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HomeMy WebLinkAbout026-250-047rt'�^—...✓ Y�eF„ _—._I-��,�r....,�,.. ��.,�'-! '^ :.rTom_ a ��.. - - 26-25-47 Gary Elliott W/S Martha Lane, 500'So.of Palermo Rd., Palermo ermit #1604 80 ,P,E,M(newsin le f family) Y 26-25-47 Permit 1872-80P,E(util., ) ELEC. ,5— GAS - A SUPPORT STRUCTURE Q. NO' -� COMPACTION TEST REQ. -25-47 Permit �\7' Permit 8-80MHI" ') 26-25-47 t 7600 Martha Lane, Oroville Perdt #2261-85 E(new private garage/ shop) /; E � 26-25-47 2032-91B CURTIS, Patsy. R� 7600 Martha Ln, Palermo a (reroof/sf) _ x _ y*7 i (^� poi � �nl -, : i. +-.:r «'„ _;, , t�,r,filr-ifi,�.�,x Lie dt^•' . y • Fn+}"t .� "k�{'ib.+�r �r.a. . x COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville;-California 95965 - Telephone: 916/538-7541 0Z (j APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 26-25-47 ZONING A5 r ^' BUILDING PERMIT OWNER Patsy Curtis TELEPHONE J 531-2029 SO. FT. OCC. BUILDING VALUATION 15 @ 0 AO ING ADDRESS DWN'7600LMartha Ln, Palermo 95968 CONTRACTOR'S NAME Omer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER KNOW UNN Total Valuation $ Filing Fee $ 1p,QQ LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7600 Martha 1I3, Palermo Permit fee $ 26'00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 'Water piping 5.00 Each qas water heater or vent 5.00 rUSE OF STRUCTURE SF[9,( Duplex❑ Mobilehome❑ Other SPECIFY 4Mobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Reroof 7 i, _ 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 effect. )cense No. Classification. I, as the owner, or my employees with wages as their sole compen- IV/ 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 oCCUP..) NEW CONST. / DWELLINGOR ADDNS, ACC. BLDGS. / t yzQsgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 1520050t ALO 30 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID )REAJ 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 Consent to Self -Insure. �f' LTJ 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence o.f'the granting of this p rmit. ��, /�_ X 1I�t%C r2 Gd „� /ss iiia-.� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA Permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection -Fee $ occ CONST TYPE TOTAL FEE '$ 26.00 F HAZ. I CUA PARK SCHL FLD I CDF I PAR PD I HD. ISS This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indLcated above for which fees have been paid. , DIRE TO F PUBUICIWORKS ! BZ , r / Date PERMIT EXPIRES Date Receipt No. r_ai nr r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Q APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 26-25-47 ZONING A5 BUILDING PERMIT OWNER Patsy Curtis TELEP ONE 533-2029 S0. FT. OCC. BUILDING VALUATION OWN S MAILING ADDRESS 7600 Martha Ln, Palermo 95968 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7600 Martha 1N Palermo Permit fee $ 26.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [NX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV 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): ❑ 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. cense No. Classification. V1,ithe 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.91 OR ACDNS. ( ACC. SLOGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 2AL@ eLe303oas Ex. OCCUp. OUTLETS (RESID )FIXED APPLNS.REAJ 2.00 Temporary service 10.00 Home Facilities Mobile Ho 15.00 Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate `Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con quence o the granting of this p rmit. (� Gj/ X Date % // Signature of Appli nt — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home'Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE '$ 26.00 HAL I CUA PARK !CHL I FLD COF I PAR PD I HD. Issu . This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work in ' ated above for which fees have been paid. R. F PUB C ORKS O BY Dte l MIT (9 PEREXPIRES Date Receipt No. WHITE-D.P.W., PINK -INSPECTOR. GOLDENROD -APPLICANT 1 a• COUNTY OF BUTTE - DEPARTM,ENT4OF PUBLIC WORKS - BUILDING DIVISION 411 7 COUNTY CENTER DRIVE - OROVILLL%CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 7_ A. o. Proposed Building Use �. Q Building Inspector Date At time of permit application, I was advised the following data must be submitted prior�to permit processing and/or issuance: 1, DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed,by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. 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 iinstructions .................................. .................. 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) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 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 you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Othe 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. 1 Z. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--tnail—counter `by date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date , t Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 4 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT neat»sin rP. tL. NU BtR OWNER ZONING BUILDING PERMIT ' S0. FT. OCC. BUILDING VALUATION CU /s `T �PHOO� OWNER'S AI ING SS /(/�/�-• CONTR T R'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation J LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee $ Plan Checking Fee $ .- ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADD Energy Plan Checking Fee $ Penalty $ 0 Permit fee $ O (s PLUMBING PERMIT` Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5:00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE -OF WORK New❑ Addition[]�-Remodel Utilities Installation❑ Other Describe work: / i (/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LESS Main service 1001 OR000 AMP 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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 Main service EA. ADD'L 100 AMP '2,550 NEW CONST. DWELLINGoCCUP.. OR ADDNS. ACC. BLDG?. '/=¢sgft NEW CONSTR. U I.OUTLET �"51D BRANCH CIRC ITS2.50 ea (POWER APPARATUS e� SINGLE OUTLET CIR. Ex, OCCUp(OUTLETS OR FIXTURES eA 090c ALOR Ex. Occup. OUTLFIXED ETS PP(RESIDNS..1 EA.� 2.00 Temporary service 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.Heating 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 Seff-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 7 1in7ee 10.00 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 Count of Butte to enter upon the above-mentioned property for inspection purposes. y I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or Construct- ion ion of structures over 3 stories in height. Mobile Home Installation Fee I' $ Energy Inspection Fee $ occ CONST TYPE '- TOTAL FEE $ (� MAZ. CUA PARK ScHL I CDF PAR PD I Ho. ISSUE This permit is hereby issued unser the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES rlat0 I Receipt No. A WHITt-D.P.W.. T LOW-ASet7]a R. PI K -INSPECTOR. GOLDENROD-AP01.1CANT COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materia s for construction of the proposed property im rovement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, butel have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone- Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed : Property Owner Social Security Number Date % — / y— g / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Rhone> 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ll000 = m � X 7-#-/4 OWNER �PERMIT N O. A routine inspectio"indicates �atollowing violations oou�t yOrdinance 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. Dat `� Inspector II PERMIT NO. ± 2261-85B,E 1 PERMIT EXPIRES OWNER GARY ELLIOTT' ' CONTR. owner 4+ ASSESSOR PARCEL 26-25-47 LOCATION 7600 Martha Lane, Oroville f t 11 F' Temp. Power Pole Called PG&E Temp. Elec. S Called P( r Temp. Gas Sei Cal led PC JOB FINALE[ A Signature a J = OK 0 = Not OK_ Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements -Setbacks -.Easements i 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 Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOAIME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date 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 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances -GF] 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 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 S. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 r� i 0 J = OK 0 = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDE LOOK Plans OK exce t#'s Date FRAMI Continued Zoning requirements -Setbacks -Easements . ro erty Line Firewall & Openings 2. el-Elec. rnd.- / /" Ftg. Depth • Ext. Doors -One 3' -Check Garage -3rd story, 2 exits . Ftg., Garage; Soils -Steel- / V /" Ftg. Depth 50. adroom-Rise-Run-Landing-F ire Protection 4. ks; Soils -Steel- / -/" Ftg. Depth PI d on Roof Overhang -Attic Vents -Rafter Outriggers 5. -Bloouts-Wrapped-Slab � iding-Nailing-Veneer . Stemwalls, Ga e; St-B4eekents-Wrapped-S 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7.., Piers a tg.-Steel 8.- all-Fiftings-Test-2 way C/O -Sewer Test 9. - hors 55 Protect ion=Skylights-Plast ic g -Bolts 10 Anchors -Regulator -Service Test 11. n erground 12. Plea, o 4 -- '- rance-Material-Support-Ins. 13. - nchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -B Card-BI-Wj Date ! Card -BI Date Date Card -BI Date Card -BIS -. Datejl-I.-VCard-BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets &Receptacles at Kit. Counter ¢7 Datir68. Date LECTRICAL OK except q's 67. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper a8-fixt 61& Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. es Spacing -Lights &Switches at Doors ze Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. K. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25.-flpptTance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. S e / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. ge irc. / a. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral �]Yes ❑No 75. Following in El Ye Drives ❑No ❑ Planters ❑YYes E)No; Walks ❑ Yes ❑ No; 28. S - iser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 64uiILX4ear-ances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. C�othes set Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date i� Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Ener2y Compli ce Certifi ate -Other Ce ificates 33. Condensate Drain & Overflow; Size & Grade , 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F G(Plans) OK except p's Comments at Final: M. Is; Proper Material Anchors Wa ; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39--9Faft3tUP-"alts (rat proof) 40. d Ceilings-St'rs-Chases-Tub . Header & Beam -Si & B ing 4Hangers-Post Caps-Anchors -Connectors qIng. Joist-Rftr. Ties-Purlin-Roof Brac_. Tr Shthng.-Rfng.__ 44. a ies or e A Flue -Fireplace Throat s; ize & Romex Protection -Draft Stop -Ins. Baffles 46. n ows or Exiting Doors -Sill Hgt. & Dimensions 47r�Ga[aae Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) -J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 as / S APPLICATION AND PERMIT' ASSESSO6ARCEL NUMBS Z NIN BUILDING PERMIT OWNSEPHOIE SO. FT. OCC. BUILDING VAL ION % OWNER'S MAI NG ADD SS . 1 eQ /1113 CON C OR'S NAM I TELEPHONE CONTRAC OR'5 MAILING ADDRESS Fireplace CONST TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH IT T OR ENGINEER ��Ener LICENSE NO. Plan Checking Fee $ /L- Energy ecg Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n Permit fee $ Y PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCT RE SF ElDuplex❑ Mobilehome❑ Other sP E!EV FY' Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New [V Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �— p© I, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11101OR LESS 10.00 100 AMP OR LESS 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 BuslnesS and Professions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Oc , OR ADDNS. ACC. BLDGS. /22Sgft NEW cONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu 120050t Occup(OUTLETS OR FIXTURES eALO 30 FIXED APLINIS Ex. Occup. OUT ETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 15.00 9 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 oyEonsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit 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. 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 againstaid County in consequence f the granting of this permit. X ` �. �S Date Signature c plicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occ up. CONST.TYPc F PARCEL PD MD ssu This p it is hereby issued under the applicable provi- sion of the Butte County Code and/or resolutions to do wor i 'cated bove for which fees have been paid. 1 CTOR OF PUBLIC WORKS BY Date% PERMIT EXPIRES Date ^" Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7'COUNTY CENTER DRIVE - OROVILLE, CALIFONNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET�) % nn Permit No. A. P. No. C%6 Proposed Building Use Permit Fee Based Upon: Complete Contract Price X DPW Valuation Other (Explain) ,/,� Building Inspector / /(I`9GI.,�iY./X Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED �1. All items have been submitted. �/2,,. Plot plans in du l�t i licate. . �: SJ ��. Complete plans -in duel"ic�triplicate.(/ . .r. . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �9. Letter of signature authorization. . /4 . . . . . . . /10..Sanitation approval from tt #/n1/- Health Dept. S/ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone _5-,1 / S wand hold for pickup at ,/O office. Deliver w. /inspector. Other/ A. 4: 64 — / 1 � 2 v y _ _ '/gyp � •. Applicant \ ��.y _ Date Copy of plans sent Health Dept., . Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ,(Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by Date Plans approved by _ Date Other: Copy—DPW Mail Other Date To.: building Department T,'l an lipprovcd for; V7 Location A1,.` Sewage Dispot,al Water Supply Hold Fina? for: Final c*i.o-irance U.K. for: -C' earan(�e for -b-2droo-. hc;jI.,;e/mobilehome or other ,Note` Vater Suppl.:� Water Supply Date . : • ...:j ,.., -x ee OF warty Grace A sP[Ctls saw mwa a+ sOTTar CMO. X A PE A4 ,JOINT OETAII �,• 6• `e• ~ 2X6 M4.916.0.Ta6 360 e• 2. 0. 4 2Xb Rs.OlI.S,TS4 50. 0•.j.0 1.0•.•� y�y 2X4 44.01/.S.T44 Ib•Er 1• 2.0' 1.0. 1 1 1 , / 12 IA• 1�.0p _ _, OFF PANEL POINTn3PLICE (92) 'i Sywt wo" 22.4X6.0, T2.5/6 T0136-6.81. j AblA rt R2.414.5.T2 S/1 TO 30. 0•r •' 4i.' Pt6 Nc...k #-: "' w t'" ,�. . K. . t i AlCgyt[c '� erTs T 36-4 33• 124) 4/J •fi� �flXarntr+rr.0 - - 7S• -z '' IS/21/T9 t- F^< '3PF kt # ;lt:QOiwor.•w t-. Alt �i s ss,r " n' 3 2 S • 7 8 WL sr T K CIC at IT > �f PO iaar�rrt.tr Fla 9 tt• .. t• _.2 9 `•�w.. ?. r".��x - �- ;C; •: '-., -,.z.�•ct --> r ,x'trs ' : t - i A'.irl .�J, > .�� �. .+�+Vwr ham✓ na�?XY � �'.v'In�•r_� � 1 '.1ww.Y �. fr met � �.+�:�t.. r wav r•,•y'2t_ .,may :?s..-YY.r,� 4,rt"��Q���,. '.�•.'� _ f' .- .:?kid+£., _4, .._+�_yt�, ✓'r _ ,s.,+,yv �--�d�C t Minto snow: lonum.. firow be t.e.•A•.• wrw. h. ft.0 c. 1 .. NF.; >I r o ,. N - 4 — •_. .••. •- • •• . irtrs-r.worr�r�•a•.�r�r.•a.�•.iwwtrrA• O S 0 S a 31•:60' R• 0l:: :i• ,::•. -I6' 8• SA• 7• 34'il•' 12.10• •Oa"�P'w�• rir'w'• w . - . A Zr�K.•.�.F Ito 36, as WASMCM"WCM0EitOM - - _ J4' T• 300 0• ; a"VVVV&+wrr..•-'''.:.._- r(e rEre Ra Q �! `F3PAN TO 3 R sP.CEO 24.0. O.C. 4.0112 PITCH 4/3 COnFIGURATION < .- Z r" LL.OL OA ROOF s 27.0 P3F :... a OL'OM CEILING s"'10.0 P3F.'i x3 r F TOTAL OF_SIGN LOAD s _..:;0►i, ParEl POINT 2PLICfW(T2) -, ...33.0 P3F . . =.?X6 R4 OXs . �;;_ _ • S P3F CEILING REOUCTION.TASEN. .5.114 TO )6 e AXIAL STRE33 ONLT`' LOAD DURATION - •�_' .. ..:=•'�. _ - .. ,rt#rs:t. -:4. IVCREl3E a 1.IS -'.211 22.414,S..TLyl4.':TO.`1+6' 4AXT4UM T4033 NEMdER.FORCE3 4EACTIOMs 1008 PANEL POINT iPLJCE /T J2I ^ _ T 1 . •2325 d 1 2206 w 1 •434 w 2 625 T 2 •2022 4 2 1474 ; 2X6 04.AX6.0,T56 TO 160 an _ _ 216 24.094.5•,TS4TO 36' i• Note: .=.-Truss.'meets UBC 82 Edition design requirements. , NO 3PLICE �-:.. R1.6X3.0.T31 TO 34' As f +:;:=- /�,Z►�111► i �i Ii��� 40.4X1.0,111 TO 30. 04- T•2 -_ - - BUTTE COUNTY "` �>- • =A__ BUILDING DEPARTMEN.7" °�; APPROVED1-41 W. 3 EOUAL PANELS BOTTOM ajoAD _ �� • .. _ SPAN TO 3 VIM ��• �... PANEL POINT 3PLICE (9J2) DOUG -FIR 3PRUCE•PINE•FIR��� 04.816.08TS6 TO 36• an 92.496.0 TO 36' 8• 43.2X6.0 TO 360 R• R498X6900154 i0 30. 0•. .•-42.4X4.S TO 24. 9• 42.4X7.5 TO 34. 1• R4.OX4.S.T4i TO 2/• 0• NO 42.6X6.0 TO 27.10• 42.4X4.S# l 1 X44j.4X6.S TO 21. 1•" T2.S/4 TO 76' 0• d me � t� 02.423.0,T2.5/4 TO 300 00 4t■Iu _ w -No. OOIIG.FIR t6 0R 3P4uCE•PIME•FIR ' TU TO 36• 8• 136TO I6• !• - �•'� +' •- T2.5/A TO 33' b• T2.5/6 TO Il• 2• �:r s TO 22' s• 17..5/4 !• • T O"2 ' ft F l Aa.7Fw I pr.. 4tr► A •ta q Aa n •.rt�r., a.r r.r wl w • 1',►`6'""^�'7 !Lt1tt•ww.ar..at4,•t-ttti Ttrtwat•t•t.•[aP•trr r:w it Y. .% q�'°O1}t"WAT{m OF w.lX r.tor[a M17a,%'jk ^' 'i •,�q} 4i 10trKroaal.NaiT" Tww W"emfrrr.ur.rq...ar.o..",modIO•glrRwq r� T_ _ •?' `ML r• t••,ir as= so -Vow .w P•t•w a• P� •tN r 7P.a rer. w r bw V •. •er.ur.ww rtr.h i.wa•r. t •Y•tirr4rftwo haft OVA •. , y. .rarraN.tyro.rr..t.rrrs.taNrw•..wr.�w...rrrr+rt�..r� w A wwwO-r•" stye edtrLNMwiOp t/. trs rr•. r•a w W 0. N4tp, w Mrt.a , � .�, .,. ..-ryrse�., .�.•, r ....J,w+� �. rta• • � ;' � f PERMIT NO. 1604-80B,P,E,M Y ` PERMIT EXPIRES OWNER Gary Elliott I CONTR. pw nwnPr 26-25-47 LOCATION (A.P. ) . W/S Mazha Lane, 500'S.ot Palermo Rd., Palerm jam,... r !( ��{{ggtttj c 7 �t • .1 C� a Temp. Power Pole ' Called PG&E/ Temp. Elea Serv. Called PG&-E A'I'- Temp. Gas yrv. Called PG&E r JOB FINALED ^ ( te) (Signature) 0 ' q � a 'rf �• r COUNTY OF°BUTTE - DEPARTMENT OF PUBLIC WORKS'' j BUILDING INSPECTION RECORD' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 57A n 3rd Floor Stemwall Sidino T000ut VA Z l/ 61 Slab Roof Sheathing - Water Piping Piers Roofing glm Sewer Garage Fdn. Vents J.Fixtures Elec. Pedestal Footings Garage Vents Water Htr. StemwaII Insulation ' Heaters Slab Prov. for physically Appliances Carport handica ed Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings_ I Footing „ _ l / _ I ELECTRICAL / Reinf. Steel Final ' I Fixtures Bond Beam, _ FIRE SPRINKLERS I Motors Stucco / Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole i S Finish Ducts Underaround Interior Lath Ventilation Permanent Door Closer Final _ Final MOBILEHOME UTILITIES ----------•------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE d (� REMARKS OR CORRECTIONS i F -a (NOTE: An entry must be made on this form each time you visit the job site.) f � RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTA LED IN CONFORMANCE WITH CURRENT'ENEPC.YGONSERVATION REGULATIONS AT no C�C:Ncut±jco- Xlocation) BUILDING PERMIT NO. A': P. NO. Z F THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glaeed r% Fdn. Walls -ta�- Special (Insulated) --- Floors CERT. & LABELED WDS. / Walls u. pCj & SLIDING DRS. l� Ceiling/Roof ►q uC�p WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS_ 'A' Circulating Pipes.Qr bar,,,.iINTERMITTENT IGNITION DEVICES .--� APPROVED HEATER tom(. iar . CERT. APPLIANCES 01et';i qi e_CA APPROVED WTR. HTR.FLFC' T b .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 Signature of Insulation Applicator -.2 State Contractors License No. General Contractor/Owner Name ��Ae�;,-A L�(1 (please p int) Signature of General Contractor/Owner Date tate Contractors License No. THIS CERT IF ICATE 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. !(dash) = OK __W 0 = Not OK r K = Not Applicable RESIDENTIAL (Single and Duplex) /��� �✓� (blank) = Not deg•lt with yet )ate UNDER OOR P. s OK exe t We Date FRAMING Continued ing requirements -Setbacks -Easements -48,-Property Line Firewall & Openings 2. tg., f.lain; Soils-Steel-Elec. Grnd.- " Fig. Depth- AL -Ext. Doors -One 3' -Check Garago-3rd story, 2 exits 3r teal- " Ft . Depth • Q -.-Stairs; Widlh-Headroom-Rise-Run-Landing-Fire Protection 4. Fig.. Porches & Dec."; Soils -Steel- " Fig. Dapth 11. -Plywood on Root Overhang -Attic Access-RatterOuld9gers �� StapwerflS, -Wr ed -S 5 ing-Nailing-Veneer 6. Slemwails, Garage: Steel-Bfockouts-Wrapped-Slab 59 -Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. ACc9S3 7. Piers -Fireplace Fig. -Steel +r "I54r-Gla-zing Area -Glass Protection -Skylights -Plastic .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test nctwrs 55. Shear Walls; Nailing -Bolts - Ug --- Wd"r-ptpe'-Tv,.t Anthers-Regulator-Seryice Test 1�z�F.taGMi and . ce-••Malerlal-Support-Ins. 1�A r golfs -J Card -BI Date Card -BI Data Card -BI Date Card -BI Date ;t3(d-gl Date Z7 5_✓ and -BI Date Card -BI Date Card -BI Date Date FINALP ns) OK except q's ;aid BI Date Card -BI Date )ate PLUM #NG (Permit) OK except q's 5K Ext. Steps-Ooor & Sidelight Protection -Landings Smoke Detector Plater Ht : Vent- cess -Com Air 58 - Vents -Clearance -Comb. Air -Connector- Garage; Above Floor -Ducts -Mach. Protection / i a; T 8 ail ctl D .: T-Fttngs & Anchors `NaffrWfcTe—ctI22 Mee m Exitln 17. Shower Pan; Test, First Floor-Tub-79c—cess .1. & 84KFixturss & Tub Access 413 -Test Tub & Showsr, 2nd Floor -Tub Access 1xJ Gas Pipe; Size & Anchors Elec. & Sn6yaael: Breaker Sizes -Labels 60--6k+V#e-&'8ails — Fireplace or Stove; Clearances -Hearth 64!fflec. Outlets at Wood Panel; Int. & Ext. -BI Date Card -81 Date 6 Klt. Fixt. & Appliance; Grnd.-Air Gap -Cooking Gap—CookingClearance ,aid ;ard-BI DataCard-BI Data dw-TTec• Outlets & Receptacles at Kit. Counter )ate ELECTRICAL Perfilt OK except Are ire Door; Swin -Landing-Closer D ct in Gara s-Oam er OKED Wir. Hir.; Vent s-CIearanco-Comb. Alr-Connector P. . In Garage; Above Floor -Meth. Protection 2 F re & Transforms( Clearance -Ins. Protection EI c. Receptacles Spacing -Lights & Switches at Doors 7 ., Elec. & Mech.'Equl . Listed for Location . S' Boxes & No. of Conductors -Stapled n Garage; (G. F.I. -Romex Protac. _max Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked In Attic �s Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water k Construction -Post Caps . 2 Appliance Circuits In Kitchen & Conductor Size Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 15,ftt. Looked under Floor ❑ Yes .2e--Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ, / / ga. Cu or At, I Sulated Neutral ❑Yes ONo 75. Following Inst) : Drive Yes [J No; Walks Yes ❑ No: Planters es ❑No; Creating Drug. Problems 0 Yes No Service -Riser Conductors & Ground -Mein Disconnect -8TVn-Finish Equip. Clearances; Panels -Motors -Mach. Equip. . A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet encs Above Roof; Pfbg.-Appliance-•Firepi.-Clearance to O n, s. rhes Closet Light -Shower Light - Lp�r Well:.Disconnect, Electrical, Plumbing . Exterlor Elec. Trim; G.F.I. Receptacle -Underground :ard B -I :ard B•I Date Card -BI Date Date./ �/ Card -BI Date 8p! emilation throughout House 8k__G+ SS Protection Late MECHANICAL (Per it OK except N's Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducl-A In'§Flalion & Support — later & Sewer Connected -C/0 to Grade -HD Approval 32. Ver an; uv above Insulation nergy Compliance Certificate --Other Certificates 33. c4L4".vorain & Overflow; Size & Grade 34. F rn Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. A °i Access & Platform if Furnish In Attic Card-Btfig;<Date ' 2 Card -BI Date Card -BI Date �Z Card•BI Date ard•BI Date Card -BI Date ard-BI ate Date C3rd•BI Date FRAMING(Plans) OK except q's Card -BI Data Card -BI Dais Comments at Final: Proper Material & Anchors _ Y13113: Studs -Nailing. Spacing & Bracing -Plates -Sound _ 23'-Bearir9 Walls over Girders & Floor Nailing 300.Draft Stop in Walls (rat proof) Fire Sto2s; Furred Ceilinjs_Stairs-Chases-Tub & Beam-Siza & Bearing _Header ngers-Post Caps -Anchors -Connectors 1� In9_Joi::t-Rfir• Ties-Purling-Rngl Sr_ac.-Truss-Sh_t_hn_g._Rfn_g. FirepUce Ties or Type A Flue-Fireplacu Throat _ a .Attic Access; Site & Roma< Protection-Dralt Stop -Ins. Ballets - _ 46!'Bdrn. Ylindows or Exiting Doors -Sill Hgt. & Oim4nsicm; ,4Z +Garage Fire Protection Framing -_196 Memor-ial _ 7 County Center Drive, Orovi I le Skyway and Elliott Road, Paradise — Phone: 872-2961, x CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 _7-1;4/ 2� I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS « 7 County Center Drive - OroviIIe, California 95965 4 Telephoner: 534-4541 APPLICATION AND PERMIT nuinorize represeniat)ves or the county o1 butte to enter upon the above-mentioned property for inspection purposes. air—t1k - "TQ Q Date t4—) `-S C) _-----&rgrrature of Permiteeeoor Agent Receipt No."�7 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 ByDate B ding permit expires Date ��' BUILDING Owner r SQ. FT. OCC. BUILDING VAL N /A 19a- R� DSD Mai Iin ddress 10W 7L,&r_X O Telephone No. Contractor 00 1 Mailing Address Fireplace Total Valuation �g Telephone No. Permit Fee Building Address ` Plan Chec ee&/or Penalty S Permit Fee 6'z'$ $� •JS—© PLUMBING No. @ FEE 0 IF ZI PERMIT FILING FEE $3.00 , Each Trap 4-56 ,� U Repair drainage or vent piping 1.50 A. P. No. S .. �/9 - Zoning & Planning Water piping "491aa..dv Each gas water heater or vent 1.50 IZI Fe �� ub'C. San" on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Pay I 60' R/W Improvements Each additional outlet .30 Building sewer 5.00000' Bldg. Pla ec'd Parcel royal Plans Ap vol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ — $ '- ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 m Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family �OL 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 CONST. DWELLING OR ADDNS.• ACC. BLDG 22sgft r 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: %� NEW RESID. BRANCH CIRCUITS) NON.RESID, (BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS a NON.R RESID. SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXTURES BAL@t Ex. QCCUp•\/ FIXED APPLNSOR OUTLETS (RESI.D,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I)cense No. Classification Mia.Airing 6.25 g I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 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 ,10Q 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%� Land Development Fee $ Sf TOTAL PERMIT FEE$ CT! nuinorize represeniat)ves or the county o1 butte to enter upon the above-mentioned property for inspection purposes. air—t1k - "TQ Q Date t4—) `-S C) _-----&rgrrature of Permiteeeoor Agent Receipt No."�7 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 ByDate B ding permit expires Date ��' ON �f t• �{i ice• ! f HERMIT NO. .i .noy-PIZ) `r PERMIT EXPIRES IIOWNER Gary Elliott V._ owner 1 CONTR. G 26-25-47 LOCATION (A.P. I' W/S Marthl Lane, 500'S.of Palermo Rd., Palermo J f Y ti ! 1f Y Temp. Power Pole Called PG&E Te gyp. Elea Serv.� Called PG&E , T mp. Gas Serv. �� Z) Called PG&E fi JFINALED (Date) (Signature) 4 i - COUNTY OF BUTTE — DEPARTMENT OF -PUBLIC WORKS + BUILDING INSPECTION RECORD ' Motors BUILDING BUILDING (Cont'd) X PLUMBING All tback Fi wall J All Piping F ms Par ets t Floor Rhin Bldg. Rest r m Finish 2HN Floor ootin s Window 3rd loor Shunwall Siding To out Slak Roof Sheaking Water PIp ng Piers Roofing Sewer Garage Fdn. Vents Fixtures Footingk StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph slcal handica ed Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio F EP ACE Final Footinas Fnnrc.,n, - r Cf�T01 A I F Oona nem I JFIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub anel Mestf MECHANICAL Grd. Famit Prot. Scr tch Heatiril Servl B wn C at 00 g T p. Pole finish Du s de round I erior Lath V ntllation ymanent oor Closer anal final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping _ '� _ Sewer S _/•2_ Gas Piping ' �: -- • j �i BI E OME INSTALLATION .... • - - - • - - - - - Support Elec. Continuity Water Piping��C@� d-hn Drainage Gas Piping a DATE (� (� REMARKS OR CORRECTIONS �� (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of -1 A amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes l' O_ C. Is power supply cord or feeder assembly properly fused? Yes _- No_ D. Is continuity test satisfactory as per the following procedure? Yes_Z<o_ 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 fo'r 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 the electrical 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 of'f card and tag services. r � MOBILEHOME DATA Manufacturer and/or Namestyle Length o Width A Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located witV required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required.clearances above ground? (Sec.5085) Yes 1140 3. Are footings and supports properly sized', spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec.. 5082 & 5083) Yes (/No - 4. Is the mobilehome level? (Sec. 5088) Yes vNo- 5. If more th le unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexljya connector"of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes L,,No B. Test— Does water piping withstand working pressure or 50 lbs. air test? Yes 4-1�0— C.. Backflow - If coach is not States ifornia approved, does station have backflow device and pressure -relief valve? Yes oT 1— 7. Wastes and Drains I A.' Is connection made with Schedule 40 DWV and have flex connectors at each end? YesL--*"No B. Does it have minimum 4" per foot slope and is it properly supported? Yes Cho C. Are any leaks detected in drainage system after running 10" ns of water through each fixture including washing machine standpipe?,Yes_`No— D. If coach 's State of California_approved, does station have required trap and vent? Yes N l t J. 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 mobile me 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'v�Llves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" 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 mobilehoTqe.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yest-' No PP — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 ` CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Ca i orni _Administrative Code, Title 25, Chapter%�5, under permit number �— for the following location: l tlA J r'�iY��— Owner VIF ELA IL I I1 0 %, C Owner's Addresst}}7�dn ��a��•�� ���1� c�_ �`7� r rM r, Mobilehome Mfg. (nRAI-A_0I n VN Model(V+���< -A -g, Year '7 Insignia No. �n�.�� (l Serial No. �n`7 It is hereby certified for occupancy at the above described location and may be occupied. DirectorofPublic ,Works Date C---, — ��� By V THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED' White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE,. ' OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number rfor the following location: Owner 1--%, A ti l I, IN Owr[er's Address�ln ��L . , v Mobilehome Mfg. Mode1I`f)�_- �' Years Insignia No. '1 C"'/ 0 Serial No. I It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date C- By a �- -4 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED=: White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS • r 74,ounty Center Drive — aroville; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /Wo>L to `t Si e f Permitee or Agent Receipt No. :los J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Bu County Code and/or resolutions to do work indicated abov or hich fees have been paid. D..-GTDR OF PUBLIC WORKS � rRM, A- RZIF Building per�it expires Datev S "—G3 "pl BUILDING Owner SQ. FT. OCC. BUILDING VALUATION .01 Mailing Address 7tp Telephone Contractor Mailing Addres Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 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 atvi•a:etiesl I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovem nts P Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel A of Plans Approval Lawn sprinkler system 2.00 F_ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 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 e 25.00 100 AMP O OR LESS Main service/ EA. ADD'L 100 AMP 1,00 NEW CONSTOR ADDNS. C ACCDWELBLDGS.CCUP. Y) 2�sgft 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 RESID. ( BRANCH CIRCUITS) NON.CONST ` BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 6 NON.RESID//. SINGLE OUTLET CIR, EX. OCCUDtOUTLETS OR FIXTI,RES IBAL@1 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No. Classification Misc. Wiring 6.25 [Bel 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 Vl�orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ " authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /Wo>L to `t Si e f Permitee or Agent Receipt No. :los J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Bu County Code and/or resolutions to do work indicated abov or hich fees have been paid. D..-GTDR OF PUBLIC WORKS � rRM, A- RZIF Building per�it expires Datev S "—G3 "pl BUTTE COUNTY' DEPARTMENT.. OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:..534-4541 MOBILEHOME INSTALLATION SHEET, Butte Co. Div. of Env. Health A N K .141980 `Oroyimi, t` ,forma 1. Owner's name: AC�V� 2. Installer's name: C-2 Ph _�.1 .4 Cxr--1 �3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is'the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes TZ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �J Amps .6., What is the mobilehome site service rating? --------------------- (Zoo Amps CJ 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome ` -oC) P Lox_ on ole �SQAm A _- site service. ------AM ---- ---- ----- - - Yes / No fir-cam:\mac We,\1 ''� L ror% M '?ooArnH (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? FY)'n 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.). ,.! MOB ILEHOME SUPPORT DATA ` If oUher -than single wide, Mobilehome .Mfr:'PA.r-+- Ct'A�7'+y 'furnish Setup Model No. Year 19t, rL Width''. (ft.) Box Length�(ft.) Tagalong or Expando. Size ft. x ' ft... (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7,".1973; furnish manufacturers installation .manual and structural setup sheets (if not on file with the County of Butte). A11 center supports measured' -from front,of mobilehome unless otherwise s'pecified'. r Foot.inQs;(check one) in�le Q El 1. Wood _ either. . > CPpressure treated or -foundation grade. x x (ft.)(in. (in.) (in. 2. Other'(specify) Center support `,locations* Center s post footing izes (in (in.' (in.) in Y.iri.) (in.)l (in.) *If'center'piers are other than drawn above, draw in-locations,'spacing,'.and dimensions. Supports.(check one) d Rl.; Concrete'block. O 2 . • Other (`specify) it V k y . *—Tagalong or Expando,' 11show support details. x - ypical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) ' �� -- Max. Overhang (ft.)(in.) BUTTE COUNTI BUILDING DEPARTMEN APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS County Center Drive, — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 112 -�j uurnorlce representatives or me county or tsuiie,ro enter upon ine above-mentioned property for inspection purposes.• OrQ2TDate C___941ature 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 `-('--f I—X-0 Bui 11>tg permit expires Date -dam BUILDING Owner SO. FT. OCC. BUILDING VALW<TION Mailing Address3 ele hone N o Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address (� � Plan Checking Fee &/or Penalty Permit Fee Sao zt. 0 PLUMBING No. @ FEE on PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. c� Zg & Planning Water piping 1.50 .Q Each gas water heater or vent 1.50 FSa ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 d (Q i EOA Parking Parcel Plans Declaration Pa�cel 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Q Bldg. ec'd Ptrce a' lt'Approvol PI pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 �O Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 3,tS40 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD•L 100 AMP 1.00 NEW OR ADONST l ACCDWELBLOGS.LING CCUP. 51 20sgft 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 R / RANCHUTL T 2.50ea NON-CONSTRESID, l BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS 6 NON-RESID• SINGLE OUTLET CIR. Ex. OCCUI)(OUTLETS OR FIXTIIRES) 5B L@; Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice se No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6T. $ 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 orkmen's Compensation Insurance. I 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 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 Land Development Fee $ TOTAL PERMIT E $ S.3 uurnorlce representatives or me county or tsuiie,ro enter upon ine above-mentioned property for inspection purposes.• OrQ2TDate C___941ature 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 `-('--f I—X-0 Bui 11>tg permit expires Date -dam of, plans and specifications MUST be.. set This and it is unlawful to n the job at all tires without kept 0 on same 11 all, mace any ch,", - from flie Department Of Pub wrii�ten permission Inc Works. County Of Bu"13' 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 except for a 2 ft. eaves overhang. I;- NOTE:—All Materials & Workmanship Shall Be-.dp Accordance with Recognized, Good Practices O&H of a quality prescribed for the Specified use in tivi Uniform Building. Plurabing & Mechanical Codes 069 the Notional Electrical Code. U ;tiiity connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. PLO, L iiv RE COUNTI ju I iLUNG .AppROvE° I i r c; IfF4 a, -o ,i t,,i V > M k r ► t est s r+ IOU 4 rk µ#r y�uy� y ��yyy J8� qq yy pp S MA� �� �* #•1yT#�/M�W a�"�9 �"4 i'. k I.:�6 �•�' a ��K5 �+4'�ir S � �{'.'r . �� 4 1 . jar�N#twa tN�r!�Ayg�.�� Fi`�n j 1t 4 i7 S � ' 0I �? 1 „.'y%� '� ,�i • k7 1�'(T �`, XY i. i �'l7 y r 4 4 `' et .� wry tri Yr 4;�,r-� ' r r!I,, r /.;. w x.0 uN t aX k _ �VW.9RP i 1 jj r yy atkY 4. 9 1 n T I 3 s «mow. 2` W. r% —J -r +V h X� I rl i1 r I y A r YF q is �1' I µ