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HomeMy WebLinkAbout066-410-03066-41-30 - GEO ONSO 6728 Ishi Magalia Contr: PMC ,�r� Permit#1641-87P, til, MH " / ELEC 0© • ���AS Tr� CJPPORT STR RE � � COMPACTION TEST RE v-- -41-30 ontr- Cal Oy s MHs #18 r- MHS �(i- lall-, ru1) ISSUED � � % 66-41-30 1551-91B,E SPENCER, O'Dell & Margaret 6728 Ishi Dr, Magalia cont: Rod Kopsa ea (new garage) 1066-410-030 ^ `92-101 SPENCER, Odell 6728 Ishi Dr, Magalia (cabana) CONTR: Roy Anderson I b-. - - I . `4N RESIDENTIAL 66-41130 92-1012'BE � :j ' SPENCER, Odell 6728 Ishi Dr, Magalia cont: Roy Anderson cabana/mh 71 9L gal WV e,,s �b lf'-w JOB FINALE Signature 4 O O = Not OK Not = Not Ready ble MOBILE HOMES , Date MOBILE HOME UTILITIES (Plans)�OK except #'s , 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, -COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zo g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C rports; Windows -Doors Ele sic Fr ;'Sits -Anchors- Stu ds- Rftrs-Trusses S, '; Nailing -Veneer -Stucco -Mesh 41rRo f,,-Shthg-Roofing elk"Exy.; Steps -Doors -Landings Wo c t1 -J Date Card B 1 Date CI Card B-1 ' .J Date Card B-1 Date Card B-1 Date OOLS (Plans) OK.4xce/pt #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK 0 = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except, Y's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------ -- - ------------------------ 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------- --- ------------------ - - -19. Shower Pan: Test, First Floor -Tub Access --- - - 20. Test -Tub & Shower, Second Floor -Tub Access -------------------- - ----------- 21. Gas Pipe; Size & Anchors ------------------------------------------------------------------- Date -----------------------Date Card B-1 Date Card B-1 --------------------- -------------------- - ------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors --- ------------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------- - ----------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - -------------------=-------------------------- 28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! ga. Cu or Al -------------- -------------------------------------------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect -------------- - 31. Equip. Clearances Panels-Motors-Mech. Equip. - -------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------- --------------------- ---------- - --- - -- -- 33. Smoke Detector ------------------------------ - ---- -------I——---------------------------------- DateCard B-1 Date Card -B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. -A. -C. -Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade ------------ 37.- Furnance-Vent: -Access-Comb-Air-Return-Air Vent -1-5 outlet--------------------------------------------------1------------ 38. Attic Access & Platform if Furnance in Attic ----------------------------------------- -------------------------- ------------ - Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------ ----------------------------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) --------- ------------- ------------- 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------------------- - ------ 44. Headers & Beam -Size & Bearing iiingle & Duplex) Date FRAMING (Continued) '- -45. - _45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings - ----------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- 55. Siding -Nailing Veneer ____________ 56.. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57 Glazing Area -Glass Protection -Skylights- Plastic Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -- - ------------------------ Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings --------- - - 62. Smoke Detector ------------------------- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -------------- 64. ----------- 64. Bedroom Exiting ------------------------- 65. G F.I & Bath Fixtures & Tub Access -Spa - ----------------------------- 66. Elec. Trim & Subp anel; Breaker Sizes & Labels --------------- 67. Stags & Rails ---------------------- 68. --------- ---------68. Fireplace or Stove: Clearances -Hearth --------------- - .------------------ 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage -Fire -Door: Swing -Landing -Closer ---- 73. A.C.-Duct in -Garage -Damper --------------------------------- -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location ----------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------- 78. -Guard -Rails & Deck -Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------------------------------- 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ N_o ___ 81. Stucco: Brown -Finish ------------ - - --- - 82. A.C. Unit; Disconnect. Electrical. Plumbing - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- - - - --- -- -- -- -------------------------- ----- 84. Water Well: Disconnect, Electrical, Plumbing -------- --------------- ---- -- ----------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - - ---- - 86. Ventilation Throughout House ------------------------------- 87. ------ ---------------87. Glass Protection 88. Corrections from Previous Inspections -- -- ---------------------- 89. -------- -----------89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Grade -HD Approval 91. Energy -Compliance -Certificate. -Other Certificates ------ -------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------- ------ Date Card B-1 Date Card B-1 ---------------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. 92-1012 iA / ASSESSOR PARCEL NUMB1 R20NING 66-41-30 RT 1 t_01 1 BUILDING PERMIT OWNER ODELL SPENCER TELEPHONE 877-6114 SO. FT. OCC. BUILDING VALU TION 965,184 OWNER'S MAILING ADDRESS 6728 ISHI DRIVE MAGALIA 95954 CONTRACTOR'S NAME ROY ANDERSON TELEPHONE 877-6267 CONTRACTOR'S MAILING ADDRESS 5530 SCOTTWOOD PARADISE 95969 Fireplace 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6.684 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGNKNOX$OOITWOONXXXRXKXmi$xXXgsggg ESS Permit fee $ 127.50 PLUMBING PERMIT Filing Fee 15.00 6728 ISHI DRIVE MAGALIA 95954 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 55 SUBDIVISION NAME INDIAN MEADOWS UNIT #3 PARCEL MAP -Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition E� Remodel ❑ Utilities ❑ installation F_1 Other ❑ Describe work: CABANA _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20CATO1000A, 37.50 CONTRACTORS LICENSE LAW 1 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. 05/ 73 Classification r5 F-1 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. ACC. DWELLING OCCUP.& 3.64sq. OR ADDNS.BLOGS.ft. 3.50 NEW CONSTR.ULTI.OUT LET "OU NO N.R ESI D, BRANCH CIRC ITS @ 5.00 POWER APPARATUS &\ %SINGLE OUTLET CIR. / r1 EX. Occup( OUTLETS OR FIXTURES A, 761 CCO 45 FIXED APLNS. EX. OCCup. OUTLETS P(RESID )REA.I I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.001 Permit Fee $ 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. fXl I shall not employ any person in any manner so as to become subject X� 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. I Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling LHood 6.50 I 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 a Fee to ave, indemnify and keep harmless the County of Butte against all Iia Ili ie judgme tis, costs, and expenses which may in any way accrue agai t said un Ion equence of the granting of this permit. X Date //� r� Signot a 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 height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ 145.00 HAz DFEES IMP FLOOD COF PARCEL PD HD SUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work ind7icate bo a for which fees have been paid. b' R OR PUi LIC WORKS BJ Date PE IT EX IRE Date Receipt No. ��� f yS� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / 9 rt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ! 7 County Center Drive - Orovlllet California 95965 - Telephone: 916.'536-7541 APPLICUION AND PERMIT PERMIT NO. A!!E!! RA N ric 1j// '30 ZONING P: / BUILDING PERMIT OWNERTELEPHONE Od�E1 s e,jc� 677-01 SO. FT. OCC. BUILDING VALUATION 6 OWNER'S Al LltyRDR , 11 J s1sy CO TRACTOR' NA E / o .JOeA S O.J TELEPHONE 8�7.626 CONTRACTOR'S MA LING ADDRESSQ n q�q,,� 55-30 �C O 049 Agmj , S e- /� /� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ c)(11-00 W Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 7T, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 375'0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $o �2 7. 15.00 PLUMBING PERMIT Filing Fee 6%206 I-4HI 0 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. �� SUBDIVISION NAME � /i•/gli/ani i'/�/+��w,j �%�� PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome2( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New r"Addition [/e�__Remodel ❑ Utilities ❑ Installation❑ Other 1:1 Describe work:_��AA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA 00OR LESS 18.50 2OR LESS _ Main service 20CATO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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.su -614 ggtt r^ OR ADDNS. ( ACC. BLDGS. 1 -1.J✓ NEW CONSTR. MULTI -OUTLET @ 5 00 BRANCH CIRC ITS POWER APPARATUS e ( SINGLE OUTLET CIR. I Ex. Occup( OR FIXTURES 20 76 AL. P 461 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID,) EA.� j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ J6, TO Contractor — 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHAwork 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 S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ HAZ I DFEEs I IMP I FLOOD I COF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date - . Receipt No. //D / y� WHITF-n.P_W.. TF_L1.0W-AS-F-SnR. PINK -INSPECTOR. aOLOFNR00-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�¢ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Ode, Gly. 6 A. P. No. Proposed Building Use ���✓�-J� Building Inspector C S " Date y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ................................. :: 2. Plot plans in duplicate/triplicate,- signed by preparer of plans........ 3. Complete plans in dup.licate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and 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 instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 3. .��/Jot�J� Scho �tritf�es paid .............. �g> —�� 14. Sanitation approval from � o[[ /JHealth 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 maybe required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.reG�estto Building Inspector"°- 21. Contractor's license information (No., Name Style, Classificatidn) ... 22. Certificate of Workmans Compensation Insurance .................. !' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... " 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. Date) -27. ` When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup a�Z o fice. - Deliver w/inspector. Other , Appl ican Date �/ - sem Copy of Hdz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The foll6 i'ng-da=ta 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, owner, was advised of above required data by_phone—mail counter by ..date Contractor, designer, owner,,**`was advised of above required data by—phone —mal l—counter by date Plans checked by Date 4I ( Plans approved by NA) Date 1 Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance < - - Owner Location Ari Plan Approved for: Hold final for: Final clearance O.K. for: Clearance for beoc NOTE * * * Sanitarian Sewaqe Disposal ile me. Other S _n LL, - Water Supply Water Supply Water Supply t ENVIRONMFNTAL WEALTH APR - 8 1992 PARADISE, CALIFORNIA i o D V N Lu 1 ouc am , �} �= IN J J � O R v o N 1Kj J J � O R v ti V) t"I 1Kj J � A44 a 5 7-1. 4A2 26 /l� e4 1, Q _ 4n, 143 �. _ ... 9 J� d� o CLEAR- REMOVE ALL TREES AS TABICATED & REMOVE DEBRIS I STACK WOOD AWAY FROM WORK AREA. GRADING- GRADE FOR HOME PAD-DRIVEWAY bEPTIC SYSTEM- INSTALL 1000 GAL. SEPTIC TANK & 100 FT. LEACH LINES IN ACCORDANCE WITH BUTTE COUNTY-CODE. WATER SYSTEM- INSTALL 3/4" GALV. & P.V.0 . PIPE WITH 2 HOSE BIBS MAGALIA WATER.DISTRICT SERVICE, TO BE APPLIED FOR BY CUSTOMER. ELECTRICAL SERVICE: INSTALL UNDERGROUND TO DISCONNECT LOCATION IN REAR 1/3 QUARTER OF HOME. 200 AMP. SERV. 100 AMP. BREAKER P" FOR HOME- 24'x60' AREA OF 3/4v MINUS ''BASE ROCK COMPACTED. APPROACH- INSTALL CULVERT & ASHPALT TO THE PROPERTY LINE. DRIVEWAY- INSTALL.3/4" BASE ROCK COMPACTED. 5 1 p. 1 irArP,(ri- 1 �) !Q i I VY 4 X6o Z 13D a o a cl -01 A c D SCALE 1 "2(� DATE: 5-17-87 BY: 6728 INDIAN MEADOWS SUBDIVISION pw/J 6�z_iSHI DP`. L�T� 55 'CS14 rr v/e OWNER: MONSO, GE .1114 SAG /� SITE: 6728 I DR. MAGA , CA. 59554 A . # 66-41-30 ..-'fT!— ...t_•.i "1 _ 'r"7-!'1--'�'4•"t",• ,+Ktif«.y.a�w�.�.e9�'f .'w�.MAXON 200' : i .. � . jJ1 C��i C:�It�/ � ` '" I ' . . � ' . . '/..I� I • � . , v O.U/ ��ce/L COUNTY OF BUTTE . BUILDING DEPT ArK 0 6 1992 'SpENCe2 66-41-3G i Z = wfl2+ 2 Pig 6-700 +IZ2Gv _ X185 0 y I � N 2 w134 OL Z = 134 I Z2� =13 (,0 # I N � t - W �- I �' In V2, I — 43rn 8 ✓ x xi � cl R X13 �;!iw..�vi.•.., r ^".'+1j�1 .,`�; n„y... �.;yn,r f..�„--^.s+.y,.yC-�.-.e:.r,....,+_ H BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number. 1Y1 3 luilding Department No. School District %���-/� Wir C City County Q Jurisdiction Property Owner Project Location/Address Subdivision Lot �Nuummber. Residential.Development: a 12 Sq. Footage i # of Living MHI Addition (Group R) Units + 'h Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) xr— Z-- Bui`r Department Representative `. Date (Floor Plans reviewed by School District Personnel) District Id No. �- School District certifies that . (Applicant:Name) (P:hone.Number) .5530 61 (-1 are V(i . (Street Address) (City) '(State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing Q� square feet. School District Representative. Date PAID BY CHECK NO. BANK NO V, PAID BY CASH 7z white -applicant, yellow -building department,.pink-school district SCHOOL.FEE (8/88) L. .A . RESIDENTIAL • 66-41-30 1551-91B,E SPENCER, O'Dell & Margaret 6728 Ishi Dr, Magalia cont: Rod Kopsa (new garage) —1 7 I JOB FINALE Signature d=OK 0 = Not OK =Not Applicable =Not Ready ' - MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS.:: Date DEC , COVERS, CARPORTS, GARAGES, Plans OK except #'s tba-frg Requirements -Setbacks -Easements *footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. n.; Columns -Connections -Splice -Decal -Enclosures 6. orts; Windows -Doors lectric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date / Card B-1 Date Card B-1 Dater Card B-1 FIVV Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK 0 = Not OK - = Not Applireble RESIDENTIAL (Single ' = Not Reddy & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14, Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion. Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor I] Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE NO ERMI T 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 atter, or need additional explanation, please contact this office immediately. &.(- /V-7�kz-- QOV,2S Date �� Inspector COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ANth s r PERMIT NO. q 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. rAlel n J n r Date - 7Z Inspector Gi �j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918/538.7541 APPLICATION. AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER i O'Dell & Margaret Spencer ZONING RT -1 BUILDING PERMI OWNER 66-41-030 TELEPHONE 877-6114 SQ. FT. OCC. BUILDING VALUATION 360 M 6,480 OWNER'S MAILING ADDRESS 6728 Ishi Drive Ma alfa 95956 CONTRACTOR'S NAME Rod Ko sa 1877-8026 TELEPHONE CONTRACTOR'S MAILING ADDRESS 1765 Sparks Drive Paradise 95969 Fireplace CONSTRUCTION LENDER. None UNKNOWN Total Valuation Is 6.480 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 62 .50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 31.25 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6728 Ishi Drive Magalia Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 55 SUBDIVISION NAME Indian Meadows PARCEL MAP 130-99 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other dptarhpd oaraaP SP CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New pg Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 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): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS o Coe _And my i e e is in ful f�r and effect. and Professi0 ... License No. fication. ,. ❑ 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. I DWELLING OR ADDNS. % ACC. BLOGS. / OCCUP.m` , /20sgft 9 00 NEW CONSTR U TI-OUTL .2.50 ea NO N.RESID BRANCH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. 0 50t Ex. Occu 2AL@30 p�OUTLET3 OR FIXTURES eAL030 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 19.00 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. ❑ 1 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 bu1Idin construction, and hereby authorize representatives of the County of Butte t n r upon the bove-mentioned property for inspection purposes. I also agre to save, in emnify and keep harmless the County of Butte against all I" bili 'e jud 'en s, costs, and expenses which may in any way accrue aga' st id oun i consequence of the granting of this permit Xj, Date Si nature 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 height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 122.75 rlAz. CUA PARK sCHL FLD CDF PAR PD 1 HD. IS This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab ve for which fees have been paid. D R. OR F PUBLIC WORKS By ���� PERMIT EXPIRES ate > o. Z 1 77 Receipt N0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION . 7 COUNTY CENTER DRIVE - ALI OROVILLE, CFORNIA 95965 -TELEPHONE: 9r1A6/538}7 4AJ S 14, PERMIT APPLICATION DATA SHAT Permit No. OWNER O^f Alts -S/°e-j C2 � A. P. No. '6 03 0 . Proposed Building Use 4 fAoC,6 ' Building Inspector �"`J 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 submitted . ........................ 2. Plot. plans in du.plicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. ° 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ........... ngineered truss details and layout in.duplicate (required prior to plan check) C 9. Mobilehome installation data including manufacturer's installation r instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. Scho I District fees paid .............. 4. Sanitation approval from i�R.g�4' Health Department __z - ­5�'l 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 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for `" required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style,. Classifications ... 22. Certificate of Workmans Compensation Insurance .................. (0�14/9f IKuJ Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mai o o er. ail to contractor. Telephone ATE 5925 and hold for pickup at/T ffic Deliver w/inspector. Other idPAAA Applicant Date / /"/ S/ Copy of Haz- Mat form sent Health Dept. Fire Dept. fir Pollution Date� Copy of plans sent ---HealthDept. Fire Dept. ' Other Date By The following data must be submitte prior to er i ssuance:' (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ontract ,designer, owner, was advised of above required data by_phone_�nalf counter by per' date Con ractor, designer, owner, was advised of above required data by_phone_matl_counter by date Plans checked by Date Srr Plans approved by `' - Date (a Sets of plans on hold in File cabinet AP folder Copy—DPW f� TO Buildtnq. Lvpartment FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other _� �S io �?J/) f N, ffs,S a _ Sai nita an Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAllIELNUMEA - 030 -. ZONIN T— I BUILDING PERMIT O,WyER = �1-,L SP��G�� ,OWNER'S TELEPHO E C-�77 —'�, llY SO.7FT. OCC. BUILDIN�G/VALUATION 3� 4^ '/ 0 MAILING ADDRESS 6'7 i 9 I s Kt t 5C55-4 CONTRACTOR'S NAME /�ca �c S� TELEPHONE E�77- go2b ' CONT CTOR'S MAIL NIZ ADDRESS (� f m e / Sy69 Fireplace CONSTRUCTION LE R UNKNOWN Total Valuation Is 6 Y9, 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ GZ,sa ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - 'L5' Energy Plan Checking Fee— $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ t PLUMBING PERMIT Filing Fee 10.00 L� I hi s QA Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIv SION NAME ^��1 /t^/ A.-eepl otr16 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑�r CL sPe I FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: PermltFee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 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 (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s 'C de and my license is in full force and effect. License No. Classification, EJ 1, as the owner, or my employees with wages as their sole cempen- 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. (D CW ELLING OC P.6 OR ADDN5CON5T AC. , hQsgft I -OUT NEW RESID. U NCH CIRC NON•RESID BRANCH CIRC I 5 2,50 ea POWER APPARATUS Q ( SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050t DAL@30 Ex. Occup. ou LETS IED PRESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 1s correct. I agree to comply to all County Ordinances and State Laws relating to buildin sI ruction, an hereby authorize representatives of the Countyot on the abov mentioned property for inspection purposes. Bu01*�'bllit fy and keep harmless the County of Butte against aldsts, and expenses which may in any way accrue I avXy'ns agmquence of the granting of this per t. / X Date alv Signature of Applicant — Owner ❑ Contractor JE 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 $ li4 CONST TYPE' r _- TOTAL FEE '$ 12.2.75 . cUA- PARK SCHL FLD c0F PAR PD 1 HD. ISSUE. This permit Is hereby Issued unoer the applicable provl- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 59 __'? / 7 7 WHITE-D.P.W.. YELLOW-ASSC33OR, PINK -INSPECTOR. GOLDENROD -APPLICANT OFFICE COPY Address GAS Date /—/— 1 Meter By ELECTRIC�/t e 17— Meter By Temp. Power Pole Called PG&E Temp. Elec. So Called PGJ Temp. Gas Ser Called PG1 JOB FINALED Signature d i =OK I 0'= Not OK dyMOBILE H ES = Not Ready MISCELLANEOUS Y Date MOBI HOME UTILITIES (PI s - K' except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . yXon!ag Requirements -Se s-Eaeeffwms 1. Zoning Requirements -Setbacks -Easements 0 0 P .2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel n- - - oncre 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails er; Lo - ) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Lo ion-Cle ces- d.- n,6Amp- oncre + - ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors Titiffry Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Dat �/ Z Card -61 Date 10. Roof; Shthg-Roofing ' Card -61 Dai� Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOB HO E -INSTALLATION (Plans) OK except #'s o g Requirements -Setbacks -Easements Card -131 Date Card -131 Date . ootings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date est -Demand -Valve -Connector 4,,121'ectrigity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s n Test -Fall -Flex Connector 1. Setbacks -Easements at ; Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Y r ao. Sewer Connected -C/O to Grade -HD Approval t 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining nd lectricity Tagged r,9. nsp.=Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy f 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 1 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date } 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i # Card -131 Date Card -131 Date Card -131 Date Card -131 Date I = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready° Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel=Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or At At 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -B1 Date Card -61 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -61 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -81 Date Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit lob site) MOBILEHOME INSTALLATION ACCEPTANCE �. COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER bRIVE OROVILLE, CALIFORNIA — 534-4541 z PERMIT N0. ' Address or location of mob lehome 41 ;7�? y `�� E�r --evf - Owner's name �+&>_ I t0AiS0 A Owner's address _ JG fv.-C /1/�/ Insignia or hud number kjj C_ 4/07 -7/0 09 . Manufacturer's name si l vcr C rP.s Serial number of icial Approving Installation Year inufacture �4 1 (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE- MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. l COUNTY OF BUTTE DEPARTMENT OF. PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE /VIOrv�J ll��!l- b'I N ER 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. 1 ! kr/1 , 'It, I /. n n i ­- a/ L - "n S . r A C.:. Y, Inspector I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, Californi 95965 - Telephone 916/534-4541 (d/ APPLICATION AND PERMIT AS SS PARC E "..I -ZONING — 1 — J BUILDING PERMIT OW 0 -D WELEP)I N / 7 SO. FT. OCC. BUILDING VALUATION O ER'S MAILING ADORES O ry TOR'S NAME � / 9 D v T EPH = - / N R'KIW21LPNG A DRESS Fireplace CONSTRUCTION LE E UNKNO Total Valuation $ Filing Fee $ 1 LENDER'S MAILING ADD s Permit Fee $ ARCHITECT OR ENGINES LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. s-- SUBDIVISION N M PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE;OF ST URE SF❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea (� TYPE OF WORK / New El Addition [:1 Remodel ❑ Uti lities 2. -'Installation ❑ Other ❑ Describe work: _ Permit Fee $ Q� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100v OR LESS 100 AMP OR LESS 10.00 .0 Main service EA. ADD'L 100 AMP 2.50J CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Profe ' de an my license is in full orce an effect. f License No Classification ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ontract- ❑ I, as the owner, am exclusively contracting with licensed contract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.A , DONS. A � 2/20sgft NOR ULTB OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea APPARATUS e) (SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIxTURES SAL@30 20@530 Ex. Occup. OUTLETS ED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 797 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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 to to enter upon the above-mentioned property for inspection purposes. t also ree to save,indemnify and keep harmless the County of Butte against all liabi 'ties, j g nts, costs, and expenses which may in any way accrue against Cou y i conseque a of the granting of this Q _4X AA r [ Sign�reuc Applicant — Owner ❑ Conrroctor ❑ Agent ,;n; rmit is required for excavations over 5'0" deep and demolition or construct- ion res ov r 3 stories iq height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I FLOOD PA;C,;,eJJ;Df HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY / PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date a �� . Receipt No. �© WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: ' 'Drlueway. Clearance PM owner location AP # Driveway permit 45-0 3 —if has been issued for the above property. n b 7-J (9 7 sigroAture date „ - .- ,. _. _. � .,. �: _ �'t•oss, .,— _..•.,rti ,.�__ ;rte%..=�. , _ ...:�.s..r. !�'- "• ••.. ,=. .,.r,,.:,;�Y3..COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'1`bA11F6fi4NIA 95965 - TELEPHONE: 916/534!4541 ' PERMIT APPLICATION DATA SHEET Permit No. OWNER tjS A. P No. Proposed Building Use Building Inspector Date At time of permit application, I was advised -,the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. -%: Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. {' ► �� 1 ' 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid” Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. . . . . . + Sanitation approval from Q �� Health Dept. i 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . f` 8. 'I Pre-Inspec. request to (Pate) Pre -Inspection for Required. Building Inspeca t r Recorded copy of Agricultural Acknowledgment Statement. s�� 7 9. Driveway Permit. '� 20. Plot plan approval from city of 21. 22. When, ,a0 issue the pprmit,rocess as follows: Mail to owner, Mail to contractor. S'SV/ •ce, Telephorie%2" and ho+d-fer-pic atAof Deliver w/inspector. Other Applican ate f ( Y Copy of plans sent Health Dept., ire Dept. Other Date The following data must be submitted pr•or o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet XAP folder _ date — date f Date4", A,* - Hours: 1�05:00.a.m. - 3:00 p.m. TO.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE 6�rD. OWNER Plans approved for: Hold final for: Final Clearance O.K. for: 2, L94 LOCATION AP # Sewage Disposal Water Supply Water Supply Clearance for -bedroom mobile home. 'Other Clearance for addition of Not TARIAN Water Supply DATE Return to DPW AGRICULTURAL STAIL"I:.NT 0F' ,ACi,.i4UwLti/(,L:Irivl EBOR6n. ATE CV; � Y. FOR RESIDENTIAL' DEVELOPMENT 60CfiAZ CQf 6S �Y Section 26-8.1 of the Butte County Code requires this acknowledgement *� be -recorded prior to issuance of a building permit. ;: _ The property described herein is adjacent to land or included 1981, TAX 2.2 within an area zoned for agricultural purposes, and residents ofGANt CE,�,fRU668 this property may be subject to inconveniences or discomfort arisin from the use of agricultural chemicals, including, but not limited to herbicides � J` pesticides, and fertilizers, and from the pursuit of agricultural operations including;' but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California described as follows: , Lot 55, as shown on that certain rap entitled,: "INDIAN vMEADOWS ,SQBDIVISION .UliZT NO.. 3", which rap way filed in 'the office of the Recorder 'ef .the .County of But ta,.Stati of California, on August 17, 1972 in Book . 38. of ,Maps, at pages 99' and 100.. d EXCEPTING THEREFROM an undivided:33 1/3%.interis't in all minerals as reserved. in Deed recorded in Book 743.04 Official Records'. -at page 6a, recirds'o:f Butte County, California, Said reservation did not include: right of entry for'.iining purposes. RESERVING unto the granter an undivided 66 2/3%.iniereat in alf minerals below a depth of 200 feet,. as contained in Deed from B6t.te' Investment Company, a limited partnership, recorded September 179- 1973 in -Book 1863 of Officia6 Records, ai.page 3559 records of Butte County, California. Date: r 7 PROPERTY OWNERS: i` _, moi% 4 ian v Witness) TATE OF CALIFORNIAC COMMONWEALTH LAND® Butte SS, TITLE INSURANCE COMPANY OU TY OF ) s a Ma 22, 1987 Tara J. Hoshall Ay before me, �.Public in and for said State, personally appeared Phil YOungdahl �� PPrr personally (known to mel to be the person whose name is subscribed to the within Instru. mt, as a Witness thereto, who being by me duly sworn, deposes and says: Lathe resides in Paradise Georges R. Monso , and that he was present and saw personally known to him be the same person —described in and whose name 19 subscribed to the within and annexed Instrument as Part thereto, execute and deliver 'ed same, and he acknowledged to said affiant that _executed the same; and that said affiant subscribed ■ name thereto as a Witness. ■ TA�iA J. H�D$HALL .`icial ESS my ,1_: official ■ ':a 1' NOTARY FUBUC•CALIFORNIA ■ /y o Bure County ■ nature9 My Commission Expires March 8,1991 0 m 3214 (CA 12.92) (This arca /or ol/itid nohnal seal) Present A,P. N0. G �' 4 1 30 AP #* T OWNER PERMITtel" MH UTILXLEARAN TE INSPECTOR: ELECTRIC GAS Support Struc. Compaction Test Re . )ervice Other Pipe YES NO NO "ize Load Type Size Length 61t, `/6o �h�2 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS "7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOn1 ANC'PERMIT PERMI ANO ASSESSOR PARCEL NUMB R &� _ �' �. (9 ZONING BUILDING PERMIT OWNER GEr,� C oN�v TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS a sd; "V6, A R A 1s CONTRACTOR'S NAME TELEPHONE -C44- ©.46f s fay CONTRACTOR'S MAILING ADDRESS 003 t-jl/Gut*61 Oe, lt, C� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD ESS I�r` r r4��U�s� Y Permit fee $ s 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 F1Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In tallation g-01her ❑ Describe work: � Y L �r U�Z «� �� -A ( C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and ProfessiJon�s Code and my license is in full ►force / nd effect. License No. "�+ �� 1 Vf 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.. C OR ADDNS. ACC. BLOGS. 2�,20sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) IRC ITSPOWER 2.50 ea 2.50 ea POWERAPPARATUS Q (SINGLE OUTLET CIR. EX. Occup( OR FIXTURES BALO 30 \ Ex. Occup. OUTLETS FIXED P(RESID.)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 Y� 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 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, judgments, costs, and expenses which may in any way accrue against id C- my in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor UK- 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 $ TOTAL PERMIT FEE $ 70, OCCUP, CONST.TYPEJ 1 171*�No Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC B _ P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ( y Receipt No. `%� WHITE-O.P.W., YELLOW-ASSASSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT 6F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, EALI qO lgIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /��%,5-0 A. P. No. (o '/�`� Proposed Building Use _ ,Building Inspector Date [� At time of permit application, I was 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, signed by prepares of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 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. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ). ' _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval -from city of 21. 22. When you issue the permit, process as follows: Mail to` oj�)e,,rMail to contractor. �— Telephone 5-/aJo�_ and hold for pickup at—C-- ;fi'ce, Deliver w/inspector. Other Date) Applicant i� r ��D ate 61 d/ Copy of plans sent Health Dept., Fire Dept., Other Date 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, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by _ date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder `0 13 — Hours: 10:00 a.m. - 3:00 p.m. CLEAR- REMOVE ALL TREES AS IMICAT19D & REMOVE DEBRIS STACK WOOD AWAY FROM WORK AREA. GRADING- '9RADE FOR HCME PAD -DRIVEWAY SEPTIC SYSTEM- INSTALL 1000 GAL. SEPTIC TANK & 100 FT. LEACH LINES IN ACCORDANCE WITH BUTTE COUNTY CODE. WATER SYSTEM- INSTALL 3/4" GALV. & P.V.C. PIPE WITH 2 HOSE BIBS MAGALIA- WATER .DIESTRICT SERVICE, TO BE APPLIED FOR BY CUSTOMER. ELECTRICAL SERVICE: INSTALL UNDERGROUND TO DISCONNECT LOCATION IN REAR 1/3 QUARTER OF HOME. 200 AMP. SERV. 100 AMP. BREAKER PA p FOR HOME- 241X60' AREA OF 3/4v'MINUS MASE ROCK COMPACTED. APPROACH- INSTALL CULVERT & ASHPALT TO THE PROPERTY LINE. DRIVEWAY- INSTALL 3/4'! BASE_ROCK COMPACTED. 5ass _�UTu Ir I- pro 1p t ' A pe: will be required for the 2o X Z 0 Qf ! lWallo§on of the mobilehon4. .o cen /str I - _ l.[_ _ i 24 X6o W 5Q. FT. MINIMUM J013 M031LES tack of 5 ft. from the .rty lines and a setb� tl% ft. from the road !rline shall be el-rir o`- rures or egw.,iment exd6pf 2 ft, e� ve 6v6rhbn0, f OF A"'i JErn EN,a )TE: -All Mater als & orkmanship Shall Be in rordanc� wit Recogn zP,:fi� Good Practices anc a.qualit pft re. ribed fo 9+e Specified use in the iiform uildi g, Plu �jcle- d &Mechanical Code, cal the ation I Electri M. ..A. L T.... J :..... FIELD-.... Th se of plans and specifications MUST V Utility connections shall be within p I ,ept o19 a job at all times and it i� unlawful t(� 4•ft: of the mobitehome; either- t, aka changes or alterations on same with. :_directly behind or within the rear_ ut wri en permission from the Department of half of the roadside (left) of the r T` f�ublic Vorks, County of Butte. mobilehome. ACS 5-�-� SCALE 111=101 DAM' 5-17-67 6728 MEADOWS IVISION I SHI D R. �O� 55 _ OWNER: MONSO, GEORGE // SITE: 6728 ISHI DR. �o , MAGALIA, TTE5WUNf J A.P. #,96N-41-30 -41-30 BUILINNG DEPA TWEET ASF VED BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville.,CA. PHONE: 534-4541 11 MOBILEHOME INSTALLATION SHEET 1. Owner's name: G-� 2. Installer's name: 3. Is the site currently under permit? Yes L_LL,-,- No (If yes, furnish permit number �' 6 �(�- Irl , OR - Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the'mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / Y No (If no, clarify o 0 5. What is the mobilehome electrical rating? ----------------------- Amps CO 6. What is the mobilehome site service rating? Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No, (If yes, identify the load and size: (Load) q n �' (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- ,�� // (•): 10. What is the type of gas service?"------- ---------------------- Natural %% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? U (ft.) 12. What is the mobilehome gas demand? ------------------------------ *9,',0;57__(BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on.LPG.) MOBILEHOME SUPPORT DATA., 1U If other than single wide, � �` Mobilehome Mfr. �P' furnish Setup Model No. K year ,Widt(ft.) Box Length �J� (ft.) Tagalong or Expando Size (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1913; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. L`J (ft.)(in.) Center support locations* /CfX7 (ft.)(in.) 33=��` (ft.) (in.) (ft.)(in.) to (ft.) (in.) ) q x`3 O I —j30 (in.) (in.) I Center support footing sizes (in.) go (in.) (in.) Footings (check one) Single ®!Wood either pressure treated or foundation grade. ow 11 , x3 IZy ty (in.) (in.) I�x30 (in.)l (in.) El 2. Other: (specify) Supporte.(check one) [3-1!Concrete block. .2: Other. (specify) tagalong or Eapando,,' show support details. A.x 3c% -- Typical Support in. (in.) Footing Size I S' y.i." I -- Max. Pier Spacing (ft.)(in.) (ft.)(in.) -- Max. Overhang eIJT'P'E couwy BUILDING DEPARTMENT A OVFD *If center piers are other than drawn above, 2 G� draw im-locations, spacing, and dimensions. _ ro 1 s -- -- ----•— +ut �j�y�,�)p}'�rf.;j7�;5" +7t ; 'r'� �a �ti:.:+�A.:" �;t��`.4` � :G • � �� �iitii�E>;.alM 4rti+ � `�! �*i' k1�"r"��1;V 'bind 10"Aig0oa(] a:; u+ r�eci 0044$-M AWS! 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