HomeMy WebLinkAbout066-040-0270
66=04-27
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BRYNING 'RONALD,
138841-WESTPARK DR.'MAdAL
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IBRYNING, RONALD -�v
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13884 PARK 6R.- K4;kG'- A-LIA
CONT: OWNER'
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` 066-04-027 #98-2560
` BRYNING, RONALD
RESIDENTIAL 13884 WEST PARK DR. MAGALI
' UNKNOWN
NEW PORCH .
iPERMIT NO.
r�
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
'LOCATION
�f.
r
CHECKED
SRA BY
FLOOD CERTIFICATE'REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
,E
Called PG&E
Temp. Elec. Service
Called PG&E
1
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
1
� Signature
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
`7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 EMIT No.
(Rev.12/96)� APPLICATION AND PERMIT G� +
ASSESSOR PARCEL NUMBER66-04+-27
=ONX-1
BUILDING PERMIT
OWNER BRYNING, RONALD E.
Tab"/=348
b"=348
SO. FT. OCC. BUILDING VALUATION
240 C 312Q
OWNERS MAIA.7NSip�APQ ss WEST BARK DR. MAGALIA g5c1 64
CONTRACTORSNAAMEE TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 3120
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 40.95
BUILDING AQDq 84 WEST PARD DR.
,{,JC:O
Ener Plan Checking Fee
Energy s
$
MAGALIA
$
PERMIT FEE
$ J23,Qr
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
_
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex JtOX Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New C.1 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: N PORCH
Gas p 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
Filing Fee 20.00
"OOVR LE
Main Service p A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.8
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR0
OR ADDNS. ( a ACC. BLDs.
3.50SFT :
NEW CONST. MULTI -OUTLET
NON•RESID.
@7.50
SINGLE OUTLET POWER APPARATUCIR. S -
Ex. OCCU OUTLET OR FIXTURES
20 @ 100
B .50
FIXOR
Ex. Occup. ouTiErs .a.1 Ell
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Xof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply w th�tllose provisions.
Date !r ( Q
Signature of Applicant - '" ner ❑ Coryfractor ❑ Agent
An OSHA permit is requiredfor excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CST. ONTYPE
TOTAL FEE $
HA=.
D. FEES IMP
"
FLOOD
�/
' CDF
-
PARC1 pp- HD
cr/
IS'§UE
, f
V
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By n
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been aid.
t J
/Date f ib / 4 1'9(f
19/`7r fr
I DWO
Receipt No. 7,.';0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
FA
V=OK
O = Not OK
=Not Applicable
Not Ready 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-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /L'ft.
/ /Nat. or/ PL"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
9. Siding; Nailing-VeneerStuxo-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
Date
2. Footings; Size -Spacing -Marriage Line
Date
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
12. Permanent Foundation Only: License Decal
10. Plumb.; Cir. Test -Water Supply Test
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-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing-VeneerStuxo-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-GFl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip, w/8 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O= Not OK RESIDENTIAL (Single & Duplex)
- - Not Ap I' bl
e
V
ica
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1.
ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd.-/ i Ftg. Depth
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ J' Ftg. Depth
48.
4.
Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
50.
6. Stemwalls, Garage; Steel-BlockoutsWrapped
6a. Hold Downs and Special Anchors
Garage Fire Protection Framing
7.
Slab, Steel -Wrapped
Property Line Firewall & Openings
S.
Piers -Fireplace Ftg.-Steel
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11.
Water Pipe; Test Anchors -Regulator -Service Test
Siding -Nailing Veneer
12. Electric Underground
57.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
58.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
59.
15.
Access & Ventilation
60. Brace Interior / Exterior Wall Panels
16.
Insulation
Insulation -Walls -Ceilings
62.
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Cana B-1
Date
Date
PLUMBING (Permit) OK except #'s
Card B-1 Date Card B-1
17. Water Htr; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
63.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
64.
20.
Shower Pan; Test, First Floor -Tub Access
65.
21. Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sae & Anchors
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
Date
68.
Card B-1 Date Card B-1
Date
69.
Card B-1 Date Card B-1
Date
70.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
25.
Size B2 es & No. of Conductors Stapled
Elec. Outlets & Recepticales at Kit. Counter
26.
Romex I stalled Close to Edge of Studs & C.J.
Garage Fire Door; Swing -Landing -Closure
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
A.C. Duct in Garage -Damper
28.
2 Appliance Circuts in Kitchen & Conductor Size GF]
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Plb., Elec. & Mech. Equip. Listed for Location
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
31.
Service -Riser Conductors & Ground -Main Disconect
Insulation -Foam -Looked in Attic
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
Guard rails & Deck Construction -Post Caps
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
83.
Stucco Brown -Finish
Date
84.
Card B-1 Date Card B-1
Date
85.
Card B-1 Date Card B-1
Date
86.
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
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
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.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. 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-Underflr. 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 Wall s V1li ndows
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-Mech. 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 p Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks Q Yes Q No/Planters 0 Yes Q 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:
s
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2006 -0012537 -
Recorded 7 -
Recorded I
Official Records I
County of I
Butte I
CRNIU J. 6RlIBBS I
County Clerk-Recorderl
I
I
011:43AN 13 -Mar -2M I
FEC FEE 10.00
CONFORKM COPY 1.00
KL
Page Iof2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded,. this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RONALD E. BRYNING
REAL PROPERTY OWNER/LESSOR
13884 WEST PARK DRIVE
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE 'ZIP
06-0,489 530 538-7541
D G PERMII`NO. TELEPHONE NUMBER
qIGNINTURA OF LOC L AGENCY OFFICIAL v DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE')
NONE
MAILING ADDRESS DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
GOLDEN WEST 1980 KEY BISCAYNE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
GW6CALKB52763A/B/C 63 X 24, 63 x10 175576/7/8
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 066-040-027
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
I
h✓
Exhibit "A"
Legal Description
PARCEL l:
LOT 201 AS SHOWN ON THAT CERTAIN MAP ENTITLES, "PARADISE PINES COUNTRY
CLUB ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 13, 1971,
IN BOOK 38 OF MAPS, AT PAGES 61, 62 AND 63.
EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING
OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE
LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE
OF SAID LAND.
PARCEL II:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, AND E (THE COMMON AREAS)
OF SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 2 AND THE LOTS
DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE
DECLARATIONS OF ANNEXATION FOR UNITS' IV, VI, VIII, X, XI, XII, XIII, XIV, XV
AND COUNTRY CLUB ESTATES UNITS l AND 2.
I
r`-
'! Butte County Department of Development Services eu� rE_ FRE"
-g' r- l Y
' :'� o' 1 T G S � ' 7,County Center Drive, Oroville, CA 95965
� C
(530) 538-7601 vnvwv.butte C0L my nevdds c ua y I
RESIDENTIAL
APN:r + 1
Permit No.
Owner. 066-040-027 06-0489
BRYNING,- RONALD
Site Address: 13884 WEST PARK DR., MAGALI_A -�
CONT: OWNER
Contractor. INIH PERM FND (EX1)------------------
_
I t
Type of Permit: -��� >, •
)
- 4
N
i
_ Y
SPECIALCONDITIONS
❑ SRA "•
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
❑ SPECIAL INSPECTION ITEMS
Q VERIFY
OUSE PERMIT CONDITIONS
❑ SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
QENV HLTH CLEARANCE
DATE JOB FINALED:
_ SIGNATURE:
OK
MANUFAC URED HOMES
MISCELLANEOUS.
DATE ERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
�jGas; MH Test-Demand-Valve-Cnnctr
'9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged ��%
13 Tie Downs Q Foundation I �/IY►%�/1t
I its
5 Cert of Occupancy P4
HUD Label/Insignia Numbers 5•' Sj, _ Serial Numbers
�►"1
DATE ID E C K S'C O V E R S`C A R P O R T S `G A R A G E 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
°'e °� °mss
DATE P O O L S
1 Setbacks -Easements
2 Soils; CompactionStructure 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 Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
136xes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10L Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing Alarms
13 Bonding, Diving board or Slide
r s`
I I
7
Pool Drawing
OK
Not OK
RESIDENTIAL (Single & Duplex)
DATE UNDERFLOOR DATE JPLUWBING
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth `
5 Stemwalls Main; Steel -Blockouts-Wra pped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
69 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/OSewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
15 Acc & Vntltn
16. Insulation
DATE (FRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
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 -Lan din g -Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnis
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
I DATE (ELECTRICAL
40 Fxtr & Trnsfrmr CImc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex 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 ea ❑ CU or ❑AL
AC Wire Sz ga ❑ CU or ❑ AL
48 Range Circ ga ❑ CU or ❑ AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Cirncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First Hr -Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub. Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
DATE IMECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
oqo O '0 0
DATE FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace VnLs-CImc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv flr
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑Yes ON.
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vr is abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99. Fire Sprinkler
O p\ p
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENT TO:
r '
NAME Ronald Bryning
STREET 138•t4 west Park Dr
ADDRESS
ZIP.STTE a Mcl4 a 1 i a, CA 95954
CODE
TITLE ORDER NO. ESCROW NO.
2003-00-75f+5I
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRU68S
Recorder
ROSEMARY DICKSON
Assistant
02:38PM 29-Oct-EW3
THIS
REC FEE 10.00
Kathy
Gage I of
DOCUMENTARY TRANSFER TAX
QUITCLAIM DEED ❑ computed on full value of property conveyed, or
❑ Co puted on full v lue le liens and
umbr aini time of sale.
Signature or Declarant or Agent er ning Tax Firm Name
Leigh Yvonne Bryning — llf��T ���%'1',4%C lilY4Z,
!NAME OF GRANTOR(S)1
the undersigned grantor(s), fora valuable consideration, receipt of which is hereby acknowledged, do_ hereby remise, rete se and
forever quitclaim to Ronald F Br y n i n g
INAME OF GRANTEEISII
the following described real property in the City of Maga 1 i a County of B u t t e State of CA
Property located at 13884 West Park Dr.,Magalia, CA
SEE ATTACHED EXHIBIT "A" for Legal Description
Assessor's parcel No. 066-040-027-000 / 910-023-099-000
/
Executed on /'� /fes ,%!'L� , at �-
CITY AND STATE)
STATE OF /i r
�^
COUNTY OF �•
On "/� r before me, 2L�/ /f�/7 /VOTC, RIGHT THUMBPRINT (Optional)
personally appeared L t? r R J7 y V`f nn ec;- ,6 r, in in el personally
e (or proved tom n the basis of satisfactory evt cel to the erson(s) whose name(s)
i ares uscribed to the within instrument and acknowledg to me that He sh they executed the same
In er heir authorized capacitylies), and that by her heir signature(s) on the instrument the
personsor the entity upon behalf of which the personls acted, executed the instrument.
r\rvl I v DMICIN
COMM. # 1299587
WDTARY •PUBLIC -CALIFORNIA Q
nUTTE COUNTY n
COMM. EXP. APRll 11 9M5 -6
MAIL TAX Ronald F Bryning
STATEMENTS TO: 13884 West Park Dr Magalia, CA 95954
Before you use this form, fill in all blanks, and make whatever changes are appropriate and necessary to your particular
transaction. Consult a lawyer if you doubt the form's fitness for your purpose and use. Wolcotts makes no
representation or warranty, express or implied, with respect to the merchantability or fitness of this form for an
intended use or purpose.
WOLCOTTS FORM 790 (D1 994 WOLCOTTS FORMS, INC. IIIIIIIII (III (III VII
QUITCLAIM DEED Rev. 3-94b (price class 3A)
7 67775 39790 1
CAPACITY CLAIMED BY SIGNERIS)
XINDIVIDUAL(S)
O CORPORATE
OFFICER(S)
(TITLES)
f -I PARTNER(S) OLIMITED
GENERAL
1_I ATTORNEY IN FACT
CI TRUSTEE(S)
(i GUARDIAN/CONSERVATOR
i=) OTHER:
SIGNER IS REPRESENTING:
(Name of Person(s) or Entily(ies)
Exhibit "A"
Legal Description
PARCEL 1:
LOT 201 AS SHOWN ON THAT CERTAIN MAP ENTITLES, "PARADISE PINES COUNTRY
CLUB ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 13, 1971,
IN BOOK 38 OF MAPS, AT PAGES 61, 62 AND 63.
EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING
OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE
LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE
OF SAID LAND.
PARCEL II:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, AND E (THE COMMON AREAS)
OF SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 2 AND THE LOTS
DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE
DECLARATIONS OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV
AND COUNTRY CLUB ESTATES UNITS 1 AND 2.
4;
COPY of Document Recorded
13 -Mar -2006, 2006-0012537
RECORDING REQUESTED BY: Has' not been compared vith
original
BUTTE COUNTY COUNTY RECORDER
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
C^PY
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RONALD E. BRYNING
REAL PROPERTY OWNEMFSSOR
13884 WEST PARK DRIVE
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
R A MR
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY , COUNTY STATE ZIP
06-0,489 530 538-7541
'PkHbD GPERM4Nql*.�� TELEPHONE NUMBER
-��
SIGN RE OF GENCYOFFICIAL. DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST 1980 KEY BISCAYNE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMLNUMBER
GVJ6CALKB52763A/B/C 63 X 24,63 X10 175576/7/8
I cNr,TH x WIDTH AISIGNIAn ABELNUMBER(S)
REAL t PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 066-040-027
SEE ATTACHED
PARCEL 1:
Exhibit "A"
Legal Description
LOT 201 AS SHOWN ON THAT CERTAIN MAP ENTITLES, "PARADISE PINES COUNTRY
CLUB ESTATES UNIT NO. 2-, WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 13, 1971,
IN BOOK 38 OF MAPS, AT PAGES 61, 62 AND 63.
EXCEPTING THEREFROM ALL. MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING
OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE. THE SURFACE AREA OF THE
LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE
OF SAID LAND.
PARCEL H:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, AND E (THE COMMON AREAS) '
OF SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 2 AND THE LOTS
DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE
DECLARATIONS OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV
AND COUNTRY CLUB ESTATES UNITS I AND 2.
i
FOUNDATION SYSTEM
• k
r
:y CERTIFICATE OF OCCUPANCY,
k.
BUILDING PERMITS NUMBER: 06-0489
Address or location of unit: 13884 WEST PARK DRIVE, MAGALIA
Legal Description of Real Property: 066-040-027
SEE ATTACHED
(x) Mobilehome/Manufactured Home ;
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: RONALD E. BRYNING
Owner's address: 13884 WEST PARK DRIVE; MAGALIA
INSIGNIA OR HUD NUMBER: 175576/7/8 '
SERIAL NUMBER OR V.I.N.: GW6CALKB52763A/B/C
MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1980 `
OFFICIAL APPROVING INSTALLATION:
DATE:
,
PHONE: (530) 538-7541 i
H.C.D. 513C - ! .
STATE OF CALIFORNIA -
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Mall LIfactured I -tome
Decal No: LAD7978
Manufacturer ID/Name
Trade Name Model
DOM
DFS RY Exp. Date
GOLDEN WEST
KEY BISCAYNE
00/00/80
00/00/80
Serial Number
Label/Insignia Number Weight Length
Width SPC
SCC Exempt Use Type
GW6CALKB52763A
175576 63'
12'
04 SFD LPT
GW6CALK52763B
175577 63'
12'
GW6CALKB52763C
175578 63'
10'
EM
I�
Addressee
RONALD ELSON BRYNING
13884 W PARK DR
MAGALIA, CA 95954
Registered Owner(s)
RONALD ELSO.N BRYNING
r
13884 W PARK DR
MAGALIA, CA 95954
Situs Address
13884 W PARK DR
MAGALIA, CA 95954
Legal Owner(s)
CROSSLAND MORTGAGE CORP
PO BX 57909
SALT LAKE CITY, UT 84157
Lien Perfected On: 03/22/99 09:55:15
Issued Total Fees Paid
Apr 7, 1999 $158.00
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAYBE CONFIRMED THROUGH THE DEPARTMENT.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE).(530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060489
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under
Issued Date: 03/07/2006 APN: 066-040-027-000
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.
Site Address: 13884 W PARK DR MAG
License Class : License Number:
Map Index:
Date: Contractor:
Description: EX MH EX SITE PERM FNDN (2142)
OWNER -BUILDER DECLARATION
1 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: BRYNING RONALD E
permit to construct, alter, improve, demolish, or repair any structure, prior
13884 WEST PARK DR
to its issuance, also requires the applicant for such permit to file a
the
MAGALIA, CA
signed statement that he or she is licensed pursuant to provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
95954-9460
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
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 (heir
sole compensation, will do the work, and the structure Is not
. A IiCant: BRYNING, RONALD
PP
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
13884 WEST PARK DR
owner of property who builds or improves thereon, and who does
MAGALIA, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95954
sale. If however, the building or improvements are sold within one
530-873-4348
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.).
O 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
Contractor:
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or imprgvas thereon,
and who contracts for such projects with a contractor(s) licensed;
pursuant to the Contractors' State License Law.).
❑ lam Exempt under Article 3 of the Bus' and Professions Code
Date:f Owner:
License #:
WORKERS' COMPENSATION D LARATION
I hereby affirm under penalty of perjury one of the following declarations:
t 1'
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section. 3700 of the'
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer: '
❑ 1 have and will maintain workers' compensation insurance, as
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:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
Census Code:
qp 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 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.
Date: - —
Applicant:
WARNING: Failure to secu workers' compen tion 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 he • by is ed under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
the work for which this is issued (Sec 3097 Civ.)
Resolutions to d IA c indicated- bove for which fees have been paid.
!)- I .O
performance of permit
By: Dat
Name:
PERMIT EXPIRES ON:
Address:
(Date)
❑ 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 any official for ocument of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos
Print Name: Signa
Date:
ner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor
Xw
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE 9: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
i
APPLICANT INFORMATION
OWNER INFORMATION
Last Name
I /�
first `
Addres
G �G�
City
State
State
Z'
Phone
G
Fax
E-mail
Lic. #
i
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class .
i
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State .
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
i
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Prope ress
Flood Zone
Cross Stszet
SRA
es
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO
BP:
BIN #
PROJECT LOCATION
AP#dG1�'�-
Prope ress
City
Cross Stszet
WORKER'S COMPENSATION
Policy Number
Carrier
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
Descriptiyr{t or Scope of Work:
1i2
Sq T- Living' m D f arage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
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 °iher department cosare not
refundable. . I . L, I. / _ Cr -, G 2rn n Q 7 r
Received b
Y
Receipt #:
Date:
rt� �-
Amount: . l Bldg
Sheriff
SMIP
Other
L Total
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: A SESSOR PARCEL NUMBE}Z+/ I D(P V
Proposed Building Use: INS % M Permit Date: �- G
I;ems required in order to apply for a permit. All boxes VUST be checked OR marked NA in order o apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plal, Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
18. Erosion Control Plan Required..............................................:........................
19. Fees as shown on the attached Schedule of Fees Due Sheet.. .
20. City of Chico Plumbing permit............................................................
21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ .29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. ed Restriction...................................................................
❑ 35 Legal description Titl,registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone -61 and hold for pickup.
have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter-
2.
etter2. Additional items required
Contractor, designer, owner, was advised of the above data b phone, ❑ mail, ❑ counter, by. Date: -
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by' Date. Structural approved by: Dat
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone I,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
Xi2 Concrete System
Engineer Approval
WxUAMA#D 4 *w moms
FOUNDATION SYSTEM
1ALTB AND SAFETY CODE, SECnox Inn
APPROVE
Bulk= TO CORRBCnONS NOTED
AMMAL DOES NOT AUTHORIZE OR APPROVE ANY
CSSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLrAM STATE LAWS AND REGULATIONS
stow Of Cdi/ornis
Oe�at d � ood Comomnt�r De�merrt
n OF CODES AND SlAI�IDARD3
�_L ---v � �i c � �o (�
SPAN& 2
�sE'laaApeo�d 2
i
l si
Bt1TTE COUNTY
BUILDING DTVI ��
APPR
o
JiCi2 Foundation System
Installation Instructions for California
_ for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20' - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.
* Xi2 components exceed HUD code 3280.306g 'Anchoring equipment exposed to weathering shall have a
resistance to weather deterioration at le_ast`equivalent to that provided by a coating of zinc on steel of not
less than 0.30 ounces$er square foot.of surface coating....'
• • z. .... , a � : •+ -.� Page 2 of 8
0
...
• ► O o
sXA /a► 1%
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �%X01-z71?7
AssEs$q�P/WCj�jIUMTR027
IIJJ oo lU1[4} �IJJ
ZONING
R-1 .
BUILDING PERMIT
'W"E'RONALD E BRYNING
TE 873-4348
SO. FT. OCC. BUILDING VALUATION
'IN"'fMAff 1T PARK DRIVE, MAGALIA 95954
CONmMt#kME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee 2 ORIGINAL $
31.50
Pian Checking Fee $
BUILDING ADDRESS
13884 WES-T PARK DRIVE, MAGALIA
Energy Plan Checking Fee $
$
PERMIT FEE $
51.50
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other PORCH
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Il
Describe Work: UST RRNF'WAT,/98-296fl
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT I
Fling Fee 20.00
Main Service OR LE:
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. gLDS. 3.5¢Fr;
" cGNs ' MULTI.OUTLET
NON•RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex, OCCu . OUTLET OR FOMRES 20 Q 1.00
BAL O .w
Ex. Occup. DUTLEEDTS R=°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
D FEES IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES AN
provisions
to do work
paid.
11/9/2000
Receipt No.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 T
(Rev. 12/96) fi APPLICATION AND PERMIT q2 -. "
ASSESSOR PARCEL NUMBER 66-04-27
ZOfif121
BUILDING PERMIT
OWNER BRYNING, RONALD E.
T TT4348
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M"iVWss WEST PARK DR. MAGALIA q5
240 C 3120
CONTRACTOR'S NAME TE HONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 3120
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 40.95
BUILDING ATIRA4 WEST PARK DR.
Ener Plan Checking
Energy g Fee
$
MAGALIA
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex XX Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW PORCH
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service . OR.
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
Lar 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO CCUOOA
46.00
NEW CONST. DWELLING OCCUP.
WEE
OR ADDNS. ( CC.
.50SO
.3.5dFT.
NEW CONST. MU
MULTI -OUTLET
NON-RESID. J BRANCH CIRCUITS
@7.50
I POWER APPARATUS
OUTLET SINGLE OUET CIR.
EX. OCCU OUTLET OR FIXTURES
20@''50
BAL @ .SO
Ex. Occu .O FIXED Ra D OR
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 FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Xof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith cc y ose provisions.
/ �j
Date (j
Si a ure of Applicant - ner ❑ Co actor ❑ Agent
An OSHA permit is required f r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAz.
I D FE IMP
FLOOD CDF
HD I ASUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
ate G(
ate
Receipt No. �. lS�� -%1v
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/Jrg _ ZS_MIT P NO.
(Rev. 12/96) J APPLICATION AND PERMIT 538-75414J
ASSE$SORPARCELNUMBER
ZONING
BUILDING PERMIT
owNE /�
TEu5HO a
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADD SS
CO _ACTOR'SE
TELEPHONE
CONTRACTORS MAILING ADDRESS i
CONST_ ON
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
S Z
ARCHrtE OR
LICENSE NO.
Flin Fee
$ 20•00
Permit Fee
$
ARcHrrE& OR ENOWEERS MAILING ADDRESS
Plan Checkin Fee
b L/�. r
BUILDING AD
M
Energy Plan Checking Fee
S
S
PERMIT FEE S Z 5
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex KMobilehome ❑ Other
BPec1Fr
Each Tr
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New Xodel ❑ Utilities ❑ Installation O Other ❑
Addition ❑ ;740
Describe Work: ��
Gas piping system 1 - 5 outlets
15.00
Buildin sewer
15.00
Mobile Home ISI GI W
(920.00
PERMIT FEE
f
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service � oa LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS in full force and effect
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
L#w fpr 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 permitis 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'„AZ.
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 5'0” deep and demolition or construction
of structures over 3 stories In height.
Main Service 200A TO 1000A 46.00
NEW CONST. D'WElLNO OCCUP. s0
OR ADDNS. a ACC. BLDs. 3.5dFT:
1.
NON-R°SIMW p. RANCHMULTI-OUTLET 97.50
POWER APPARATUS
a SINGLE OUTLET CIFL
Ex. Occup. OUTLET o_ FocruREs ew ® 1.00
Ex. Occup. ou�nE-Orsssio.°eA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEES I Z
D. �� IMP
FLOOD
COF
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
to
ReceiptNo. 1-` o % 0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY C4NTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: n onJ?E - 6 ,v lnl c4 ASSESSOR PARCEL NUMBER: G f,� ^ 0 Y - a 2--?
Proposed Building Use: /hH G. � .oma , i Building Inspector: L Date: // l _3 j S P.
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 iiems have been submitted --------------------------------------------------------------------------------------
02. 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! ---------
06. Energy Design Compliance and supporting documentation. -------------------------------------------
0 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. -------
0.12. California Department of Forestry plan approval/fees.-------------
❑ 13. Flood elevation certificate. ---------------------------------------------
,�4. Sanitation and plot plan approval C(''� t t `� Health Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. --
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
T
❑20. Pre -inspection for required Request to Building Inspector on (Dat&) ;
❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=-------------
0 22.
------------❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization
025. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. ----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ----- ---------------------------------------------------------------------
0 28. Existing violations and/or expired permits. ---------------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
❑ 3 0. other: / -------
When you issue the permit, process as followsyMail to owner, []Mail to contractor.
❑Telephone and hold for pickup at office. ❑ Dejiver with inspector.
Applicant: NDate:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A=Yollution Date- By:
Copy of plans sent ❑ Health Department, 11Fire Department, ❑ OthDate: By:
1. Index permit application for the above items numbered: ❑ 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, ❑ Buildin ision counter, by Date:
Plans reviewed by: Date: Plans approved by: Date: //
Sets of plans on hold in ❑ Plan Cabinet, ElA.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE QNLY
,r Plot Plan Attached
> ^�` Floor Plan Attached
Sent to B.D. I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
901n f3f,.,u,K4 11854 V. Back- Or . 666- 0*0 - ()2-7
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for —dv e#ing. Other _ _� Y 3U` deck- 10 as s%ivEun ovi j2(ut D&--, .
Hold final for:
F' I earance O.K. for:
NOTEcli`4,c.+'lAL► Y,
, &ec.4.-,� pi's
Environmental Health Specialist
Date
t� V
y
PERMIT NO. 1973-83P,E(MH)
PERMIT EXPIRES 6 Hat
y
OWNER GUY BRYNING
CONTR. PMC
ASSESSOR PARCEL 66-04-27
LOCATION 13884 West Park Dr, Magalia
a
b
Temp. Power Pole
Called PG&E
TO Elec. Service
3
i
Called PG&E � � �Z3 �iG/ Lt// rte/ zV 241 �
Temp. GOA`e'*
CalledPG&E
n
JOB FINALED (Date) _
r
f Signature
i
1
i
J c OK
0• _• Not OK
Not Applicable MOBILEHOMES_ MISCELLANEOUS
= Not Ready
Date MOBIL HOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
l-7, ..Zoning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
o'ls; S o— —Sketch
2. Footings; Size—Depth—Spacing—Connectors
Sew r; Location—Test—Fall-C/0—Concrete
j
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
a r; Location—Test—Easement Needed (Sketch)
I
4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
EI tricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
as; Location—Test—Wrap:/' /"L"ft./ P'Nat.or/J /"L"ft./
LPG,
6. Carports; Windows—Doors
ility Clearance
7. Elec.
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -Bl Date
Date MOB11.EHOME INSTALLATION (Plans) OK except #'s
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
.;IG,Z g Requirements—Setbacks—Easements
1. Setbacks—Easements
Fo ings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3 4s; MH Test—Demand—Valve=Connector
3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining
4. Fytectricity; MH Test—Crossovers— Breakers =Clearances
4, Elec.: Receptacles and Lighting; Distances—GFI
5�D in; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
.aker; MH Test—Regulator—Connector
t
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7 er and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater ^
d Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
qrfeits; Insp.—Sketch
1 . Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
i
Card B -I Date and -BI Date
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card -BI
Date Card -BI Date
a�
,
s
J = OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
„
Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued)
1. Zoning requirements-Setbacks-Easements
48.
Property Line Firewall & Openings
2.
3.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ftg., Garage; Soils-Steel- / ' /" Ftg. Depth
49.
50.
Ext. Doors-One 3'-Check Garage-3rd story, 2 exits
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-Blockouts-Wrapped-Slab
52.
Siding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers-Fireplace Ftg.-Steel
53.
54.
Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access
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-81
Date Card-BI Date
Date
FINAL (Plans) OK except H'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-Meth. 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.
63.
Stairs & Rails
Fireplace or Stove; Clearances-Hearth
-
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card-BI
Card-BI
Date Card-BI Date
Date Card-BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing-Landing-Closer
68.
A.C. Duct in Garage-Damper
20.
Fixture & Transformer Clearance-Ins. Protection
69.
Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Meth. Protection
--
21.
Elec. Receptacles Spacing-Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
_
22.
Size Boxes & No. of Conductors-Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
--
--
24.
Equip. Ground made up w/Mech. Fasteners-Bond Gas &Water
72.
Insulation-Foam-Looked in Attic E] Yes
73.
Guard Rails &Deck Construction-Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance
Looked under Floor ❑ Yes
_26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
-
27.
28.
Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al,
Insulated Neutral ;:Yes El No
Service-Riser Conductors & Ground-Main Disconnect
75•
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
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; PIb A Rance-Fire I Clearance to 0 n s.
9•- PP P •- P 9
- --
Card B-I
--------------
------
Card-BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle-Underground
81.
82.
Ventilation throughout House
Glass Protection
_Date_-__ _
Card B-1 Date Card-BI Date
Date
_______.31._
_
MECHANICAL (Permit) OK except N's
A_C. Ducts: Insulation & Support -
32.Vent-Fan; Exhaust above Insulation _
33. _Condensate Drain_& Overilow; Size & Grade
83.
_
Corrections from Previous Inspections
84.
Gas Test-Meters Tagged; Gas-Electric
85.
86•
Water & Sewer Connected-C/O to Grade-HD Approval
Energy Compliance Certificate-Other Certificates
Card-BI
Card-BI
34.
35.
Furnace-Vent; Access-Comb. Air-Return Air Vent-115V outlet
Attic Access & Platform if Furnace in Attic
Date - Card-BI Date
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-81
Date Card-BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
36.
37.
38.
39.
40.
Sills; Proper Material & Anchors_
Walls; _Studs-Nailing, Spacing & Bracing-Plates-Sound_
Bearing Walls_over Girders & Floor Nailing__
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings-Stairs-Chases-Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam-Size & Bearing
Hangers-Post Caps-Anchors-Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue-Fireplace Throat
Attic Access: Size & Rom_ex Protection-Draft Stop-Ins. Baffles
Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5 permit
number-- for the following location:
Owner
Owner's Address ell
M,obilehome Mfg./-'�
Model Year
Insignia No.
Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied. Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ,
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise —
872-�R1.� XS'7•
COR ECTOO , NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinande
exist at the above address and should be corrected. Please notify this office
',when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
5 Tiii�/� ; ►� / d Lu X74�
- ��WM 7-5 jS-,F6 �J4 Gtv4-
Inspector / 1. /
7 i
nata _�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE,
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Inspector Q Date "' n
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive - Oroville, Calif.ornia 95965 - Telephone 916/534-4541
APPLICATIOWAND PERMIT
PERMIT N0.
ASSES R ARCEL NUMB R ^
G
ZO G
/
BUILDING PERMIT
OWNER
T LEPHONE
SQ. FT. OCC. BUILDING VALU N•
OWNER'S MAILIN ADD SS
RAC T05Q'S NAME'
TELEPHONE
C N RffOY/R/'S AI N'G ADDRESS
1,1A) ACl
Fireplace
CONSTRUCTION LE D`
UNKNOWN.
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING AD RES
Permit Fee
$
ARCHITECT OR ENGINES
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
a JS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
O�C7
SUBDI VISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF S URE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
'
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check One):
the
I am licensed under provisions of Chapt. 9, Div. of the Business
and Profession d nd y license is in f force 'd /effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI-OUTLET 2,50 ea
NON•RESID BRANCH CIRCUITS)
NEW CONSTSL (PSINGLE OUTLET CIR. OWER APPARATUS &)
NON.RES1 D.
20
Ex. Occup(o XOR FIXTURES BAL®a0Q
A
FIXEEDD APP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA. 2:00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFe; 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Thf-Djermit is for $100.00 (valuation) or less.
ave placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become .subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
tte to enter upon the above-mentioned property for inspection purposes.
I als agree to save, indemnify and keep harmless the County'of Butte against
all Iia lilies, judgmen s, costs, and expenses which may in any way accrue
against id County in c' nsequence of granting of this Pert.
DateCX7 D
Signo re of Applicant — Owner Contractor ❑ Agent d
permit is required for excavations over 5'0" deep and demolition or construct-
ion of str ctures over_3 in height.
Mobile Home Installation Fee $
n v�
TOTAL PERMIT FEE $ . (J —,
Occup. GROUP
I TYPE OF CONST.
PARCEL PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF BLIC
By '
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid. "
WORKS
Date r(P_ vp '
��
stories
Receipt No. 1®��
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,,Cal•iforrnia 95965 - Telephone 916/534-4541
APPLICATIOWAND PERMIT
f
PERMIT NO
n
ASSES PARCEL N MBER -
_
ZO NG
BUILDING PERMIT
OWNER • -
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAI ING A RE
gi- CTO 'S N ECACTOR'S
t V I ADDRESS
3 ,
Fireplace
CONSTRUCTION LE R UNKNOWN,
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDR SS
Permit Fee
$
ARCHITECT OR ENGINE R
LICENSE NO.
Plan Checking Fee Af AW
$ /
Penalty
$
ARCHITECT OR ENGI EER•S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
r
Water.P•P 9 I i n
5.00
LOT NO.
.��
SUBDIVISION NAME
PCC �
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF ST CTURE
SF ❑ Duplex ❑ Mobi lehome Other
SP IFY
Building sewer
5.00
Mobile Home 19< G
10.00 ea CIO
TYPE OF WORK
New❑ Addition❑ Remodel[] UtilitiesInstallation❑ Other F-1
Describe work: -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 Q
'
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiyy� and yhy license Is In fu orce a d e feet.
License N C/�_ 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 MULTI -CUT LET
NON.RESID. BRANCH CIRCUITS) 2,50 ea
NEW CONSTPOWER APPARATUS &
NON-RESIRD. ( SINGLE OUTLET CIR.
Ex. Occup(OUTLETs OR FIXTURES gA 50C
300
FIXED APPLNS, OR
EX. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 .S.A�
Misc. Wiring 15.00
Permit Fee
$ 7,'Q
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
El mit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
so agree to save, indemnify and keep harmless the County of Butte against
all ilities, judgmen ,costs, and penses which may in any way accrue
against id County in c asequence o t e granting of thiser it.
t0
Date
Signatur f Applicant — Owner Contractor ❑ Agent
OSH p rmit is required for excavations over 5'0" deep and demolition or construct-
ion o struct res over 3/sstori�ees in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ v�
OCCUP. GROUP
TYPE of CONST.
PARCEL PD
HD 550E
This permit is hereby issued under
sions of the Butte County -Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
P
WORKS
Date L",_2,f-_E�
61 ^��
Receipt No. // _ �
4�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
W
K
W
X
W
J
L
AGRICULTURAL STATF10'4T OF 7CKNa'1MDM1ENT
W 17OR RFSIDL'N'.PJPL DFVELOPAEIT
Section 2681 of the Butte County Code requires' this acknowledgment( �c; ��,�� fi=; .f)ii D;
be recorded prior'to issuance of a builcjing permit.
f9TyE CUi:X1-1=,;;
The property described herein is adjacent to land or included
within an.area zoned for agricultural purposes, and residents of JUN 04 1108
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals including, but not limitedffincif
�
pesticides, and fertilizers; and from the pursuit of agricultural operations ,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tu-'al zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such':.
inconvenience or discomfort from normal, necessary farm operations. '
All that real property situate in the County of Butte, State of California,
described as follows:
NOT COMPARED WITH.
ORIGINAL DOCUMENT
Date: e"
T3el,
Witn ssed� y is Joan G. Wehi6l •
CAT. NO. NNO0634
TO 1950 CA (7-82)
(Witness—Individual)
PRCPF CI:NF.P,1
' t
cr—
CA TIC®R TITLE INSURANCE
STATE OF CALIFORNIA
COUNTY OF Butte SS.
On June 14, 1983 before me, the undersigned, a Notary Public in and for
said State, personally appeared Maria Joan G. Wenzel
personally known to me to be the person whose. name is subscribed to the within Instrument,---WT)-10
15�$j�Flt#�=c>�rci�r>Te3v=rrr fit�svrirl}* ficmcmn��mc, as being the subscribing Witness
thereto, said subscribing Witness being by me duly sworn,
deposes and says: That this witness resides in
Butte County
and that said witness was present and saw GUY A.-- —'—�^
Bryni nq and Lennace L . Bryninq G E f:l Q !J �Y L E
personally known to said witness to be the same person NOTARY PUBLIC
described in and whose name is subscribed to the within �'' Butte County
and annexed Instrument as a party thereto, execute and State of California
deliver the same, and that affiant subscribed his/her My Commission Expires Apr. 12, 1985
name to the within Instrument as a Witness.
WITNESS my hand and official seal.
,qn 11 `,/
Signed B IW4/ (This arca for official notarial seal)
5�
na,iledged
ES
qnd official
Crd er. St. 44.:f,'-! ?:;A
A:i tLat f:ertsin real :roper;; situate In the Count.- of Butte'. 3tzte of
Cplif,rnia, descritel �s !cliclwa:
P;.RC M- I:
Lit 231 Ps shorn on thFA certn!n,mot -ntlt--Pd. -0-pj),-S3 Pl:,Es C::r-;.-,R'Y
1
CLUB ZS74TFS *jO. "I -�'
I Zi'lce
recorled r the . . tne Fecorler c' the
Ccun-V of 1%utte. State Of Calif-CrAla, 0-- September 14, 1971, in pt,;k 38
of Lags, 2t pales 57. 56, 59. Aid 60.
EXCE17ING THE all minernIs. Oil, ges- 0schAltur. An! other hydro -
cc -tion
sub3tnn(--es wits' Prnrisirn th3- eiy and h'!I �inir.g operations shell
Le done froc orifices Outside tae surfece
sr-!nof the land described
herein end thLt no d3mage shall be 3cnp to the surface of said lond.
PAnEl. 2:
A ncn-excluF!•'e ea2pment over Lnts A, F. z, :.). E, p. a.
er"s) c-' -ArAtine 1!—,rtr% .1.1 R (T,_.e co r. on
oil.:inv:i q.
Iota designated _'or conrmn P.ru recreation areas
Ps
tions of Annexat.1cl acmbeil In
for Units IV. vj. all, X. XI. X::, X X7
XI
and Country Club.Estates Unit es dezcrit-el in iiarclellt'
3.
t
1
.16
1
Fee title to the real prorerty lescribed ir. Parcel 2 shall be and is
vested in the hereinbelcw'refferred to ASS0012ticir. for the c,,:,.-r.a 2 'Jae
9 -id en.lo.ment of the owners of lets in 2aradise
Fines Country cll
Estates Unit :1o. 1, and u b
in Any other tracts heretofore And hereafter
annexed, as rare fully set out in the said DeclRratien tereinefter
referred to.
PARCH 3:
A membership a!)purtenart to the let described in Parcel hereof, in
the ?ar;- A 13e Pines s-rc,-er':y Cwners Association. a nom -profit corporation,
the fee crner of the cc -coon area.
SMITECT M:
1. Covennnts, ccndltiane, restri:tic!ls, reservations, rights.
rights-cf-wa.*,* and epser-ents now of record.
- t;, ---------
upon And sutle-:t to .et cor:zin )-2cIP.rr-.t-cr.. 0 f
and ?estricric-is
renc-rde! on Sep-'emi�er 4. 101.0 in inck :�r,2. pave 57E;,
of the Cffi,:JRI'Recnrdz !:f said :o*..Ity,
t
on C-ctcber 16. amenle� by An ins"r7ur-ent
lQ71, in Pn,�P 16110, ;are 433. ;in -j ar. jr.str-jtrent
',q71
on karch !-'A, reenripil
!n Mock 1FC3, PaZe nf the Cf'rlc-';:l 3etor2s of
acid County Pnd the Dec1rration of Annexation
fo:- ra:ndiat ?Ines Unit
recor-el on Cctoter 16. 197-0 in cook 1639, F-'-ec 44.1 and the De:2nm
ticn C' Lnnexntior. 'cr P?riidise FinesCritreordel
-�
'ppge
1970. In Bee),, 109, on Nnvpn�,er A-
437, and t1lDeclarn. t , �Cln of Arnezation for
Faralise Pines Unit 77,
recerdeJ an Cctober If, 1970. in �ck IF -39.
Be71:
papare440 Rn� r. the Dprl�,raticof ;.nnexttioj for Parp.--*ise P!ncs Unit 7-
pare-.-.!,rber
ror.,corded on A
4. 1971), in Pl�ok IJ�4' P;�,Se �10. and the Declaration
1�f Annexatlon !r.r 11). 1971,
-nU�
r.
.lune 1", Pcok 1�91, rare :Or., and The De6-1r&-
t!�n of /nnexaticn f,;r PPrndlse Fr.ps Vni-. (Tjj'. recorded June 28 '071
1-1
N)
C11)
Pc.ok Ifr3. pn;,v 391, the 0zc-lmtIcn c! Anneyr-.t!on for Parnlin unit
XIT, rccorded ug S, 1971, Uzi.'
i;Q
,ui,t
XIVi r-c-.rje.) AujuatI Ia In 169;, poge 3)r. the Decinretien n;rnexation for
ParaJ!ac Pines
cye C,
unit XTIV, recorded August 9. 1971. in 3�vk V32, page 304. the D-eciall—
tion of Annexation for Pa:-.14LEe Pines Unit XV, recorded September 30.
1971, in nook 1704. page 143. the Dc:iP.rTition of xnnexation for Paralise
Pines Ccuntry Club Estate Unit :.o. 1, recorded ::o*.,e:nber 18, .1971, in
Book 1713. page 605, all recorded in the C:ficial Records of the Butte
County Recorder and the co7ernntE, conditcn3, rights, restrict.4o%ns,
easements, reservations, benefits and burdens therein contained, each 4
and all of which are hereby expressly incorporated by reference as though
set out herein in full.
EWRIT 'Am
BOOK, 1846
PACE 678
end of document
M I
O
V.
I
I
� r
PERMIT NO. 3094-83B0
PERMIT EXPIRES' [J
OWNER GUY BRYNING
CONTR. H, Don Darby
ASSESSOR PARCEL 66-04-27
LOCATION o==%P9K W. Park, Magalia
r
.i
7
Z
4 '
k�
Temp. Power Pole
1
Called PG&E
.a.' Temp. Elec. Service
Called PG&E _
Temp. Gas Service
CalledPG&E
a
JOB FINALED (Date) d 1
Signature
J -" OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors -
3. Sewer; Location -Test -Fall -C/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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date. Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed -
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (3i'ngle and Duplex)
Date
UNDEfFLOOR Plans OK except#'s
Date
F♦iAMiyn� lCosinued)
Zoning requirements -Setbacks -Easements
2. Ft Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4
49
r y Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils-Steei- / ; Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51f.
ywoo .on Roof Overhang -Attic Vents -Rafter Outriggers
5. Ste alls, Main; Steel-B'lockouts-Wrapped-Slab
5
ing-Nailing-Veneer
temwalls, Garage; Steel-Blockouts-'Wrapped-S
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. 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
_
1 Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
017
Z
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-BIate
Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card-
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
Card -BI Date/,q Date
Date
PLUMBING (Permit) OK except Ws'
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
14. Water t.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water 'pe; Test & Anchors -Nail Protection
16. D.W.V.; est-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17. Shower P ; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub 6Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Pipe; Si e & Anchors
62.
Stairs Rai
_
_Gas
63.
Fireplac or Stov ; Clearances -Hearth
-
64.
Elec. Outlets Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Iia Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
EI utlets & Receptacles at Kit. Counter
Date
ELECT L Permit OK except #'s
67.
Garage Fire Door Swing -Landing -Closer
68.
A.C. Duc n G amper
_
i re & Transformer Clearance -Ins. Protection
.Receptacles Spacing -Lights &Switches at Doors
69.
Wtr. Htr.; Vents -CI ar c - . A' -Co ctor-P.R.V.-
In Garage; Above Floor -rot n
70.
Plb., Elec. &Mech. Equip. Listed for Location
-
Siz xes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G. mex Protec.
2t,, -FT Close to Edge of Studs & C.J.
-
-_
2? quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E) Yes
73.
Guard Rails & Deck Construction -Post Caps
trcui itchen & Conductor Size
26. Subfeed Wire Size a r AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_-_
-
27. ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
I sulated Neutral r'Yes ,No
28. S vice -Riser Conductors & Ground -Main Disconnect
75.
76.
Followinginstld.: Drive Yes No; Walks Yes
❑ ❑ ❑ []No;
Planters ❑Yes -No
Stucco; Brown -Finish
-_
29. i Clearances; Pane lserMotors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
CI_Eq
e
-30. CI hes Closet Light -Shower Light
78.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
Card B-1
-U\
Card B -I
_
` Date - and -BI -- Date __-
Date Card - BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
84.
85.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
Card -BI
Card -BI
31. A.C. Ducts: Insulation & Support -
32. Ve t -Fan_ Exhaust above Insulation _ ---
33. _Co densate Drain & Overflow; Size &Grade
34. Fur ace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. AttldlAccess & Platform if Furnace in Attic
-- -- - - - - -__-- -- _ -.-------.--_-__.__--
Oate Card -B l- Date
Date Card -BI Date
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMIN Plans) OK except #'s
Comments at Final:
_
3, -,roper Material & Anchors
ails; Studs -Nailing, Spacing & Bracing -Plates -Sound_ -
Bearing Walls over Girders & Floor Nailing__
39-BratYSiop in Walls (rat proof) _
Furred Ceilings -Stairs -Chases -Tub ;
41. a er eam-Size & Bearing
4 a s -Post Caps -Anchors -Connectors
- -fly -- - - --
43 Ing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-S np.-Rfng.
ace Ties or Type A Flue -Fireplace Throat
4A11ie Recess: Size & Romex Protect ion -Draft _Stop -Ins. Baffles
46 g s or Exiling Doors -Si ll Hg L_& D_i_mensions_
47 ge Fire Protection Framing
-_
- -
(NOTE: An entry must be made each time you visit job site)
V :: rnwsr
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAVON AND -PERMIT
PER T
�i
ASSESSOR PARCEL NU BER
4 _d _ 7 '7
ZONING
BUILDING PERMI
OWNER 6t
TELEPHONE
SQ..FT. OCC. BUILDING ULUATItN
�-
OWNER'S MAI LI NG1 ADDRESS
CONTR CTOR'S NAME TELEPHONE
037
CON R'S AILI G ADDRFVS
Fireplace
CONSTRUCTION LE DER
UNKNOWN
Total Valuation $
I
Filing Fee
$ 10.00
LENDER'S MAILING ADD
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS v1 r�78//SVS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT Nq. SUBDIVISION NAME /
-201 CG
PARCEL MAP
Each qas water heater or vent
,9,6
Gas piping system 1 - 5 outtxti�f
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehometo Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G I W
4T��.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other// -
Describe work: —
G��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC „9�
OR ADDNS. ACC. BLDGS. (/
•2yy¢Sq it ��
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
License No._3 I "?F Qy Classification 8 1/
`
❑ 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 FI -OUTLET 2.50 ea
NON.R ESID, BRANCH CIRCUITS
NEW CONSTR IPOWER APPARATUS &'
NON.RESID. ISINGLE OUTLET CIR.
Ex. Occup(X20@50c
FIXTURES BAL®30
- FIXED APP LNS R
)EA.) 2.00
Ex. Occup. OUTLETS (RESI0.)
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $ 2
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 shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai Coun onsequence a ranting of this pe mit.
X Date �� 2 ' d�
Signature of Applicant — Owner - Con r or ❑ Agent ❑
An OSHA permit is required for excavations over 5'Q" deep and demolition or construct-
ion of structures over 3 stonriees� in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
r -
Receipt No. .//Ll;�/(/
WHITE-D.P. W.,YELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
4
.y
PERMIT NO. % .2179-84B,E
PERMIT EXPIRES / 1Z,3 R,
OWNER GUY BRYNING
CONTR.. Don Darby, Magalia
ASSESSOR PARCEL 66.-04-27
LOCATION 1384 Westpark Drive, Magalia
l`
4i
P
Temp. Power Pole
7
Called PG&E
"r Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date
Signature
taw
Full name of Registrant
.Residence Address City
Full name of Registrant
Residence Address City
a
This business is conducted by ( ) an individual ( 1 a general partne
( ) an unincorporated association other than a partnership ( ) a cor
Signed
Typed or Printed
CERTI F
I hereby certify that the foregoing is a correct
CLARK A. NELSON, County Cl
By
5
FILE WITH
i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
inspector,
Inspector_Kr �! Date
H. -
J c OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except b's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
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
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel=Connections-Thickness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 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
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date -
M
e_' OK
0 = Not OK
- = Not Applicable
* = Not Ready /
RESIDENTIAL (Single and Duplex)
. It
DateERFLOOR
Plans OK excpK#'s
_Date FRAMING (Continued)
Zoning require en acks- Easements
48. Property Line Firewall & Openings
2.
f1gi. M i • o I - teel-Elec. Grnd.- / /" Ftg. Depth
ors -One 3' -Check Garage -3rd story, 2 exits
arage; Soils -Steel- / /" Ftg. Depth
idth-Headroom-Rise-Run- Land ing-Fire Protection
/WFytg.,
Porches & Decks; Soils -Steel- / /" Ftg. Depth
1 ywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. mwalls, Garage; Stael-Blockouts-Wrapped-Slabsh-Drip
92,-S ding -Nailing -Veneer
Screed- nts-Underflr. Access
Piers -Fireplace Ft .-Steel
la ing 2!a -Glass ro -Skylights-Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5. ails; Nailing -Bolts
9. Gas Pipe; Size -Anchors
641 t71 7-)_30�
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI Date _ and -BI Date
/V U
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
xt. Steps -Door & Sidelight Protection -Landings
-S9-Smeke-0etector
'58,-J=urnaee�/ents-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
_5-9.--Bedroom-Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60._G -F -t-& Bath Fixtures & Tub Access
18.
Test Tub 4Shower, 2nd Floor -Tub Access
64._Elec Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe Size & Anchors
fairs & Rails
lace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
utlets at Wood Panel; Int. & Ext.
Kit-Flxt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
6&-7etec-.-eotle4s; & Receptacles at Kit. Counter
DateEL
G�
RICA Permit OK exce t #'s
.67-Garage-F4rcrDoor; Swing -Landing -Closer
68- A C -Outten Garage -Damper
& Transformer Cle ante -Ins. Protection
60wt_.._Ht� • Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
lec. Receptacles Space -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70. Plb. -Mech. Equip. Listed for Location
7� - ==• o-'rtacles in Garage; (G. F. L)-Romex Protec.
omex Installed Close o Edge of Studs & C.J.
24.
Equip. Ground made w/Mech. Fasteners -Bond Gas &Water
72.....InsulaUoR-Foam-Looked in Attic ❑Yes
25.
ppliance Circuit in Kitchen &Conductor Size
73-Rai�� Deck Construction -Post Caps
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
7,� . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Ne al ❑Yes []No
-76-F l-lowing-instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76. S co=Brown-Finish
-7 a r Ufnk-Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
78 Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-29---Water-Well; Disconnect, Electrical, Plumbing
80. E Elec. Trim; G.F.I. Receptacle -Underground
°-,.;-.-r"^r4i�Let-ion throughout House
rotection
Card B -I Dated:!S( Card -BI Date
�
Card B-1 Date Card -BI Date
v
Date
MECHANICAL (Permit) O except #'s
ectians from Previous Inspections
,&4r6a9-Test-Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulat' n & Support
r & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaustbove Insulation
nergy Compliance Certificate -Other Certificates
33.
Condensate Drain /& Overflow; Size & Grade
34.
Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet
35.
Attic Access Platform if Furnace in Attic
Card -BI I Date • _ Card -BI Date
Card -BI
Date Card -BI Date
Card-BIV Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING Plans OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
ails; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
-
rat Stop in Walls (rat proof)
ZN49-F1P6
o s; Furred Ceilings -Stairs -Chases -Tub
Bader & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. Ties-Purlin-Roo_f Brac.-Truss-Sh_thng.-Rfn_g_.__
*4r--FlrepMce Ties or Type A Flue -Fireplace Throat
45_-AR4e-Access;
Size & Romex Protection -Draft Stop -Ins. Baffles
endows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
'J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cali.fornia.9,5965 -Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
'A n
ASSESS(�OR PARCEL �Ny MBER —; 7
ZONING
BUILDING PERMIT
owNE 2 V
ego
!0,0r
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'SWAILING' D ESS jD
C ONTRAC OR'S NAME T LEPHONE
-
COACTOR'S M ILING AD ESS
NrQ, /g
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $ a:16
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ to
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
IF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New Addition emodel❑ Utilities [:J Installation[] Other❑
Describe work: 2
2d274 —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
•
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING O &
ConNSTR.(A
1 of
2/=2sq ft v/
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ��� 7 R a - 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 ULTI OUTL T
_NON BRANCH CIRC ITS
2.50 ea
NEW CONSTR. POWER APPARATUS &`
NON-RESID. (SINGLE OUTLET CIR. /
Ex. Occup(o OR FIXTURES
20®50a
BAL@30Q
FIXED A
FIXED ASPENS, OR
EX. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
23,<have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: if after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, cost d expenses which may in any way accrue
against said Cou n copse ence f th ranting of this permit.
X Date �'--�0 ^� (�
Signature of Applicant — Owner ❑ Cont actor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
_�J
HD 550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
t
Date —1 ,
7—`
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
s
Villi,
PLPA i� 217 ?-8
6 6) 4,--, ,6,e, � /a) c
v�"
r -- - ----TO-8t). 40----=----
Wrrr1 Lnl,tornia 96094
19161 91&371�
July 11, 1984
Mr. Paul Williamson
BLATTNER-BAHR DISTRIBUTORS
PCO. Box 26297
Sacramento, California 95826
Dear Paul:
To confirm our conversation this date, all sash and French doors
manufactured and glazed by Shasta Door utilize 1/8" tempered glass
The only exception would be leaded glass inserts for front entry doors
which are exempt from the Federal tempering regulations.
Best regards,
SH,AS,T,A' DOOR
Dick Bartel
National Sales Manager
DB/is
Maib1* I {
i
eX44 o '.
h
;t
� APri.O � LJ
Butte County
Environmental Health
----��- = 98 ---
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Signature
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Butte County
Environmental Health
Date
Signature
4 Let)
Nov
31998
C6,60.
Calffomia
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Butte County
Environmental Health
Date
Signature
4 Let)
Nov
31998
C6,60.
Calffomia
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BUTTE COUNTY
y \
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