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HomeMy WebLinkAbout022-220-012T I G AP—,22-2 DORIS SHELGREN s W. Biggs-GridleyRd, �. of E -W turn, Gridley,. K-rN-7s Permit#-.59-,7.5E-(elec. o_ex.. MHO - -- -- " - _ 22-22=12 EDNA WEBB 2165 West Biggs Gridley Rd, Gridley Permit #2167-84MHI (existing site) Isseed -DORIS SHELGREN Fi fiat2.111% Permit#2563-84P,E(ele & gas/ex MH site) 22-22-12 22-22-}2 1:f vm 2165 W. Biggs Gridley, Gridley (replace ele for exist site TIv^ peMo SFp f'�13-IHSS �GiS StC T. or] 1 o-] P i f t }} f i t ' � G AP—,22-2 DORIS SHELGREN s W. Biggs-GridleyRd, �. of E -W turn, Gridley,. K-rN-7s Permit#-.59-,7.5E-(elec. o_ex.. MHO - -- -- " - _ 22-22=12 EDNA WEBB 2165 West Biggs Gridley Rd, Gridley Permit #2167-84MHI (existing site) Isseed -DORIS SHELGREN Fi fiat2.111% Permit#2563-84P,E(ele & gas/ex MH site) 22-22-12 22-22-}2 1:f vm 2165 W. Biggs Gridley, Gridley (replace ele for exist site TIv^ peMo SFp f'�13-IHSS �GiS StC T. or] 1 o-] P f G AP—,22-2 DORIS SHELGREN s W. Biggs-GridleyRd, �. of E -W turn, Gridley,. K-rN-7s Permit#-.59-,7.5E-(elec. o_ex.. MHO - -- -- " - _ 22-22=12 EDNA WEBB 2165 West Biggs Gridley Rd, Gridley Permit #2167-84MHI (existing site) Isseed -DORIS SHELGREN Fi fiat2.111% Permit#2563-84P,E(ele & gas/ex MH site) 22-22-12 22-22-}2 1:f vm 2165 W. Biggs Gridley, Gridley (replace ele for exist site TIv^ peMo SFp f'�13-IHSS �GiS StC T. or] 1 o-] M f r. <, ePERMIT N0. 2167-84MHI existing site PERMIT EXPIRES In OWNER EDNA WEBB CONTR.. owner ASSESSOR PARCEL 22-22-12 LOCATION 2165 West Biggs Gridley Rd, Gridley L OFFICE COPY Address G M y Dates°� ELECTRIC Meter ByDate -'% + Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servici Called PG&E I JOB FINALED (Date) Signature — J = OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements ;Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch ; 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete { 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lectricity; Location—Clearances—Grfid"-45WAmp—Concrete ( 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location--Tf— / /"L"ft./ ./"Nat. or/,jP"L"ft. "LPG 1 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. 1 Card -BI V,Date Card -BI Date jCard-BI Date Card -BI Date Card -BI Date Card -BI Date (Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (P s) OK except H's Date POOLS (Plans) OK except p's Zgning Requirements—Setbacks—Easements I 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G ; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining . EI ctricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI . Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector i 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 Exits; Insp.—Sketch 1�ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I a Dateq�qdqvCard-BI Date •Card -BI Date Card -BI Date Card B -I Date Card -BI Date jCard-BI Date Card -BI Date U f •. /Y77 7 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL,(Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except H's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes ll No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. 29. 30. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 75. 76. Following instld.: Drive [I Yes ❑ No; Walks El Yes ❑ No; Planters Dyes ❑No Stucco; Brown -Finish 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.--Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY O,F BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numberfor the following location: Owner Owner's Address Mobilehome Mfg. Model" Year Insignia No. < Serial No. It is hereby certified for occupancy at the above described location and may be occupied. ,I Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. 1 Mill /A. . � hid: /! � - ��L � + � /.� , a � • ,/. -�i f Inspecto% +`V Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE wK 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. Prr�v! i�f� • �_ i � P ��✓�vr-� tom- �- 11 � Lr S=OIL- 1411/•1 IgA,;,_ zI a07 �- <4 LL f LILT S/t1�urC;� ��y� � ,.t•��<< U J1f /fE ��'jJ/ A •�) v .i / ^� A. F/�f/.G / ....I� Inspector Date' L , 1 „ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'California 95965 - Telephone 916/534-4541Il�r�-� APPLICATIQN ,AND HERMIT ASSESSOR PARCEL NUMBER ZONI G__ r BUILDING PERMIT OWNER TELEPHONE Vv ,SQ. FT. OCC.1 BUILDING VALUA ON '10.00 OWNER'VAILING DD ESS 2.50 CONTRACTOR'S NAME TELEPH E NEW CONSTR.(MULTI-OUTLET NO N.RESID BRANCH CIRCUITS) 2,50 ea CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 20@50t 9ALOSOt UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE Misc. Wiring NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ') PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PA CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition a Remodel ❑ Uti'ties ❑ Installation Le' Other ❑ Describe work: rn q 5: avT - - s+ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or Iess. ❑ 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agalns s Id County in conseque of the granting of this permit. )(� X , -0 Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. a 7L d WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 OR LESS 100 AMP OR LESS '10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2I/20sgft NEW CONSTR.(MULTI-OUTLET NO N.RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR. /POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20@50t 9ALOSOt Ex. OCCUp. OUTLETS FIXED APPLNS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE 1$ "_�Ic7� OCCUP. GROUP I TYPE OF CONST. PARCEL I PD I HJ5 I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By /1 Date PERMIT EXPIRES Date chis set of plans and specifications MUST be :kept on the job at all times and it is unlawful to make any changes or alterations on same withow written permisson from t,he.Department of Publk Works, County of Putte. NOTE --All Materials & Workmanship Shad Be in Accordance with Recognized Good Practices and of "a quality prescribed for tho Sdeci ied use in the Uniform Building, Plumbing 8 Mechanical Codes and the National Electrical Code. Utility connections shall be With., 4 ft. of the mobilehome, either directly behind or within the r@v half of the roriclside (left) of th@ Mobilehome. A setback of 5 ft, frOM tho property lines and a sQfbdek of 50ft. from the road centerline shall be Clear of structures or equipment 0X,,,, for a 2 ft, eave Overhang, L Lo BUTTE COU 7 COUNT BUILDI M N BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's name: 2; Installer's name: - 3. Is the site currently under permit? Yet No (If yes, furnish permit number Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome`be located at least 5 ft. away A_fr septic tank and leach fields and clear,of all setbacks..and easements? Yes No (If no, clarify 5. ..What is the mobilehome electrical rating? ------------------------ 2V (2 —Amps What is the mobilehome site service rating? --------------------- 'Amps What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome s L ite gas pipe size? ----------------------- (in.) 77 10. What is the type of gas service? -------------------- - A 'Vatural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? D J1 e (ft.) 12. What is the mobilehome as demand? ------------------------------- (BTU) (This information not required if pipe length less than 6 ft. on. natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING. DEPARTMEN. APPROVED OR. Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome`be located at least 5 ft. away A_fr septic tank and leach fields and clear,of all setbacks..and easements? Yes No (If no, clarify 5. ..What is the mobilehome electrical rating? ------------------------ 2V (2 —Amps What is the mobilehome site service rating? --------------------- 'Amps What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome s L ite gas pipe size? ----------------------- (in.) 77 10. What is the type of gas service? -------------------- - A 'Vatural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? D J1 e (ft.) 12. What is the mobilehome as demand? ------------------------------- (BTU) (This information not required if pipe length less than 6 ft. on. natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING. DEPARTMEN. APPROVED MOB ILEHOME SUPPORT 1WrA ~' If other than single wide, Mobilehome Mfr. Sj furnish Setup Model No. Year, 3 N idt(ft.) Box Length 2_(ft.) Tagalong or Expando Size ft. x =ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (ft in. in:) Center sup ort locations (ft.)(in.) II (f t.) (in.) (in.) (in ) Center s pport footing sizes (in. (in.)/ (in.) (in.) (in.) Single 1'.;0> er. reated or tion grade.: U `• Other (specify) Supports (check one) 1: Concrete block. E] -2: Other, (specify) Tagalong or Expandr;,' show support details. �i Typical St ort (i n.) Footing Size IV x ( i . ) ( in:) Max. Pier Spacing r. -- Max. Overhang in(in.) t *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. County of, State of caluomia, aescrnueu ab ivtivwa `rk The Southeast quarter of Northeast quarter of Section 26, Township 18 North, �= Range 2 East, Mount Diablo Base and Meridian; Excepting .therefrom a strip of land heretofore conveyed to Reclamation District No. 833 of Butte County. ALSO excepting therefrom a parcel of land in the Northwest portion of the Southeast quarter of Northeast quarter of Section 26, Township 18 North, Range 2 East, M.D.B. & M., and more particularly described as follows: Starting at a point on the South right of way line of the Eastwest County Road and on the WRest line of the Southeast quarter of Northeast quarter of Section 26, T. 18 N., 2 E., M.D.B. & M., and also 20 feet South of the Northwest corner of the said Southeast quarter of Northeast quarter as a point of beginning; thence�€outh 890 30' East 659.5 feet along said South right of way line to a point, which said point is also the Northwest corner of a parcel of land described in a deed to R.J. Nugent and Lucille Nugent, dated July 1, 1938 and recorded in the office of the Recorder of Butte County, California in Volume "193" of Official Records, at page 347, thence along the west boundary and production thereof of said parcel ,sof land South 0° 27' West, 661 feet to a point; thence North 89 30 West and ",Abarallel to the North side of said Southeast quarter of Northeast quarter 658.6 ,feet to a point on the west line of said Southeast quarter of the Northeast jquarter; thence North 0° 22' East, 661 feet to the point of beginning, containing 10 acres, more or less. a END Of DOCUMENT ion �I .o } Return toS DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT _ FOR RESIDENTIAL DEVELOPMENT -24500 OFFIC¢aL, RECOPos Section 2678.1 of the Butte County Code requires this acknowledgemgat-TE CUUNT'r Ck;•, be recorded prior to issuance of a building permit. RECORDS R EQUESTE. PARTY SHOWN . The property described herein is adjacent to land or included JUL 6 161 16 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising fs ��t�'Oi` the use of agricultural chemicals, including, but not limited to �i�rbicdesf;D�s es, and fertilizers; and from the pursuit of agricultural operations including, but AV limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust; smoke,.noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All.that real property situate in the County of Butte, State of California, described as follows: Date: 6 Jul�1 films PRO TY ERS: J State of CALIFORNIA ) On this the 6 day of Jul v 19$1.x, before SS. me, the undersigned Notary Public, personally appeared County of BUTTE ) Doris T. Shelgren MAD1111NI C. CUMMINS .b NOTARY PUBLIC -`✓'` Butte County 'State of California My Commission Expires Sept. 7, 1984 Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose iiame(s) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained, cp IN WITNESS WHEREOF, I hereunto set my hand and official seal.= Not y Public M Present A. P. No. d cL� _ -2— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT , PERMIT NO. �V / ASSESSOR PARCEL NUMBER o?�? ZONING BUILDING PERMIT owNTELEPHONE Cal SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A]�DD}q�R'E'SS` CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER y LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD�i ESS r� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ie/oj'D4 Water piping 5.00 LOT NO. SUBDIVISION NAME 1PARCE MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF -STRUCTURE SF ❑ Duplex[] Mobilehome�& Other SPECIFY Building sewer 5.00 Mobile Home yW S 10-00ea /0=52 TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities Installation[] Other E] Describe work: 4 [ ,4.S gix- g_xj,�T Permit Fee $ QQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 J-0 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2I/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON-RESID BRANCH CIRCITS CONSTR (MULTI -OUTLET 2,50 ea NEW CONSTR POWER APPARATUS & NON.RESID, SINGLE OUTLET CIR. Ex. OCcu SAL@30 p�o OR FIXTURES BAL®3O FIXED A FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. V Fvi I shall not employ any person in any manner so as to become subject }4� 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agai sai ouyin onsequence of the granting of this permit. X Date Q g' o licant — Owner❑ Contractor ❑ Agent ignaturefrmit An OSHA is required for excavations over 5'0" deep and demolition or Construct- of structures over 3 stories in heig t.By Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SV OccuP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the County Code and/or work indi ed ove f which DI EC R F PUBLIC PERMIT EXPIRES Date � the applicable provi- resolutions to do fees have been paid. WORKS Date D`��,ion P— ipt No. -D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT 4� w 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ~ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 4:� - p1 "/ �_- BUILDING PERMIT OWNE`R+r�D 15 �`• 4646 ` / /� tG�„,, (�( T}��`EEL`rEP�H2O+NNE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12g4f- cap- IS4�A/pLf�� CONTRACTOR'S NAME _ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAIL[ DRESS _ W (0! UNKNOWN ksT rI. ol-Iri I I�/, 0'/LIv[ (`,/ I LOT NO. SUBDIVISION NAME I PARCEL' MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome,0, Other SPECIFY TYPE OF WORK New❑ Addition[] Remodel❑ Utilities,0 Installation❑ Other[] Describe work: r T 64 f � �'�- �- = /• j( } CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason 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. aI 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidCo/unty ii ,consequence of the granting of this permit. Dater Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHAfpermit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 sttories in height. Receipt No. !4710 X/11? WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Fireplace i ELECTRICAL PERMIT Total Valuation $ 10.00 , Main service 600V OR LESS AMP OR LESS 10.00 Filing Fee $ 2.50 10.00 Permit Fee $ NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS Plan Checking Fee $ NEW CONSTR (POWER APPARATUS &i NON -RES,D. SINGLE OUTLET CIR. Penalty $ 20@50e SAL@30C Permit fee $ Temporary service PLUMBING PERMIT Filing Fee 10.00 Each Trap /3.60 2.00 15.00 Solar Water Heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S rG`'W 0.00 e / t�-"`- Permit Fee $ t7(� Contractor i ELECTRICAL PERMIT Filing Fee 10.00 , Main service 600V OR LESS AMP OR LESS 10.00 /p, 00100 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2Ihdsq ft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS &i NON -RES,D. SINGLE OUTLET CIR. Ex. Occu p�OUTLETS OR FIXTURES 20@50e SAL@30C Ex. OCCUp. OUT LE ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /3.60 Misc. Wiring 15.00 L Permit Fee $ `e j_ -5C Contractor MECHANICAL PERMIT Heati na Filing Fee 1 10.00 J-___ Cooling Hood 3.00 Ventilation Permit Fee Mobile Home Installation Fee $ I TOTAL PERMIT FEE $ 57-5o I OCCUP. GROUP I TYPE OF CONST. 1PARCELl PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the.Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �l DIRECTOR,OF PUBLIC WORKS /By fDatelp PERMIT EXPIRES Date 5W' /%L--jM_ I OFFICE COPY - c AAA-- GAS dd — GAS Meter By F Date ELECT Meter ,By = Date, E WN C CONSTRUCTION LENDER -4.1h Y1 F RCHITECT OR ENGIN CH BUILDING ADDRESS } COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cajiforni,*5965 - Telephone 916/534-4541 APPLICATION AND PERMIT Cr /''( 611 v i MAILING ADDRESS r LOT NO. I SUBDIVISION NAM /UNKNOWN LICENSE NO. r 1,4 L/ r �•�r; p � PARCELJMAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other f SPECIFY TYPE OF WORK New ❑ Addition ❑ Wemodelo Utilities © Installation/❑ Other❑ Describe work: 1 �A F t 1 P C <9 !� F y l C'� to n tr 7 )r CONTRACTORS LICENSE LAW Ideclare 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) Q 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 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 hof Consent to Self -Insure. O 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. I certify that I have read this applicationnd state that the above information is correct. I agree to complyy� to all County rdinances and State Laws relating to building construction, an"dVtereby author representatives of the Countyot Butte to enter upon the abovre-omen one r1op qty for inspection purposes. I also agree to save, indemnify�a i�gA arm'et;s the County of Butte against all liabilities, judgments, costs, and expense which may in any way accrue against said`County.in consequence(` of the rafiting of this permit. X X . 44"f I. J , Date Signature of Applicant — (oWnerR Contractor ❑ Agent ❑ An OSHA permit is required Fore cautions over 5'0" deep and demolition or construct- ion of structures over 3 stories i!ht. Receipt No. / (I-/ 1 (0 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ' BUILDING PERMIT SO. FT. I OCC. 1 BUILDING VALUATION Fireplace Total Valuation $ Filing Fee 10.00 Filing Fee $ 10.00 Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap Temporary service 2.00 Solar or heat pump water heater Mobile Home Facilities 20.00 Water piping Misc. Wiring 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets5.00 Building sewer 5.00 i.00 Mobile Home S G W ea I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.8d OR AODNS, l ACC. BLDGS. , A2Sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUSe SINGLE OUTLET CIR. Ex, Occu p OUTLETS OR FIXTURES\\ zD®e0e BAL030 Ex. OCCUp. OUTLETS FIXED PRESID IREA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ S 0 Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE FLOOD PARC This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. JI By a"DIRECTOR OF PUI§LIC WORKS ,61,Aa PERMIT EXPIRES yKate COUNTY OF BUTTE - DFPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Orovillekaliforinia 95965 - Telephone 916/534-4541 o/O 3 APPLICATION AND PERMIT ASSE s R PA NUMIKR Z° "I G BUILDING PERMIT OWELEPHONE G- SO. FT. OCC. BUILDING VALUATION /20sgft OWN MAILING AD R 5 C4 y L/ J 2.50ea CONTRACTOR NA //_ Il rl TE PH NE Ex. Occu Occup(OUTLETS OR FIXTURES 20050e SAL@30 CON RAC OR S MAI DDRE 1 y � "` IL Fireplace CON RUCTION LENDER V UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE No. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 Permit fee $ �. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r) I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 1110-00ea TYPE OF WORK New ❑ Addition ❑ emo�el ❑ Uti ti s In tallation Other ❑ Describe work:( Q t'_E �i= G (� r L' X l S� Ir ril o Permit Fee $ Contractor 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason 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 A Ilcant- If after makin this statement sh Idb 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 NEW CONST. DWELLING OCCUP.6+ OR ...NS.ACC. BLDGS. /20sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20050e SAL@30 Ex. Occup. OUTLETS P(RESID IFIXED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation pp g I ou you ecome subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmleis the County of Butte against OCCUP. CONST.TYPc FLOOD PARCEL PD HD 19SUE all liabilities, judgments, costs, and expenses which may in any way accrue agai4st said County in co equence of the granting of this permit. , !`'J �3 C��— This permit is hereby issued under the applicable provi- N Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Own r Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is .required for excavations over 5'0" deep and demolition or construct- ZIRECT I LIC WORKS ion of structures over 3 stories in height. I 014-V Receipt No.4 9 BY Dat WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES ffate r.1 j, 7 ?7 1 AH Util. PERMIT NO. 1 P E {�6 i M t MH UTIL. PERMIT NO. r' PERMIT EXPIRES ,OWNER Doris Sheleren CONTR. ,jLOCATION (A.P. P2,-2.2-12 ) s/s W. Biggs -Gridley Rd, just W. " of E -W. Tvvn, Gridley Temp. Power Pole Called PG&E Temp. Elec. Serv. � �� s� Called PG&E lam Serv. Called PG& JJOB ��—�• FINALED ( 'ate) (Signature) MH UTIL. CLEARED SUPPORT COMPACTION %V A. P. SVOV ELYC• 0 FA COUNTY OF BUTTE — DEPARTMENT OF PUBLIC' VYORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd F11bK Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Te - Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framinq Test Water Htr. Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Grd. Fault Pro Service Temp. Pole Underground Final eel Bf- .1 COUNTY OF BUTTE — BEPARITMENT OF PUBLIC W 5--Q — 9 7 County Center Drive — Oroville, California 95965 1 Telephone: 534-4541 APPLICATION AND PERMIT g ure o ermi ee or ge Receipt No. _A 1-r 122 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BY Date / — permit expires Date... 7� BUILDING Ownere �� fy SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 'Tele one NQ. Contractor Fireplace Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ $ Building AddressPLUMBING ..r No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 +. ' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe PON<SMTraben FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W 'ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 � e Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal�?o Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I 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. 1:1I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance'. ,JKI 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 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate si notf P A 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 paid. �IREC OF PUBLIC WORKS g ure o ermi ee or ge Receipt No. _A 1-r 122 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BY Date / — permit expires Date... 7� �� . �_ Y. ;, , � , t 0 8 J ' l`^c O WI- p� �►ot Q 1 wK V. K 3 1 8 J ' l`^c O WI- p� �►ot Q 1 wK V. K .1 i .t . 8 J ' l`^c O WI- p� �►ot Q 1 wK V. K PE �o -o CRs TF 5 w.4 r6 POW64Z� . Fp,;cET POK.6 S Ta�za o� g NEr� 2 ooe�,C�� ela M,�yI BUTTE COUNTY / BUILDING DEPARTMENT APPROVF-D Owner: Address: Tenant: Building Location Type of Inspection requested: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT / /'1. Housing% / 2. Financing / / 4. Other (specify) Present use of buildin A. P. # ;Z -/,Z Date of Inspection 7 Inspector.e����-a 3..Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: -- 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violion (give �mplete description): 2. 3. What action taken (give complete descript what action recommended: A. Information only - file. E/ B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: OOV. Al �� Ll� o �f— s� �e �J �� 42 75 71 ti NOTE --ASSESSOR'S PARCEL BLOCK & LOT NUMBERS SHOWN IN CIRCLES 44-®5s Tax Aram erode 62-28 62-32 62-5Q 62-5-j 62-69 SEE PARCEL »14-2/-57 ® 661.5 Assessor's Map No... 44-05. County of Butte, Calif.' /porch, /955