HomeMy WebLinkAbout066-470-00866-4
SCOTT SH
F S K
Y
13802 B e
r Ln., Magali
(ho 1ng Comp)
66-47-08 3037-90
CLOYD., Randolph
13804 Glover.Ln, MagaliVa
(utilities /MH) -
rELEC—'-
GAS
COMPACTIOR TEST REQ
'SUPPORT'
�'STRUCT� REQ `.n.
';66-417-4 4-
,-3185-9,dB
'W-CLOYD, .Randy-
-,43W4 Glover Lane,'Magali c. %yid
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molish/SF)`-�
66-47-08
Permit#361
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(installation -/MH)
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. RESIDENTIAL.
X66-47-08 3037-90P,E
CLOYD, Randolph
13804 Glover Ln, Magalia
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(utilities,/MH)
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OFFICE COPY
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Address
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Date LI Meer BY
Meerr BY - -- -- ..
JOB FINALED (Date)
Signature
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT NO.,� n
Address or location of mobi lehome 3 gn t4/(o o V Fe LA)
Owner/h
's names �AJI)9�l �d CJ 0 y
Owner's address r�
r, Insignia or hud number t/ 9 U ��
Manufacturer's name G Z-
s r I.NQO
Serial numbeVf ']
Year of manufacture
f _ CM :5
(Official Approving Installation) (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.
F
jh&313
COUNTY OF BUTTE <y
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-'2751
7 County Center Drive, Oroville — Phone: S38-7541
4 747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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.
A��%� n le ed /!a Hone- ,I�o.- �� ���
CD (V1.m 6,'(
11%/i,:1 ; O
Date//—?- -Yj7q - Inspectors ' U/
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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
C L O Yd
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when c rrection of work is completed. If you have any question pertaining to this
matt or need additional explanation, please contact this office immediately.
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Date �� �� Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi I le - Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
r
/,-/ C�
Date // Inspector ,i' `�-
c+ aca r -r^' u" -r-- S•r r ,nr. -r-.- w. _,•..�-r c of
COUNTY OF BUTTE
a -r r r r• DEPARTMENT OF PUBLIC WORKS r1' _
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott.Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
3jidc e T a LIN IRe
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NOLp S rAu ✓
-�i s Q c ��� F �P � � •
Date I I' IL� I� Inspector
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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
/1", /-() y/ a 630 37-1761
OWER I— PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and shoulld'��corrected. Please notify this office
when correction of work is, ompleted. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
.1 i11 ,. .-- — `S, I
Date / ! - 3 — /� V I
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
CLO�Q�3�CD
-
OWNER : -PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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S�G U4 C FLS
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d-hP�� �o
/Date �/ R�' %' Inspector
O = Not OK ` 1:
= Not Applicable
Not Ready MOBILE HOMES
' =
Date M BILE HOME UTILITIES Plans OK exce t #'s
1. zoning Requirements -Setbacks -Easements )
����Soils; Special MH Support Sketch j
� 3. ,Sewer; Location -Test -Fall -C/O Concrete
ter; Location -Test -Easement Needed (Sketch) �.
ectricity; Location -Clearences-Gkd4ZfAmp-Concrate i
6. Gas; Location-Test-Wra / /" L" ft.
/ /"Nat. 0 __ L" t44LPG
Utility Clearance
Date I yr Card B-1 Date // - ry Cyd B-1 e
J
Date • C - T. Card B-1 Date Card B-1
Date MOBILE HOWE INSTALLATION Plans O exce t #'s
1 g Requirements -Setbacks E ments
Ings; Size -Spacing- rr' Lin
Gas; MH Test- Demand-Va v — onnector
Ys4Bater and Sewer Connected -C/O to va
nits; Insp.-Sketch
Cert. of Occupancy
Date Card B- Date 1. i O" Card B-1 S'
Da Card B-1 Date Card B-1
MISCELLANEOUS.
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
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
Date
Card B-1 - Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining _
4. Elec.; Receptacles and Lighting, Distances-GFI
i
5. Elec.; Pool Lighting; 15 volts-GFI
j`
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
'
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
.i
iDate
Card B-1 Date Card B-1
,Date
Card B-1 Date Card B-1
1
t
J=OK
O = Not OK
'
- = Not Applicable
RESIDENTIAL (Single
& Duplex)
= Not Ready
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.-/ /" Ftg. Depth
46. Cing. Joist-Rftr, ties -Pu rlin -roof Bra c-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-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Bloc kouts-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 3' -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/O -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 -
20. Test Tub & Shower, Second Floor -Tub Access
In Garage; Above Floor-Ducts-Mech. Protection
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.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
In Garage; Above Floor-Mech. Protection
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI.
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulated Neutral ❑ Yes ❑ No
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
32. Clothes Closet Light -Shower Light -Spa Light
Clearance Looked under Floor ❑ Yes
33. Smoke Detector
80. Following instld.; Drive ❑ Yes 0 No; Walks 0 Yes 0 No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Date
MECHANICAL (Permit) OK except #'s
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 B-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
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - IJEPARTMENT OF PUBLIC WORKS PERMI NO
7 County Center Drivel- Oroville, California 95965 - Telephone: 916/538-7541
-- ,APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
6�-47-08
ZONING
BUILDING PERMIT
OWNER
Randy Cloyd
TELEPHONE
877-5798
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS '
13802 Glover Lane, Ma alfa
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 15.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
13804 Glover Lane Ma glia
Permit fee $ 25.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water.piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeg� 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 �y�'
New ❑ Addition ElRemodel ❑ Utilities ❑ Instal lation,�i, Other ❑
Describe work: 20 x 48 (MHU Permit #3037-90)
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
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.&
OR ACDNS. ACC. BLDGS. 2/z¢sgft
NEW CONSTRESID. RANCH TLET
NON•R ESID BRANCH CIRC ITS 2.50 ea
CIRCUITS)
POWER APPARATUS .&)
SINGLE OUTLET CIR.
/
Ex. Occu zo ®s0a
p\OUTLETS OR FIXTURES eALO 30
Ex. Occup. OUTLETS PIRESID .)R EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
g
Hood 3.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X e �� Date �G//d/9�
'9'
Signature of Wpplicant — OwnerlY 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 $ 45.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 70.00
E
HAZ
CUA
PARK
SCIS
v/
PA
PD
HD Issu
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date1//1-1�-f'o
P IT EXPIRES Date
Receipt No. 74083 $70.00
WHITE-D.P.W.. YELLOW-ASS[SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT.OF fPUBLIC WORKS - BUILDING DIVISION .
.._," .
7 COUNTY CENTER�DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
h,
P MIT APPLICATION DATA SHEET
>; r Permit No.
OWNER /� " x' A. P. No. "W— i '7
Proposed Building Use Xf . X ., Building Inspector C 27 Date l0
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. 41 L -C-
27.
When you issue the permit, process as follows: —Mail toowner. Mail to contractor.
_� Telephoned K 0pp4
and hold for pickup at _ office. Deliver w./inspector.
Other
Applicant.Date_
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma I ounter by date
Plans checked by Date Plans approved by ate q pa
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER /'
p vBUILDING
ZONING
PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAI-LINGOA ESS
V
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation $
•
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 0 (//
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
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.i
.[SUBDI VISION NAME :
PARCEL MAP
Water piping - -
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF❑ Duplex[] Mobilehok&Z Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I IS 1wT
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation�—Other ❑
Describe work:.- 20 u t•/9' Alt4p �: 3 pz 7 90>
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;00V OR AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Cha t. 9, Div. 3 of the Business
p
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST, DWELLING OCCUP.8j`
OR AOONS. ( ACC. SLOGS. f
, /:¢sgft
NEW CONSTR. ULT I -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
( POWER APPARATUS 61
SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
5ALG 30ALO 30
FIXED APP LNS. OR
Ex. Occup. OUTLETS IRESIO.) EA.)
2,00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner F1 Contractor El - Agent El
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 $ P p
Energy Inspection Fee $
occ
CONSTTYPE
FEE $
7AZCUASCHL
hL�TAL
FLD
I PAR
PD
Ho
IssuE
This permit is hereby issued under
sions or the Butte Count 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. `- 7�; oiJ
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPECTOR..,GOLDEN ROD -APPLICANT
MOBILEHOME SUPPORT DATA'
If other than -single
iHobilehome Mfr. " Ce 0. � �I'� S furnish Setup
wide,
Model No.
q
Year 0
Width v
(ft.) Box Length -[ (f t. Tagalong
or Expando Size
ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) F�1. Wood -pressure treated•or foundation'grade.❑ 2. Other (specify)
SUPPORTS (check one) ❑1. Concrete block. ❑ 2. Other (specify)
Pier Footing Sizes and.Locations
SINGLE -WIDE MULTI -WIDE
Main Beams
int 2
line I
— — — — — -Main Beams — — — —
� LineLine 2
Line 1
� _Lin e
Tag or Triple
Linp 4
Line 1
Line 1 Piers: Line 1 OpeniMs:
Size -Min. „ Size -Min- ------------------
Spacing-Max -
-----------------Spacing-Max. --------- ,_ Each Side of Openings
From Ends -Max. ------- ' " With Width Over -------
Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only)
Size -Min. ------------ / „x D Size -Min.------------------
V x
Spacing -Max.--------- ST_ Spacing -Max- ---------------
From Ends -Max.------- '- O " ^ From Ends -Maxx.------------- _ 17„
Line 3 Roof Loads: ► me r t o f ` a 1 ` I� �{ n 1 s.
Size -Min.---- ---- /
"x "x 'k "x "x
Location (From Front)
Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only)
Size -Min .------------ Size -Min.------------------
'k "x
Spacing -Max.--------- Spacing -Max ---------------- „
From Ends -Max.------- �_ From Ends -Max ---------
Line
-- -Line 5 Roof Loads:
Size -Min.------------
"x "x "x "x "x "x "x "x
Location (From Front) _ _ _
"I
71
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: 17 C Wd (OEC/
2. Installer's Name: Ta wi e -,S w 00d
3. Is the site currently under permit?
(If yes, furnish permit number
Is the site an existing site?
(If yes, furnish two plot plans.)
Yes No 1-11
) OR
Yes No
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 No Fi
(If no, clarify _
5.
What
is
the
mobilehome electrical rating? ---------------
700
Amps
6.
What
is
the
mobilehome site service
rating? -------------
'ZOO
Amps
7.
What
is
the
mobilehome site circuit
breaker rating?
----- Z b o
Amps
8.
Is there
any
other electric load to
be served by the
mobilehome
site service? --------------------------------
Yes
L/
No
(If
yes,
identify the load and
size:
(Load)
(Amps)
9.
What
is
the
mobilehome site gas pipe
size_? --------------
(in.}�
f
10.
What
is
the
type of gas service? -------------------
Natural
LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- Z�(ft.)
12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
SU`fTE 'COUNTY
SUIL.DING DEPARTMENt
APPROVED
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
{l 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
�,. APPLIOTION'AND PERMIT
PERMIT NO.
3037-90---)
ASSfESFOR PARCEL NUMBER I
ZONING
ARMH
BUILDING PERMI
OWNER
TELEPHONE
87?.. -,5138
S0. FT. DCC. BUILDIN VA ATION
OWNER'S MFAILIN& ADOR SS
P-0. Box 980
CONTRACTOR'S NAME
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
A$ $15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 11804 Gloypr Ln.
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Magalia
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeEN Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home j
10.00e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities Installation❑ Other[]
Describe work: 3 bdrm. _
Permit Fee
$ 40-00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 10,00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
nd 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.&
OR ADDNS. (ACC. BLDGS.
, /x¢sgft
NEW CONST R. RANCH TLET
NON•R ESID BRANCH CIRC ITS
CIRCUITS)
2,50 ea
/POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
ezAL0AL03030
FIXED PR
Ex. Occup. OUTLETS IRESID,IEAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. tVirin 9
15.00
Permit Fee
$ 35.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith'comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
perrnit 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.
�r z �_ �d
%� C�a.,t Date
Signature of Applicant — Owner r Contr for ❑ 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 $ 90.00
HAz
I
I CUA
PARK
s L
FLD
I PAR
PD
I HD ISsu
t
This permit is hereby issued under
sions of the Butte County Code and/or
work indicatedabove for which fees
IR ToOF PUBLIC
0
By """
PERMIT EXPIRE Date_ lD—
the applicable provi-
resolutions to do
have been paid.
WORKS
Date 14—
=
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
'-v�-Y-'iY"P��'lYiG1�"`'y�"f'4'Kt�"}`M.,:.J,�+'�� :.`.`'';`S1 . �.�.r��..�'�1�"l'n"�+:IIt, �'•,.. .�`•��-}[":t-"I'*��. r�i+.✓'1�r
COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
A+
7 COUNTY CENTER DRIVE - ORO ��II"LE��CAI; FORNIA 95965 - TELEPHONE: 916/538-7541
-PERMIT ION DATA SHEET
1 Permit No
OWNER LD �l 1� A. P. -No.
Proposed Building Use Building Inspector
At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance:
t 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 .........
3. 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 -Ins ection for re wired Pre-Inspec. request to -
p q Building Inspector Date)
21: Contractor's license information' (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance .................•.
3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
O !. Recorded copy of Agricultural Acknowledgment Statement . ,1 a
Le er of signature authorization ...................
�� When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_ Telephone and hold for pickup at 21eoffice. Deliver w.
/inspector.
Other
Applicant Date fL' 2�/ - 1d
Copy of Haz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date
Copy of plans sent _Health Dept. -Fye Dept. Other Date By—,;..—
The
y ,..
The following data must be submitted pri
1. Index permit for -above items No.
2. Additional items required:
nce: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by4L-phone_-nail counter by 4"v" ..date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
TO Building Department
R
FROM: Envirohwun'tal Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply \
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE * * *
Sani ar n Date
COUNTY OF BUTTE - D;EPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller Callfolnla 95965 - Telephone: 916/538-7541.
APPLICATION AND PERMIT -
PERMIT NO.
ASSESSOR P�RCEt /78 R
/ -0- 00
ZONING
1417 —KA ►�
BUILDING PERMIT
OWNER
e - (W'977-5738
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AD ESS
Imo• 0
CONTRACTORS NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
___
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ ID -60
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ Q,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FIIIng 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
USEO STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duplex❑ Mobilehome Other
Building sewer
5.00
SPEcIFr
Mobile Home
IO.00e
TYPE OF WORK
New❑ Addition❑,,Remodel❑ Utililies[6 Installation❑ Other EJ
PermitFee
41-
$
Describe work: I A
Contractor
ELECTRICAL PERMIT
FiIIng Fee 10.00
Mair) service 10000 AMP LESS
10.0010--
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.&
DR ADDNS. ACC.
,
2/:2sgII
I declare under penalty of perjury (check one):
SLOGS.
❑ I am licensed under provisions of Chapt. 9. Div. 3 of the Business
R E W Z� Tf.4UL TLOUT LET
tJON.RE510 BRANCH CIRC ITS
2.50 ea
and Professions Code and my license is In lull force and effect.
�POWER APPARATLI$ e�
SINGLE OUTLET CIR.
License No. Classification
Ex. OCCU OUTLETS OR FIXTURES
p
20RSne
BALI 3o
❑ 1, as the owner, or my employees with wa9es as their Sole compen-
FI%FD APP LHS. OR
Ex. Occup. OUTLETS IRESI00 EA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting wi,�i licensed contract-
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FIIIngFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
❑ I shall not employ any person in any mariner so as to become subject
Hood
3,00
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
Ventilation
—
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee $
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read tills application and state that the above information
Mobile Home Installation Fee $
Is correct. I agree to comply to all County Ordinances and Stale Laws relating
Energy Inspection Fee $
to building construction, and hereby authorize representatives of the CDunty0l
DCcCoNSTTTPE
Butte to enter upon the above-mentioned property for Inspection purposes.
I also agree to save, Indemnity and keep harmless the County of Butte against
TOTAL FEE $
all liabilities, judgments, costs, and expenses which may in any way accrue
HAz cuA PAnK SCHL FLO
PAR PD IAD ISSUE
against said County In consequence of the granting of this permit.
.0e? .01-
X G C _ Date
Signature of Applie nt — Owner V Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion bf structures over 3 stories in height.
I n:s permit Is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
Receipt No. ri �� / I By
DIRECTOR OF PUBLIC WORKS
Date
COUNTY OF BUTTE -'Department of Public Works_
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I'(have/have not)�C', o signed an application for a building permit
For the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coorddnate, supervise, and provide the major work:
Name {
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons.to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A. P. Number -41740-00 Building Department No.
School District �/Jq/aQd City -County ®' Jurisdiction
Property Owner �,, a
Project Location/Address a 7 �,P Je _ / 1A
Subdivision Lot Number
Residential Development:.
a F71 Sq. Footage,
# of Living MHI Addition (Group R)
Units_.
Commercial/Industrial: 1 Sq. Footage
New Addition (Including'Exterior
Roofed Areas)
?V
Building Department Representative Date
" (Floor Plans reviewed by School DistrLct Personnel)
District Id No'. 96
�.. School Districts certifies that
(Applic nt Name),V,� "�E i (Phone Number)
06 4 F
(/treet Addre'ss)
•( City) f ( State)- f ( Zip Code)
has complied with the requirements of Resolution No.
by the payment of $-� representing square feet.
Sc-Vool District Representative/Dat'elf
PAID BY CHECK NO.. REMARKS:'
EMARKS:
BANK NO �— /If Q k � / Q
PAID BY CASH
� y
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
MAGALIA COUNTY WATER DISTRICT
P. O. Box 22 - Skyway and Indian Drive
Magalia, California 95954
916 877-7624
MAGALIA COUNTY WATER DISTRICT
P. O. Box 22 - Skyway and Indian Drive
Magalia, California 95954
916 877-7624
c,
MAGALIA COUNTY WATER DISTRICT
P. 0. Box 22 - Skyway and Indian Drive
Magalia, California 95954
916 877-7624
• L�� tet` cL�.� Lf �.'�Q-'C.a�. ��.cy-� �
iia set of plains and specifications A4W has
• kept on the job at all times and it is unlawfur*
ataike any changes or alterations on sante w.
out written permission from the Departmentov
Public Works, Cru tv of 8tme.
NtG%rJ is A Wo
Amw4mKe with R �. aaw " 8e S
of a 11900Y prescribedd fo � $�ifred
Uailortn. ffie
Bu�diag. Plumbing use in
_ i 0 Noti�tol E6ctriccil 8r �°j Codes atm .
cL(V �` A P.y t�15 it, ttotttt d , '
r
ft. sty m to �
so� � q
sttat► be cho -
57
LAT OF
PAD
• for. SCOTT
-BEING A PORTION OF -LOT, 15 OF THE A
- - -`' IN THE N.W.114 OF SECTION 31 T.23'
MAGALIA,BUTTE.
D EC cif B c
Ir
rat jj
Z, IS
1.4
Z, IS
File No.
(BUTTE COUNTY (For Action 1, 2, 3,
Public Works Dept. (For Information V )
Director
Dep. Dir
$ec.
Rd. & Br. Mtce.
Shop & Yards
I Bldg. Insp. Admin. I-- I
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /5.1.
Sub. & Pcl. Maps
Permits
Addr
C
:kyr`'
Pacific Gas and Electric Co.
202 Pearson Rd.
Paradise, CA 95969
ATT: Jim Jenkins
Gentlemen:
uH ®un
-_ fy
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
January 28, 1986
RE: Substandard Housing
AP #66-47-01
RONALD D. McELROY
Deputy Director
The residential building located at 13802 B Grover Lane in Magalia has been in-
spected and been declared substandard pursuant to the provisions of the Calif-
ornia Health and Safety Code. The owner, Scott Shafsky, has been notified to
rehabilitate or demolish the structure.
Due to the unsafe conditions found and since the building is presently vacant,
this office hereby requests that you disconnect the gas and electric services
at the earliest possible time.
Your timely cooperation concerning this request would be appreciated.
Should you have any questions concerning this matter, please contact this office.
JFG:aam
cc: Health Department
Yours very truly,
William Cheff
Director of Public Works
C9osginal signed by
I F Glander
J.F. Glander
Chief Building Inspector
Inter -Departmental aMemorandum
TO:
FROM/: S'y(y�f1/C C ►(II [.Tw[
SUBJECT:qkPs� 1 12 Gi�i [!Ty /SCOYI iGP — I3LYQ Za � /� C�,(
G l / �VP�2 date �12� rSP
DAITE:—�Q-,Q�
FleaSe Ivv vvu&A dt s eowxer� �l43
above its i1eu . u�yL ; SC - s r 8
1 JVAV, x� \04S 0344 i3 va «(A+,
�Y ot�
r
RE:, Housing Complaint - 13802B Glover bane, Paradise, CA / AP// 66-47-001
Dear Mr. and Mrs. Shafsky:
This department received a complaint alleging health and/or safety hazards in
the above listed rental unit. The Butte County Assessor's records indicate,you
are the owners of the property.
-On January 24, 1986, I visited the property, •and the tenant.in cabin B permitted
me to make an inspection of their rental. The following conditions were noted
which are in violation of the,California Administrative -Code., Title 25, Chapter 1,
Subchapter 1, Section 32, and 34; and the California Health and Safety Code,
Section 17920.3 (a)(6)(11)(13) -,'(b)(1)(2)(3)(6)(8), (d), (f), (8)(2)(3)(4), (h),
and (k); and which pose health or safety hazards to the tenants, and/or render the
building substandard.
1. Wood stove is an improper installation without a hearth, improper flue and
separation from combustibles.
-r
2. Front porch stairs are unsafe; railings inadequate on stairs and porch.
Porch supports are badly deteriorated.
3. Rear kitchen and storeroom walls are not weathertight and lack -proper
framing and supports.
4. Fireplace has pulled away from living room wall and is not weathertight.,
5. Bathroom floor rotted out near bathtub..
'6. Wall receptacles lack covers in the living room, kitchen and bedroom. Wiring
is unprotected in bathroom and kitchen. Bathroom light is operated with pull
chain. Kitchen ceiling light fixture is inoperative.
7.' Electric breaker box lacks cover and is not weathertight.
r/
n
t
n
LAND
OF NATURAL W EALTH AND
BEAUTY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address O 196 Memorial Way
X17 County Center Drive ❑ 747 Elliott Road
Reply to Chico, California 95926
Oroville, California 95965 Paradise, California 95969
Telephone: 916/891-2727
Telephone: 916/534-4281 Telephone: 916/872-2961,
Ext. 58
January 27,'1986 -'
i..
Certified Mail - Return Receipt Requested
''. (12 •'---
Scott R. and/or Susan C. Shafsky, JT -,
"Lane
6743 Chapman
'Paradise, CA
95969
r
RE:, Housing Complaint - 13802B Glover bane, Paradise, CA / AP// 66-47-001
Dear Mr. and Mrs. Shafsky:
This department received a complaint alleging health and/or safety hazards in
the above listed rental unit. The Butte County Assessor's records indicate,you
are the owners of the property.
-On January 24, 1986, I visited the property, •and the tenant.in cabin B permitted
me to make an inspection of their rental. The following conditions were noted
which are in violation of the,California Administrative -Code., Title 25, Chapter 1,
Subchapter 1, Section 32, and 34; and the California Health and Safety Code,
Section 17920.3 (a)(6)(11)(13) -,'(b)(1)(2)(3)(6)(8), (d), (f), (8)(2)(3)(4), (h),
and (k); and which pose health or safety hazards to the tenants, and/or render the
building substandard.
1. Wood stove is an improper installation without a hearth, improper flue and
separation from combustibles.
-r
2. Front porch stairs are unsafe; railings inadequate on stairs and porch.
Porch supports are badly deteriorated.
3. Rear kitchen and storeroom walls are not weathertight and lack -proper
framing and supports.
4. Fireplace has pulled away from living room wall and is not weathertight.,
5. Bathroom floor rotted out near bathtub..
'6. Wall receptacles lack covers in the living room, kitchen and bedroom. Wiring
is unprotected in bathroom and kitchen. Bathroom light is operated with pull
chain. Kitchen ceiling light fixture is inoperative.
7.' Electric breaker box lacks cover and is not weathertight.
' Scott R. and/or Susan C. Shafsky, JT
"January 27, 1986
Page 2
8. Water heater is installed too close to combustibles, flue is unsafe and'a
fire hazard, there is no temperature -pressure relief valve or discharge line.
9. Roof leaks over living room, kitchen and bedroom.
10. Roof skylights are not tempered, laminated or wireglass.
These conditions shall be corrected as follows, and within THIRTY (30) DAYS from
receipt of this notice. Obtain all required permits.from the Butte County Depart-
ment of Public Works, 747 Elliott Drive, Paradise, CA prior to making repairs. If
the dwelling is vacated,.it shall remain vacant until all repairs are made and
approved by the Departments of Public Works.and Public Health.
1. Provide a proper installation for the wood stove with a proper hearth, approved
flue, and separation from combustibles
2. Reconstruct front porch, stairs, and railings. Provide proper height for
railings, and flooring, treads and supports for stairs and porch.
3. Make all exterior walls weathertight. Replace or repair cracked deteriorated
walls in kitchen and storeroom replacing all damaged and rotted materials.
4. Anchor fireplace to building, seal openings around fireplace so it is weather-
tight.
5. Repair or replace bathroom floor, replacing all rotted and deteriorated floor
coverings, girders, posts and supports.
6. Provide covers on all receptacles throughout the house. Protect all exposed
wiring in bathroom and kitchen. Provide safe switch for bathroom light fixture,
eliminate pull chain. Replace inoperative ceiling light fixture;in kitchen.
7. Provide proper cover on breaker box. Make box weathertight.
8. Provide a proper installation for the water heater, with separation from com-
bustibles, proper flue, anda temperature -pressure relief valve and discharge
line.
9. Repair or replace leaking roof over living room, kitchen and bedroom, eliminate
all leaks.
10. Replace ordinary window glass in roof skylights with tempered, laminated or
wired glass°
A reinspection will be made. Failure to comply with this notice will result in
the Franchise Tax Board being advised of your noncompliance, You will then be pre-
vented from claiming state tax deductions for taxes, depreciation, amortization, or
interest expenses connected with the property as long as it remains substandard.
This notice.is given to you pursuant to Sections 17299 and 24436.5 of the California
Revenue and Taxation Code.
`J Scott R. and/or' -Susan -C. Shafsky, JT
'�anuary 27, 1986
Page 3
Please note, this action will be institued shortly on 13802A Glover Lane for
failure to comply with my notice dated.May 14, 1985. During my visit on January
24,.1986, I determined that required repairs had not been completed and the dwelling
has been reoccupied by a new tenant.
If you have any questions concerning this notice please contact me at the above
listed address or telephone number.
Sincerely,
Howard J. Snyder Jr., R.S.
Division of Environmental Health
HJS/mlf /
cc. Public Works - Jim Glander ✓/
bullrz CUU1V`l'Y
DEPARTMENT OF PUBLIC HEALTH
Division of Environmental Health
7 County Center Drive
Oroville, CA 95965
(916) 538-7281
May 17, 1988
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Scott R. and/or Susan C. Shafsky, JT
6743 Chapman Lane
Paradise, CA 95969
RE: Occupanc ot__13,8 A & B, Glover. Lane, Paradise, CA/AP# 066-47-001
and A 66-47-008
Dear Mr. and Mrs. Shafsky:
This department has been advised that persons are occupying the
condemned dwelling at 12802B Glover Lane, and the dwelling at 13802A
Glover Lane is currently occupied, but repairs listed in my letter of
May 14, 1985, have not been completed, nor inspected by the Butte
County Department of Public Works. Permits for repairs at 13802A
Glover Land, have now expired.
Occupancy of the condemned building is a violation of the California
Health and Safety Code, Section 17920.3 (a) thru (m), and the
California Administrative Code, Title 25, Chapter 1, Subchapter 1,
Sections 32, 34 (a) and 54. These same sections would also be
applicable to 13802A Glover Lane due to your failure to complete
required repairs and obtain required inspections.
I visited the property on April 12 and 26, 1988, and observed evidence
that persons have been on the property and in the building at 13802B
Glover Lane, the dwelling at 13802A was also occupied.
The complaint allecres that occupants of 13802B Glover Lane use candles
or lamps for lighting and the unsafe fireplace for heat.
This letter is an official notice to vacate both buildings at once.
Do not allow occupancy of either structure until all repairs are
completed as listed in the attached letters dated May 14, 1985, and
January 26, 1986. Failure to do so will result in either a citation
to appear in court being issued by this office, or a -request being
filed with the County District Attorney for appropriate legal action
to resolve this matter.
Sincerely,
14ward J.4nyd Jr., S.
Supervising Sanitarian
Division of Environmental Health
HJS/kf
Attachments
cc: Public Works - Jim Glander
of. .
Z
May 14, 1985
Scott E. end/or Susan C. Shafsky, JT
6743 Chapman Lane
Paradise, CA 95969
RE: Housina Complaint - 13802AGlover Lane, Paradise. CA/APO 66-47-001.
Dear Mr.and Mrs. ShafSkyt
This department received a complaint alleging health and/or safety
hazard, in the above listed rental unit. The Butte County Assessor's
records indicate you are the owners of the property.
On May 6, 19859 I visited the property, and the tenants permitted
me to make an inspection of the dwelling. The following conditions
were observed which are in violation of the California Administrative
Code, Title 25, Chapter 1, Subchapter 1, Section 32, and the
California Health and Safety Code, Section 17920.3 (a)(1), (d), (e),
(f) and (g) and which pose health and/or safety hazards to the
tenants.
1. Bathroom lacks a lavatory sink.
2. Living room wall receptacle wired with an extension cord
and is inoperative. Electric wiring unprotected on side of house
near electric meter. Rear porch has unprotected wiring. Ground
appears inadequate. Tenants report shocks from wall receptacle
behind refrigerator. Mall receptacle by kitchen door broken
and melting.
3. Bathroom ceiling light fixture inoperative
4. Propane tanks are located along driveway and are not .protected
from damage or anchored to prevent tanks from falling over.
5. Doors and windows are not weathertight.
6. Gas lines from propane tanks are unapproved copper.
7* flood stove is too close to combustible valls, and hearth
Is not proper size. Stove is in poor repair.
• `Pa'ge • 2
Shafsk4 `,Continued
8. Front porch railings are unsafe, not proper height and lacks
proper rail spacing. Stairs to porch are not safe. Porch floor
-Feeis weak and is deteriorated.
These conditions shall be corrected as follows, and within THIRTY
(30) DAYS from receipt of this notice. Obtain all required permits
from the Butte County Department of Public Worke, 747 Elliott
Road, Paradises CA prior to making repairs.
1. Provide a properly installed lavatory sink with hot and cold
water, proper trap, waste drain and vent plumbing.
2. Clean up house wiring. Remove and replace existing deteriorated
or damaged wiring, outlet boxes and-Ciifin-�S unprotected wiring,
open or exposed splices, etc., Provide additional outlets as
required.
3. Repair or replace defective bathroom light fixture.
4. Provide collision protection for propane tanks, and property
anchor tanks to prevent -Fall over.
5. Hake doors and windows weathertight.
6. Replace unapproved copper gas lines with approved gas piping.
7. Provide a properly installed heating facility, with separation
from combustible, proper flue and an approved facility capable
of casintaining a minimum temperature of 70' Fahrenheit measured
at a point three feet Above the floor in all habitable rooms.
8. Install proper porch railings of adequate height and spacing
and construction to provide protection to persons using the porch.
Repair or replace porch stairs. Strengthen porch floor.
A reinspection will be made. Failure to comply with this notice
will result in the Franchise Tax Board being notified of your
noncompliance. You will then be prevented from claiming state
tax deductions for taxes, depreication, amortization, or interest
expenses connected with the property as long as it remains substandard.
This notice is given to you pursuant to Sections 17299 and 24436.5
of the California Revenue and Taxation Code.
If you have any questions concerning this letter, please contact
me at the above listed address and telephone number.
Very truly yours,
Howard J. Snyder, Jr., jtiS.
Division of Environmental health
HJS/lda
cc: Public Works -Jim (lander
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address 0 196 Memorial Way 11 7 County Center Drive 0 747 Elliott Road
Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969
Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872.2961, Ext. 58
January 27, 1986
Certified Mail - Return Receipt Requested
Scott R. and/or Susan C. Shafsky, JT
67L[3 Chapman Lane
Paradise, CA 95969
RE: Housing Complaint - 13802B Glover Lane, Paradise, CA / AP// 66-47-001
Dear Mr. and Mrs. Shafsky:
This department received a complaint alleging health and/or safety hazards in
the above listed rental up -it. The Butte County Assessor's records indicate you
are the owners of the property.
On January 24, 1986, I visited the property, and the tenant.in cabin B permitted
me to make an inspection of their rental. The following conditions were noted
which are in violation of the California Administrative Code, Title 25, Chapter 1,
Subchapter I., Section 32, and 34; and the California Health and Safety Code,
Section 17920.3 (a)(6)(11)(13), (b)(1)(2)(3)(6)(8), (d), (f), (g)(2)(3)(4), (h),
and (k); and which pose health or safety hazards to the tenants, and/or render the
building substandard.
1. Wood stove is an improper installation without a hearth, improper flue and
separation from combustibles.
2. Front porch stairs are unsafe, railings inadequate on stairs and porch.
Porch supports are badly deteriorated.
3. Rear kitchen and storeroom walls are.not weathertight and lack proper
framing and supports.
4. Fireplace has pulled away from living room wall and is not weathertight.
5. Bathroom floor rotted out near bathtub.
6. Wall receptacles lack covers in the living room, kitchen and bedroom. Wiring
is unprotected in bathroom and kitchen. Bathroom light is operated with pull
chain. kitchen ceiling light fixture is inoperative.
7. Electric breaker box lacks cover and is not weathertight.
Scott R. and/or Susan C. Shafsky, JT
January try, 1986
Page 2
8. Water heater is installed too close to combustibles, flue is unsafe and a
fire hazard, there is no temperature -pressure relief valve or discharge line.
9. Roof leaks over living room, kitchen and bedroom.
10. Roof skylights are not tempered, laminated or wireglass.
These conditions shall be corrected as follows, and within THIRTY (30) DAYS from
receipt of this notice. Obtain all required permits from the Butte County Depart-
ment of Public Works, 747 Elliott Drive, Paradise, CA prior to making repairs. If
the dwelling is vacated,.it shall remain vacant until all repairs are made and
approved by the. Departments of Public Works and Public Health.
1. Provide a proper installation for the wood stove with a proper hearth, approved
flue, and separation from.combustibles.
2. Reconstruct front porch, stairs, and railings. Provide proper height for.
railings, and flooring, treads and supports for stairs and porch.
3. Make all exterior walls weathertight. Replace or repair cracked deteriorated
walls in kitchen and storeroom replacing all damaged and rotted materials.
4. Anchor fireplace to building, seal openings around fireplace so it is weather-
tight.
5. Repair or replace bathroom floor, replacing all rotted and deteriorated floor
coverings, girders, posts and supports.
6. Provide covers on all receptacles throughout the house. Protect all exposed
wiring in bathroom and kitchen. Provide safe switch for bathroom light fixture,
eliminate pull chain. Replace inoperative ceiling light fixture in kitchen.
7. Provide proper cover on breaker box. Make box_ weathertight.
8. Provide a proper installation for the water heater, with separation from com-
bustibles, proper flue, anda temperature -pressure relief valve and discharge
line.
9. Repair or replace leaking roof over living room, kitchen and bedroom, eliminate
all leaks.
10. Replace ordinary window glass in roof skylights with tempered, laminated or
wired glass.
A reinspection will be made. Failure to comply with this notice will result in
t he Franchise Tax Board being advised of your noncompliance. You will then be pre -
v ented from claiming state tax deductions for taxes, depreciation, amortization, or
interest expenses connected with the property as long as it remains substandard.
This notice is given to you pursuant to Sections 17299 and 24436.5 of the California
Revenue and Taxation Code.
Scott R. and/or Susan C. Shafsky, JT `
Janzaar; 27, 1986
Page 3
Please note, this action will be institued shortly on 13802A Glover Lane for
failure to comply with my notice dated May 14, 1985. During my visit on January,
24, 1986, I determined that required repairs had not been completed and the dwelling
has been reoccupied by a new tenant.
If you have any questions concerning this notice please contact me at the above
listed address or telephone number.
Sincerely,
70-,qar�J.ny�der
Division of Environmental Health
HJS/mlf
cc: Public Works - Jim Glander
ng't>ry�n �];.,ftt�ny�.1 �K`y�ir ��'`:s'!�!4%:ii#y�:��q'sT jaq.+.;..,�,t�:F"�"�rz=a}rSiwPsesal�vrw �»..:;.�`�Y'r'.4«.x�y4�i'4r�`s'^'�`L'"P�+.,., ;+2�r: a �>,,f.rT(•T.
66-47-08 '3185-90B
CLOYD, Randy
13804 Glo r Lane, Magaliai
(demolish/SF)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
• APPLICAVOWAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
66-47-08
ZONING
ARM
BUILDING PERMIT
OWNER
Rand Clo d
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 743 Paradise
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
13804 Glover Ln.
Permit fee
;
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
_
Ma glia
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
r:�
SF P Duplex❑ Mobilehome❑ Other
' SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home ST!A
10.00e
TYPE OF WORK
New Addition❑ Remodel E] Utilities❑ Installation❑ Other❑
Describe work: demo _
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 Professions Code and my license is in full force and effect.
No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. AGC. BLDGS. f
2/z¢sgft
NEW CONST R. RANCH UT LET
NO N•R ESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS e
(SINGLE OUTLET CIR.
p OUTLETS OR FIXTURES
Ex. Occup(
20 ® sot
eALO 30
FIXED APLNS,License
Ex. Occup. OUTLETS P(RE SID.)OR
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Virin 9
15.00
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.
0 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X��_ yG
' Lt'b Date
Signature of.Appl:cant – Owner Contractor 11Agent ❑
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
—I
E
E .
TOTAL FE $ 2000
HpZ
CUA
PARK
SCHL
PAR
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
! -
DIREC, OR OF PURL
By 4
PE MIT EXPIRES V Date I— /
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Da_te �( �� %•�
/I
� / _
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
AP # (o&
Lam+ v
' OWNER
PERMIT `#
MH.UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
Service
Size
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - C-oville, California 95965 - Telephone: 916/538-7541 _
Af�'LIGAVON'AND PERMIT �
ASSESSOR PARCEL NUMBER
66-47-08 1
ZONING
ARMH1
BU ILDIN9 PERMIT
OWNER•,TELEPHONE
Randy Clo d a 879-5138
SQ. FT. OCC. UILDING VALUATION
OWNER'S MAILING ADDRESS ,
P.O. Box 743 Paradise
CONTRACTOR'S NAME
owner
TELEPHONE
'CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
13804 Glover Ln.
Permit fee
$ gn
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Ma alfa
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 P Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: demo
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROOV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
A
New
2h¢sgft
CONSTFL ULTII OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS &
I SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
B20950a
ALO 30
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and 0penses which may in any way accrue
against said County in consequence of the granting of this permit.
X � n 19e— �;, �U
Date
Signature of Appl'cant — Owner 02� Controctor ❑ 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
AL
TOTAL FEE $ 20.00
Hq2
CUA
PARK
L
FLD
PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abo a for which fees
D E OR F PUBL
ByQ
PE MIT EXPIRES Date ��
the applicable provi-
resolutions to do
have been paid.
WORKS
�3 �D
Date l
73419
Receipt No.
WNIrE-D.P.W.. •ELLa W-A58(980R, PINK -INSPECTOR, GOLDEN Ra D -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
ii- PLIUT10h AND PERMIT
WNERVry
6x f�
R'S NAM��
R'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADDRESS,/
BUILDING ADDRESS -73
LD
PERMIT NO.
ZONI G
BUILDING PERMIT
T LE HON
Z 5-13L
SQ. FT. OCC.
BUILDING VALUATION
20.00
Water piping
9S
Each qas water heater or vent
I
TELEPHONE
5.00
'
5.00
I
l
10.00 e
Fireplace
Permit Fee
UNKNOWN
Total Valuation $
I
Filing Fee
$ 10.00
10.00
Permit Fee
$ Q
LICENSE NO.
Plan Checking Fee
$
2,50 ea
Energy Plan Checking Fee
$
Ex. Occup(OUTLETS OR FIXTURES
Penalty
$
411
Permit fee
I $ ,�2Q� Q
Mobile Home Facilities
LOT NO. SUBDIVISION NAME PARCEL MAP
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Oe&
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7944)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W'
10.00 e
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.h\
OR ADONS, l ACC. BLDGS. //
I�2�SQft
NEW CONSTR. ULT' -OUTLET
NON -R ESID BRANCH CIRC ITS
2,50 ea
(POWER
(POWER APPARATUS .&)
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20030!
e ALO 30
Ex. QCCUp. OUTTS IRESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
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
Heating
Cooling
g
Hood
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 buildin construction and re re
hereb a thorize sentat' f th C
Mobile Home Installation Fee
Energy Inspection Fee
I I i
$
I
t
Filing Fee 10.00
I
I
t
3.00
$
$
of
g y u p Ives o e ounty occ CONST TYPe
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL $ �Q�
I also agree to save, indemnify and keep harmless the County of Butte against HAZ CUA PARK scHL FEE E PAR PD Ho Issue
00
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 This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
ion of structures over 3iistoor�ries in height.
Receipt No. , y� By Date
WNITE-O.P.W.. TELLOW-ASSCS.0'", PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date
COUNTY OF BUTTE - 4e2art ent of Public Works
7 County Cenfer Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
i unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is `received.
�r 1. I personally plan to provide the major labor and materials for construction of
/\ the proposed property improvement (yes or no)
X2. I (have/have not) 1A Lll_ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:_
Name
Address City
Phone Contractors License No.
4..1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner _� e • (��,
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by,Sections 19831.and
19832 of the California Health and .Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
I
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERT APPLICATION DATA SHEET
Permit No.
OWNER/l/� T GC—C/ A s — — c2O
Proposed Building Use C/ Building Inspector Date !? z �G
At time of p rpt 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
yo�,rissue the permit, pro ces as follows: Mai o er. Mail to contractor.
VTelephone and hold for pickup at Mfice. Deliver w.
/inspector.
Other Applicant C to Z 7
Copy of Haz-Mat form sent Health Dept. Fire Dept. fir Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data�by_phone_JnaiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date
Plans checked by
Copy—DPW
Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder