFs Code and my license is in full force and effect. License No. ��%_�i7 G%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 CONSTR. U '.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6) NON.RESID. `SINGLE OUTLET CIR. 50@2s¢ Ex. OCCup OUTLETS OR FIXTURES BAL@IOC Ex. Occup.(OUTLE TS IXED P(RESID•)LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to s e, in nify and keep harmless the County of Butte against all liabilit' s s osts, and expenses which may in any way accrue agai s ount n nsequence of the granting of this ermit. X Date gnat re o�A�ppnl — ner ❑ Contractor Agent An OSHApquir for excavations over 51/0" deep and demolition Dr construct- ion of struct3 st ies, in' eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE U OCCUP. GROUP ' TYPE OF CONST, V PARCEL PD ND 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By PEFJWT EXPIRES Date' the applicable provi- resolutions to do fees have been paid. WORKS Date C, -2–C Receipt o. �D ��/ Y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -'..--.�,.-.-.--`w•.--,�•-�•�..v..++...._.-n.r.:.^�.-..Y-+"'+.r+..:}'« ..}'..v��d.^rar.r..rl:+ i?r'►'Y"t�.,""T"*v�w..-ti.:+.-.---"-�....�-+'....-�--ti.. r ... r`�,.�..�1. COUNTY OF BUTTE - DEPARTME-JT OF PUBLIC WORKS - BUILDING DIVISION a •✓�', 7 COUNTY CENTER DRIVE - .OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 K . -•1 y K PERMIT APPLICATION DATA SHEET Permit No. OWNER_ i� �/�Vc-i',l A. P. No. (o x,'03-.23. Proposed Building Use 09-6 Permit Fee Based Upon: Complete, Contract Price x DPW Valuation r Other (Explain) Building Inspector �• Yom. Date At time of permit application, I was ad�,ised the following data must be submitted prior to permit processing and /Or Issuance: DATE RECEIVED APPROVED r 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . 3. Complete plans in duplicate.ltriplicate. . . . . . . . . 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) Us3: (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 ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . .. •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector (Da ) 18. Other 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 Applicant/_,/e_j, Date Copy of plans sent Health Dept., Fire Dept., Ot.her� Date During the plan checking process, the following data must, be"submitted prior to permit issuance. (For required items not checked above at tame of application, circle item.) 1. Index permit fior 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 Plans aDDroved b, Other Copy—DPW Date Date To: Building Department From: Environmental Health Subject: Sanitation Clearance Owner 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 Clearance for addition of, -MIC 17lilt'1� �� D�Ci� Note** --�� WHAM Sanitarian to 41 :...t ov A x us 0 W 2 a� E �' t b ro ro v � ... �►- 'Q 0 ui I A setback �f 5 ft. fi#om the pro erty Ii es and setback L) of Q 4, cen erline shall be Wear of - - - - v - res r equipment except ry C� CA ,� � U ro h .'H.J •.f �• i„"'f'i"•'lMow -, .) ` ib Qrn.,:.. i•,arA ...ry,c.Ys • IC Q U ui ,. i plans and specif ica}i"ns awful to This t of p it is un kept on the !ob a} all ti orc++ onds on same without make any changes or altthe Department of Public 'on from NOTE. ---All Materials & 'VVtpr%slip Shall got Accordance with Rerohn%} 4 Sid Pncwtices ana Of a quality prescribe-; for' Ae "5t 0cified use in the Uniform Building, Plumbing, �" Mach6nical Codes and the Nafional Electrical Coo, 16 : c, h: iw • / 1 • Q I i i 13..:. written perm►► a 00 ' O Z W rks, County of Butt 1✓ t' W 1 —10 W 2 ,� V rl +i �' o j!) � rll • I A setback �f 5 ft. fi#om the pro erty Ii es and setback 4' of Oft. frz the r;ad o cen erline shall be Wear of - - - - u res r equipment except L tv..w.� h .'H.J •.f �• i„"'f'i"•'lMow -, .) ` ib Qrn.,:.. i•,arA ...ry,c.Ys Foci kn sv rLl N � V� Vs C �l Irr7E c; DUNT;� 60L G oPARTMENT A',PPR� VED �3 5 241T Cfl UeS--- . ►,J�w ��- �r�r�5 ON WAt-z- ie -"4-T - ki 00 F L i 7Z:7',S Pgv �%aP 4� i V, /3• C. Provide adequate bradng, �C/5 7 r) ) %�lSE m9, '1(S O ►2u s -Tr c-' S f45rf-77-/X/57 d0Va4?Z-`7-ef iGD TiAle 'UTTE COUNTY I fly k\7- APARTMENT OVED A r V co r V c� � Z A r r � Z O � Z � rn Z A r ,vim✓ �j 7/pi Q/ �i z 301-80B,P,E,M C9 PERMIT NO. ,e /fie ce 4// —/ �oe r � PERMIT EXPIRES O/ ' R. Rauen OWNER T fdsi�-0/L� CONTR. Triple "S" Custom Home Bldrs. Para. -03-23 LOCATION (A.P. ) 230 Shaw Cir., lot 77, PPCC�' Magalia Temp. Power/ole D Called �G&E 2`—fi�� Temp. EI c. Serv. Call d PG&E 44. Temp. as Serv. ` Culled PG&E J't•TB FINALED- �.3 xO (Date) (Signature) I .L M E C H A N I C A L ❑ Permit Underfloor,Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers ..(7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. . (5)* Condensate drain. Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 P L U M B I N G • Check List ❑ Permit 4 ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* El Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. (6) Dissimilar metals. (7) Service regulator installed or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out El D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing"Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑J (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2).Location. (3).PR Valv6 Drain. ❑ Final 0 D.W.V.: (1) Connected to sewer -system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. fi ❑ Gas: (1) Test. (2) Connectors.' E ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. N 5/79 RES IDENT L,% 1, PNERCY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTII'ICATF THIS IS TO CERTIFY THAT ENERGY CONS ERV ATION RE*QUIR?'itENTS IL1VE BEEN INSTALLED IN CON'FORI`'IANCE ITH Ci'R ' i?NEf:GY CON�1?RVUTQN RE_CUI ATIONS AT 05(oruy (location) BUILDING PERMIT NO. SO 1 - _ A.P. NO. CD(o OJJ-Q YV THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : GL:1 Z ING : Slab Edge Single Clazed Fdn. Walls Special (Insulated) ins Floors f,� / / CERT. & IABELED WDS. Walls /a — / / & SLIDING DRS. Yle jl Ceiling/ to of / WEATIIERSTRIPPED DRS. Ducts /' G—• BACK DAMPL•'RE.D FANS —11"e Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER ��AERT. APPLIANCES )/t,4 APPROVED WTR. I TR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH TI117' ENERGY CONSERVATIOT) REQUIRIXENTS AND AGREE TO THE: C:OM"LETE.NESS OF THIS CERTI%I j L�r�„Sl t}II_C Dii,. `11�IDI:RS Insulation Applicator. ',amE____ 80$ S G UIVl i1 u ; I` Signature of I n InsLIlavi,711 Applicator �----- Stdl-e ContrActors' TRIPLE ,.S„I t8I4, �' fply3 E�,�S General Contraclorh)h-neer t:anc--_ _ 80 SkYwaY P_h._877-8811 Signat!:re of v Q$969 General Cont ractor'tn:�;, r _ --- ;rate T: (; ,R.T 1' ICATE MUST BE ON PILE WIT[[ THE BU ILD ING DEPARTMENT PRIOR TO F; TING FINAL INSPECTION AND SIL-U.I. BF POSTED IN A,;CONSPICUOUS LOCATION WTM -N THE DWELLING. 0 S3/V i/ 7'1,/ �"V f (YOP/ ,4 3sVV-j -�� s,,,� sli7 -32 /* L r ; _ „ - ��' per?✓, �0� M�3/'J� 3f Q�(Z ar! Ow M� '71"37 210 17%x!/ P3-i9o:7yX ,",,� P COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION�RECORD - p BUILDING BUILDING (Cont'd) PLUMBING Setback >2- - O Firewall Soil Piping Forms _ ,8o Parapets 1st Floor O 4 Main Bldg. Restroom Finish 2nd Floor a� Footings ,7- a® Windows -- ® 3rd Floor Stemwall O Siding o To out - 0 Slab Roof Sheathing —Tio Water Pi in Piers p?_8 O Roofing p ( Sewer --- - �o Garage Fdn. Vents 40.r- Fixtures 7 - J •� Footings - - d Garage Vents Water. Htr. .?- o - - N Stemwall - `,. - O Insulation •- 3 Heaters N" Slab - �% handicar ehysically - Appliances W 5 Carport Conformancdde of ex. Gas Pip ng & Tes Footings structureaantatio Gas Slab Final -/I j'6ai, Patio f-cleS FIREPLACE • Final /` Footin s 02-,J6:,r0aap Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final - o Fixtures - o Bond Beam IFIRE SPRINKLERS Motors 4g' '- -7— v FramingCi Test Water Htr. Stucco Final Subpanels /,o - N: < I Mesh MECHANICAL Grd. Fault Prot.6 -J T, z, off- r �! Scratch _ Heating Service Brown Cooling D Temp. Pole , e Finish Ducts of w d Underground Interior Lath Ventilation 1.7-0012 iz Permanent Door Closer - Final V Final EIS �risd r Ped k Water Piping Sewer Gas Piping 1 MQ3lLEH2ME IN TA LATI NSupport Elec. Continuity \ Water PipiJ;L-yLJj2is fit% J DATE/ _--REMARKS // OR CORRECTIONS /��R /I C�j�6 i.�/ c� S£%urC-F- �!-yb Sloo7d�av 'J'iY/f a> s�/cas - �Co�/a�q�E 4/(%a Ile &"0 Lod,'dr- /z" Cla e- �� T�err> of C/.&W day-J?o_ Y7i1 Al97ral iso, 7 // R/Ftd A 3ouE 557- o,cJ 4ae.7r-x (NOTE: An entry must be made on this form each time you visit the job site.) )- COUNTY OF BUTTE d DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi Ile, California 95965 0 Telephone: 534-4541 /— APPLICATION AND PERMIT w, j authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X.4 Date nature of Permitee or Agent Receipt No. 3 Sly L/ 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. DIRECTOR OF PUBLIC WORKS By Date .2 —6/ Ro Budldi'ng permit expires Date `1� Z _q-?/ BUILDING Owner V r SO. FT. OCC. BUILDING VALUATIO -9 2 q D. QC) Mailing Address Oi oo Telephone No. Ca rr � Contractor L ,� li D D �dA_C 0 Mailing Address(] ✓G A �4%�/�p� �j , Fireplace 1 " Total Valuation OCA. o = , 00 6 A- �', G 4 1 ; Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 5� ,, AAS ij- G.4-�/� PLUMBING No.1 @ I FEE DA..,,'7—�� +� ` PERMIT FILING FEE $3.00 , Each Trap g AM 01Z �d 1 Repair drainage or vent piping 1.50 �J�'' A. P. No. - p2 2Ung & Planning Water piping r1C5b �> Each gas water heater or vent 1.50 Ftes 11(i!E Sa i Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P anReed s' Parce rov ? Plans AppA,-,--.1 Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Do $r9v 16t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 75 C> (ZS Main service 100 AMP OR00V OR SLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 100 AMP OR LESS 25.00 Main service EA. ADD'L 1Q000 A1MP 1.00 NEW OR AODNST ( ACCL N SF {OP 1) 22sgft 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: Ie �� // —A fp�LL .J g> 7p Wo any e-- NEW CONSTR MU NCH CIRCUITS) NON-RESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuq(OUTLETS OR FIXTIIRES 5 L 250 , EX. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. i G ��s Classification Misc. Wiring 6.25 ❑ I 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 Wor n's Compensation. 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 ,0'J Heating loo T 'T v ,Q Cooling®b Ventilation Hood 2.00 C%cl Permit Fee $ $ l 3 6C 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 Land Development Fee _L3, .G6 $ V� JTOTAL PERMIT FEE (v authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X.4 Date nature of Permitee or Agent Receipt No. 3 Sly L/ 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. DIRECTOR OF PUBLIC WORKS By Date .2 —6/ Ro Budldi'ng permit expires Date `1� Z _q-?/ p ;f' *, 7 _ COUNTY OF BUTTE — DE.PARTNl:E'NT;OF�PUBLIC WORKS —BUILDING DIVISION t�i!»•.y•:w� � 7 County Center Drive — OroviULe,Caliiornia 95965 — Telephone 534-4541 7 .- Z - y' . ; ' 5, PERMIT APPLICATION DATA SHEET OWNER (-, Proposed Building Use _ Permit fee based upon: Complete Contract Price explain) Permit No. --'" A.P. No. _DPW Valuation Building Inspector —_ ____ I — Date i/ -_—z- =_/'c- n At time of permit/applieation, 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. 10. Letter of signature authorization ............. ........ :..;.................................... Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner v' Mail to contractor. Telephone and hold for pickup at office.—Del iverw/inspection. Other Applicant ✓i'� y // Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance:. (For required items not checked above at time of applicatio circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by Plans approved by OTHER: Cnnv/r]PW M Telephone Mail Other natp V O lG Date 11 1 0 ol N Cf.) 0 lid P (A t:V t5 0. ei. C4 CD (D I -d 0 C, 1-3 % H I -j 0 C11- .0 0 . 0 m P-. C-1. 0 G -S t-+;1-4 r I 0 co F31 ct il b, ct m 0• (D J -Z 0 ct p (D rd au (17 jh ct (D 0 ol N Cf.) 0 lid P (A t:V t5 0. ei. C4 CD (D I -d D m ,w k'i 7X h4 ,inN� �k ak 11 11Z 0o N� � e �o N 3 Z a^ati 0 �rAN �o • 'Z,o. A D J A A $N Z ° It', DQ, 0`n _q D m ,w k'i m Q I®N 0 i3� o na 7X h4 ,inN� �k ak 11 11Z 0o N� � e �o N 3 Z a^ati 0 m Q I®N 0 i3� o na ��30 ,inN� �k ak 11 11Z 0o N� � .y • l^ QNC F a^ati �3 r O 1J yx n C3 - D �ro Fns o�2 He: U� cn A a u AC IDD o0 2 02 *�cp i L° H N ��r xk ° m � o r Z n 3 . 119 D nFN N ,may ? 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VICTORIA STREET NO. 3421P O01•0'AO° f°'m" MAW Q a PARTS DETAILdqw GARDENA, CALIF. 90248 �� `""'""ONTMtr A°"'m00D (310)21770900 (800)726-8428 aaoow UTM .A,xowra 44, ��7v2 'K 2'0'7 3um� �ti colvi 0 ��:^yo.• ^4 �° QoZs ti N ca �� regi ri g i i ^ � ED O L•-- o km to L � e^ n na 3um� �ti Az am ZpID ��:^yo.• ^4 p^ CCh i� fD N ca �� regi ri g i i ^ � ED 3um� �ti Az am ZpID ��:^yo.• ^4 p^ CCh i� fD N m G', Y r n� �40�k sO'^hL� C � � 04,�n �-- a c (n F u 0' 1 f1 t 1Q N = Q 0 CD� � N i i oY �ti2 L �41bL0�oo cLc Fig • 3� � N� F m�m �pQ i llm�0 �`�4 crmc,A m na �� t, p - m $ p �^ ;� �l i ie�� z� n�0 m a �r�+AsFny^ >,�p Amo t a 0�1 p „ Z "' ig 1x �' F'�m y[r m m t1N� 8 �Zh2.ALA n L A0� A i.�m Z Oe oy o ° A nim Nm\� ono °jne orra 0 �nn�q�i� Y�� iA� �� bmmr Q� 0 n 4l '3' �°il � �o NN A�yNI LDo D C (1 C �a p�� Yoj� IA�II P m OL t IFA x8041 �� Y r mnY�°j� JI 4� Z �mA Am W a 2Oil 2 Z op ao -4 nb o ym; n cn5(^D�� Ft+ >«YZ2� � o, t Nm gum � � � jri.. c, a D� �_ y ��m `nim 11�' fy�A)y� �e �mn oi�om -r� 9 3 FF miD Zno�a �irN v�^ D t o n SAL m LOm DO� y 2 an A g' o D �za`tAo z p Arp �F�'�° b o m r m1�o� q ; Anon zzy� 41 Aiu� �►� y�^A q ,# � NyO n� LA AL��o ono 0� � n�or,�n � � rr � n o �o o 1 2 Fa 1� mL Ne ) ( ,� A�n o N� rI'M - * kr 0 A6�n )l� yA 2 X. mNi2 �i �' D7o jq F " �� m aa Z.: x� �F �L r�R'r r,��j �O �m c y��(. 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