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HomeMy WebLinkAbout066-210-022i. 66-2-1-22., Gordon Moore 745 So P k 1k Maga. Permit ew in 1 amily) 66-21-22 Permit #865-79B,P,E,M(new single family)' I 1-1.' 066-210-022 PERMIT#97-0620 NIGHTINGALE; Bratt "13546fSouth Park Dr., Ma al' Cont: Frank's Htg & Air Insert for Zero Clr/SF'(4'r` t I :� - 0 r y IT CN .. ... - -t .. ;�.,�von•.....mwv.. yF,.-a.,;n•^nTrxY' 'a T. .r. - _ r .d. -ter 3.it. . r ,_ - .. • 066-210-022 PERMIT#97-0620 _ NIGHTINGALE, Bratt 13546 South Park Dr., Magalia Cont: Frank's Htg & Air Insert for Zero Clr/SF .t I(16 C CQJ• f �r�� tom" '• s'.J'a.^` 1 . . �' is ,�'�;=� �°• x -d Q 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916 4538-75 4 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT�� ASSESSOR PARCEL NUt /� C.J wI. CA ZO G� BUILDING PERMIT OWNE rtl A ('may j�J`/`� TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESSS fj CONTRACT ME / n �.f+���J TELEPHONE�.� ) ♦(��j0/ / CONTRACTOR'S MA � • „ w ADTaA 61 (',,J`[,/,(/�, ,,�• CONSTRUCTION LENDER LENDER'SMAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 'J.Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ( 5 /.// ( i , I � 13516 Energy Plan Checking Fee $ $ PERMIT FEE $ r LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE ' SF:14 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump um water heater 23.00 Water piping 15.00 Each gas water heater or ven 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ l,tilities ❑ Installation ❑ Other Describe Work: r i Gas i in system 1 - 5 outle 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1WA 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.3 �/G I ��3License Class - �O%�'V 3 LIC. No. I{ 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, rr��pp'Will do the work, and the structure is not intended or offered for sale. ❑'`Iras owner of the property, am exclusively contracting with licensed contractors ` to construct the project. ❑ I am exempt under Sea Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BUDS. s0 3.50 FT. NEW CONS. NON•RESIDT ANCTI OCIRCUITS Y 97.50 POER APPARATUS 8 SINWGLE OUTLET CI EX. Occup. OUTLET OR FOCTUR 20@''00 620 @ .00 50 QA Ex. Occup. OUTELEOTSAPPLNS. RES D. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATIOW 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 sectionC700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will 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 CGf•YIOO'h,dL X141 7=f"HS Policy..Number ' -1 D 4 4 S r7 rp i S (The above sections need not be completed if the permit is for work of a valuation of one hundwed dollars ($100) or less.) ❑ 1 certify that inthe performance of the work for which this permit is issued, I shall not employ any4-person in any manner so as to become subject to workers' Compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall —forthwithomply with those provisions. I...�, X w'��--- Date=Z T%�1_ / _ Signitufe of Applicantt- ❑ 0 ner O Contractor ❑ Agent An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. F MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC �. PE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL ao HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. �� rt�.Oo� By Date sl % % - PERMIT EXPIRES ON :5-,X7_94?' (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT G 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BU/538-75tl SION 7 County Center Drive - Oroville, California 95965 - Telephone (9PERMIT NO. (Rev. 12/96) APPLICAITON AND PERMIT nG.-J-D ASSESSOR PARCEL NUl/..!')M ji I_0 - n o[. ZO GT— BUILDING PERMIT OWN_if n alk TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAIUN ADDRESS • t , CONTRACT ME TELEPHONE J/r•// CONTRACTOR'S MAI��S$ CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace 5-0 Total Valuatlor; $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $'3'5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDINGADDRESS ' - Energy Plan Checking Fee $ $ PERMIT FEE $,5s D Lor No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 0 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ l,Gli6es ❑ Installation Other , Describe Work:Mobile Gas i in system 1 - 5 outie 15.00 Building sewer 15.00 Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa mss 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 fore and effect. � License Class -' 20/C Sr3 3 Lic. No. 'Ti' 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 46.00NEW CONST. DWELLING OCCUR OR ADONIS. ( & ADC. BLDS. s0 3.50FT. NEW CONST. MULTI -OUTLET NON•RESID.ANC CIRCUITS Y 97.50 POWER APPARATUS a SINGLE OUTLET a Ex. Occup. OUTLET OR FDRUR Bio @ 1.00 PPLNS. CIA Ex. Occup. OUTELETS RES ID.U- JI 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. I 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 CCL�:�OkAiGl 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 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 hwith comply with those provisions. I�, X Date 3_? ?— cl / _ Sig t e of Applican-t ❑ O ner A Contractor ❑ Agent An OS A permit is required for excavations over 60" deep and demolition or construction i of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3 E TOTAL FEE $ O HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By W —7 Date PERMIT EXPIRES ON _981" Data Receipt No. - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,-.^alifornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT Iwo PERMIT NO. ASSE980RPARCELNUMBER" 0 (0 -ter -aa BUILDING PERMIT HER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5'0r^ ami k a . 4- C / CONTRACTOR• NAME 11 � TELEPHONE ' CONTRACTORS MAILING ADDRESS / {-s S 5` G- Oi _! CONSTRUCTION LENDER LENDERS MNLING ADDRESS Fireplace .C-0 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ . 20.00 Permit Fee - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDINOADDRESS 3 5_4/ pG( Y- P Energy Plan Checking Fee $ $ PERMIT FEE _ - I LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 2p.00 USEOFSTRUCTURE SF Duplex ❑ 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 ❑ Addition ❑ Remodel 13Utilities ❑ Installation E3Other ❑ Describe Work: cal --0— ad6 Gas piping system 1 - 5 outlets 15.0 Building sewer 15.0. Mobile Home S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 Main Service a00V OR LESS 200A 0R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 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. ❑ 1, 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 50" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00So CCU000A NEW CONST. OWEWNG OCCUP. SO DWE200ALLING OR ADDNS. ( d ACC. BUDS. 3.5¢R, eioN RESID. RANCH MULTI -OUTLET @7.50) POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES RAL 4 I 0 LNS Ex. Occup. GflxunF;s(RREES OEA 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. 0 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ �_ 00 HA2. D. FEES IMP FLOOD CDF PARCEL PD 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 (Date) rReceipt No. HITE-D.D.S. a.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. - 865-79B.P,E,M ' PERMIT EXPIRES�� -OWNER Gordon Moore owner CONTR. 66-21-22 LOCATION (A.P. ) { 745 So.Park Dr., lot 121, PPCC#4, Magalia y I -- 9",/ Temp. Power Pole ..Called PG&E =v Temp. Elea Serv: 'ems x Called PG&E�99 Temp. Gas Serv. Called PG&E JOB � �r FINALE. - (Date) (Signature RESIDENTIAL Ei'Ti RGY CONSERVATION STAJTA a: CO'l::�TRUCTION (Xbri'LIANCE, CE'.iTIF'ICAIT THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUI ' ENTS HAVE BEEN INSTALL--- CONFORMA14CE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 45 So. Park raradisePines location BUILDING PE 114IT N0._ A.P. NO THE FOLLOWING HAVE BEEN I_NSTALLED AS PER APPROVED PLANS: r - check each item if applicable INSULATION: GLAZING: SLAB EDGE SINGLE GLAZED FDN. WALLS SPECIAL INSULATED) z� FLOORS CE �tT. & LABELED WDS. ` " - , --- ----&-SLIDING—D 6, 41�— j CEILING/ROOF R-19 WEATHERSTRIPPED DRS. . DUCTS BACK DAIAPERED FANS APPROVED HEATER // INTERMITTENT IGNITION DEVICES�o APPROVED WATER HT. CEItT. APPLIANCE: I DECLARE THAT ALL REQUIRED ITD15 AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE .JITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Signature of General Contractor/owner. Date State Contractors Lic. = l 6 Z Signature of Insulation Applicato,�iL•C.� State Contractors Lic. # 246712 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING A FINAL INSPECTION. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONRECORD BUILDING Setback Forms Main Bldg. Footings StemwaI I Slab Piers ' Footings Stemwa I I Slab % Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Scratch Brown BUILDING (Cont'd) Firewall �� --"qp Parapets Restroom Finish Windows Siding '`- Roof Sheathing Roofinq 7,:5 Fdn. Vents Garage Vents---- n atio rov. for Phsically' handica ed Conformance of ex. linq 7--5 Soil Piping 1st Floor 2nd Floor _3rd Floor To out Water Piping Sewer Fixtures—i Water Htr. %✓,3 -%; Heaters Appliances Gas Piping & Test" TemD. Gas anitation acs= Final E�LEC, Rouah �7 ! W ter Htr. — -7 ubpanels 7-Z -- 7� Grd. Fault Prot. 7� Service Temu. Pole VOi cdJ 5 L einisn Ducts 191. UF' Underground Interior Lath Ventilation r Permanent ,5 -- od Door Ctoser = Q10 Final 7 Ina -- / MOBILEHOME UTILITIES -------------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 4__ a�7 /Jo­f-� ��. IAIO*I (NOTE: An entry must be made on this form each time you visit the job site.) 'FIREPLACE Footing Throat Ina Test FIRE SPRINKLEF Final MECHANICAL linq 7--5 Soil Piping 1st Floor 2nd Floor _3rd Floor To out Water Piping Sewer Fixtures—i Water Htr. %✓,3 -%; Heaters Appliances Gas Piping & Test" TemD. Gas anitation acs= Final E�LEC, Rouah �7 ! W ter Htr. — -7 ubpanels 7-Z -- 7� Grd. Fault Prot. 7� Service Temu. Pole VOi cdJ 5 L einisn Ducts 191. UF' Underground Interior Lath Ventilation r Permanent ,5 -- od Door Ctoser = Q10 Final 7 Ina -- / MOBILEHOME UTILITIES -------------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 4__ a�7 /Jo­f-� ��. IAIO*I (NOTE: An entry must be made on this form each time you visit the job site.) C CJUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 Tel ephond: 534-441 APPLICATION AND PERMIT autnorize representatives oT the uounty OT tsutte to enter.upon the above-mentioned property for inspection purposes. X _ - . , Date 2 - Signature of Peer/mites or Agent Receipt No. Ig-G Y�sg White-D.P.W. - Yellow -Assessor - Pink -Inspector - Gil den rod-Appl i cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date 3 '' Building permit expires Date'--�U BUILDING Ownerp AA cntf Att ®012 SQ. FT. OCC. BUILDING VALUATION O . 61z� Mailing Address Q Telephone No. G� Q .a o Contractor (� d �� C>b,�� Mailing Address �� � � c:7 Fireplace Total Valuation Li Telephone No. Permit Fee , Building Address! s Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 epair drainage or vent piping 1.50 A. P. No. �p — az o ing & PI ing Water piping 1.50 .� Each gas water heater or vent 1.50 F' s S on Fire Dept. FireZon Use Pffmit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parc ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parcel A e 1 P approval Lawn sprinkler system 2.00 NEWJE ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ 6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 rW Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e00V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW OR ADONS. ( DA C LL CUP. 4) 20sq ft •. , @S V CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: �!K o d v -,f ./2%e ,,rz NEW CONSTR ULTI.OUT T \ NON•RESID BRANCH CIRCUITS/ 2.50ea Q NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR.@ Ex. Occup (OUTLETS OR FIXTI RES 50 250 BAL@1 Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _ License No. Classification Misc. Wiring 6.25 �y ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6 160$ C MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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. PERMIT FILING FEE $3.00 Heating(j wwjoa Cooling (J (7 Ventilation Hood 2.00 VZ� 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 $ , a( TOTAL PERMIT FEE autnorize representatives oT the uounty OT tsutte to enter.upon the above-mentioned property for inspection purposes. X _ - . , Date 2 - Signature of Peer/mites or Agent Receipt No. Ig-G Y�sg White-D.P.W. - Yellow -Assessor - Pink -Inspector - Gil den rod-Appl i cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date 3 '' Building permit expires Date'--�U FIRE REPORT FC -18 (3/88) ORIGIN LnCATInN MILES TOWNSHIPt , LL��as RAN rnJ L�aW ESEC. 1 ORDER NUMBER ❑ FOREST INDUSTRY ❑ RANCH -FARM REG. R.U. INCIDENT NO. STA�2M�O. DATE YEAR COUNTY ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER 6 <s 2 / e' YOUNG GROWTH ` i' FIRE NUMBER WILDLAND VEGETATION FIRE NAM : ow @1^ REG. z R.U. NO. thru MILES TOWNSHIPt , LL��as RAN rnJ L�aW ESEC. � � _ MILES DIRECTION ❑ FROM ❑ IN. • NATIONAL FOREST, FIRE DI ., CITY & STREET NO., ETC. IN IDENT TYPE t... $� (v`!� cL ant a R 3 FIRE ❑ FALSE ALARM—GO TO S0y�MIT • BLOCK 10 �d P ��(7 � 4A RESPONSIBILITY 4B STATE ZONE STATUTORY O ❑ WILDLAND 'BURNED OR, THREATENED RESPONSIBILITY 030 �DF LOCAL GOVT. CONTRACT 0 AT ORIGIN) 4 ❑ UNPROTECTED ❑ STATE ❑ ASSIST OTHER AGENCY (Not City) ❑ U.S.F.S. .LOCAL ZONE ❑ B.L.M. © Cl CDF LOCAL GOVT. CONTRACT 1 ❑ B.I.A. 0 ❑ ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL FEDERAL ZONE' ❑ OTHER ® ❑ ASSIST FED. AGENCY (Not Mil) O Cl CDF LOCAL: GOVT. CONTRACT MISC. AND OTHER` , O❑ , ASSIST CITY, CONTRACT CO., MIL, OTHER CAUSE (STARTS -IN 0 O2 ' OO OR l ONLY) ❑ LIGHTNING ❑ CAMPFIRE ❑ SMOKING ❑ DEBRIS ❑ PLAY W/FIRE ❑ ARSON OTHER/MISC. EQUIPMENT LAND USE (STARTS IN 0 O 0 OR O ONLY) OMESTIC ❑ FOREST INDUSTRY ❑ RANCH -FARM ❑ RECREATION ❑ DUMP :' ❑ OTHER • INDUSTRY-COMRCL. ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER rlk DAMAGE fCl) 6 n no n nwv% % S DAMAGE Number Roo W off to Neore.t 6100 TIMBER &/OR YOUNG GROWTH ` WILDLAND VEGETATION Other than T & Y G . . AGRICULTURAL PROD Other than T & Y G %>•' DWELLINGS &/OR CONTENTS. I 2 0t9"0 OTHER STRUCTURES , & OR CONTENTS VEHICLES & CONTENTS OTHER . TOTAL $ �q .,ACRES OF VEGETATION BURNED D ON ARRIVAL (0VEGETATIONFIRES ONLY) E DISTANCE (Origin to head ACRES FEET WEATHER ESTIMATE AT SCENEI WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) 10 I OVER PLEASE , { COF 7x40.130-01 1 a . 86 39852 &nud* Of J3ut& OROVILLE, CALIFORNIA GENERAL CLAIM Gordon Moore CLAIMANT: ADDRESS: 60 Lesley Ct. CITY & STATE: Magalia, CA' 95954 IMPORTANT: February 27, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE i DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT i Decided not to build. (Permit #6-79B,P,E,M - Receipt #185765 - AP 66-21-22) Building permit fee ----- $127.00 Retain 113 of fee ------- 42.33 Amount of refund due ---------------$ 84.67 - Plumbing permit fee -•--- $ 16.50 Retain filing fee - --3.00 - — -- - -- - Amount of refund due ---------------$ 13.50 i Electrical permit fee --- $ 37.80Retain filing i fee - 3.00- Amount of refund due - 34.80 - ---- - Mechanical permit fee --- $ 15.00 Retain filing fee ------- ---- Amount of refund due ------------ ft--$ 12.00 Amount Tbtal Permits Fees Refund Due ------ $144-.97-- - - Land Development Fee Refund Due ---- L15.00 TOTAL REFUND DUE ------------- ------ $169.97 I $169.97 TOTAL $169;.97 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that Otis a Budget AppropVtt1 n E] or Sped 6c Board A fff � (Check one) for the same. Datedthis .................................... day of ............................. 19...`.....I at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must -be - itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by. -the claimant. •and -•submitted to the. -De-• partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials .for approval immediately upon completion of services requested or material ordered. . Claims are paid every Tuesday; however, same°must.be.approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will,expedite�payment of -claim, failure to do so may delay payment considerably. w ' .4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT All y BUILDING Owner �j�pQ,�f ���y�JO SQ. FT. OCC. BUILDING VALUATION - 3 oe> '0_0 o., d) 0 Mailing Address tlV 6 41D Telephone No. �bd1 OC3 / Contractor Com} ,�[7 00� . �t�i<-1)/� e Mailing Address���j Fireplace (143-1 �or peg Total Valuation �, Telephone Permit Fee o1 , &0 Address Building .S $ So, P�y0,4d Plan Checking Fee&/or Penalty Permit Fee l 7, 0 -360' U -P, PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 3,0 Each Trap 1.50 1Q,60 epair drainage or vent piping 1.50 A. P. No. _ a l "022 Zoning & PI ring Water piping 1.50 1, 6'Cj Each gas water heater or vent 1.50 fZ�s t on Fire Dept. Fire Zone Use P6* t Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans Parcel Declaration�� 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 Bldg. s Recd Parc A roval Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 1(.64) $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L90 Main service &00V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service O100VERAMso0vPOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONSTDWELLING OCCU J�4 0 OR ADDNS. (. ACC. BLDGS. V 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 RES,., BRANCH CIR NON-RESID ( BRANCH CIRCUITS 2.50ea S NEW CONSTR. (POWER APPARATUS .& NON-RESID. `SINGLE OUTLET CIR, Ex. Occuo(OUTLETs OR FIXT11RES g L 1y (X Ex. Occup.( FIXED APPLNS. OR % OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. / 2 Classification_ Misc. Wiring 6.25 J -5.0 I- ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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. ave 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. PERMIT FILING FEE $3.00 ,ZiD Heating 40 il,CPO A-T/r✓A/n Cooling Ventilation opt ' Hood 2,:00,00 Permit Fee $ /J-, ptJ 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 ,per $ TOTAL PERMIT FEE $ e221 C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date I L --L—% —Zr Signature of Permiitee or Agent Receipt No. /g73-7 elWhite-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 0 PUBLIC WORKS By � Date/ -/0-7,9 7 B • ding permit expires Date �,la - O COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0rov,ille, Calif'orn'ia 95965 — Telephone: 534-4541 }j PERMIT APPLICATION DATA SHEET Permit No. OWNER /VOV &-d s' E A. P. No. �� •s�-I- Proposed Build ng Use / w 6k r '9 "l�Wt - WW'5• Permit fee based upon: Complete Contract Price .� DPW Valuation —Other explain) Building Inspector Date /-a-- Z9-' At time of per -nit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ �9. Letter of signature authorization ...............1...•.......................................... 0. Sanitation approval fromQ�`•'`Q'- Health Dept.... 11. Planning approval for ............. Certificate of Workmen's Compensation Insurance //5_/7/ S 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request t6 16. Other bldg. -inspector (date) When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection.. Other Applicant�� ;V%� Date 17-- z9.7r- Copy of places sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No.'�`�w��`" 2. Additional items required: ' (Contractor, Designer, Owner) was advised of above required data by Plans approved by OTHER: By. Telephone Mail Other Date RESIDENTIAL PLAN CHECKING GUIDE ; (S.F., DUPLEX, & MISC. ONLY) ER A. GENERAL Zoning requirements (sideyards and parking). Valuation.' Signature by R.C.E. or Architect (if required). B. PL PLAN omplete parcel size and dimensions. Setbackg, sideyards, easements, etc. .g°:' Other buildings or structures. Grading, fills, drainage. , a Bldg. Permit # 40. A.P. # we - LI - xz C. FLOOR PLAN a! Complete to scale plan with dimensions. ate' Required windows for light and ventilation (Sec. 1405). 3/ Required windows for second exit (Sec. 1404). A?'' Allowable glazing for energy requirements (20% max. per.State law). -4*.' Human finpact glass (Sec. 5406) . 6:- Required room sizes, ceiling•heights (Sec. 1407). G.F;C.m.'s in baths. and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical'equipment. %.Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Cirar-T. . k P♦r 1gl.**" Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRU NURAL DETAILS �oundation plan complete enough to construct building. loor construction details complete enough to construct building. �Elevations and wall construction details complete enough to construct building. 44 Roof construction details complete enough to construct building. VFireplace construction details -and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEDUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. t�tairw Say details (Sec. 3305). Guardrail details (Sec. 1716).. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. -4706 & 4708). Proper roof pitch for roof covering (Chapter 32). 7/ . after ties or bearing ridge beam. ae'arage door or porch header sizes. 8� Adequate bracing. . Living: area•over garage - complete 1 -hour separation required including supporting. walls and posts, etc. Two (2.) exits on three-story dwellings (Sec. 3302).