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066-230-018
- _ • ` ' '.', ,�.'�'��`-.. M .. r:..f `'. ...mss- ' _ � _ * t h , 66-23-18 ` Earl Scott 55 Simonson Ct., lot 170, PPCC4k4, Maga =, contra Powers Const.,Mgalia c. Permit f#2133-79PaE(uti -7 oo � - _ ELEC. i ' ) • GAS 7�% r, .►�L.M/'- SUPPORT STRUCTURE RE ePACTION TEST REQ._ -yid lw < 1 18 w' f Contr;.,--66723-t� SOS MH'Ser, Chico 7' a Permit #4983-79MHI Issued K' • /�/� �6623-18 contr: Acro-Lume, Oroville Permit #6163-80B(new open deck/MH) ' 66-23=18 • Contr., r 1. Robert.G.-Roberts, Paradise ±� rrdt#3346 '82B� .,new iv e'.g ).,c.rr es ' 'B06 2267 u 066 230-0184 ',MISCELLANEOUS Wood Deck ''OPEN DE .`' :, M(96 SQ) t 46371 SIMONSON CT-s,a a SCOTT;�EARL & MARY, C �� �' `y f + � y .os -e- s. P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy :r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1 7 County Center Drive • Oroville, CA • (530) 538-7541 r„ CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. DI-' r S +-c` i 1 F"c le't S EIr Date M- Inspector (ii •f! �i *REVV5 oRE-4 �FOR:RE-INSPECTION LL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6371 SIMONSON CT Owner: Permit NO: B06-2267' APN: 066-230-018 SCOTT, EARL & MARY C Issued Date: 10/25/2006 By TMP Permit type: MISCELLANEOUS 3622 CONNIE CIR #B Subtype: Wood Deck PARADISE, CA 95969 Expiration Date: 10/25/2007 ' Description: OPEN DECK (96 SQ) (530) 876-0363 Occupancy: Zoning: RTI Contractor Applicant: Square Footage: OWNER BUILDER HAMERLE, ED Building Garage RemdUAddn 3622 CONNIE CI(R #B 299 MARGUERITE AVE PARADISE, CA 95969 CORNING, CA 96021 Other Porch/Patio Total (530) 876-0363 (530) 680-7080 96 96 FEE INFORMATION Deck (wood) $150.00 SMIP - Residential $0.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER BUILDER OL:CRW 00409295 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/25/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number. Exp. Dale: (This section need not be competed if the permit is or one hundred dollars ($100) or less. aI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 10/25/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Total Charged: $150.50 Fees Paid: $150.50 Balance Due: $0.00 Receipt No: B219 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one - year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves _ thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section 8. & P.C. for this reason: K 10/25/2006 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 10/25/2006 Owner Contractor OR; ElAgent for Owner Agent for Contractor Lenders Address City State Zip INSPECTOR COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 - WEBSITE: www.buttecounty.net\dds OWNER BUILDER HAMERLE, ED Building Garage Remdl/Addn 3622 CONNIE CIR #B 299 MARGUERITE AVE PARADISE, CA 95969 CORNING, CA 96021 Other Porch/Patio Total (530) 876-0363 (530) 680-7080 96 96 FEE INFORMATION Deck (wood) SMIP - Residential $150.00 $0.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER BUILDER OL:CRW 00409295 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/25/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: FI HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be competed if the permitis or onceunundreddollars ($100) or less.) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L/JJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 9�/ 10/25/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip- .l Charged: $150.50 Fees Paid: $150.50 Balance Due: . $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: IX �?7 10/25/2006 o� Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property o er or am authorized to act on the property owner's behalf. :9 f�i���2.G�'-_ - 10/25/2006' Owner Contractor OR. 17yAgent for Owner agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 6371 SIMONSON CT Owner: Permit No: B06-2267 APN: 066-230-018 SCOTT, EARL & MARY C Permit type: MISCELLANEOUS 3622 CONNIE CIR #B - Issued Date: 10/25/2006 By TMP Subtype: Wood Deck PARADISE, CA 95969 Expiration Date: 10/25/2007 Description: OPEN DECK (96 SQ) (530) 876-0363 Occupancy: '. Zoning: RT1 OWNER BUILDER HAMERLE, ED Building Garage Remdl/Addn 3622 CONNIE CIR #B 299 MARGUERITE AVE PARADISE, CA 95969 CORNING, CA 96021 Other Porch/Patio Total (530) 876-0363 (530) 680-7080 96 96 FEE INFORMATION Deck (wood) SMIP - Residential $150.00 $0.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER BUILDER OL:CRW 00409295 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/25/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: FI HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be competed if the permitis or onceunundreddollars ($100) or less.) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L/JJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 9�/ 10/25/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip- .l Charged: $150.50 Fees Paid: $150.50 Balance Due: . $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: IX �?7 10/25/2006 o� Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property o er or am authorized to act on the property owner's behalf. :9 f�i���2.G�'-_ - 10/25/2006' Owner Contractor OR. 17yAgent for Owner agent for Contractor FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally perfonning their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information 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 unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor 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 requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CI PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: OPEN DECK (96 SQ) Reference Number: B06-2267 Applicant Name: HAMERLE, ED Signature of Property Owner: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last NamesCo 77- Name first Name AddrCZ 9A 4 9, . City Slate, l=} State Phorle_ U - 'o Fax E-mail Fax APPLICANT SIGNATURE X 2 r For office use only: CONTRACTOR Name Flood Zone Address Yes City State State Zip Phone Fax Fax E-mail Date Approved: Lic. # Class APPLICANT SIGNATURE X 2 r For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Yes City State State Zip Phone Fax Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X 2 r For office use only: APPLICANT INFORMATION Name Flood Zone Address Yes City CO�ti State Zip 3260,21 Phone�b � ,U ti 7a Fax E-mail Planner APPLICANT SIGNATURE X 2 r For office use only: Zoning AP# O Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page I Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of PERMIT NO. BIN # Description or Scope of Work: r 8,>e c Sq FT -Living Garage 422en Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. J� 00 11- Received by�G Amount:. Bldg SRA '0 Receipt # Sheriff SMTP DateQ -U-c(z other n" t . 1) . 11 1 Total RFS/ A_j i_nr PROJECTLOCATION AP# O C ,&o Property Address 637/ .s1 t3/v.SGhJ cT City 1'r7,9 ALJI4 Cross Street -SC7CJ7W %tt A WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: r 8,>e c Sq FT -Living Garage 422en Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. J� 00 11- Received by�G Amount:. Bldg SRA '0 Receipt # Sheriff SMTP DateQ -U-c(z other n" t . 1) . 11 1 Total RFS/ A_j i_nr SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit.- INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ - 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has-been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding; federal social security taxes, workers/ compensation insurance, disability insurance -costs, -and -unemployment compensation contributions- — - There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information 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 unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor 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 requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. OR NO) 2.' e4lA VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: OPEN DECK (96 SQ) Reference Number: B06-2267 Applicant Name Signature of Property 1AMERLE, ED Own Date: lQ (J BWnk; COUNTY SEP Z 9 2006 DEVELOPMENT SERVICES Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2267 Date: 09/21/2006 Location: 6371 SIMONSON CT By:. KCG Parcel Number: 066-230-018 Sub Type: Wood Deck Owner Name: SCOTT, EARL & MARY C Phone: (530) 876-0363 Description: OPEN DECK (96 SO) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit.application. Yes No DRAINAGE DISTRICTS r Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS. Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS E] ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 o m Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530), 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105, Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 30?.6 Sixth Street Biggs CA 95917 - (530) 868-5447 . Other: O ujmr tui ldf-r In -0i wntr 9 Alm av 10121ba K,6, Other: M El Other: Signature of Property Owner: Date: 09/21/2006 FILE �� a Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds • National pollutant. Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2267 Date: 09/21/2006 Location: 6371 SIMONSON CT By: KCG Parcel Number: 066-230-018 Sub Type: Wood Deck Owner Name: SCOTT, EARL & MARY C Phone: (530) 876-0363 Description: OPEN DECK (96 SQ) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: C�� Date: 09/21/2006 Title: FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. fry Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2267 Location: 6371 SIMONSON CT Parcel Number: 066-230-018 Owner Name: SCOTT, EARL & MARY C Description: OPEN DECK (96 SQ) Date: 09/21/2006 Phone: (530) 876-0363 Signature of Property Owner: ���' Date: 09/21/2006 FILE 4 s Ct ��tDEK-BLOCK CK LAYOUT SECTION e SCALE: 4/2" — V'nn 10, 1'-114' 2' 7'-102" 2' 1'-114" DEK-BLOCK BRAND PIER Ct T 5' L 5' rt DEK-BLOCK LAYOUT P Mo rt q - Floating OEM "ANDS ena o ::0pctc Foundation8 ��� We Technical Support Co. DOW Wena ere fm Mww Deck Systems uwa*-1 MMhU&*far 1-800-664-2705 1Ee vft DW -S odc !nand pl— 7 Days a Weak - 365 Days a Year DekBrands PO BM 14800 M^ NW 65414 www.DECKPLANS.COM COVAGtd2W4PM3h0pPfaraCo. c5•'00am_e:0opmCST) DEKBRANOS and Dek4UOck are hademft of Pmshop Pians Co., mm U.S. Patent 5,392,675, 6.953.874.8,324,80181, 8,448,40382, 8,650,20182, and 6,609,34882 PaL PeWApp. Pend. 12'-3" FRAMING SECTION vvALr=. uc — 1 '-0- 12'-3 v12' 3 rt 1 „ 2 ci FRAMING PLAN L(• WALE. 1/L - -y Floating tmcerlAwDsan400dlo PWM 8 Live Technical Support Deck Systems uw:.a ��(W 1-800-664-2705 DekSmnds Po BOX 14804 � INN 65414 www.DECKPLANS.com Cw W4 � �, � Days a am - - 385 m C a Year (5.00 am - 8:00 pm CST) DEKBRANDS and Dek-Bloc* are trademarks of Pmshop PWm Co., tn¢ U.S. Paferd 5.392.575, 5,853,874, 6.324.80181, 8.448,40383.8,550.20182, and 6.608.34882 Pat Pend/App. Pend 2� 2X6 TREATED END BOARD; TYP. 2' 2' 8' 2' 2X6 TREATED SUPPORT BOARD; TYP. 2" Floating tmcerlAwDsan400dlo PWM 8 Live Technical Support Deck Systems uw:.a ��(W 1-800-664-2705 DekSmnds Po BOX 14804 � INN 65414 www.DECKPLANS.com Cw W4 � �, � Days a am - - 385 m C a Year (5.00 am - 8:00 pm CST) DEKBRANDS and Dek-Bloc* are trademarks of Pmshop PWm Co., tn¢ U.S. Paferd 5.392.575, 5,853,874, 6.324.80181, 8.448,40383.8,550.20182, and 6.608.34882 Pat Pend/App. Pend 10 12'-3" 2X6 TREATED SURFACE BOARDS; TYP.� DECKING SECTION -1-A SCALE: - V nR �� vvr+�c. uc — � - V F 12'-3" EMM 8' r-ioaung � � 12Y am=-mP Lire Technical Support M Foundation C,..0' � Deck Systems U" ten. Lixnaed "*0j y c0r 1-800-664-2705 Dek -Ift PO Box 14804 MAMNW414 WWW.DECKPLANS.com � 7Days BNbek-�D�8Yew (5:00 am - 9A0 pm CST) DEKBRANDS and Dek$Iodc ere hadetnarka of Pmshop Pfene Co., Inc U.& POW 5,392,675, 5,953,874, 8.924,801 Bt. 8,448,40382, 5,560,20182, and 8,609,94682 Pat PendlApp. Pend. o ` x 2X4 TREATED TOP RAIL 2X6 TREATED HANDRAIL BOARD O5" Max. 3 0o -n sCL 0 p N N N j 38" MAX 34" MIN m > 7" n 5 A Z 42" 2X2 TREATED SPINDLE v (BEVELED ® ONE END) Z � cn� �_tLANDRAII FI ENATION 3 2X4 TREATED TOP RAIL Z .r z CA CnA r g m cm 01Before Building: Check with your local building m5pector for any local or 420 2X2 TREATED 5PINDLE �0 0 Cl) regional building code m C (BEVELED (a1 ONE END) cinrequirements that may apply. 09:Iii = - a -00 rNr ig CA) o vZtz Ul 2X4 TFLM TED TOP """ 2X6 TREATED HANDRAIL Bt 42" 2X2 TREATED SPINDLE (BEVELED ® ONE IV ,HANDRAIL ELEVATION \moi 5C - a (BEVELED @ ONE END) r CORNE9 OF HANDRAIL 5 LE: 1/2" = I'- o" lax. 3&' MAY 134" MIN Before Building: Check with your local building inspector for any local or regional budding code requirements that may apply. 7" LLI Ul ct pti � Z ty.LLc.. Q is }3. ..1 CL S�L'd V c? a CD o o s I• c 1 SAM * s I } PERMIT NO. Q' 3346-82B,E PERMIT EXPIRES OWNER -EARL & MARY SCOTT CONTR. Robert G. Roberts. Paradise ASSESSOR PARCEL 66-23-18 LOCATION A''Sitnonson Ct, Magalia S G f s f, Temp. Power Pole_ r Called PG&E Temp. Elec. Service t Called PG&E _ Temp. Gas Service _ i Called PG&E_ JOB FINALED (Dat k t r: Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK.except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors - 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and'Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK , 0 = Not OK - = Not Applicable *: = Not Ready RESIDENTIAL -(Single and Duplex) Date UNDE LOOR Plafhs OK except O's Date FRgMjyr6 (Continued) 1 Zoning requirements -Setbacks -Easements 48. Pro Line Firewall & Openings 2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. Depth L Doors -One 3' -Check Garage -3rd ,story, 2 exits Ftg., Garage; Soils -Steel // _ Ftg. Depth , Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5*,-P!Xwoed on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stgmwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. leiers-Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D. .V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Ga ipe; Size Anchors 10. Water ipe; Test -Anchors -Regulator -Service Test bt. ElectriN Underground 12. Plenums Ducts; Clearance -Material -Support -Ins. 13. Girders -S Is -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BN Date Card=81 "' ` �� '-Date '67and-BI Card -BI Date Card -BI Date Card -BI Date Date Date FINQL ' ns) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'smo 56,PSxt. Steps -Door & Sidelight Protection -Landings. - aetector _ 14. ater Ht.: Vent -Access -Combustion Air Z7 Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; ove Fror-Ducts-Meth. Protection Bedroom Exitmp 15. W r Pipe; Test & Anchors -Nail Protection 16. D.W. .: Test-Fttngs & Anchors -Nail Protection 17. Showe an; Test, First Floor -Tub Access ixtures & Tub Access 18. Test Tuk& Shower, 2nd Floor -Tub Access 61 lec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Nize & Anchors _ ___19_. 6SirFaee or Stove; Clearances -Hearth Card -BI Date Card -BI Date 6 lec. Outlets at Wood Panel; Int. & Ext. it. Fixl. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 947r --W Zw ' Receptacles at Kit. Counter ye F -Ire Door; Swing -Landing -Closer ra e -Damper DateTRICAL Permit OK except #'s 20. F e & Transformer Clearance -Ins. Protection 69. ents-Clearance-Comb. Air -Con ctor-P.R.V.- Garage; Above Floor -Meth. Prot ti --I 2 E t eceptacles Spacing -Lights & Switches at Doors PIb., Elec. & Mech. Equip. Lis Loca jWD _ 22. Boxes & No. of Conductors -Stapled 71 72 lec. Receptacles in Garag omex rotec. Looked in Attic E] Yes -__ 23: R nstalled Close to Edge of Studs & C.J. -. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7�y Deck Construction -Post Caps tante Circuits i Kitc & Conductor Size - 26. S_u_bfeed Wire Size 4 a. r AI_A.C. Wire Size / / ga. Cu or At I Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Ye -_ e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,75. Insulate I Yes 0 N _ervice-Riser Conductors & Ground -Main Disconnectft-SlU Following instld.: Dr'v99 Yes ❑ No; Walks ❑ Yes No; Planters F1 Yes Yyo cco; Brown -Finish -- 29. Equ learances: Panels-Motors-Mech. Equip. 7-e-R-Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Clo$Light-Shower Light -- of; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------------------- -E11-Disc6nnect, Card B -I _ ate / and -BI Date Card B -I Date Card -BI Date Electrical, Plumbing 80 xterior Elec. Trim; G.F.I. Receptacle -Underground roughout House 8tion Date MECHANICAL (Permit) OK except #'s 89 -tib _ =tions from Previous Inspections ,94--GxSest-Meters Tagged; Gas -Electric _ 31_ A.C. _cls: Insulation &Support _ 89--W3i, erXSewer Connected -C/O to Grade -HD Approval _ 32. Vent Fa_;- Exhaust above Insulation _ 33. CondensaDrain Overilow; Size & Grade 8§.�o�gy Compliance Certificate -Other Certificates 34. Furnace -V t;_Access-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI- Card -BI ----. _-_ ___---_-____---- Date - - _ Card -BI Date Date Card -BI Date Card -BI Date rd -BI Date Card -BI Date Card -BI Date Card -B1 Date Card -BI Date Comments at Final: Date F AMI Pians) OK except #'s ---- - ._Sit Proper Material & Anchors _3_7, Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 40'.- _- Y Girders & Floor Nailing -_ -- --in Walls (rat proof) ---- --- -- ----------------- - - eilin9 s -Stairs -Chases -Tub _ 41. Ooo er & Beam -Size & Bearing aps-Anchors-Connectors 43. oefng. Joist-Rltr. Ties-Purlin-Roof Brat.-Truss-Shthnq.-Rfnq. Type A Flue -Fireplace Throat ss: Size & Romex Protection -Draft Stop -Ins. Baffles _os or Exiting Doors -Sill Hgt. & Dimensions-- 47 rage Fire_wProtection Framing (NOTE: An entry must be made each time youvisit jobsite) ZZ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway anis Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _. 7 County Cenfer Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,,PERMIT NO. ASSESSORPARCEL NUMBER — ZONING BUILDING PERMIT OWNER TELEPHONE SQ. F . OCC.1 BUILDING VALUATIO Q `o OWNER'S MAIILING ADDRESS CONTRACTOR'S NAME A?Va - CONToRACTO 'S MAXILING /ADDRESS Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ 8W -UG Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,pa ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ 350, OV Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /00-100 BUIII G ADDRESS Je P 51"O 3VA/ CT. PLUMBING_ PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 /� /� A//T Water piping 5.00 LOT NO. SUBDIVISION NAME TPARCEL MAP Each qas water heater or vent 5.00 1' Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF El Duplex ❑ Mobilehome❑ Other Ar -1b ��� �`- SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L i100 AMP 2.50 NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.0 21/20sgft / l/O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. I"791 � 3 Classification g t ❑ 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 NEV CONSTR ULTI-OUTLET 2,50 ea NOP .R ESID BRANCH C RC 1 S NEWCONSTR. POWER APPARATUS &\ NON - RES ID. (SINGLE OUTLET CIR. / 20050a Ex. Occup(OUTLETS OR FIXTURES BAL®300 P Ex. Occup. OUTLETS (RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , �} Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against ts, costs, and expenses which .may in any way accrue a. n i nce of the granting of this permit. y� all IA ilitWApplicant X Date < (O �lJ�� -kWsions Signature of Owner ❑ ContractorAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ocCUP. GROUP M_ I TYPE OF CON T. /� PARCEL t/ ✓ HD :SVf This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIREC0 OF PUBLIC By P T EXPIRES Date/tel the applicable provi- resolutions to do fees have been paid. WORKS Date J�GT Receipt No. 22O (O WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 6163-80B PERMIT EXPIRES OWNER Earl Scott CONTR. Acro-Lume, Oroville ASSESSOR PARCEL 66-23-18 LOCATION 55 Simonson Ct., lot 170,PPCC#4 Magalia t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG/&/E J f3 F ALED (Date) ✓ �� Signature 3 = OK + = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC , COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zonin equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch oo ' gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK i = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning req uire ments-Sett?acks-Easements 48. Property Line Firewall & Openrngs 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes [I No 75. Followinginstld.: Drive ❑Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33• Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except q's 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) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _40. 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF EiUT�rE - DEPARTMENT OF PUBLIC WORKS PERMITNO 7 County Center Drive - Oroville,talifornia 95965 - Telephone 916/534-4541 �� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER --, ZONING AeTZBU&6ING ' PER IT OW TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAIL G�r10tk -SON C �• Ak STRA C TOR'S NA``M,,Ey�� _ Cts - Lo r \ C TELEPHONE COTRACTOR'S MAILING ADDRESS C� -?er��o� CONSTRUCTION LENDER_ UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ .2 ARCHITECT OR ENGINEER� LICENSE NO. Plan Checking Fee $ C Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ o BUILDING ADDRESS U O T� PLUMBING PERMIT Filing Fee 3.00 1 P Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOYO. SUBDIVISION NA E C L ATL_ PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex [:J Mobilehome Other SPECIFY' Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other K_ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. /r 2Q'SCjft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I a%m licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess i s e ,a d my license is in full fQrc � rid effect. `yp C l 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 NNE ON -RESIT R BRANCH TLETITS 2.50 ea NEw CONSTR POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUT'LETS OR FIXTURES 50@ BAL@IW FIXED APP LHS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, judgments, costs, and expenses which may in any way accrue against sai County 'n c ns uence of the granting of this permit. `� _ �-1:2 - 8� X . Date u Signature of Applicant — '_cane,[:] Contractor ❑ Agent 1W An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ ' OCCUP. GROUP I TYPE ; CONST �!®-fro/ //vA/ PARCEL PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PEEXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date /,z- yY -d'o -I —d / Receipt No. J 3 1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 7 r a r PEAlt NO. '- 2133-79P,E 11;el PERMIT EXPIRES ,OWNER Earl Scott .-CONTR. Powers Const., Magalia LOCATION (A.P. 66-23-18 55 Simonson Ct., lot 170, PPCC#4, Magalia ti i r,! t" " Temp. Power Pole ti Called PG&E a Temp. Elea Serv. Called PG&E-10f/12!--�.� Temp. Gas Serv. Called PG&E JOB_ � FINALED lv (Date Y (Signature) ti COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r, • ' BUILDING INSPECTION RMORD BUILDING BUILDING (Cont'd) IVArewall Sol Pipin 7s Floor 2nd loor 3rd F or To out Water Pipi Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final maip wag. Re troom Finish F tin s Win ws Ste wall Sidin Slab Roof Sh athin Piers Roofing Garage Fdn. Ven Footin ss Stemwal l Garage Vent Insulation Slab Carport Footings Prov. for ph si handicapped Conformance of i structure Slab Final Patio Footings Footing sonry Walls Throat Reinf. Steel Final est PLUMBING Grd. Fifult Prot. bcratr,n Heatffia Servi ife Bron Co Ing T mp. Pole F ish D cis finderground in rior Lath entilation Permanent oor Closer Final Final MOBILEHOME UTILITIES(45��Cj Elec_ Service? cfl/t ��� Elec. Pedestal O�J,6 Water Pipinga _ Gas Piping MOB16Etj&ME INSTALLATION- - - - - - - - - - - - - -•Support — Elec. Continuity Water Piping.�� %f�Y� Drainage Gas Piping DATE REMARKS OR CORRECTIONS t 7�Z , ?,-e - 11WV-e Grp>s Oltve .XV- C&1CTC.✓ Crc> r� ,Yz (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION"iNSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally 0//"'conform to plot plan? Yes— No— ®�(``Does the mobilehome have required clearances above ground? (Sec.5085) Yes o &k Are footings and supports properly sized, spaced, and braced as Xpeapproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes. 6CIs the mobilehome level? (Sec. 5088) Yes— No— ��C If more tan a single unit, are crossover connections properly installed? (Seca 5088) Yes ✓IQo A/Water A. Is flex"e connector of adequate size and properly installed (1/2" ID min.),?., -(Sec. 5566) Yes No B. Test•='Does water piping withstand working pressure or 50 lbs. air test? Yes -4— No Backflf coach is not State of California approved, does station have backflow device and pre -relief valve? Yes No 6/( -Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each :�No 'Y o B.. Does it have minimum 4' per foot slope and is it properly supported? Yes— C. Are any leaks detected in drainage system after running -3 -gall s of water through each fixture including washing machine standpipe? Yes No If coA4not State of California approved, does station have required trap and vent? Yes t Gas Piping and Gas Vents A. Connector - Is mobilehome-connected to the gas supply with an approved 3/4" minimum mobilehome connector notV t long? Note: All piping is to be at least as large as the mobilehome without reductions other than the mobilehome connector. ,Yqs No B. Test OK as p lowings— No - 1. Open a a lance cs: 2. Shut off appliance, bvalves. 3. Air test with manome er o 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz. caIi ated in tenth pound increments. Test for'10 min. without drop. 4. Connect gas met/er to mobil home with connector, turn on gas, test connections with soapy. water. C. Are all appliance vents properly installed? Yes No H electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of amp) and;other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No - C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches 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 tie 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? IV -0 11. If everything okay, sign off card and tag services. ManufacturLEHOME DATA Manufacturer and/or Namestyle Length Width ' cT Vehicle Serial No. State Identification No. Additional Information or Comments: olad G� J� �Slo�FiiA/ CO CR e4 ✓7 COUNTY OF: -BUJ TE DEPARTMENT OF PUBLIC WORKS J 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number_ `%&3'- --'*Y for the following location: Owner je�le Owner's Address~S Mobilehome Mfg. /-/JG Insignia No. A U It is hereby certifiec may be occupied. – rJ6Model C /V %4 —YearA, 4140 �;76 Serial No. for occupancy at the above described location and Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME� RELOCATED. J' - � rt White- Owner, Yellow- Installer, Pink - D.P.W. Owner 1.:. Aye L Mailing Address Contractor 5cs V) Mailing Address CC11Co c� Building Address�i5 S ,.OT 170 PPCc COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orpville, California 95965 . } Telephdne�. 534-4541 APPLICATION AND PERMIT Telephone No. SL-%-pd A. P. o. —Z-:3 —1g r --1Z 1ng & Planni F es I C. I szk-= I FireDept. FireZone Use Permit EQAIParking I Parcel Parcel Ma roveme 60' R/W I Im Plans Declaration p p Bldg.M"Ions Recd I Parcel AWroval I Plan?-g-pprovol NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home IX Others ❑ N 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:, • �/� U. ?e .ii'f License No:?dq lw ! Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date,:5 Signature of Permitteee or Agent Receipt No. �/ .S� White-D.P.W. – Yellow -Asses or – Pink -Inspector – Goldenrod -Applicant _ BUILDING 4:!/ SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee 600V OR L 100 AMP ORSLESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR L 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % LING O ACCLBLDGS.CCUP. !i� 20sgft NEW CONSTR. nlnN-RFSIr]_ MULTI.OUTL T 1 BRANCH CIRCUITS/ 2.50ea Ex. OCCUP OUTLETS OR FIXTURES ' T 'a BAL01 FIXED APLNS Ex. Occup. (OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cool Ventilation Hood 1 2.00 Permit Fee $ $ __ ._.tie $ S000 TOTAL PERMIT FEE $ 30 00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. R OF PU LIC WORKS B Building permit expires DateQCl/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel epR6r e: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� Date Signature of Permitee or Agent``_ Receipt No. 9, -3 a �J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date BUILDING ityl Owner Earl Scott SQ. FT. OCC. BUILDING VAL ATION Mai I i ng Address Telephone No. Contractor Powers Construction Mailing Address P.O. Box 776 Fireplace Total Valuation Magalia, Ca. 95954 a �J �eSh-�'(0 Permit Fee Building Address 55 Simonson Ct. Magalia Plan Checking Fee &/or PenaltyPermit Fee' PLUMBING No.1 @ FEE CC 4 Lot 170 PERMIT FILING FEE X $3.00 3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. � -7�� — 1 oning & Planning Water piping X -419;r* 10.00 • Each gas water heater or vent 1.50 Fal te(. San ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer X _WM 10.00 Bldg. Plans Recd Parcel A p vol Ions Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑X OTHER ❑ Permit Fee $ 23.00 •$ 23. 0 ELECTRICAL No. @ FEE PERMIT FILING FEE X $3.00 • Main service 100v DR LESS X 5.00 100 AMP OR LESS • Single Family ❑ Duplex ❑ Mobil HomeX❑ Others ❑ Main service EA. ADD'L 100 AMP X 2.50 2.50. Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. J DWELING OR ADDNST % ACCL SLOGS.CCUP. !i) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: Y Powers Construction NEW "ES, . BRANCH CIRCUITS) NON-RESID. (MULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXT11RES5 L ,� Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities X 15.00 • 367058 License No. Classification B Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 25.5C$ 25. 0 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. 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 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 25.00 TOTAL PERMIT FEE $ 73. 0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� Date Signature of Permitee or Agent``_ Receipt No. 9, -3 a �J 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. 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