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066-420-023
i F; 1 Z ALVYN GAITHER PINAL 65 Ishi Drive, Magalia Permit 957-74B,P,E,M (New SF) 66-42=23 1511- OB,P,M STITH, Newt 6759 Ishi•Drive; Magalia (wall furnace/Bills Htg) 066-420-023 O 1-2567 DEP , BERNDT 6759 ISHI DR, GALIA4). CONT: FILER & SO I - REPAIR DECK DUE TO SE ,�41 F1 G X NOTES I RESIDENTIAL PERMITI 066-420-023 01-2567 DE PINEDA, BERNDT - - 16759 ISHI DR, MAGALIA h {� ;CONT: FILER & SON 1 REPAIR DECK DUE TO SEPTIC 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY 6. I RESIDENTIAL PERMITI 066-420-023 01-2567 DE PINEDA, BERNDT - - 16759 ISHI DR, MAGALIA h {� ;CONT: FILER & SON 1 REPAIR DECK DUE TO SEPTIC 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J = OK 0 = Not OK - = Not Applicable MOBILE DOMES = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date k DECKS' OVE ARPORTS GARAGES (Plans) OK except #'s Zo ' equirements-Setbacks-Easements F tings; Soils -Size -Depth -Spacing -Connectors -Steel ' (� ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shlhg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ' 7. E tris Q I R Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG _Date 7. Well Clearance & Disconnect Date 8. Utility Clearance Date FINAL (Plans) OK except #'s 1. Setbacks -Easements Date 2. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Footings; Size -Spacing -Marriage Line Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Gas; MH Test -Demand -Valve -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 5. Drain; MH Test -Fall -Flex Connector Health Department Approval 6. Water; MH Test -Regulator -Connector Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval Light Niche 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy Card B-1 Date Card B-1 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date k DECKS' OVE ARPORTS GARAGES (Plans) OK except #'s Zo ' equirements-Setbacks-Easements F tings; Soils -Size -Depth -Spacing -Connectors -Steel ' (� ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shlhg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ' 7. E tris Q I R Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels _Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining i. 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Z 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable • = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AkOven Circ. / / ga Cu or At Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes 0 No/Walks p Yes 0 No/Planters 0 Yes p No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes 0 No/Walks p Yes 0 No/Planters 0 Yes p No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (Rev, 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovi;le, Califprnia 195965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-2567 PERMIT NO. ASSESSO�P��0.yU,tt1�ER 023• ZONING BUILDING PERMIT OWNER BERNLLDTT DE PINEDA 873°" 524 S0. FT. OCC. BUILDING VALUATION 368 21576.00 OWNER'SUNG DRESS P B X 1596, PARADISE CONTRACTOR'SERS & SON 877-3656 cGNTRACTO 3FnAND4M CT, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6759 ISHI DR, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel IR Utilities ❑ Installation ❑ Other ❑ Describe Work: ---------------------------------- DRrK 211111 j4U' PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licen$G-i i fu force and effect. p� License Clas ` Lic. No. Y 7 Z 7 9 S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 9 the permit is for work of a valuation of one hundred dollars ($100) or less.) J I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply withose provisions. X 1�7Date �(� ��'� O Sig45_tWe of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ures over 3 stories in height. 1 Main Service 200A TO 1000A 46. 00 NEW CONST. DWEWNG OCCUP. SO so OR ADDNS. ( 8 ACC. BLnS. 3.50FT. rNioµAa,DT. MOLT;,, u- @7,50 POWER APPARATUS 8 SINGLE OUfLEi CIR. .00 EX. Occup. OUTLET OR FIXTURES SAL @ I .50 FucED APPuu. OR Ex. Occup. OLrrLETs REs,D, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 109.10 cDF paaC0. pD HD ISSU This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated ov for w ich fees have By PERMIT EXPIRES OND.S.-B.D. applicable provisions to do work been paid. Date a!e T No. 332045 61.25 t CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Oct -02-01 10:06A AIN COUNTY OF BUTTE - DEPARTMENT OF DRELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538.7541 PER NO. ,Rev 12/96) �;.. APPLICATION AND PERMIT Ol ASSESSOR ©2 /1 >roM� BUILDING PERMIT OWNER pQy�ytid[ '� 73 �s-Z SO. OCC. BUILDING VALUATION OWNHI9'M� ( % COMA tO//Lp9 W1UN0 AD01 a SDI 4 A�IN CONSTRUCTION LENOER ,ENDER*S MAILING ADOWN ARMTECT OR ENO,NM ARCMTECr OR ENGINEER! M,UUND ADDRESS SuLDMOADORESS/ n D .OT NO I SUBDN610N11441M NO. USEOFSTRUCTURE SF , ( Duplex O Mobilehome ❑ Other �PEcry TYPE OF WORK New 0 Addition O Remodel Utilities ❑ installation ❑ Other O Describe Work: _ _ _ -/i /r-2 *PERaAIT FEE PA2b SRA . . SHERIFF OTHER AMOUNT RECEIVED Total Valuation $ 1 Rung Fee E Permit Fee __ S Plan Checking Fee _ $ Energy Plan Checking Fee 6 S PERMIT FEE s PLUMBING PERMIT Each Trap Solar or haat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sower i Mobile Home I S ! G • W PERMIT FEE f ELECTRICAL PERMIT Main Service'0O\ oOR IESSR `Ess 705 Main Service 260A TO ,000A NEW CONST. / DWeLLM OCCVP. \ 0.00 ding Fee 20. 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ng Fee 20.00 23.00 _ 49.00 3.5¢FT. @7.50 Ex. Occup. ovnET OR FOrPA13 eAt. .w Ex. Occup. APPu pre 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating CoolIna Mobilo Home Installation�Fee tiEnergy Inspection FeeS occ comr. TYPE TOTAL FEE NA2. 10.I<B I ,Mr I F=D I COI I PARCEL PD 6SUE This permit Is hereby issued under the applicable provisions of the Butts County Code and/or Resolutions to do work Indicated above for which fees have been paid. *R NV -3!20 G By Date * TO 0e Pvr zwo COMPUTER PERMIT EXPIRES ON -^,�(!.. :n� ��wi�llmani^..,r"'--l...S"��.-�vN �Iy�.•�•�wrtr;ri,�is't� �:iiL�i,"-.•�T"'K"*y;fi^7^�.�si�=`r`�C~'Sfic� "��t_ _i -" .� , COUNTY OF BUTTE -DEPARTMENT OF DFVEL��.PMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: - / ASSESSOR PARCEL ER: �(� ` `90 ` 0 p� , Proposed BB ding Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------- I ----------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------- C1 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ufactured Ii6medarstallation instructions including Tie Down Specifications. �04&s of $' ❑ 11. Impact fees asshown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.-------------- ❑ F ood elevation certificate. --------------------------------------------- Sani on and plot plan approval / /Gd Health Department. 5. ity of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- 1117. -- ❑17. Planning approval for (A) Use: (B) Parking: ------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------- ---------- 1119. --------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------- 0:; 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: Wh ou issue the permit process as follows ❑ Mail to owner, ❑Mail to contractor. elephone 4 �fo and hold for pickup at%��CG o • ce. ❑ Deliver with inspector. Applicant Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: (Date) /D /c;>—o ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13phone, 13mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division unter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div' o counter, by Dote: Plans reviewed by: Date: Plans approved by: Date: / Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.N. USE ONLY Plot Plan Attochad Roar Plan Attachad Sant to B.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -44 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. 0th LnA& de -j- .Fk, �i'v�a �,w•.y, Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Spec 8/96 '"� Date -0.9/19/2001 09:44 530-877-4910 FRANK&BARBARA FILER PAGE 02 oil l7 It 15D �iC.igQ d� TLdu, :Environ fnental Health _. SEP 1.9 2001 ..Chico, CA .icy . < 237 r.. l_ 6-7 _ O5 E 00 PkM UIIG DEAR APPROVEM 2-0 A? q10 �o�� !PERMIT N0. 957-74B,P,E,M ; r � P, r E �( M A I ? , JMH UTIL. !PERMIT. NO. PERMIT EXPIRES .OWNER A lvyn Gaither CONTR. owner 1LOCATION (A..P. 57-31-86 ) r. 1 s K 65 Ishi Drive, Magalia #' m, 1 Temp. Power Pole Called PG&E Te21-2-12 mp. Elec. Serv. Called PG&E %— -fp.S Temp. Gas Serv. Called PG&EJOB ` FINALED _ �/ U f� s K 65 Ishi Drive, Magalia #' m, 1 Temp. Power Pole Called PG&E Te21-2-12 mp. Elec. Serv. Called PG&E %— -fp.S Temp. Gas Serv. Called PG&EJOB ` FINALED _ �/ U COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Bond Bea +'- FIRE SPRINKLERS Motors Ar -- Framing bot6 Test Water Htr. r % Stucco Final Sub anels 8� % Mesh MECHANICAL Grd. Fault Prot. r Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground teri,or Lath Ventilation Permanent Door Closer Final Final DATE T �' REMARKS OR CORRECTIONS 3 C — i O/�� L 61O tf p�v L r 0 --6, 1 U j f Cv L' C-/ C 7—G JJ 7� -� 1 1 p v ISO, / b �({ II /� / C h d e X\�`�-r 70 C jI^c� P / b d -f'(7ti 1-u �N ` dN.t/E� f f UitJ G J r ` iA 1 t --t' ��T1 S you 71- 2, 1-2, g/6 C � . L BUILDING BUILDING (Cont'd) i PLUMBING Setback — C Firewall % 5 Soil Piping Forms Parapets 1st Floor Main Bldg.Restroom Finish 2nd Floor Footings W K-- 7 Windows 3rd Floor Stemwall Slab Siding Roof Sheathin To out Water Piping- i inPiers Piers — Roofing4�46 Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings tom— Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing 7 E E TRIC Masonry Walls ThroatC 1 _ Rou h / Reinf. Steel Final 7 °f Fixtures Bond Bea +'- FIRE SPRINKLERS Motors Ar -- Framing bot6 Test Water Htr. r % Stucco Final Sub anels 8� % Mesh MECHANICAL Grd. Fault Prot. r Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground teri,or Lath Ventilation Permanent Door Closer Final Final DATE T �' REMARKS OR CORRECTIONS 3 C — i O/�� L 61O tf p�v L r 0 --6, 1 U j f Cv L' C-/ C 7—G JJ 7� -� 1 1 p v ISO, / b �({ II /� / C h d e X\�`�-r 70 C jI^c� P / b d -f'(7ti 1-u �N ` dN.t/E� f f UitJ G J r ` iA 1 t --t' ��T1 S you 71- 2, 1-2, g/6 C � . L } COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS •' 7 County Center Drive - Oroville, California 95965 0 Tel'epf one: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for ' spection p rposes. /4 Z , X Date Sign re of Permitee or Agent Receipt No.�� — White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.RUBLIC WORKS By Date wilding permit expires Date ..............-. .................... BUILDING bp Owner / QA,)� � SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 13 ` ^ + Tel hone No. Fireplace Contractor iloi, Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Q a O Building Address +PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 0-07 Each Trap 1,50 0• Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.SGas I1 Zoning &Planning piping system 1 - 5 Uutlets. 1.50 Each additional outlet .30 <h**i tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parcel Map P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P41W11 reed Par proval PI s pproval Permit Fee $ d Ci $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Ac 0 Main service incl. 1 meter Additional meters, each 1.00 Sub -pan I- (12 or less(--.rethan Single Family Duplex ❑ Mobil Home ❑ Others ❑ RaAfe, Coo op or Oven 1.00 Water ater or Space Heater1.00 Light fixtures _ , balaIo -� es & fix ets 2 ain /1.00 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: HobT Ex. Fan or F. urn. Moto 1.00 00 Evap. cooler, ga . lisp. or 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ faTf� $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. NA I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 :3 all Heating Vp 7— Cooling Ventila ' n Ho ' 1 1 2.00 0 Permit Fee $ _7 $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for ' spection p rposes. /4 Z , X Date Sign re of Permitee or Agent Receipt No.�� — White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.RUBLIC WORKS By Date wilding permit expires Date ..............-. .................... `rf`:fV.. tiff. �• `: - r�y:x7i° ^ * yii:. k1fGn,F..tvi�.*:fi*Kii ?wi".: .ie :w M r �6-42 23 1 11- 0 ,P,M STIITHNewt 6759_shi Drive, Magal'a (wall furnace/Bills Ht ) �. . 04- '71 �- �i_...�.•�.,.:i�f.�,yi-��.itF,-/�;Ji..�'%a�!i.�•-r..y''�1"i,' y,t.. .. .. `� --COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1511-90 ' APPLICATION,AND PERMIT }` ASSESSOR PARCEL NUMBER 66-42.- 3 ZONING R _ BUILDING PERMIT OWNER S Newt Stith TELEPHONE SQ.FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6759 Ishi Drive Ma glia 95954 CONTRACTOR'S NAME Bills Heat & A TELEPHONE 872'-1 72 ) 500 IN CONTRACTOR'S MA I LI' G ADDRESS816-5 Skyway, Paradise. CA 95969 i Fireplace CONSTRUCTIO L DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6759 Ishi Drive. M Permit fee $ 20.00 PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTj yJ O. G4 e SUBDI�V S� an NA Meadows Sub 02 j d PAROL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY r Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 Mobile Home JSFG W 10.00e TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E] Other ❑ Describe work: -01 furnace Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' 11001 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS:LLCENSE LAW ,,}, ' I declare under penalty of perjury (check one)'; �. I am licensed under provisions'of 'Chapt. 9, .Div. 3 of thea Business and Professions Code and my. license is in full force and effect. -? License No. 3 40 .73 Classification C,- 2 QI ❑ I, as the -owner, or my employees with wages as ;their sole compen- satiori'will do the work,and the structure is not intendedor 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 OGCUP.& OR ADDNS. ACC. BLDGS. t 2h¢Sgft NEW CONST RL ULT' -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS .&) OUTLET cIR. Ex. OCCU OUTLETS OR FIXTURES p� 200500 BAL@30 \\ EX. OCCUp. OUTLETS FiXED PRESID )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 ® 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 riot 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 35,000 6.00 Cooling Hood 3.00 Ventilation permit Fee $ 16.0 Contractor I certify that I have read this apolication 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 Bgtte against all liabilities, judgments, costs, and expenses which may in any way accrue aga st said County in consequence of the granting of this permit. XDate s^ �` Signature of Applicant — Owner ❑ Contractor N Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition.or construct- ion of structures over 3 stories in height. j Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 51 00 • TOTAL FEE HAz CUA PARK SCHL FL D PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREC R OF PUBLIC By PERF XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date .� Receipt No.66 ID '7 f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 L 7 County.Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER MIT 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. f c 6, d -e A� fit f� I � N DateInspect /91 _ sq? s- Pt 1SRI - J IN1N3al HCdK 33N30IS3df MA OJIHJ'3AId0 6£bi S/Zi 'l c$s 3JN30IS3d M3N 03IH3 34I60 N1N3d1 S£bT Sal 'w $s 33N30IS3d M3N OJIHJ '3AId0 N1N3dl IEOI S/Zi '01E'Z9 * 3JN30I53d HN OTH3, `3AI60_.N1N3d1,LZbi� 8Z/I1 'OOS'6T 13001-13d 311IA0d0 `0d 13SAA T181 RAI 'SOZ'Z8 33N30IS3d M3N OJIHJ `13 A311NA 3NO1S I61P 6Z/11 '88L`£6 33N30IS38 M3N OJIHJ '3Ndl HJNHd NHO 18Z£i 0£/11. 'SOZ78 33N30IS3d M3N 031NJ 'Qd OHJNHd 607, 6Z/6 '998`19 3JN30IS3d MA 311IAO O 'M-IH WNW 3llIA0d0 w9£ i/ZI '09£`£ 398dH9 31IIAOd0 '3.% SHWilld i£61 S/Zl S90`Wl— 33N30IS3d M3N OJIHJ '(PJ 13SSHHOJ £S99 SRI '96z`OZZ— 3JN30IS3S M3N OJIHJ `13 N1fNJ i£ 0£/11 W6`I8 33N30IS3d M3N UlIU9dW '30 AMOGOOM £9Z9 8Z/ii -------- NOI1NllH1SNI HW 3TIIAOd0 '06 31100NUAM d3MOl S699 0£/I1 *%Vol NOIlI00N OJIHJ '3Ad 113M0I8 9581 W1 ------ NOI1HlldlSNI HW MOJNOJ `dH9 0GM 'Od '1W AGNH S61ZI I/Zl 'Zgz`011 33N30IS3d M3N OJIHJ `d33331 SWb IT/Z1 '89Z`6L 3JN30I53d M31 '3Atd0 00M330 00_- --------311IAOd0 31H0— Wliu IlHA-- 3dh1 '1SNOJ NOI1HJOl 'SSI COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1511-90 A�PLICATIQId AND PERMIT i ASSESSOR PARCEL NUMBER _23 ZONING RT -1 BUILDING PERMIT OWNER Newt Stith TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 67 h' v M l CONTRACTOR'SNAM E O2-1 TELEPHONE 500 CONTRACTOR'S MAILI G ADDRESS 8169 Fireplace CONSTRUC TIO L ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6759 Ishii Drive, Magalia Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 1_0 t 0. CCf} SUBDLVIS QN NA Eeadows JLtU #2 lnQJan Sub PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ER Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition❑ Remodel[] Utilities❑ Installation❑ Other E] Describe work:��� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 r 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. g V� %� Classification C_—o0 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR AODNS. ( ACC. BLDGS. I , /Z0sgft TLET NEW RESID, RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 61 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q e ALO 30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 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 FiIingFee 10.00 Heating 35,000 6.00 Cooling g Hood 3.00 Ventilation Permit Fee $ 16.0 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 aga st s�aidnnCounty in consequence of the granting of this permit. X t saidY Date s_ t � — 1 Signature of Applicant — Owner F1 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 51.00 TOTAL FEE $ HAz I CLIA [PARK I SCHL I FLD I PAR PD Ho IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREC R OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ��� Receipt No. 6 10 / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. �/ 1- a/, APPLICAlriON AND -PERMIT ASSESSOR PARCEL `NUMBER _^ f+ ZO 1�/ 1 BUILDING PERMIT OWNER ,n TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRESS G 7S h < a 5; r CONTRACTOR'S NAME { A o7 E rs � jHOrJ'LE CONTRACTOR'S MAILING ADDRESSL• G.S_— _..S'4 u 9pS` 6 Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /v —0—C-1— � ARCHITECT OR ENGINEER ARCHITECT LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S—MAILING ADDRESS Penalty $ BUILDING ADDRESS 67 S—S k. Permit fee $ 2 O� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 f Solar or heat pump water heater 20.00 LOT NO. 11) W SUBDIVISION NAME tC� k� Z OJRCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 � ,( USE OF STRUCTURE SF QfJ Duplex❑ Mobilehome❑ Other 7� SPECIFY Gas piping system 1 - 5 outlets 5.00 S �� Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition F1 Remodel[] Utilities❑ Installation❑ Other Describe work: 1A F —C,,^ nuc Permit Fee $ ls' -- 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 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.Ik) OR AODNS. t ACC. BLDGS. yZ¢Sgtt NE w CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.SOea / POWER APPARATUS 6 (SINGLE OUTLET CIR. / / Ex. Occup(OUTLETS OR FIXTURES 20®506 eAL°3o FIXED PR Ex. Occup. OUTLETS 'RESID 1EA.) 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 S Cooling Hood 3.00 Ventilation permit Fee $ 16 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 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 TYPE00 _ TOTAL FEE $ .I HAz CLIAPARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions or 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. 6 (, roc -7, VI41TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT�APPLICATION DATA SHEET Permit No. OWNER S '� N A. P. No'616, 1—/2- 2 Proposed Building Use S Building Inspector n1 D Date / 0 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"'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 ......... 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 .................................................... 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 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .... 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. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone2i2 - /92 Z and hold for pickup at I?Q r office. Deliver w/inspector. Other Applicant t Date 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 Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW 023 /nov cf�r4-1r s bTTE- Col-qTv DEBAR` A:�RO D -=77,7777, VI W�l I �, 1, 1 , i� , ll,�, I� ii l''; I. 'I, It Ill I J,;, It I I I,-, ", ', I I � I� I I l I ;'! , ''�] "I � I'll ill II, Ili, j. 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