Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
007-260-056
W. L. Wel s �/ S ,� n/s Troy Lane 60 of Godm;- vel ,� Chico / 6 Permit 1026-70B (add family, 0 ` Buford Bush /C*� a/a 501 556 Troy Lane, Chico Lor BLOCK suBDly permit #2485-80B,P,E(addition to bana/MH) �— TYPE OF JB PERMIT PERMIT NO. PLAN NO. ED D & MARY BUSH s F; roy Lane, Chico: Sacramento Sunarext#612-84P,M(solar space heater/SF) 1101% 7-26-56#2252-86B(instAll rAmAda/MH) REMARKS PERMIT DESIGNATION: B–BUILDING DEPARTMENT OF P–PLUMBING T–TRAILER BUILDING AND SAFETY E–ELECTRICAL U–USE PERMIT TV – RADIO -TV ANTENNA V – VARIANCE S/W–SIDEWALK NOTICE S_ SIGN PERMIT HM –HOUSE MOVING EP–ENCROACHMENT D — DEMOLITION 600.1 X71 INSPECTION RECORD BUILDING APPROVALS 1) �w 2 111Otl11- W> aZ DESIGNATION Z U O Z DLLO LL Z UJIt w LL F WN Z Q LL Ix 0= W F Z�J It O= W FQ Ir Ow W NQ ZpJIL Ow W N 5 W U U O Um Wa ; �� Ja0 IL LL 4c Z U. SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAVE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMSERI SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL WAV. 127;?/] 1IN PERMIT NUMBERI DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL _1I.YI/p/ifff.w `lf'XII/I►W.W»;+Ill W.,I DESIGNATION .. JOB FIN Sign ' i 1 t A 7 t 2252-86B PERMIT NO. PERMIT'EXPIRES ? BUFORD & MARY E. BUSH OWNER CONTR: owner 7-26-56 ASSESSOR PARCEL ..556-Troy Lane, Chico { .LOCATION 4 1 y t r� 1 ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas.Service i Cal led PG&E JOB FIN Sign J=OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'a Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Ws 1. Zoning Requirements—Setbacks—Easements;ening Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) VWood 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; LocatiorrTest—Wrap:/ /"L"it./ /"Nat. or/ /"L"ft./ /"LPG _ 6. Carports; Windows—Doors 7. Utility Clearance 4. Elec. Card -BI Date Card -BI Date Card -BI St, Date a p Card -BI &IR Date % 6 Card -BI Date Card -BI Date Card -BI S Dat 2( Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (PI s) K except #'s 1. Zoning Requirements—Setbacks—Easements 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—GFI 5. Drain; MH Test—Tall—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/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. 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 -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * = Not Ready r + RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except N's - 1. Zoning requirements -Setbacks -Easements _ 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Bbckouts-Wroped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wra ed -Slab 7. Piers fireplace Ft .-S - 8. gs=Test-2 way C/O -Sewer Test _ __ 9. Ga pe; ze-Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground Card -BI Card -BI 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Date Card -BI Date Card -BI Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection _ __D'ate Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Gard -BI Date _ Card -BI Date Card -BI Date Card -BI Date _Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance - Ins_. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners_ -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ;No 28. Service -Riser Conductors & Ground -Main Disconnect 29. _ Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts. Insulation & Support 32. _ Vent Fan: Exhaust above Insulation 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 Date FRAMING(Plans) OK except q's 36• Sills, Proper Material & Anchors 37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred CeiIia-Stairs_-Chases-Tub _ 41 Header & Beam -Size & Bearing 42. Hanger's -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthrig -Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat _Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. _ Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance j 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 9 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 3 Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes [I No: Walks [i Yes ❑ No; 1 Planters El Yes El No i 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground _ 81. Ventilation throughout House _ 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas Test -Meters Tagged; Gas -Electric _ 85. Water & Sewer -Connected -C/O to Grade -HO Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Oate Card -BI Date Card -BI Date Card -BI Date Com tents at Final: 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) �j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT �Mt PERMIT N0. w A ASSESSOR PARCEL NUMBERZO G1�. I BUILDING PERMIT OWNER '6f���� TELEPHONE S0. FT. OCC. BUILDING VALUATION /- CO5 /� fN 6 a' t/ ap OWNER'S MAILING ADDRESS COTRAC T'O^•R�'S AME w �/� TELEPHONE CONTRACTOR'S MAILING ADDRESS �p►S!✓ Fireplace CONSTRU TION LENDER K � —EENDER-t UNKNOWN Total Valuation Is & Q, (y® Filing Fee $ 10,00 AILING ADDRESS A Permit Fee $ -� ARCHIT_T OAR Fz CENGINEER LICENSE No. Plan Checking Fee $ -] a[ Energy Plan Checking Fee N $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N A Penalty $ BUILDING ADDRESS ss� � Permit fee $ s PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP R�#t lCtb �iSSt'_St)ns " I �2`-'sh Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomey- Other b -1c SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: NS a,&, - W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0a Main service 6001 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): El am licensed under provisions of Chapt. 9, Div. 3 of the BUsine$$ and Professions Code and my license is in full force and effect. License No. Classification ® 1, as the owner, or my employee With wages as their sole compen- sation, will do the work,and the/ for sale. (Sec. 7044) structure is not intended or offered E] 1, as the owner, am exclusively contracting with licensed cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad , New CONSTR.(A ) �z2sgft MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS &I (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 2 eAL@Le30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00ract- Misc. Wiring 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. c� 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. F1 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 g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agast 'nsaid County in consequence of the granting of this permit. X i4 ld Jq $( Date Signature o Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ /021 ,'7 OCCUP. CONST.TYPc I I P D PAR L I PO 1;fSsu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"5F PUBLIC BY r PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date b�Z`��' " !1 — / 41 Receipt No. GaC14io FWHITE-D.P.W., YELLOW-ASSE330R• PINK -INSPECTOR, GOLDENROD -APPLICANT e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. All / ,OWNER A. P. No. 7 5G Proposed Building Use R 0," Q� C a - Permit Fee Based Upon: Complete_ Contract Pricey� DPW Valuation Other (Explain) Building Inspector aC�"/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . ... 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. �� 1. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.)11 14. Owner -Builder Verification (Given to owner0, Mail to owner [� ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required. BuildingPre-Insp request to (Date) p q Building Inspector 18. Recordecoy of A ricultural Ac nowledgment Statement . . , 19. Other 'Dr ��. eway permit (kconst. appro% a 1 required prior to occuparic ) When you issue the permit, process as follows: Mail to owner. Mail to contractor;. Telephone and hold for pickup at office. Deliver w/inspector. Other r Applicant t Date F S Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data m st be submitted prior to permit issuance. (For required items not checked above a f 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 Mail By Date Plans checked by Date Plans approved by Date Other: Copy—DPW Other TO: Building Department FROM: Environmental Health,'Chicd Office �UBJECT: Sanitation Clearance S�� �°y Z�, 07, z 4 -,-� Owner Location Plan approved for: Sewage disposal Hold final for: Final clearance O.K. for: Clearance for bedroom . Mobile home House Note*** i Sanitar r AP# Water Supply Water supply Water supply Other deems; Date COUNTY OF BUTTE- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 materials for construction of the proposed property improvement (yes or no) /yt_ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. Iave contracted with the following person (firm) to provide the proposed cons ruction: Name Address City Phone Contractors License No. 4. 1 plan to provide portions of this work, but I 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 19A jd,LLQ. Social,Security Numb r Date Date e-4:57- / ? 2 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. O s s day L,Y Ce COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviyie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC- BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE 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 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 21/20sgff 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 NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20e50e p�OFLIXEDTAPPRLNSXORRES 6AL®ao Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. XDate Signature of Applicant — YOwner ❑ 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 $ TOTAL PERMIT FEE $ � l I- OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE :DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali'�Irnia 95365 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 2 ASSESSOR P RCEL NUMBER ZONING or e BUILDING PERMIT OWNER ' ^^ !l v r)✓pt) v TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A T-GJcr) , eu/i CONTRACTOR'S NAMETTELEPHqNE MEV¢TO CONTRACTOR'S MAILING ADDRESS ALIf Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE 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 Solar Water Heater 20.00 So, ae� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describework: EjLR���� 1�— Permit Fee $ t 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft -CONTRACTORS LICENSE LAW I re under penalty of perjury (check one): I de00 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ode and my license is in full and effect. effect. License No. 27� 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 NEW NON-RESID BRANCH C,CU T TS. 2.50 ea NEW CONST R. POWER APPARATUS &' NON-RESID, %SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES BA 50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 645 Cooling Hood 3.00 Ventilation permit Fee $ @� Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil'ies, ludgmen s, costs, and expenses which may in any way accrue ,11 again saidty in o quence of the granting of this permit. X unDa Signature of Applicant — Owner❑ Contractor E] Agent` An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ", TOTAL PERMIT FEE $ U OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND 7 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY' / P IT EXPIRES Date Ij the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -o." WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NUMBER _ B 1026-70 S P r E I r PERMIT EXPIRES OWNER W.L. Wells. CONTR:. owner LOCATION (A.P. 44-47-1056 r n/s Troy Lane 600, W. of Godman Ave.,Chico i Z y r ii s i , I f 1 DATE Forms Fireplace Loth & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS 9 COUNTY OF BUTTE Department of 'Public Works BUILDING INSPECTION RECORD Zoning Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing Plmg. Topout Wtr. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Ficial DATE Forms Fireplace Loth & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS 9 COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone. 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner l''-�• �- L * ' A. P. No. sr Mailing Address `- C! - r 4 '/ . i — Fire Zone _ Zoning Contractor Sanitation I Planning Mailing Address Plans - Fees, W.C. BLDG. Address / �' �� %� f R/W Encroachment r ` NEW O ADDITION REPAIRS D OTHER El F 0 U N D A T 10 N Others MATERIAL EXTERIOR PIERS `�•'��� � E.. � _� . . /, _ Single ' rr` Multi Width at Top Y USE OF STRUCTURE Family O=Duplex,�• Dwellink E] Others I Width at Bottom Of Depth in Ground r J SQ:"�FT:, OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders• 7-1 _- `� •2 - � - �joists - 1st Floor Joists - 2nd Floor Fireplace -� U Joists - Ceiling r Total Valuation %i [j Exterior Stdds Permit Fee Interior Studs :� >/ Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee /l/ Bearing Walls , CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No . .............. :........... . Classification„..................,,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. (Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. X.....................................................................t: D ate ...................................... SIGNATURE OF PERMITTEE OR AGENT Receipt No. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By... ....... Date .............. Permit Expires Date,,,,,,,,,,,,,,, . L�� �.� "/�"..((��� �-����,� GPS �� / ' / �'`� � �,�i��� // � //// � _' ,�yy �, %� � CrloCs� / Gc� `"/ �,��� n 't 7�� � A L '' • 1' ;� �•e t �. int, ' '�'�, r'il,`i , g ..tt1-'.}�t' ' � ���; .+r.r,s �}'�.'�R:i�'fbt�'�' fr�:�-::' t1� +5 • u�i i r R�r i.;�' f 'Y� .'�h'�"F; � 5 ''lie a �, � � • yrE ,i r"" � 'j - tOUNTY OF BUTTE ` ' DEPARTMENT OF 'PUBLIC WORKS /D 7olr 7 County Center Drive - OroviIle, California 95%5 �..� PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT/0,26 - :;7 0<"Z Permittee Owner GZ�/1�7%�/// A. P. No.� / �✓ Mailing Address �/.' (C% liL/ ��G��►�..� :Contractor Mailing Address BLDG. Address A 11'5 C�a_� �-> C'T�7 i . In 0 DESCRIPTION NEW 0 ADDITION ��METER OTHERS: Remarks: OF WORK SERVICE 0 PERMIT FILING FEE No. Fee Q Q $2.00 Supplementary Filing Fee 1.00 Main Service Sub -panel 12 or (more than , P less) 12) Each Range, Dryer or Water Heater Each L00 Ovea, Cook -Top or Space Heater Each :..50 Light Fixtures .� First 20 Each Additional .20 .10 �) !i'`'00 , '7 © �} V USE OF STRUCTURE Single Family Q' Duplex • OTHERS: " Remarks: Mull Q Dwelling Q Race cacles„ Switches & Fixture Outlets I O EFirst.20 Eachh Additional . 10 Hood, Exhaust Fan or F.A. Furor Motor Each .50 Evap.'Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum 314 7 / 00 Water Pum l Misc. Wiring TOTAL FEE I , —, ,r-0 CONTRACTORS LICENSE LAW J �` ,A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business do Professions Code under the name styleof......................................................................................................................................................................................._.................................................... , License No. ,,•„•,•,•• .................. Classification,,,,,,,,,,,,, .............................................. , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one). 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). �] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, foLother statutory exemption.............................................................................................................._.............» ........».».. ....». .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation..I have placed on file with the. County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. ' G�% I certify that I have read this application and state that the above in- formation is correct. I agree to6comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. C_ property for inspection purposes. f1 f� fes° 11�v f� 7 / /a 217v DIRECTOR OF PUBLIC WORKS R Date .... �/? .................R F ... O .......`..................................` B ».... SIGNATURE OF PERMITTEE OR AGENT / /� ... Receipt No.................................................................... This set of plans and specifications MUST "be kept on -the job at all times and it is unlawful to male any changes or alterations on same with'6W wri#tan,%PW. misson from the Department of Public V1b*s, County of Butte. NOTE:—All Materials & Workmanship Shall Be in Ac:•:ordance with Recognized Good Practices and of,.a c;uality prescribed for the Specified use in the BUTTE COUNTY I BUILDING DE ARTMI-NT\ ,APPS VFD o a _ ax Uh4 rm Bui}ding Code, Uniform Plumbing Code, and j fh� "NafiQna'I EI`ectrical Code. n - Ta •�7fd/ate, r� cd A SEE PERMIT FOR��71; STRUCTURAL DETAILS ULAN i4 aNTRA1I��. ford vi d� CO .Y//R dO:J .T V(j lu w /��✓i-y,eT���.o- ddlio-e O Srr I , I �X PNNDO g 'Ve,o;1,4 4 R f � w - Ta •�7fd/ate, r� cd A SEE PERMIT FOR��71; STRUCTURAL DETAILS ULAN i4 aNTRA1I��. ford vi d� CO .Y//R dO:J .T V(j lu w /��✓i-y,eT���.o- ddlio-e O Srr I , I �X PNNDO g 'Ve,o;1,4 4 R f � 2485=80B;P,E • PERMIT N0. PERMIT EXPIRES /3 OWNER OWNER Buford Bush CONTR. owner' LOCATION (A. -P. 44-47-56 556 Troy Lane, Chico til , ' 7r r,1 t: �t e Temp. Power Pole CalleJPG&E _ Temp. El#ec. Serv.. Calle PG&E _ Temp.teas Serv. _ `CalId PG&E _ V . JOB FINALED r .r t i RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLLINCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY COITSERVATI-ON REQUIREMENTS HAVE BEEN INSTALLED _T�l CONFO. D1NCE W H CURREN`J' ENERGY CONSERVATION REGULATIONS AT ,� J 6___1 _ (/location) BUILDING PERMIT N0, keX,,S = ,8C% A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:' (Check each item or write N/A if not applicable) .— INSULATION: Slab Edge. 15� Fdn. Walls lV/.� Floors hfp Walls Y, LIT Ceiling/Roof (Z Ducts A Circulating Pipesld A APPROVED HEATER I.S A APPROVED WTR.II'TR. �( A GLA z ING : Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. VI/A _ WEATHERSTRIPPED DRS. VS(A BACK DAMPERED FANS pS X - INTERMITTENT IGNITION DEVICES't.Jj� CERT. APPLIANCES KS A I DECLARE THAT ALL ItEQUIRED ITEMS AS NOTED ABOVE.1AVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO .THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Naule Fu�69-1> 'BbSl( Signature of (please print) Insulation Applicator State Contractors c License No. Generraal *r�rftvner Name (please print) Signature of ,rp� O G _ ac. or/Owner Date; 4 IM State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. melnf. steel Final Fixtures Bond Beam FIRE SPRINK RS Motors Framing a Test Water Htr. Stucco Final Subpanels , Mesh M CRANI L Grd. Fault Prot. — Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Ic Underground Interior Lath Ventilation Permanent j Door Closer- — Final Final MOBILEHOwmw�MEUTILITIES-------•---------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /✓•zo411 �mCAI C'y� z 4 c>/i'i7l,�.d i s Air Celil 6YCS ��c7.tic �vu�'�e, � �G� G�t.vS, �f... G�«��ti �oe•�t S'� L� (NOTE: An entry must be made on this form each time you visit the job site.) CGfUNTY!,OE BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING UMBING Setback Firewall -7, SolI Piping y Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows - i O, y 3rd Floor i StemwalI Sidin a k-0 To out Slab Roof Sheathin O G Water Piping ( Q J Piers Roofing - L FAQep Sewer Garage Fdn. Vents Flxtures _0 __ Footings Garage Vents Water Htr. Stemwal I Insulation' Heaters Slab Prov. for physically Appliances Carport p handicapped Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing f ELECTRICAL melnf. steel Final Fixtures Bond Beam FIRE SPRINK RS Motors Framing a Test Water Htr. Stucco Final Subpanels , Mesh M CRANI L Grd. Fault Prot. — Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Ic Underground Interior Lath Ventilation Permanent j Door Closer- — Final Final MOBILEHOwmw�MEUTILITIES-------•---------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /✓•zo411 �mCAI C'y� z 4 c>/i'i7l,�.d i s Air Celil 6YCS ��c7.tic �vu�'�e, � �G� G�t.vS, �f... G�«��ti �oe•�t S'� L� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF 5U >TE DEPARTMENT' OF PU11t�IC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 - Skyway and Elliott Road, Paradise — Phone 877-3435 CORPFC-TION NOTICE BUILDINC ADDRESS A routine Inspection indicate at the following violations of County Ordinance exist at the, above address and should be corrected. Pease notify this office when correc on of work is completed. If you have any question pertaining to this matter, or eed a ditional explana ion, please contactM1th''is office immediately. Inspector � . Date f. 3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 ECTION ,OTICE 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 needadditional enation, please contact this of mToately. U / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ,.695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Rofid, Paradise — Phone 877-3435 CORRECTION NOTICE ::;)-0 ��1a BUILDING OR PROPERTY A 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 0 COUNTY OF t3UTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 7.0 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 COti CTION NICE 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 I when correction of work Is completed. If you have any question pert ning to this ma er or need it onal explanation, please cont this off' immediately. )W r need - MINi COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER 7- ZONING BUILDING PERMI OWNER 0 u14 v� SO. FT. OCC. BUILDING VALUATION po OWNER' AILING ADDRESS CONT�F CC R'S NAME � TF_LE PHr)NF CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER "5. UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ .ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,Q -O Penalty $ -0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 G G® Water piping IVY LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other CS+¢%✓/9-�+�i- SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New R Addition ❑ ,Remodel ❑ Utilities ❑ Instal lation D, Other [R"Contractor Describework: �� /b mo-/j�A igneyl- V Permit Fee $ - ,®Q ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ACDNS. ( ACCL CUP. &) / 20sgft 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 NEW CONSTR UL I.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTRL POWER APPARATUS 9 NON.RESID• (SINGLE OUTLET CIR. Ex. Occup(ouTLErs OR FIXTURES 50@� BAL@101 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ •The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating g Cooling Hood 2.00 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. 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)copse u ce of th granting of this permit. L,5—_/6 X "�/. Date � /6 _ �� 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 $ Land Development Fee $ TOTAL PERMIT FEE $ *35 OCCUP. GROUP r� _ J7 I TYPE OF CONST. V / �v PARCEL v PD D ISSUE v This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOROF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date •f�3o—r) � g- �/Z Receipt No. � WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT w n v t7 f n! e �� i U-�Ccu ou'A aAd), _1 IA V /l A A 1 n /"o l e .l1 . rte_ ► nn Al cu- GJD CL cu LIA L Owner: Addres Tenant: Building Location: -557-7Cv Type of Inspection requested: 6z A.P. #_� 71 Date of Inspec ion6— Inspector ` 1. Hou si-ig 2. Financing 3. Change of Occupancy to 4. Other (specify) Presekut use of build -11.n4: A. Sanitation (11ousi.ng) 1. Water closet: 2. Lavatory: - 3. Bathtub or shower •-- 4. Kitchen_ sink: - -- 5. Hot and cold water to fixtures 6. Heating facilities: 7. Natural light. and venftlation: 8. Room and space requirements: 9. Bedroom window or door for second exit::_ _ 10. Infestation of insects, vermin, or. rodents: 11. Connection to sewage disposal: - — ' 12. -Connectyon to -water supply:� 13. Rubbish and garbage facilities: _ 14. Can, B., Structural 1. Peers and footings: 2. Floor constnccti.on: 3. Wall construction: 4. Ceiling and roof construction: 5. Fzrcplaces: C. Electrical 1. Setvicc n.nd 2. Rece;)ta.r..les: 3. Fusing:_ 4. Comments: D. PlumbinU wound: ��e�ated: . Fwx::;:r.es c:o:tnected and ' 2. .=as bis?.x iln.citcr:--- 3. Gas :.eating vex-11—s:�_�- 4. C orment s : E. Other 1 Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Comments: F. Commercial Suildin s 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls:_ S. Exits: 6. Improvements: 7. Zoning:_� 8. Ccmiments: G. Field Problems or Violations 1. Problem or -Tion atian (give 2. 3. What action recommended- 7-7A. ecommended: %%A. Information only •- file. B. Hold for ten (10) days, C. Write letter. D. Other: e desgriptic,t11: then writ r. EX 19-i //u' C VQ3 IAA DPfT/o 4 0 Ulm Ce ? - Pf F6Xa-- C 0�sS/,141L im