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007-350-018
� , \ D . Dr �484-Cima r.. of 38, J sh a Tree#2 Chico Permit kLiewng -e a J hn D. Drake 494 Cimarron Dr., lot•38, Joshua Tree ' #2,'. Chico Permit #4885' 78B(new single famRy)_, 7-35-18 GREGORY PAUL ' NORWOOD j /a�/� _ Permit#1999-88B(new private garage) 7-35-18 Permit#2231-89B, $ (conv existi g g rage to living are - B08-0800 "4'•A 007 350-018'' �- MISCELLANEOUS "r'``• ,.{IAA..O 4R&Roof { ► eti . tf•p t w.REROOF 30,SQ FT t484`CIMARRON DR�� i 1. 3 Y I h � y .t L I cn L!� PERMIT NO. 223.1-89B.E PERMIT EXPIRES 'OWNER GREGORY NORWOOD CONTR. owner ASSESSOR PARCEL 7-35-18 LOCATION 484 Cimarron Dr. Chico 13 Cl -NJ ny 2 ' ' s r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 3 ' D Signature = OK 9=Nat OK - = Not Applicable = Not. Ready. •r MOBILE HOMES MISCELLANEOUS Date MOBILE 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- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ' 5. Electricity; Location-Clearances-Grnd.-/ /-Amp-Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG , 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME"INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements_ Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers=Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining X. 9. Exits; Insp.-Sketch 4. Elec.;-Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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. Card -B1 Date Card -B1 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 0 = VK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex). Date UNDERFLOOR (Plans) OK except Date FRAMIN (Continued 1. Zoning -Setbacks; -Easements ood-Slope angers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth 4&-etrT�. Joist-Rftr.- ng.-Rfng. 3. Ftg., Garage; Soils -Ste -/ /" Ftg. Depth 4� - fireplace Throat Clearance 4. Ftg., Porches & DecV, Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; eel-Blockouts-Wrapped 9. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Gar e; Steell -Blockouts-Wrappedram ng 7. Slab; Steel -W pped perty Line Firewall & Openings 8. Piers-Firepl a Ftg.-Steel 52. E - 9. D.W.V.; F -Fittings-Test-2 way C/O -Sewer Test 53. Protec ion Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pip ; Size -Anchors 11. Water ipe; Test -Anchors -Regulator -Service Test 55 Siding -Nailing Veneer 12. Ele ric; Underground 56. erflr. Access 13. P nums & Ducts; Clearance-Material-Supprt-Ins. 57. GI n -Skylight- lastic he ells; Nailing -Bolts 14 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Insulation sulation-Walls-Clg. 60..Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 t Date& Card -131 Date Card -131 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. V nt-Access-Combustion Air -Baffle Date FI A (Plans) OK except #'s 17. Water P' e; Test & Anchors -Nail Protection t. Steps -Door & Sidelight Protection -Landings 18. D.W. .; Test-Fttngs & Anchors -Nail Protection .,Smoke Detector 19. S war Pan; Test, First Floor -Tub AccessF rnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor-Ducts-Mech. Protection 20 est Tub & Shower, 2nd Floor -Tub Access 1. Gas Pipe; Size & Anchors .Bedroom Exiting Fxtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. s Card -B1 Date Card -131 Date or Stov P'lua rClearances-Hearth Date ELECTRICAL (Permit) OK except #'s 68r. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fix!yre & Transformer Clearance -Ins. Protection nce; Grnd. -Air Gap -Cooking Clearance ec. Receptacles Spacing -Lights & Switches at Doors Outlets & Receptacles at Kit. Counter ize Boxes & No. of Conductors -Stapled 7_2-6arage_ Fire Door:S.wing-Landing-Closer 25. RenieY �nctw��or1 �'^�^'^ �aM ^f Studs & C.J. e=Damper Equip /Mech. Fasteners -Bond Gas &Water P4-026. s -Clearance -Comb. Air-Connector-P.R.V.- n Garage; Above Floor-Mech. Protection 27. 2 Appliance s in Kitchen & Conductor Size/G.F.I. 7 Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed W e / / ga. Cu or AI-A.C. Wire Size / /ga. C . f6--�iscrReceptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / r AI -Oven Circ. / / ga. Cu or AI. Ins eutral Yes No . Ins iation-Foam-Looked in Attic ❑ Yes eck Construction -Post Caps 3 v' -Riser Conductors & Ground -Main Disconnect . F n. Ves wl Hole Door -Drainage & Wood arth leer ked under Flo r ❑Yes 34 quip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 33 Smoke Detector 0. Following instld.; Dri es ❑ No; Walks 0 Yes ❑ No; Planters ❑ Yes Iff No - s Card -B1 ., Date !&. eJ Card -131 Date rnt; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 89KYents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Ope ings. Date MECHANICAL (Permit) OK except #'s $4,#dW_WAI1_DJsconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support terior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation tilation throughout House 36. Condensate Drain & Overflow; Size & Grade ass Protection----- rotection---=37. 37.Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 84. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic Tagged; Gas -Electric ted -C/O to Grade -HD Approval Ckcvnergy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date rtifi to Card -131 Date Card -131 Date Card -81 Date 2 Card -B1 Date Date FRAMI (Plans) OK except #'s Card -Biles Card -B1 Date pCard-B1 Date Date Card -61 Date 9 I oper Material & Anchors 4j' -Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Flnal: PLAV%,,, nng Walls over Girders & Floor Nailing 4ar-nfr-aft Stop in Walls (rat proof) 4 Stops; Furred Ceilings -Stairs -Chases -Tub ader & Beam -Size & Bearing (NOTE: An entry must be made each time You visit iob site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,,Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone:,538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE r10'(A- - I S q OWNER�. PERMIT NC 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 matte, or need additional explanation, please contact this office immediately. Inspector. Xn/lil ACX Q Date—(R -v —3y Owner ffil %L-- I Anon LOCAT Permit No. Z,3'1 O (���%� E N E R G.Y CERT RT I F ICA T I O N `" ;', DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR W,6,LL/ !iU��Ci Material Are Thickness (in hes) CEILING Batt or Blanket Type Thickness(inches) Loose'Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches)'. FLOOR, SLAB , Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) A. P. No. Brand, Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal,Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in.the,above building in conformance with the State of California Ener; Requirements, FIRM NAME/O R STATE CONTRACTOR'S ICENSE NO. SIGNX��o fNSTALL4TION 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. STATE CONTRACTOR'S LICENSE NO. 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 J COUNTY OF BUTTE - DFPARMENT OF PUBLIC WORKS .T� PER ITN 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL N_ UMBER _` S BOJ ZONING BUILDING PERMIT OWN E TELEPHONE SQ. FT. OCC. BUILDING VALUATION M� O WNER'S MA ING DORESS t� CONTRACTOR'S NAME • i.J .A! Cly TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONSTR TION LENDER UNKNOWN Total Valuation $ waao LEN E 'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 7q, s- o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ S ped ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .G Cpm o�J Permit tee = (o„� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water he 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heat or vent 5.00 USE OF STRUCTURE SF'% Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syste - 5 outlets 5.00 Building sew e 5.00 Mobile Ho S G W O.00ea. TYPE OF WORK New ❑ Addition F-1Remodel M Uti Ijties ❑ Installation ❑ Other ❑ Describe work: 4:o- ON tee ` cEJCt^Jg ct c21r-atc K I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW Sap 1 declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.Ei) ,�2Q- <3, co OR ADDNS. \ ACC. SLOGS. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e1 SINGLE OUTLET CIR. / 005001 Ex. OCCUp(OUTLETS OR FIXTURES 2ALO eL930 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 Permit Fee ( $ ,Ov 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 145 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 harm ss the County of Butte against all liabilities, judgmen , cost , and expe es which may in any way accrue a i said Cou i ns u ce of the ranting of this permit. Date // Signoto pplicant - Owner Contractor E]' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over`` 3)storieess in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $- occu P. CONST.T PC y SCNOO PL000 PARCEL — PD - ND 59U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PER 1 E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS '/ Date c '7. / Receipt NO. �Y / /. 7 ,L WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT wy.rrF ,.`.�i'".-:r{"t-r. . � --�"�-.�..r..�, li, �+.'t..�...t«...., «e,wy'c,�,�svLJ'- • �.!:yF:.+m:f',.'bi"�`�"?'..-.1,..-T�+r.,r,,�+'R ��a�'•�,,�.. �.«.. � r ,.. „ •i COUNTY OF BUTTE - DEPARTMERT 00'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' 1 � PERMIT APPLICATION DATA SHEET Permit No. "OWI ER gn 1. ) COD dl o'.0 A. P. No. Proposed Building Use Building Inspector 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 All items have bee submitted . .................................... 2ate . Plot plans i duplictriplicate, 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 1.1. Park fees paid..................'.......:V ............................ r o S hool District fees paid ................. 13. Sanitation approval from c 6 Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............. 24. Letter of signature authorization ..................................... 25. 26. he you issue -the permit, process as follows: Mail to owner.. - Telephone Pf'l-146/! and hold for pickup at 014 r-0 office. Other Mail to contractor. _Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be subm-i-tte.d prior to permit issuance: (Circle newtit�em not checked above). 1. Index permit for above items No.) Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nall—counter by date Contractor, designer, owner, was advised of above required data by—phone _mail—counter by—o�da,, e Plans checked by Date Plans approved b� Da e) Sets of plans on hold in File cabinet AP folder Copy—DPW plan' approved for: Seepage Disposal Water Supply �iold final for: Water Supply �. Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other :4 Sanitarian COUNTY OF BUTTE -..Department of Public, Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' OWNER-BUILDER.VERIFICATION. Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information 'at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for constructiono.f the, proposed. property improvement (yes or no) 2. I (have/have not) b4i d signed an application fora building permit for the proposed work. 3. I have contracted with the,following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J plan to.provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owne Social Secu�i Date NOTE: This Owner -Builder -Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) t A. P. Number �% ' 3 S — % Building Department No. School District C �"C U City 1� County 0 Jurisdiction Property Owner p r tJ 00 Gi Pro ect Location Address 1 Subdivision Lot Number Residential Development: Sq. Footage 3 oZ U # of Living MHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Id No. / ,Y I f 1),0 J7,u f / /n (%ppllfcant" Name ',(street Aaaress .. . "-(City) has complied with the requir .�1. by the payment L� #141 School District Rer)resen School District certifies that r4- (State) (Zip "Code) its of Resolution No..�j�0 nq1 representing -� square feet. _ .ative . / Datil PAID BY CHECK NO . Ju I ?T- REMARKS: U!/�L`L4)QAtl (d %1 -r -J BANK NO NO i YJAI YfAA I _4A_/ PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) I 1 r ' • j 1 " ' � 1 f ' + _ 1 1! -- T11- �� rs �,,�✓n ��eov' .' ack of 5 ft• from the, A setb d a setb�'a J property lines an from the road of 50i- - clear o cent =rline shall be ent I stru a 2 ftOr V q overthana i, i o ►•ani f u Od LL _ Install smoke-!�tector per code. /4i I<� `"'materials ?rdance with Reco g quality prescribed L.JForm Building, Pluj This se f pZC o f MUST Be a.id the rational Rl ,rt - it •,` h -1- ail ,,,,� and' i1. f keo�. c� I � t..l ;i;•,,.., €�..-.� �, is arilaarul tc Workmanship Shall ' e in ^i -gid Good- PracticeLand Dr the specified use ging & Mechanical I Code. make - ': ;<<s on same wi•�rjoui w.ri-'-en p p..._s:z�-1 ?:r>.:, l: .�epar�ment of Puh J llc WorksC,ol;:,':y of E56u-i e. 01)A i Install smoke detector per code. f vi Tv f d > I o4en V1ide t bedr °. 'ndow with_tinirtoum dimensio E f 24" high, 20" wide, 5.7 sq. ft. area, nd 44" maximum sill i` height. M191•Jr' mIN 76 ccoa�, 7 F- 7- IT to GT rov?de 1/'2" x 10" anchor bolts / b O.C. max. and within 5'I 2" of i,cin s. I ST19 6 ST.z�c`r��c A ' nlL\A/ Lvtv'S; 2 J L i DN Alt ! �� STs '07 1 FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner ���2 Of e� 0) Climate Zone Permit # Floor Area l G d , VA a R . The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room, additions, converting'garages and patios to living areas, house moves 'that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of.existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING' SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 ZONE 16 R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST .36 Shading Coefficient LOOSE FILL INSULATION (Density). INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WAT y , OE CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED ASO,�D N CK OF THIS% SHEET. Irl OTHER q,, R 12/85. 3% *1 HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ 'Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 13 Active Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand .and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ 't Heating: Winter design temperature °, elevation ', heating load BTU ' elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P,S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of r. Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF ILD NG DESIGNER OR APPLICA PERMIT NO. PERMIT EXPIRES OWNER GARY PAI-11NORWOOD CONTR. owner - ASSESSOR PARCEL LOCATION 481E Cimarron Dry- ChiGe s H.. 6 A - h Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E As JOB FINALED (Date) Signature = OK 0 = Not OK ' = Not Ready MOBILE HOMES MISCELLANEOUS 0dy Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete d/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) stsyBeams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing _ _ - 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG- =Connections -Splice -Decal -Enclosures - 7. Utility Clearance rmg hor Studs- russes MY in N ' m -Veneer-Stucco-Mesh Card -61 Date Card -131 Date 1 oof; Shthg-Roofing Card -B1 Date Card -61 Date Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1: Zoning Requirements -Setbacks -Easements Card -61 Date,9 '•9 and -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 S Dat and -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements ' 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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- Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -61 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -131 Date Card -61 Date =OK = Not "OK - Ap = Not plicable RESIDENTIAL (Single and Duplex) blot Ready Date UtIbEFIFLOOR (Plans) OK except #'s ''Date FRAMING (Continued) Zoning -Setbacks• asements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors _ SteEt-E+�s,-Gcad.-/ �irF Be th- 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 2� / g., Garage; Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance - epth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles C6. StefAwed 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions emwalls, Garage; Steal -BI u s-YVrepped 50. Garage Fire Protection Framing 7..0lab; Sleert Wrappett 51, Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits �e st-2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 1as Pipe- ';'7P-Anrhors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 1- "parer .pe; Tett onrh^•Regulator-Service Test 55. Siding -Nailing Veneer 1?Alectric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 01_ _- - _ _- _ _ _ -=_ _ 1 1" 57. Glazing Area -Glass Protection -Skylights -Plastic 1 - - - np 58. Shear Walls; Nailing -Bolts 16-kieeWT n 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 � D and -B1 Date Card -B1 Dat%�//,Q Card -B1 Date Card -B1 Date Card -B1 Date e Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors-NaiyProtection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anc ors -Nail . otecti (' 62. Smoke Detector 19. Shower Pail T4sFirst F - es 20. Test Tub, nd to r- ub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 21. Gas Pip iz & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -61 Date Card -131 Date 67. Stairs &Rails Card -131 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing-Landing-Closer73. 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75 Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Cu or AI Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ' ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -61 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92• Roofing Certificate Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Card -61 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 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 (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE f`---= 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 ; OWNER / PERMIT 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 orrection of work is completed. If you have any question pertaining to this matte , or need additional explanation, please contact this office immediately. G i �MIIIIIII —111 VA I �11 _J%. M4 - WA c c 4--0e 2 c G Inspector Date COUNTY OF BUTTE -.-F- DEPARTMENT OF PUBLIC WORKS f 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 .e, 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 1999 �d OWNER PERMIT 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 correction of work is completed. If you. have any question pertaining to this matter, orn ditlonal explanation, please contact this office immediately. „P G " v y Inspector Date '7b/m 9 v _ , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO. ' 7 County Center Drive - Orovill-v, California 95965 - Telephone: 916/538-7541 M _ APPLICATION AND PERMIT /,., ASSESSOR PARCEL NUMBER NI G BUILDING PERMI ow R 2 v %� O T EP ONE - /6V SQ. FT. OCC. BUILDING VALUATION O WNE 'S M ILI ADDRESS 'L, - JJ&i J CONTRACTOR'S NAME TELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONSTRUCTI0 LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT O NGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT RE SF ❑ Duplex❑ Mobilehome❑ Other ,dgTc e Q SPEC FV,. Gas piping system 1 - 5 outlets 5.00 Building sewer _ 5.00 Mobile Home S G W O.00ea TYPE OF WORK New Addition ❑ ❑ Remodel , Utilities ❑ Installation[- Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.eI\ I/z2sgft NEW CONST. DWELLING OR ADDNS. ACC. BLOGS. I NEW CONSTR. TI.OUT LET NON.RESID BRANCH CIRC I s 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ExOccu 20e50e . Occup(OUTLETS OR FIXTURES SALO 30 FIXED ALNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify harmle a County of Butte against liabili es, judgmen spense w 'ch may i any w yaccrueagainst aid County ' e gra in of this pe mit.This Date Signatu of plicant — tractor Agent[] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3ssto`ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O CUP. CON9T. YPC SCHOOLPLO PARC PDND 39Uall permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which IRE OR 'PUBLIC By PERMIT EX ARES Date & the applicable provi- resolutions to do fees have been paid. WORKS Date ~ • 0— W — g© Receipt No. p `C WNITE-O.P.W., YELLOW-ASBES30R. PINK -INSPECTOR. GOLDENROD -APPLICANT . , „ Y ..- ... .. _ .- yea ^ �� f ,� ^. , rGa,,.. • "-P r+`r, K,r v���._rm• r •...-. v .. c •-., r r COUNTY OF BUTTE - DEPARTMENT' OF ,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFMNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET -�--✓, /j Permit No. OWNER ,/�` A. P. No. 7 sy / Proposed Building Use T Building Inspector Date �/�� At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1 pl �,M.(E&mrhave been submitted. 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans' in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. 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��F%�es,2of� $ , , , , �9. �etter of signature authori� ' n... . , . . , , , , , 10. Sanitation approval from Health Dept, 1. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . f. 3 1,®rnVactor's License Information (no., name style, classif)ner-Builder Verification (Given to owner El, Mail to owner .) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Prespec. request to (Dote) 17 -In. Pre -Inspection for Required. Building Inspector S, 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of ,l 21. Eng-Fneered trusses'in duplicate (required prior to plan check). 22. \ When you, issue the �je ,fpr s as follows: Mail, to o ner, Mail to contractor. " v Teephone b rxj and hold for pickup a=fice, Deliver w/inspector. Other T Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to persuance: (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_--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date G,p� Plans checked by Date Plans approved by Date aov Sets of plans on hold in4- File cabinet AP folder 0 Coov—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 7 -)J--,/,p Owner Location AP# Plan 'Approved for: Sewaqe Disposal Water Supply .Hold final for: Water Supply Final clearance O.R. for: Water.Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian COUNTY OF BUTTE - Department of Public Works_ 7 County Center Drive, Oroville, CA 95965 Phone: 916 : M 538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner An 'owner -builder" building permit has been applied for in your.name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification.is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e.s 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, 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 Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. j3u& OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John 1)• Drake ADDRESS: P.O. Box 14" CITY & STATE: QXLeo, C 95926 IMPORTANT: DATE OF CLAIM: Aefoat iZr.. 1978SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT "ided not :t4 build. mit #4146•78B--Aecelpt #159580 A.P. 44-053-73part IkUlding.pex-mit feG.�..�,.........»$ 29.0t Retain • �Vf 1a - . of fps-��....,..,...._. t+} Amount refur4!► due-Y►w.--_-r------»iw$80.6 Total permit fee refund due --- t n Devviopmuntr" refund . ee SAL farm 1:9: $105.67' 105 67 TOTAL $705 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval0 (Checkone) for the same. Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head of Authorized Deputy Dept. Exp. CodeCode PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW, THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county muit be itemised, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . Orov)Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representativesofthe County of Butte to enter upon the above-mentioned property for inspection purposes. X ® Date Signature of ern t e forr Agent Receipt No. /5 is80 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Ownerp/,�.. PRgee SO. FT. OCC. BUILDING VALUATION I so a Mailing Address P�. BOX /¢4S /f ICO /q� Contractor Mailing Address Fireplace Total Valuation a Q Telephone No.e o Permit Fee Building Address 484 etwe,l2.0kl DwvC_ o - Plan Checking Fee&/or Penalty Permit Fee $%�/ �a C14-IG0 PLUMBING No. @ FEE �aq PERMIT FILING FEE $3.00 Each Trap 1.50 �j / T Zr 3d �/B�SffU/4 1 �e #� Repair drainage or vent piping 1.50 A. P. No. —Ii%53 — / J PDQ% AZO ing & Plarining Water piping 1.50 Each gas water heater or vent 1.50 F < W. Sanitation FireDept. FireZone 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 nn''�� / ll// , 96al I*//, Par Approval Plans Approval Lawn sprinkler system 2.00 NEW 2--_ 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 OVER aoov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLDGS.DWELINGCCUP. 4� 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCHCIR-OUTLET NON.RESID (MULTI BRANCH CIRCUITS J2.50ea NEW CONSTR. POWER APPARATUS &, NON-RESID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXT11RES g L 1C9 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA)2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I_J ' 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 relatina to building construction. and herebv Land Development Fee $ oLS®O TOTAL PERMIT FEE $ authorize representativesofthe County of Butte to enter upon the above-mentioned property for inspection purposes. X ® Date Signature of ern t e forr Agent Receipt No. /5 is80 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date PERMIT NO. , t 4885-78B PERMIT EXPIRES !21412,v OWNER John D. Drake '. CONTR. owner 44-053-72 port. a' LOCATION (A.P. ) 484 Cimarron Dr., lot 38, Joshua Tree#2,C5ic is f Temp. Power Pole ---- Called PG&E - d5 ://Elea Servs Colied PG&E �s Gas Serv. Called PG&E JOB FINALED (Date) (Signat i • A_, ERSET alRRAA HC Owl -P A 4 Y 0S LICENSED CONTRACTOR Phone: 342-4764 P. 0. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date To nMP-cc,& . 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 /� Manufacturer_ Com" , Thickness/Ty p r R Value CEILINGS Batts: ,Manufacturer Thickness R Value /1�� �= Blown: Manufacturer �_ Thiickness No. Bag Wt./Ba jtj 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 Manufacturer Thickness/Type R Value N DIM p GEN AL CONTRACT LICENSE NUMBEER ByT111711 P �/ DATE INSU ION - TRA OR LICENSE NUMBE�� TITLE �s�t� /u! /U BEL __aa DATE �oo� ( DATE) ACCEPTED SAVE ENERGY - INSULATE! c :..�. _ , rC:_i: L `�•r Ll J4�"-+==1:�1: P.:::ti�li Sde and CI'.3.e 2_^.alo?'LI q t 4;• �� 10-CATION �.Z.2proved for Sewn a l,is LL up Tzr.21 for: Water Supply Ci r a%.�-:? 15 for c _bedroO=. Or Mobile ho7-:e) 0-tC!2' will bed Daze 1.71Zq Meshl � MECHANICAL Grd. Fault Prot. Scratc /- Heating Service Brown — $ Cooling Temp. Pole Finish Ducts 1 10 " Underground Interior Lath Ventilat on Permanent Door Closer / Final Final MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Ir Water Piping Sewer Gas Piping OB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE S CORRECTIO S �l (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD r BUIL NG BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Ur Parapets 1st Floor — Main Ehdg. Restroom Finish 2nd Floor Footings --Z Windows / 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters / Slab Carport Footings Slab Prov. for physically handicaped Conformance of ex. structure Final '- !1'- Appliances Gas Piping & Test Temp. Gas Sanitation --, '- Patio FIREPLACE Final /G Footings Footing EL CTRI AL Masonr Walls Throat 01Rough Relnf. Steel Final /Si'�7!'� Fixtures /1/79 1.71Zq Meshl � MECHANICAL Grd. Fault Prot. Scratc /- Heating Service Brown — $ Cooling Temp. Pole Finish Ducts 1 10 " Underground Interior Lath Ventilat on Permanent Door Closer / Final Final MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Ir Water Piping Sewer Gas Piping OB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE S CORRECTIO S �l (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE 't - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oraville, California',95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -ed propert for i ction purposes. me X a Date 61-117: Signature of P r Agent Receipt No. 16 r In t 1 — 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 0 BLIC WORKS BY Date S 179 ;/dZilding permit expires Date ��� 7 I BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address a T I hone ^^ Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressCy Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 LnVt3 R, —J& oal_ Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe W SA ion Fire Dept. FI re Zone Use Permit Parking arcel EOA Plans Declaration Parcel Map 60' R/W Improvements Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 c' Parce provol Pla s ravel Lawn sprinkler system 2.00 NEW CJ ADDITION ❑ UTILITIES Q OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family L7 Duplex Mobil Home Q Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NEW CO ID BRANCH CIRCUITS) J2.50eal NEW CONSTR /POWER APPARATUS B NON.RESID. \SINGLE OUTLET CIR. EX. OCCUR{OUTLETS OR FIXTURES BOA 010Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic nse No. Classification Misc. Wiring 6.25 1 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. MI have placed on file with the County of Butte a certificate of W rkmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 $ ,0 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -ed propert for i ction purposes. me X a Date 61-117: Signature of P r Agent Receipt No. 16 r In t 1 — 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 0 BLIC WORKS BY Date S 179 ;/dZilding permit expires Date ��� 7 I of all easernen . :A] i Vj 1116- C4 113 Az.-rl x/ r (D7 See Mastf r Flan on file for bul Iding g TT �pUNTY , ' BUILDING DEPAR . °E4 4 APPROVED i NOTE: A I Materials &'� W rkman t 75. ip Shall Be in 75 .: ,. X5.3 A cor anc with •Recognize Goo.' Spe •Practices ified use. in and, ? " of a . uali prescribed :for 6 ilding; Plumbing & a Macho ical 'Codes nr ' U ifor the National I Electrical Co ----' --- , .. is set of plans and ificatl ns MUST be kep on thet job at all times4F" and it unlawful to Mak an 'charges or alters ions on sm ae.withoui writen i, ermi$son'from``the ' iWci ks,oun�y of Buba.'" t11 Sep is stem and location'of build- The Bldg Setb ck hall ing I But 5 `'#, from the drain s# ;Coup b -out to be as per Health Dept. Re - side pro ertf ine and quir o ft. from the meats. centerlin „of th ro d, p muffing a -maxi, mule of a 2 ft.; J. ave ove ., IL ,,. .. I 1 of all easernen . :A] i Vj 1116- C4 113 Az.-rl x/ r (D7 See Mastf r Flan on file for bul Iding g TT �pUNTY , ' BUILDING DEPAR . °E4 4 APPROVED i J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi'le, GaliJornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - U Signature of ermitee or Agent Receipt No. _17P 1/ t ug White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 9F/Pd$LIC WORKS By Date�j�-�� ' Bu' ding permit expires Date= _77f BUILDING Owner L4, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor � g W N y Mailing Address v Fireplace Total Valuation G Q Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 pfd Each Trap 1.50 ,(�6 Repair drainage or vent piping ' 1.50 •�-- O A. P. No. ` "O93 — ff/ Zoning & Planning Water piping 1.50 b Each gas water heater or vent 1.50 p F&eCl Vtel S nl a ion Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ �„c71 p ELECTRICAL No. @ FEE 26 PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBL GS,LING CCUP. 2) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name , style of: , '} - A -w r -e �1-Q l P2 �JI `¢- S NEW CONSTR BRANCH CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS) 2.5Oea i NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 50@250 BALI FIXED ALISIS EX. Occup. ( OUTLETS P(RESID )REA) 2.00_, Temporary service 10.00 Mobile Home Facilities 15.00 15� f3 � " 3 6' License No. � 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 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. R( I have placed on file with the County of Butte a certificate of �i 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 1 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 $ 11 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - U Signature of ermitee or Agent Receipt No. _17P 1/ t ug 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 9F/Pd$LIC WORKS By Date�j�-�� ' Bu' ding permit expires Date= _77f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �) 7 County Center Drive - Orovi'lle; Cali-fornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT �C / authorize representatives of the County of Butte to enter upon the above --me tioned property for inspection purposes. X 11�yt Date _d17 11 Signatureoff Permit Agent Receipt No. / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is heie6gT"i's9ued`uniier1;'the applicable provisions of the a County Code and/or resolutions to do work indicated WBy have been paid. T.OB OF PUBLIC WORKS Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation a� Tele hone Nom .3 Permit Fee Building Address _ Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE !tet'✓ a �RvA %9-E6 Z Gl��� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 - _Z, A. P. N0. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es I yel_sawi�at+ew Fire, Dept. FireZone 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 13Idr,aW o_Ree;d 1 Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2- Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING.FEE $3.00 600V OR LESS Main service 100 AMP OR Less 5.00 (� Single Family 1=1 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. 4\ •20Sq ft I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st I o� T NEW RESID,CONSTBRANCHMULTI.OCIRCUITS NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 c Jew Mobile Home Facilities 15.00 License Noi4i► ,/ Classification Misc. Wiring 4E25: 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. -have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating AZ do Cooling : la (iIIII IV; 431 �t;3t j? Ventilation Yea iaW Hood �,n I ltt, 2.00 Permit Fee U t✓T 4 - rtit $ 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 DeveloprFent)Fee $ TOTAL P;ERMJT, ,FeE;E; authorize representatives of the County of Butte to enter upon the above --me tioned property for inspection purposes. X 11�yt Date _d17 11 Signatureoff Permit Agent Receipt No. / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is heie6gT"i's9ued`uniier1;'the applicable provisions of the a County Code and/or resolutions to do work indicated WBy have been paid. T.OB OF PUBLIC WORKS Date Building permit expires Date 91SIVIE12:1T19[11110116181Z Rd WY nn 8L618 T 100 tooUj0 SITYOM WIN do 'lr10 lunl dO uwnoo COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovIlle, Cahifornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. i X Date Signature off P rmi e o gent Receipt No. " 97 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 abo r which fees have been paid. 71,AIRj.CTOR OF PUBLIC WORKS Date Building permit expires Date 7 BUILDING Owner DAA/ Dei 9C- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor rp G , 9 3?9� D1-1vE /#w Mailin AddressTotal Fireplace Valuation �+ O(�D (LLG C,14 95 Telephone No. Permit Fee Building AddressZI el A4,4aR.0N Plan Checki ng Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 LaT' 3 S OSHoA %tae C J(,0 Repair drainage or vent piping 1.50 p� n+� n > A. P. No. 4 4 `0G 3 '—*73 J r®� %�/ Zoning & Plann9 Water piping 1.50 Each gas water heater or vent 1.50 Fees W Sa%"atien FireDept. FireZone 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.��d Porcel_Appr.val Plans Approval Lawn sprinkler system 2.00 NEW Rr" ADDITION ❑ UTILITIES ❑ OTHER ©-- Permit Fee $ $ ELEc-i �(CA,__ ��# 4885-7g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,O0 OR Main service 10000 AMP ORSLESS 5.00 Single Family ®/ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELLING 0 OR ADDNS. ACC. BLOGS�� 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 style of: Lac NEW CONSTR MULTI.OUT LET ` NON-RESID BRANCH CIRCUITS/ 2.50ea NEWCONSTR. POWER APPARATUS 6 NON .RESID, (SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXTURES 1 5BAL 0:1 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,�- License No. 30S6f Classification d Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 37,/5 $ 3 *7 1,4 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 Ffor Wo kmen's Compensation. LJ 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 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 3'� J authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. i X Date Signature off P rmi e o gent Receipt No. " 97 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 abo r which fees have been paid. 71,AIRj.CTOR OF PUBLIC WORKS Date Building permit expires Date 7