HomeMy WebLinkAbout007-340-002John D. Drake
3161 Silverbell Rd., lot 25, Joshua
Treed#2, Chico
Permit #1297-79B(new single family)
�, l S/fir
contr: Gore & White Plbg., Chico
Permit #157249P(p1bg.for #1297-79)
Contr: McOCle ll
and. AC
'Peit- ##3io9- ()M(mech/1297-79) -�
¢� / 1111Contr: Fctric
_RerrTit #k3617 -79E (ele/1297-79)
007-34-0-002..,,. 93=2484 -BE,M .
UTTERBACK; 'RICH & MARILYN, , '
'3161 SILVERBELL,CHICO
'ADDITION/SF ,/•+^///�•/ 2 9)'�/�
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B07-1362 � 007-340-002
MISCELLANEOUS . . Re -Roof
REROOF 30 SQUARES
3161 SILVERBELL RD
UTTERBACK RICHARD E,
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John D. Drake
3161 Silverbell Rd., lot 25, Joshua
Treed#2, Chico
Permit #1297-79B(new single family)
�, l S/fir
contr: Gore & White Plbg., Chico
Permit #157249P(p1bg.for #1297-79)
Contr: McOCle ll
and. AC
'Peit- ##3io9- ()M(mech/1297-79) -�
¢� / 1111Contr: Fctric
_RerrTit #k3617 -79E (ele/1297-79)
007-34-0-002..,,. 93=2484 -BE,M .
UTTERBACK; 'RICH & MARILYN, , '
'3161 SILVERBELL,CHICO
'ADDITION/SF ,/•+^///�•/ 2 9)'�/�
t
B07-1362 � 007-340-002
MISCELLANEOUS . . Re -Roof
REROOF 30 SQUARES
3161 SILVERBELL RD
UTTERBACK RICHARD E,
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John D. Drake
3161 Silverbell Rd., lot 25, Joshua
Treed#2, Chico
Permit #1297-79B(new single family)
�, l S/fir
contr: Gore & White Plbg., Chico
Permit #157249P(p1bg.for #1297-79)
Contr: McOCle ll
and. AC
'Peit- ##3io9- ()M(mech/1297-79) -�
¢� / 1111Contr: Fctric
_RerrTit #k3617 -79E (ele/1297-79)
007-34-0-002..,,. 93=2484 -BE,M .
UTTERBACK; 'RICH & MARILYN, , '
'3161 SILVERBELL,CHICO
'ADDITION/SF ,/•+^///�•/ 2 9)'�/�
t
B07-1362 � 007-340-002
MISCELLANEOUS . . Re -Roof
REROOF 30 SQUARES
3161 SILVERBELL RD
UTTERBACK RICHARD E,
�14
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BUTTE COUNTY '
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION _
Site Address: 3161 SILVERBELL RD
Owner: - I I
Permit NO: B07-1362
APT]: 007-340-002
UTTERBACK RICHARD E,
Issued Date: 6/22/2007 By GLB
Permit type: MISCELLANEOUS
3161 SILVERBELL RD
Subtype: Re -Roof
CHICO, CA 95973
Expiration Date: 6/21/2008
Description: REROOF 30 SQUARES
(530) 894-6853
Occupancy: Zoning: R1 0(
Contractor
Applicant:
Square Footage:
CONSTRUCTION LENDING AGENCY "
UTTERBACK RICHARD E,
Building Garage Remdl/Addn
-
3161 SILVERBELL RD
/22/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
CHICO, CA 95973 -
Other Porch/Patio Total .
(530)894-6853
FEE INFORMATION - -
DBMSC Re -Roofing $173.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
'I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 1 6/22/2007
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this peril is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number. Exp. Date:
(This section need not be competed if the permit is for one hundred dollars ($100) or less.)
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any ma as to become subject to the Workers'
Compensation laws of California, and agree that i I shoul a.me subject to the workers'
compensation provisions of Section 3700 of the Lor Codl I shall forthwith comply with those
provi�jgns.
$173.00
Balance Due: .$0.00 Receipt No: B3619
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
WNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
AS OCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR.
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section .C. for this reason:
/22/2007
Owne s Signature Date
6/22/2007
I hereby certify that I have read this application and state that the above information is correct. 1 agree
Signature Date
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and pro arty damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. arab nowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any si ewalk, sire or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Cou tyto enter the above m 'o d pr
arty for inspection purposes. I hereby certify that I am the
CONSTRUCTION LENDING AGENCY "
pro a owner er m authorize o
t p owner beha .
-
/22/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name Of Permittee [SIGN] riot Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner I. Contractor OR. Agent for Owner Agent for
Lender's Address City State Zip FILE COPY
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR,
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
www.buttegeneralplan.net
REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007)
TO: All Single Family Residential Remodel and Modification Permit Applicants
FROM: Scott Rutherford
Manager, Building, Division
RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006
California Health and Safety Code Section 115928
DATE: February 28, 2007
To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007,
requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a
single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM)
or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8.
DECLARATION
The property located at
❑ a swimming pool
(Check all that apply)
❑ a spa ❑ a wading /toddler pool C -does not have a swimming pool, spa, or wading/toddler pool
If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the
above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed
Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive
final inspection approval with ouVhis�certification.
I c owledge that I have redand Priders d the requirements of AB 977 and that the above is true and correct.
4e
Signature Print Name Date
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor
Company Name Contractor's State License Number
INSTALLATION CERTIFICATION
For the property located at
I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or
the American Society of Mechanical Engineers is installed in the ❑ swimming pool ❑ spa ❑ wading /toddler pool
Signature
Print Name
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor
❑ Other:
Date
0 Agent for Licensed Contractor
If "Licensed Contractor' or "Agent for Licensed Contractor' is checked, please complete the following:
Company Name
Contractors State License Number
K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment
Updated: 6/22/2007
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530)'538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last NameF
Address
t am
Mailing Address 51( ev
City
State
Zip
Phone 4 _ ; e-6
Fax
E-mail
sgCG`U fPjl4t"
CONTRACTOR
Name
1 1
Address
City
State
Zip
Phone
Fax
E-mail
Zip
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Open Cov
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNA TURA
PROJECT LOCATION
AP# 00 _ a --
Property
Property Address
City
PERMIT
NO.
IV-ZA1
BIN #
WORKER'S COMPENSATION
Policy NumbE09
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Zoning Flood Zone . SRA I Yes I No
A
Type Const.
Sq FT- Living igG26Z Garage
Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupant
(Note previous use):
/
For office use only:
Zoning Flood Zone . SRA I Yes I No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
CI PERSONALLY PnO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT(('YES �R NO)
2. (HAVE VE 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:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE 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
Description: REROOF 30 SQUARES
Reference Number: B07-1362
Applicant Name: UTTERBACK RICHARD E,
Owner's Name: UTTERBAC"ICHARD E, AP #
Signature of Property Owner, Date:
007-340-002
Sr, -ZZ -0-1
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14
RESIDENTIAL
--.007-34-0-002 -93=2484
B,E,M^
UTTERBACK, RICH & MARILYN
3161 SILVERBELL, CHICO
ADDITION/SF
V=OK
O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UN RFLOOR Pians OK except #'s
oning-Setbacks-Easements-Flood-Slope
Ftg., Main; Soils-Elec. Arnd.-1 g/' Ftg. Depth
3. Ft ., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
Slab; Steel -Wrapped
8. Piers-FlreDlace Fto.-Steel
9. D.W.V.; Fall -Fitting est -2 Way C/O -Sewer Test
10. UF. Gas Pipe; SI e -Anchors - yard gas piping: size -test
11. Water Pipe; T t -Anchor -Regulator -Service Test
12. Electric; Urjderground
13. Plenums Ducts; Clearance -Material -Support -Ins.
14. Girds Sills -Anchor Bolts -Joists -Vents -Cripples
15. Accgds & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access- mbustion Air -Baffle
17. Water Pipe; Test & A or -Nail Protection
18. D.W.V.; Teat-Fittin & Anchor -Nasi Protection
19. Shower Pan; T , First Floor -Tub Access
20. Test Tub & ower, Second Floor -Tub Access
21. Gas Plpe• lie & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture &'Transformer Clear nce-Ina. Protection
R. fPeeptacles Sp -Lights & Switc Doors
ize es & No. of Conductors -Stapled
o x Installed Close to Edge of Studs & C.J.
j h quip. Ground made up w/Mec : e r
27• c or Size/GFI
28. ire
29. ge irc. ga. / go. Cu or Al.
I eLj No
^d main nicr nnect
31. Equ' . I rances Panels -Motors -Mach. Equip.
_Closet Light -Shower Light -Spa Light
moke Detector
Date/Initials MECH,Nt6AL (Permit) OK except #'s
3".C. Ducts Insulation & Support
35,AteRt+an-,EZfffftI§t above insulation,'
03 e am
e- ant; Access=Comb. Air-Return,Air Vent -115 outlet
.14 -4C3 . Attic Access &
Date/Initials FRA ti Plana OK excopt #'s
IIs roper Material & Lmb drs
4 a tuds-Nailing, Spec & Bracing -P -sound
4 ng walls over Girders & Floor Nailing
4 raft p in Walls (ret proof)
4 ops; Furred Ceilings -Stairs ases-Tub
4 ..Wdiders & Beam -Size & BeaAflg
Date/Initials FRAM (Continued)
an Caps -Anchors -Connectors
In st-Rftr. ties-Purlin=r rec-Tr -Shthn ng.
7 replace Tie ype -Fireplace Thr earance
48. Attic A ss; Size mex Protection- Stop- lns._Jlatnes
49. Bdrm. Wind or Exiting Doors- I Hgt. & DI sions
50. Inn I:FSMIA9
51 a pen ngs
5 - -
53 • Width -Headroom else -a^- re rotect on
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. S - ' ailing Vene r
6. Stucco M -Fd Vents-Underflr. Access
( 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
/ 60. Infiltration -Walls -Windows
U
Date/Initials FINAL Plans OK except #'a
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector •
rea. FQPn-Eft; Vents -Clearance -Comb. Air -Connector -
In rage; Above Floor -Ducts -Mach. Protection
W-159droom Exiting
Bath Fixtures & Tub Access -Spa
-41O.-Elea-Trim & Subpanel; Breaker Sizes & Labels
Rai Is
G fireplace or Stove; Clearances -Hearth
6k'Elec. Outlets at Wood Panel; Int. & Ext.
Z0_K4K4*t. & Appliance; Grnd.-Air Gap -Cooking Clearance
71"-Ber^Outlets & Receptacles at Kit. Counter
-72.--G age Fire Door, Swing -Landing -Closer
44. -A -C. -Duct in Garage -Damper
74JEar Mtr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
lo -Garage; Above Floor -Mach. Protection
�/
# Pib., Elec. & Mach. Equip. Listed for Location
6-f18E'i�ceptaclea in Garage; (G.F.I.)-Romex Protection
74.'Insulation-Foam-Looked in Attic ❑ Yes
nZB�rd Rails & Deck Construction -Post Caps
-teFdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
1199:-FeNewing instld.; Drr�6lYe 13 Yes 13 No; Walks 13 Yes E3 No;
Planters E3 Yes�O No
81. Stucco; Br n-Flnish VIG
Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg -Appliance-Fireplace -Clearance to
Openings
--84--Water Well; Disconnect, Electrical, Plumbing
-46-FScterior Elec. Trim; G.F.I. Receptacle -Underground
86. entilation Throughout House
0. Glass Protection
VCorrections from Previous Inspections
. Gas est -Meters Tagged; Gas -Electric
ter & Sewer Connected -C/O to Grade -HD Approval
. nergy Com fiance Certificate -Other Certificates
Comments at nal:
V=OK'
O = Not OK
= Not Ready abi�' MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" L"ft.
/ /"Net. or/ /" L" ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line ' '•
3.. Gas; MH Test -Demand -Valve -Connector '
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged.
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel y
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns-Connectlons-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting. Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res-Panelboards- Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION'AND"PERMIT 91—?4R4
ASSESSOR PARCEL NUMBER
007-340-002
ZONING
R-1
BUILDING PERMIT
OWNER
RICH & MARILYN UTTERBACK
TELEPHONE
894-6853
SQ- FT. OCC. BUILDING VALUATION
492 R 2 ,568
DWN3161NSILVERBELL ROAD, CHICO, CA 95926
56 COV. 2,028
CONTOWNER AME
TELEPHONE
REMODEL 11000
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 "Al' 1,500
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is 31,096
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 297.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 193.38
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $ 533.88
BUILDING ADDRESS
3161 SILVERBELL ROAD
PERMIT FEE $
CHICO CA 95926
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
25
SUBDIVISION'S NAME
JOSHUA T
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SFXX Duplex ❑ Mobilehome O Other
SPECIFY@20.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
MobileHS G W
Home
TYPE OF WORK
New O Addition Wg Remodel O Utilities O Installation 1:1Other O
Describe Work: 1 'BEDROOM AND f'.OVERED PORE 4-
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 100OR LES S ) 23.00
200AA OR LESS
Main Service ( 200A TO 1000A ) 46.00
OR ADDNS.T ( D LLINBEACCC.OLDS. ) 3.5C FT. L7.20
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages is their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
�, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O lam exempt under Sec. Business and Professions Code
forthis reason
NEw CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 020 @ 1.00
00
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. ) S.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
�23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
certificate of Consent to Self -insure.
1d I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
33150
Contractor
1 certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte tozL(i
enter upon the above mentioned property for inspection purposes.
I also agree to save, in dem and keep harmless the County of Butte against all
liabilities, judgments, costs, a d xp.nses which may in any way accrue against said
Coun n consequence of the r nting of this permit. Q G
X � Datel " �C� '— 1 j
Signature of Applicant - ❑ Owner tractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
nn
c3
COy�,T,TYPE
V1V
TOTAL FEE $ 650.5$
HAZ.
---
D. FEES
---
IMP
--
FLOOD
----
cOF
--
PARCEL PO
---
HD SSUE
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 KS
By Date 3 ® 7
�1 to
PERMIT EXPIRES ON / 7
lDetel
HLT
Receipt No. ` 7 L3'g 3 0 —$629.14//148329—$21.44//
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 R T No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER _
ZONING
BUILDING PERMIT
owNE
I C� s hr1P I L 0�l TIVe if f�G
TELEPHONE
�t 85
SQ. FT. OCC. BUILDING VALUATION
Z
v
OWNER'S MAILING DRESS ++
1 fl Fc I 06
CONTRACTOR'S NAME
5
TELEPHONE
!CL o
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTIOO�N� LENDER
UNKNOWN
Total Valuation
Filing Fee p ` . $
20.00
LENDER'S MAILING ADDRESS
Permit Fee p
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
1-6
Energy Plan Checking Feed O6 $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADOREERMIT
FEE $
2,
c h ► clo 15J q4
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or nt
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome C) Other
SPECIFY
Gas piping system 1 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities O Installation ❑ Other ❑
Describe Work: ({ 2 COI/r 14,96 2Cy(
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceBOON OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
6.00
OR ADONIS.T ( D LLINBEACCC BLOS. )
3•SC FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEWCONST. MULTI -OUTLET
.NON. RESIO. ( BRANCH CIRCUITS )
//��
` 7.50
POWERAPPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B/20 @ 1:Do
Ex. Occup.FIXED (RESID OR
(OUTLETS RESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $ 100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
10
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
73
PERMIT FEE $
Zj
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date �.r Z Y
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 storiesin height. `1 Q
349
`TZZ
Mobile Home Installation Fee 0,1 $ 126
Energy Inspection Fee 50"'
c
-
CO T. TYPE
TOTAL FEE $ dLy /IF
HAZ.
D. FEES
I IMP I FL000CDF
"�
PARCEL PD
—�
11E
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By
PERMIT EXPIRES ON
!Dere/
provisions
to do work
paid.
Date
p to 3 0 +, t/ d / - �v.
Receipt No. •7
WHITE-D.D.S.-8.0. CANARY -ASSESSOR PINKtIYSPECTOR GOLDENROD -APPLICANT
.'�'^.,..3. kk .v Fi' w ay'f 7!j .'r4.ti r,. ,a. ■
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER !f i C lj 0 r -r e_ic, 6/lc 4
Proposed Building Use
A;,
A. P. No. /
Building Inspector I� Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 •
2.
,
All items have been submitted . ........................................
Plot plansj8/4 sets, signed by preparer of plans . ..........................
Complete plans6)4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . .......................................... .
E�7.
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings.
8.
Engineered truss details and layout in duplicate (required prior to plan check). .. .
9 Mobilehome data and manufacturer's installation instructions, 2 sets. ......... '
Fees of $ . ' ............................... _ .... .
11.
Impact fees as shown on attached schedule . ...............................
12.
California Department of Forestry plan approval/fees.........................
3:
4.
Flood elevation letter (100 year flood) by California Engineer ................
Sanitation and plot plan approval CoVe C- Health Department . ............
15.
City of Chico plumbing permit...................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . .........
18.
Contact Land Development about (A) Improvements (B) Drainage. ...........
19.
Driveway permit (construction approval required prior to occupancy). .. .. .
20.
Pre -inspection for r Pte"ep°CGO" `a4"�
p required. .. to Building Inspedor (Date)
21.
Contractor's license information. (No., Name Style, Classification) ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Ower ;Builder Verification (Given to owner , Mail to owner �. .........
24. iRecordedacopy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ............... ..................... .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road..... .
27.
'Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..................:...................... .
29.
Documentation of legal access . ....................................... .
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
-34.
When ydu issue the permit, process as follows: Mail to owner. Mail to contractor.
/Telephone 66 d hold for pickup at G/fit o office. Deliver with inspector.
Other
Parcel Creation '
Acreage Applicant�2:L_ Date -1
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 ermit is ua ce: (Circle new item not checked above).
1. Index permit .for above items No. �„
2. Additional items required:
Contractor, designer, o er, was advised of above required data by _ phone —mail Counter by Date
Contractor, designerpwner was advised of above required data by _ phone —mail Counter by _ Date
Plans checked by Date_ Plans approved by Date
Sets of plans on hold in File cabinet. AP folder
Copy - Department of Public Works
G.H. USE ONLY
Hot Flan Attached
[ Floor Man Atuched
.,r - . • - sent to B.D.'_/-�_ /
TO: ` Building Department
FROM: 'Environmental Health
SUBJECT: Sanitation Clearance '
316 (i►,.Q..Z-
Owner - r Location AP#
Plan Approved for: Sewage Disposal Water Supply: PublicPrivate Well ,'v
I - �7
LClearance for bedroom mobile home. Other
Hold final for: w`
Final clearance O.K. for: —
NOTF
Environmental Heal th'Special1st
8/92
Date
r
F.H. USE LY
Hot Plan Atuch.d
Tli ... r Phn Atfuche
Sent I';
TO: Smidi'lig Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
—3q_
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold 'final' -for:
j3urTE UuUI"I"
Final clearance O:K. for: & 0-7,
j3Ljj
NOTE: wnt e%
A P
2J—
Environmental Health Specialist Date
8/92
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11 �
RESIDENTIAL PLAN CHECKING GUIDE
8/91
(S.F., DUPLEX & MISC. ONLY) -
�� Bldg. Permit # z ��
OWNER ��� C! � �/� �j,� A.P. #007—
Plan Checker
GENERAL _ '
ing requirements: (sideyards and number of permitted living units).
, Valuation.
ns signed by designer.
'&---Proper description of work on application.
Items on data sheet. (W_C., fees, Health, Developer Fees, License law, etc)'.
Z_ � r'nrti erl nt�ee �L 1 • .. + 4 - ., _ _
PLOT PLAN _
mplete parcel size and dimensions. _
t.Y.Setbacks, sideyards, easements, etc.
a, O her hn; l rli n$ nr tr„rt res • - -
1�5-�
Flood hazard. _
6-.--&pec.i-"�.�;.�='v—ci c.• men �.. _ rnG' F• ,.,_�.. L'�
FAU & FAS road setback.
FLOOR PLAN
F ,5
;�omplete to scale plan with dimensions. ~
equired windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec-. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
&,-'Required room sizes, ceiling heights (Sec..1207).
BLght fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment. '
£x I
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Standard bracing or engineered design.(Table 25V) ,
n
Foundation plan complete enough to construct building.
srut-ti-on-de-ta-i-le-
s-empl-e-t•e-en-augh--o-�-s
�tru t i a, ^o, ��G/6
levt
s and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
1P5_5 fter ties or bearing ridge beam. rowssts
�zz age door or porch header sizes.
1 Stud heights.
s'
14 . fie
8/91
1 RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
i. n� Ay"'de� -- iic—£arc�iCdffTSe3r8i�. ,crnii�
(-See. -3on6-)-.-
rsone ,
x erior plaster - weep screeds (Sec. 4706).
Z.
roper roof pitch for roof convering (Chapter 32).
i! Roof covering type -
( ),
36" halls and stairways. .
ide
6).'
1 Attic access and ventilation (Sec. 3205).
In'
• . • • 9
S.
nergy design.
Flashing at all exterior openings.
e
�ddt7t I
i
V
5y
/ 00
CYC/ � 5f /Odo
4u 7
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,
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TIC
C�% - - - - - g . D►57 2r,R U -n of L4Y�
Q _ . I AS Ni frVfzD -To .
1.
cfi1
Butte CcL:^
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� � _ • i AS N�FtVfz1'� �'U.
m � ivies ri
I Butte CcL;rsy Environmental l:eo,';h
I
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APPROVED
I Dine County Env*ronmental Health
t
4 1
r 3 '
I
I
1
I
1
►r.,r�;p.vx�r+cgbrs v •. .:..rr,�i�!�'�` 1'1'.�i��}.�'�"7�4�.;�`'r�►�?��j'�C.'i'�.;7�ia'`r.,`S�T��' _ `i
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District C pie. Building Department No.
pp t.
A.P. Number J Q Z)Lurisdiction 0 CityCounty
Property. Owner
Property. Location/Addres
s
Subdivison `� J o'
Residential Development
No. of Living
Units
Commercial/Industrial
Representative
Lot No. f ,:.
0 [;?�Sq. Footage 2
MHI Addition (Group R)
New
Sq. Footage
Addition
(Floor Plans reviewed by School District Personnel)
Date
(Including Exterior
Roofed Areas)
?Z102' V�zl
District Identification No. Il.)
(� L School District certifies that
(Applicant)
(Street Address) (Phone Number)
(City)
(State)
has complied with the requirements of Resolution No.
representing ' j�� o� square feet.
School District
(Zip
by payment of $�I/�
7
Date
Paid by Check Number Remarks: Al la r
Bank Number �5T)g tll
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
w a
x COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELQPMENT SERVICES
1469 Humboldt Road, Chico, CA""(916) 891-2751
7 County Center Drive, Oroville, CA - (916), 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307"
CORRECTION NOTICE f'
OWNER - PERMIT NO.
K
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work .f
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
'F
Date - Inspector
REV 10/92
Owner ,' � L�il� AT-r�(�P ._ Perm
it No. f��CJ"i
T
ENERGY C ERT I=F I C A T .I O N
3161 Silverbell Chico Ca.
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material . Brand -Name
Titicknesa(inches) Thermal Resistance (R Value)_______
EXTERIOR WALL
Material FIBERGLASS BATTS
Thickness(inches) 3 5 8"
CEILING
Batt or Blanket Type FIBERGLASS BATTS
Thicknese(inches) 12"
Loose Fill Type
Miniinum Thicknesl(Inches)
Area-covered(ft. )
FLOOR-, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
Brand Name OWENS-CORNING
.Thermal Resistance(R Value)
Brand Name OWENS-CORNING
Thermal Resistance(R Value) R38 _
Brand Name '
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal ResisfIance(R Value)
Brand Name
Thermal Resistance(R Value)
FOUNDATION WALL
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance With the State of Califoin-ta Energy Requirements.
LOERKE INSULATION CO., INC. 499150
IRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
GCP✓ s
October.,28, 1993
-gfGIJATURE OF INSTPIATIPN APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California. ------ - -
FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO.
SIGNATURE OF QENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE. MUST BE ON FILE WITH THE BUILDING. DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
rf '
g,k
RESIDENTIAL
ENERGY CCVSERVATION STANDARDS
CONSTRUCTION COMPLIANCE .CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INST LLED IN CONFORMAN WIT
CURRE� -CONSERVATION CONSERVATION REGULATIONS p
�"T
(loc tA
BUILDING PERMIT NO. 02_h)4 A.P. N0,
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: N
Slab Edge.
Fdn. Walls
Floors
Walls 4K
Ceiling/Roof C>Y_
Ducts
Circulating. Pipes Ny
APPROVED HEATER
APPROVL:D WTR. HTR.
GLAZING:
Single Glazed
Special (Insulated) (A VA
CERT. & LABELED WDS.
& SLIDING DRS. v� 5
WEATHE RST RIPPED DRS.._" E
BACK DAMPERED FANS TES
INTERMITTENT IGNITION DEVICES C
CERT. APPLIANCES 1
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 (please print)
Insulation Applicator
State Contractors
License No.
/Owner N
Vse t)
Signature oft�/Owner Date.' tractors
o.
aI
THIS CERTIFICATE MUST . BE ON FILE WITH THE BU ILD INC DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN -A CONSPICUOUS .LOCATION
WITHIN THE DWELLING.
I
IIPERT NO'. MI1297-79B
} � o
PERMIT EXPIRES ✓ a -1 OI
Y3-
gOWNER John D. Drake
�,CONTR.
owner
J
"LOCATION (A.P. 44-053-73 port.
a,
3161 Silverbell•Rd., lot 25, Joshua Tree#2,Chic
a
i
Temp. Power Pole '
`
Called PG&E
a
Temp. Elec. Serv. ' Z
Called PG&E
�.
Temp. Gas-Serv.
i
Called PG&E
y
JOB
FINALED
(Date)
- ,j
•(Signal re)
i
r
w
COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUI DlNq BUILDING (Cont'd) PLUMBING
SetbackFirewall
Soil Piping
Forms
Parapets
1st Floor
Main didg. Of
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings044;2Garage
Stemwal I
Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicapedy
Conformance of ex.
structure _�
Appliances
Gas Piping & Test
Temp. Gas
�---�
Slab
Final
Sanitation
Patio
FIREPLACE
Final
-Z 7
Footings
Footina
E
ECT ICA
Masonry Walls
Throat %
Rough
Relnf. Steel
Final L!�
Fixtures
ice`'
Bond Beam
FIRE SPRINKIERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh % 76W
MECHANICAL'
Grd. Fault Prot.
Scratc
Heating
Service
Brown
Cooling
Tem -0. Pole
Finish 4
Interior Lath
Ducts
Ventilation
Underground
Permanent
----`—
Door Closer
Final
Final
/
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec. Pedesta
Water Piping
Sewer
Gas Piping
M0116EWOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
ERSET
ppnn r '_ COMPANY-,
IN
af! LICENSED CONTRACTOR
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date 19
To
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS //��//JJ t
Manufacturer�Thickness/Type �� R Value f
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer_t Thickness%—J No. Bags C9 !� Wt./Bag
Sq. Ft. Covered % R Value / /
FLOORS /
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
anufacturer - /I Thickness/T�y/pe� R Valuej�
GEN C C _N Drr`��T� LICENSE NUMBER �+_
BY TI LE �V� DATE
INSU ITIO CONTRA TOR / LICENSE NUMBER
Y TITLE DATE
SAVE ENERGY - INSULATE!
( DATE)
ACCEPTED PRSETY COMPANY
(Authorized Representative)
A
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
• Telephone: 534-4541
APPLICATION AND PERMIT `
authorize representatives -of the 96unty of Butte to enter upon the
abo tioned pWrtyfection purposes.
X Date'_e3~�
Signature o ec or A�igent
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 O UBLIC WORKS
By Date
Bonding permit expires Date 3 ' , .,P-0
BUILDING
Owner ✓D g1VA-Z
SQ. FT. OCC. BUILDING VALUATIO
i z Z6,0&9 -
Mailing Address l?b,441
J 6 —
T pS�s�:3/
s�
Contractor
Mailing Address
Fireplace -5-00-
Total Valuation 2 ,
Telephone No.
Permit Fee 7 �—
Building Address �� Gj
Plan Checking Fee&/or Penalty
Permit Fee
Z pc
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. 44 05"3_73 r'9Ar
,
ZonilYg�E Planning
Water piping 1.50
Each gas water heater or vent 1.50
es C. S�i t on,
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
/�
Bldg. Plahs/ ec'd Parcel roval
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
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVERsoov 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. !i} 2P Sq ft
OR ADDNS. ACC. BLDGS.
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 CONSTR. (MULTI -OUTLET
NON-RESID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. /POWER APPARATUS a
NON.RESI D. SINGLE OUTLET CR.
�1
Ex. OCCUD(OUTLETS OR FIXTIiRES BALFIXED
ALNS
Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL NO -1 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE J$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 relatina to buildina .construction, and hereby
Land Development Fee
$��
TOTAL PERMIT FEE$
7527-a
authorize representatives -of the 96unty of Butte to enter upon the
abo tioned pWrtyfection purposes.
X Date'_e3~�
Signature o ec or A�igent
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 O UBLIC WORKS
By Date
Bonding permit expires Date 3 ' , .,P-0
e.
I NOTE:—All Materials &Worillpecified
nship ShallBe in
Accordance w.fiii Recognized ctices and
use� int e
of a quality prescribed for the
The Bldg.etback shall a a' ft. from the Uniform Bading, Plumbing & Me hanical Codes and
side propirty line and 50 ff from the : the National Electrical Code.
centerline of the road, rmitting a maxi-
mum of a I ft. eave over ong but entirelf7.This set of plans and speci cations Maj T be
out of ail easements. Imp op the job at all times a d it is unlawful to
r e any changes or alteratioi s on same ithout
writitan permission from the D partment �f Pub-
S� lic Works, County of Butter-
.
6� N
,
Septic system
,ng
drain stt
Butte Count,
quirements.
i
d location of build-
�ut to be as per
Health Dept. Re-
�5'
N
ot'6l ECO 1 NTY
BUILDING DEPARTMEN'
AP P- R -CW E D
Z; # Llllvn NolglAlcgng 3_7zV_L'. Vnl_�e;cr-
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
\y •
J
•
Mailing Address
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspe tion purposes.
x Date
ignature of P itee or en
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B County Code and/or resolutions to do work indicated
a e fo which fees ha been paid.
CT R OF PUBLIC WORKS
By Date`s
Building permit expires Date 3 W AO
BUILDING
Owner J O i+ DeAv—c—:
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor oe e + i+A-tE 'FLU &A 0 ,
Mailing Address P-14 13ov, 4r,(� V
Fireplace
Total Valuation
�L/�
c f1 ( o `jA gEg2i(0
�,F�
$"/ ���i
Permit Fee
Building Address 3 Ito) �jL�c,eQE� top,Plan
ng Fee&/or Penalty
Permit t Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 , O
Each Trao 1.501,2.00
Z,OT:"-/`
Repair drainage or vent piping 1.50
A. P. No. Y 5`�"'���J 73 f n 0R—%Zoni
ng &Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
t4
Sa*48tirofl
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 ,,S�D
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5-00
BIZ;%_RJ•anr ec'd
Parcel Ap rovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑�
Permit Fee $
$
S MB, v /a
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR LE LESS5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
OVER
Main service OVER 25.00
AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1 1.00
NEW OR ADDNST %ACCLBL GSLING CCUP. h) •ZPSgft
1
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
stY le of: /
6-7-0 tne LC �j (,� a
NEW CONSTR (MULTI -OUTLET UT LET
NON -REBID � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON.RESI D. \SINGLE OUTLET CIR,
Ex. OCCuo(OUTLETS OR FIXTI1RES1 B L�1
FIXED APPLNS. OR
EX. OCCUp.(OUTLETS (RESID.) EAI 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
s
License No. � / 720 4; Classification 45_3A9/
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEEWORKMEN'S
COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspe tion purposes.
x Date
ignature of P itee or en
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B County Code and/or resolutions to do work indicated
a e fo which fees ha been paid.
CT R OF PUBLIC WORKS
By Date`s
Building permit expires Date 3 W AO
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above- tioned property for inspection'puirposes.
�i✓ .•11n -ary
X �Cyti DateQn�''= 7/
Signature of Permitee or
Agent
Receipt No. �;K Z F °Z'q
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 aid.
DIRECTOR OUBLIC WORKS
By �~ Date
Bigg permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Acuress
Telephone No.
Contractore D e
Mailing Address Gj S
Fireplace
Total Valuation
Tele ozNo.
to (,,-No.
Z
Permit Fee
Building Address c7�V
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
CU A ` c �
(J /1 l�
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. Y1! ^ 6 J 3 -- 73
X-Aning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
sol
Sart1-&4en
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma
pBuilding
60' R/W
Improvements_
Each additional outlet .30
sewer 5.00
R449-R-rR 'd
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW A,pDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
�—
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000V OR 0 AMP LESS
5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
'
Imiald, a
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING LBLDGS.CCUP. S)
OR ADDNS. ACC / 20sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
styl f:
RC -1 (/ _�
NEW CONSTR MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 8
NON -RES,D. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES 5 L�
FIXED APPLNS
Ex. Occup.(OUT ETS ((RESID )REA) 2.00
Temporary service 10.00
C�
Mobile Home Facilities 15.00
���License No.�..S�oZ� Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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.
j have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
I certify that in the ❑ performancejofrthe work for which this
permit is issued I shall not empI6yZ.any/,person in any manner
so as to become subject to the Work" en's Compensation Laws of
California. 4 reit^i�
PERMIT FILING FEE $3.00
Heatingd()
Cooling a% Z. 'jr dO
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 r Ordinances
and State Laws relating to building construction, 'and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ (i
authorize representatives of the County of Butte to enter upon the
above- tioned property for inspection'puirposes.
�i✓ .•11n -ary
X �Cyti DateQn�''= 7/
Signature of Permitee or
Agent
Receipt No. �;K Z F °Z'q
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 aid.
DIRECTOR OUBLIC WORKS
By �~ Date
Bigg permit expires Date
� \��i' 0
9 �
via 5V6�
6wo ne \ to �NRe
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
,77 County Center Drive - Oroville, Cahifornia 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
abov tinned property for inspection purposes.
X Date G
Signature of Permitee or nt
Receipt No. `T4 4T
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
abov or which fees have been paid.
IR OR OF YUBLIC WORKS
Date -IMi
Bu�� permit expires Date — 4;Z-0 —'43'0
BUILDING
Owner It 4.41
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor 0 �c ,
Mailing Address S (n
Fireplace
Total Valuation
Tele one No.
Permit Fee
Building Address 1 61 5 e Aaz xu,
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
) _ ,
Repair drainage or vent piping 1.50
^�..
A. P. No. ,Y "05 -3-ng
�_Zonia Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
Sartitrrtron
I FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
I ParcelEach
I Declaration
I Parcel Map
60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
B+FdT.--P"Rr-Rer'd
Parcel Approval I
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .g
permit Fee $
&ni,� �� # �— %
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 O�
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 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.(DWEL
OR ADDNS. ACC. L 24; sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. MU TI -O TL T
NON-RESID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON.RESID, SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXT11RES) B �@1
• ) 2.00
Ex. Occup.(FIXEDOUTLETSRE
((RE S. ORST D,) EA
Temporary service 10.00
Mobile Home Facilities 15.00
License No3O-_','Z6J Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ 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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relatina to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
abov tinned property for inspection purposes.
X Date G
Signature of Permitee or nt
Receipt No. `T4 4T
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
abov or which fees have been paid.
IR OR OF YUBLIC WORKS
Date -IMi
Bu�� permit expires Date — 4;Z-0 —'43'0