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066-490-027
k- 66-49-27 A::'Lyri6h' 67-2 IrdLan Dr lot 77, I.M.#4,Ma-ge Henry Const. Magalia contr - Permit #965-81P E(util.,MH) ELEC. -44e, . 44 GAS 5 SUPPORT STRUCTURE jEg' COMPACTION TES Q. 17 0-4V-27 ..'contr"* Bay Arpa MIS, Magal ia A"it #50-82MH1 Issued 66-49-27 Permit #44 W-82�(n%q front de FILE 166-49-27 '4-fiiie'#682-8U- 6-41 pri arage 66-49-27 i�tffft#900-83B (0—p -e' n" d cl 'Y pK eon CSI �' CSI a� ' •• •' I, � I y X COUNTY OF,BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County C(;nter Drive 9 Oroville,California 95965 * Telephone (530) 536-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT X� ASSESSORPARCEL.YU ZONING ILDINGPERMIT OWNER E SO. FT. 6cc. BUILDING VALUATION OWNEWS MAILING ADDREtSS CONTRACTOR'S NAME ., ( - I - i L TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE i;_0_., Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAJUNG ADDRESS Plan Checking Fee $ SUILDINGADDRESS Ls� I)n (7 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVtSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome OKOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other [3 Describe Work: 14 ta C A_ -4 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 20.00 PERMIT FEE 3 15 - ELECTRICAL PERMIT Filing Fee 20-00 Main Service "R 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 Profess ons Code, and my license is in full force and effect. "? - _. -3 License Class o Lic. No. - _� L/ 17 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contract'rs License Law for the following reason: t, 0 1, asownerof theproperty, ormy employees with wages as their sole corqpensation, will do the work, and the structure is not intended or offered for sale.1 0 1, as owner of the property, am exclusively contracting with licensed rntractors to construct the project. 0 1 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: 0 1 have and will maintain a certificate of consent to self -insure fc workers, compensation, as provided for by section 3700 of the Labor Co e, for the performance of the work for which this permit is issued. I i I have and will maintain workers' compensation insurance,'as required Dy Section 3700 of the Labor Code, forthe performance of work for which this perrr, t -is issued. My workers' compensation insurance carrier and policy number ari Carrier I AtA IN M LA -ma A Policy Number 12 f) -la - A r 0 0 We? 10 0 0 (The above sections need not be completed if the permit is for work' valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit.,is ad, I shall t not employ any person in any manner so as to become su6i.e, workers' s , IE sL is compensation laws of California, and agree that if I should become." Ct to the wo pensation provisions of section 3700 of the Labor*,.", I shall fol wt iply with those provisions. 7 � d1--, X ( A Date a J Sign?u—re of`A'�plicant - 0 Owner 0 Contractor JkAgent An OSHA permit is required for excavations over 60" deep and demolition struction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. B,.DS. so. 3.50 -FT. NEI�=.T. =LT,-OuX NO . T. 97.50 OWE.RAPPARATUS (&PSIN. OT.C,..) Ex. Occup. OUnET OR FD(TURES 20 1.00 BAL .50 O.FIXED APPLNS OR. Ex. Occup. (RES,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee 7s Energy Inspection' Fee $ C co 7. TYPE TOTAL FEE $ HAZ. D. FE IMP MOOD COF PARCEL PD This permit is hereby issued under of the Butte County Code and/or indicated, above for which fees have By� PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLQ@N PLICANT IFN FV K COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI>LDIN IVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 5 1-7541 PERMIT NO. (Rev. 12/96) . APPLICATION AND PERMIT _ 0 f �Y� �t ASSESSORIA.CEL D( ,5r ZONING AILDINGPERMIT OWNER TELEPHONE SO. Fr. bcc. BUILDING VALUATION OWNERS MAIDITO ADD 19S C�A CONTRACTORS �n I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome Ja( Other SPECIFY —Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: 07A akumitc 0 -AtAk Gas piping system 1 - 5 outlets 15. 0 0 /.5, ap Building sewer 15.00 Mobile Home I ii -I �GW 920.00 PERMIT FEE S ?) 6. (X) b -o H ELECTRICAL PERMIT Filing Fee 20-00 LE:: 600V 92 Main Service .A 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 license is in full force and effect. License Class or— _1 o Lic. No. 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DV;"NG OCCUP. OR ADDNS. ACC S. 0. 3.54FT. NEW CONST NOWRESID. M.ULTHI @7.50 OWER APPARATUS IPSIN.. OUTLET C.. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 O.nXED A OR —Ex. Occup. W(R= 5.00 Temporary Service 23.00 - Mobile Home Facilities 20.00 —Misc. Wiring 23.00 PERMIT FEE $ oFilringFee WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. I 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' compansa on insurance carrier and policy number are: Carrier /_ I Ae, 6Je_-&aDA A -I , — MECHANICAL PERMIT 20.00 Heating — Cooling Hood 6.50 Ventilation PERMIT FEIE Policy Number b r / - 00 L/,;�_ IQ - 0 1P_ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ siny person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' c pensation provisions of section 3700 of the Labor Code, I shall i h ply with those provisions. X Date 3 i S gn9tfure of A`�plicant - 0 Owner 0 Contractor gent An OSHA permit is required for excavations, �eepp and demolition or constructio n 1 of structures over 3 stories in height. Mobile Home Installation Fee s Energy Inspection Fee s AFc-2 TO AL FEE$ Cz1J:7 9 AZ. I D. ap "'IMP I FLOOFT-EFT;ZFE�1 PO I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or ind bove for which fees have 4 A 1 e/7/ _&ta, PERMIT EXPIRES ON 1 the applicable provisions Resolutions to do work been paid. Date3iel� 0.9 te) I IReceiptNo. 4_;� 19 S, ? 3- -4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street e Chico, CA * (530) 891-2151 1 7 County Center Drive t Ciroville, CA - (530)'538-7541. CORRECTION NOTICE 0 �Z_c OVER PERMIT NO. A routine inspection indicates that the following violations of butte county drdinances exist at the above address and should be corrected. Please notice this office when correction of work -is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date lnspectoj��i�z_/ REV 10/92 ft ic COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Maiin Street - Chico, CA -, (530) �B91 -2751 7 County Center Drive Oroville, CA * (530) 538-7541 CORRECTION NOTICE Ljo,,A%j c 4 Y'� OWNER PERIVII T NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when rr6ction of work is 'co completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately, PA ep j i &I zoldevc, e - j X 'Dati; Inspector REV 10/92, 965-81P,E PERMIT NO. PER %�- MIT EXPIRES Max A. Lynch OWNER CONTR. John Henry Const., Magalia 66-49-27 ASSESSOR PARCEL LOCATION 6702 Indian Dr.,lot 77,1.M.#4.1 _Paga ia,." 4 Al % -j Temp 'P !'-."�P e Called PG&E Temp. Elec. Service Called PG&E, tea Temp. Gas Service CalledPG&E/ JOB FINA ./D(Date) Signature I/ 01<,� 0 Not OK Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Da te MOBILEHOME UTILITIESI(Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s &&**'-Zoning Requ irements-Setbacks- Easements 1. Zoning Requ i rements-Setbac ks- Easements 2. Soils: Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 4--%wer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 41106��Vter; Locat i on- Te st- Easement Needed (Sketch) !�_�ectricity: Location-Clearances-Grrid—/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6,9(as; Locatiort--Test-Wrap: L"ft./ Nat. or/ /"L"ft./ LPG 6. Carports; Windows -Doors T Utility Clearance 7. Elec. Card -BI ate Card -BI Date Card -BI Date Card -BI Date Ca -Big Date Card -BI Date Card -BI Date Card -BI Date Date MOBIt FHORAE Ills Al I ATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s 41" -Zoning Requirements -Setbacks -Easements 1. Setbac ks- Easements t611'6ot i ngs; Size -Spacing -Marriage Line s; MH Test -Demand -Valve -Connector 2. Soils; Compact i on -Structure Stability 3. Pool Structure; Stee I -Connect ions-. Thickness -Dead Men -Lining A-I'V-1ectricity; MH T est -C rossovers- Brea kers-C I earances 4. Elec.; Receptacles and Lighting; Distances-GFI A-'15rain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI &o-iWter; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 4w-4115'ter and'Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and ElectricAT-ragged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc I osures- Pane I boards- Ins. to Main in Conduit 9. Health Department Approval *-T-Xits:, Insp.-Sketch ld��ert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Cird B-1- t,_Date�/f, Z27!!!!�ard-Bl Date Card -BI Date Card -BI Date Card B -I Date I/ Card -BI Date Card -131 Date Card -BI Date /M V_� 1 CRAMIO-* A4- Id 4^va I 1L t %I = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIA-L (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requ irements-Setbacks- Easements 48. Property Line Firewall & Openings 2. Ftg., Main: Soiis-steei-Eiec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One X -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Sternwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Stee I -B I ockouts-Wrapped-S lab 51. 52. 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Sid ing-Nai I ing-Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protecti on-Skyl i ghts-P last ic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-Serv, ice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-Bil Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protect i on -Land i ngs Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.; Vent- Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access -17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -C loser 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -C leara nce-Comb. Air-Connector-P.R.V.- In Gar'age; 'Above F loo�-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 1 nsu lat ion- Foam- Looked in Attic - (-]Yes 73. 74. Guard Rails & Deck Construct i on -Post Caps Fdn. Vents & Crawl Hole Door-Drai.nage & Wood -Earth Clearance Looked under Floor 0 Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or Al 27. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or At, Insulated Neutral 0Yes EJNo 75. 76. 77. Following instld.: Drive F1 Yes 0 No; Walks E3 Yes 0 No; Planters E)Yes E3No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Pane I s-Motors-Mec h. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr.it) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet -35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI -I Date Card -BI Date Card -BI Date Card -BI Date Ca�_d-B Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39, Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub --- 41. 42. 43. 44. -Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-F�ftr,__fies- Purl in -Roof Brac.-Truss-Shthnp.-Fiffig. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles _ddrm. 46. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 016. (NOTE: An entry must be made each time you visit job site) T� ERM COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS kIT �N 7 County Center Drive - Oroville, California 95965*- Telephone 916/534-454/ APPLICATibN AND PERMIT A ASSESSOR�PARCEL NUMBER AP #66-49-27 ZONING BUILDING. PERMI-J OWNER Max A. Lynch HONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME John Henry Construction TELEPHONE CONTRACTOR'S MAILING ADDRESS 509 D449-alia Ca, 95951i -Fireplace CONSTRA?IQIQ EAMIR 9 7 None NKNOWN lu Total Valuation $ Filing Fee $ 10.00 LENDER*S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 6702 1 ndian Drive- PLUMBING PERMIT FilingFee 10.00 - Magalia'j Ca. 95954 Each Trap mo Repair draina I ge or vent piping 5.00 Water piping LOT NO. 77 SUBDIVISION NAME PARCEL MAP Unit L.... Meadows 14 3 -15 f Each qas water heater or vent 5.00 -Gas piping system 1 - 5 outlets -Indian USE OF STRUCTURE SFE:1 DuplexEl Mobilehome[]: Other— SPECIFY Building sewer Lawn sprinkler system -00 FP - I TYPE OF WORK NeWIM Addition[—] 1`16modeCl UtilitiesK InstallationE] Other Describe work: lot development Permit Fee Contractor r ELECTRICAL PERMIT Fi I ing Fee 10.00 Main service.600v OR LESS 100 AMP OR LESS — 5.00 5 - Main service EA. ADD -L 100 AMP 2.50 2 57-9 NEW CONST. ( DWELLING OCCUP.81) OR ADDNS. ACC.BLDGS. 20 sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): FA I am licensed u6der provisions of Chapt. 9, Div. 3 of the Business and Professions gode and. my license is in' full force and effect. License No. 346997 — Classification A El 1, as the owner, or my em . ployees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec. business and Professions Code for this reason NEW.CONSTR.(I111TLTC1OUTLET NON RES . BRA N H CR ITS) 2.50 ea NEW CONSTR. I POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. 0 254� JSO� Ex. OCCUP�OU:�LETS OR FIXTURES BAL@100 (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 IS -- Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSORANCE 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 Insuran ce or a Cert i f i cate of Consent to Self -insure. I shall not employ any person in any manner so as to'become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject "to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above I is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot .Butte to enter upon the above-mentioned property for inspection purposes. ' 1 also agree to save, indemnify and ke6p harmless the.County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai aid Count ' conse nc of, he granting of this permit. Date Signature of Applicant — OwnerE] Contract., 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 $ TOTAL PERMIT FEE $ -J."2 . X OCCUP. rROUP TYPE OF CONST. I P�71 �M ISSUE This permi*t is hereby issued under sions of the Butte County -Code and/or work indicated above for which DIREC =110F PUBLIC 'By PE T EXPIRES Date R4K - the applicable provi7 resolutions to do fees have been paid. WORKS Date LR ece I :ptp'No. 7 G -0 7. .W., YCLLOW-ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE --DEPAY;TMENT OF PUBLIC WORKS - BUILDING DIVIS10N 7 COUNTY CENTER DRIVE - OROVILLE, CALkFQJRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APP61CAT40N DATA SHEET &Z Permit No. OWNER A. P. NO. (0 (0 -2 7 Proposed Buildi 2 ng. Use - Permit Fee Based Upon: Complete Contrac - t Price ��DPW Valuation Othe� (Explain) Building Inspecto Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . . . . . . . 2. Plot plans in duplicate./triplicate . . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . ... . . . 4. Complete engineered plans and calc�s . . . . . . . . . . 5. Plans with Energy Design'Compliance Statement . . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . . 9. Letter of signature authorization . . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: — (B) Parking:— . 12. Certificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification . (Given to owner El, Mai I to ow"ner 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required- Building Inspector 18. Other W.he''you issue the permit, process as follows: — Mail to owner. —Mail to contractor. Telephone 0 ' and hold for pickup at office. —Deliver w/inspector. Other Applicant Date ,Copy of plans sent —Health Dept., Fire Dept., —Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle.item.) 1. Index permit for above Items No. 2. Additional items required: (Contrac tor, Designer Owner) was advised of above required data by� —Telephone —Mail —Other By Date Plans checked b, Date f 0 7-T Plans approved b�y� Date Other: Copy—DPW MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. kear "e.2 Widt (ft.) Box Lengt (ft.) Tagalong or Expando Size 0 ft.. x IYI/ ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973i furnish manufacturer's installation manual and structural setup sheets (if� not on file with the County of Butte). AYMEteer=s'-upports measured from front of mobilehome unless otherwise specified. PIZ Me M - 16 LOCV4 Im _46-R, Footings (check one) 600— = = = 1 --!!!! --- S: i n g P, IP -1. Wood either pressure treated or 7[— foundation grade.. (ft.)(in;), (in.) (in.) Center support Center support locations* footing sizes (in.) IM,30 ] (ft.)(in. (in.) (in.) I ) I �?3 'S (ft.)(in.) (in.) (in.) t3 7- (ft.)(in.') (in.) (in.) 19.1 LRO < (ft.)l (in.) (in.)l (in.) I7u)(3 C) 6�3LO *If ce ' nter piers are other than drawn above, draw iR-JogAtiqns, spacing, and dimensions. 0 42 X-3 0 2.. Other' (specify) Support p (check one) _19n ; Concrete block.'. (60 =/0 I [:] .2i Other,. (specify) /0 YX �O *—Tagalong or Expando,' : show support.details� -- Typical Support (in.) Footing Size je�46t__j -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) �,50 -e 2 -- BUTTE COUNTY BUILDING DEPARTMENT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. (Nmer's name: 2. Installer's name: .3. Is the site currently under permit? Y e 8. No (If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome.be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 7 No (If no, clarify 5. What is the mobilehome electrical rating? ------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- -200 Ampi 8. Is there any other electric load to be served by the mobilehome siteservice? ----------------------------------- --------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- —(in.) 10. What is the type of gas service? ------------------------------ Natural PG 11. What is the gas pipe length from meter or tank to the mobilehome? t.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) -7 (This information not required if pipe length less than 6 ft. natural gas or'le�s than 50 ft. on LPG.) 'D COUNTY OF PUTTE - DEPARTMENT OF PUBLIC WORKS ZPE Ml' 0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 T� APPLICATION ANY PERMIT ASSESSOR PAR WEUMBER &(Z-ONING 0 - —,27. BUILDING PERMIT OWNER M ' &",-r Z )1'ecb TELEPHONE - SQ.FT. OCC. BUILDING VALOATION OWNER SMfIX-G ADd04AE/_S_'b f COARACTOR'S NAME ,I C ACTIOR'S MAILING AUDRESS Avor rJ Fireplace C9NSTFRUCTION LENDER JCVr ILIN U�� Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Q_ 1 SE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDI A EIS PLUMBING PERMIT FilingFee 10.00 01— A A^ Z Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME _TM _# 5/ PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets I USE OF STRUCTURE SFE1 DuplexE] Mobilehome;&' Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New R Add ition RemodelD Utilities[:] Instal latiooeOther Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 6001 OR LESS 100 AMP OR LESS 5.00 --r-o Ie toy- Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5i% OR ADDNS. ACC.BLDGS. 1 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): R-I'l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi Qode %_r license is in full for e a ffect. (�f nd 6/-Q — License No.:2 . Classification D 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under SeL—, Business and Professions Code for this reason NEW CONSTR. -OUTLET N N_RES (MULTI 2.50 ea 0 _ I., BRANCH CIRC U ITS) NEW CONSTR. (POWER APPARATUS.&) NON-RESID. SINGLE OUTLET CIR 50 @ 25� Ex. Occup(OUTLETS OR FIXTURES 113AL010t (OPIXED APPLNS OR Ex. Occup. UTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi i rig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. N-*"- 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: It 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenc o he granting of this permi). X Date S i g npel.' of A pp I i cant Owner F Contractor El 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 $ TOTAL PERMIT FEE $ OCCUP. rROUP I TYPE OF CONST. IPARCELI PD I HD his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE 'TOR OF PJ�BLIC By- 4L N] _;V44,4e� PERMIT EXPI[RES Date the applicable provi resolutions to do fees have been paid. WORKS , Date 4= Receipt NO. -) (, 51- S- (,* , WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF, BUTTE - DEPARTMENT OF PUBLICXORKS - BUILDING DIVIISION 7 COUNTY CENTER DRIVE - OROVILLE,48ALr�'O"hNIA 95965 - TELEPHONE: 916//534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. N o. (, 6, V9 -.2 7 Proposed Building Use Permit Fee Based Upon: -Complete Contradit .,Price X' DPW Valuation Other (Explain) Building Inspector Date-, 3 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 . . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . ... . . . . . 4. Complete engineered plans and calcs . . . . . . . . . . 5. Plans with Energy Design Compliance Statement . . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from O&A u lj-, i Health Dept. 11. Planning approval for (A� Use: - (B) Parking: - 12. Certificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.,..) 14. Owner -Builder Verificat'ion (Given to ownerEl, Mail to ow'nerE]) 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -inspection for 4 Pre-Inspec. request to Required- Building Inspector (Date) 18. Other )�'Mail to'contractor. When you issue the permit, process as follows: - Mail to owner. Telephone and hold for pickup at -office. -Deliver w/inspector. Other Applicant�a-e'- LIL Date Copy of plans sent -Health Dept., -Fire Dept., -Other Date During the plan checking process, the following data must be submitted prior to permit issuance.. (For required items not checked above at time of a Ii ation, circle item.) 1. Index permit for above Items No. .0A1 Z, rid, 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by -Telephone -Mail -Other By Date Plans checked by Date Plans approved b. Date sz - Other: Copy -DPW TO Building 'Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE /_7 f OWNER LOCATION AP # Plans approved for: Sewage Disposal Water Supply. Hold final for: Water Supply Final Clearance O.K. for: Water Supply —)iome. Clearance for 7 bedroorx-'mobi 1�e Other foz-t Clearance for addition of No te** A;— SANITARIAN A-1 DAT E &; Ft A 3 j ZC- 1A U . 0 ": i� 3 K C:;� 14 M '-T n k- -7, 'Y U OW All, X'! 0 p q '6Y611 P. 41%1--'� m �Z. V . I CIA, r' r 7 Ck Utility connections hall be,w.lthl—r, 4 ft. of i1he mobilehome, either ind or within the rear directly beh A permit will be req�ired for tho ft) of the� "I half of the roadside (le , 'I co #4 r 1^v 0 4� mobilehonne. A pernlif will be required for fhe A& �ncbilehorne. -b 500 SQt FT. MINIMUM FOR MOBILES NOTE: ----:Ali Materials & Workmanship Shall Be In Accordonce with Recognized Good Prndices - and -,of' a qual;+y prescr16ed for the SPecified use In tho Uniform Building, Plum6ing & Mochanizal Coda and Electrilcal Codel MUST 69 �of plans and. speclf;cc 11 +irnes and R is uAlOw4ul 'o G"Ailhojob. of a , �, " I �.kl or alferaf tons On same from the riopartment of Pub%- ks ", Cbuhiy of Guitte. 3% A setback of 5 ft. froni'jhg property lines and a setback of Soft. from the ro,-J-' centerline shall be -clear of s"dvres-orequipment-ex�e,,.,4 -A Y a eaveloverhalng. T t E Burt Co hVIWING DE Y.FIR AP # OWNER PER'MIT # LMH UTIL.CLEARANCE DATE INSPECTOR Q)kA— ELE RI C GAS Support Struc. Compaction iTest j�eq. ervice Other Pipe YES NO YES NO �ize Load I Typel Size Length t J%L4. A It rTID e Ie.r r-/ D e- Ain To- _00 J1 0% 1�4 I j :: t I COUNTY OF BUTTE�,,* DEPARTMENT OF PUBLIC WORKS 7,COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541.. CERTIFICATE OF OCCOPANCY This mobilehome has been installed in accordAnce with the ements of the California Administrative Code, Title 25, Chapter 5, =permit number V 6 1' 12 - Jor the following location: 6- 7 02 Owner 41, A/ Owner's Address Mobilehome Mfg. 4 Mod el Yeai��,� 3,2 7 7 V 7 Serial NO. Insignia No. It is hereby certified for occupancy at the ab6e described location'a'fi d may be occupied. Director of Public Works Date Z, By THIS'CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED' L White -Owner, Yellow- Installer, Pin�-D.P.W. t _00 COUNTY OF BUTTE�,,* DEPARTMENT OF PUBLIC WORKS 7,COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541.. CERTIFICATE OF OCCOPANCY This mobilehome has been installed in accordAnce with the ements of the California Administrative Code, Title 25, Chapter 5, =permit number V 6 1' 12 - Jor the following location: 6- 7 02 Owner 41, A/ Owner's Address Mobilehome Mfg. 4 Mod el Yeai��,� 3,2 7 7 V 7 Serial NO. Insignia No. It is hereby certified for occupancy at the ab6e described location'a'fi d may be occupied. Director of Public Works Date Z, By THIS'CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED' L White -Owner, Yellow- Installer, Pin�-D.P.W. CQUNTY OF: GUTTE DEPAR-TME"T OF PUPLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 0ounty Centt,�Dtive. Oroville Phone 534-4541 Skyway and E fl iott Road, Paradise C C.") R R, E C T I C) N N CC)l T I C 7 D 2- OUILDING OR PRIOPERTY ADDnESS A routine Inspection indicates that the following vio:ations of Cobn,ty Ordinande exist at the above a . ddress and should be corrected. Please notify thi,s office when correction of work is completed. If you have any queslion pertaining -to this matter, or need addillonai CX1313nation, please contact this office immediately. C.r, lyl�5 /V a 7-5 "G I-- Lt� E'd PERMIT NO. 447-82B PERMIT EXPIRES OWNER Max Lynch CONTR. �owner ASSESSOR PARCEL 66-49-27 LOCATION 6702 Indian Dr., lot 77,I.M.# 4, Magalia Temp. Power Pole_ Called PG&E — Temp. Elec. Service Called PG&E— Temp. Gas Service Called -- 7E JO:B �Fl /ALEED (Date) Signature.z La'�� I V = OK 0 = Not OK – = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements–Setbacks–Easements Date lAkW(OVEjS--'CAR PORTS, ETC. (Plans) OK except #'s' 1_4RTSg Requ irements–Setbac ks– Easements 2. Soils; Special MH Support–Sketch 2j4f �ootings: Size–Depth–Spacing–Connectors 3. Sewer; Location–Test–Fall-C/0–Concrete �4 �ecks; Girders and/or Joists–Decking–Bracing7Stairs–Rails 4. Water; Location–Test–Easement Needed (Sketch) 4. fiVifo—dAwn.; Posts–Beams–R ftrs. –Con nec.–Shthg.–R fg. – Brac i ng 5. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete 5. , i Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures 6. Gas; Location–Test–Wrap: / /"L"ft./ Nat. or/ /"L"ft./ LPG 7. Utility Clearance 6. Carports; Windows–Doors 7. Elec. A Card -BI Date Card- B I Date Card -B ate 15�7/,S 6"PISrd-BI Date Card -81 Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -61 B D a rte Date Card -BI-: Date POOLS (Plans) OK except #'s 1 . Zoning Requirements–SetbacksLEasements 1. Setbacks–Easements 2. Footings; Size–Spacing–Marriage Line 2. Soils; Compact i on–Structure Stability 3. Gas; MH Test–Demand–Valve–Connector 3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining 4. Electricity; MH Test–Crossovers–Breakers–Clearances 4. Elec.; Receptacles and Lighting; Distances–GFI 5. Drain: MH Test–Fall–Flex Connector 5. Elec.; Pool Lighting; 15 volts–GFI 6. Water; MH Test–Regulator–Connector 6. Elec.; Enclosures; Conduit Entries–Termina Is–L i sled 7. Water and Sewer Connected–C/O to Gracle–HD Approval 7. Elec.; Bonding; Metal w/5'–Cir�ulating Equipment–Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghig. Boxes–Enc I osures– Pane I boards– Ins. to Main in Conduit 9. Exits; Insp.–Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test–Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (�inqle and Duplex) I Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / / Ftg. Depth Ftg., ' Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; W idth-Headroom-R i se -R un- Land i ng -F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /*' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Sternwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protect i on-Skyl ights-P last i c 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Suppor-t-Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -61 Date Card -BI Date Card -Bl Date Card -BI Date Card -Bl Date Card -131 Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combust ion Air 57. 58. Smoke Detector Furnace; Vents -C leara nce-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60, F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL (Perrr.it) OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.G. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -C leara nce-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mach. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. -Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 1 nsu lat ion- Foam- Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construct ion -Post Caps 26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al, Insulated Neutral 0Yes ONo 75. 76. Following instid.: Drive E] Yes F) No; Walks E:) Yes 0 No; Planters E3Yes E]No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Pane I s-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -Bi Date Card -BI Date Card -BI Date Card -B I Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub -41. 42. 43. 44. Header & Beam -Size & Bearing Hanger -s- Post- Caps-Anchors-Connec tors CIng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Si ze & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobs ite) COUNTY OF.BUTTF, - DEPARTME T OF PUBLIC WORKS PE NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 7 — e2 ___1 APPLICATION AND PERMIT A ASSESgR PA E RC�VUMBER 7 -, ZONING a a 11 t_,A9'UILDING PERMIT 0 N A/,, A TELEPHONE SQ.FT. OCC. BUILDING V9 LUATION OW146R'SMAILINd ApbR 55 7c2.2 I-Lnior-q-1 A2, 12"'A 9,1 U; _;1 CONTRACTOR'5NAME () W t\/0_rt11 TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER &91CA JUNKNOWN Total Valuation I $ goo Filing Fee $ 10.00 — LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Mk"_ ICENSE NO. Plan Checking Fee $ Penalty $ ._7 — ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS & 7 0 2, 4�1 to tA' PLUMBING PERMIT FilingFeg-I 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. 7 _, SUBDIVISION NA _JFTiiC�L 141, V.r MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF 0 DuplexE:] Mobilehome�f Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewD Addition [_1 R emode I [:J UtilitiesEl Installation[] OtherbC Describe wnrk: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1IOOV OR LESS 00 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST ( DWELLING OC - up.ai) OR ADDNS.' ACC.BLDGS.0 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 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 CONSTR (MULTI-CIUTLET 2.50 ea ON.RESD. BRANCH CIRC ITS NEW CONSTR. ( POWER APPARAT S US NON RES D. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES 50 0250 BAL@100 (OFUIXED APPLNS OR Ex. Occup. TL ETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I i rig Fee 10.00 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: It after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation r Permit Fee Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws re.lating to building construction, and hereby authorize representatives of the County ot 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 ag9n&t-.,;;ai4 County �i,�ons�e�e of the gra ting of this permit. -4� U- Date �2 _)Z/— 0� P�_ Signatu,.(f Apili.cm, -_ Contfractor E] Agent F] An OSHA permit is required (.-,:CEtions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I I PARCELI PD I ;I ;PJ01 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO�,7 PUBLIC By PER)O'E.&I[RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (0/ q/ - __ WHITE-O.P.W.. YELLOW -ASSESSOR, PINK�INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .1 1 .1 - 7 COUNTY -CENTER DRIVE - OROVILLE,;,CA-[�-IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET L -,-Permit No.— OWNER A. P. No. lo Proposed Building Use DPW Valuation Permit Fee Based Upon: complete Contraqv- Price Other (Explain) Building Inspector Date---,-) A 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 . . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . .. . 4. Complete engineered plans and calcs . . . . . . . . . . 5. Plans with Energy Design Compliance Statement . . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . . 9. Letter of signature authorization. ::�. ie�nitation approval from AQ,*� , - Health Dept. LY, 11. Planning approval for (A) Ude: — (B) Parking: - 12. Certificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownerD, Mail to ownerEl) 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -inspection for 4 Pre-Inspec. request to Required- Building Inspector -(Date) .18. Other When you issue the permit, process as follows: Mai I to owner. —Mail to contractor. Telephone and hold for pickup at office. —Deliver w/inspector. Other Applicant Date Copy of plans sent —Health Dept., —Fire Dept., —Other Date During the plan checking process, the following data must be submitted prior to permit issuance." (For required items not checke d above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Con * tractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other By Plans checked by Plans aooroved b) Other Copy—DPW Date Date Date COUNTY OF BUTTE —Department of Public Works 7.County.Center Drive,•Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) 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 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 Social Security WmbL4r / — 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 permitted to issue the permit. To: Build1mg Department From: Environmental Health Subject: -Sanitation Clearance G 1� —14 9 - Z_-� MAx A- L,,� v, c�k 002- -TtJIGM G:4 0-�mer Locat16n -AP# Plans approved for: Sewage Disposal Water Supply.,,� Hold final for:. Water Supply______,,.. FInal Clearance O.K. for: Water Supply.�__ Clearance for bedroom mobile home. Other Clearance for additIon of J DELIC Note** 9 )A� CI C) Sanitarl.an Date PERMIT NO. 682-82B.,E X-5 PERMIT EXPIRES— OWNER Max Lynch CONTR. OWner ASSESSOR PARCEL 66-49-27. LOCATION 6702 Indian Dr., -lot 77, I.M.#4, Magalia Temp. Power Pole— Called PG&E Temp. Elec. Service Called PG&E— Temp. Gas Service Called PG&E,// JOB Fj AIJAZEED (Date) 2- S7 - Signature— = OK = Not OK = Not Applicable RESIDENTIAL -(Single and Duplex) = Not Ready Date U4F-RfLOOR (Plans) OK except#'s Date FRAM9 (Continued) 6."Zoning requirements -Setbacks -Easements 4&�-Pr� j�rty Line Firewall & Openings 2. F!A., Main: Soils-SteeI-eXTC-.-0rff.- Ftg. Depth 49f.,-l"xt. Doors -one 3' -Check Garage -3rd story, 2 exits 2�'Ttg., Garage; Soils -Steel- /7,'Z777_F_tg.Depth AP=:��idth�Headroom-R ise-Run-Landing-F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth, 51. CPrySood on Roof Overhang- Attic Vents -Rafter Outriggers 5._ Stt%walls, Main; Stee I -B lockouts -Wrapped -S lab __ / 5V,,,81ding-NaiIing-Veneer 64'ftemwalls, Garage; Steel-Blockouts-Wrapped-Slab-l' �-r Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54_-G4aa4wj4vrea-G lass Protect ion-Skyl ights- P last ic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test _45--SrUa-F Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; C learance-Materi at -Support- Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples le, C� Ld te "..::v a "Ua-rd-B I Date Card -Bl' Da, I e Card -BI Date Card -BI Date Card -BI Date Card-B)A'� r-- Date '15ard-BI Date Date IFINAL,�Ians) OK except #'s Card -E51 Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combust ion Air 15. Water Pipe; Nest & Anchors -Nail Protection 5f-.'O�Ext. Steps -Door & Sidelight Protection -Landings 52-6wake-Betector 5a-Furnacp* VPaLs-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Testkttngs & Anchors -Nail Protection- 5a_-9��ing Fixtures & Tub Access 17. Shower Pan; T I, First Floor -Tub Access 18. Test Tub & Sho r, 2nd Floor -Tub Access 6 Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Nchors rt.- eteirs�alis �!��®r stove; Clearances -Hearth 6dollec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date -66_-94ec-tMTr-eTs & Receptacles at Kit. Counter 15;t��e oor; Swing -Landing -Closer Date -1 ELECJ;RlCAL (Permit) OK except #'s �cin Garage -Damper 2fR'.-_Fi&tt1re & Transformer Clearance -Ins. Protection Aa--WILJitL,-YaW-Clearance-Comb. Air-Connector-P.R.V.- ln..Parage: Above Floor-Mech. Protection 21 _!pe. Receptacles Spacing -Lights & Switches at Doors 26a<e Boxes & No. of Conductors -Stapled 70$Al�., Elec. & Mech. Equip. Listed for Location 2T. . 52!�!2x Installed Close to Edge of Studs & G.J. 71 4.ke' lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24r' -Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 22e-"MuTat -ion-Foam- Looked in Attic [:] Yes 25--2-A17ptrdffce Circuits in Kitchen & Conductor Size _13_-GvmTrTTa-iT_s & Deck Construct i on- Post Caps 26, Subfeed Wire Si AI-A.C. Wire Size ga. Cu or At 7*��ents �&Grawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27�-'R,Lnge Circ. ga. Cu or Al -Oven Circ. ga. Cu or At, lnsuT�m�Neutral Dyes [:)No 75. Following instld.: 09ye 0 Yes No; Walks ff'�e�o, Planters EJ Yes Z_ N o 2 Service -Riser Conductors & Ground -Main Disconnect 29. Nip. Clearances; Pane I S-Motors-Mech. Equip. -7e--ST_ucco-, Brown -Finish 30. Clot oset Light -Shower Light 7T--K.-C.Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 78--V-ents Above Roof: Plbg.-Appliance-Firepi.-Clearance to Opngs. ft_��r Well; Disconnect, Electrical, Plumbing Card B -I Date 4,01-lExterior Elec. Trim; G.F.I. R eceptac I e- Underground Card B -I Date Card -BI Date &T--Ve-ntilation throughout House ss Prot e2tion Date MECHANICAL (Perrr.it) OK except #'s 31. A.C-%Pucts: Insulation & Support ;;:2!a Cor s f rec�i �n rom Previous Inspections s Test -Meters Tagged; Gas -Electric 85W.-'Wat_.r & Sewer Connected -C/O to Grade -HD Approval 32. Vent F ; Exhaust above Insulation ff)_�g Compliance Certificate -Other Certificates 33. Condens2 Drain & Overflow; Size & Grade )V Air -Return Air Vent -1'15V outlet rnace in Attic Card -B Datt I ZU1 0,0' Card -B I Date Card -BI Date, Card -BI Date Card -BI Dal7e Card -BI Date Card -BI Date Card -BI Date Card -BI DatE Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36Z,Wls; Proper Material & Anchors 3747�1s: Studs -Nailing, Spacing & Bracing -Plates -Sound 38--seenTM-Wa-lis over Girders & Floor Nailing 39_--&r-atftr-.STTo_p in Walls (rat proof) Furred Ceilinqs-Stairs-Chases-Tub 414,ble-Ider & Beam -Size & Bearing _A,'4-Hepgrrs---Post 6ps-Anchors-Conn_e_ctors__ 43PC'ln'g-. joi:st'--R--ftr.'T-i'es-Pur-lin- Roof Brac.-T''russ-Shthng.-Rfnq. -"-TTr-ep_Fac_eT.es or Type A Flue -Fireplace Throat .A_1_-A+HV75�c_6 ess: Size & Romex Protect ion -Draft Stop -Ins. Baffles -46--tbrUrM7.Wipdows or Exiting Doors -Sill HgI. & Dimensions ���age`F,re Protection Framing (NOTE: An entry mus I be made each time you visit job site) I/ = OK - 0 = N8t OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS' Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requ irements-Setbacks- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth-Spacing�-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-RzCits 4. Water; Local i on- Test- Easement Needed (Sketch) 4. Wood Awn.; Post -s-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Brac i ng 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ /" L" ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -Bl Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbac ks- Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Elect-ricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -Bl Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS R N 7 County Center Drive - Oroville, California 95965 - Telephone 916/>534-45 APPLICA-TION AND PERMIT A ASgSSOR P CEL NUMBER (.—(/4 _C2 7 Z 0 NLIAG b"BUILDING PERMIT /11 OW!&1 & TELEIHONE S_, -93 g SQ.FT. OCC. BUILDING VALUATION OWNER'S IAAILING A70RESS G70 Joe CONTRACTOR'S NAME M UJ in cilt-, ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CPIA�TION LENDER P7711N Total Valuation 1$ -7200 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT.OR ENGINEER V\Ah--t— LICENSE NO. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER*S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 6-702, T. -N 40 t Z_. PLUMBING PERMIT Fi I i ng Fee 10.00 -lyn & sm=L_�_ Each Trap 2.00 Repair drainage or vent piping 5.00 U Water piping LOT NO. SUBDIVISION NAME na *L ii./ PARCEL MAP I Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF 0 DuplexF] Mobilehome[:] Other SSPECIFY(J Building sewer — -_ T_ i Lawn sprinkler system 5.00 TYPE OF WORK New X Addition R emode I [:] Uti I ities Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST' ( 0 W E L L I N G Sl&�415, 81) OR ADDNS. ACC.BLDG 20sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): D I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and e feet. f License No� Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, 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.CON5TR.(MUL.TI-0UTLE T NON RESID, BRANCH CI C UITS) 2.50 ea _NEW.CONSTR. (POWER APPARATUS &I NON RESID. SINGLE OUTLET CIR. / 50 @ 251 Ex. Occup(OUTLETS OR FIXTURES BAL @ 100 FIXED APPLNS OR Ex. Occup.(OUTLETS (RESI'D. ) E A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ .2.�37 — Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):. The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling od 3.00 Venti lation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agamakit said Cou co ence f th ranting of this permit. Date-3 Signature of /p "t OwnerEJ Contractor F1 Agent F-1 An OSHA permiptliics reqdrr�eed for excavations over 5'0" deep and demolition or construct- ion Of Structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. rROUP :7L I" This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiRECT F PUBLIC Bv the applicable provi- resolutions to do fees have been paid. WORKS Date 3 Receipt NO. �, I 1� 4 7 , WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT PE .*T EXPIRES Date 3 OWNER .1 1Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING, -DIVISION . ;t� Z. 7 COUNTY CENTER DRIVE - OROVILU�E,-CALIFORNIA 95965 - TELEPHON.E,: 916/534-4541 PERMIT APPLICATfONbATA SHEE/T Permit No. A. P. N o. IoU - q? —2 7. Proposed Building Use Permit Fee Based Upon: CLplptp Contract Price —DPW,Valuation Other (Explain) 0 Building Inspector Date'__�&2:/ 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 . . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calc's . . . . . . . . .. . 5. Plans with Energy Design Compliance Statement . . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization . . .. . . . . . . . . Sanitation approval from A� Health Dept. 11. Planning approval for (A) dse: — (B) Parking: ' 12. Certificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownerEl Mai I to ownerEl) 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 4 Pre-Inspec. request to 17. Pre -Inspection for Required- Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mai I to owner. —Mail to contractor. Telephone and hold for pickup at —office. —Deliver w/inspector. nthpr Uopy ot plans sent —Health Uept., —Fire Uept., —Uther uate During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ,(Contr�ctor, De/ign4r, Ow Plans checked k - Plans approved by Other Copy—DPW was advised of above required data by —Telephone —Mail I By Date Date Date Other COUNTY OF BUTTE' "Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) ,��_ 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 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 Social Security nu ber ^ 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 permitted to issue the permit. y To: Building Department From: Environmental Health. SubJeQt: Sanitation Clearance /\j ca Owner -70 2- arj Locat 1. on AP# Plans approved for: Sewage.,Disposal Water Supply—__�— ,Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other 1� r Clearance for addition of/, C) 6a Note** :,ani.tarl,an Date PERMIT NO. 900-83B PERMIT EXPIRES - OWNER MAX LYNCH CONTR. owner ASSESSOR PARCEL 66-49-27 LOCATION 6702 Indian Dr, Magalia Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 'Called PG&E JOB FINALED (-Date) Signature V = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1 . Zoning Requ i rements-Setbacks- Easements Date UjE_Z4dCOVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. J?oot' s; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. lgi5ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Local ion -Test- Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Locatiort-Test-Wrap: / /"L"ft./ / Nat. or/ L"ft./ LPG 5. Alum. Awn.; Columns-Conn6ctions-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -5K. < Date 7__L�P Card -Bl Date Card -131 Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1 . Zoning Requ i rements-Setbacks- Easements Card -Bl Date - Date Card -Bl Date POOLS (Plans) OK except #'s 1. Setbac ks- Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Stee I -Connect i ons -Th ickness-Dead Men -Lining 4. Electricity; MH T est -Crossover s- Breakers - C I earance s 4. Elec.; Receptacles and Lighting; Distances-GF1 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures� Conduit Entries -Terminals -Listed 7. Water and Sewer -Connected -C/O to Grade -HD Approval 7. Elec.; Bonding: Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding: Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -131 Date Card B-1 Date Card -Bl Date Card -BI Date Card -Bl Date %I = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Sringle and Duplex) Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requ irements-Setbacks- Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / / Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /11 Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Stee I -B lockouts -Wrapped -S lab_ --7. Piers -Fireplace Ftg.-Steel B. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; C learance-Materi al -Support- Ins. 13. Girders -Sills -Anchor Sol ts-Joi sts-Vents-Cri Doles Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access -19. Gas Pipe; Size & Anchors Card -BI FRAMING (Continued) Date Card -BI Date Card -BI Property Line Firewall & Openings Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection Dat - e -- --Card-B.1- Date Date Card -BI Date 21. Elec. Receptacles Spacing -Lights & Switches at Doors Card -BI Date 22. Size Boxes & No. of Conductors -Stapled 36. -37. 38. 39. 40. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or A 27. 28. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al, Insulated Neutral 'D N o Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Pane Is-Motors-Mec h. Equip. Card -BI 30, Clothes Closet Light -Shower Light Eard E�- I Date Card-Bll Da te Card B -I FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Date Card -BI Date Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; W idth-Headroom-R i se -R un- Land i ng- Fire Protection Dat - e -- --Card-B.1- Date Date Card -BI Date 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card -BI Date 52. Siding -Nailing -Veneer 36. -37. 38. 39. 40. 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 54. Glazing Area -Glass Protect i on -Sky I ights-P last ic 55. Shear Walls; Nailing -Bolts Card -BI Date - Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -C I eara nce-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic Ej Yes 73. Guard Rails & Deck Construct ion -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 75. Following instid.: Drive 0 Yes E] No; Walks Ej' Yes 0 No; Planters OYes UJNo 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof: P[bg.-Appliance-Firepl.-Clearance to Opngs. 79, Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. R eceptac I e -U nderg round 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections Date MECHANICAL (Perrrit) OK except #'s 84. Gas Test -Meters Tagged; Gas -Electric 311, A.C.-Ducts: Insulation & Support_ 85. Water & Sewer Connected -C/O to Grade -HO Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overi low; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. -Attic Access & Platform if Furnace in Attic Card -BI .Card -61 Dat - e -- --Card-B.1- Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. -37. 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing - Wa - Its over Girders & Flo - oi - Nailing -- Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings-Stair�-Chases-Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors us -s -T-- Cing. Joist-Rftr. Ties- PL�ri in--Ww 'Eirac. -Tr - hthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat c cces t1i s 7,ze & -R om ex Protect i on�Draft Stop -Ins. Baffles Bd-r.m. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Card -BI Date Card -BI Date Card -BI Date COUNTY.OF BUTTE -"DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'Califo0ia 95965 - Telephone 916/534-4541 APPLICATION .AND PERMIT PERMIT NO. �/ Q1 Aen ASSESSOR PARC L UMBER - �v ZONING BUILDING PERMIT OWNER MA_VTELEPHONE c � 938 SO,FT. OCC.1 BUILDING VALUATION A�D4 O W N E�1� 5/ O! G...GDS CONTRACTOR'S N E TELEPHONE CONTRACTOR'S MAILIN DDRESS e Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING DDRESS Permit Fee $ t0® ARCHITECT OR ENGI EER LICENSE NO. Plan Checking Fee $ DO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT N SUBDI VISION NAME �— ♦ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome $ Other SPECIFY Building sewer 5.00 Mobile Home S G W 110-00e4 TYPE OF WORK New ❑ Addition ❑ - Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: 19PAE-Al tC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &oov OR LESS 100 AMP OR LESS 10.00 ' Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2/20sq ft - 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 IXI, 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 CONSTR ULT' -OUTLET 2,50 ea NON -RE BRANCH BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. ) 20@50a Ex. Occup(o OR FIXTURES BALesom IXED A Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. NA I shall not employ any person in any manner so as to become subject }� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 . Venti lation 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 againstAe4*� II liabilities, judgment ts, and expenses which may in any way accrue again s 'd C un c quenc of a granting of this permit. X L / Date Signet re o Applicant Owner Contractor El ,Agent An OSHA permit is equired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ dG TOTAL PERMIT FEE $ r GRouP coup r co ST. /� ' PARCX P H tssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �, By PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date `% %�-� q-7 G Receipt NO. / 5 % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT / - !L t= �: COUNTY OF BUTTE - DEPARTME.NT .OF.. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C`A 1I OPFN4•A 95965 - TELEPHONE: 916/53413541 PERMIT APPLICATION DATA SHEET f Permit No. /c OWNER //J¢ �i,�l x A. P. No. -la /47 - Proposed Building Use Permit Fee Based Upon: Complete Contract Price IZ.DPW Valuation /Other (E plain) Building InspectorI< l Date At time of permit application, I was advised the following data must be submitted prior to permit processing and Of issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .,. . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Other j When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ,�7 1 1-7 Applicant 7 / ) Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other A, By Date Plans checked by Date Plans approved byVjAW Date Other: Copy -DPW COUNTY OF BUTTE - Department of -Public Works 7 County Center'Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in,your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest•opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) 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 coordinate, upervise, and provide the major work: Name Address I 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 i - Social Security nui6eiS — 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 permitted to issue the permit. To: Building Department From: Environmental Health Subject: .Sanitation Clearance wn e r i Location AP#� Plans, approved for: Sewage Disposal osal • g p — Water Supply_ Hold final for: Water Supply_ Final Clearance O.K. for: Water Supply - Clearance for bedroom mobile home: Other Clear ce for addition of 6 Not Sani ari an Date