The URL can be used to link to this page

Home My WebLink About064-380-02364=38-23 839-89B,P,E,M cc4 .- 38 OZ:�) CLEMMER, Monte t 13984 Potomac Dr, Magalia .(new single family) FINALED: 1)3 13 { I r h 64-38-23 - 839-89B..�, CLEMMER, Monte • 13984 Potomac Dr,•Magalia (new single family) FINALED: PERMI' PERMIT EXPIRES OWNER CONTR. _ 4 ASSESSOR PARCEL Y LOCATION r q 2,,,sA Ta SKYW4 y + OFFICE COPY ;." Address \ 3q S al RO-T /+n%C GAS �.-�— Date I Meter By i� Meter CBRIC6 Date ,t g ) Temp. Power Pole ` Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E I � JOB FINALED (Date) Signature - =OK - i 0=Not OK ; - = Not Applicable 'MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -1211 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -Bt Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. _Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main in Conduit Card -B1 Date Card -Bt Date Card -Bt Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date = uK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) -I!Zoning-Setbacks;-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors Ftg., Main; Soils-Steel-Elec. Grnd.-/ Q& /" Ftg. Depth 46-Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. tg., Garage; Soils -Steel -/(,l /" Ftg. Depth . Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth # Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 61S4emwalls, Main; Steel-Blockouts-Wrapped "'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6eigtemwalls, Garage; Steel-Blockouts-Wrapped 58 -Garage Fire Protection Framing . Slab; Steel-Wrapped 54-Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel W -Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 59,-6tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors X. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test . Siding -Nailing Veneer 12. Electric; Underground 5�cco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance -Material -Supprt- Ins. 06. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation �9!fnsuldfio�r-Walt9'-C , nfilt tion-Waifs-Wn ws Card -B1 (G Date 4✓(,g,%gCard=B1 Date n SCRAP t- t AW 1W HeAb" . Card -B1 Date Card -B1 Date Card -B1 (:SG Dates -k" Card -B1 (5;� Date 5'_ZsArT Card -B1 C.G Date��3-$47 Card -B1 Date Date PLUMBING Permit OK except #'s Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s ter Pipe; Test & Anchors -Nail Protection 1. Ext. Steps -Door & Sidelight Protection -Landings D.W.V.; Test-Fttngs & Anchors -Nail Protection \ moke Detector 19. Shower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors . Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa )dftlec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Qi Dategs, Card -81 Date . Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -B1 (SC Dater /hard -B1 Date Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance . Elec. Outlets & Receptacles at Kit. Counter 22. Fixture & Transformer Clearance -Ins. Protection 23jlec. Receptacles Spacing -Lights & Switches at Doors 24.'.Size Boxes & No. of Conductors -Stapled . Garage Fire Door; Swing -Landing -Closer Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 9.Equip. Ground made up w/Mach. Fasteners -Bond Gas &Water tr. Htr.; Vents -Clearance -Comb. Air -Connector -P. - n Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 3* -2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al .W. Range Circ. /<!P / ga. Cu orOven Circ. / / ga. Cu or Al. Insulated Neutral )044-u) 10 No 7. Insulation -Foam -Looked in Attic 13 Yes . Guard Rails & Deck Construction -Post Caps 3e -Service -Riser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 34" quip. Clearances Panels-Motors-Mech. Equip. Clearance Looked un er Floor ❑ Yes Clothes Closet Light -Shower Light -Spa Light . Following instld.; Drive Yes ❑ No; Walks ❑ Yes No; Planters ❑ Yes ❑ No Smoke Detector Stucco; Brown -Finish Card -B1 GG DateCard-131 Date w . A.C. Unit; Disconr%ct, Electrical, lumbing Card -B1 Date Card -B1 Date 3. Vents Above Roof; .-Appliance- 'repl.-Clearance to Openings. Date M CHANICAL (Permit) OK except #'s Water Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground 4. A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation . Ventilation throughout House :Glass Protection 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet . Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -B1 Date�.2°j�� Card -B1 Date �(� . Roofing Certificate Card-B1Date r� �.�� Card -81 Date Card -81 Card -B1 Card -81 Card -B1 Date ate rd -B1 Date Date rd -81 Date Date FRAMING (Plans) OK except #'s W Sills, Proper Material & Anchors alls Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: earing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 437 Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. "Mom s, JAG T Inspector�J- (2, Date ��12 y.._�--,.. �.�R � -....-mss.• o�.i+ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE JNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ` Gc�le A. -a . t Inspector /Z X-211rr Date 1 I ivabecloL wsllsL' OL ussq sgq!l!ousl sxb!susl!ou' b!ssos coulscl 1pla oll!cs !wwsq!sls!A• MPSU COLLGCIIOU O} MOL!( !2 cowbislsq• ea Aon Psns suA dnsel!ou bsLls!u!ua to ljim sx!al sl jp6 spons sggLsa2 3uq 2Pon!q ps COLLsclBq• b16926 UOMA Me olllc5 d Lonl!us !uabscl!ou !uq!csjs2 lPsl JPs lo!!OM!ua A!o!sl!oua 04 ConulA oLq!usucs OMWEH bEdWll AO' III EII!ol( dosq' bstsq!2s -- buous: 815-e30l I ConulA CGUIGL OL!As' OLon!!is — buous: 238-1211 jae wewoL!s! fy,.sA' CP!co — buous: aai-5i2J 0EbVHIRE541 06 bneric IAOHK2 conmiA 06 enlIE ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE SPA/, e OWNER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance 4 exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. d ,a rem r E /A Nk-)r_ r Tin 1K Inspector, /:� / Da 3 i Ull 90 YT HU00 35`iEi6k of 1 i q q0 TV.3MTrAgBG tBSS•.rO.S :9nor q -- WhornsAl Bili tAc:iti£3Ea :snuri� — 9I!ivolo ,avilcl ;sinao ylnuo. 06aB SB :enor19 -- oaibcls9 ,bno.q !luill=l VA 93115nit;-io Ilaf?i1oo io anoil5ioiv pniwoi9ol sill 1'rult aolattibnt - oflasgani on;lum A �a€lir 21ri1 1,,l3?or saraiq .botoottoo srl bluo; a brie. easibbs avvadr, sril !r W s aidl o* ylns svrad uoy ti .botsigmoa ai Aim t0 roil3slwo roriw Violsibenuni aW:gxo aldl 1126ls3oo o2ralq ,no!tvnr lgxa Isnaitibbr, bssr. io ,iolfarr, � 4 F • � 1 i t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Cmev-�R g39— 89 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. TFC (z 1)'W V . talo WET Co Prr2, �Q 20 T _,yj3 �/b12/�i✓r Sfo13 /sM 2 Vj 1a61_Fc 5 Y J Crxta�tne,1' ATTte C t �_ o c I1c i" 10 ,J OL L. (Z - Inspector Inspector Date S_ -e3- g 9l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Z2� �� Date / `' 1. . r ,r ..'��'''sfs: tiJ+-.^:Kt +.flra,.. •r�r.�v.^�v�ti"':'.+Y-Y. '�yii �l�i-R^i'�'4r� Mi.ai�'-,... COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE C. OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Vj R Inspector /-Jj. L—", Date 4'z8 -R-9 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE CLC�rv.nn�l2 �j,$� OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. k4 o W �,I(L "L,> w,\) Inspector zlld ---- Date ...... .... I C A T J., 67-11 ------- ---------- Imcxl.lp el It (1111: T.H.01-1 OF 3.11SMATi.op I In t:v T I I.I. C It I I ("I!. Re.10JIL11 - 1 1( f - . - It — V 1.1 - I - f . PX*1'1.' , ------- ame Cf, I.- I Itwitntmic"(1t VnI11fl)//.__.__. 'It(! 1.: 1-3, lie J.j_ be ry I.; s S, Th IC 111.1(iq r, Ornml linme C f., j.- 1: j I i I I , 1.,(� p (I bw.hen) Cherinni Itest.rit:ntic .1. bir Aren of Itn so TI n I I vil I jf�)__ . ..... ....... 11mille if thermal. Kr.n 1.111::1111 M;I I: p. r1a I . ......... Thnullml. t IAW 211lovi, c0l. W11:11 Jtt COII ro rm:l tic. .1.1wo In IA.oll iflillv(i J,,,; flit or. , , Yimrry I - 1�1 . t . v I r) I 1 379407 A/2"O AII'Ll A. . Toll DATE, ........... _j .1 110 11,(.1113, cr�rljf'y f.lt,c nI)ov(1. .111r,01:11A. If ,•Yll Oil I lit! lit# I 1.(I J)"► 11:1--n(Amievitn h1V" bc�!o 1:471111 IA c!d by o 1: J.ttnl::tl.lrrl nn ,,, IMUIVY R(If Ik1j.UCIIwIlf:rI . l„nr AI I. vqII 1111d 111111 flun of I.Ile fill.11.11:Y prvacrJAwd fit: iwo y nlrlrr. (.1 V C, I I I ly ClIe CrI 1. .1. fo r I it it IM F _QZL s.t(;ttr1'fUlu, It GF4 UUM 11- RAI., IIUIJfJ�:It COUITACToR .1; __.._._.___--- 1'111S , .17 IMST HE of.4 v. .1 C A . I I 1 .1. 1. 1.. 1,111,11 1)(JJ1.1allu, AITROVAI, AND A Copy FJ I I A 1. .11 NIAIJ, 111.-, 1.1-11,11114 .1:11111"Iry RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC. ONLY) • �91L._ �/� /L� GENERAL (l� Zoning requirements: (sideyards �Ualuation. Plans signed by designer. .Energy Design and Compliance. Existing violations on property. PLOT PLAN Permit # and number of permitted living units). 4 qe Complete parcel size and dimensions. 1-2. .Setbacks, sideyards, easements, etc. Other buildings or structures. 44':''' Grading, fills, drainage. L5✓` Flood hazard. L6?'""Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with -dimensions. ,,2 f�Required windows for light and ventilation (Sec. 1205). a; Required windows for second exit.(Sec. 1204). 4'- Skylights (Chapter 34 & Sec. 5207). .._9�- Human impact glass (Sec. 5406). _16<--'kequired room sizes, ceiling heights (Sec. 1207). /(// G_ F*C* in baths, garage and exterior outlets (Article 210-8). ($! Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. maintenance of Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. (1.0. Garage firewall, door size, and closer (Sec. 503(d)(3)). i& -'l - 3'0" exterior exit door (Sec. 3304(e)). U -2 -:-'Fireplace and wood stove location. d, -37 -_Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1d0�Foundation plan complete enough:to construct building. rFloor construction details complete enough:to construct building. Elevations. and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 1*0* Fireplace construction details and calcs if necessary. ,6! Sufficient data and details to satisfy energy requirements (State Law) (Form 1)'. MISCELLANEOUS ITEMS TO LOOK OUT FOR ''1--10".Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). _,3.— Guardrail details (Sec. 1711 & 3306(j)). -4 -:-'`Brick or stone veneer (Chapter 30). .6 -""Exterior plaster - weep screeds (Sec. 4706). 60*0 Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 1 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. J9., -'Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. fir: Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 2p"'Attic access and vent& -Yatton (Sec. 3205). Underfloor access and ventilation (Sec. 2516). il✓+'� Wood stoves, clearances, alcoves & 1 -hour shafts. 46"- Combustion air for fuel burning appliances. Noise requirements on duplexes. 1 -7. -."Adobe soils - special foundation design. ��:"Retaining walls requiring design. t,�. Unusual shape, size or split level house requiring lateral design. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT N0. ASSESSOR PARCE'/(_ NU B=R ee _643 zONIN° - BUILDING PERMIT OWNER T °f's SO. FT. OCC. BUILDING VARLUATION OWNER'S MAILING ADDRESS � �— CONTRACTOR'S N E &&� I_ ELEPHONE CONTRACTOR'S MAILING ADDRESS FireplaceZF 1065 CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $oy CZ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ lSIP ao Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSt✓ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 00 Solar or heat pump water heater 20.00 I'd SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE 6F STRUCTURE SF4?r`�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition ❑ RemoAl ❑ Ut' ' ies Installation❑ Other ❑ Describe work: Permit Fee $ , 0 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100 OR LESS OR 100 OR LESS 10.00 0, v Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force and effect. License No. ��•�n C�� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONACCST GOCCUP /:¢sgft ko OR ADDNST NEWCONSTR MULTI—OUTLET 2,50 ea _NON .RESID BRANCHCIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. / ZALO at Ex. OCCUp(OUTLETS OR FIXTURES.200930 30 FIXED APLINIS. 11 Ex. OCCUp. OUTLETS P(RESID.)REA./ 1 2.00 Temporary service 10.00 Q Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of C nsent to Self -Insure. 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heati 59 -OD Cooling a(� Hood • 3.00 Q Ventilation Q .�f Permit Fee $ 0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date licat - Owner[e—Contractor Z --Agent Signature of Jri An OSHA peis required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �l TOTAL PERMIT FEE $ v occuP. CONST c JSCVJ FLOOD ARCH P N� Is9D V/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which W' -w CT OF PUBLIC By PE IT EXPIRES Data the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. ��/ .� WHITE-D.P.W.. YELLOW-A3e E330R. PINK-INSPCC TOR, GOLDENROD -APPLICANT / COUNTY OF BUT. = DEPARTMENT .OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �G%'�;; �i_ A. P. No. Proposed Building Use S Building Inspector .0 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid .................................................... 12. ��I S T-)SchoolDistrict fees paid ........... . 13. Sanitation approval from A, 4 Health Department ... 14. City of Chico plumbing permit ...................................... — 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... �17. Improvements may be required. .8. Dri`veway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ulred .. , , Pre-Inspen request to p � Building Inspector ' (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ... I ........ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone C 1-3 / 4/f and hold for pickup at� office. Deliver w/inspector. Other ' Applicant �i Date ' Copy of plans sent Health Dept., Fire Dept„ ther Date The following data must be submitted prior t it is, ua ce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by !� Date `� lc3 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department ' FROM: Environmental Health SUBJECT: Sanitation Clearance 2,2 Owner Location A # Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 2� bedroom home. Other NOTS ** tars n Date TO: Building Department FROM: Encroachment Permit Section `''RE: Driveway Clearance 1-2 owner location Driveway permit 40 /0 3 Z 1 15 si ature AP # has been issued for the above property. /q - date BUTTE COUNTY RECORDER SERIAL NO. Z? r( — / l 9 5--3 RECORDED A' THE RETEST OF MID VALLEY TREE OOMPlAW DATE MAORNMAPR 5 r49 "ft 2, o oAr7 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT AP 64-38-23 FOR RESIDENTIAI, DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described. as follows: Date: s 3 / ff State of CALIFORNIA ) ) SS County of . BUTTE ) SEE ATTACHED .LEGAL DESCRIPTION PROPERTY OWNERS: MONTY CLF14MM On this the 31st day of MARCH 19 89 , before me, the undersigned Notary Public, personally appeared MONTY CLETAME R /X/ Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) �� 5. subscribed to MOT��WC �a the within instrument and acknowledged that #e, u�ownow �'�p�roe executed the same for the purposes therein contained. Mwch22.1991 IN WITNESS WHEREOF, I hereunto set m hand and officia al. Notary Public DAVID HALKOLA Present A.P. No. 64-38-23 ' .. 1 .. ...... !1..1:1. .. 1.•:.::i'. :' DESCRIPTION ALL THAT CERTAIN OFRBUTTE pROPERTY DESCRIBED AS SITUATE' FOLLOWS � THE STATE OF CALIFORNIA, COUNTY a PARCEL I: LOT 317, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 4", WftICH MAP WAS RECORDED IN THE OFFICE OF THE TTE, STATE OF CALIFORNIA, ON OCTOBER RECORDER OF THE COUNTY OF BU 1, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 97 THRU 101. CERTIFICATE OF CORRECTION RECORDED DECEMBER 21 1970, IN BOOK 1648, PAGE 4, OFFICIAL DS. OTHER EXCEPTING THEREFROM. ALL WITH PROVISION THATNERALS, OILt GAS, 'ANY ANDMALLD MINING HYDROCARBON SUBSTANCES, OPERATIONS SHALL HED NE , FROM ORIF ICES DESCRIBED OF THE LAND AND THAT NO OUTSIDE DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. P—ARCEL II: A NON—EXCLUSIVE EASEMENT OVER LOTS A, B,`C AND D (THE COMMON AND THE LOT A OF AREAS) OF SAID PARADISE PIFOR ING ESS, NES UNIT •EGRESS AND THE USES AND PARADISE PINES UNIT NO. , NS PURPOSES SET FORTH IN THE AMENDMENTS DECLARATION THERETO AND THE DECLARATIONIOOF AND RESTRICTIONS, .ANNEXATION FOR PARADISE PINES UNIT NO. 4. ��,�..'"^,1Y'/.^"er"sYlf"'Ipt �'� rte" ,,r.� ,�s a ��y• yyy c . � .: +ro�..,,:.au� _ e,y. - s'r� �ur"i.'r�}n : M ... • �,� �'� c �T�i*Ykyw.I�Yr'�'�h.''A/'r` �3,irl..f�'i •�•dMcsa� "f w/Y�'T.^r7I'144L"✓w.-y.�.�,.dy �. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One Form per' Building ) A.P. Number r„�/_ 2 _2 3 Building Department No. School District P U S Z) City Q County Q�Jurisdiction Property Owner Project Location/Address U � Subdivision L1 �% �,� Lot Number Residential Development: � � Sq. Footage # of Living MHI Addition (Group R) Units A� Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) 3 _au Pl? Building Departinerft Representative Date District Id No. RY J3 School District certifies that e ' (Applic rpt Name) ( Phone Number) (Street Address) y) (State) (Zip Code has complied with the requirements of Resolution No. by the payment of $ representing �'3 square feet. Alrv'� — �/ Sch of Dis rict Representative D to PAID BY CHECK NO. 3 U 0 ,,BANK NO PAID BY CASH REMARKS: - white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88)