HomeMy WebLinkAbout066-080-004r T•w}wc— e .. _ . ..—.,--. .,,..i-•-,.:r„,-.•.^!r,,,w^...+.-.«.,-. .. .,,,,. .. ,,� .. - - _,. - .:�.1,:..... �,�••yM�� .-. 1r r ter. +..- ro '�!.. � ,y \
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66-08 4
Melvin Renouf
r130 Cascade Dr., lot 233, CC��1, Maga.
t
• r
- contr: Feather River Const., Magalia ^ a1
s Permit #229-78P,E(util.,MH) -�
n ELEC,$0 AO
r GASB —
SUPP RT • TRUCTURE REQ.
. COMPACTION_TEST.' REQ.
.3� G/is/5t j r
66-08-04
Contr: Paradise,. Modular Concepts
„ Permit #2330=78MHI
a '
I s s ued
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66-8-4
�,.
Permit X4056-78B(new private garage) MH -
Permit#493-83E(relocate: ele: e / ) •' ' r 3 '' ,'
1 ��w.5.'.."_+T�•r••Sr' ���� -iiT� �y-cil.�r �y lw'? ��... ;.� . ��� ',l1 ^Y
PERMIT#9501,”;
yi
'-'3000
SONS �4. WIL Richard .•H � � �; �• ��, ,�u >.�s. '�
F. +.i�v`atSiS.t
1.3935CascadeSDr 1 M"
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RESIDENTIAL
066-080-004 PERMIT#95-3000
WILSON, Richard H.
iV 13935 Cascade Dr., Magalia
Covered Deck/MH
�zq
a
5A- C4--)
o
JOB FINALED (Date)
Signature
l
V=OK
0 = Not OK-
Aplicable
Nott Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
MISCELLANEOUS
Date REM40VERS, CARPORTS, GARAGES Plans OK except #'s
ing Requirements -Setbacks -Easements
LAootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rf rs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
e8-7r_mg.-, Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date jr Card B-1 CAN,, 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 -GA
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w16 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
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; / tUft.
/ /Nat. or/ !'L"ft./ /LPG
7. Well Clearance 8, Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date REM40VERS, CARPORTS, GARAGES Plans OK except #'s
ing Requirements -Setbacks -Easements
LAootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rf rs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
e8-7r_mg.-, Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date jr Card B-1 CAN,, 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 -GA
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w16 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date UNDERFLOOR (Plans) OK except N's
Date FRAMING -(Continued)
1. Zoning -Setbacks Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors _
2. Ftg., Main;'Soils-Elea Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth "------"---""""--
47. Fireplace Ties or Type AFlue-Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -"""--"-----------"-
- 48. Attic Access; Size &Romex Protection -Draft Stop -Ins, Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped---"""-""""""-""""-"--""---- -
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card 8-1 Date Card B-1
Date PLUMBING (Permit),OK except n•s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
---------------------------------------------------- ---
---- - "-19. Shower Pan; Test_ First Floor -Tub Access
-------- ---
--------------------------------
20. Test Tub& Shower. Second Floor -Tub Access
---------------------------------------------------
21. Gas Pipe_Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
--------------------- ---- ------------- - - - -----------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
----------------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------------------------------------------------------------- ---------
24. Size Boxes & No. of Conductors -Stapled
----------------------------------------------------- --- - - --
25. Romex Installed Close to Edge of Studs & C.J.
------------------------------------------....---- ---------
26 Equip Ground made up wrMech. Fastners-Bond Gas & Water
------------' -------------- ------------------- ---- _.._... ........ ....... _.
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
--------------------------------------------------------- --- --- -
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sze ga.
Cu or At
- ----- - -- - --- ------------------------- --
29. Range Circ ga. Cu or AI -Oven Circ. r / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------- -- ---------------------------- ------ -------. ..
30. Service -Riser Conductors & Ground -Main Disconnect
--------------------------------------- ....................... ....... .......
31. Equip. Clearances Panels-Motors-Mech. Equip.
-------- - - ..... ................... - -- -
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------- - ---- ---------- ---..............
33. Smoke Detector
-------------------- --_...... ......................... ... ...........
..I.... ..
Date Card B-1 Date Card B-1
----------------------------------- ................
... ... ... ... .
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
----------------..'-----'------._-.....-----__.._........_
35. Vent Fan: Exhaust above insulation
--------------------- - - --- .. _...._.------- ..
36. Condensate Dram & Overflow: Size & Grade
37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-
--- ---_. ....... ....... ... ... -- .... ...
38 Attic Access & Platform if Furnance in Attic
Date Cartl B -t Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except P's
39. S Is. Proper Material & Anchors
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ... ... .. .. . ........... ... ...... .
41 Bearing Walls over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stags -Chases -Tub
-
----- --_.. ....... .....-. _.
44. Headers & Beam -Size & Bearing
50. Garage Fire Protection Framing
-----------------------------------
51. Property Line Firewall & Openings _
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
-- -- ------------------ ---------------------
_ ________ 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55._Siding-Nailing Veneer
__ _________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
-----------
59. Insulation -Walls -Ceilings
------------------ -----
60. Infiltration -Walls -Windows
------------------------------------------------- --
Date Card B-1 Date Card B-1
.. - -- -- ------ ---- ----------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
------------------- - --
62. Smoke Detector
------------- ---------- --------------- --- - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------------------------
64.
....--- -------------------64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
...... --. .. _. _. - -- --------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-- ---------------------------
67. Stags & Rails
- - -------- ----------------------
68. Fireplace or Stove: Clearances -Hearth
--- --------------------------------- -
69 Elec. Outlets at Wood Panel: Int. & Ext.
. --- ----------------------------- ------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
...... _ - - - - ----------------------------------- --
71 Elec. Outlets & Receptacles at Kit. Counter
.. - - - .. _ --------------------- ---------- ----------
72. Garage Fire Door: Swing -Landing -Closer
...... --- -- ------------------
------ ----- -- -
73. A.C. Duct in Garage -Damper
... .. - ----------------
74.
- -------------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
------ - ----- ------------------------------------- -
76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection
-
--- ----------------------------------
--------------
7; Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
- -------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes_ _
80. Follow, n - instIDrive ❑ Yes ❑ -No:-Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
--------------------------------------------------------------
81. Stucco: Brown -Finish
_..-------------------------
--------
-------
82 A C Unit: Disconnect. Electrical. Plumbing
. ... . ... .... . .. .. . ----------------------------------
83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to
Openings
.. ....... . ... . . _ ._ _ . - - - - --- ------------------------------
84 Water Well: Disconnect. Electrical• Plumbing
...- --------------------- --------- -----
85 Exterior Elec. Trim. G.F.I. Receptacle -Underground
-----------------------------------------
86
_..------- ----------------------------86 Ventilation Throughout House
87 Glass Protection
.. ....... ------------- - -- -- ------
88 Corrections from Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
_. .. - --- - . _.------------------------------------
90 Water & Sewer Connected -C/O to Grade -HD Approval
--------------------------------
91
------------- -----------------91 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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville California 95965 - Telephone (916) 538-7541 PERMIT NO.
• '� APPLICATION 1.AND PERMIT q�
ASS SD P °6LIM ER 4
6�i -60
R1 ZONING
BUILDING PERMIT
OWNER
RICHARD H. WILSON
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
O ER LING DR A
/('If
296 OV DE K
3,848
CONTRACTOR'S NAME TELEPHONE
OWNER
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNINOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Fling Fee
$ 20,00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 40.95
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDINGADDRESS
13935 CASCADE DR, MAGALIA
PERMITFEE
S 123.95
PLUMBING PERMIT
Filing Fee20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XX Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD COVERED DECK
Mobile Home I S I GI W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service a v OR LESS
( 2ooA OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
.gyp' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. ( a ACC. BLDS. )
SO,
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
WER9
( 8 S11NGLE OUTLETT IC R. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL 0 .SOEx.
Occup. oLTLEE RESID) R
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
i
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
.� I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply ith those provisions.
g
X Date L2 GS _
Signature ppli Owner_ _ _ ❑ Contractor ❑ Agen .
a
An OSHA ermit is r uired for excavations over 5'0" deep and demolition or construction
of structures. over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FE 3.95
HAZ. D. FEES
I
FLO CD
PAfiCFL�
{/�/
HD E
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fe s have
BY
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date/Z/Jq/47":Z
(Date)
ReceiptNo.06 4,_W4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
-•.�.�«.pr-1+:►..iV.13+radii;�:`�47i["7"'��F'3L?!�{�S�i+�+,'k�'s�'' �•a,��t°`.a�.'z`Wµ'ey""""�'i►"'�r7r"���3�?_.•r�'.7+.r'•vz.�:�v�,
_ XOUNTYOFjBUTTE - DEPARTMENTOFD`E�VE?LOOM ENT SERVICES - BUILDING DIVISION
- 7 CO.0 NTER DRIVE - OROVILLE CALIFORGVIA 95965 -TELEPHONE (916)538-7541
Z.
PER MIT APPLICKT,IO.N),DATASHEET .,
0
OWNER t U/1� ►'7/I 1fe W �'•SOYI.. sfr i 1 +� } poe .
� P.No.
Proposed Building Use O v.ere: G 4 ' ; Bu)Iding'1nspector ir"r .. bate
. At time of permit application; I was'a8vised the following data musf be submitted, prior to permit processing and/or issuance:
DATE RECENED BY
I z 1. All items have been submitted. .....
k......1'- '---.-:---: -
,;....
2. Plot plans, 3/4 sets; signed by preparer of plans. ................. " ...... -
-� ...
3. Complete plans, 3/4 sets, signed by re
prepar of plans. ...:......:'-
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
- ' 6. Energy Design Compliance and supporting documentation . ..................
-;7 Statement of Intent_for,Non Heated.and. A/C Buildings -
r. 8 Engineered truss details and layout inYduplicate '(requi ed pnor'to plan check) '" ?. �� � '► "'' -°`' y`"` '
' 9. Mobilehome data and manufacturer's installation instructions, 2 sets . .. ......... .
10. Fees of $ * `� .........................; ..................
./11. Impact fees as shown on attached schedule. ° ............ .
'r 12. California Department of Forestry plan approval/fees. ..... ? .. •.' ................ 41113.d�eleVation letter (100 year flog�ly t�y,California Engineer : ...........:::.. .
4. Sanitation and plot plan approval ( '' Health Department. :Z— q �—
=' 15..Citytof Chico plumbing•permit. ............. .
16. • Plot plan,andtbusiness license approval from City of Biggs/Gridley. .
G' 17.'Planning approval'for (A) Use: (B) Parking:
,,, • ..... .
18. r Contact Land. Developriment about -•;(A) Improvements . (B} Drainage: r
rr., •,._......, . .
19. Driveway permit'(construction approval' required prior to occupancy) t - =4
20. ' Pre -inspection ford ;:. Preanspection requeT
•- F `require . to Budding Inspector (Date)
s.` eo
gtractor's l'icen`se information. (No., Name Style Classification).rfificate of.Workmans Compensation Ins ce. ` ...... ...... ner-Builder Ve�i'fication {Given to owner Mail to owner ........
24corded copy ofjAgriculturalrAcknowledgeme t Statement. ......... . .
�^ 2� Letee of s gnature authorization. r
26. Copy of recorded deed of parcel creation and 60,right of way toa public road. ..... '-
27. Letter of intent on building use. .......... . •..................
...» r
28. Mobilehome utility clearance ............ -� `` , ..... *r
29"• Documentation of legal access . ............ Y ..:.....:. .......
o ... • i
30. Documentation of,50 /o subdivision developed or (A) Road improvements completed)
and (B) Parcel meets zoning area and frontage requirements. . ` ........ .
^' 131 Existing,violations/,expired permits.,, .
.e...•.��. Plan check list. :'{............... ! .... ...... ...
33.
34.
W n you issue the,ppermit, prop&js as follows: Mai tQ owner. Mail to contractor.
Telep and hold for pickup at rM-co • office. Deliver with inspector.
OthEk t G 45)
s
Parcel Creatione
-Acreage �: �ppIicant.v 1 .. Date
:Copy of Haz=Mat form se'ntL•' :Y Health Dept., Fire Dept. Air Pollution I Date -
Copy of plans sent c • Health•Dept. Fire Dept". •• --,Other Date By
- The followin ' data must be submitted • rior to permit issuance: Circle new`item not checked above
In
+•.1 ' dex permit for above,items'No:
2. -Additional items required: v ,
Ir
Contractor, designer, owner, was advised of above required data by _phone _mail Counter'by _Date
Contractor, designee; owner, was advised of above required data by_ phone _ ma!,�r by Date
Plans checked by Date Plans approved byDate
Sets of plans on hold in File cabinet AP folder
Copyi:-Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
F.H. USE ONLY
I'lut flan N�aehed � S'
fluor flan Aliaclwd _ S
Scnt lu B. 1). /cZ
�7 t1-1,- OL -00Y
/43 F 3.5- &,4
Owner ocation AP//
Plan Approved for: Sewage Dis osal Water Supply: Public Private Well
PP � P v
Clearance fo bedroom mobile home Other
Hold final for:
Final c'---____ 1-1T, C.._.
NOTE:
6
L-nvironmenta ealth Sp cialist
8/92 ` '
�s� - �� ��,
Date
� r .. 1, f . r 5.. •,
-7
COY
-- �; CO_r_ra f _d h � - f'� e_rS�-cr,���_ll-v_�.s �l J77 a- n �
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cf �
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_ 1�
COUNTY OF BUTTE
BUILDING DEPT
D E C 18 1995
O.B.- I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary'delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[(] NO[ ].
2. i HAVE -1?( --
.J HAVE NOT[ j signed aw application for a building'permit'for then" '
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME: /=
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work,, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME: A42A/F
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide•the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
PROPERTY OWNER: LgLi—�� -:L&�
SOCIAL SECURITY NUMBER:
DATE•_
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
4p* OVER
0&6-Cg0--000 ,,vq'�/
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified-
For
pecifiedFor your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and, bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is V00 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his .or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally. '
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your ccrrunra .ity or at 1020 N Street Sacra -mento, CA. 95814 ,
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sin'c/l:rel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
-ti
i.z .
PERMIT NO. 4056 -78B;, -
PERMIT EXPIRES
OWNER MELVIN E. RENOUF
k CONTR. owner
7
LOCATION (A.P. 66-8-4 )
130 Cascade Dr, lot 233, CC#l, Magalia
I
Temp. Power Pole
` Called PG&E
Temp. Elea Serv.
Called PG&E
Temp Gas Serv.
Called PG&E
d
JOB
FINALED
(Date)
(Signal re)
COUNTY OF BUTTE — DEPARTMELIT'OF PUIaLICVDRKS
BUILDING INSPECTION RECORD
r
BUILDING BUILDING (Cont'd) PLUMBING .
Setback
Forms 7+:k-6 - 7-P-0if/d
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings%;B-
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Firewall
Parapets
Restroom Finish
Windows -4
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Insulation /
Prov. for ph si lly
handicapped
Conformance al ex.
structure 11
Final [
(REPLACE
Footing
Throat
Final
F RE SPRINKLEI
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer 1
Fixtures
Water Htr. I
Heaters 1
Appliance
Gas Piping' & Test
Temp. Gas
Sanitation!
Final i
ELECTRICAL
Fixtures
Stucco
Final
Subpanels i.
Mesh
MECHANICAL
Grd. Fault Prot. 1'
Scratch
HeatingI
Service
Brown
Cooling
Temp.,Pole
Finish
Ducts
Underfilround f
Interior Lath
Ventilation
Permanent 11
Door Closer
Final
Final
MOBILEHOME UTILITIES - - - - - - - - - - - -
- - Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping'
MOBILEHOME INSTALLATI Support
Elea Contivuirfy
Water Piping
Drainage
Gas Piping /
DATE
REMARKS OR C RRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 COunty'Center Drive' - lfroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
T
nature of )Permit.. or ent
Receipt No. / 2 X �y
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO F PUBLIC WORKS
B;U� Dateilding permit expires Date i'/,��7�
BUILDING
Owner Nj/5 /_ U ��� j' �i'G�i 0 (JF
SO. FT. OCC. BUILDING VALUATION
U J �
�y
Mailing Address 3 0 l=H- S e f? 0/3 J) J2 .
Telephone No.
Contractor aW A/ /Z
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address %�
C.Fq-S c Qui O`
Plan Checking Fee&/or Penalty '
Permit Fee o o
O o,
PLUMBING No.1 @ I FEE
n
l
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. NO. �Cj —�'
Zoning& Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fs
W.t
ation
Fire Dept.
Fire Zone
I Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel Approvol
Plans Approval
Lawn sprinkler system 2.00
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
'
Main service 600V OR LESS
loo AMP LESS 5.00
Single Famil Du lex Mobil Home Others
9 P ❑ ❑
-L
Main service EA. ADD'L loo AMP 2.50
OVER Main service 1100 AMP oR LESS 25.00
Main service(( EA. ADD'L 100 AMP 1.00
NEW CONS. OR ADDNST \ ACCLBLDGS.DWELING CCUP, s� 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
%t
NEW RESID. BRANCH CIR T
NON.CONST BRANCH CIRCUITS 12.50ea
NEWCONSTR. POWER APPARATUS B
NON •RESID, SINGLE OUTLET CIR.
Ex. OCCUD{OUTLETS OR FIXTURES 5 L ,� 25,t
Ex. OCCU / FIXED APPLNS. OR
P•\OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cali fomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
aI certify that in the performance of the work for which this
permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL N0.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ 1077T
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
T
nature of )Permit.. or ent
Receipt No. / 2 X �y
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO F PUBLIC WORKS
B;U� Dateilding permit expires Date i'/,��7�
COUNTY OF BUTTE
DEPAR`vMENT 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, under permit
number ° for the following location:
Owner r rr
Owner's Address
Mobilehome Mfg. Model Year
Insignia No.' Serial No. > t)
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date G - ` r By � t ! I' '/ e,Al
t
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
PERMIT NO. 2289-78P,E
• o
PERMIT EXPIRES
DOWNER Melvin Renout
a'CONTR. Fpathpr Riypr Const Magal is
i
LOCATION (A.P. 66-08-4
,1 130 Cascade dr., lot 233, CC#l, Magalia
y
A,
;l
,,I
d'#
f
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. — 3
Called PG&E (� .
Temp. Gas Serv.
Called PG&E
I/FINALED
(Date)
(Signature
a
fr
PERMIT NO. 2289-78P,E
• o
PERMIT EXPIRES
DOWNER Melvin Renout
a'CONTR. Fpathpr Riypr Const Magal is
i
LOCATION (A.P. 66-08-4
,1 130 Cascade dr., lot 233, CC#l, Magalia
y
A,
;l
,,I
d'#
f
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. — 3
Called PG&E (� .
Temp. Gas Serv.
Called PG&E
I/FINALED
(Date)
(Signature
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTFUN RECORD
BUILDING BUILDING (Cont'd) PLUMBING '
Se ack krewall SoIX01ping
For Pa'vpets ISAFloor
MaX Bldg. Restliporn Finish 2nd Noor
Windo
Siding
Roof She In
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for ph sfcal
handicaooed
Conformance of ex.
.3rd Flkr
To out
Water PI in
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
ECTR
M
L
Iglerlor Lath N I V ntilation
oor Closer anal
MOBILEHOMEUTILITIES------------------ Elec. Service
Water Piping Sewer
MOBI-LEHOME I STALLAT ON - - - - - - - - - - Suppor /3
Water Piping Drainage
DATE REMARKS OR CORRECTIONS
Motors
T mp. Pole
nder rouni
Permanent
anal
Elec. Pedestal
Gas Piping 5.1
Elec. Continuity
Gas Piping
A&��f 5 & If- z��
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e.,' water pumps,
garage, cabana, etc.? YesNo
B. Is there proper clearances around panels? Yes s --"No
C. Is power supply cord,or feeder assembly properly fused? Yes v No_
D. Is continuity test satisfactory as per the following.procedure? Yes— �No_
1. De -energize electrical wiring system of the mobilehome at -the pedestal
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches•inr the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
'water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity,
test shall then be made between the grounding electrode and the chassis of the >>
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing. -s
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length_ Width 2=
Vehicle Serial No: % y/J7y
State Identification No. (4' /b
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes_ZNo
1__�
2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes 'No
3. Are footings and supports properly sized, spaced, and braced as pee approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes./— No
4. Is the mobilehome level? (Sec. 5088) Yes �No-
5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes— No_
6. Water
A. Is fl,X:ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes V No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes v No_
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes— No
7.- Wastes and Drains
A. Is.connection made with Schedule 40 DWV and have flex connectors at each end? Yes — No
B. Does it have minimum k" per foot slope and is it properly supported? Yes t"'No
C. Are any leaks detected in drainage system after running 3- allons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilphbme gas line inlet without reductions other than the mobilehome
connector. Yeso
—
B. Test OK as per following procedure? Yes ✓ No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes YINO.
COUNTY OFSUTTE DEPARTM,,ENT,Of PUBLIC WORKS
^'- 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT /it
crc.�cn aa.0 uic vuunay u� vuuc au cnaci uyun uIo
above-mentioned property for inspection purposes.
X Date 3 —� 7v
ignoture of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOPUBLIC WORKS
Yr/ 2
By Date �la��
uilding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address 6Fireplace
`
Total Valuation
h o
Permit Fee
Building ddress
Plan Checking Fee&/or Penalty
Permit Fee
0 nadir Ole
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 QU
Each Trap 1.50
/r
UnTha Verificafion Onl
Repair drainage or vent piping 1.50
QO — / .! —f
A. P. 7 Zoning & Plan 9
Water piping -i-59 Q D b
Each gas water heater or vent 1.50
F S n ion Fire Dept.
Fire Zone es
piping system 1 -5 outlets 1-58 O
EQA
Parking
Plans
I Parcel/t,,��a
Declaration
el Nfa 60' R/W
Improvements
Each additional outlet .30
Building sewer
��/� �.��,,
g. PVdIPR�c'd
1 L Parce roval
Plans 4 proval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES, OTHER ❑
Permit Fee
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
loo AMPLESS 5.00
Single Family Duplex Mobil Home Others
❑ P ❑ ❑
Main service EA. ADD•L 100 AMP 2,50fn
'L
500 SQ. FT. MINIMUM
FOR MOBILES
'
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
OR ADDNS. ACCNEW CONST.( LBLDGS.LING CCUP. Y� 20sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of
NEW CONSTR MLTI-OUTL T 1
BRANCH CIRCUITS/ 12.50ea
NON-RESID. �U
NEW CONSTR. (POWER APPARATUS 6
NON-RESID. `SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXT(IRES 50@�
BAL@1
EX. OCCUP• OUTLETS P(RESID )KEA) 2.00
Temporary service 10.00
vMisc.
Mobile Home Facilities 15.00
License No Dr�0 Classification,��
Wiring 6.25
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
K7( I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
crc.�cn aa.0 uic vuunay u� vuuc au cnaci uyun uIo
above-mentioned property for inspection purposes.
X Date 3 —� 7v
ignoture of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOPUBLIC WORKS
Yr/ 2
By Date �la��
uilding permit expires Date
. COUNTY OF BUTTE — DEPARTMENT, OF PUBLIC WORKS
- .. 7 County Center Drive — Oroville, California 95965
r Telephone: 53$--4541 /
APPLICATION AND PERMIT
BUILDING
Owner J
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contr to
Mailing Address �3�
Fireplace
Total Valuation
le ne o
Permit Fee
Building Address t,(J / \
PI nCheckingFee&/or Penalty
$
ermit Fee
,.
PLUMBING No. @ FEE.
PERMIT FILING FEE $3.00
Each TraD 1.50
/D /t
Repair drainage or vent piping 1.50
A. P. No. �Cv — C)&
Z oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F4,41
/
1irC.
9ztdTf
Fire Dept.
Fire Zone
I Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking ParcelEach
Pians_1 Declaration
I Parcel Map
60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
Bldg. ec'd
Parcel ^rovol
� �
`Fra ns Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
ELECTRICAL No. @ FEE
21-7 AY" �,, ����� o�� "
PERMIT FILING FEE $3.00
Main service 610V OR LESS
100 AMP LE SS 5.00
Single Family lex Mobil Home Others
❑ Duplex ❑ ❑
L
Main service EA. ADD - 100 AMP 2.50
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS ( DWELING
OR ADDNST ACCLBLDGSCcup- Y\ 22sgft
/
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: ��
NEW CONSTR (MULTI.OUTL T
NON.RESID `BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS 6
NON .RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES a ��
Ex. QCCUp•I/ FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home FacilitiesqS625
License No Classification (0
Misc. Wiring
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
nave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
,J� j> �r,�/
X Date ,
Signature ermitee or Agent 6
Receipt No. �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
MECHANICAL No.J @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee ^'
Land Development Fee
$
is
TOTAL PERMIT FEE
$3(?
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been aid.
DIRECTOR 0 PU LIC WORKS
B Y Date J' 2,9--7P/'
7'
B (ding permit expires Date _ J_ r
i•-
.,-=r..-.r.,_..,.,-..:..�4�.v„fql.,.:c�:i�-•:,,,u_,,�,:�a;�-+y%+�,,..ur�;',iac�4�.:•'r.. w.L''�MR.-: "'�u��:.sr.:.1:p-a�,r•+.t.., . .r.�.n.•�,;...
-�T
l
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovTlle;1Ga9for>ria 95965 - Telephone 916/534-4541
APPLICATION AND~PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER •"
ZONING
BUILDING .PERMIT
OWNER
A:06760U PRE7?-
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S' ING ADDRESS
6x 00/ A4,&1m4L-1A
CONTRACT OR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND R
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING AD•RESS
Permit Fee
$
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.
Z7
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomet Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New Addition Remodel❑ Utilities Installation❑ Other
Descri work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service tOODV OR o AMP ORSLESS
10.00 /,0,00
Main service EA. ADD -L 100 AMP
2.50 2. S'?�
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLOGS.
2h¢sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
® I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR (MULTI -CUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. / POWER APPARATUS &)
NON.RESID, (SINGLE OUTLET CIR.
Ex. Occup(ou TLETS OR FIXTURES ;0 @30Q
FIXED APPLNS. OR
Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 / "', 00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
e 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseq(ience of the granting of this permit.
X Date S ,, 73
{
Signature of Applicant — Owner X Contractor ❑ Agent ❑ '
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories inheight.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCcuP. GROUP
I TYPE OF CONST.
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
4 JOIRECTOR OF P LIC WORKS
By .. 'f 1 Date zk �Y--�
PERMIT EXPIRES Date
Receipt No. 7.52 4
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive - OroviIle, C6lrf_qrlrita-95965 - Telephone 916/534-4541
APPLICATION"AND PERMIT
P RMIT N
ASSESSOR PA CEL NUMBER
ZONING
BUILDING PERMIT
OWNER "-
- -'
TELEPHONE
73-- 4-b
SO. FT. OCC.1 BUILDING VALUATION
OWNER ING DDRIE
EX e931 AdAM1,1A.
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING A DRESS
Fireplace
CONSTRUCTION LEN R
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING AD KESS -
Permit Fee
$
ARCHITECT OR ENGINES
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit tee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
Z33
SUBDIVISION NAME
t
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE, 9F STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other [X
Descri work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00/,0.040
Main service EA. ADO'L 100 AMP
yy
�j• sti
2.50NEW
CONST.
ODWELING R ADONS. ( ACCLBLDGSO.CCUP.&)
2'�z2sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
/06 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 CONSTR /POWER APPARATUS &)
NON•RESID. \SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES BAL@300
a
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00 / 00
Permit Fee $ 3 A
Contractor
MECHANICAL PERMIT
Filing Fee 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.
mit 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 County of
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 s unity in u ncZ7anting of this permit.
X ��� Date �s
a of Applicant — Owner ontractor ❑ Agent
sign [N
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ 3 7izv_
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sion5 of the Butte County Code and/or resolutions to do
work) indicated above for which fees have been paid.
CTOR OF �
IC WORKS
BY v Date
PERMIT EXPIRES Date �L Gt,J
Receipt No. 77 Z�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
rxi57 !N4
A-�- A-& E
N
—/R
F
Q
,o Coll
Dep
14 pp A/?
0
loo er i, -e i
07
/3 ?3S
ALL STRUMRE13 AND EQUIPMENT INCLUDING
OVERHANG SHALL C3E CLEAR OF ALL EASEMENTS•
\ A SET BACK OF S F T. FROM THE SIDr.E � ajp nEsi ° E"VCE o� �
T . E,"R PROF'E�TY LINES A,') P,��/� Q p U1 rL s o N
....ZQ-Fr. rno,�A TNE' 1,CJAD CENTERLINE SHALL dE�� d F co v� ED
OLEAF.t OF STRUwTURES AND EOUIPMENT EXCEPT E u T�hN�- DEz-K A NQ
FOR A 2 FT. EAVE OVERHANC3•
— - — Pr—LAr .fir *t-
i