The URL can be used to link to this page

Home My WebLink About007-340-008Jhn D.Drake 3099 Silverbell Rd'., lot 19, Joshua ' ( Tree#2, Chico Permit #1291-79B(new si gle family)- 14" amily)1, .. contr: Gore & White Plbg., :Chico Permit #1566-79P(Plbg.for #-79) �ontr: McClelland -AC PErmit#3353-79M(mech/1291-79) '1. Contr: Fox Elect r4�ica ' t Permit #3611-79E (ele/1291-79) . 7-34-08 �Y9 ALAN ANDERSONr-i Contr : Holiday Pools ` PErmit#1272-88B P E(new swimming pool) , � g P ) v 03-3655 007-340-008 ALAN ERSON, AI`s ELL RD, CHICO �N ist)3 .etc: 3099 SILVERS FING Cont: UNI�RSROO AL --, " REROOF t t J ' C •d. ,- 1 P y Nf x�vt ,r a .-..r .-.. .. ,.-. r.+- ....,,,,, 4 „ .�►Z7 ti3 ';fetNX:/ °C- Y «:pry�iiy..'a`gvaa�P y�ss�.. ,e. ro gr�+swNf'=.r °i+�G.7P'YS "y'i'."">`' .. ..�,r, _« xrA '®i`1e4 v",-- r. e � d 007-340-008 03-3655 ANDERSON,ALAN r 3099 SILVERBELL RD, CHICO Cont: UNIVERSAL ROOFING REROOF . 1 LOlil r f � I 4 t. J tp - j : "NI I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION! , 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ___3 � ASSESSOR PARCEL NUMBER 17 `-• 4/ ZONING BUILDINGPERMIT OWNER/) 14 I� , , J `/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , '; /Cd l"/ /e- CONTRACTOR'S NAME--- � TELEPHONE CONTRACTORS MAILING ADDRESS //Girl �V CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ C -, ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ f ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _ 'Y L U �� /� f % / (f Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ / Describe Work: 1 � ( l ! �, �! Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 fo�rce and effect. License Class �L Lic. NO. ism A I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors / to construct the project. off --I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO iOOOA 46,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.SQFr. �NpµgES S MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE OLET UTCIR. EX. Occup. OUTLET OR FIXTURES BAL 1. 0 Ex. Occup. ounFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Californiaf and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith•omply with thosg�provisions. / X , - Date /: -/ -Q3 _ Signature of Applicant - Ef OwnerC.O.Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structures over 3 stories in height. P Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ f In) HAz. o. FEES IMP FLooD CDF PARCEL PD HD ISSUE v This permit is. ereby issued under the applicable provisions of the Buttebounty Code and/or„ esolutions to do work indicated above for which fees_,h � e been paid. ' By, Date. PERMIT EXPIRES ON// 1_2 /- o 7F' Date t Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR '' PINK -INSPECTOR GOLDENROD -APPLICANT .COUNTY OF BUTTE. -,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Ceriter Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT NO. _ (Rev. 12/96) - APPLICATION AND PERMIT --,on ASSESSOR PARCEL NUMBER o ZONING BUILDING PERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION .OWNERS IUN° AffDRESS G bC�2 C -'GG CONTRACTOR'S NAME j' lvc.T' cA �tl �wS TELEPHONE /�-IZ4A CONTRACTORS MAWNO ADD SS , K ; �j �t7 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing F@@ $ 20.00 Permit Fee $ 3S cio ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS D �� /V Energy Plan Checking Fee $ $ PERMIT FEE $ ;C{J LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel- ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: , _�G� �% Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eo.OR LESS 200AA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. �Ja OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors toconstructthe project. 4-;m exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST:' DWELLING OCCUR OR ADDNS. ( y Acc. SUDS. s° 3.5¢FT: NEW CONST. OUTLET NON -REBID. MULTI- CIRCUITS @7.50 OWER APPARATUS 8 SINGLE OUTLET C1 R. Ex. OCCU OUTLET OR FIXTURES 20 �'SAL p .50 Ex. Occup. ou�TiEEDTs RAID.°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, d agree that if I should become subject to the workers' compensation pro ' onof section 3700 of the Labor _ Ins. forth ' mply ' tho ovis X Date �•Z�l�� S Signatureppli ant - Owner 4_6ontractor ❑ Agent An OSHA er ' ' required for excavations over 60" deep and demolition or construction of structu, es over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE FTOTAL FEE $ , HAZ. D FEESOD I CDF PARCEL PO HD G UE This permit i ereby issued under Of the B e unty Code and/Or indicat d a ove for which fees By PERMIT EXPIRES O the applicable provisions esolutions to do work been paid. Date ' d Date Receipt No. 5V 767 7 4 5,E, U WHITE-D.D.S.-B. D. CANARY -A SESS R W PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL ENERGY CC-VSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED.I�N CONFORMANCE.WITH CURRENT ENERGY CONSERVATION �REGULATIONS AT �05rNA �C , Z LAT �� 09� StL.�Gv`1J�U� (location) BUILDING PERMIT NO. �2.��,^�� A. P. N0; AA -05:x' YokT, THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not -applicable) INSULATION.: Slab Edge. Fdn. Walls Floors 15 Walls o% Ceiling/Roof 0\< -- Ducts y'E5 Circulating Pipes Ny APPROVL•:D HEATER APPROVED WTR.HTR. ''125 so GLAZING Single Glazed �-5 Special (Insulated) jq CERT. & LABELED WDS. & SLIDING DRS. VIf 5 WEATHEIZSTRIPPED DRS.- BACK DAMPERED FANS ES INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE.BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE,AS SUBMITTED. - Insulation Applicator Name Signature of (please print') Insulation Applicator State Contractors License No. /Owner N WN ' D �A Signature of XVse t)t,/Owner epDateJ tractors o.. THIS CERTn1ICATE MUST BE ON FILE WITH THE BUILDING DEPARTML•:NT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN -A CONSPICUOUS LOCATION WITHIN THE DWELLING. 1'7f ,PERMIT NO. 1291-79B- PERMIT EXPIRES OWNER John D. Drake lop Ri IRP". CONTR. owner 44-053-73 port. LOCATION (A.P. ) 3099 Silverbell Rd., lot 19, J 'Shua Tree#2,. B `Chico r , i v • ry i d r f r i r f 7 . 7 a ,Y f F "J9 Temp. Power Pole 't Called PG&E A" �{ Temp. Elec. Serv. Called PG&E _ T Gas Serv. Called PG&E JOB FINALED • �� (Date) (Signature i� - Stucco Final Subpanels �--� Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling d Temp. Pole Finish Ducts Underground -� Interior Lath 04Ventllation Permanent Door Closer117 c Final Final MOBILEHOMEU ILITIES--------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INST ALLAT1 N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS lvo,rE: (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF &JTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd PLUMBING Setback Firewall Soil Piping Forms Parapets '��` 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows -ZV-1 3rd Floor Stemwall fSiding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa 11 Insulation Heaters Slab Carport Car p Footings Prov. for Phsica "y--------- — handica e d Conformance of ex. structure Appliances ` Gas Piping & Test Temp. Gas Slab Final % Sanitation _ Patio FIREPLACE Final Footings Footing EL CT CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Stucco Final Subpanels �--� Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling d Temp. Pole Finish Ducts Underground -� Interior Lath 04Ventllation Permanent Door Closer117 c Final Final MOBILEHOMEU ILITIES--------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INST ALLAT1 N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS lvo,rE: (NOTE: An entry must be made on this form each time you visit the job site.) i ER SET '"pppp r COMPANY QE aB LICENBED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) r - Date 19 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: `7 Street Lot Number Tract No. EXTERIOR WALLS l Manufacturer Thickness/Type F R Value ✓ / CEILINGS Batts: Manufacturer Thickness R Value _ Blown: Manufacturer e� Thickness .r ®A� No. BagSc� =1 Wt./Bag Sq. Ft. Covered e R Value / .S FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation 0Inches FOUNDATION WALLS anufacturer_ GE C Tr A B INSUjwyCTION TRA I DATE) ACCEPTED Thick�ness/TTyype R Value �Q Q`�� ` LICENSE NU ER 0uoAjI� T LE 43 L) DATE LICENSE NUMBER OaS-X 3--l" TITLE DATE SAVE ENERGY - INSULATE! (Authorized Representative) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Jf.• 7 County Center Drive - OrpviJIe; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT IW91_�;19 A/ 1-11, X Date Signature of Per I e ent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIREC OF PUBLIC WORKS By Date ;��,,;Ing permit expires Date -Z,-To BUILDING Owner u/0A/ D vxw 15� SQ. FT. OCC. BUILDING VALUATION Mailing Address �Q. e �j T��pAe �f�f3 Contractor Mailing Address Fireplace Q 4�%11L 60-- Total Valuation 71 Telephone No. / � r Permit Fee Building Address3Q S� Plan Checking Fee&/or Penalty Permit Fee /,�1'— S PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 JJ ^ /J C/, 1CD Repair drainage or vent piping 1.50 4S `01) A. P. o. n 0.5-3 3 /{�J Zonirfg d PI'nning Water piping 1.50 Each gas water heater or vent 1.50 sFA tion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 100 AMP O 25.00 Main service OVER P OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. �� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID,CONSTBRANCH CIRCUITS) NON -REBID ` BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 9 NON .RESID. SINGLE OUTLET CIR. EX. OCCUD{OUTLETS OR FIXTIIRES1 5BALe ,@ APPLNS. OR Ex. Occup. 1 OUTLETS (RESID.) EA) 2.00 (OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 • License No. Classification Misc. Wiring 6.25 90 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this (o ``��►► 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 building construction, and hereby authorize sentatives of the County Butte to enter upon the above- ention property f 'nspecti rposes. Land Development Fee of TOTAL PERMIT FEE $ (� 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 Daid. X Date Signature of Per I e ent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIREC OF PUBLIC WORKS By Date ;��,,;Ing permit expires Date -Z,-To j s Jo. -51 UA TREE 5l..Ij5DiVIS/Oil UNIT 2 _ J - NaE: Ail-Materi Is. & Workmanship Shall Be in Accordance 'with Recognize Good Practices and. . of a quality prescri ed for the Specified use in the Uniform Building, PI : bing'& Mechanical Codes and the National Electrical Code. i •� 5f - slats-•as'd sped ricataon ° •_ . �.... unlawfua to kept on the job at all times ^ ! mace a,ny chane or l-Drations on s me without P 'fhe Bldg. Se ark shall be$ ft. from the wrii7i-on permission frc m.the Department of Pub- Properfj a and 50 ft. from thette. centerline of hroad, permitting a maxi- lid Wks,County o jnum of a 2 f eave overhang but entirely N out of all ea ements. Se tic ystem avid location of build- !�- , p ing dr in stub -out to be as per Butte ounty Health Dept. Re- ' quirem nts. BUTTE COUNTY ? ! UI DING DEPARTMENM 75, — - ---- COUNTY OFGBUT-ft — DEPARTMENT OF PUBLIC WORKS ---- 7 County Center Drive . Oroville, California 95965 Telephone: 534-4541 / 5, 2, ?� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned propertyfor ins ection purposes. X Date 2/? -7 Signatureof ifeelgr Agent Receipt No. oQ (fY White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B tte County Code and/or resolutions to do work indicated a e or which fees have been paid. I CT~ON OF PUBLIC WORKS Dte� Building permit expires Date BUILDING Owner J oWtJ DOAV-E SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Contractor 66)ZE f MITI ` L)MI5, Mailing Address "�r, 4 Box 45& V Fireplace Total Valuation CA—l(,a ISA . �SaZiv PRZ Permit Fee Building Address 3Q�iiLV�I�B� �� Plant ng Fee&/or Penalty Fee Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 P d Each Trap g 1.50 1.2.00 Q LOQ- I Repair drainage or vent piping 1.50 G A. P. No. 44 —D 53 -73 CI?oe Zoning $ Planning Water piping 1.50 /, �p Each gas water heater or vent 1.50 % SD ,,,5 F s Sani3auen Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 (� EQA P arking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel ApeLoval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER g Permit Fee $ $ PL, U (W g V709, 13 P:"'- 12q 1 -=7 q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 -�/ [R"*' Single Family [ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OWELI.. OR A.D.S. ( ACCLBLDGS.CCUP. 91 22sgft 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: �/ n � r / N 6Le`P 9' t /t ,�,'�{C�- I Cl �jl/�!![ S f T NEW CO ID ( BRANCH CIRCUITS NEW RESID, BRANCH CIRCUITS 2.50ea 'NEW CONSTR. POWER APPARATUS a NON.RESI D. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 150 L2j Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.- Classification 4f= 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 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'M I have placed on file with the County of Butte a certificate of j'�:J Workmen's Compensation Insurance. r-11 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 relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ l C authorize representatives of the County of Butte to enter upon the above-mentioned propertyfor ins ection purposes. X Date 2/? -7 Signatureof ifeelgr Agent Receipt No. oQ (fY White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B tte County Code and/or resolutions to do work indicated a e or which fees have been paid. I CT~ON OF PUBLIC WORKS Dte� Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS M 7 County Center Drive 7 Orovjlle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 335�=i9 authorize representatives of the t;ounty OT butte to enter upon the above- ntioned property for inspection purposes. „, �G X 'Date Signature of Permitee or Agent Receipt No. Z•'Z 2 A 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. DMECTOR OF/15bBLIC WORKS By Date 4 BuHding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Ad ss Telephone No. Contractor Mailing Address Fireplace Total Valuation 16�y Tele ho=e o. Permit Fee Building Address/ P I an Checki ng Fee &/or Penalty Permit Fee e�- Z bw PLUMBING No. @ FEE 64 S9 PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. -- CS -3—' 7. 4oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F' s W.e' SeR"aiinn 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 Parcel Aperoval Plans Approval Lawn sprinkler system 2.00 NEW AD ITION ❑ UTILITIES ❑ OTHER Z Permit Fee $ $ -�( '! — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS MSS 5•QD 100 AMP OR LE Single Family ZL Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGSCCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Sty Of• �.Y.(Q/l� �1��[)a-,Gi(• CCIS NEW CONSTR / ULT( -OUTLET NON -REBID l BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTkIRES B L� EX. OCCUp ( FIXED APPLNS. OR • OUTLETS (RESID.) EAI 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification I!!, ao 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. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI 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 Workmeh;ompensation Laws of California. r}j PERMIT FILING FEE 1$3.00 .01 Heating Cooling/ Gb Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the'above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction;j and hereby Land Development Fee $ TOTAL PERMITFEE $ / G� a authorize representatives of the t;ounty OT butte to enter upon the above- ntioned property for inspection purposes. „, �G X 'Date Signature of Permitee or Agent Receipt No. Z•'Z 2 A 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. DMECTOR OF/15bBLIC WORKS By Date 4 BuHding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ; QrgviJle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XP Date Signature of Permitee or A ent 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 aabov r which fees have been paid. IRE R OF PUBLIC WOR/KS . Dater Buildivirpermit expires Date _? BUILDING ' Owner SO. FT. OCC. BUILDING VALUATION Mai 1 i ng Add ss Telephone No. Contractor Mailing Address ^ Fireplace Total Valuation Te p one No. Permit Fee Building Address � Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 2 Repair drainage or vent piping 1.50 A. P. No. 44 ^mss' — % Atoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.-FlartsR:e`W Parcel A ravel Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ r LL�� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 0001 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 OVER soov LESS 25.00 100 AMP OR Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DE P. S OR ADDNS. AC 2P Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: `' y ^ Fe))(� Get- / t NEW CONSTR. MUL 1- L T NON.RESID, a BRANCH CIRCUITS) 2,50ea NEW CON STR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES, B L�; FIXED APPLNS, OR EX. Occup.(OUTLETS (RESID,) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No.30-T34-5— Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ MECHANICAL No. @ E 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 relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XP Date Signature of Permitee or A ent 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 aabov r which fees have been paid. IRE R OF PUBLIC WOR/KS . Dater Buildivirpermit expires Date _? 1 COUNTY OF BUTTE r 1 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27°,i1 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -- . 1 -:� OWNER T NO. 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 correctio of work is completed. If you have any question pertaining to this matter, or ed additional explanation, please contact this office Immediately. keV Inspector Date 2 6/6U_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS,. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER '/Z - '0 PERMIT N 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2.751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE l� OWNER ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist t the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. v' Inspector Date r F . PERMIT NO. 1��_ oeRRRTP,� PERMIT EXPIRESr� OWNER ALAN ARSON CONTR. Holiday Pools ASSESSOR PARCEL '7-34-08 LOCATION '3099 silverbell, GhiGe `t ry .,r '.l r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature =OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable _• Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Fig., Porches & Decks; Soils -Steel-/ /"Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -61 Date Card -B1 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / /'ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect " 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support - 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -B1 r Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) OK 0 = Not OK Not ' MOBILE HOMES MISCELLANEOUS = Not Reaable dy Date M00111 -t HOME UTILITIES (Plans) OK except #'s Date ' DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P'U ft 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -81 Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME 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 Card -61 Date Card -61 Date Card -131 Date Card -131 Date Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date PO, LS Plans) OK except #'s . S backs -Easements S ils; Compaction -Structure Stability Structure; Steel -Connections -Thickness - odd Men -Lining telo&; Receptacles and Lighting, Distances-GFI I'c.; P of Lighting; 15 volts-GFI ec.X nclosures; Conduit Entries -Terminals -Listed . E! .; Bonding; Metal w/5' -Circulating Equip. -Heater I c.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. s-Enclosures-Panel boards- Ins. to Main in Conduit Ith Department Approval 1 lu Test -Water Supply Test Card -131 Date y Card -81 Date Card -61 Dat Card --B4- Date J ,w ., U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND, PERMIT PERMIT NO.�, / ASSESSORP66 ty. NUMB R_ W Z° i� BUILDING PERMIT ,^ O WNER,�,�[^ A� `C SO. FT. OCC. BUILDING VALUATION jj�IC //�� l/ O WNERJVLMLQ`G D—v'✓LI� �.1 CA 9JC13 :GJC (O�`R-(�S` C T N AM T PHO E � 3- C C) E: 'S AILING DDDR S /� / , //; ✓(� , � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ t� ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee 9 Plan Checking Fee M A A$ $ Penalty $ BUILDING DL,D�ES 1 6 V 6J I v Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 Solar or heat pump water heater 20.00 LOT NO- SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 ,,� USE OF STRUCTURE , SF L?Duplex❑ Mobilehome❑ �MI'Y`k(�Q Other 60177ED] SPI -CIF Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK i New Addition El emodel UtiI*ties :l Installation❑ Other [IPermit Describe work: ��nuli Fee $ 5,87 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and myicense fu11 force and effect. License No. � assification v—� F-11, as the owner, or my emp o�7!?eS-VR 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 oa CONST' � DWELLINGSCCUP.511 I/ 'hQSgft NEW CONSTR U I.OUTLET NON-RESID BRANCH CIRCUITS/ 2.50ea POWER APPARATUS e\ (SINGLE OUTLET CIR. F Ex. Occup OUTLETS OR FIXTURES 200300 SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 L5, CID Permit Fee $ jVS-1 DD Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 a st said County in o sequence of the granting of this permit. . \\,� 1 X� G/� 1".� Date /' Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep anfl demolition or construct-XLIC ion of structures Over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �jYJ Occup. CONST.TYPC TSCH00LJ �. F O PA c PD H J 330 1r This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which F PUBLIC By PERMIT E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at '' -116(6 Receipt No. I)ENGO-APPLICANT WHITE -0.►. W.. YELLOW -ASB 330R. PINK-,NsPECTOR. GOLR �l TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance v �/k �1411 7— 3cf— Owner Location�%� AP# Plan Approved for: Sewage Disposal Water -Su pply Hbld final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom mobile home. Other. NOTE. Saitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 f , PERMIT APPLICATION'DATA SHEET No,,,, �Permit No. OWNER rs A. P. No. Proposed Building Use'`�'�m'��i Building Inspector - 9 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 v 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate./tripl'icate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "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. . . approval for (A) Use: (B) Parking: `1Planning 2. Certificate of Workmen's Compensation Insurance. 4 -L -)JI U RZ 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑T� _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to Pre -Inspection for Required. Building Inspector (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit._ 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. LL Whe you issue the permit process as follows: Mail to owner, -Me/it to contractor. + Telephone 3�3-�a�s and hold for pickup at -off ice, Deliver w/inspector. Other Applicant ( - 6dale Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnall—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Pis approved by Date ~ � � K Sets of plans on hold in File cabinet `�AP folder Copy—DPW