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66-40-28 R.A. SCHOTT (Special Inspection #6-85) �6-40-28 e R.A. SCHOTT '�� �Ip;�/��i 13734 Sugar Pine Drive, lot 202, Mag U Permit#1253-85B,P,E,M(move in SF and addition)_-- 66-40-28 S160 B(i sta r ing stove)F��/a1161lv7 66-40-28 210-91E eSCHOTT, R.A. l ,13734 Sugar'Pine Dr, Magalia (repair storm damaged electric/sf) I I PERMIT NO. 1253-85B P E M PERMIT EXPIRES U OWNER R.A. SCHOTT CONTR. owner ASSESSOR PARCEL 66-40-28 LOCATION_ 13734 Sugar -Pine Drive, Magalia �l A ,:gee y Temp. Power Pole - t ' OFFICE COPY Called P@ Temp. Elec. Se Address_ Called PG& �ate� GA M rr tG` y pate l Temp. Gas Servic. LECTF r I Meter Called PG&E . Y, 9:m cur { mm KG) my mcn D a a CD ij cn O T 0 Y �l A ,:gee y Temp. Power Pole - t ' OFFICE COPY Called P@ Temp. Elec. Se Address_ Called PG& �ate� GA M rr tG` y pate l Temp. Gas Servic. LECTF r I Meter Called PG&E . Y, J = OK 0 = Not OK - = Not Applicable MOBIL'EHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 A Not OK -�= Not Applicable RESIDENTIAL (Single and Duplex) jE =•Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) oning requirements -Setbacks -Easements 48. JprQerty Line Firewall & Openings Terig., Main; Soils -Steel.- i P Ftg. Depth 49 xt. Doors -One 3' -Check Garage -3rd story, 2 exits .4 oils -Steel- / /" Ftg. Depthairs; F& T42ercM & Decks; Soils -Steel- / /" Ftg. Depth ! Width -Headroom -Rise -Run -Landing -Fire Protection . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers V'Sternwalls, Main; Steel-Blockouts-Wrapped-Slab Si g -Nailing -Veneer 6. rage; Steel-Blockouts-Wrapped-Slabnderf cess ie ireplace Ftg.-Steel azin rea-Glass Protection -Skylights -Plastic Q C7 .V.: Fall -Fittings -Test -2 way C/O -Se a Nailing Its ipe; Size -Anchors 141—Water Pipe; Test -Anchors -Regulator 36eryi 11. E tric; Underground 1S.'—Plenums & Ducts; Cle aterial-Support-I s. fA AJ ers-Sills nc r s -Joists -Vents ri Card -BI Date Card -BI Date _ Card -BI CV Date, -, Card -BI Date Card -BI Date Card -BI Date Card -BI DateWm Card -BI Date Date FINAL P ns) except N's Card -BI ateCard-BI Date Date PLUMB ING,(Pe except q's xt. ps-Door & Sidelight Protection -Landings moke Detector 4. t r Ht.; -Access-Combustion Air 5 urnace; V Ytt C arrace-C Air -Co - In ction 15 at ipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection �" m Exiting 17. Shower Pan; Test, First Floor -Tub Access F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Z 7 6 . eQ,lrifit &9atrpen+el; Broke Sizes L96 Is - rth A/pjAI�V 19 Gas Pipe; Size &Anchors Card -BI Date i I-'LtJand-BI Date 2 ec. tlets at Wood P nel; Int. & Ext. ,t . & ;4=;r _ -Coo ' arance Card -BI Date Card -BI Date lec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL P rrnit OK except q's ng- an ing-1,toser 20. ��ransformer Clearance -Ins. Protectionfir. le . Receptacles Spacing -Lights & Switches at Doors Htr.; �Cle e-Comb.-Alr-Conftector-PSR-ktr I o - ection Plb., Elec. & Mech. Equip. Listed for Location 2 . Size Boxes & No. of Conductors -Stapled rotec. 32,-Feem-Looked in Attic . 4->fE'br 2,l,-'Rqmex Installed Close to Edge of Studs & C.J. Equi .. Ground made up w/Mech. Fasteners -Bond s er ar " i s &Dec uction-f OSt-y�ps ^ Appliance Circuits in Kitchen & Conductor Size 2 . ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Z—Fdff'Vents & CraeCFfa Door -Drainage &4Vaadl- arth Clearance Looked under Floor n e ga. Cu or AI -Oven C' . / / ga. Cu or AI,ollowing ulated Neutral ❑Yes ❑ Q ,t'' ' instld.: Drive n es ; Walks ❑ Yes Planters ❑Yes Elue Ser ' e -Riser Conductors 6Z r -Main Disconn ctco; town- i MSW Equip. Clearances; Panels-Motors-Mech. Equip, et -S&- etathes-Closet Light -Shower Light- ents Above Roof; nce-Fi-Clernmte-�s. 7 , iscon 'ng W-ExteriIxr Elec. Trim; G.F.I. Receptacle -Underground Card B-IDate ✓ .4 and -BI Date entilation throughout House io Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's orrections from Previous Inspects r7t� Gas Test Meter g I &etrls a, 31. A.C. Ducts; Insulation & Support r &Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation oZZZ nergy Compliance Certificate -Other Certificates 33. Xndensate Drain &Overflow; Size &Grade r ay Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date i Card -BI Date Card -BI ON Date rd -BI Date Card -BI DateCard-BI Date zzvnim Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR G Plans OK except N's Comments at Final: 36. ifrs roper Material & Anchors Z A.,v;.,-( 3 s; St ds -Nailing, Spacing & Bracing -Plates -Sound 3 8g Walls over Girders & Floor Nailing . D t Stop in Walls (rat proof) 40� F• a Stops; Furred Ceilings -Stairs -Chases -Tub 41 �Xeader & Beam Size & Bearing 4 ngers-Post C ors -Connectors i CI . Joistft Ii Roof Brac.-Truss-Sh_thnp_.-Rfn_g_.__ replace Ties e -Fireplace Throat 4 } tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hct. & Dimensions arage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center: Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 inatter,_$Lr need additional explanation, please contact this office immediately. Inspector Date /e7- /O -y J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �= 196 Memorial Way, Chico — Phone: 891-275f 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE S(Ce)/l"�s— OWNER PERMIT N0: A routine inspection indicates that the following violations of County Ordinance exist at the abo address and should be corrected. Please notify this office when corre ' n of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. GSD -� G !. CKE J Inspector_ )04C'e�'�Y Date-- OF6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 ` Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE •a 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 c ection of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. IF Inspector Date �! Zy� �-s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 C RR CTION NOTICE OWNER 3 PERMIT NO. A routine inspection i icates that the following violations of County Ordinance exist at the above ddress and should be corrected. Please notify this office when correction work is completed. If you have any question pertaining to this mat additional explanation, please contact this office immediately. !/ 0 /I _ A Inspector —�Date Owner: O /4. .. C A ..,r Permit No 4-2.53'—'a ^� ENERGY C`E R TeI F ICAT ION 13724 Sugar Pine, Magalia G6- YO , Z V LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) _ EXTERIOR WALL Material Fiberglass Thickness(inches) CEILING Batt or Blanket Type Fiberglass Thickness(inches) -�-� Loose Fill Type Minimum ThicknesW nches) Area covered(ft. ) FLOOR, ELEVATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches)_ Brand Name_ Thermal Resistance (R Value) Brand Name Certainteed Thermal Resistance(R Value)��_� Brand Name Certainteed Thermal Resistance(R Value) R-30 Brand Name Number of Bags Wt. per bag Ib. Thermal Resistance(R Value) , Brand Name Thermal Brand Name Thermal Certainteed Resistance(R Value) R-19 Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in, es�fozpAnce with the State• alifor is Energy Requirements. s In_Auj� kion Co . �, Inc. #378407 STATE CONTRACTOR'S LICENSE NO. ----'' 7- 21-8 6 SIG A iE O�TALLATION .APPLICATOR r DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are, specifically approved by the State of California. FIRM NAME%OW-NER P se pr t� STATE CONTRAC.[lOR ° LICE1115 NO. ��In SIGNATURE OF GENERAL CONT CTOR 0 R- � DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. Ja11" ry 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,:California 95965 - Telephone 916/534-4541 t APPLICATION AND PERMIT PERMIT NO. ASSE S R PAR EL NUMBE — if 0 —0 -el ING In _ ' BUILDING PERMIT OWN n TELEPHONE r SQ. FT. 0CC. BUILDING VALUATION ©d OWNS M ILING ADDR y� f� V lJ CONTRAC O 'SNAME TELEPHONE ar_ CONTRACTOR'S MAILING ADDRESS Fireplace foul,D CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 93, 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1) Penalty $ 15"00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 19 Solar Water Heater 20.00 Water piping 5.00 0 j LOT NO. SUBDIVISION NAME VAEL MAP -A zo I& m -'--ch Each qas water h 5.00 S Gas piping system s 1 5.00 :;11100 Oft OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer--F--[--T-5.00 �j 0t7 Mobile Home SGW10.00 e TYPE OF WORK New AdditionAAe Remodel[:] Describe work: �U�til'itie Permit Fee $ ©(� Contractor ELECTRICAL PERMIT Filing Fee .10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 f� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELL &\ OR ADDNS. ACC, B 1 I 2/2¢Sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, 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 CONSTRMULTI-0UTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. 200506 Ex. Occup(D OR FIXTURES BAL®30 FIXED A Ex. DCCUp. OUTLETS(R RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 3.00 300 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 representives of the Countyot Butte to enter upon the above-mentioned property for insp tion purposes. I also agree to save, indemnify and keep harmless the Cou hqof Butte against all liabilities, ents sts, and expenses which may i any way accrue against sai In c qu ce nting of this per 't. X Date —e Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ no , ;�� TOTAL PER EE y Occup. GROUP I TYPE OF CONST. ARCEL PD o , SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC B y PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date ,r—t.)--If(, Receipt No. U cj .10 b_PW U?), rya WHITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD-APPLICAN COUNTY OF BUTTE - DEPARTMENT1OF'PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,XALIFOtHNIA 95965 - TELEPHONE: 916/53411541 PERMIT APPLICATION DATA SHEET Permit No. ,-- OWNER �11 A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price X DPW Valuation Other. (E-xplaiiA). Building Inspector /��� /,/.C1 /�.,t _I� Date At time of permit application, I was advifsed the following data must be submitted prior to permit processing and:/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2_ Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. Zo Statement of Intent for Non -Heated and AC Buildings. ✓ _ Fees of $ 16 . . . . . .. .. vu S 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 1. Planning approval for (A) Use: (B) Parking: 1q,142. 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 0 ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request to (Dote) :ZE�7. Pre -Inspection for Required. Building Inspe or Recorded dopy of Agricultural Acknowledgment Statement. l� ` _ ?;`%. Other�SI�S When you issue the permit, process as follows: Mail to owner. Mail to tractor. Telephone and hold for pickup at office. Deli er w./inspector. Other A l icant �Date PP 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 By Plans checked by Plans approved b, Other Copy—DPW Telephone Mail Other Date Date Date T0; Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LOCATION AP # Plans approved for: Sewage Disposal T Water Supply , Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for 2— bedroom mobile home Other Clearance for addition of OA . TARIAN DATE 3-5-13.574 _ S IG ^.. f. r. ► Return to DPW AGRICULTURAL STATEMENT OF 'ACKNOWLEDGEMENT FOR RESIDENTIAL DEV9LOPMENT Pay: Cdr �� sNow 1 Section 26-8.1 of the Butte County Code requires this acknowledgement i L 45 be recorded prior to issuance of a building permit. Cl.,CA.I 1 i The property described herein is adjacent to land or included QJ ff.E within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,,plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All that certain real property / State of California, described' stituate in the County of Butte, as follows: Lots 200, 201 and 2021, according to that' certain Map entitled "AMENDED MAP OF MAGALIA HEIGHTS", which Map was filed in the office of the Recorder of the :County of Butte, State of California, May 20, 1930, in Map Book 9, at Pages 40A, 41A, 42A, and 43A. EXCEPTING THEREFROM all minerals as excepted and reserved by various Deeds of record. Date: 3 S -S' PROPERTY OWNERS: State of On this the �`�Lt� day of 19S , before SS. me, the undersigned Notary Public, ersonally appeared County of r�ouoonunon000uu000,00000uoo„oeoneonuou0000m� OFFICIAL SEAL LORAINE B. RICHARDSON NOTARY PUBLIC — CALIFORNIA p 1:s COUNTY OF BUTTE Comm. Exp. July 29, 1987 ..:..:�.�:.:�cs^.iera:cncoT�s�e�clhs.o:aved:�:�oeacstaees:�>j Personally known to me. f/ Proved to me on the basis of satisfactory evidence. to be the person( whose name( -el _,,r -<, subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. �y Xor he 4ticrdsorallotar lic Present A.P. No. �� -J��J - C - RES IDEMI' IAL PIAN CHECKING GUIDE (S.F., DUPLEX, "64 MISC. ONLY) 45 CN Bldg. NER � A. P. GENERAL l.Wfoning requirements (sideyards and parking). Valuation. Plignature-by'-R.C.E. or Architect (if required). PLOT, PLAN 3. OPv6plete parcel size and dimensions. Setbacks, sideyards, easements, etc. 0 her buildings or structures. l�/Grading, fills, drainage. Permit # FL00 PLAN .Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). qu4red windows for -second exit (Sec. 1404). allowable glazing -for energy requirements (1.0%'max. per State law). uman impact glass (Sec. 5406). ° ;.required room sizes, ceiling heights (Sec. 1407). . G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). t. --'Light fixtures, switches,.receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater atin cooling; equipment, other electrical or gas ipment, and plumbing fixtures. le'.' --Garage firewall, door size,.and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec. 3303d). Fireplace location. 3;r�-Smoke detectors (Sec. 1413). F"116 j *-MCo of rrS 4 STRUCTURAL DETAILS . FFundation plan complete enough to construct building. For construction details complete enough to construct building. i evations and wall construction details complete enough to construct of construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. ficient data and details to satisfy energy insulation requirements MISULLANEOUS ITEMS TO LOOK OUT FOR Pum.010--SCX plywood on exposed locations and overhangs. irway details (Sec. 3305). 3rdrail details (Sec. 1716). 4. jr-ftk or stone veneer (Chapter 30). 5._,,Exterior plaster - weep screeds (Sec-. 4706 & 4708). 6o:",rop.er roof pitch for roof covering (Chapter 32). 7/ after ties or bearing ridge beam. rage door or porch header sizes. 9. ,Adequate bracing. building. (State law). M'. Diving area over garage - complete l -hour separation required including supporting walls and posts, etc. o (2) exits on three-story dwellings (Sec. 3302). � RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner Tr Climate Zone �_ Permit No.. 3 .f 0 Floor Area V ~ ADpl Compliance path: Package N A ❑ B ❑ C [)'Point System []Budget ❑ Other MIN (E) Thermal R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: - Area Roof/Ceiling too e R= Wall ❑ Location Slab Floor Perimeter Raised Floor ❑ .(2) INFILTRATION: ❑ Ft. 'HC= (A) A vapor barrier is required in climate zones, 1, 14 & 16. R= (B) All manufactured windows and sliding glass doors shall meet the Location 1972 ANSI Air Infiltration Standards and shall be certified and labeled. Type (C) All swinging doors and windows leading to unconditioned areas Ft.2 HC= shall be fully weatherstripped. MC= Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ ❑ (E) Electrical outlet plate gasket ❑ - Area (F) Air-to-air heat exchanger HC= (3) GLAZING: MC= Location (A) Location jw,,A,kr aazing %Floor Area Single Double Triple Total ❑ Type North ❑ Ft.2 East ❑ South ❑ West ❑ Skylights Type (B) Shading Ft.2 HC= Shading MC= Coefficient Description 13 East . ❑ 7/83 South ❑ West ❑ Skylights ❑ (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: area ft Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. 'HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location 7/83 r�t FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. -VENTILATING, AIR CONDITIONING SYSTEM (A)'Heating ❑ Central Gas Furnace (brand and model number).' SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ® Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 • FORM 1 (6) DOMESTIC WATER SYSTEM '£ (,A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 13 Active (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2* (backup heater type, brand and model number) (collector area) (collector.orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space -shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administratio,p,yode. 7/83 SiGNA URE OF BUILDING DESIG R.0 APPLICANT 3 r- STATE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101 COMPENSATION I N S U R A N C E FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE May 6, 1985 POLICY NUMBER: 229-85 UN 1371 CERTIFICATE EXPIRES: 1-1-86 F— R. A. Schott 5952 Almond Street Paradise, CA.95969 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. RESIDENT EMPLOYER r Rudolf A. Schott and David C. Schott 5952 Almond Paradise, CA 95969 L SCIF 10262 (REV. 11-83) OLD 262A R.A. Schott 5957 Almond St. Paradise, CA 95969 Dear Mr. Schott: April 8, 1985 RE: Special Inspection #6-85 AP #50-19-54 to AP #66-40-28 With reference to the above subject and your proposal to move the kitchen, bath, front room and screened porch portion of the building located at 6581 Clark Road in Paradise, the requested inspection was made on April 50 1985. The inspection revealed the following items which must be done or resolved: (1) The floor, wall and roof structural systems appear adequate; however, final determination will be made during plan checking. (The screened porch con- struction is questionable.) (2) Remove and replace all dry rotted and/or deteriorated materials through - but the building. (3) Provide attic and underfloor access and ventilation. 4. (4) Provide additional window area for kitchen light ventilation. (5) Provide heating and water heating systems per code requirements. (6) Verify plumbing is property vented. (7) The shower should be replaced. (8) Provide an adequate electric service, ground all receptacles, verify adequacy of electrical system and provide two 20 Amp appliance circuits in the kitchen. (9) The building must be made weathertite. 40) Provide foundation system and new rooms per code requirements. (11) Obtain Health Department approval at new site for water supply and sewage disposal systems. File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng, /S.I. Sub. & Pcl. Maps Permits Addr. R.A. Schott (RE: Special Inspection #6-85, AP #50-19-54 to AP #66-40-28) April 81, 1985 Page 2 It is now in order for you to submit two complete sets.of plans including plot plan, floor plan and structural details to this office, apply for the required permits and pay the appropriate fees. The building permit must be issued prior to the issuance of the house movers permit. Should you have any questions concerning this matter, please contact me. Yours very truly, .William Cheff. Director of Public Works Original signed 4 J. R Glander J.F. Glander JFG:aj Chief Building Inspector. cc: Building Inspector'- Paradise BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: �. SC� A.P. G/.44 4.�tmw' W ff'44:� Address: Date of Inspection 6� Tenant: Inspector Building Location: Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to T2'4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: to 3. Bathtub or shower: 4. Kitchen sink: ✓ 5. Hot and cold water to fixtures: CM Heating facilities: Natural light and ventilation: 8. Room and space requirements: �- 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: , rf� /1 -Gtr sS J Civ Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof con 5. Fireplaces: - 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. -Fusing: Z �•�--,/> 4. Comments: Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: _ 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls 5. Exits: 6. .Improvements: 7. Zoning: '8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. / / D. Other: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 ��p. APPLICATION FOR SPECIAL INSPECTION Owner"' "--� A. P. No. _ t";� — / 9_ . Mailing Address V1,?. 0� Telephone No. Applicant Telephone No. Mailing Address Buildiniz Location I hereby request a special inspection of the following building: / 1. Dwelling (if only a portion, specify) --Zee � 4' �?�ct% GaV.-X 2. Apartment House (if only a portion, specify) U / / 3. Commercial (specify present occupancy) / / 4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. 2. Financing (specify agency) / / 3. Change of occupancy to / / 4. Other ( specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f Date/// Signature of Owner Fee paid $ j/) Receipt No.��� 1st -DPW - 2nd -Inspector - 3rd -Applicant 1 f, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;*CALIF,ORNIA 95965 - TELEPHONE: 916/534-4541 0 A('"' PERMIT APPLICATION DATA SHEET Permit No. OWNER ,� Q�7�i� n7`? A. P. Proposed Building Use 47 n (),=,# /?/i/,A `b /aa C, . Permit Fee Based Upon: Complete Contract Price DPW Valuation .< /Other (Explain) w ti3 Building r Ins ector"gi Date At time of permit application, IVwas advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED• APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.,, Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . ... . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent*f'or Non -Heated and AC Buildings. 8. Fees of $ " <.� ' `. . . . . . . - . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use:-,. (B) Parking: -..,.12. Certificate of Workmen's Compensation Insurance. .. _ 3. 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 ford/://� Fi:equired. Pre-Inspec. request toBuilding Inspector (Dare) 18. Recorded copy of Agricultural Acknowledgment Statement. 19.,,ther� When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Y' Other_t7(/71t),:;,P /,l,/l L COA-4 061AJ7rMP_,4 Applicant Date KILIF1 Copy of plans sent Health Dept., F-e'Dept.,nOthers yafar,� 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.) 1.1 Index permit -for above Items No. 2! Additional items required: -A ' - ,J (Contractor, Designer, Owner°) was)adviised�ofYbove required data by Telephone Mail Other. By Date Plans checked by Date Plans approved by Date Other: Copy—DPW 1 0, NO, I'D 16C l I 1 {L _Y.l i 140' 16C _ . _ ro .__ ..-. I /.t t� Il I � �Q lift I ,IIi fI, I 1.'' .Ill{i, ��! lit ' ; { V,,S. /o t t Il I L I I Tri - 711 I i i �,.i. iiilil o - - -- - -- -- - ► I i f ill t I i jlll F 4 • i I L f _j _ _ I : I.� I II ..ISI j.,{, Ili. • � I� �i� .i!•.;i�. . i if_i.l LI i�_L_f ;•,� ._I I? � i I --- I - i ----------- � i I -r --� I� - - -, _ �jI I ---- f i_� I I-II=i_ _ � _�_"I_.j. OPPROW-T- T-T Order No. BILL 0 F SALE INC NSIDERATION of TDo lars, r cei t of which is hereby acknowledged, -'A'&/ /� • ion do HEREBY BAR AIN, SELL AND CONVEY t all that personal property described as: �e C/C eel Seller c;,:enants and agrees with the buyer to % arrant and defend the sale of the personal property hereinbefore described against all and every person and persons whomsoever lawfully claim' or to claim the same. Dated - First American Title Insurance Company 10" laic i LOOM t .. ♦ i. LAND OF NATURAL WEALTFI AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director J COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 RONALD D. McELROY Deputy Director July 24, 1985 Department of Real Estate RE: AP #66-40-14, 15,28 32 c/o W. Batton & 33 Mid Valley Title Company P.O. Box 3039 Chico, CA 95927 Gentlemen: With reference to the above subject and the letter from R.A. Schott dated July 23, 1985, this office will issue a building permit on each of the sub- division lots providing the use is permitted in the zone, the proposed con- struction complies with code requirements and approval from the Health Department is obtained. We cannot estimate the cost of fees when the use and size of the proposed buildings are unknown. t Should you.have any questions concerning this, please contact this office. JFG:am cc: R.A. Schott 5982 Almond St. Paradise, CA 95969 Yours very truly,' William Cheff Director of Public Works Mnot signed by J. F. Glandc- J.F. Glander Chief Building Inspector ----"---+ :r..�w a:.�v.C+'NP.H'� M�,.�.ri'��-..r-.i:%��":'.�•� �"'-�...~:��--V `_-^.I�. - - tic.. _ .. y3 � NTY OF BUTTE - DEPRVA NT OF PUBLIC WORKS PERMIT N0. ty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541�'7 !D_1W APPLICATION -AND PERMIT � T ' -_ !� ASSESSOR PA L NUMBER .✓" J. 6RT- ZONING' BUILDING PERMIT OIlk EA • Schott TELEPHONIE c` /SO. FT. OCC. BUILDING VALUATION i e9 00 OW.• M LING D RESS A`�Mon� Sit., Paradise, CA 95969 CCTN�GCCTO 'S NAME own TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace •'`' CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee,j $ 10,00 LENDER'S MAILING ADDRESS i a ti,L.. ' } ; j Permit Fee $ A HITECT OR ENGINEER gone LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Sugar Pine,,; Magalia y Permit.fee•'' �dtiis -- $ i � 1 PLUMBING PERMIT Filing Fee 10.00 f I Each Trap 2.00 ..2Solar or heat pump water heater 20.00 OT N `202%03 SUBDI VISIO N E PARCEL MAP, riagal�a IeightS i R 'i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 9k Duplex F] Mobilehome❑ Other F SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 9 Describe work: repair due to storm damage: roof, interior electrical W . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i a 1 Main service 100 OR LESS 100 AMP OR LESS „� 10.00 10 tliJ •vv Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the -Business and Professions Code and my license is in full force and effect. License No. Classification ! �--,/ } IVI I, as the owner, or my employees with wages as their solve 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.& NEW ACDNS. A B 2 ,h¢sgft NEW ULTI.OUTLET NON•RESID" •• BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 2AL@30 0 C eAL®so FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring X 15.00 15.00 pre inspection X 15.00 15.00 Permit Fee $ 50.00 Contractor WORKMEN'S COMPENSATION INSURANCE I I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or iess. 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saeid.Co in onequence,of the granting of this per it. X �, /t Date Signature of Applicant — Owf Contractor E] Agent An OSHA permit is •required for excavations over 5'0"- deep and demolition or construct. ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ O T PE ) TOTAL FEE $ f 0, / HAz ...► CUA -� PARK SCHL �-' FLD Y/ PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above; for which fees DIRECT OF PUBLIC BY PER�ItT EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS Date oZ_ Receipt No. / 3 '� .��.�� �� 3 7 ,� WHITE•O.P.W., YELLOW -ASSESSOR, PINK•INSPECTOR, LDENROD-APPLICANT 44 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r' 196Memorial Way, Chico - Phone: 891-2751 ►, ` 7 County Center Drive, Oroville - Phone: 538-7541- 747 Elliott Road, Paradise' Pho'rie: 872-6307 CORRECTI.. N •NOTICE SG NoT7- �v- OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. T-flnk , A FL -Of- lJ r �' IJee fo /i�g/offcam. � fI T2 /l 0 C, 4 C. L 4 4 "5 2.,kC ,p9 /IRLA paAr.4/,Jl4 C-oRR2 C�ra� Date Za I �C I Inspector Lt COUNTY OF BUTTE - DEPARTMr_NT OF PUBLIC WORKS PERMIT NO. 3 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT f„ ASSESSOR PAR -L NUMBER _ _ ONING _ BUILDING PERMIT OVER K.A. Schott TELEPHONE S0. FT. OCC. BUILDING VALUATION OW D�,s952 Almondt.Paradise, CA 95969 C TRACTOR'S NAME Anknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � " Sugar Pine, Magalia Permit tee $ j / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 202/203 SUBDIVISION NAME PARCEL MAP Magalia Heights Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other FN Describe work: _ repair due to storm damage: roof, interior, electrical Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ACC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification 1, 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 OCCUR.s OR ACDNS. ACC. BLOGS. 2,h¢spft NEW CONSTR. ULTI.OUTLET NON, ESI BRANCH CIRCUITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20®g0` eALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA,1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g x 15.00 15.00 re inspection x 15.00 15.00 Permit Fee $ 50,00 Contractor 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. MECHANICAL PERMIT FiiingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju ents, costs, and expenses which may in any way accrue against s in n uenc o the granting of this per it. X Date r Signature of Applicant - Own Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 T PE TOTAL FEE $ I co , HAz �=-�" CUA PARK SCHL 1I PAR ---- ��J HD '— ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC By PER T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �� (�7� Z1^— ` n Receipt No. ( 3 L/ WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, LD EN ROC -APPLICANT c'} COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE,'(rrAL,IF�¢JRNIA 95965 TELEPHONE: 916/536-7541 j G 1 11 PERMIT APPLICATION DATA SHEET OWNER 1- V`. Proposed Building Use /k=�4 e16_crAj(_ 51f,_ Building Inspector Permit No. A. P. No. b Z Date / /?_ // ,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 s6Dps .................................... 2. Plot plans in duplicatee, signed by preparer of plans........ 3. Complete plans i uplicate, signed by preparer. of plans .. &2- s �q 4. Complete engin d calcs, with wet signature on plans .. 5. Hazardous Material Form ....................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation 6,,�j� instructions. �1 /� 460. Fees of J `���........................ Z / 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ......... ............. ........... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 1 Driveway permit (constructipn approval required prior to occupancy) Pre -Inspection for 4e �2GrA1 C required Pre Inspec. request to Building Inspector (Date) ntractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .................. O -J r1_ � 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... _ 6. TL 425. Letter of signature authorization .`................................ C It �e Cin vin. 27. 4% -VV / Z2 I G r/t When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone Other and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent -----Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional _items _required: Contractor, designer, off, was advised of above required data by-irphone_ -mail counter Contractor, designer, owner, was advised of above required data by_phone_mall_countes Plans checked by Date Plans approved by -Sets of plans on hold in File cabinet AP folder \ Copy—DPW — date Date �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA j MBI 0 ? ZONING ` BUILDING PERMIT OWNER 07 TELEPHON 77 Yoko SO. FT. OCC. BUILDING VALUATION OWN��f+1 AJL-ING ADD ES CONTRACTOR'S NAME TELEPHONE CONTRA,C R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fil.ing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /d C Each Trap 2.00 Solar or heat pump water heater 20.00 t�N 1.0� SUBDIVISION NAME %LI2c /J �� j PARCEL MAP Water piping 5.00 Each qaS water heater or vent 5.00 USE OF STRUCTURE SF�< Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities [I Installation❑ Other- Describe work: _ �trcd "2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 100°o AMP ORSLESS 10.00 (> Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, 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 ADONS.. ( ACC. BLDGS. / 2 ,�2SQ}t NEW CONSTR. ULTI.OUTLET2,50 NON•RESID BRANCH CIRC ITS ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20@50Q 9 AL@ 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, nts, ts, and expe ses which may in any way accrue against sa' in c n e of ranting of this per it -If. I �� X �—�1 Date Signature of Applicant — Wner1XJ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy-[ nspect ion Fee $ occ CONST TYPE I TOTAL FEE $ MAI cuA PARK SCHL FLD PAR Po HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 2'31 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION di J OWNER: /E'J y - /� S e �/n �/r DATE �^ 2- L LOCATION: 13 3 1 S� 5 �2 /r' �o,�i'h s -,4P. # 6C ' y0 - 2 s CONTRACTOR: Pvjic Sc p/. rr ZONING /r' l PRE -INSPECTION FOR: SFot?m 049 e - FQee he J/ 9.ej DATE TO INSPECTOR PERMIT HISTORY: Ej NONE---- AS FOLLOWS: Ao J e c /�r. --- ------------------------------------------------ / irli /ec/ /156b L» vjX"✓ 0' A-lva /ccs ! >� 4� TYPE OF OCCUPANCY ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- FIELD - INFORMATION BUILDING USAGE: lerzi TENNANT : /"�� .QRS 4,9 .1 C':�o�¢ cL [19 OCCUPIEDHAS ELECTR C HAS GAS HAS SANITATION FACILITIES -p,jcoae re HEATED -COOLED PERSON CONTACTED f�nli✓�,� OTHER COMMENTS: Woodsy-oic 1-15rec( - Aym/ole, to I?lj5e s�:ihs�>,J_y S��Q 2xy�o,sy1��,.•� /1,P�ra+.s ACTION RECOMMENDED: c �r,Zj3 i W �� /��'�'�5� d roe Alvre ISSUE E2HOLD FOR Co.JyR4cr /23 ;r,M mare oiL /? OTHER: � /7 j�,� ..6�lecr74iC l k ,Mra f_ IJ BY DATE U.91/ �'��a c e - 40f� /.4 use �1/%iQir/ fc� ,J �G � /✓C� eons nle w 7'2�1/�31r . ' Aym/ole, to I?lj5e s�:ihs�>,J_y S��Q 2xy�o,sy1��,.•� /1,P�ra+.s ACTION RECOMMENDED: c �r,Zj3 i W �� /��'�'�5� d roe Alvre ISSUE E2HOLD FOR Co.JyR4cr /23 ;r,M mare oiL /? OTHER: � /7 j�,� ..6�lecr74iC l k ,Mra f_ IJ BY DATE � a �o Z IC4 o COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ro ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER, c14 e TELEPHONE 71 TY JK SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME j,: 1 J 4.1 L o�' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace �'j ! /.'(JlJ, 0 ca CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ / S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee zw/ ,$ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ;'/. �. _? 77 V Permit fee $ �� �• f� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME JJPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE / SF ® Duplex ❑ Mobi lehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New❑ Addition;❑_ Remodel[] Utilities [I Installation❑ Other®_ Deschde work: sii (i� ![10UC' , %�� _ Permit Fee $ Contractor ELECTRICAL PERMIT FiIIng Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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.&) y22sgft OR ACDNS. `ACC. BLDGS. NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e) (SINGLE OUTLET CIR. 'Ex. Occu 20050e Occup(OUTLETS OR FIXTURES Is ALO 30 Ex. Occup. OUTLETS FIXED P(RESID.)LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. a/ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud'gmerfis,/costs, and expenses which may in any way accrue against saitlfCounty"inn/,co{nseeq'ue�nce of/ e'ranting of this per /� X �r y/ t —`—'nom Date al�fl�/fir - f Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for,ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. g Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S (J occuP. CONST.TYPE IF LO 0 PARCEL PD ND seuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IpDIRECT,OR OF PUBLIC WORKS i �+ ' ..�,, r ! cr�,�{i. �� By . Date/ +` PERMIT EXPIRES '.Date �' O�{ , .�o / °- Receipt No. 7 7. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT d - COUNTY OF BUTTE'J-ADEPARTMENT OF`'PUBLIC WORKS 7 County Center Drive=tOfovIIIe; California 9f965' Telephone 916/534-4541 APPLICATION'AND RERMIT PERMIT NO. r ASSE O PARCEL NUMBER ZONING BUILDING PERMIT OW ER A. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRE S / �� •- CONTRACTOR'S NAME _ TELEPHONE CN RAC OR'S MAILING ADDRESS -� •� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ J Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _ Permit Fee $ ,Z ARCHITECT OR ENGINEER - - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS '•• J , , Permit fee t5 $ y� t% PLUMBING'PERMIT- Fi.lingFee ._ 10.00 - Each Trap. • 2.00 r 5 Solar or heat pump water heater 20.00 LOT NO.', SUBDIVISION NAME PARCEL MAI' Water piping •• •% i J 5.00 Each qas water heater or vent 5.00 - USE OF STRUCTURE SF Duplex❑-Mo,bilehome❑ Other. ' _.... SPECIFY Gas piping system T = 5 outtet§ - -5-00 = = + Building sewer ,. 5.00 Mobile'Home S] G W' - O.00ea TYPE OF WORKNew[] Addition Remodel ❑ Utilities ❑ Installation[] Other Describe -work:- -44aL.lIPad - �cic _ '+ _ Permlt Fee Contra ;qr ,,.- ELECTRICAL PERMIT Filing Fee 10.00 _ Main'service '°°°Y -OR LESS 100 AMP OR LESS 10:00- Maln;service ,,EA. AD-D'L 100 AMP 2_.50 ) - 6-0NTRACTORS1LkCENSE LAW " _ _ 1 declare under pnalty'Ot'perjury: (check one):++^ j ❑ I 'am' licensed `under •prov,isjons of Cliapt'9,112l6V. 3 Of the Bu$tn,e$$r' and Professions 'Code and my --license Is in);full force and effect. L` License No., - - - Classification 1, as the owner, or my 'employees With wages as their sole compen- $atiori, will do the-work,-and_th_e1s_tr•uc_ture 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.•(•OWELLIN.G OCCUP.8i I OR AODNS. '% ACC. BLDGS. J 2/,Csq ft NEW CONSTR . U 'TI.OVTIhET t NON-RESID BRANCH CIRC ITS - 2.50ea•" ' ,' r r ., / POWER �APQ�A�AQUS 61,' ' - ./ \SINGLE o�U1TL T CIR. 1/ ,. Ex. DCCUp\OUTLETS OR FIXTURES BAL@30 °AL03O 'FIXED -APPiNS: OR Ex. OCCup. OUTLETS (RESID.I EA.) 2.00 ,,Temporary service Mobile Home Facilities - 15.00 Misc. Wiring 15.00 s I1 Permit Fee $ Contractor = _ WORKMEN'S, COMPENSATION INSURANCE I declare under penal ty,of' penury (check one): ❑ T.he,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 7� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become•subject to the W. C; provisions of -the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling ' 1' Hood 3.00 Ventilation Permit Fee it I ' $ ' Contractor 1 certify that -1-have-read this application and state that the above information is correct.:) 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, in nit nd keep harmless the County of Butte against all liabilit' s, ' is c ts, and a pe es which may in any way accrue against d i on equence o ranting of this permit X Date 1� Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required For cava ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Nome Installation -Fee $' Energy Inspection Fee $ . TOTAL PERMIT FEE $ l/ Oc CUP, CONST.TTPEJ PLOOo PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI EC OR OF PUBLIC B PERMIT EXPIRES ate the applicable,provi- resolutions to do fees have been paid. WORKS Date'" Receipt, No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PAN COUNTY OF BUTTE p DEPARTMENT OF PUBLIC WORKS y 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. It you have any question pertaining to this matter, r neeA additional explanation, please contact thi office immediat I Inspector ; / /ate ..Z -f A C//�G Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO a-� ASSES O PARCEL NUMBER ZONING 1- BUILDING PERMIT OWNER ;(/ / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE CO'NTRACTOR'S MAILING ADDRESS Fireplace 000, o p CONSTRUCTION LENDER UNKNOWN Total Valuation $ 40o.041 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ZZ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00 Pa TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ I�nnsstallation❑ Other Describework: �� /.(fl%D �L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification 1, 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. OR ACDNS. 1 ( DWELLING OCCUP.e4) ACC. BLDGS. yZQsgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS e� (SINGLE OUTLET CIR. zo®soe Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED . OR EX. Occup. OUTLETS TS (RES(RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in nnd keep harmless the County of Butte against ail liabilit' if is c ts, and a pe es which may in any way accrue against d i on equence o ranting of this permit ZThis X DateAte' r Contractor ❑ Agenr Signature of Applicant — O?.h An OSHA permit is required Focava ions over 5'0" deep and demolition or construct- ion of structures over 3 stories eight. Mobile Home Installation Fee $ Energy Inspection Fee $ i1 TOTAL PERMIT FEE $ (/ OCCUP. CONST.TYPEJ FLOOD PARCEL PD NO ISSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI ECTOR OF PUBLIC WORKS By Dat PERMIT EXPIRES ate Receipt No. � �� 3 WHITE P. W., YELLOW-ASBE9sOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 . 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 provide the major labor and materials for construction of the proposed property imp vement (yes or no) 2. I (have/have not) signed an ap ication for a building permit, for the proposed work. 3. I have contracted with the construction: Name Al Address Phone llowing person (firm) to provide the proposed Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervis and provide the major work: Name Address City Phone Contractors License No. 611 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 Signed: Property Owner Social -Security Number Date '-7, � NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.