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HomeMy WebLinkAbout026-250-055 .I 's 2-6 23-53 STEVE BARNFIELD ba E/S Martha Ln, 600 S ermo R , 1. Permit#154-86MHI(existing site) Issued_ 26-25-55 "- 2488-90MHI SMITH, David 7605 Martha Ln, Palermo /1 Contr: Executive Homes q0 (installation/MH) (� M1 r� . �- Cts x � _ 44 1t r .._- .. e� �.. ... _. . .�,. .L o24 J/�o - Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING February 6, 2006 Occupant 7605 Martha Lane Palermo, CA 95968 RE: Formal Warning Notice Butte County Code Violation Address: 7605 Martha Lane AP# 026-250-055 Dear Occupant; Through our courtesy notice on December 21, 2005, you were notified pursuant to Section 41-2 of the Butte County. Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: L The accumulation of junk in public view. 2. The keeping of inoperable vehicles in public view Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-90 - The A-5 (Agricultural, 5 -acre minimum parcel) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the A-5 zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Occupant AN 026-250-055 February 6, 2006 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code, Chapter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include. any food container in which there is putrescible material either solid or liquid. Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation. of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. . 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 3. Remove all inoperable/junk vehicles from the property. This is your final . wamin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation Occupant AN 026-250-055 February 6, 2006 Page 3 concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone , number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH:ajf cc: Department of Development Services, Building Division PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte; I am, and was at the 2 time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within 3 action. My business address is Department of Development Services, Building Division, 7 County 4 Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for 5 collection and processing of correspondence/documents for mailing with the United States Postal 6 Service and that said correspondence/documents are deposited with the United States Postal Service 7 in the ordinary course of business on the same day. 8 On February 6, 2006, I served the foregoing 10 Day Notice on the person(s) named below 9 by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, 10 addressed as indicated below, and by placing said envelope. 11 12 In the appropriate place within the Department of Development Services where 13 mail is collected for mailing with the United States Postal Services on the same 14 day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Occupant 17 7605 Martha Lane Palermo, CA 95968 18 19 I declare under penalty of perjury under the laws of the State of California that the foregoing 20 is true and correct and that this declaration was executed on February 6, 2006, at Oroville, 21 California. 22 23�4AWsee J. Foots Office Assistant 24 25 26 2'7 28 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CAL -ARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.neVdds ADMINISTRATION * BUILDING * PLANNING February 6, 2006 Floyd R. Patterson III 7595 Martha Lane Palermo, CA 95968 RE: Formal Warning Notice Butte County Code Violation Address: 7605 Martha Lane AP# 026-250-055 Dear Floyd R. Patterson III; Through our courtesy notice on December 21, 2005, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on. your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. 2. The keeping of inoperable vehicles in public view Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-90 - The A-5 (Agricultural, 5 -acre minimum parcel) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the A-5 zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Floyd R. Patterson III AN 026-250-055 February 6, 2006 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code, Chanter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that, attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. • Butte County Code, Chanter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 3. Remove all inoperable/junk vehicles from the property. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the. premises, the violation Floyd R. Patterson III AN 026-250-055 February 6, 2006 Page 3 concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH:ajf cc: Department of Development Services, Building Division PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte; I am, and was at the 2 time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within 3 action. My business address is Department of Development Services, Building Division, 7 County 4 Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for 5 collection and processing of correspondence/documents for mailing with the United States Postal 6 Service and that said correspondence/documents are deposited with the United States Postal Service 7 in the ordinary course of business on the same day. 8 On February 6, 2006, I served the foregoing 10 Day Notice on the person(s) named below 9 by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, 10 addressed as indicated below, and by placing said envelope. 11 12 In the appropriate place within the Department of Development Services where 13 mail is collected for mailing with the United.States Postal Services on the same 14 day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Floyd R. Patterson III 17 7595 Martha Lane Palermo, CA 95968 18 19 I declare under penalty of perjury under the laws of the State of California that the foregoing 20 is true and correct and that this declaration was executed on February 6, 2006, at Oroville, 21 California. 22 ,� 23 ise J. Foots Rl P� Office Assistant 24 25 26 2'7 28 Occupant AN 026-250-055 December 21, 2005 Page 2 Butte County Code, Chapter 31, Section 31-50 - The owner or,tenant of any premises, business establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the creation of a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to remain on the premises for more than seven (7) days. Non-flammable inert materials stored on premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non- flammable materials which are not properly stored shall not be allowed to remain on premises for more than thirty (30) days. Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions. No person shall place'or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle. park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte Countv Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. • Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. . Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. Occupant AP# 026-250-055 December 21, 2005 Page 3 • Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district.. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. L 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 3. Remove all inoperable/junk vehicles from the property 4. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely ;N Nick Hoekstra Code Enforcement Officer NH: ajf cc: Department of Development Services, Building Division Floyd R. Patterson III AN 026-250-055 December 21, 2005 Page 3 • Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through .the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 3. Remove all inoperable/junk vehicles from the property. 4. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). You have thirty 30 days to voluntarily comply with the above. directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH: aj f cc: Department of Development Services, Building Division RESIDENTIAL -- 26-25-55 2488-90MHI K t SMITH, David 7605 Martha Ln, Palermo Contr: Executive Homes (installation/MH) ' 71 i ` •ti / 1 � i l �• l 36 . i is OFFICE COPY Address GAS �! a Meter By ELECTRI ' Meter By Dat f•b I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE. 'DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0: "t�49 ' d Address or location of mobilehome `?,r1 U Owner's name %� 1' µ � 1 Owner's address � b -5 11 M p -r u 4 Insignia or hud number 7� r �� �^' �-� S S - h Manufacturer's name Serial number of V.I.N.._/! 414 Year ofmanufacture (Official Approvirig'Installation) (Date)+ IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT.BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. r 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 ' r CORRECTION NOTICE wnvtrs '— PERMIT NO..— t 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. - n') K ,r e 1 i34 �r Inspector Date✓r �Q J=OK O = Not OKNot HOMES Not Readyable MOBILE HOME S Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete t 6. Gas; Location -Test -Wrap: / "L"ft. / !'Nat. or/ P'Uft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIjE HOME INSTALLATION Plans OK except #s . oning Requirements -Setbacks Easements o Ings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector ` lectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector l-Wdfer; MH Test -Regulator -Connector r and Sewer Connected -C/O to Grade -HD Approval f a d Electricity Tagged i (CRYGts;;Wsp.-Sketch 0. of Occupancy f Data_ Card B-1 Date Card B-1 Da 4j2ard B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists:Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Coririections-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 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- Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK O = Not OK Not Not Apadyable RESIDENTIAL (Single tic Duplex) t e Date UNDERFLOOR (Plans) OK except #'s'« Date FRAMING (Continued) .• 1. Zoning-Setbacks-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Ftg:, Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or.Type A Flue-Fireplace Throat clearance 4. Ftg., Porches &Decks, Soils-Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel -Block outs-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions • 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall &Openings 7. Slab; Steel-Wrapped $2. Ext. Doors-One 3'-Check Garage-3rd Story, 2 Exits 8. Piers Fireplace Ftg.-Steel 53. Stairs: Width-Headroom-Rise-Run-Landing-Fire Protection 9 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer . 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic. 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings •• { 15. Insulation 60. Infiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 ` Date PLUMBING (Permit) OK except q's Date Card B-1 Date Card 8-1 - 16. Water Htr.; Vent-Access-Combustion Air-Baffle _ Date FINAL (Plans) OK except tf's 17. Water Pipe: Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings !j 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Meth. Protection 1 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting I 65. G.F.I. & Bath Fixtures & Tub Access-Spa ' { Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels I _ Date Card B-1 Date Card B-1 67. Stairs & Rails _ Date ELECTRICAL (Permit) OK except M's _ 68. Fireplace or Stove; Clearances-Hearth 22. Fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. •; 'j _ 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance { _ 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter i25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing-Landing-Closer 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 73. A.C. Duct in Garage-Damper _ 27. 2 Appliance Circuts in KitcUn & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Meth. Protection I 28. Subfeed Wire Size / / galft or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic 0 Yes 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Meth. Equip. 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown-Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing + Date MECHANICAL (Permit) OK except s's 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing i j 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection { 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's Date Card B-i Date Card 8-1- 39. Sils• Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing (NOTE: An entry must be made.each time you,visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 n APPLICATIOM AND PERMIT ASSESS PARCEL NUMBE•g�-�. ., S YONIM'G BUILDING PERMIT OWNER l � e .& 1711 TELEPHONE _ /Wo SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1ye OOR'S CONTRA C TT NAME —9-4-1ivy AAs TELEPHONE �- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDOER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 010 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP 7 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Rem el ❑tilities ❑ st Ilation( Other ❑ Describe work: - ) r 1K a yl r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 gffect. Com , License No. 'Vl 2'2l � 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 NE w CONST. DWELLING OCCUP.h OR ACDNS. ( ACC. BLCGS. � 2/2 0sq ft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET cIR. EO x, ccup(ouTLETs OR FIXTURES 2SOS AL .AL@30 FIXED Ex. Occup. -OUTLETS P(RESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL .PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an enses which may in any way accrue against C t in consAgW e o granting of this permit. X Date '- Si nater of A icant — Owner �y g ❑ ,Contractor Agent SHA pe mit is required for excavations over 5' deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ 4AS1 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ %O1 HAz CUA PARK scH FL� PAR 14 PD HD Is Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated ab a for which fees rPUBLIC By Z PER IT EXPIRE Date the applicable provi- resolutions to do have been aid. p WORKS Date LiptNo. © -D.P.W.. YELLOW-ASet:3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT iA- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ~ 7 COUNTY CENTER DRIVE - OROVIL-CALIFORNIA 95965 - TELEPHONE: 916/538-7541"' r PERMIT AWEICA°TION DATA SHEET t f "" Permit No. OWNER IL/G I Proposed Building Use A :�..N - Building Inspector Date At t71. f permit application, I was advised the following data must be submitted prior -to permit processing and/or issuance: s - DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. • Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) r 20. Pre -Inspection for required . Pre-Inspec.request to t Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... I 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ....... :........................... 26. 27. When ou issue the emit, r cess as follows: Mail to owner. �. Mail to contractor. Telephone / and hold for pickup at 0 rafice. Deliver w. /inspector. Other Applicant_ W_X,� $E� U__Q�.Date f 9 "?-0 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items reouired: _ ! 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—mall—ounter b date Plans checked by Date Plans approved by Date _ Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance ? 67(D L%/�J Owner Location AFV Plan Approved for: Sewage Disposal Hold final for: Final clearance O.K. for: Clearance for 4Q7--bedroom mobile home. Other i Sanitarian Water Supply Water Supply Water Supply !Date /J �+�Tl�`Ifi1v`';i�!�,^aF�i.'i� ���'t+w'R'�'1��I°, .r�� 5j �'�t i[+�'r`yfir+ 1 •�F��it7'S�'�'��tFi:KR�.�i y BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM Dz6.. 25b-Q,3One Form perti Building) .,. Com,...- ��... A.P. Number S Building Department No. School District Oct!) - m 1,eo Yi City D County Jurisdiction Property Owner V i CY - sm ` k '' Project Location/Address 6 A o V( 0, Subdivision Lot Number Residential%Development: / ^ a Sq, Footage cooC # of Living Addition (Group R) Units, Cp .Xi s1 - A 3, 't Commercial/Industrial: a Sq. Footage New Addition (Including Exterior �,•. Roofed Areas) Building -Department Representative Date 5. (Floor Plans reviewed by School. District Personnel)' trict1 Id i o)� 91 O 02 J .,L School District certifies that _AI /i c� _I ant\Name) (`Rhone Number (Street Address). s lcity� has complied with the requirements of Re by die payment of $44 rep es School District Re(presentative PAID BY CHECK NO. BANK NO PAID BY SH t e(zip coae) o ution No. AZ nting _square feet. �0 Date ( r white -applicant, yellow -building department, pink -school. SCHOOL.FEE (8/88) MOTE:—AU materials 8 Woi'kN9dMship Sall Be Accordance wiA Recogrihed Good Practices c a quaniy prescribed for the Zipecitled use in— n iform Buildings Plumbing & Mechanical Codes c the. National Electrical Codo.^ -- — -- Ckerpt et.of plans and specifications MUST be �l the job at all times and it is unlawful to ny changes or alterations on same without permission from the Department of Public County of Butte. CFO Q. . M W4R MOBILES 3- d A setback of 5 ft. from the Z roper pty lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment ox ;fir a 2 ft. eave overhang, o ct LaC�SF WieA 'S, �lea.� o � 1 S -9D Wma BUTTE COUNTY BUILDING DEPARTMEN APPROVED a � ,��. �.: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �I �/� rill 2. Installer's Name:. �G� �'1 aC- 3. Is the site currently under permit? Yes No (If yes, furnish permit r)umber ) OR Is the site an existing site? Yes No (If yes, furnish two 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 II No (If no, clarify 5. What is the mobilehome electrical rating? --------------- S—D Amps 6. What is the mobilehome site service rating? ------------- 1670 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the -------------------------------- Yes mobilehome site service? No IX (If yes, identify the load and size: (Load) 3b (Amps) 9. What is the mobilehome site gas pipe size? in.) 10. What is the type of gas service? ------------------- Natural LPG 0 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- AS(f •) t * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY (BTU) BUILDING DEPARTMENT APPROVED a�3 �� .. ., ��'• r•S ` ., � �.�. ,1,�`.`- ;, z. MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. jo;X /W & furnish Setup Model No. � ,� Year Width IR (ft.) Box Length 5_(ft.) Tagalong or.Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation inanual and structural setup sheets (if not' on.file with. the.County of Butte). FO(YrINGS (check one) a 1. Wood -pressure treated or foundation grade. E 2. Other (specify) SUPPORTS (check one) 1. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations S1 N(:I.E -WIDE MULTI -WIDE Line 1 _ eam_ Line 2 i Main Bs T11—le 7_7 a Line 3 Main Beams — — — — — • _ _ _ _ _ _ _ Line 2 Line J .Piers: Size -Min - ------------ Spat! I ng -max - ----------- Spacing-Max- --------- Frian Ends -Max. ------- IJuc 'L Piers: Sire -M Li• ------------ MO. Spacing-Max.---------From Ends -Max.------- Line 'S fLot lauds: Size -Min. ------------ Tag or Triple Line 4 A. Line 1 Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min -------------------- "x 'Sp -icing -Max ---------------- From Ends -Max.------= ------ 'x 1. "x "x "x "x "x 1."x "x Lnca tion (From Front) _ _ _ _ _ _ I_ --- Line .4 Piers: Line 5 Piers: (Under Bearing Walls only) Siz'-Min. - - Size -Min---------------- --- "x SpacJ.'g-Max.--------- Spacing -Max -------- -------- From Ends -Max.------- . „ From Ends -Max .------------- " Linc_ 5. Eoof mads: Size -Min. --•---------- location (From Front) "x "x " "x "x .BUTTE COUNTY BUILDING DEPARTMENT APPROVED. 3/3 A I PERMIT NO. 154-86MHI ex sits PERMIT EXPIRES � — OWNER STEVE BARNFIELD CONTR. owner ASSESSOR PARCEL 26-25-55 LOCATION E/S Martha Ln, 600'S Palermo Rd, Ps n ; OFFICE COPY t �C ' 7 � w�",� i -'�� x r Add ess,�_?y Temp. Power Pole Called PG&E { Temp. Elec. Service Called PG&E Temp. Gas Service CaII�-PG&E i— JOB FINALE[ Signature AS kr-, Da,LEC' TTRIC z,J 'Yl,vr'` "Meter, By bLL lar-. •� �`a_ � �' _'rte "' ���� `�_ �.� Temp. Power Pole Called PG&E { Temp. Elec. Service Called PG&E Temp. Gas Service CaII�-PG&E i— JOB FINALE[ Signature MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE I` DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 .'Address or location of mobilehome .PERMIT N0. Fb •Owner's name J// L-WAJ� L"�'� (rY1T1 r� (ci Owner's address 7fodJ /1/1 car � a /� a yye. V "Insignia or hud number 3 3�2 v Manufacturer's name Serial nu be of VA—N1. I VI Year of manufacture12 73 t, (Official Approvir'Installation) (Date) r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. w,r 513B - White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 PERMIT N0. :Address or location of mobilehome 1 V� (�1 c� ��.n Q Cg(QY►rLt) ��� �� Owner's name �e-! �+ Ir kOwner's address 'cif � riM Insignia or hud number 3 3 `"f �� Manufacturer's name Y) P h Y k c�Serial numbej of .1,N. Year of manufacture 7 �� t �- (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ' ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE , MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 7 5138 White - Owner, Yellow - Installer, Pink - D.P.W. t• COUNTY.OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 -Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. 31 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 . Date 1-2 J =OK ' 0 ,Not OK - = NgtApplicable RESIDENTIAL (Single and Duplex) Not Ready 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-Bjockouts-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 19. 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 Date Card -BI Date Card -BI Date Card -BI Date Card,bl Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -,BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Watei.Ht.; Vent -Access -Combustion Air 57. Smoke Detector t 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. Cara,BI Card -BI _ Date Card -B1 Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter - Date - -- ELECTRICAL Permit OK except p'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. Elec. _Receptacles Spacing�Ligh{s &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. f 23. 24. Romex'lnstalled Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl 4ole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral 1' --Yes ❑No 75. Following ❑ Yes No; Walks instld.: Drive Yes Planters❑Yes ❑No ❑ ❑ E) No; - 28 Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-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,I_ Cerd B -I __Date_ _ " Card -BI Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81• Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr.it) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. 32. 33. A.C_Ducts_Insulation & Support _ ^Vent Fan: Exhaust above Insulation Condensate Drain & Overflow; Size & Grade _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 88, Energy Compliance Certificate -Other Certificates Cara -131 Card-RIy 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access &. Platform if Furnace in Attic Date _ - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ _ 36• 37, 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing _&Bracing -Plates_ -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof)_ _ T _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 Hgl. & Dimensions__ Garage Fire Protection Framing (NOTE: An entry must be made each lime you visit jobsite) !' L V = OK i 0 = Not OK =Not Applicable MOBILEHOMES', _: MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except a's, 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CAR PORTS,. ETC. (Plans) OK.except k's ^ _' 1. Zoning Requirements—Setbacks—Easements '2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O-Concrete 3. Decks; Girders and/orJoists—Decking—Bracing=Stairs—Rails 4: 3Water; Location—Test—Easement Needed (Sketch) 4: Wood Awn.; Posts— Beams—Rftrs.-Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances-Grnd.—/ / Amp -Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal=Enclosures ' 6. 'Gas; LocationrTest—Wrap:/ /"L'.'ft./ /'; Nat. or/ , /"L"ft./' /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. }•; Card -BI Date Card -BI Date Card -B1 Date Card -BI 'Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s ning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's- 1• Setbacks—Easements L,& optings; Size—Spacing—Marriage Line } 2. Soils; Compaction -Structure. Stability ' a ; MH Test—Demand—Valve—Connector, 3. Pool Structure; Steel—Connections-Thickness—Dead Men Lining';,., , ctricity; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances=GF( Drs r, MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI a r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit-Entries::=Termi'nal's=Listed 7&rad Sewer Connected—C/0 to-Grade—HD Approval 7, Elec.; Bonding; Metal Wi_5:—Circulating'Equipment-1­1eater _2J_C 8CO69nd Electricity Tagged ` 8. Elec.; Grounding; Equip. w/5'� Circularing Equip.=Pool Lghtg. Boxes—Enc losveS—Panelboards—Iris: to Main in Cohduit Exits; Insp.—Sketch 10• Cert. of Occupancy j 9. Health Department Approval ? _ 10. Plumb; Cir. Test—Water Supply Test L Card B -I Card Date �� S Card -Bl- Date Card -BI Date Card -,•,, --,' Date r' Card B -I Date2^�o— "Card -BI = Date- = Card -BI. Date Card -BI 1 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A SOR P EL NUM R ZONING - BUILDING PERMIT wN r TELEPHONE - SQ. FT. OCC. BUILDING VALUATI N OWN S AI LI ADDR35 �. V CON ACTOR'S NAM TELEPHONE —CONTRACTOR'S MAILING ADDRESS Fireplace 4i i CONST UCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ .10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH( CT OR ENGINEER . LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING ,PERMIT Filing Fee 10.00 r Each Trap 2.00 Ir ol Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP % Water pipitig 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECI FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10 00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑nstallation(YN Other ❑ Describe work: ` r _ Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI 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) ❑ 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.a OR ADDNS. ACC. BLDGS. 2,/2QSgft NEW CONSTR U (.OUTLET 2,50 ea NO. -RE BRANCH CIRC ITS /POWER APPARATUS a1 (SINGLE OUTLET CIR. (( Ex. OCcup(OUTLETS OR FIXTURES 20@50C eAL030 Ex. Occup. OUED P TLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating' Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 d Coun2inonsequenc of� nting of this permit. Date, Signature of Applicant — 0 nerx Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3sttories in height. Mobile Home Installation ee $ 415,( 9112 e HA — /5 TOTAL PERMIT FEE $ 000UP, CONST.TYPEJ I F7RCELJ PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PERM( XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' Receipt No.v � `1 WNITC-D.P.W., YELLOW -AS 8[330 R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT, OPPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;'CAtIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET --- Permit No. � /� / d OWNER (StP I/l' ,/ Sa Y✓1 ll' /�` A. P..No. _24 Proposed Building Usei Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED -�/ U: All items have been submitted. �2.. Plot plans inCdupl`^ i e triplicate. . . . . . . . . . . Z 6 3. Complete plans In-dupllcate./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 $ Letter of signature authorization.. . . . . . D 10 . anitation approval from �D 1. / . Health Dept. E,2- 3—Y 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. . . . . . . . . . . . I A Mobilehome Installation Data. . . . •... 1<7. Pre -Inspection for ���.S'�I ✓t�'�'-e Required. Pre-Inspec. request to 1Agricultural Building Inspector 0� ecorded copy 9 of A ricultural Acknowledgment Statement. -3-4'- 19. Other DRIVEWAY PERMIT (CONSTRUCTION APPROVAL REOUIRED PRIOR TO OCCUPANCY) When you issue the permit, process as follows: Mail to owner. Mail to contractor. A Telephone and hold for pickup at office. Deliver w. /inspector. O1the+rl- .1-effev- �jrOm ownPv'- Out 00_Zin� /I o /,0 V,0 eV AppIicant �ca��%e,% 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 ofpica io , 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 By Date Plans checked by Date's Plans approved by 71 -Date Other: 1� Copy—DPW To: BuildingDepartment From: Environmental Health Pubject: Sanitation Clearance C-71 I Oamer Location Plan Approved for: Sewage disposal Hold final for: -26-01S-0 AP# crater supply v; ter supply Final clearance O.K. for: mater supply Clearance for. •— bedroom Other 'Sanitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDEIJTIAL DEVELOPMENT ,n0:., NN r'-1GIAL s al E) COUNTY.CALIFOR A Section 26-8.1 of the Butte County Code requires 'this acknowledgement AI'TIIEREQUESTOF be recorded prior to issuance of a building permit. ' 86— 3732 The property described herein is adjacent to land or included 1°86 FEB -3 AM (0: 29 J within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEANOR M.BECft; `� the use of agricultural chemicals, including, but not limited to herbici@(- es F and fertilizers; and from the pursuit of agricultural operations including, but not imired----- 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 agricultbral purposes, and residents within said zones and on � ' J adjacent property should be prepared to accept such inconvenience or disconform from normal, p�9e8 necessary farm operations. .All that real property situate in the County of Butte, State of California, described as follows: Parcel 2 as shown on that certain Parcel Map filed in the office of the Recorder, County of Butte, State of California, on the 5th day of Deceml-or 1979 in Book %!� ofj0hps, at page 13. Date: �"a't'e', # 0z6 -as' - o -o ss- 0 State of ) S S . County of�"/ �r ) PROPERTY OWNERS: On this the 27th day of January , 19 86 , before me, the undersigned Notary Public, personally appeared WILLIAM E. BAKER Personally known to me. / Yl Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he'.: executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. C ;)� - 6,5 N y Public OFFiCTAL SEAL DOLORES M LINDELL �N o NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My comm. expires SEP 19,, 1987 y Public ew, o Cour 0 -F u, 6F aA.41.. 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 41f MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes U A90 No V What is the mobilehome site _ (If yes, furnish permit number ----- =--.------ O 0 ) OR What Is the site an existing site? Yes U9 No Amps 8. (If yes, furnish two plot plans.) load to be served by the,' -------------------------------- 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 IX No F] No (If no, clarify 5. What is the mobilehome electrical rating? --------------- A90 Amps 6. What is the mobilehome site service rating? ----- =--.------ O 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- /0 O Amps 8. Is there any other electric load to be served by the,' -------------------------------- El mobilehome site service? Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe.size? -------------- a (in. ) 10. What is the type of gas service? --=---------------- Natural T LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe .length less than 6 ft. on .natural gas or less than.50 ft. on LPG.) (ft.) (BTU) BUTTE COUNTY BUILDING DEPARTMENT APPROVES N ° AMOBILEHOME SUPPORT DATA ' If tether°than single wide, Mobilehome Mfr.r tifurnish Setup Model Nd. Year>:'973 Width(ft.) Box Length°'�',00(ft.) Tagalong or Expando Size ft. x �'ft. On all mobilehomes manufactured after October 7,.1973; furnish manufacturer's installation manual and structural setup sheets (if not on'file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure .treated or" foundation grade.2. Other'(specify). SUPPORTS (check one). Concrete block"' a 2. Other (specify) �..v, Pier:'Footing,,-.Sizes and Locations,_ SINGLE -WIDE MULTI -WIDE L1ne 1Tz e ,Line 2 _ — _ _ _ — _. _ ' Line 2 ,. Main Beams _r4 Ling T.Ina ` — — i — — Main Beams� — — — — •'"' 'p K , Line 1 -a-Line ine r { Tag or Triple '71 tine r Line 1 s Line 1 Piers: Line 1 Openings:] °• Size -Min. ------- _-_-- u Slze-Min - ------------------ u m Spacing -Max: ' ,- •„ •+� Each Side of Openings ;•R°, .,1� ' -Max-------- --------Prom Ends With Width Over q, Line 2 Piers: Size -Min .------------ Spacing -Max---------- From Ends -Max --------- Line '3 ------ Line'3 Roof Loads: Size -Min------ ------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only):: Size -Min - n /i -u .,. - x *. Spacing -Max---------------- From Ends -Max -------------- r_ n _ i Line y rreru: r ' Size -Min -------- Spacing -Max---------- From Ends -Max --------- J Line 5 Roof loads: e 5 Piers: (Under Bearing Walls .Only)K Size -Min ------------------- ' Spacing -Max---------------- From Ends -Max -------------- '- Size -Min.------ ----- nx nx n ux a nx a rk n ux a ux .Location (From Front) ,_ u _ ,u ,_ a i_ a r_ n r_ •-i, ` ' •r r� A 1 a• - 'n. '_K. 25 09 6 PALERMO C,'TRUS TR. SUS. NO -2 T.I8N.R.4E. M.O &aM. CJ 1 -L/ - ROAD % �• o ao I03 Q Oas o n 19 2 24 i� i .10 I 330 660 660 fi59 4 BK 27 PALERMO CiTT" TR. SUB. NO 2 M:O. R. WALL NO. 9 1-90 N01E—AS�SESSOWS PARCEL MOCK WEST PALERMO ACRES M.O.R. BK.7 PG. 2 a :or NuA cma :»owN IN CIRCLES To. A," Cn 92-00 County of Butte, Af4 R , 1951 r r ' If .1 • _ - NOTE -,—AD Materials A WoA iianship Mdk Is Irt Accordance with Recowthed Good Practices and ff��� p� niform Buildin4, Plumbing & Mec aniW Codes ly the National E(eotr`" Codo. I A I � fT ` O tThis set. of plans and specifications MUST be kept on the job at all times and it is unlawful to v make any changes or alterations on some without written permission from the Department of Pubht W Worics, County of Butte. U I ( soo sq. . MIMMUM FOR MOBILES I 111"R � a s' -1" x we. -e F?rrJ . ?,S -/3 A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment ®x cW fora 2 ft. eave overhang, Utility connections shall be within 4 ft. of the mobiiehome, either directly behind or within the rewr " half Oil BUTTE COUNTY BUILDING DEPARTMENT APPROVED %y COUNTY OF BUTT- D PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Or ille California 95965 - Telephone 916/534-4541 APDL tK1 PORAND PERMIT AUFASORP EL UM R Z ICING BUILDING PERMIT WN TE 511ONE r -All 1� S0. FT. OCC. BUILDING VALUATION OWN R'S AILI ADDRE [ CON ACTOR'S NAM E PHONE CON'TRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER / UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ ,10,00 Permit Fee $ ARCHI CT OR ENGINEER LICENSE No. Plan Checking Fee $ S/ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ' r Each Trap 2,p0 r- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeIN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W F Oea TYPE OF WORK New❑ Addition[] Remodel❑Utilities❑ nstallation Other ❑ Describe work: I t t 01 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 61000'AMP LESS 10.00 Main service EA. ADD•L too AMP' 2.50 CO TRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes S, and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively .contracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.tk OR ADDNS. ( ACC.tBLDGS. 1 2/22sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC IT$ 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR.B Ex. Occup(OUTLETS OR FIXTURES 20M90S BALM 30 FIXED Ex. Occup. OUTLETS P(RESID IREA.) 2.00 - Temporary service t 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. i 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 9 Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against " did County in consequence of/�ys nting of this permit. X '<�� !Gr-• �c-' Date/ ^ �'> �' Signature of Applicant — OX a rX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures 3++ttstories in height: Mobile Home Installation ee $ TOTAL PERMIT FEE occu P. cox sT.rrPe FLOOD PARCEL PD ND ISSUE siolns ofrmhe isit hereby Countyissued Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date sollutions icable provi- o do fees have been paid. WORKS Date �ojvee�r rRecept No.-_gO4 D.P.W.. YELLOW -.5.175011• PINR-INSPECTOR. GOLDENROD -APPLICANT I is =i ' r