HomeMy WebLinkAbout066-210-0507
AP 66-'21-:50
Gordondo W. Swanson Gordonson
800 South Park Dr., --Lot 289., PPcc 4,
Magal':L4 17
CONTR: Fuller Constr., Mdgalia
1.
Permit -4 14-75--P;&-
EC.
GAS
'SUPPORT' STRLJC.' REQ.
COMPACTION TEST'.
bb-21-nU
CONTR':"- Kentwood -Mobile -Homes, ChxD
Permit; #5196-15MHi
-,4- f
Issued 07/77p
66-21-50
Permit #2988-76B(new,open -decks/MH)
Permit
66-21-50
'Ofhtr
cL Mari-.ohn Const., Magalia
Permit #1316-78B(new-private gaage)
66-21-50
13521 South Park Dr, MAgPli
Contr: Ken Brown Const
A ddeck/NH)
Perm t#1688-86B(new covere
7066=21-0=050 �'`,-,002068
ERTA, EUGENE r?�4
13521 SOUTH PARK, MAGALIA
CONTR: BRUCE BRODERICK
EX MH ON PERM FND Ex CITE
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Eugene Erta
ADDRESS: 13521 South Park Drive
CITY & STATE: Magalia, CA 95954
DATE OF CLAIM: 07/23/04
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Refund Claim - See attached calculation sheet APN: 066-210-050
Permit,No�.:,0`4-Q 7,9 `'
PAID RETAINED
REFUND
Develo ment Services
$ 417.° �. , �.__ 65.00 _.
$ 352.96
$ -
SRA
$ -
$ -
Sheriff
$ -
$ -
$ -
Other:
$ -
$
$
TOTAL
$ 417.96
$ 65.00
$ 352.96
...............................................................
.............
...............................................
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:::::::::::::::::
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................................................
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:::: BREAIWO'WN:::::::::::::::::::BTiDGET;:::ACGQU�TT::::A-M0Il1�i;T:::
...............
..............
..............................
..............
..............................
...............
..............
Development Services
440-001
-4210500
$ 352.96
SRA
0100
4617240
$
Sheriff
280
1011811
$ -
Other
$ -
TOTAL
$ 352.96
$ 352.96
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performedor deli d, and that this
claim is true and correct as stated.
Dated this day of 2004, at , Calif. =�9�
ai iature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above h e been performed or
delivered and that there is a Budget Appropriat n or Specific Board Approval (Check one�ame.
Dated this day of 004, at Oroville Caefj��
Department Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
July 23, 2004
Eugene A. Erta
13521 South Park Drive
Magalia, CA 95954
RE: Permit No. 04-0279 APN#066-210-050 Owner: same
On 1/29/2004, a deposit was made in the amount of $417.96, of which $65.00 was
retained. The remaining fees will be reimbursed to you. Please sign, date, and return the
enclosed claim form to this office. Once we receive the claim form, we will then process
your refund in the amount of $352.96.
Should you have any questions, please contact this office Monday through Friday, 8:00
a.m. to 4:00 p.m., at 538-6869.
Sincerely,
Diane Lewellen , OA III
Administrative Division
enclosure
04-0279.1tr '
Butte County Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY -Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued - if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return to Develo ment Services for payment processing.
CLAIMANT'S NAME:
'
S J fV 0'A
MAILING ADDRESS:
l 30 5-73 - =2 cLLt5
PHONE:
ASSESSOR'S PARCEL NO.:
[Please use one claim form per permit.]
BLDG PERMIT
_ , \
NO.:
_V_a
Receipt No. 1
Receipt No. 2
Receipt No. 3
RECEIPT NO.:
Oce ) d
_ _ _ _ _
RECEIPT DATE:
_
RECEIPT AMOUNT
✓
REASON FOR REFUND REQUEST:
Check tho fesw hich you wish to have considered for refund:
Building Permit Pees ]Sheriff Fees SRA Fees (CDF Fire Planning)
Other (specify):
Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may ick them up prior to that time.
Signature
Application 082203
Date
5y
REFUND CALCULATION SHEET
CLAIMANT: Eugene Erta
ADDRESS: 13521 South Park Drive
CITY & STATE: Magalia, CA 95954
DATE OF CLAIM: 04/12/04 APN: 066-210-050
RECEIPT INFORMATION
NUMBER: 394610
DATE: 01/29/2004
ISSUED TO: Eugene Erta
CHECK #: 1031
AMOUNT: $417.96
PERMIT #: 04-0279
Yes No Yes No Yes No
PRIOR REFUNDS: X
FEES VERIFIED I X
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 •Telephone (530) 538-MPERI�No•
ev.12/96) , APPLICATION AND PERMIT o `'/—T
ESSOR PARCEL NUMBER i/ I ZONINQ _ BUILDING PERMIT
VER _ ,., ['` — 1 �. E .en n - SO. FT. I OCC. BUILDING VALUATION
1 cyxd-h ma I��lk
JJSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
HTrECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20,00
Permit Fee $
G,
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADD
Energy Plan Checking Fee
$
$
P •LI C, I"j
PERMIT FEE S
LDTya, q
.L J
SUBDIVISIONS Q
E� �� 2 _��_� /
-J
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
ch Trap
7.00
USEOFS UCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar heat um water heater
23.00
Water pi
15.00
Each gas water ater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins4flaVon❑ Other ❑
Describe Work: 4 UAV --c "
S00t,0 1-Z4it>: 2-0�7-b 2.56iit -
Gas piping system f!-utiets
15.00
Buildin sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
���� X �L4 an S (ZA
ELECTRICAL PERMIT
Fling Fee 20,00
Main Service zoos 0o R. '.ss
23.00
PERMIT FEE PAID $ t'Ir� "f • R�
SRA $
SHERIFF $
OTHER $
$
$
AMOUNT RECEIVED $
Iof
DATE RECEIVED
?C� �j� / 01K51
RECEIPT # C J f A/(0 O v
Main Service 200A TO 1000A
46.00
�-,-
NEW CONST. DWEILNG OCCUP. 3.5Q so
OR ADONS. ( a ACC. BIDS.
7 50
NONEN•F6D. MULTI.OUTLET @7.504
a�N a� a
OUTLET OR FIXTURES 20 @ 1.00
- EX. OCCU BAL @ .so
Ex. Occup. oars SID 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 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Doo
CONST.TTPE
TOTAL FEE $ 14 17. g
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid. `
Bq- Date
PERMIT EXPIRES ON Date
•-i_ .. •- s � _ s ias�„ -.ice.: �_,.C;.f '`M=.`'. � , :�� e.: -Y,-_ ` � m.r - _ �5-P40)�
.' `:/� 9 ..
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: U e l to_ n e ASSESSOR PARCEL NUMBER (lU/(!/ of Z6
Proposed Building Use: n _pn/� /7 , G 7�/Counter Technician: 20 Date:
Itertls required in order to apply for a permit. All boxes MUST 6.dchecked OR marked NA in order to 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 faxes!
5. Letter from Engineer or Architect for truss design review.
Qj 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) 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. Site plan and business license approval from the City of Biggs
❑ r 12. Letter of intent for non-residential buildings
13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form �
o1
f 5. Sanitation and site plan approval from the Environmental Health Department in IP°Chico ❑ Oroville, as applicable.Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ......
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required,......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ...................................... :.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance ...................... :........................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone �� 2 LfZ�� and hold for pickup.
I have been informj�0fthq above items and regyirer)ents for obtaining a building permit.
Applicant: ..�,.,._� �� �"�"__, Date:
1. Index permic t+ for the above items numbered: Plan Check Letter
2. Additional items re ired
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Contractor, designer, owner, was advised of the above data by ❑ phone, 0 mail, ❑ counter, by
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
Date:
Date:
Date
Date:
O.B.-1
OWNER -BUILDER VERIFICATION
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 vide the . r �bor and materials for construction of the proposed
property impr am ent : YFS NO
2. I HAVE HAVE NOT ❑sAg
d an application for a building permit for the proposed work.
3. I have contracted with the folio person (firm) to provide the proposed construction:
NAME:
ADDRESS: MY;
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portionsof this ork, but I have hired the following person to coordinate,
supervise, and provide ma3or o
NAME:
ADDRESS: may;
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 RESS PHONE TYPE OF WORK
SIGNED:
v
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 pernsitted to issue the permit
OVER
OB. -1
OWNER BUILDER INFORMATION
Dear Property Owner.
An application fior a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owne r Ixalder" you are the responsible party of record on such
a permit Building permits are not required to tie signed by property owners unless they are personally pm forr ing 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.
Cont actors 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:
♦ If you employ or otherwise engage any persons other than your.immediate famrly, and the work ('including materials
and other costs) is'S300 or more for the entire project, and such persons are not licensed as contactors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obliga4iong including state and federal income tax withholding, federal social security taxes,
wa&ers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial rids for you if you do not cany out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific iaifixination about your obligations under Federal Law, contact 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 contactors 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 contactors is to secure an "owner builder" 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.
InfiormaQion about licensed contactors may be obtained by contacting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, 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 retuirnA
ly,
IVfic 1 C. Vi ire, CB.0
er, Buulding Inspection
NOTE: ?Isis Owner-BuilderWorrifon is required by Section 19830 of the California Health mrd Safety Code
OVER
Department of Development Services
Building Division
i 7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
t
Owner. 6; L/-JrL._._ �� Phone: �C� 2-
Mailing Address Soc)77/
Site Address:�'(,�
Assessor's Parcel Number: , _. (O —05-0 Zone:
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on 7No
2 o
this form
GENERAL ILNFOR�IIATION:
1. Is there a primary dwelling on the property? Yes ❑
2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No
3. Will items produced in this building be offered for sale? Yes ❑ No
4. Will the public have access to this building? Yes,❑ No
5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No
SITE CONDITIONS:
6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No
7. Is any portion of the structure located closer than 20' to your front property line? Yes❑ No
S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No
9. Will the proposed structure encroach within any recorded easement? Yes ❑ No
CONSTRUCTION FEATURES: _V
10. Will this building have insulated floor, was, or ceiling? Yes No ❑
11. Will this building be heated or cooled? Yes ❑ No U'
12. Will this building have a water closet/toilet? Yes ❑ No
13. Will this building have a sink? Yes ❑ No
14. Will this building have a water heater? Yes ❑ No
15. What type of floor covering will the building have?
16. What type of wall covering will the building have? �► " l �lr1y-�a%C C.�
1 of 2
PROPOSED USE: (check only one box)
1. Residential Storage Shed - I will be storing tv— ' I' L'}- in this building and it will
not be used for any other purpose (no bathroom and no heating or cooling).
2. ❑ Private Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by
exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept." A garage door is required.
3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. ❑ Residential Occupancy - Structures meant to be occupied, as opposed to a storage shed, garage, or carport
If you checked #4, please check the uses below which best fit this building.
❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ in-law quarters
❑ Recreation Room ❑ Game Room ❑ Study ❑ Library
❑ Bonus Room DPIayrpft ❑ Den ❑ Studio
❑ Artist Studio ❑ Ho y Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen ❑ usic Room El Family Room ❑ Sun Room
El Private Office Workshop l ❑ Home Occupancy Z ❑ Other- Use =
�a
1. Darnbetypeofworlahop
bleu be approved by the Butte Courcy Planning Division
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question
number before the explanation.
4
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with speck requirements per the use indicated.
I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes
to the use, or character of use, of this building will require permits from the permitting authority. I understand that
Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.
Ou-ner's Name: Please Print Q y',e77�—
Owner's Signature:�6 , 4 _ lD ' Date: v2�'
2 of 2
` COUNTY OF- BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
NOTICE
Post this job card in a safe, conspicuous place. Do
not remove until all required inspections are made and
building is approved for occupancy. Plans must be
available on the lob site.
—`04=0279
A.P. No. _ 066-210-050
ERTA; EUGENE
Owner �. –13521 -SOUTH PARK DR, MAGALIA
Contractor—, _Cont: OWNER
Permit No. —I. 2ND FLR ADD TO GARAGE '
F�
PERMITTEE MUST CALL
FOR INSPECTIONS
INSPECTION I DATE I INSPECTOR
Piers
Conduit
Pre-Gunite
Underfloor Plumbing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
Electrical
Mechanical
Shower Pan
Throat
Stucco Lath
Scratch and Brown
Sewer Service
Water Service
Pool Final
Plumbing Final
Electrical Final
Mechanical Final
Building or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED -
AND THE BUILDING OR MOBILE HOME
..;:
IS APPROVED FOR OCCUPANCY
...
,.Information....._.24
Oroville - 7 County Center Drive 538-7541 538-7636
Chico - 411 Main Street 891-2.751 891-2834
Revised 7/94
NOTES - RESIDENTIAL
PERMIT NO. _ 066-210-050 04.0279 _ —
ERTA;EUGENE-
13521 SOUTH PARK DR, MAGALIA
Cont: OWNER
• 2ND FLR ADD TO GARAGE
066-210-050 04-0279
ERTA, EUGENE
13521 SOUTH PARK DR, MAGALIA
Cont: OWNER
2ND FLR ADD TO GARAGE
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
`SUB -STANDARD HOUSING LETTER
. 1
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
`SUB -STANDARD HOUSING LETTER
J=OK
0 = Not OK
. = Not Readyable
Card B-1 Date ' Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2.
Soils; Special MH Support Sketch
4.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Drain; MH Test -Fall -Flex Connector
4.
Water; Location -Test -Easement Needed (Sketch)
7.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Gas and Electricity Tagged ..
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
10..
7.
Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date ' Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans).OK.except #'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/O to Grade -HD Approval
8.
Gas and Electricity Tagged ..
9.
Tie Downs -Type -Installation Cert.
10..
Exits; Insp.-Sketch,
1.1.
Cert. of Occupancy
Date Card B-1' Date Card B-1
Date Card B-1 Date .Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve .
5.
Electricity; MH Test
6.
Water; MH Test .,
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office :
8.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
10.
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel'
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing .
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 - Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance -GH
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
B.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boards -Ins. to Main Conduit
'9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 ~Date'Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. -Ftg., Main; Soils-Elec. Grnd.-/` /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
'5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-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 -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation "
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test &Anchor -Nail Protection
19f' D.W.V.; Test Fittings & Anchor -Nail Protection
20.' Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins: Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59:: Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels '
62. Insulation -Walls -Ceilings .
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date ' Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting _
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
_ 70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth +
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper -
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic -
81. Guam Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor O Yes
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ao.VAA OR LESS
200OR 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 ' full orce and effect. `^��� /
License Class - Lic. No { Y
OWNER -BUILDER -DECLARATION
I hereby aff under penalty of perjury that I am exempt from the Contractors license
Law fo a 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 OCCUP.
OR ADONS. ( & ACC. BLDS.
SO
3.50FT:
NEW = CONS MULTI.OUTLET
RES1D,
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET ORFDCTUREs
BA�O'.0
FIXED APPLNS. OF
Ex. Occup. ouTLETs RESID. EA
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.
❑ 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 AbcAve sections need not be completed If the permit is for work of a valuation
ne 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' sation provisi of section 3700 of the Labor Code, I shall
f ith comp with those pr
��
X Date / �`� /
Signature o licant -WOwner Contractor ❑ Agent
An OSHA . Kit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
I.A
D. FEES
IMP
FLOOD
CDF
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
Date
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, California 95965 • Telephone (530) 538-7541
- APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER a
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS
CONTPACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG 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
$
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDN610NS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 000V OR LESS
200.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 ' full orce and effect. �� /
License Class Lic. No, Y
OWNER -BUILDER DECLARATION
I hereby By under penalty of perjury that I am exempt from the Contractors License
Law fo a following reason:
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 ADDNS. a ACC. BLOS.
SO
3.5¢FT.
I.OUTLEr
=R ID! .0LT,
97,50
POWER APp US
a sINGLE o1meT cIR.
Ex. OCCU OUTLET OR FIXTURES
aq0 @ 1 .5000
FIXED APPLNS. OR
Ex. Occu . ounETs RESID. EA
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.
❑ 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.Opove sections need not be completed if the permit is for work of a valuation
oWfie hundred dollars ($100) or less.)
E&OTcertity 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' • mpe ation provisio of section 3700 of the Labor Code, I shall
fo Ith comp wRh those pr
-'
X C,�/• Date ��`'� /
Signature of(, licant - Owner Contractor ❑ Agent
An OSHA peWit is required for 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.
D. FEES IMP
I FLOOD
I 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
Dere
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/36)
x COUNTY OF OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
• APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE No.
Felin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
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 O Remodel ❑ Utilities ❑ Installation O Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '..A oR LEss
200A 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 i full force and effect. �� ? W /
License Class - Lic. No, Y
OWNER -BUILDER DECLARATION
1 hereby Ord1 under penalty of perjury that I am exempt from the Contractors License
Law for a following reason:
4,01 I, as owner of the property, or my employees with wages astheir 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
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( d ACC. BLDS.
SO
3.50FT.
NpNR61�T. MULTI.OUTLEi
97,50
POWER APPARATUS
A SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTURES
20 00
BAS @':w
F -ED APPLNS. OR
Ex. Occup. ouTLErs RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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
�f 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' com'pe sation provisi rt of section 3700 of the Labor Code, I shall
FSw
fortith compwiththose pr ves'o
X �� Date (��9 J _
Signature ofapplicant - g OwnerContractor ❑ Agent
An OSHA permit is required for 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 $
HA2.
D. FEES IMP
I FLOOD
I 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
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Calirornia 95965 - Telephone (530) 538-7541
(Rev. 12/96) �' - APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAIUNG ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S 4WUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um 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 ❑
Describe Work:
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA 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 isplFl full orce and effect.!
License Class {.�' Lic. No �/ ? w�
��4 a
OWNER -BUILDER DECLARATION
I hereby aim' under penalty of perjury that I am exempt from the Contractors License
Law 15rAe following reason:
,Gill, 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 To
46.00so
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
ADONS. ( ACC.
3 5¢SO.
ff.
NOR
EW CONST. M �Sr
NON-RESID. CU
@7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
zo @ I.00
SALE 50
FIXED APPINS. OR
Ex. Occup. 0.REBID. EA
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.
❑ 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
Fling Fee 2'0.00
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
ofoe hundred dollars ($100) or less.)
6_01"certify that in the performance of the work for which this permit is issued, I shallTOTAL
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:,comper�sation provision of section 3700 of the Labor Code, I shall
frthwlth comply with those pr ' ' '
X .gip/? Date �' �~ 6�7
Signature ot,Ap licant -- Owner ''Contractor ❑ Agent
An OSHA permit is required for 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
FEE $
HAZ.
p. FEES IMP
I FLOOD
CDF
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
Dale
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
NOTES RESIDENTIAL
F -E -TA'
-21-0-050
00-2068
PER941T NO._EUGENE
13521 SOUTH PARK, MAGALIA
CONTR: BRUCE BRODERICK I
EX MH ON PERM FND EX CITE
t
}
}1
1
0
i
4
{
Z
i
JOE
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS _
SUB -STANDARD HOUSING LETTER
d = OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
3.
Sewer; Location Jest- Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Electric
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
9.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
Roof; Shthg-Roofing
7.
Well Clearance 8 Disconnect
12.
8.
Utility Clearance
11. Light Niche
Date
Card B-1 Date Card B-1
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/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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date :DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
j 4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Pane lboards-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
V= OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel- Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
_
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Mach. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas &. Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor ❑ Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive J Yes J No/Walks J Yes �j No/Planters J Yes J No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
MECHANICAL (Permit) OK except #'s
88.
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37.
Condensate Drain & Overflow, Size & Grade
91.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
92.
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date,
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
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
jingle &")Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring.
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 Ht. & 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 -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
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 & Receptacles 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 -Mach. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.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 ❑ Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes �j No/Planters J Yes J 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 Throughout 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
94.
Address Posted
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 (530) 538-7541 P R IT N
(Rev. 12/96) ' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 066-21-0-050
ZONING
BUILDING PERMIT
OWNER EUGENE ERTA
TELEPHONE -
SO. FT. OCC. BUILDING VALUATION
1464 R 79,056
. OWNERS MAILING ADDRESS
13521 SOUTH PARK DR., MAGALIA 95954
CONTRACTOR'S NAME
BRUCE BRODERICK
TELEPHONE
877-6432
CONTRACTORS MAILING ADDRESS
P.O. BOX 2231, PARADISE CA 95967
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee 549 50 2$
974-79
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS
13521 SOUTH PARK, MAGALIA
Energy Plan Checking Fee $
$
PERMIT FEE $
q17 75
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
15 oo
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑
Describe Work: EX MH ON PERM FND EX SITE
24 X 61 = 1464
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '..A oR LESS
23.00
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 'Lri full force and effect. `
License Class Lic. No. («(iiii�C/ fff7���
3 6 /) qu
OWNER -BUILDER DEMON
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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
Main Service
200ALICENSED
TOING
46.00
NEW CONST. DWELLOCCUP. CU
WEE
OR ADDNS. ( a ACC. ISMS.
SO
3.5¢FT:
CONS
No RESDT MULTI.OU CIRCUITS T
97,50
POWER APPARATUS
6 SINGLE OUTLET CIR.
EJ(, Occup. OUTLET OR FORURES
PQ 1.00
BL
Ex. Occup. oTTIED R6ID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for 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, forthe 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
of one hundred dollars ($100) or less.)
R't 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
w rkers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith comply wit those p ovisions.
/1
X �/[�c�(/� to 0�7 �(� _
Signature of Applicant - Owner ❑ Contractor WAgent
An OSHA permit is required for excavations over 5'0" deep and demolition or condtru_ ction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTXL FE
HAZ.J.D.
FEES 1 P
FLOG
CDF
ro D U
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.
q `/
By tel G
PERMIT EXPIRES ON
Del
ReceiptNo. 302654 / $352.75
W11 TE•D.I S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO
(Rev.12/46) APPLICATION AND PERMIT "q -
ASSESSOR PARCEL NUMBER
Q�/✓
zON" '
BUILDINGPERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
owNExs wuuNo ADOREsa
CONTRACT R'9 NMAE
��
TEUSHONE
cow!: CT D
S9
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation L 7 , �
ARCHITECT OR ENGINEER
LICENSE N0.
Flin Fee $ 20.00
Permit Fee $ a
ARCWrECT OR ENGWEER'S MMUNG
ADDRESS
Plan Checking Fee $ ,
BUILDING ADDRESS
Energy Plan Checking Fee $
S
PERMIT FEE S 17
LAT NO.
SUBDNISION8111AME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
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
New ❑ Addition ❑
Describe Work:�4-�/1�/�/V%�
TYPE OF WORK
Remodel ❑ Utilities 0 Installation ❑ Other ❑
Gas piping system t - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W Q20.00
�,
t
PERMIT FEE;, eQQ
ELECTRICAL PERMIT Fling Fee 20.00
Main Service xo'0.. (100,V OR s 23.00
ReceiptNo.
ICe SODA TO 1000A 46.00
NEW C
NEW CONST, D 8% OCCUP. S°
oR ADDNS. a ACC. , S. 3.5NEW ¢FT.
-OUTLET @7.50
NON -RES D. a=
POWER ARPARA
8 SINGLE OUTLET C10.
Ex. OCCU OUTLET OR FIXTURES `&Z$ I,,SO
Ex. Occup. °FIxL A 6j UIS EA. 5.0
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heatin
Cooling
Hood 50
Ventilation
PERMIT FELE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST.TYPE�
TOTAL FEE $ Jam,
HAZ.
D. FEES
IMP
I FLOOD
I CDP
PARCEL
PD
NO
ISSUE
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.
By Date
PERMIT EXPIRES ON
ata
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
7r�i�;+!`Z�„�/A'-'—T+' i��„�►�j-,�t���-��• .�''.' +'�'-� !�'k"1 iir �'�1,�Y�aJ,`� �1� t�►.i �t ' `�i.r"=" � -'�"6 �'w^Y.t�"'r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
i
PERMIT APPLICATION DATA SHEET
OWNER: AP -7—i-9. ASSESSOR PARCEL NUMBER: /%/D
Proposed Building Use: yWl Building Inspector: Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
-------- Date Received By
1. All items have been submitted .-----------------------------------------------------------------------------
0
. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
. 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. ---------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------
El8. Hazardous Material Form.-----------------------------------------------------------------------
❑ . Manufactured Home data and installation instructions including Tie Down Specifications.
Feesof $ -------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule.-----------------------------------------------
1112.
---------------------------------------------.
❑12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. ------------------------------.
❑ 14. Sanitation and plot plan approval Health Department.
Ell 5. 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.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
!QlU. Pre -inspection for�� required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
El 22. Workers' Compensation carrier and policy number. -----------------------------------------------------
1123. Owner-Builder
---------------------------------------------------.
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).
1124. Letter of signature authorization. ------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured) Home utility c arance.-------- ------------------------------------------------------------------
❑28. Existin v Dations an�o fired pei�ii------------------------------------- �____________----___------
❑29. 0433A, �1Grant Deed, M.H. Title, Check to H.C.D $ (/1� t °tv fid ------------------
I--]
- PW
--- r ______
❑ 3 0. Other:
(Date)
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail tof ontractor.
Telephone ? %7" �3 2-- and hold for pickup at %0///�/ office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:, By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, theft, Date: 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, ❑ Buil jsion counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
O B.I.N.
fil-tion:
Owner.
Complaint:_
REQUEST
r/TT FOR INSPECTION Permit No.
i l ./�CIBC A
ContractororTenant:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
RE -
Form
Rough
Rough
1; SPECTION
Frame/Underfloor
Top Out
Temp. Service
Corrections
Hous
Stucco Lath
Gas Piping/Test
Service
Final
Job Status
Stucco Brown
Temp. Gas
Underground
Permit Renewal
Fireplace
Sewer Piping
Well Circuit
Verity Utilities
OTHER
Bond Beam
Water Piping
Light Niche
Insulation
Shower Pan
Nailing
Corrections
Corrections
Corrections
Final
Final
Final
READY FORA.M.
INSPEC.ON 19_ P.M.
Date: Time: Note:
PRE -INSPECTION REPORT
OWNER:u�/Uz�%�l
LOCATION:_��J`�p��G�%f!r�/�
CONTRACTOR:
PRE-INSPETION
DATE:__ oC7 r 6 a
A.P. #.G>✓as��a
ZONING:
DATE TO INSPECTOR: O PERMIT HLSTORY:( ) NONE ( ) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Ballding Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No Electric currently on Off
Condition of Electric
Gas:
Natural Propane None Currently On Off
Obvious -Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector:
Date �G
OL r•.
Sketch buildings on reverse and indicate location on p-roperty.
r
— AP 66-21-50
Gordon W. Swanson
800 South Park Dr., Lot 289, PPCC 4,
CONTR: Fuller Constr., Magalia
Permit 4 14-75 P,Eil,�%(H�,
ELEC . —
GAS
SUPPORT STRUC. REQ.
COMPACTION TEST /1
---_ _66-21-50 - —
CONTR: Kentwood Mobile Homes,Chim
Permit #5196-75MHI-"4
Issued "'n��'�� �'. B :r.�7• w�
__--- - - 66-21-50
Permit #2988-76B(new open decks/MH)
d <y
'66-21-50
X"conti: Mari-John Const., Magalia
Permit #1316-78B(new private gaage)
66-21-50
13521 South PArk Dr, MAgAliA
Contr : Ken Brown Const 7112
Perm t#1688-86B(new covere deck/MH)
`RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
14 -Sep -2000 2000-0035547
Has not been compared with
original
BUTTE COUNTY RECORDER
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 H6alth 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.
EUGENE ERTA & MARGARET ERTA
REAL PROPERTY OWNEMESSOR
13521 SOUTH PARK DRIVE
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INISTALLATION MAILING ADDRESS, IT DIFFERENT
CITY COUNTY STATE zip
SAME
UNIT OWNER (if also property owner, write'SAME')
MAILING ADDRESS
CT' CoLwry STATE ZIP
UNIT DESCRIPTION'
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAMING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
00-2068 (530)538-7541
G PERMIT N0. TELEPHONE NUMBER
BU
,,/ZJ/
09/13/00
GNATURE OF LOCAL AGO AL DATE
NONE
DEALER NAME (if not a dealer sale, write 'NONE*)
DEALER LICENSE NO.
STURGES 1975 GOLDEN AGE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
S603U/X 61'X 24' 203346/7
SERIAL NUMBERS) LENGTH X WIDTH fNSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 066-210-050
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
BUILDING PERMIT NUMBER: 00-2068
Address or location of unit: 13521 SOUTH PARK DR., MAGALIA, CA 95954
Legal Description of Real Property: A.P. #066-210-050
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() 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: EUGENE ERTA
Owner's address: 13521 SOUTH PARK DR., MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: 203346/7
SERIAL NUMBER OR V.I.N.: S603U/X
MANUFACTURER'S NAME: STURGES YEAR: 1975
OFFICIAL APPROVING INSTALLATION: W"�t
DATE: 09/13/00
PHONE: (530) 538-7541
H.C.D. 513C
LEGAL DESCRIPTION
A.P. #066-210-050
All that certain real property situate in the County of Butte, State of California, described as follows:
PARCEL I:
Lot 289, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB
ESTATES UNIT NO. 4", which Map was recorded in the Office of the Recorder of the County
of Butte, State of California, on October 27, 1971, in Book 38 of Maps, at Page(s) 69 thru 73.
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, D, E, F, G, H, I, J, K, L, and M (the common area)
of said Paradise Pines Country Club Estates Unit No. 4, and the Lots designated for common and
Recreational areas as described in the Declaration for Common and Recreational Areas as
described in the Declaration of Annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV, XV and
Country Club Estates Units No. 1, 2, 3 and 4.
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
.. _ REGISTRATION --CAR_ D ------------- ------------ ___----
Manufactured Home Decal No: LAX9282
Manufacturer ID/Name Trade Name Model DOM DFS Ry
STURGES Exp. Date
GOLDEN AGE 00/OOH975 10/21/1975 i
Serial Number
:Lq
nslgnia Number Weight Lerr9th Width SPC SCC Exempt Use Type
S803U 2S603X 2 81'; 12 04 SFD LPT
Issued Total Fees Paid
Mar 13, 2000 $117.00
.Addressee
EUGENE ERTA
13521 S PARK DR
MAGALIA, CA 95954
Registered Owner(s)
EUGENE ERTA
MARGARET ERTA JTRS
13521 S PARK DR
MAGALIA, CA 95954
Situs Address
13521 S PARK DR
MAGALIA, CA 95954
Legal Owner(s)
GORDON W SWANSON
DOROTHY J SWANSON Trustees
1701 DINUBA AVE 194
SELMA, CA 93662
Lien Perfected On: 10/11/9610:41:00
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 MAY BE CONFIRMED THROUGH THE DEPARTMENT.
rI
y , PAR/C
RECORDING REQUESTED BY
MID VALLEY TITLE CO.
AND WHEN RECORDED MAIL TO:
MR. & MRS. EUGENE ERTA
13521 South Park Drive
Magalia; CA 95954
A.P.N.: 066-210-050 Order No.:
IIII"II'IIIIII'III'�III'I'I"IIII
69— -
Recorded :.
I REC FEE 10.00
Official Records.
I TAX ' 22.00
Count y_of
CIINDACE J.6RUM s
I
' Recorder
M
ROSEM" DICKSM
1
.
Assistant `� '
I Vickie
02:91P9 10-Aug=1999
I Page 1 of 2
Above This Line for Recorder's Use Only
Escrow No.: 175426VG I-
0!5
GRANT DEED
1 iii b�iDERSiGNEHaGi A�DEC sj R'AX-3"D�Ct71G> NTA�tY' fI ASS 1 TAX LS: COUN TY --- - - -
] computedon full value of property conveyed, or
computed on full value less value of liens or encumbrances remaining at time of sale,
] unincorporated area; [ ] Town of _, and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
JOHN CHRISTIE and ANNISA CHRISTIE, Husband and Wife'
hereby GRANT(S) to
EUGENE ERTA and MARGARET ERTA, Husband and Wife as Joint Tenants
the following described property in. the UNINCORPORATED AREA, County of Butte State of California;
See Legal description attached hereto and made a part hereof.
J N CHRISTIE AWK56k CHRISTIE
Document Date: August 5. 1999
STATE OF CALIFORNIA Butte ),SS
COUNTY OF )
On 8/5/99 beforeme, Marsha Vierra, notary public
personallyappearw John Christie and Annika Christie
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signatures) on
the insaument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
This area for official notarial seal.
MARSHA VIERRA;
VComm. #1114710 (�
O OTARY PUBLIC CALIFOitllll�
BUTTE COUNTY �)
t,omm. Exp. Oct. 26.2000 •
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
ORDER NO. BU -175426-2 VG
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: -
PARCEL I:
LOT 289, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES
COUNTRY CLUB ESTATES UNIT NO. 411, WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE STATE OF CAT,TF.ORNIA, _
M- BER- T7: .19'7 r,=`$OZK-3 8 OF MAPS , AT PAGE(S) 6 9 THRU 73.
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:
ANON -EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F, G, H, I, J, K,
L AND M (THE COMMON AREA) OF SAID PARADISE PINES COUNTRY CLUB
ESTATES UNIT NO. 4, AND THE LOTS DESIGNATED FOR COMMON AND
RECREATIONAL AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION
FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV AND COUNTRY CLUB
ESTATES UNITS NO. 1, 2, 3 AND 4.
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY. DE`l_ELOPbffM- :
:.....: • -NO'..:'I+AX9Z
REGISTRATION CARD = :'
Y25
Manufactured Home Decal
ManufacUnr IDIName
STURGES
Trade Name
GOLDEN AGE
AAodal
;DOM 1
00=1D7d 1Q121/1976 -:
SerW Number
L.abe111ne1pnla Number
Welsld .
LenSth `.
.Width . v
$PC
SCCL
203348
S803U
S603X
203347
�.�.
Issued T" Rn Pall
•
-._.
Mar 13, 2000 : ='_i117.00
Addressee
EUGENE ERTA
13521 S PARK DR
MAGALIA, CA 95954
Registered Owners)
EUGENE ERTA •
MARGARET ERTA JTRS
13521 S PARK DR
MAGALIA, CA 95954
Situs Address
13521 S PARK DR
MAGALIA, CA 95954
Legal Owner(s)
GORDON W SWANSON
DOROTHY J SWANSON Trustees
1701 DINUBA AVE 194
SELMA, CA 93662
Lien Perfected On: 10/11/9610:41:00
I/Aa
�Ae de6&/ on
IMPORTANT
THE OWNER INFQRMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCpIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE.DEPARTMENT.
PERMIT NO. 1688-86B
PERMIT EXPIRES—
OWNER
XPIRES OWNER GORDON SWANSON
CONTR. Ken BrownConst
ASSESSOR PARCEL 66-21-50
LOCATION 13521 South Park Dr, MAgalia
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service,
1
{
r
J=OK
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready MISCELLANEOUS
� /
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
DECKS COV S, CARPORTS, ETC. (Plans) OK except #'s
ning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
3. Sewer; Location—Test—Fall-C/0—Concrete
_
. Footin s; Size—Depth—Spacing—Connectors
ecks; Girders'8gr/or J�dst�De Br R�{e—�
4. Water; Location—Test—Easement Needed (Sketch)
�StB�irs
ood Awn.; Po�1e�6�Coaaec=�SMfig.— —Bre_
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5.. n.' C plice—Decal—Enclosures
6. Gas; Locatior-Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"tLPG
Doors
7. Utility Clearance
_.
47—Elee._...
Card -BI
Date Card -BI Date
Card -BI
i Date ' Card -BI Date
Card -BI
Date Card -BI Date
Card -BIS
Datd Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
5. Drain; MH Test—Fall—Flex Connector
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit'Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Data
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
J.
Zoning requirements -Setbacks -Easements
_
._____2.
49.
50.
Ftg,MMain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4.
Ftg_, Porches & Decks; Soils -Steel- / /'' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
7.
Piers -Fireplace Ftg.-Steel
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
Card -BI
9.
Gas Pipe; Size -Anchors
Date
10.
Water Pipe: Test -Anchors -Regulator -Service Test
57.
58.
11.
Electric; Underground
59.
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Elec. Trim & Subpanel; Breaker Sizes -Labels
Date Card -BI Date
Card -BI
_
_
Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14.
Water Hl.: Vent -Access -Combustion Air
15.
Water Pipe: Test & Anchors -Nail Protection
16.
D.W.V.: Test-Fitngs & Anchors -Nail Protection
17.
Shower Pan: Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe: Size & Anchors
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except q's
20.
Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
23.
_
Romex Installed Close to Edge of Studs C.J.
24.
_&
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen Size
26.
_&_Conductor _
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes -No
28.
Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances: Pane Is-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
Caro B -I
Date Card -Bt Date
Card B -I
Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
31.
A.C. Ducts Insulation & Support
32.
Vent Fan: Exhaust above Insulation
33.
_
Condensate Drain & Overflow: Size & Grade
34.
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35.
_
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Caid-81
Date Card -81 Date
Date
FRAMING(Plans) OK except #'s
36.
Sills. Proper Material & Anchors
37.
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing _
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops. FurredCeilings-Stairs-Chases-Tub - - -
41
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access. Size & Romex Protection -Draft Stop -tits. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
49.
50.
_
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection_
51.
52.
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolls
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
bb. Kit. Fixt. & Appliance; Grnd.-Air Ga -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes [1 No; Walks [ Yes ❑ No;
Planters ❑Yes ❑No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
_ 81. Ventilation throughout House
_ 82. Glass Protection
83. Corrections from Previous Inspections _
_ 84. Gas `est -Meters Tagged: Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI ')ate Card -BI Date
Card -BI Date Card -BI Date
Com tents at Final:
11 --_-'-
(NOTE Anentry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orfivillo, 'Callfffrnia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N
.01
AS3E O PA C ,L NUMB
ZONING
BUILDING PERMIT
ow 14)9 1/1 IS6 Ill
Tp"
L P_;J tS
SO. FT. CC. BUILDING VALUA ION
OWy R'S MAILING ADD SS
/ ! r
CONT A O 'S NATE
e
EPHONE
73 -I LIS
CONT CT'S MAILIA gDRESS� ` s �• t�K
Fireplace
ace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ TO
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 12,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Q
Solar or heat pump water heater
20.00
LOT NO.SUBDI
VISION NAWARCEL
C C I
MAP
I
Water piping ✓
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeM Other
SPECIFY.
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New P, AdditionRemodeyO Utilities[] Installation❑ Other ❑
Describe work: ✓ ue C _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
001 OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
t decl re under penalty of perjury
p y p i y (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiop�pcJe, � my license is in fullt/t�rce and effect.
II-y� ii'''�jj (J f�
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 CONST. DWELLING OCCUP.&
OR ADONIS.( ACC. BLDGS.
, /2Osgft
NEW CONSTR ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20 0 50t
1200030
EX. OCCUp. OUTLETS P(RESID )FIXED ALNS. REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. 6Yirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑t 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.
Contractor
MECHANICAL PERMIT
Filing Fee 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 ente upon the above-mentioned property for inspection purposes.
I also agree o save, indemnify and keep harmless the County of Butte against
all I b'Iiti jud m ts, �sandfexpenses which may in any way accrue
again t ai Co co granting of this per it. E/j
•— ? _
X Date
Signature of Applicant — wner ❑ Contractor Agent ❑
An OSHA permit is req5'uired for excavations over " deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ G �'
OCCUP.
CONST.TYPZJ
F000
PARCEL
PD
XDISsu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF P LIC
/ c"i LL
BY 1//_�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WNITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
A
COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS - BUILDING DIVISION ,
7 COUNTY CENTER DRIVE - OROVILLE-?=OAL-I-FORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET f
% Permit No. // t
OWNER soV 0IV? 0 P. No.
Proposed Building Use CO L)
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building Inspector
At time of permit 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/tri.plicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature authorizatioril r .
Sanitation approval from UVJ ✓ �lealth Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
17. Pre -Inspection for Required. Pre-Inspec. request to (Dote)Building Inspector
18. Record d �f A Ltur I Acknowledgment Statement . r:
19. Other �RffffiY DMT (�onstruction approval required prior to occupancy
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. - Deliver w/inspector.
Other . . � 11
Date Z.
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
V
By ` Date
Plans checked by Date
Plans approved by :Date
Other:
Copy—DPW
To: Buildin.; Dc;r•r�:-har.r..r�t.
From;: �nviironment ,J ;le:dth
Subject: Sanitation
Owner Locat:i.on
Plan Approved for: wAer r.upply -
hold final fog-:
Final clearance O.K. 1`011:
Clearance for bearooi , wcc bile hors., .
1,.1at.er ::supply
water supply
nis set of plans and specifications MU51 b&
.-9 coat on the 'ob at II t'
NOTE: All Materials & Workmariship Shall Be.. in
Accordance wiA. Recognized Good Practices and
of a quality .prescribed for tie Specified use -in the
Uniform Quildirg, l?
the National Elecf: cal Code.
I
��sip 10 r D8
� WtW_
I a Imes and it is unlawful to
make any changes or alterations on same without
written permisson from the Department` of Publir
Works, County of Butte.
1t� Pum sig- t
s0ON" P wt< �j ew a
A setback of 5 ft. from the,
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
{or.a 2 ft. �c av, oye?rl ang,
REN BROWN CONSTIRt1C-,j0jv
14559 Skyway
Magalia, CA. 95954
Ph. (916) 873-1215
•G O Q� O N � w tii�.iso 1,i _ S 7 3 - I'15�i �
_..____-__SUTTE_COUNTY .
13sai .PAS Deiu_u_: _�_ BUILDING DEPAPTMEiv,
_�Jt�. ��q • G�'�1sw _.w.
APPROVED.
7-
A
7
4�7
7.
7
oo
�' _i. _ _ E . � � _ � � _ C:2�ss �eei�c���. � Q�,q. � -'- � --=--; (� ��c 11� -�c ��..-�i"y P� � _ ( _
4 i
X 7 7-7 7
X, X
ZI/000."
I
byleTi
-Lo. PLq,
D9 v0r
LAY to
Q1
21
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CC
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eAmrs
BUTTS COUNTY i
�o
►ki-
UILDIN"
vp
'IZL
0
PERMIT NO. 1316-78B
PERMIT EXPIRES
G. W. Swanson
OWNER
CONTR.
Mari -John Const., Magajia
LOCATION
(A.P. 66-21'50
800 South Park Dr.,lot 289, CC#4,.Magalia
Temp. Power Pole
Called PG&E
Temp. Elec.,Serv.
Called PG&E
Tem( Gas Serv.
Called PG&E
JOB
�.� /� e.
FINALED
(Dafel
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION.RE,CORU
i 11
BUILDING BUILDING (Cont'd)
PLUMBING
Firewall
Soil Piping
' Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathin
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
7 Garage Vents
Insulation
Water Htr. ,
Heaters
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Final Z1
Sanitation
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Bealn
FIRE SP I KLERS
Motors
Framing v
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
:Ft I
Final
MOBILEHOME UTILITIES --------•---
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION • - - - - - - - - - - - Support
Elec. Continuity 1
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
1
(NOTE: An entry must be made on this form each time you visit the job site.)
` - COUNT* OF B,1JTTE , — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT AA CCCYYY
^ •..r... • . III. wanly vl Uuuc LU cnicl UVUII ula
above -mention d erty for Aspection purposes.
Date
Signature o` Permit a or Agent
-eipt No. ( 7q(I Z-
te-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 BLIC WORKS
BY Date 7-Z-7 �?!�
B Ing permit expires Date 3 —2- —7 S'
BUILDING
OwnerCf • w ti(/is Q dl
SQ. FT. OCC. BUILDING VALUATION
Ila
Mailing Address
Telephone No.
Contractor � L . - O tf`v O M S
Mailing Address C) Ate,- �%. Fireplace
'/
Total Valuation
f/ —
Telephone N .
I D
Permit Fee
Building Address �K pit
�� O
Plan Checking Fee&/or Penalty
-
Permit Fee
.—
-4L�'
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
_
A. P. No. �O l� �� - ��
Zoning & Planning
Water piping 1.50
_
Each gas water heater or vent 1.50
F
���
W"C.
S tion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking arcel
Plans Declaration
Parcel Map
60R/W
'
Improve,. is
Each additional outlet .30
Building sewer 5.00
Bldg. ans Recd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Othersg
Main service 600V OR LESS
100 AMP OR LESS 5•��
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 6 O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST OR A.D.S. ( ACCLBLDGLING S.CCU Y) 22sgft
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:
Y
NEW RES,CO , BRANCH CIR T
NON.R ESID (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS.6,
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIIRESg L�
01
Ex. Occup.(OUTLETS %
OUTLETS P(RESIDIREA 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 California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
j I have placed on file with the County of Butte a certificate of
1=�1 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 INo.1 @ 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 Ing to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
^ •..r... • . III. wanly vl Uuuc LU cnicl UVUII ula
above -mention d erty for Aspection purposes.
Date
Signature o` Permit a or Agent
-eipt No. ( 7q(I Z-
te-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 BLIC WORKS
BY Date 7-Z-7 �?!�
B Ing permit expires Date 3 —2- —7 S'
r z� ERMIT NO. 2988-76B
PERMIT EXPIRES
OWNER Gordon Swanson
CONTR. owner V
LOCATION (A.P. 66-21-50
800 S. Park Dr.,.Magalia
Temp. Power Pole
Called PG&E
Temp. Eled. Serv.
Called PG&E
Temp. Gas Serv.
Called -,PG&E
JOB
FINALED 1-7 % %
(Date) �Q
(Signature`
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
'
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
WORKS
BUILDING INSPECTION 'RECORD
BUIL'DINI
BUILDING (Cont'd)
PLUMBING°
Setback /—)')--77
Firewall
Soll PI in
Forms
�_.
Parapets `—�
1st Floor
Main Bldg.
a----
Restroom Finish "-
nd Floor
Footings
�~
Windows
3 d Floor
Stemwal.l
Siding
Tope4t
Slab
Roof Sheathing
Water INping
' Piers
Roofing
Sewer
' Garage
Fdn. Vents
Fixtures
_ Footings
---"'f
Garage Vents '—'
Water Htr.
Stemwal i
Insulation
Heaters
Slab
Prov. for physically
Appliances
'
Carport
p •.'-,
—
handica ed
Conformance of ex.
Gas Piping & Tast
Footings
structure
Tem . Gas
Slab
_Final �- 7� 7 p7
Sanitation
Patio
FIREPLACE
Final
%kf, LFootin s
1-)7--7-7
Footing
EL TRICAL
Masonry Walls
T at
Rough
Reinf. Steel
��
Final
Fixtures
Bond Beam
FIRE SPRINK6LRS
Motors
g
7— `77.
Test
Water Htr.
1�PCArremIn
Stucco
..................
Final
Subpanels
E Mesh
MEbQANICAL
Grd. Fault P t.
Scratch
Heating
Service
Brown--
Cooling
Temp. Pole
Finish
Ducts
Under9found
Interior Lath
VentllatA
Penn vent .
Door Closer
—�
Final
Final
DATE REMARKS OR CORRECTIONS
(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' — ! Oroville, California 95965
Telephone;.534-4541
APPLICATION AND PERMIT Id
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Dr'+i Dat��� .Lc
Signature of Per'mitee or Agent
Receipt No. '`erUS 2) Cl
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 p 'd.
DIRECTOR OF LIC WORKS
BY Date 6—/o - % 6
(ding permit expires Date � -�2 77
BUILDINVII
Owner dt-A
SQ. FT. OCC. BUILDING VALUATION
Mailing Address SCO ZPUM-1 A 1(— `DP--
� (�
y\XAAU h !F1 5a S1
Telephone No
Fireplace
Contractor fDwt�A je,4k,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
j
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. IB —2t 0
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F iWf
Vod. Sant n Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
Parking
EQA Plans
Parcel
Declaration
Parcel Map
60' R/W
Impro ments
Lawn sprinkler system 2.00
dg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ E]OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMPOR1 OR 5.00
Main service EA. ADD'L 100 AMP 2,50
Single Family ❑ Duplex Mobil Home
❑ ®. Others ❑
Main service OVER eooV
too AMP OR 25.00
EA, ADD'L 100 AMP 1,00
0 AM
Main serviceNEW
1►
CONST./ WELLING OCCUP. &\ 20sq ft
OR AODNS. ( ACC.BLDGS.
NEW CONSTR MULTI -OUTLET N/
NON-RESID. ( BRANCH CIRCUITS/ 2.50ea
NEW CONSTR /POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES)50 @25¢
BAL�1
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 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.
❑l have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
m 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. @ J FEEPERMIT
FILING FEE $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 I
TOTAL PERMIT FEE
$ 5 cc
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Dr'+i Dat��� .Lc
Signature of Per'mitee or Agent
Receipt No. '`erUS 2) Cl
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 p 'd.
DIRECTOR OF LIC WORKS
BY Date 6—/o - % 6
(ding permit expires Date � -�2 77
1•
'
f
•' <MH UT IL .
4514-75 P,E
a PERMIT NO.
P
E
M
PH UTIL.
PERMIT NO.
PERMIT EXPIRES /T/��// [�
-OWNER Gordon W. Swanson
i"
CONTR. Fuller Constr., Magalia
66-21-50
LOCATION
(A.P.
)
;t
`.'
800 South Park Dr., Magalia
y; (Lot 289, PPCC 4)
/A
y
�3
'rF
t
k
j
Temp. //Power Pole
; Ca�Pled PG&E
a
Tel p. Elec. Serv.
Called PG&E
emp. Gas Serv.
Called PG&E
JOB
F FINALED
(Date)
'�
�Q
Com✓ � �� �_,.�`
"; (Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD,
BUILDING BUILDING. (Cont'd) PLUMBING
Setback .'77 Firewall Soil Piping ____---—
.Forms 14 P apets 1st Floor
Naing. Res oom Finish 2nd Floorgs Windo s 3rd Floor
ll Sidin To out
Roof She thing Water Pipingq
Roofing _ Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
StemwaII Prov. for physi Ily Heaters
Slab handicapped f Appliances --
Carport Conformance of ex Gas Piping & Test
Footings structure Temp. Gas
Slab Final A Sanitation ,...
Patio AIRtPLACE Final `7 7 Footings Footing _ ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final i Fixtures
Bond Beam FIRE SPRIN LERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
MeshMECHANIC L Grd. Fault Prot.
Scratc Heatildg Service
Brow Cooing Temp. Pole —
'Fini h -294ts Underground
Inteti r Lath Ventilation Permanent
Doo Closer Final Final/ -7— -7-7 (�
DATE REMARKS OR CORRECTIONS
fes_.
•
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 °" No '
2. Does the mobilehome have required clearances aboveground? (Sec.5085) Yes No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes '^ No
4. Is the mobilehome level? (Sec. 5088) Yesx No
5. If more than a single unit, are crossover connections -properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
YesNo
B. Test -"""Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If ch is not State of California approved, does station have backflow device
and pressure- eli 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 4" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe?, Yes No \/
D. If c is not State of California approved, does station have required trap and vent?
Ye o
8. Gas/Pi ing and Gas Vents
A. Con_ -tor - Is mobile o'me connected to the gas supply with an'approved 3/4" minimum
mobil ome connectoenot more than 6 ft, long? Note: All piping is to be at least as
large a the mobilehome gas line •inlet without. reductions other than the mobilehome
connector. Yes No
B. Test OK as p following procedure? Yes No
1. Open af1'1. ap fiance connector valves S.
2.. Sh t�.off appli ce burner and pilot valves.
3. _ir test with mano eter to 10" -14" -wa'te'r column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) alibrated 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 No
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating.of
mobilehome with a minimum of 00 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_A,, No
B. Is there proper clearances around panels? Yes No
C, Is power supply cord or feeder assembly properly fused? ,YesNo
74
D. Is continuity test satisfactory as per the following procedure? YesNo
.1. De -energize electrical wiring system of the mobilehome at the pede tal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in 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 the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length Width
Vehicle Serial No. S. - A�. 6
State Identification No. Z 3
Additional:Information or Comments:
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t5,1621
.7 County Center Drive — Oroville, California 95965
Telephone: 534-4541, `
APPLICATION AND PERMIT
BUILDING
.
Owner Uvv �(,t✓ /�—
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
ContractorLy �,{i
Total Valuation
Mailing Address C) _7
Permit Fee
Plan Checking Fee &/or Penalty +
C/
Telephone No.
�3 3[ Z /
Permit Fee
Building Address
PLUMBING No -1 @ FEE
PERMIT FILING FEE $3.00
(�� S L
Each Trap 1.50
O
Repair drainage or vent piping 1.50
$'
`
-
Water piping 1.50
/7 U
Each gas water heater or vent 1.50
A. P. No. C—
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FeesC.
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd
Porc Approval
Plans A roval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
r
IT, S /
Main service incl. 1 meter
Additional meters, each 1.00
Sub:panel, (12 or less) (more than 12)
—
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixturesb 1%210
Receps., switches & fix outlets 20 P 25
bat 0 In
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Bu iness `& Prof ssions C de under the name
style �=. ' '
Hood, Ex. Fan orF.A: Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pomp
Mobil Home Facilities 5.00
Temp. Power Pole 5.00'
License No. ����5� G ,
Classification
Misc. wiring
❑ 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 Wor en's Compensation.
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.
PERMIT FILING FEE $3.00
Heating
Codpi.ng
ied1Y •.e.. "
Ventilation_" -i 4 i:d
#2.00
Hood.
Permit Fee $ `�CLC`0
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 -menti oned property for ins ection purposes.
"..,
x iDat
Sig ture of Peermitee or Agent
Receipt No. 1366W,
,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE ' 1$ - 1
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�OF �-.UBLI�CWORKS
?uuilding.
Date
permit expires Date
Cp'Ji�^T OF 8 �E
()E -P7. OF PUBLIC Wp
L
1915
7 County Center Drive, Oroville, California
PHONE: 534-4541
Length =
20'
M
rt
K
M
M
rt
:E: O
A
y
Y. d
7" K
M
E
W
Y.! No_�
. Yes Nos
If so, speciry
*For plans and specifications of support system, see other side.
MOBILEHOME INSTALLATION.
INFORMATION
tot .Facilities
Mobilehome Data, f
-,
1.
Plot plan dimensioned, location of mobile
1.
Length
�S Wi th �/
anduti ity connections?
Manufacturer
Yes -Z No
Vehicle Serial No. S- 60 3
2.
Electrical. service equipment ampacity a<=,
Insignia Control No .2p33�f(LI Zo33 7x
Circuit breaker ampacity Z vy
2.
Feeder assembly�`pacit7y h
Permanent Wiring Connection
Conduit size_ 2' "
Power supply cord (amps)
eptaac.le
'3:
Gas inlet size
3.riobilehome
j-"
connector , iz
. — -
Capacity.
4.
Drain inlet size
4.
Drain connector: describe on reverse side
5.
I -later riser. size .� (�
5.
Water 'connect'or: describe on 'reverse side
6.
Are utility connections located outside
6.
Designed loads:.
the rear 1/3 of the mobilehome� . _, ' hin
Roof live load Z,U psf. .
4 feet of the left wall? Yes G/ No
Wind load �,S psf.
If not, show di.:rensions.a_bove.
(only for mobilehomes manufactured after
7.
Is the mobileti6me•clear o -septic septic tank,
October 7, 1973)
leach fields and located outside public
7.
Manufacturer's installation instructions?
utility easements? Yesy No
Yes No
8.
Do you propose to do other work on the
g,
Will the mobile home -be installed on -a
property other than the mobilehome
installation wh' h will require a permit'?
separate support structure?
Y.! No_�
. Yes Nos
If so, speciry
*For plans and specifications of support system, see other side.
Im
.-LL
ADDITIONAL COAD! !,QTS
Drain Connector, Describe_2 `' ge s
T
Water Connector,. Describesy lk
K
�l ♦ -
LOAD BEARI-
NG SUPPORT AND t OOTING IhTFO?.IIATIOty'
Pier. Spacing Usedc�
Maximum Pier Load
In �\ maximum Column Load '(multi -units only)
.r i s C o* AA
Soil Bearing Capacity. — f
Cep` Footing Dimension Uscd
e ttJJ .
TYPE OF PIER. USED.' /
a x ` Steel Concrete Concrete Block (/
Other
TYPE OF FOOTING MATHRIAL USED
P-ressureTreated Wood 2 x (Z js(30
Concrete
Redwood (Grade)
Other Approved Type
LOAD BFARING +-
SUPPORTS
Myt enuwy
BUILDING DPARTMENT
APPROVED
S ler s --"_f L .u� , C C 1 � _ C
• c
C OUT 1i 1 AR Y, DR1v;v
NOTE:—All Moter,,I,:, & Wnrkmrynshih .4M II B
This- set of -plans
kopt on the job, 6t, all.+t--nes
.make. any changes or altc-IrMic
writfen'permission'fromthe D:
Works, County 'of ,Butte.
I�. ..(
Ln
cnnlllanl,'nns.. hall
re
.AII , utility ,
located within . ft.. ,ut,ide
'theQ
third section of the mok ale. b
ft' road side of.t e � l •
• on the le. (road) s . .
home.: - I
�{ -
lA
wil,� be
1
of the
X �
D _
N �, l
1 1 .
SeOtc
tern. and location 4�
poet to be as .per
unty Health -Dept. Re-
SThr)DnRo ,
C r�i n"Y
A i;pRu A C -4
The Adig` Setback shall be 5 ft, from
the side property line and 50 ft• from
the centerline of thA road, permitting
a maximum of.a 2 ft. eave ovenccng.
I PARAMS-E PINES
ARM"I 4.r r 1: 4 �r��T!1'et ��Il,^a.?ITTEE
BUTTE COUNTY
, BUILDING DE ARTMENT
ADDRESS. --Vo .... 30'0 C14/ / p: 8
VED
AJ
_. _ ._ f... _. ._- ._. a . �_. ._.�:.r^ ....vAuasd�.. ._. �L�l.a_ w L u.. .a 1 i �'__.. "a :� :L: • _: A_. r..._ ... _ - .. _ . ...
^ccordar,:e with
•' ry e m
prryr fjCeS and
Tose
uali v
,t
r;l�.:�f tl•e Sr eriftnd in
the
Uniform Building,
Plurnt-ina Machanical C des
and
the National Electrical Cod .
a4 , x 35
.BUST be
6)e
p
is unlawful'to
5`jr
�r
SCALE
/
same without
}ment of Public
�I
I�. ..(
Ln
cnnlllanl,'nns.. hall
re
.AII , utility ,
located within . ft.. ,ut,ide
'theQ
third section of the mok ale. b
ft' road side of.t e � l •
• on the le. (road) s . .
home.: - I
�{ -
lA
wil,� be
1
of the
X �
D _
N �, l
1 1 .
SeOtc
tern. and location 4�
poet to be as .per
unty Health -Dept. Re-
SThr)DnRo ,
C r�i n"Y
A i;pRu A C -4
The Adig` Setback shall be 5 ft, from
the side property line and 50 ft• from
the centerline of thA road, permitting
a maximum of.a 2 ft. eave ovenccng.
I PARAMS-E PINES
ARM"I 4.r r 1: 4 �r��T!1'et ��Il,^a.?ITTEE
BUTTE COUNTY
, BUILDING DE ARTMENT
ADDRESS. --Vo .... 30'0 C14/ / p: 8
VED
AJ
_. _ ._ f... _. ._- ._. a . �_. ._.�:.r^ ....vAuasd�.. ._. �L�l.a_ w L u.. .a 1 i �'__.. "a :� :L: • _: A_. r..._ ... _ - .. _ . ...
u"L��" t� �► !' K'%�•�'P' t•1���� � P"c.� '.�_C- �-�.�•?" c......_._—...._,_.._ � Li � � �.'_i �._.__._.��- �)�.�i :� 4 �i�� ! �`, i . � v .�, i.__,. `�' _...:.. __,__ �- . ..�. _ox q�53
°1 �,,� � $.� ra S r�0�' � ,�., �'e- � ��. 'P�,j..:..�... _--4•.�-S'2ii�: 1 �r��.__•__ �i 5 y 4,S `l
1_J avl SOUB:tl 'i' RK DRivE
NOTE:—All Mn+erials & Workmonship. $ha!I Be in
Accordarr_e . with R�7:^nni7.e� G' �,A prat+ices and
I ' of a quality presc4nd for the Speo;ed use in the
—�--' m orm Building, Plu -ing & Machan`cal Codes and
the. National .Elect ica Code.
aW x 35'
pti A C- E* �
I
This. set of plans and �,
kept' on. #hn ' !•'? +;ons M.l1ST°`� p E 1 _ 20
malr an fob of di. #, be. - SCA,
e Y ch, t is unlawful`#o LQ
tles,gr. n;terry}� ,�i
n same without'wri#ten per►niss;on4,•o 'WoFks - thomen# of Public
County: o '�Uf#e.
_ 2
• -. •• �. __- -• •� �. ;O't g.
I T^.a't.. o C S
i
t.`,�'
- . , ... . , : � � ' `� . '_- -� - - - - - - - -�`• a.o sat .�,� � .
NJE
, �J-j
'� A �pRuFc K
DR
PPSK D
The Bldg. Setback shall be 5 f+. from
F the side -property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft. eave overhang. .
PARAIIIS€ PINES —
G��4"I��TTf.,-,,-,a.i. rr.:,T�,..� .. �AR ITTEE
PAP"c—c y" �vt....�Af/ -9 "=7 -T 0-7i_
TF! ACT-
- -
__
VATS_ 7.5 —
ADD t�aJ_ �D
..�".7t'f_°u'�_
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
/ 7 County Center Drive — Oroville, California 95965 ��J I i—' 7<S
Telephone:, 534-$541
APPLICATION AND PERMIT G'
Qu'1U1 « IUPIWaciitauvca U1 LIM Uvunty of nutte to enter upon ine
above-mentioned property for inspection purposes.
X -�� �` Date g — Y- 7-15
Signature of Permitee orAgent
Receipt No. 1�� 4Ag
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
By Date
wilding permit expires Date ................... '..............z.....
BUILDING
.
Owner Gordon W. Sw nson
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 10562 Creston Drive
Los Altos Ca. 94022
Telephone No.
Fireplace
Contractor Fuller Construction Co.
Total Valuation
Mailing Address p Box 453
P.O.
Permit Fee
s
Plan Checking Fee &/orPenalty
Ma alio Ca. 95954
Telephone No.
873-0668
Permit Fee
$
Building Address C.C. 4 Lot 289
PLUMBING
No.1
@ FEE
PERMIT FILING FEE X $300
800 South Park Drive
Each Trap 1.50
Ma alio Ca. 95954
Repair drainage or vent piping
1.50
Water piping XJ--% "1
Each gas water heater or vent 1.50
A. P. No.'�
v
`°"'" "
Gas piping system 1 - 5 outlets
1.50
Each additional outlet 30
Fe
W -.
a on
Fire Dept.
Fire Zone
Use Permit
Building sewer
EQA
Parking Parcel
Plans
parcel Map] P
60' R/W
Imp ro ements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parce pprovaI
Pla`KAproval
Permit Fee
$ ;
$
NEW ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE X $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home:E] Others ❑
Range, Cook -top or Oven 1.00
5� F7' ����L
Water Heater or Space Heater
1.00
s
Light fixtures bald10
Receps., switches & fix outlets b.
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:
Fuller Construction Co.
Hood, Ex. Fan or F.A. Furn. Motor
1.00 =
'
Z ®1
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00 /s
Temp. Power Pole 5.00
License No. A-289775 Classification A
Misc. wiring
❑ 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 whic1h 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.
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 $
$
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
TOTAL PERMIT FEE
$
Qu'1U1 « IUPIWaciitauvca U1 LIM Uvunty of nutte to enter upon ine
above-mentioned property for inspection purposes.
X -�� �` Date g — Y- 7-15
Signature of Permitee orAgent
Receipt No. 1�� 4Ag
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
By Date
wilding permit expires Date ................... '..............z.....
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