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026-080-011
1, L" / , ... -------------------- i ,�;<. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053135- PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : �^ 10 License Number: Date: ) ��.Z—�� Contractor. L U01 LA) LL LAIL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of thg'Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees .with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law. does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 7044, Business and Prdfessions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: lDliI certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: f �— LI a Applicant: WARNING: Failure to secure wor ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 11/23/2005 APN: 026-080-011-000 Site Address: 7095 HEWITT AVE ORO Map Index: Description: upgrade elec service Owner: SPRADLIN, CHERYL J. ETAL DANSBY JOAN L. (LE) P.O. BOX 489 95968-0489 Applicant: LUMEN ELECTRIC 5561 LOWER WYANDOTTE OROVILLE, CA 95966 (530) 533-1370 Contractor: LUMEN ELECTRIC 5561 LOWER WYANDOTTE OROVILLE, CA 95966 (530) 533-1370 License #: 552990 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: 4 4 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm tha( there is a construction lending agency for the Resol do s to do work indic ted aiiove for which fees have been paid. / Cl performance of the work for which this permit is issued (Sec 3097 Civ.) I I -2-9 - l 1 Name: By: Date: Address: PERMIT EXPIRES ON: I 2"I �C) //'' ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativesV �/of Butte County to enter upon the above mentioned property for inspection purposees� IAZ— Print Name: 04 F 5 PA4)Ol'I% l Signature: Date: L "7 �L-a 'V 12 Owner 12Contractor 13 Agent for Owner ❑ Agent for Contractor �.� ,�, �� �����, �� �. �. � v��ti T ��{�� i� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053135- PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/23/2005 APN: 026-080-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 7095 HEWITT AVE ORO License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees .with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Map Index: Description: upgrade elec service Owner: SPRADLIN, CHERYL J. ETAL DANSBY JOAN L. (LE) P.O. BOX 489 95968-0489 Applicant: LUMEN ELECTRIC 5561 LOWER WYANDOTTE OROVILLE, CA 95966 (530) 533-1370 Contractor: LUMEN ELECTRIC 5561 LOWER WYANDOTTE OROVILLE, CA 95966 (530) 533-1370 License #: 552990 Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. PERMIT EXPIRES O Date: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Date: Q Owner ❑ Contractor Signature: ❑ Agent for Owner 13 Agent for Contractor can +(-, X1.5 had t/(Oa ,��d BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 638-7541 PERMIT NO. BPO53135 RMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION Ko affirm under penalty of perjury that I am licensed under ��! ^O�j/�.OII (p s of Chapter 9 (commencing with Section 7000) of Division 3 of rheBusiness Issued Date: 11/23/2005 APN: 026-080-058-000 .8and Professions Code, and my license is in full force and e S2 D lass : t'� License Number: Site Address: 7015 HEWITT AVE PAL Date: l 23 Contractor: 44f" k/t/ SLA`CT;IK Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: upgrade elec service Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HAYES, AMANDA LYNNE to its issuance, also requires the applicant for such permit to file a 7015 HEWITT AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA. 7000) of Division 3 of the Business and Professions Code) or that he or 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LUMEN ELECTRIC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 5561 LOWER WYANDOTTE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 533-1370 proving that he or she did not build or improve for the purpose of (530) sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: LUMEN ELECTRIC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 5561 LOWER WYANDOTTE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: owner: (530) 533-1370 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 552990 O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 C� / Z'l certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ D l Date: �"J�(p0j �� Applicant: '�- (f�^?�N /1LlLG721-%� WARNING: Failure to secure workers' compensation coverage Is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This peraft is hereby issue nde the a Olicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Res o ions to do wor icated 4bovq49r which fees have been paid. / 2 BY Dale: Name: // PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, • handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent f e owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form docu of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /✓ta/�q//B`Q signature: Date: ❑ Owner 9 Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO53135 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 638-7541 RMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION affirm under penally of perjury that I am licensed under s of Chapter 9 (commencing with Section 7000) of Division 3 of reffect Issued Date: 11/23/2005 APN: 026-080-058-000 ess and Professions Code, and my license Is in full force and fr e �d ~S2 D lass : License Number: Site Address: 7015 HEWITT AVE PAL Date: 3-X Contractor: 4U 44-/ Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: upgrade elec service Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HAYES, AMANDA LYNNE to its Issuance, also requires the applicant for such permit to file a 7015 HEWITT AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA. 7000) of Division 3 of the Business and Professions Code) or that he or 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LUMEN ELECTRIC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 5561 LOWER WYANDOTTE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 533-1370 proving that he or she did not build or improve for the purpose of (530) sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: LUMEN ELECTRIC and'who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 5561 LOWER WYANDOTTE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Dale: owner: (530) 533-1370 WORKERS' COMPENSATION DECLARATION License #: 552990 I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: �-�Valuation: $0.00 f'l certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' s� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those / provisions. l qq0 Date: Applicant: 12L.4r� C - 7A, I WARNING: Failure to secure workers' compensation coverage is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per iions Is hereby Issue ride the a olicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Reso to do wor icated bov or which fees have been paid. BY Date: Name: PERMIT EXPIRES ON: Address: (Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent f e owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth docu of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection purposes . ta Print Name: /✓ �// l� 5/�"���wl Signature: Date: �- S ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO53135 24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions or Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/23/2005 APN: 026-080-058-000 the Business and Professions Code, and my license Is In full force and License Class : e Id License Number: �S2 Site Address: 7015 HEWITT AVE PAL Date: Contractor: 4/i of V /zLdc4 7,k Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: upgrade elec service Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HAYES, AMANDA LYNNE to its Issuance, also requires the applicant for such permit to file a 7015 HEWITT AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA. 7000) of Division 3 of the Business and Professions Code) or that he or 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LUMEN ELECTRIC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 5561 LOWER WYANDOTTE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530) 533-1370 sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: LUMEN ELECTRIC and'who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 5561 LOWER WYANDOTTE OROVILLE, CA 95966 Date: Owner: (530) 533-1370 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 552990 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Pouoy#' Valuation: $0.00 C>0 W,I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, % and agree that If I should become subject to the workers' (/ compensation provisions of Section 3700 of the Labor Code, I shall ^ '7% / forthwith comply -with those provisions. l Dale: Applicant: 114"Llli-11- /1L4Fc7;kfC r2 / WARNING: Failure to secure workers' compensation coverage is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per it Is hereby Issue nde theapplicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Reso ions to do wor tcaled bov or which fees have been paid. / performance of the work for which this permit Is issued (Sec 3097 Civ.) 2 BY Dale: Name: // Address: PERMIT EXPIRES ON: (Date) _0E-� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent f e owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form docu of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes ta�. Print Name: /✓ //B`g S/����/ Signature: Date: ❑ Owner *-Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 616 PERMIT NO. BP053135 1 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/23/2005 AP - the Business and Professions Code, and my license Is in full force and effect. _ License .S 29210 Site Address EWITT AVE PAL 7, Date: l h27 -X Contractor: 44� 4[N SL.0<<nl/C Map Index: • OWNER -BUILDER DECLARATION I hereby affirm under penally. of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such.work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, andwho contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: Description: upgrade elec service Owner: HAYES, AMANDA LYNNE 7015 HEWITT AVE PALERMO, CA. 95968 Applicant: LUMEN ELECTRIC 5561 LOWER WYANDOTTE OROVILLE, CA 95966 (530)' 533-1370 Contractor: LUMEN ELECTRIC 5561 LOWER WYANDOTTE OROVILLE, CA 95966 (530) 533-1370 License #: 552990 Architect: Engineer: Total Square Ft: Valuation: f'l certify that in the performance of the work for which this permit Is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant: "t 1104-74af" 12 L- 4FC771- i L WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one 'hundred thousand doliars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: Address: Is hereby to do woi PERMIT EXPIRES ON: 0 S. F. $0.00 r^ j provisions of the Butte County Code and/or fees have been paid. Date: y� J.--- ? � r--0 h ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent f e owner. I agree to comply with all county and stale laws relating to building construction.. I acknowledge it is unlawful to alter the substance of any official forth docu of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned properly for inspection purposes. Print Name: /✓ �// �� 5 Signature: Dale: ❑ Owner 0 -Contractor ❑ Agent for Owner ❑ Agent for Contractor PERMITS BECOME NULL AND VOID 1 YEAR THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DRY6P9Mfip8 j?xmr&9JhAP-04 pg 1 Inspection Type Insp. Date Ground work Setbacks Foundation/Footings Piers Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Signed- Slab- Slab-Garage i nedSlab- Slab-Gars e Gas Test Yard Pipe Blocks CMU/Logs 1" Lift 2 rld Lift 3 Lift Final Lift Under Floor/Slab Framing Shear Transfer Plumbing Mechanical Gas Piping Do Not Install Floor Sheathing or Slab Until Above Signed Butte County Department of Development Services Inspection Card 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX #: (530)538-2140 Visit our website at: www.buftecounty.nettdds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type Insp. Date Framing Rough Framing Rough Plumbing Rough Mechanical Rough Electrical Rough Gas Roof Sheathing Straps Shear Transfer Shower Pan Rough Sprinkler Do Not Insulate Until Above Sianed Insulation Wall Insulation Ceiling Insulation Do Not Cover Until Above Signed Shear Interior Shear Exterior Shear Braced Wall Wall Covering T -Bar Ceiling/RC Sheet Rock -1s layer Sheet Rock -2nd layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Inspection Type Insp. Date Final Plumbing Final Mechanical Final Electrical Final Insulation Certificate Final Sprinkler Swimming Pool Setbacks Pool Steel/Pre-Gunite Electrical Bonding Enclosures & Alarms Plumbing Electrical Gas Test Light Nitch Other Agencies Insp. Date Public Works Sewer Spec Inspection Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Elect Authorization Gas Authorization Permit Finaled 0 a NOTES Insp. Date PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 O ZW m V m l— >- W CL 0 w U) Z CL ZLU — LL UJOQ=z O US ZCLWv F- JC30W O a>ONr (�0—Z Z �aWWy Uj CL Ix W 0 Z US OoaQ=z°a V Q W = Q O W G I 0 WW LL LU maWm J Z Q O = W J J J m O Q B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 BP Q OFFICE #: (530) 538-7541 A FEE FVILL BE REQUIRED AT TIME OFAPPLICA TION L:L Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name. First Name (� 6✓ Address ORO &i ? . Yi, City OADv l State e4t Zips t� Phone 1-3 /�j Fax E-mail CONTRACTOR Name Z_ l G Address G✓4eeL w City i>/LO i/1z StateC� Zip9, Phone Fax E-mail Lic. # CILss� APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT IGNATURE X / For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Tot # Planner Date Approved: ..PROJECT LOCATION AP#OZ 6, Pro b� ddress�—wl — C Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: P4 12A -D L5- Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other departfient costs are not refundable. Received by- Amount: Receipt #: Date: li SRA Sheriff SMIP Other T..L..1 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design. and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). 1110. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and. two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K\FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 r"�iMIT NO. 5426-78MHI (existing sita)— ? PERMIT EXPIRES OWNER JOAN McGAHA CONTR. owner LOCATION (A.P. 26-08-11 7095 Hewitt Ave, Palermo I ' M f Temp. Power Pole Called PG&E Temp. Elec. Serv. X10 Called PG&E d s, Temp. Gas Serv. Called PG&E JOB f 1-7 r FINALED Al (Date (Signature) fr i 1� a n 4 l I ' M f Temp. Power Pole Called PG&E Temp. Elec. Serv. X10 Called PG&E d s, Temp. Gas Serv. Called PG&E JOB f 1-7 r FINALED Al (Date (Signature) r MOBILEHOME INSTALLATION.INSPECTION CHECK LIST 1. Is the mobilehome located wit'equired separation from lot lines and buildings and generally conform to plot plan? Yes � No 2. Does the mobilehome have required clearances aboveground? (Sec.5085) Yes w No 3. Are footings and supports properly sized, spaced, and braced aspeter approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes ✓ No 4. Is the mobilehome level? (Sec. 5088) Yes No_ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes= No_ 6. Water A. Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L-1 No C. Backflow - If coach is not Sta!/VO ornia approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes T No B. Does it have minimum" per foot slope and is it properly supported? Yes CI -1110' C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe?,.Yes No D. If coach to of California approved, does station have required trap and vent? Yes Nois n t 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long?, Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes ✓No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. �� C.. Are all appliance vents properly installed? Yes No ..9: Electrical . 1 A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1011,ampf'and 'other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes'tAo B. Is there proper clearances around panels? Yes/, No C. Is power supply cord or feeder assembly properly fused? Yes L,/No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle ► J a Length Width I '� t 0 Vehicle Serial No. State Identification No. Additional Information or Comments: _� � �. � ti j�. % . . { Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor " Restroom Finish 2nd Floor Windows 3rd Floor Sidino To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for ph slcally A Ila cap ed nces Irmance of ex. Gas Piping & Test Lure Temp. Gas Sanitation FIREPLACE Final ng ELECTRICAL FI Fixtures �.u%A.v rinai Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Pemtanent Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS , f (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS OROVILLE, CALIF. - 534-4541COUNTY CENTER DRIVE r CERTIFICATE OFOCCOPANCY This mobilehome has been installed in accordance with the reqquirements of the �C.al}'for is Administrative Code, Title 25, Chapters under permit nu�gnber.- ` M '% {or the following loca�tion: _ �% - JQ-i kna Owner � U Owner's Address Mobilehome Mfg. BGOA I _A Model hf)d"" Insignia No. Year Serial No. R� on ?c7 It is hereby certified for occupancy at the above described location and may be occupied. Director of P -gl--,Works Date J B Y I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .e White - Owner, Yellow - Installer, Pink - O.P.W. T* COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �i 7 COUNTY CENTER DRIVE OROVILLE, CALIF:; • 534-4541 CERTIFICATE OVOCCOPANCYThis mobilehome has been ins of the Cal.iforpia Administrative Code, Titles 25, Chapteance r 5e under permit number � 2,(,� — 7 Q' i for the following location: �-- Owner Zt-1— Owner's Address, 9 S" 4 p, J 1, T y Mobilehome Mfg. �1 Model h — Year ' � Insignia No. � Serial No.'pi, It is hereby certified for occupancy at the above described location and may be occupied. Director of P,ubli,c Works Date XBY �li�+' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED l White - Owner, Yellow - Installer, Pink - D.P.W. M COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT 565 7 BUILDING Owner OAU G G' 1dA SQ. FT. OCC. BUILDING VALUATION Mailing Address 14]fs i,, % Pyo— ?no�.�-/ �g Tele hone No. Contractor Y "IF-YL- Mailing Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address O ' +Tr Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .60 Each Trap 1.50 &A,V7z Repair drainage or vent piping 1,50 A. P. No. Zoning & Planning Water piping 1,50 Each gas water heater or vent 1.50 F W:C. Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 �• EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5-00 ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ — $ " ELECTRICAL No. @ FEE ` PERMIT FILING FEE $3.00, Main service 6001 OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS } Main service/ EA. ADD'L 100 AMP 1,00 NEW CONSTOR A.D.S. \ ACCDWELBLDGS.LING CCUP. S� 2P Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW CONSTR -OUTLET NON.RESID ` BRANCH CIRCUITS 12.50ea NEW CONSTR (POWER APPARATUS 6 NON•RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTURES BALABALI Ex. Occu FIXED APP LNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice No. Classification Misc. Wiring 6.25 T�TI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have pl ced on file with the County of Butte a certificate of Work 's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE Is auinonze representatives of the county of butte to enter upon the abo entioned property for ins coon purposes. K Date SignatureatPermitee or Agent Receipt No. /D '2 Z�b White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abovefor which fees have been paid. /^ 1 1DIAJEC?0I3,1OF P)JBLIC WORKS / 10 r J R COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS . 7~County`Center Drive - Oroville, California 95965 ��/�� Telephone: P34-4541 Y APPLICATION AND PERMIT ,/ authorize representatives of the County of Butte to enter upon the above-mentioned pro erty for inspection purposes. %� Date Receipt No. Z x /l/ ,"5 ::� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO :FBLIC WORKS By Date ,%? B 'ding permit expires Date��� 7,E BUILDING Owner VOA e 61414A SQ. FT. OCC. BUILDING VALUATION Mailing Address749ff/A/6- /]T , 071,11 176-%69 LGCMU Ep3—V[7 3 10 Contractor V Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ©� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 02 l0 08— �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fie &- S°arThTatFoTP Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BId;Ti6h�ts-Reid-. Parcel royal � �� pl pproval Lawn sprinkler system 2.00 NE ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTDWELING OR ADDNS. C ACCLBL GS.CCUP. S) 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, DIV. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR./MULTI-OUTLET NON-RESID 1 BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 6 NON -RESID. SINGLE OUTLET CIR- Ex. Occup{OUTLETS OR FIXTURES a �L.i Ex. CCU FIXED APPLNS. OR O p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1- rise No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 4 Permit Fee oOl tj "— $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Z:50 1 authorize representatives of the County of Butte to enter upon the above-mentioned pro erty for inspection purposes. %� Date Receipt No. Z x /l/ ,"5 ::� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO :FBLIC WORKS By Date ,%? B 'ding permit expires Date��� 7,E (his sc'r o; plGns a^ serilicati�;i.s UST b6 11� r?p-i on i1-'- Li11 . a,. iirncs andiil is tot fild�+G if G.i1r`'i C- Ma on c mc', t'JitliL`Ut writton permiss-i-n from the Department of Pub- lic Works, County of Butte. i located within 4ft• ou third sectionoff side on the left (road) home, G Q LA z 14 s shall be. Ade the rear 'opile home ,f the mobile from e 10- �'(he Bldg, $etb 1cn sad 5 {t: ro,a'; i- ropertY tiP�tii Y �t ll side p { the rOal Yerl' cen}e . ° o'{ a 2 ft. euve ° �'um all ea5ements' °"t °{ BUTTE COUNTY BUILDING DEPARTMENT APPROVED U.14 ` r COUNTY' (YF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 . Location iy l..til4 Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 tle PA N) to V �i J� = �� f /� ` Watts 1. Width ` x Box Length ""'Y 'Z vx _ ;L rN 2. 2 Kitchen Appliance Circuits ............ = 3,000 3. 1 Laundry Circuit = 1,500 4. Ovens ........................................ _ 5. Cook Stove Top 6. Hot Water Heater 7. Dishwasher & Disposal ................... =3 / 8. Clothes Dryer ........ _ S 9. Other (specify, i.e., motors, exhaust fans, " etc.) uS+ i Sub -total - Watts ..... / First 10,000 watts @'100% ................................ Remaining watts @ 40% _ 10. Air Conditioner watts @100%.. _ ) Largest Demand = Central Heat System watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" ; 230 ............. ............ _ AMPS De -rate Mobilehome to .................................... %S 0 AMPS 8UTTE Courcfy BUILDING DEPARTMENT APPROVCD �53ry 5 WIN �. rw �s lei Ni S1fiCon lot ai tF`1'y�� il� < � 'y •ae�.�. r• :,. .r,. >,: f yade"�y, . .. P _ �, r'• t <�a+. � tots.. n ; 4 �ry�'a�•M1�'�t . X31 � ^ +°yam, 'ytrj? AM VM YZA IMES, Ntiy}.� 714'7' 4gg�y,,'"r Jmm IM .511AD "A now x e A is 4t5• �„� ,J� . I i fes' N Y 1. WNW, 3 Y r yh '' t. t .,,r rr K^' � �, r7,J,� ."Y ra �}F 4 }iS f,tt e-�"Y• � s �., ` F•`%t 3r �c.. �,e�^ti 7 9 � " �sa it -� =i d •,. r ay�� r�i.. t„¢: zl- g+ a ��sk`tw1f�"�'.�^�i�.�.. ��+F�v m”t',t'�>����'���£h'��.r�txrrLr°�.x';���_�^.`�a��W_.�"�a��• BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 - MOBILEHOME INSTALLATION SHEET M 1. Owner's name: Ak)GLU N 6 VlP� electrical rating? ------------------- --- Amps 2. Installer's name: I . 7 *' MkA 6. 3. Is the site currently under permit? Yes / / No -- (If yes, furnish permit number ps ) OR Is the site an existing site? Yes[ No What (If yes, furnish two (2) plot plans.) site circuit breaker rating. 4. Will the mobilehome be located at least 5,ft. awa from septic tank and leach fields and Is there any other electric clear of all setbacks and easements? Yes ` / No siteservice? -------------------------------- ( If no; clarify Yes A a,��.�.� 4 � ) 5. What is the mobilehome electrical rating? ------------------- --- Amps I . 7 *' MkA 6. What is the mobilehome site service rating. -- ps 7. What is the mobilehome site circuit breaker rating. --- Amps 8. Is there any other electric load to be served he mobilehome- siteservice? -------------------------------- ------------------ Yes No (If yes, identify the load and size: (Load) (Amps) 9.. What is the mobilehome site gas pipe size? ---------------------- / ` (in.) 10. What is the type of gas service? ----------------------------- Natural/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the.mobilehome gas demand? ------------------------------ (BTU) (This information not required if..pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA - If other than single wide, Mobilehome Mfr. �� furnish Setup Model No. Year_ Width d— (ft.) Box Length fi (ft.) Tagalong or Expando Size ��i ft. x �% ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. (JN•)(in;) Center po locati s* (ft.)(in (ft.)(i4f) (ft.)(in.) (ft.) (in.) Footings (check one) AA Single P�(1. Wood either pressure treated o h foundation grade. I_ 2. Other (specify) x (in.) (i nter upport•� Ce0 _* footi sizes ja' ? Supports (check one) ( .) 1: Concrete block. x ? 2. Other (specify) T in.) (in.) j�Tagalong or Expando, show support details. in.) (in.) x ;- Typical Support (in.) (in.) Footing Size (in.) ®in.) I L11 2111-- Max. Pier Spacing (ft.)(in.) x 511 -- Max. Overhang in. (in. (ft. )(in.) BUTTE COUHTY BUILDING DEPARTMENT APPROVED *If Center piers are other than drawn above, draw in -locations, spacing, and dimensions. AA COUNTY OF' BJTTE - DEI ARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: a34-4541 APPLICATIO ADVO PERMIT autnorize representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee,or;Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date BUILDING Owner , SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ,_ I Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address � , �. ' ' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �- �',^.; Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 J Each additional outlet .30 Fees W. C. ,Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ j NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal__� 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Receps., switches & fix outlets . (d 23 Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 G: Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �t'� :" autnorize representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee,or;Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:' 534-4541 CCJJ APPLICATION AND PERMIT .. —F-. cn' - a VI L JU i.Uunry ui DUILC to CIRRI uNun uIe above-mentioned propertyu for inspection purposes. at Signature of Perm' 55r,�kOn A /14W %197 Receipt No. , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 6 building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Tele hone No. ^ 3' 95:2 Contractor �/ v 0- ellA;Total Fireplace Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 C1i Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ G g ^ / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 WX.- anitatio Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Plans Rec'd Parcel Approval Plans Approval Permit Fee $ 5 G EW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a _ • Main service incl. 1 meter a Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Pome 0/ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures pal_ (d1_o DD ((dd�255 Receps., switches & fix outlets 2b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ^ ZOE- Temp. Power Pole 5.00 icense No. Classification Misc. wiring PS I am exempt from the Contractors License Laws of the State of California. Permit Fee $ T $-� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S^� .. —F-. cn' - a VI L JU i.Uunry ui DUILC to CIRRI uNun uIe above-mentioned propertyu for inspection purposes. at Signature of Perm' 55r,�kOn A /14W %197 Receipt No. , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 6 building permit expires Date Pi�iMIT NO. 2169-77B PERMIT EXPIRES OWNER T. Spradlin CONTR. Acro-Lume, Oroville LOCATION (A.P. 26-08-11 7095 Hewitt Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) FIRE Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI'UN RECORD Gird. Fault Prot. BUILDING BU DING (Cont'd) UMBING Setback .� �� ,i Firewall ' Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings V Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I A Garage Vents Insulation Water Htr. Heaters Slab Carport p Footin s—/ Prov. for physically handica ed Conformance of ex. structure ) Appliances Gas Piping & Test Temp. Gas Slab Final J�� Sanitation Patio 4 FIREPLACE Final Footings , A Footing ELEC RIC L Masonry Walls% Throat Rough Relnf. Steel Final Fixtures FIRE Mesh MEC ICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling A Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----- ------------ Elec. Service Elec. Pedestal MR Water Piping Sewer Gas Piping MOSILEHOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE" — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner i ' C' ., ..... _ . M 1 Mailing Address I I Telephone No. Contractor Cize — LW MC Mailing Address /1374jygA/10 vC , Telephone No. _ Building Address A. P. No. Oa.&- d —Q _0 // Zoning & Planning F s I W01�.Sa 1- Ion Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p Bld Ions Recd arcel Approval Plan pproval NEW [y ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: J4 c2v — y A1C, License No. % Classification 6977 _ BUILDING —SQ. FT. OCC. I BUILDING VALUATION I t/A 1 1 966 Fireplace Total Valuation�j Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON•RESID. (MULTI.OUTLET BRANCH CIRCUITS NEW CONSTR. NON RES I D. (POWER APPARATUS & SINGLE OUTLET CIR. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE Ex. OCCUp(OUTLETS OR FIXTURES) '@1 100 1 FIXED APPLNS. OR EX. Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 U I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be insured against liability for Workmen's Compensation. �y I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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-mentione WIperty or ' ction purposes. X r Date ` Signature Permitee or Agent Receipt No. fes/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood Permit Fee $3.00 2.00 FEE TOTAL PERMIT FEE $ to I eu This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboveAr which fees ave been paid. REC"OF IC WORKS B Date _Rij6IfJ6Wpermit expires Date \ems _ 3 PERMIT NO. 1073-82B,E2M PERMIT EXPIRES OWNER Joan Dansby CONTR. Schlesinger Const, Oroville ASSESSOR PARCEL 26-08-11 LOCATION 7081 Hewitt Avenue, Palermo E t; t h Temp. Power Pole i 1, Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 'i Called PG&E S JOB FINALED ate) 3 Signature Q County of Butte �eryU%8�2� DEPARTMENT OF PUBLIC WORKS y ., Chico — 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 874-a495 8-2a-a96i—Exr. s7 CORRECTION NOTICE .........:..;.........................:....... f Building �?Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify ihis 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: f J ,�- � ..... .......................... ..............:..........'l/ ...............`......... ,........... .......... Date............................:. Inspector Do Not Remove This Tog (400-4) A, Q County of Butte �eryU%8�2� DEPARTMENT OF PUBLIC WORKS y ., Chico — 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 874-a495 8-2a-a96i—Exr. s7 CORRECTION NOTICE .........:..;.........................:....... f Building �?Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify ihis 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: f J ,�- � ..... .......................... ..............:..........'l/ ...............`......... ,........... .......... Date............................:. Inspector Do Not Remove This Tog (400-4) = OK t 0 = Not OK j = Not Applicable MOBILEHOMES f ` MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements - Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date • - Card -BI' Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1.Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability A 3. Gas; MH Test -Demand -Valve -Connector t 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6.Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval _ 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged - 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch - 10. Cert. of Occupancy - 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date f ,I=A � 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERF OR P s OK except#'s _Date FRAMING --(Continued) o 'ng requirements -Setbacks -Easements rop ine Firewall & Openings tg., Main; Soils -S -Elec. Grnd.- / /" Ftg. Depth 4 t. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers- emwalls, Main; Steel -B lockouts -Wrapped -Slab 59.- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab S o -Drip S r -Fdn. encs-Underflr. Access 7. Piers -Fireplace Ftg.-Steel Glazing Area-GlassrRror6-ction-Skyligh4s--PlasTrC' 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test g- olts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. gfUll'Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card-BDate rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C -BI Date rd -BI Date Date FINAL (Plans) OK except N's Card -BI DateLS;,,� ZUard-BI Date Date PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings t511i Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air -t5o' Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _5_r^Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access �69.1 G.F.I. & Bath Fixtures & Tub Access tt!Elec. Trim & Subpanel; Bceakos-&4M- s 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Stairs & Rails ---- Fireplace or Stove; Clearance Hea eft- Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date v6e-Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67r -Garage Fire Door; Swing -Landing -Closer 6a_A4. Duct in Garage -Damper Fi & Transformer Clearance -Ins. Protection .6=�ff• Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2!�'E!,P,c, Receptacles Spacing -Lights & Switches at Doors 7L-1244- Elec. & Mech. Equip. Listed for Location 21? -Size Boxes & No. of Conductors -Stapled mex Installed Close to Edge of Studs & C.J. 221,-.�q u ip. Ground made up w/Mech. Fasteners -Bond Gas & Water ContS P., Kitchen M0TSize .711. Iec. Receptacles in Garage; (G.F.I.)-Romex Protec. Pe -Insulation -Foam -Looked in Attic ❑Yes 5 Guard Rails & Deck Construction -Post Caps . Fdn. Vents &Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 2 u or AI-A.C. Wire Size / / ga. Cu or AI nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al Insulated Neutral ,Yes ❑No 75. Following instld.: Drive E] Yes [SIC! Walks El Yes [4-Id9 l Planters ❑Yes o 2 uctor & Ground -Main Disconnect 7 ucco; B n-Fi 29. ccs; Panels-Motors-Mech. Equip. 7+ A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 39.- Water Well; Disconnect, Electrical, Plumbing 40. Fxterior Elec. Trim; G.F.I. Receptacle -Underground Card B-119 Datiard-BI Date Ventilation throughout House Card B-1 Date Card -BI Date <82_Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support _ iF'Corrections from Previous Inspections Gas T s1 -Meters Tagged; Gas -Electric -as- er & Sewer Connected-CiiO to Grade -HD Approval _ _ 32. Vent Fan; Exhaust above Insulation _33. Condensate Drain & Overflow; Size & Grade Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI ----------- --- _ _Date _ Card -BI Date Date Card -BI Date Card-13120'Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G(Plans) OK except N's Comments at Final: Sills; Proper Material & Anchors _- 3Mdlls; Sl ai�pgrSpa6iag'& Bracing -Ply -Sound 28 --Swing_ Walls over Girders & Floor Nailing 3 Draft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub _4f_+fe31Ter & Beam_ -_Size & Bearing 42 aps-Anchors-Connectors 400.0'Clng. Joist-Rftr.j it -Pur oof flcac-TTiussESbQuaQ_A . l��e�ies-ors+fpe A Flue -Fireplace Throat _ Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Ming Doors -Sill Hgt. & Dimensions _ .46-134"p-W4R4ew_ 47. n Framing (NOTE: An entry must be made each time you visit jobsite) r Ge D F C TnFT11P T A T ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCB,WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) BUILDING PERMIT NO.j-L--, lAm.. �� � A;P. NO.�L(o-01--j THE FOLLOWING HAVE BEEN INSTALLED AS PER'APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls (Q— Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I'DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name}& , �� l�P ��c �„� C10va 5 ' Signature of (please print) ,� Insulation Applicator < Ln� v State Contractors License No. '14 co—t-4 I C— General Contractor/Owner Name b )a Signature of �t�ti �. /-� ,..•� 6 �` V• (phase print) General Contractor/OwnerLA �x7 Date State Contractors License No. �A THIS CERTIFICATE MUST, BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. c ,r,+'c< . = yc� ° tip rte- y"s` ✓amu }�,s;..S` .�C�' .. ,a ...L r 1 't�r'r+ Rt f. jr ,?9 tiv ,ast'�' .s. , 111 1-vll - -ds. *� .,+ v; 11 k F �. 7..r`.:;�'€'''>''q-3 t,. �.r,>• 5•t°''' js Zs �.t,-•ylr .�w3H`„.,�ty,u.. d ys. ti f%2t �a i^ ay''¢'rz kar`d- { 5 r : P FZ� r ss �•, "r rrc +- s -- arra i�4 ,�<-'}h x `z - ''4 '�~O,iii,gj`,� ;,� , , .., ••s - a(< i. }' s .. t r � `^ 9 '�<n v est rE, 4 I}c „ tF NO •k --t s t ,�• i- `�:"• s, `3 y +t1mT i•` A S y p F 1 : ., , e }).! f..t�y, k�jA5i ., y s vers ..r } T1 Ir r..z `` R�{n A �x�.j r , .i< L. fi,y' .� a .i } y i. 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F.ie r+ : +ny fr r" D k3zv``Sr',.. ��r�.�:�aa`�' k " 3.: s oriA L`��" ,aby ° ' S: rtt kx ' Fiera ryc � r ' `4Ki ?i I d 3 t �': ; S ,yamr ),r'g=�., y11 : 11 : 11 + -ta r <� I �, �t-+fi•kP tr3'� '�:azt$Gz y,�,"a ''F' < 3mt:'CtPs:�,1,..:�.., J,.�n.us�r 2+lnk,:-i'+,L-,,....:3»-E:3..e,..-'.'?,rt.n,,v..,ta.e""1�"'er'` _- j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / ��v a.. APPLICATION AND PERMIT / d9 / ASSESSOR PARCEL NUMBER ZONI G BUILDING PERMIT OWN© TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAIL[ G ADDRESS V CON RA R'S NAMEPHONE TELE CONTRA M LING ADDRESS )+("1 Fireplace 1"A ® O CON TR :TION LE D R UNKNOWNS Total Valuation $ h<10-0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition model ❑ Utilities ❑ Installation[] Other ❑ Descri a work: I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Main service. EA. ADD'L 100 AMP 2.50 I OR ACDNS. ( ACC, BLDG NEW CONST. DWELLING ETI 2 ft I q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 71� License No.'Q��b� 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 NNEW ON.RESID R BRANCH TLETCIRCU1T9 2.50 ea NEWNON -CONSTR. ( POWER APPARATUS DRESID, SINGLE OUTLET CIR. J 50 0250 Ex. Occup(OUTLETS OR FIXTURES BAL�1 BAL@1 IXED APPLNS. OR Ex. Occup.(ouTLETs (RESID,) EA. 2.00 Temporary service 10.00 , Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 00-0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject fo the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling U r on Hood 3.00 Ventilation permit Fee $ ' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. • x �o Date Signature o Applicant — Owner ElContractorX Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $�Zz e7 TOTAL PERMIT FEE OCCUP. GROUP r7 3 0 TTP OF C ST. � V PAROL ✓ D 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C A OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,5, 6—ep Receipt No. ti3 (/pbl1l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rr Y:u k F , r l yr, 1 t'u :, le f , I r ! r .: ,4 Tr r _r, r , 1 /y• . i tt. � .. _. ., .; .. -, �. f.. ,"T .. , I F y rwyy :nj :: A r 5 _ ',. :V51 �K .. .x ; : , 0 V ...�.: ,., :.. :. :. NOW' 14141 tli . ##11,011011 1#1111 a ti , 11010I1 DIM*Jf 6, 7 Providt.x Via" �.; ichorI oolt M1 i O.C. max, and wlllt rt 12 of joints. +a `i OC' x(C)`5 M�f Pit.-�9a�.�,�rr•�'v _, hYtX^<TY fa,".k'_'nYM,� 5�' ,f= .LW .',': M,i'�; r t� P1 { r xK�a9 dr :t�.a•=+�n±§azrsM .:,�,z>'kssc2Nwv �w,9..AN+aeP,xti'W... 1{. l j t l � , ,✓ 6-7 Yd'ey- 4A1 fie, 3 , egad"�;4��...._�►,; ..~--~l lot-, 7 A setback of 5 ft• from the i .r d cs tIle J r property lines and setback of 50ft. from the road .n e- centerline shall be clear of �w ' Q t ti^� Q 4") k structures or ec1vipment except ! for a 2'ft. cave overhang i�INi 1 y, ., , naz„'i es I. :-w r . - c a :. ,uu •a,p.'R: T,M-��rn'a.n,y.•x- a'".a: My4, �� �W+® '..qr°r�..r.�w�w�w.r,.s.+Ae•a«ve,.h,�'v,ynw ��' 14 � C AA t( M � l.:ytM..�.� .inw,+w,et. "trvm-Nr r.vr!rwN'IM�4w-rMlwfN.w+w1n•aKa�-Mily/M.�+y', e+, 's'+^a.: ,4�_.._,A�T+ev'y.:w.Wlk'N'�:".. A:K , G� C� I } s: LJ . i-,u t}F4b�.. �ti+". •1{Y. 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Q;lir: r rdVli adequate Q - .- .. ...»�... ,.,>..E� q clearance & R '- 31pt r protection and a Type-A Flue, � Nil r6E /1V &W57//V A7 t�t�'�� '""►�`�`"' j � � �+'Na �^ by 't a eA 0 v, 44 Not, , , r: a lam, Gil . t7 (44”L-IhJ I I �. This sot of Maris and Cp�cil"lcatlo►l5, LIST lay GPARTMl �` NOTE-All �rtatorlals �.1�V''e•kmanshlp Shall Be 16 he job at all tl; yes and it is u lawful tc' kept oto t t Accordance with l�ecoc Izo l Good Practices and make an changes or alterations Ott s me with m y ,� quality proscribed dor the Slaeclfled use tri tli out written p errlss:on fro. i the l�O.pa anent of of � ual � l.lriform Building,Building,F�lumbino & Mechanical Cod-4 County of Butte. �Q Public Works, and the National Electrical Co % ®�.� ��► �I a _tr • g ,If r •. e _ yrys� U , 1 ,. i f