HomeMy WebLinkAbout064-530-002AP 64-23-2
FRED _WEIMS.le-',�
"lot-
Carnegie"Rd ; 73:,-", PP4i4,
•contr: Paul Reimel, Paradise
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Permit## 3787-74B,P,E,M(new SF)
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A_P 64-23-2
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Fred Weems
160 Carnegie 'Rd. Paradise
,
CONTR: Fred Cox,. Paradise �t,
Permit 3175-75B (deck addn.)
64-23-2Fi
Contr: Sierra Construction, Paradise
Permit#696-83B(add deck cover/SF)3iilo/ p
064=230-002' s ' 93-1005
WEEMS, Marie CONTR:
K -Designers
Carnegie Rd, Magalia
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(sf/vinyl siding) .
KELLISON "
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14729 CARNEGIE RD; MAGALIA `' a:
Cont AAAE ROOFINGR•."
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BUTTE COUNTY. INTERDEPARTMENTAL CORRESPONDENCE:
DELIVER TO LAST PERSON NAMED
DATE NAME DEPT. I DATE NAME DEPT..
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t,064-230-002 06-1783A)
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NOTES `1'4729: CARNEGIE RD, -MAGALIA
j: on ROOFING n�a °oor<+�
�, RE ROOF • -
RESIDENIrl. L
k APN• Permit No.
Owner. '
' Site Address:
Contractor. _
Type of Permit:
r
SPECIAL CONDITIONS
CHECKED BY
0 SRA
0 FLOOD CERTIFICATE EQUIRED
t Q FIRE SPRINKLERS REQUIRED
¢> Q SPECIAL INSPECTION ITEMS
r Q VERIFY
Q USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
0
i
` ..
DATE JOB FINALED` _ ;D
f SIGNATURE:
• =OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE PERMANENT FOUNDATION Lj SOFTSET
_DACE D E C KS -C O V E R S•C A R P O R T S -GA R A G E S
1 ZoningSetbacks-Easements
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
2 Ftgs; SoilsSz-0pthSpacing-CnnctrsSteel
3 Sewer; Loctn-Test; FaII/C/O-Concrete
3 Decks, Girders/Joists-0cking-13rcing
4 Wtr; Loctn-Test-Easeinent Needed-RegulatorStairs-Guard/Handrails
5 Elec Loctn-DIrncs-Grnd ' Amp -Concrete
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg,
6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑
Frmg-Brcng
Inch Sz Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
7 Blckng; SzSpacing-Marriage Llne
6 Carports; Wndws-Doors
8 Gas; MH Test-Demand-Valve-Cnnctr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
8 Frmg; Sills-AnchrsStuds-Rftrs Tnrsses
10 Drain; MH Test -Fail -Flex Cnnctr
9 Siding; Nailing -Veneer -Stucco -Lath
11 Wtr & Sewer Connected -C/O to Grade
10 Roof; Shthg-Roofing
12 Gas and ElectiicityTagged
11 Ext; Steps-Doors-Landngs
13 Tie Downs ❑ Foundation ❑
12 Braced Wal] pnls
14 Exits
15 Cert of Occupancy
y�
16 HUD Label/Insignia Numbers Serial Numbers
DATE. IPOOLS
1 Setbacks -Easements
2 Soils; 'CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men4Jning
4 Elec Rcptcls/Lting; Distance -GR
5 Elec Pool Lting;15 volts-GFI
6 Elec.Enclsrs; Conduit Entries-Terminals4Jsted
7 Elec Banding; Metal w/5'-Crcttng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboardsansuitn to Main Conduit
9 Health Dept Apprvl
10 Pimb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Encisr, Fencing Alarms
13 Bonding, Diving board or Slide
Pool Drawing -
a - Not OK
RESIDENTIAL
(Single
&
Duplex)
DATE 1UNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Gmd Ftp Dpth
3 Ftg Garage; SoilsSteel-Elee Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalis Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgitrService Test
12: Elec Undrgmd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Acc & Vntitn
16 Insulation
DATE FRAMING
17 Sills Proper Materials & Anchrs
18 Wells Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders ,8 fir Nailing
20 Draft Stop In Walls (rat proof)
21 Fire Stops; Furred CeilingsStairs-Chasers Tubs
22 Headers B BearnsS &"Bearing"
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rfir Ties-Puriin-Roof Brac TrussShthg
25 Frpic Ties or Type AFlue=Frp c Throat Cimc
26 Attic Acc; Sz &'Rrrrx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctri Framing -RC Channel
29 Prprty Line Firewall 8 Opngs "
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace Int%Ext Wall pnis
38 1 nsultn-W al ls-Ceilings
39 Infiltration Walls-Wndws
4
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz w QCU or ❑AL
AC Wire Sz ga QCU or ❑ AL
48 Range Circ Oa Q CU or Q AL
Oven Circ ga Q CU or DAL
Insulated Neutral E] Yes C) No
49 Service -Riser Cndctrs & Gmd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prfctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tuti & Shwr, 2nd flr - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas.Piping
41'
DATE
MECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pitfrm if Furnace In attic
DATE
IFINAL
66 Ext Steps -Door & SldeLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handratis
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv flr
Mech Prtctn; LPG Appince Undr House 3" drain
81 Pimb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcis in Garage (GF) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clmc Dmge Planters 0 Yes [:)No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnct, Elea Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT. SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP061783
LICENSED CONTRACTORS 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
Issued Date: 07/24/2006 APN: 064-230-002-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: G3`'1 License Number: 89S 89tf
Site Address: 14729 CARNEGIE RD MAG
Date: -7' 29-06 Contractor.
v
Map Index:
Description: RE -ROOF (23 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: KELLISON CHARLOTTE A REV TRUST
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
KELLISON CHARLOTTE A TRUSTEE
the Contractors State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
14729 CARNEGIE RD
she is exempt therefrom and the basis for the alleged exemption. Any
MAGALIA, CA 95954-9643
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: AAACE ROOFING
pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
PO BOX 1798
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
95967-1798
proving that he or she did not build or improve for the purpose of
530-872-4090
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: AAACE ROOFING
pursuant to the Contractors' State License Law.). .
❑ I am Exempt under Article 3 of the Business and Professions Code
PO BOX 1798
95967-1798
Date: Owner:
530-872-4090
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 845894
❑ 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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
137.50 37 50
compensation provisions of Section 3700 of the Labor Code, I shall
l t v
forthwith comply with those provisions.
f� C C1
7-2_ 0Co
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY - —
This permit ls•hereby issued under the applicable provisions of the Butte County Coria and/or_ _
I hereby affirm that there is a construction lending agency for the
Resoluti ns o do work indicated above for which fees have beenpaid.
performance of the work for which this permit is. issued (Sec 3097 Civ.)
Q1
Name:
BY SL J� 7 Date:
Address:
PERMIT EXPIRES ON: t` v_A ' � 6
Date
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Cl Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly thorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ici I orm or document of B WCounty. I hereby
authorize representatives of ButteAunty to enter upon the above mentioned property for inspection purposes.
c
A t
Print Name/: I Signature: -
-�`�-0
Date: /
wner l�Contractor 0 Agent for Owner 0 Agent for Contractor
n
BUTTE COUNTY .
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net%dds
PERMIT NO.
BP061783
LICENSED CONTRACTORS 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
Issued Date: 07/24/2006 APN: 064-230-002-000
the Business and Professions Code, and my license is in full force and
effect. a
License Class: �:S9 License Number: 8qs Sy
Site Address: 14729 CARNEGIE RD MAG
Date: %- 29-0 6 Contractor: f ;�2�ef� 1 D�
Map Index:
Description: RE -ROOF (23 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty' of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: KELLISON CHARLOTTE A REV TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
KELLISON CHARLOTTE A TRUSTEE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
14729 CARNEGIE RD
she is exempt therefrom and the basis for the alleged exemption. Any
MAGALIA, CA 95954-9643
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
O I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: AAACE ROOFING
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
PO BOX 1798
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
95967-1798
proving that he or she did not build or improve for the purpose of
530-872-4090
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: AAACE ROOFING
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PO BOX 1798
95967-1798
Date: Owner:
530-872-4090
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 845894
❑ 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.
Architect:
❑ 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
0 1 certify that in the performance of the work for which this permit is
Census Code:
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
1 a�% �(�
compensation provisions of Section 3700 of the Labor Code, I shall
`(j c �J
forthwith comply with those provisions.
G
Date: %- y =
`?_1? Q
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Cods anrUor
I hereby affirm that there is a construction lending agency for the
Resolutionso do work indicated above for which fees have been paid.
performance of the work for avhich this permit is issued (Sec 3097 Civ.)
n r�.r�
Name:
B Q A
y 1/ r 6 �J ) �jDate: "� L n�
PERMIT EXPIRES y�`1 '
Address:
ON: L
(Date)'
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly thorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ici orm or document of B County. I hereby
authorize representatives of Butte unty to enter upon the above mentioned property for inspection purposes.
c
T � er'l l D
Print Names: / _ Signature: -
—�`t{_0
Date: /
wner I1I1 Contractor O Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY '
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
Last Name
( )/ _S,GIJ
irst Name
Address / If
ear N
City A CA
l6 0
StatLy
61q
Zip 9157SI/
Phone
State
Fax
E-mail
-�
ZipPara
APPLICANT INFORMATION
ARCHITECT/ENGINEER
CONTRACTOR
Name
�G�ae
� • �
�A/ I�
Address
l6 0
Type Const.
City
City
State
Lot #
State
-�
ZipPara
Phone
s
Phone
Fax
E mail
E-mail
Lic. #
f
Class
C
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
State
� x
Address
Fax
E-mail
Type Const.
City
Map BookPage
State
Lot #
Planner
Date Approved:
s
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SICoVATURE
X _ P :��,J,/
For office use only:
Zoning
Property Address
`�C%
Flood Zone
Cross Street
n
r
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map BookPage
'Address
Lot #
Planner
Date Approved:
PERMIT
NO.
BPO
BIN #
PROJECT LOCATION
AP# -.230 '6o2_ G�
Property Address
`�C%
City
Cross Street
n
r
WORKER'S COMPENSATION
Policy Number
s
Carrier
If hiring anyone other than license contractors; a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name.
'Address
OVER FOR SUBMITTAL REQUIREMENTS L
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc \Page 1 of 2
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a'•permit has not been issued will expire one
year after the date'of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS `
Refunds can only be,made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the,
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are�noti
refundable. �� g
Received by: �,((�6 Amount: 3 T%.V�GBldg
Receipt ##n�: p� * Sheriff
`^ `�c��IIm SMIP
Date: 7-2 1. � Other
50 Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
O 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
-- ❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
.r-.�. � . r ., .. . ,� L ....Yi'; ...-s+i•2. ^3s..: , : 'aL.+`kr1 ^"r, ' . r_ �.•;� 4 '�
- =.''r-^ •;,� :►L'3. . , _ , ..•...,a : '•� tlx: -� ^•r k. `i`f `�':•.4 �. ,,., r? �
FWEEMS,Marie
93-1005 B
a _ 4 CONTR: K-Designer'sRd, Magaliag)
e
. • �'-" - fir/ 1; �+�• ' ', �� .,�.+ , •
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
o■.
ASSESSOR PARCEL NUMBER
Uri -•-2-3-0 ---CLQ 2.
ZONING
BUILDING PERMIT
OWNER
1 ERtS
TELEPHONE
873-1063
SQ. FT. OCC. BUILDING VALUATION
W ERAS' NG ADDRESS
14729 ARNEGIE ROAD MAGALIA CA. 95954
CONTRACTOR'S NAME
K -DESIGNERS
TELEPHONE
631-9300
CONTRACTOR'S MAILING ADDRESS
P.O.SOX 276977 SACRAMENTO CA. 95827
Fireplace
CONSTRUCTION LENDER
CASH
UNKNOWN
Total Valuation is 6
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00 X1'(
Permit Fee
f 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14729 CARNEGIE ROAD
Permit tee
$ 90.00
PLUMBING PERMIT
Filing Fee 10.00
hlAGALIA CA. 95954
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�N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
Ne*p*g Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe
Describe work: VINYL SIDING TO EXTERIOR OF NOME
Permit Fee
$
contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�y�CJ
" I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and ProfeSSlpj�(jgo(F``O{dre and my license Is In f I {force and effect.
TVOVVV—�+I
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.81 ,
OR ADDNS. 1, ACC. BLDGS. hdsgft
NEW CONSTR. M U TI.OUTLET
NON.RESID .BRANCH CIRC ITS 2.50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES 20050t
eAL930
Ex. OCCup. OUTLETS P(RESID.)REA.) 1 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.
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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses, which may in any way accrue
against said C unty iniconsequence'of the granting of this permit.
X /1�C.�—�r..t� Date41
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and .demolition or construct-
ion of structures over 3 stories in -height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 90.00
OCCUP,
CONST.TYP!
JSC"OOLJ
FL000
PARCEL
P11
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
.4 `; �' DIRECTOR,OF PUBLIC
;
BY — '
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
1!7 �'
Receipt No. _
WNIT!-O. P. W., YlLLOW-ASeESSOR, PINK-IN9PlCTOR, 6pLDENROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
06 -�Z3 —ice _69C) Z
Z9N G
BUILDING PERMIT
OWNER
MARIE WEEMS
TELEPHONE
873-1065
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
14729 CARNEGIE ROAD MAGALIA CA. 95954
CONTRACTOR'S NAME
K -DESIGNERS
TELEPHONE
631-9300
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 276977 SACRAMENTO CA. 95827
Fireplace
CONST''((R````��U''CTION LENDER
UNKNOWN
Total Valuation $ G 194.00
Filing Fee
$ 15.00 )MY�'Lry�
LEN ER'SMAILING ADDRESS
Permit Fee
$ 75.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14729 CARNEGIE ROAD
Permit fee
$ 90.00
PLUMBING PERMIT
Filing Fee .10.00
MAGALIA CA. 95954
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
SFM Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00
TYPE OF WORK
N€ Addition ❑ Remodel ❑ Utilities ❑ Installation❑. Other
Describe work: VINYL SIDING TO EXTERIOR OF HOME
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�����/��1�
X I I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS
and Professions Code and my license is in fuhII fo ce and effect.
498806 ( -6f
License No. Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.eI
OR ADDNS. ( ACC. BLDGS. , /20sgft
NEW CONSTR. I -OUTLET
NO N.RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES 20050t
SALO 30
FIXED APLISIS
Ex. Occup. OUTLETS P(RES(D )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
FiIingFee 10.00
Heating
Coolin 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 bove-mentioned property for inspection purposes.
also agree to save, in emnify and keep harmless the County of Butte against
all Iia ' ' ie judgmen s, costs, and expenses which may in any way accrue
against s y in onsequence of the granting of this per it.
X Dates/
Signotu a of Applicant — Owner ❑ Contractor Q Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 90.00
occu P.1
coN 9T.rrPc
ISCHOOLIFLOODIPARCELI
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
R TOR F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �—
Receipt No. ���%.1- " 7
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
I��iV/tel "#1 IN THE WEST'
�'-DESIGNERS -
P.O. Box 276977
Sacramento, California 95827
(916) 631-9300
(800)282-3111
(916) 631-7370 FAX
CA Lic. #498806
TO: - ,Q , C
SUBJECT: BUILDING PERMITS
JOB SITE ADDRESS:
PLEASE ACC THIS AS YOUR AUTHORIZATION TO ACCEPT THE APPLICATION AND ISSUE A
BUILDING PERMIT FOR THE ABOVE DESCRIBED JOB SITE SUBMITTED BY
A REPRESENTATIVE OF K -DESIGNERS.
PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB
SITE ONLY AND NO OTHER PERMITS ARE AUTHORIZED HEREIN.
V
��6AN /(8. V. VIDLOCK
PRODUCTION MANAGER
5825 W. 6th Avenue 2330 5th Avenue So.
Lakewood, Colorado 80224 Billings, Montana 59017
(303) 231-0044 (406) 245-6804
"#1 IN THE WEST"
•
DESIGNERS
P.O. Box 276977
Sacramento, CA 95827
(916)361-8800
(800) 878-5711
CA Lic.8498-806
{ II j
APPLICATOR CHECK SHEET
CUSTOMER NAME: 9 r �1�1 � �/'� �-�-� •� JOB NUMBER:
CITY OR C
PRE -INSPECTION:. 1.
PRE -INSPECTION ALREADY'CALLED:
ORDER PRE AT TIME OF PICKING UP PERMIT:
FINAL INSPECTION:
COMMENTS:
PHONE:
2330 5th Ave. - 5825 W. 6th Ave.
Billings. -Montana 59107 Lakewood. Colorsdo 80224
(406) 245-6804 (303) 231-0044
I
PERMIT NO. 696-83B
• PERMIT EXPIRES
OWNER MARIE WEEMS
CONTR.' Sierra Construction, Paradise
ASSESSOR PARCEL 64-23-2
LOCATION 14729 Carnegie Rd,lot 71, PP#14,Mag
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E _
Temp. Gas Sei
Called PC
a
JOB'FINALEI
i
Signature
J = OK
0 = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except.p's
Date
DECJ(S, 20VERS AR PORTS, ETC. (Plans) OK except it's
1. Zoning Requirements -Setbacks -Easements
1 oni eequirements-Setbacks-Easements
2. Soils; Special MH Support -Sketch
ootings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_ _ _
:/Crj�33. De s; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
ood Awn.; P�eISBCertt�-l2ike!L`o -S-$ierSrt3t;iAg�
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
."A -w -l -,Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6r-C9rp8RS-tl71Vlows-Doors
7. Utility Clearance
P- E1ec -
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Dale
Card -BI
Date Card -BI Date
Card -BI
_
0 Date -,(Flom Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except ft's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand=Valve-Connector
2. Soils;. Compaction -Structure Stability
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel 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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
'Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel =Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q'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
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18.
19_.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
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 Card -HI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
--
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Flet. Receptacles Spacing -Lights &Switches at Doors
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.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails &Deck Construction -Post Caps
-
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
--
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
76.
Stucco; Brown -Finish
_-
29.
Equip. Clearances; Pane IS-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.
--------------------
Card B-1
----
-_-__.--
Date_ _ _ Card -BI _ Date _
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
-
MECHANICAL (Perrr,it) OK except N's
31. A.C_.-Ducts: Insulation & Support -
83.
_
Corrections from Previous Inspections
84.
85.
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
32,
33.
34.
Vent Fan; Exhaust above Insulation
Condensate Drain _& Overilow; Size & Grade _
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
86,
Energy Compliance Certificate -Other Certificates
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
_
__--_- ------
Date __Card -BI_ Date
Date Card -BI Date
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans)
OK except N's
Comments at Final:
-
36.
37.
38.
_39.
_40.
Sills; Proper Material & Anchors
WaIIs: Studs -Nailing, Spacing & Bracing -Plates_ -Sound_
Bearing Walls over Girders & Floor -Nailing---
Draft Stop in Walls (rat proof) _
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing .
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill H_g_t. & Dimensions
Garage Fire Protection Framing
_
(NOTE: Anentrymust be made each time youvisit jobsite)
• . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL U BER
_��7�
ZONING
BUILDING PERMIT
OWNER JE _
TELEPHONE
S0, FT. OCC. BUILDING
VALUATION
2 -.�
ZZ
OWNER'S MAILING ADORES
CONTRACTOR'S NAME//�
:31,69M C
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
7 AAtb L
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $ . {(" 90p -
Filing Fee
$ 10.00
LENDER'S MAILING ADDRIfSS
Permit Fee
_
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee -
$ .S
Penalty
$
ARCHITECT OR ENGINEER'S M (LING ADDRESS
Permit fee
$ !v
BUILDING ADDRESS 72 9 C
PLUMBING PERMIT
Filing Fee 10.00
01
Each Trap
2.00
Solar Water Heater
20.00
-
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PGas
PARCEL MAP
Each qas water heater or vent
5.00
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
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: Qzed/ c Q&Xe& A _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov 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
2h¢sgit
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
F -1I am licensed under provisions of Cliapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force,and effect.
License No. Classification
V
F-1 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 CONSTF ULTI-OUTLET
NON-RESID. BRANCH CIRCUITS)
2,50 ea
NEW CONSTR. ( POWER APPARATUS &\
NON.RESID. (SINGLE OUTLET CIR. /
Ex. Occup(o
XEDTS OR FIXTURES
20050Q
BAL@30Q
FIXED
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
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 liabili 'es, judgments, costs, and expenses which may in any way accrue
ag t 'd County yn c sequence of the granting of this permit.
���
/ Date
SigActure of Applicant — Owner ❑ Contractor 9- 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 •$ s®SV_
OCCUP. GROUP
Yom_ 2
/� J
TYPE OF CONST.
PARC
PD
HD
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIR TOR OF U21BLIC
c
By ��
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
t
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT
To: Bui-ld.ng Department
From: Environmental Health
Subject: Sanitation Clearance r)S
Owner Location a��l tL
Plans approved for:
Hold final for:
Final Clearance O.K. for:
Sewage Disposal —
Clearance for bedroom mobi-le home.
Clearance for addition of_3
ATn+ekk
Sanitarian
Other
0
AP#
Water Supply'%.
Water. Supply
Water Supply-
.
�a
r
r_rA A_ g j
Date
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COUNTY OF BUTTE - DEPARTMENT -,OF --PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL&'CA'rIFORNIA 95965 -'TELEPHONE: 916/534-4541 ,
PERMIT APPLICATION DATA SHEET
OWNER
-" Permit No.
A. P. No. ?—,
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price
DPW Valuation
Other (Explain)
Building Inspector Date
At time � of permit application, I was advised the following data must be submitted prior to permit processing
an //O/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 owner0, Mail to ownerEl) f
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
17. Pre -Inspection for Required- BuildingPre-Insp
request to (Dote)
P q Building Inspector
18. Other
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 �)
`(Applicant Date 1? ->-3
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
By
Plans checked by.
Plans approved by
Other:
Copy—DPW
Date
Date •
_Mail Other
Date
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This set of �taras.ariel specifications. MUST be f __ AO r
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PERMIT NO. 3175-75B
P
E
M
MH UTIL.
'PERMIT NO.
PERMIT EXPIRES
OWNER Fred Weem L,)eimS
jcONTR. Fred Cox, -Paradise
LOCATION .(A.P. 64-23-2 )
a
160 Carnegie Rd . ,—zc�G7.� '
1
'J
!a
`f
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
r' Called PG&E
Temp. Gas Serv.
Called,PG&E
VJOB
FINALED
(Date)
'0�4 Zo
(Sig ature)
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Wall:
Reinf. Stee
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -'
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
•Windows
3rd Floor
Sidinci
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garacie Vents
Water Htr. "
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Tempa Gas
• Final
Sanitation
FIREPLACE
Final
Footing
ELECTRICAL
Throat
Rough
Final
Fixtures '
FIRE SPRINKLERS
Motors
Test
Water Htr.
Final"
Subpanels
MECHANICAL
Grd. Fault Prot.
Heating M4
Service
Cooling
Temp. Pole
Ducts
Underground
Ventilation
Permanent
Final
Final
.f REMARKS OR CORRECTIONS
COUNTY OF BUTTE — E)�RARTMENT OF PUBLIC W
7 County Center Drive - Orovi Ile, California 95965_
Telephone: 534-4541
APPLICATION AND PERMIT
M
authorize representatives of the County of Butte to enter upon the
above-mentioned property for i s ection purposes.
��—
X Date
Si nature of Permitee or genntt
Receipt No. /v /
White-D.P.W. — Yellow -Assessor — Pink -inspector'— Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
BY Date �'I --7 J
B ding permit expires.Date /� �� -76
BUILDI G
Owner
SQ. FT. OCC. BUILDING VALUATION'
s
7_
Mai I Ing Address
Telephone No.
�.
Fireplace
Contractor ,"
Total Valuation d
Mailing Address 7
Permit Fee
Plan Checking Fee &/or Penalty
9Yle hone No.
2Z
Building Address
Permit Fee
PLUMBING No. @ I FEE
PERMIT FILING FEE $3.00
_
Z�n 24 d
Each Trap 1.50
AD, 4
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or went 1.50
-Z-3 `0 _2_
A. P. N0164-
Zoning & Planning
Gas piping system 1 - 5 outlets • 1.50
Each additional outlet .30
s
Sa i do Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Declaration
parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system t 2.00
�Plans
8Id. Plans Rec'd
Parc proval
Pla s royal
Permit Fee.
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
'
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
-
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater. or Space Heater 1.00
(d2
Light fixtures bal 010
'
Receps., switches & fix outlets
~ CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busines fessions Code under the name
style of:
✓✓
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power. Pole 5.00
License No. - � % �6 � � Classification /
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County'of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fe-
e- $
$
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
TOTAL PERMIT- FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for i s ection purposes.
��—
X Date
Si nature of Permitee or genntt
Receipt No. /v /
White-D.P.W. — Yellow -Assessor — Pink -inspector'— Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
BY Date �'I --7 J
B ding permit expires.Date /� �� -76
it
3Ss�-
` F
,PERMIT NO. 3787-74$.pyE'M
)
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
"OWNER Fred WeimS
CONTR., P6ul Reimel, paradiSp
AOCATION (A.P:' 64-23-2
160 Carnegie Rd, lot 71, PP#p14, Magalia
L.
7
�Lt�i e
4l
PSS
L'
1.
w Temp. Power Pole ` %
Called PG&E
Temp. EIec. Serv. —
?' Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
4'
NALED S� V
(Dale
)
(Signature)
91
Setback
Forms zz
Mai— Bldg.,
Stemwal I
Slab
Piers
Footing
Stemwa I
Slab
Footi
Slab
Patio
Footi
COUNTY OF BUTTE — DEPARTMENT OF NUBLIG WORKS
BUILDING INSPECTION RECORD
BUILDING. BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
� ') �� Windows
y
Siding
Roof Sheathing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure
PLUMBING
Soil Piping
1st Floor
2nd'Flodf
3rd Floor
Water Pipi
Sewer
Fixtures
Water Htr.
Appliances
Gas Piping & Test
Temp. Gas —17
Sanitation
FIREPLACE Final 711 A
^ ELECTRICAL
Reinf. Steel
Final 0/0`y 7 / -S
Fixtures
Bond Beam
FIRE SPRINKLERS
---------
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
'Cooling
Temp. Pole 55 7 LZ
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
9- So' c
Oawle-
4
ql�F lqe e-- -ca:)
02 0"
Gl � ct�r llG.
'- • _/
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, Californi 965 �0
T41 ephone: 534-4541
APPLICATION AND PERMIT 6
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X ate
Signature of Pe ,tee or Ageennt cc
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
By ` Date
41ng'permit expires Date....................
................J.'..7
WILDING
Owner �e
SO. FT. OCC. BUILDING VALUATION
:OLD
Mailing Address
e-2-0 2090 00
Telephone No.
Fireplace "� , p p
Contractor
Total Valuation „{Q a. , 00
Mai lin Address /
g "�`��� 'G
Permit Fee
Plan Checking Fee Vor Penalty
Te ephone No.
_0c
Permit Fee
$
Building Address n —
`''
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00 ,Zp
—
Each Trap 1.50 %ij�_v
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N
1 Zen %z
n iflig
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
he-esW.C.
an' Fire Dept.
Fire Zone
se Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
De laration
parcel Ma
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans ec'd
Parc Approval
Plans Approval
Permit Fee
--L
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00 3,00
Main service incl. 1 meter 5, 079
Additional meters, each
1.00
Sub -panel (12 or less) (more t n 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook op or CA— 1.00 Z, 00
Water Hea or Space Heater
1.00
4.04,>
Light fixtures 'bal @I tZ
Rec switcftlst &fix out et 7 f
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Sv"f:
Al1l_ ( 1 14 k`_' Jy( L DF_
Hoo , Ex. Fan or F.A. Fu . Motor
1.00
2,00
Evap. cooler, gar.offsp. or D.W. 1.00 /100
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification jl—sr :3,46LMisc.
wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ t
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑'w have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00 00
Heating
Cooling
Ventilation
Hood 2.00 _'2_�
Permit Fee $ ,00
$ 0
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X ate
Signature of Pe ,tee or Ageennt cc
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
By ` Date
41ng'permit expires Date....................
................J.'..7