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Home My WebLink About024-080-12808-4-3 William Mattly Abet NIS Kiefer Rd., app. 1 O� ImP. Y. /o?;v Larkin Rd., Gridley contr: W. W. Means, Oroville Permit #702-78B,P,E,M(conv.porch to bedroom, enlarge living r�oom, add it S ) toilet, fireplace & A/C unit/SF) COP *Wm. Mattly 24-08-�w AA )I 711 Kiefer Rd. Gridley # Permit #36l5-8iP,E4utilUpj0/ ELEC. /0-43-9/ 900,4 664 - GAS 149-1-7-81 zo, SUPPORT STRUCTURE REQ. /N�Q C101PACTION TEST REQ. /w 24-08-39rJ,;Z9 contr: RicrL, Ada Oroville Ms' Permit #38l5-dlB,P,E(addition/SF) d Y - DON DUNLOP 711 Kiefer Rd, Gridley Contr: Mobile Home Center Inc Permit#3800-81MHI(for 3615-81) �Issued B07-i2O7' 024-080-128. MISCELLANEOUS � LPG Tink (AbvGrnd) INSTALL PROPANE TANK AND KITC. 711 KEIFER AVE PENNING PATRICK M B07-1783 024-080-128 MISCELLANEbUS Fire'place/Wood Stove IN STALL GAS REATSTOVE 711� KEIFER AVE PENNING PATRICK M �'--- --- - - - _ r � _�.. - I � �+�` �. 4 � I� � t O ��_��_ f a M J' " I It 0 3815-81B,R,E PERMIT NO. PERMIT.EXPIRES' OWNER Will Mattly CONTR. Richard'Adams, Oroville 24-08-39 ASSESSOR PARCEL LOCATION. 711 Kiefer Rd., Gridley Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&/ JOB FINALED (Date) SViature �q 2t�= I/ = OK 0 = NotOK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-b6pih-Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-Bra.cing-S.tairs-Rails 4. Water; Local i on- Test- Easement Needed (Sketch) 4. Wood Awn.; Pogts-Beams-Rftrs.-Connec.-Shtho.-Rtg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ Nat. or/ /"L"ft./ LPG -5, 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -B] Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test- Regu lator-Connector Ir 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane I boards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date e V = OK 0 = Not OK - = Not Applicable RESIDENTIAL, (Single and Duplex) * = Not Ready Date UNDERF_LOOR (Plans) OK except#'s Date FRAMING (Continued) 0 -Toning requ I rements-Setbacks- Easements 48. Piianprtg I *np. FLL�� A, -FT -g, Main; Soils-Steel-Elec. G,nd.- P -P /" Ftg. Depth 49. Ext. qp!pdq�!q ��ck Garage -3rd story, 2 exits 3. P".. Oviayu, SO S-ftef� 7' 1 /" Ftg. Depth 50. W R un- Land i ng- F ire Protection 4,-Frg-, Porches & Decks; Soils -Steel- Ftg. Depth 51. 'p -le -1 QgM Q,,Srh�A@ .4 1108 Vgnig R&II , rl-gogg-ts pwalls, Main; Steel-Blockouts-Wrapped-GL-4h--y ?)15-��iding-Nai ling -Veneer a -Slab 53. s J-01'ri'eL�_-Fireplace Ftg.-Steel 24r-15ra-zing Area -Glass Protect i on -Sky I i ghts-Plast ic Fall -Fittings -Test -2 way C/0 -Sewer Test 9. X4,"Water Pipe; Test-Anc��r -Regulator-Service Test 11. C4ee"Tv,--M-Te_rground 12. &--,G-,rders-Sills-Anchor Bolts -Joists -Vents -Cripples Card-Md_____,DKe j;&,Wd_B I Date Card -BI Date fard-131 Date Card -BI Date 'Card -BI Date Card -B U2.j te/,o -/�Ca�rd-Bl Date Date Flhi!j,:�Plans) OK except #'s Card -61 Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. ��=ss-Combustion Air ____ ,87 Ext. Steps -Door & Sidelight Protecti on- Land i ngs 57. Irm-o-ZeMere-For- 58. Furnarp, Vent -Clearance-Comb. Air -Connector - ff;darage; Above Floor-6ucts-Mech. Protection Test & Anchors -Nail Protection j§,_-I!I`W.V.; Test-Fttngs & Anchors -Nail Protection 59.-eedMMTMT1Tfrrg 1 1 1 oor-Tub Access 60. -e-CZ.7T-BRTrM1ure9 Tub Access 18. Test-Tm"-&-Sgo--w-er-,-I-nU-rTo-o-r---Tu-b Access LU-1"Elec.-Irim & Subpanel; Breaker Sizes -Labels 19. Gee-PTPT-,"Slie, & Anchors '04S��ireplace 19k;lks 64. & Rails or Stove; Clearances -Hearth E =9vNeWeA-Weed.PaneI; Int. & Ext. Card-Bj�e, OECard-BI Date 45�-Kit._Eix" Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 94--fflec. Outlets & Receptacles at Kit. Counter Date ELECTRLCALJRerrrfit) OK except #'s 67. GRrage t -ire Uoor;SW-in=g- anding-Closer 68. -*C. U UU L 111 Gdrapr--f�� Transformer Clearance -ins. Protection 69. IN aiance-Comb. Air-Connector-P.R.V.- In Garaqe: Above Floor-Mech. Protection *T��eceptacles Spacing -Lights & Switches at Doors i5_�Ib., Elec. & Mach. Equip. Listed for Location 4��ize Boxes & No. of Conductors -Stapled 71. E+ec-?tSrVrrXc-re-T-in-G"JMUU-(G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Z2*-Tn-su lat ion -Foam- Looked in Attic �s Deck Construct i on-PoV_C.Hqs-- 25. 2 Appliance Circuits inj�itchen & Conductor Size -14w-Veln. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor �es 26. Subfeed Wire Siz!��._Al- 27. Range Circ. ga.4S5)er`AI-GvQa.G+Fe--t --- 4,Mes ONo Insulated Neutral L 75. Follpwiag it1l.-s- rlrog,� Q Yes -4-.) No; Walks El Yes [:) No: Pla mars Y El No 28. Sem��R Se, eo dtjetem-�-Main Disconnect- 76. ,&h em 0, uvon-p 0. MS?r_ 49--Squip. Clearances; Pane Is-Motors-Mech. Equip. 77. =T--JCIrnces-I3rkr. & Cond. Size -115V Outlet 30. elathe. Goeset I:i,I,t-9h..Vr-17rgffr- ji;�ents Above Roof; P[bg.-Appliance-Firepl.-Clearance to Opngs. 79. JX!!;p4tt, 9ieee*R@e44+lectrical, Plumbing L0&,--ffxjq.Ki�Iec. Trim; G.F.I. Receptacle -Underground Card B -I ate j0-:2,rr-#Card-BI Date enWation throughout House Card B -I Date Card -BI Date 82. Date MECHANICAL (Perrr.it) OK except #'s 31. A.C. Ducts; Insulation & 4wpport (Olk-'dorrect 84. ions from Previous Inspections 83S I Ubt-MULU, Tagged; Gas -Electric Ur-Wa`ter & Sewer Connected -0/0 to Grade -HD Approval 'Y 32. Vent a_n: Exhaust aboXinsulation 86v-E-nergy compliance Certificate -Other Certificates __33. CondensNIQ rain �__dverflow; Size & Grade 34, Furnace-Venl>f ess-Comb. Air -Return Air Vent -115V outlet IC 35. Attic AccS�!q Platfo?�rnace in Attic Card - B 16��tWr- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Ca�_d Date Card -Bl Date Card -BI Date Card -BI Date Date FRAMLbIWIans) OK except #'s Comments at Final: '&Lfelills- Proper material & Anchors J�, Studs -Nailing, Spacing & Bracing -Plates -Sound j5'-§E!aU-Ug Walls over Girders & Floor Nailing ��op in Walls (rat proof) ADe-*fire Stops; Furred Cei I ings-Stairs-Chases-Tub A.� �eaj & Beam -Size & Bearing A an rs-Post Caps -Anchors -Connectors an -or ng. Joist-�ftr. Ties-Purlin -Roof Brac.-Truss-Shihn.q.-Rfng. g eFireplace Ties or fype A Flue -Fireplace Throat 'r 45. Attic Ac9M jq?1T_`mex Protect i on -Draft Stop -Ins. Baffles 46. Hgt. & Dimensions 47. arn,�ng (NOTE: An entry must be made each time youvisit jobsite) 1i RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFO CE WITH CURR AT .-7ZI R T� qT ENERGY CONSERVATION REGULATIONS 2A Lm,wk!!,, (14L, (location) BUILDING -PERMIT NO. A16*P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge AA 4 Fdn. W�lls Floors &,-- Walls 4-� Ceiling/Roof—/--- Ducts vf/A, Circulating Pipes: IV,4 APPROVED HEATER 0V11 — 77 APPROVED WTR.HTR. A 7 -- GLAZING: . Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDINGwDRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES k—� I DECLARE THAT ALL REQUIRED ITEMS,AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name (please print) Signature of Insulation Applicator State Contractors License No. General Contractor/Owner Name Signature of (please print) General Contractor/Owner Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARfAENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/ -4541 APPLICATION ANIJI PERMIT , P��O- AS�ESSOR P ARCEL NUMBER I.NINX 2 :2-4 — cy - BUILDING PERMIT OWNER TELE.PHONE SQ.FT. OCC. BUILDING VALUATION 7-4:X OWNER'S MAILING A; 'FSS, 7 t// f -e e . op—leao — CONTR OR'S NAME ITELEPHONE T i - " _W 14LZr~_f le J -2 -9 CONTI:fACTOR'S MAILING APDRESS ,f'O 4,b.,, ,,a, 110411P Fireplace 00 CY CONSTRUCTION LE64DER ct Ck 'Ra JUNKNOWN Total Valuation Is C. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 00--. Permit Fee $ .40.00 ARCHITECT OR ENGINEEVI Al, "t --f . I LICENSE NO. Plan Checking Fee $ 7-0.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 0!=� _P e-rm It -fee $ 70- BUILDING ADDRESS 1 J *W Xle 4o -x PLUMBING PERMIT FilingFee 10.00 Each Trap /1 2.00 Z,00 Repair drainage or vent piping 5.00 ZZ Water piping 6 C, LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFX Duplexf_� MobilehomeFj Other SPECIFY Building sewer Lawn sprinkler -system 5.00 TYPE OF WORK Utilitic New M Additiong -e n de I[:] ?s InstallationEl OtherEJ Describe work: Pa Z Permit Fee $ /7 1!S'_0 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST- OccUP,al) ... S. ( D OR A Ac JL S. 20 sq it Z.36 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 Profession ode and my license is in full fo e and effect. License No� #3f2W22— Classification __ A 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.—, Business and Professions Code for this reason NEW TI -OUTLET NON ___ ... ___. _) 2.50ea NEW.CONSTR. POWER APPARATUS.&) NON RESID. (SINGLE OUTLET C113 Ex. Occup(OUTLETS OR FIXTURES 50 @ 250 BAL@10� (F16XED APPLNS. OR Ex. Occup. 9 WETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ .36 Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r-1 The permit is for $100.00 (valuation) or less. rVr I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such, provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor — 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot 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 again onseq ce of the granting of this permit. X D ate 21 Ir Signature of Applicant - Owner 0 Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion Of Structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Pp I occup. rROUP )e - -3 I TYPE Z773 -N -ST -7. IPARCELI PD I HE) Z ISSUE 110, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT." OF PUBLIC By PER � _XPFRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ""-I 7--d? /co, -I Z 7Z— Receipt NO. -S-C C -s-7 - WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT 3 C1 C1COr!`---A# �q donce Ofelj r? K R'O �L07 ur krn 0 t4 Od Of, A Goq 'P Shall P1, Or _- Iono/ /If Qc� sn'e Prj He I cf; �ed Cos Cod, Ose - Ond ;C!'I In 4L cod J "f* nd P-0 S V(A 1� 0) VAJ A�'� 51te +11 rX I I S�Ov I I .2kveps ke i -�e �'Z (?P - J. This set of plans and spe6ifications MUST be kep� C,,n the ja� at all nnd if is un!awful +0 nl(�I'P r -my Ann . eies or on —rre without le wriften permission fror, J�c Department of Publ' Works, County of Buffe. I Z4 ry A -setback of 5 ft. from the property lines and a setback of 50ft- from the road centerlineshall be clear of 't"uclureg or equipment except for a 2 ft. eav�' overhang. Fe / / BU7TF COUNTY BUILDING DEPARTMENIr APPR(:)N/F,D /57- BU7TE ,OUN7. BUILDINGAPPRO DARrjNE Yet) 2/45.- The rlidimum STATE RESIDENTIAL ENERGY REQUIREMENTS for this butWing C �! a - arst .begree Days, and .14 ... Design Tomp of.—d-77 --- - --- scl-o-PW'! Insulation: Glazing: Single -allowed-, sel. Slab edge ------ 0 Fdn. Wails - - - - - slirg-le-actual; Sq. ft. Ficors - - - - - - - ---- Spaol:'i-ailowej.; f) q. ft. -- Wails - - - - - - - special-aciwl; sq. ft. -.,R V&por Barrier --- nof required Ceiling/Roof.- - - - - L V/d,- & Drs. Zert, 17-albelid Circulating pipes - - weatherwippeg Ducts Table 10-D U.M.fl. Swinging Doors --ta-ck Z Exhaust Fans Hfg. & A.C.: intermiffetif ignition Gas Pilots Type AN Appliances BTU Max. Other- Wtr. Hfr. Type Ij V% 417-1 UILDIN� 11 Ij 7p X-. (A)' IqZN ENT C E UNI UILDIN� 11 G DE;NRT 7p X-. (A)' IqZN ENT -YP" (j3/'\OdddV, '"'yq-LN'Vd3Cl E)NICIlIng A-LNnOO 31.Lng Az Nil If oe IM, ;(/0. T, �t /-/ Re - 6 Providel/2" x I O'l ancSor IDOITS @ 6' o.C. max. and within f . . ts. 12 o 1pin't If 0� BUTTE COUNTY 'U'LDING DFPART�.4r.W APPROVED S/'�- 131 I 1A 0, L 4rff 0 oe IM, ;(/0. T, �t /-/ Re - 6 Providel/2" x I O'l ancSor IDOITS @ 6' o.C. max. and within f . . ts. 12 o 1pin't If 0� BUTTE COUNTY 'U'LDING DFPART�.4r.W APPROVED S/'�- N789M ' � 14 1 ----------- ff )(IJ 'r lAJ r4, -91 %TIAJ Cl t,t ctm Tl�,ei w 71P S, p 102 12F -A c. -r e o4-) 14 140 1-4. (-4L 0-'rT fa t— ds 15 V M ed",> C-1 'Roof. I SPL ULf- -1- -$9; IpSi- rt. opm; I o o i. v 4a t. %— , '50 /0 cri* - V-/l 14PO : Ery. : Z-ff .3 IS 101F. 0 - 067 0 �,&/- gli Lo,%o u ol 4e Z-) 7/,S- � �;Zrl ;0; 0 e*lra rL - eo.#..r� a c. C-79,404 OAF 19z77;:!;1z SUBJECT: WILL 'MPj-r-rLY A Dorn o jo Vtcq4iz/-) ADAMS 49/ 0 t CLIENTS NAME JOB NO. 'Bf:-Am ChLg:�!-v CDOW ��SSOCIATES - 0 9, PTION c DATE: JOB/&EfCRI coo PA KC�AVGNU -ll.LL-.CAL---.A ..... SHEET OF SHEETS N78900.- Clc--�Lwt A Aj Lo t. 4.4 -ICT # 14T71r ,4144 -4 9V�,, a = 4 ... iL/r/ m g6 . 4-ir 6-47- i 2 07 goad 4X4 E Aj f;0PA'*7 2:141 SUBJECT: '1\4ATTL"(' 4130,1voij, CLIENTS NAME JOB NO. -130%m COOK �:��SSOCIATE''S SEPING C SULTAN JOB/Q\ESCR o"c' PA a AV:PJU- 0"OVILLE . CALIPORNIA 5965 SHEET OF SHEEtS Ts. 71r_ LA T7 Val cr I�A ACO 71- 4C_ C.3 to .AN Cc /P fr, Z! Z %;N A z 4L cv COUNTY OF 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 =ement.s of the California Administrative Code, Title 25, Chapter 5 permit number- for the following location: Owner--"'W�i ' .. I A. , I -A , �, Owner's Address '-11' ,, — , Mobilehome Mfg.,`,,#/,( ee I I Model Year�' 12 Insignia No -.I Serial No. . 7 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works' y iv Date I -S B �4, I I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. M7 C3) PERMIT NO. PERMIT EXPIRES Z� �2 NV -N -�WKIA- William MattlN, OWNER y owner CONTR. ASSESSOR PARCEL 24-08-39 LOCATION 711 Kiefer Rd., Gridley 4 I Temp. Power Pole Called PG&E Temp. Elec. Service 15 - "f Called PG&E Temp. Gas, Service JOB FINIALED (Date) eO \j Signature JL V = OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBI�ZAOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, ETC: (Plans) OK except #'s . _Z2pjog Requirements -Setbacks -Easements -Date 1. Zoning Requ irements-Setbac ks- Easements f�_SoIW, Special MH Support -Sketch 2. Footings; Size-Depth-Spacing�Connectors 3. Decks; Girders and/or J oists-Decking-Bracing-Stairs-Rails 4<-Wa-jor--Cocation-Test-Easement Needed '(Sketch) 4. Wood Awn.; Posts- Beams -R ftrs.-Con nec.-Shihg.-R fg.- Brac i ng 6,**Electricity; Location-Clearances-Grnd.-920�U) Am,p-Concrete -A 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures i �,__ L tion-Test-Wra.pl ;or�&, Lft./.20"LPG 6. Carports; Windows -Doors 4"'Utility Clearance 7. Elec. C a rd - B I 0_4�_D a t e/0 Card -Bl Date Card -BI Date Card -BI Date Cbird-BI Date Date Card -BI Date MOBILE LLATION (Plans) OK except #'s ,HOME INSTA -Card-BI Date Date Card -BI Date POOLS (Plans) OK except #'s -4*.*'-Z on I ng -.Req u i reme nts-Se tbac ks- Easements 1. Setibacks- Easements a_.,F-0,0t I ng_s;. S i ze-Spac i ng -Marr i age Line 2. Soils; Compact i on -Structure Stability &Adc—g-u-�t-Demand-Valve-Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining t_,e1-e-ctjiauy-MH Test -C rossovers- Brea kers-C I earances� 4.' Elec.; Receptacles and Lighting; Distances-GFI - 5C-1Mrr_ain: MtLjest-Fall-Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI L--* f0e,, SF4-T-st-Regulator-Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7 er,��w r Connected -C/O to Grade7HD Approval 7. Elec.; Bonding; Metal w/5�-Circulating Equipment -Heater k_GvK_aqj.E4&&triclty Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgh1g. Boxes -Enc losures-Pane I boards- Ins. to Main in Conduit 1&�Ft. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -Bl Date Card -BI Date Card B-1 YS]acard-Bl Date Card B -I Date Jl Card -BI Date Card -Bl Date Card -BI Date A., = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERIFLOOR (Plans) OK except#'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., Garace; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -R is -3 -Run -Landing -F ire 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. Sid ing-,Nai I ing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 8. OXV.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. Glazing Area -Glass Protect ion -Sky I ights-P last ic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; C learance-Materi a I -Support- Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -61 Date Card -BI Date Card -BI Date Date I FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.; Vent- Access -Combustion Air 58. 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. & Applia�ce; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except #'s 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -C leara nce-C omb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled 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 ir Attic E] Yes 73. 74. Guard Rails & Deck ConstrLCt i on- Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Lookec under Floor E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or Al 27. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al, Insulated Neutral 0Yes EDNo 75. -Following instld.: Drive 0 Yes E) No; Walks El Yes [-]No; Planters Clyes 0 No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Pane I s-Motors-Mec h. Equip. 76. Stucco: Brown-FiniSh . 77. A.C. U nit; Disconnect-Cirrwces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -61 Date 82. Glass Drotection Date MECHANICAL (Perrr.it) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support_ 85. Water & Sewer Connected -C/O 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 #'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. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post 6ps-A nc hors -Connectors Cing. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthrip.-Fifrip. Fireplace Ties or iype A Flue -Fireplace Throat 45. Attic Access: -Size & Romex Protect i on -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. . Garage Fire Protection Framing -,-- --- I (NOTE: An entry must be made each time youvisit joDsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 7// BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the followind violations of County Ordinance exist at the above address and should be corrected. Please notiij� this office when correction of work Is completed. If you have any question pertaininrg"to this matter, or need additional explanation, please contact this office immediately. n s pe c t o COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ) CORRECTION NOTICE :214 'RD <�,CfO411 V BUILDING OR PROPERTY ADDRESS Ir 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. -sli-XIA-S UP77"'I/A/ .Z:�- 11 % COUNTY OF BUTTE - DEPAF,-r.MEtJT OF'PUBL'IC WO S 7 County Center Drive - Oroville, California 95965 - Telephone 91 34-454110 APPLICATION AND PERMIT� ASSESSO P R U M B E R 37 ZONING BUILDING PERMIT :OWNER TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS f CO T AC OR'S N2�L7P 4 -7Z _2� _EP.ONE ITEL 33 10_10?6 91111 C;r COVTAACTOR'S MAILING XZ11) Z!Lq�- wl;Z it&—/— 0 Fireplace CONSTRUCTION LENDER KNOWN Total Valuation Is Filing Fee $ 10.00 LENDER's MAIL_�A�Ess Permit Fee $ ARCHITECT ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ AR�WTECT OR ENGINEER's MAILING ADDRESS Permit fee $ V -0 BUILDING ADDRESS— PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Re air drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFEI DuplexF� Mobilehomeo"Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New E] Additio Remode I [I Uti I ities El installation er"other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 600V 11 LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELLING OCCUP.51 -OR ADDNS. ACC. BLDGS. 20 sqft 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. C2&157-0 Classification (2-6/ El 1, as the owner, or my employees with wages as Jheir sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTF1 MUL T'_OUTLET 2.50 ea NO N.R.SD. BRANCH CIRCUITS) NEW.CONSTFL (POWER APPARATUS &I " NON RESID. SINGLE OUTLET CIR. Jr 50 0250 Ex. OCCUP(OUTLETS OR FIXTURES IBAL@100 (FIXED A LNS OR Ex. Occup. 0 UTLETSPP(RESI'D. EA.) 2. 00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFeel 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department LP a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F� 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 forthwitn comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee Contractor — I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot 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 �c�nd expenses which may in any way accrue against�C un, nse e the granting of this permit. e of X Date Signature of Applicant -7 Owner El Contractor )a Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 fly.) occup. rRoup I TYPE OF CONST. PARCEL PD HO I 1j;*e' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE�UBLIC BV !F��T GPIR'ES Date the applicable provi- resolutions to do' fees have been paid. WORKS Date/0-1 Receipt No.. /1;3�4S_�Ll WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT 10 BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive, Oroville,,CA. A* PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: A) 2. 3. Installer's name: 1,9264., & Is the site currently under pe.mit? Ye!, No (If yes, furnish permit number 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 from septic tank and leach fields and clear of all setbacks and easem�nts? Yes No (If no, clarify 5.. What is the mobilehome electrical rating? ----------------------- 1/0 0 Amps 6. What is the mobilehome site service rating? --------------------- e-156 0 Amps 7.. What is the mobilehome site circuit breaker'rating? ------------- Amn , s 8. Is there any other electric load to be served by the mobilehome siteservice? ---------------------------------------------------- Yes .7 No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome'site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural -7-7 LPG 7SL/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBTLEHOME SUPPORT DATA If other than single wide,,.,,., Mobilehome Mfr. furnish Setup Model No. Year Width.A' (ft.) B . ox Length 45'0 (ft.) Tagalong or Expando Size ft. X -ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973i 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. . . Single lsw -1 — [a _X30] (ft.) (in.) ' I - (in.) (in.) Center suppor Center support locations* footing sizes t I (in.) (in.) (in..) (in.) (in.) 140" (fi.Xin.) t (in.) (in.) in. (�n ) �J( in. *If center piers are other than drawn above, draw in. -locations. svacinR. and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other:(specify) Supports (che'*ck one) 12 1.; Concrete - block," E].2i Other (specify) lragalong or Expando,' show support -details.' t /A x3i Typical Support (in.) (in.) Footing Size Max. Pier Spacing 1 1) r 0 !j Max. Overhang (f t.) (in.) 390 C) 's BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT —OF'PUB LI C WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Av� 'ASSESSUB PARCEL. NUMBER ZOP2— L"BUILDING PERMIT OWNER W114. kf a TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING AD?R S 7Z/, ki& CONTRACTOR'S NAME TELF P CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Al�o UNKNOWN Total Valuation 1$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NSE NO. Plan Checking Fee $ /0. 0 C) Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS :Z& /Z, PLUMBING PERMIT FilingFee 10.00 f Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping /2�7, C-vo LOT NO. SUBDIVISION NAME ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [] Duplex[] Mobile.home& Other SPECIFY Building sewer C) Lawn sprinkler system 5.00 TYPE OF WORK New R Add ition R emode I [:J UtilitiesK Installation[—] Other[:] Describe work: Permit Fee $ 0 contractor i ELECTRICAL PERMIT Fil I ng Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 5"00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.8j) OR ADDNS. ACC.BLDGS. 20 sq 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 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) El 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 NEW CONSTP_ ( MULTI -OUTLET _N ON..ES'.. BRANC CRCU ITS) 2.50 ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 50 @ 2150 Ex. OCCUP(OUTLETS OR FIXTURES IBAL@10* FIXED APPLNS OR Ex. Occup.(OUTLETS (RESI*D . I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 A— Misc. Wiring 7.50 1 Permit Fee $ Contractor MECHANICAL PERMIT Fi ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): R The permit is for $100.00 (valuation) or less. E] 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. 1 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation _�+ Permit Fee S 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 La ws 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 w hich may in any way accrue ag ItIy �'onsir of tqeMpting of this permit. x 72 - , /�M j - A3 -&0/ Date-, Signature of Applicant — Owne Contra or Agent A. v 5 '0" deep and demolition or construct - An OSHA permit is required f 0 ion of structures over 3 stories in height. 11 Mobile Home Installation Fee $ TOTAL PERMIT FEE s 5 r/z, &P OCCUP. GROUP I TYPF OF CONST, SiSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR 10FJ-ALIC By. 1_,,( PERMIT EXPIRES Date the applicable provi7 resolutions to do fees have been paid. WORKS I r);Itp 0. -72. &>Ooor Receipt N 7- I-> -7,> 16* WHITE-O.P.W.. YELLOW-ASseSSOR, PIN NSF!eCTOR, GOLDENROD-APPL I CANT eturn to DPW I. - AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT S Section 26'-8.lof the Butte County Code requires this acknowledgement N! 119,u be recorded prior to issuance of a building permit. CLARK A tjp�;90N The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising .from the use of agricultural chemicals, including; but not limited to herbicides,, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has establishea agricul-, tural 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State.of California, described as follows: All of -lots Fi-ve C5), Six (.6) and Seven' (7) of Gridley Colony Five (5), as des..:Lgnated,on'the'plat.theredf filed ... in the offi-ce"of the County Recorder of Butte'County,.Calif-orhi-a, ex'cel# the Norther'ly.f'if-ty (50).feet thereof, and ekcepti.ng streets as:platted,and rights of wa3p, heretof-ore'reserved or conveyed. -.41 All that real propek.ty-situate in the County of Butte,'State of California descri.bed as follows.: A portion of Lots.3 and..4 of Gridley Colony No. 5, according to the Offici.al-Map:of, said Colony, ' filed -.in the 'office of the Recorder of the County of. Butte,' State 'of.California,.April 12, 1906 in Map Book "5", at page 23,described as follows: Beginning at SoE corner of said.Lot 4; thence So 890361 W 647.25 ft along RRQftkTXX%MR,Rk (SEE CONTINUATION SHEET)' State of On this the day of : , 19 SS. "before me, the undersigned Notary Public, personally County of appeared C= known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the'same for the purposes CM therein contained. CM IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. NOJ 1/- 0 1? - 13 Y r I So line of said Lot 4 and said Lot 3; thence No 00 151 E 424.2 ft. to the center line of a certain irrigation pipe; thence following the said center line the following two courses and distances: No 650411 E 656 ft; thence No 740071 E 57.00 ft to a point on the E line of said Lot 4; thence along said E line So 0 0 381 W 705.23 ft to point of beginning. Containing 8.47 acres, more or less. Date: September 25, 1981 PROPERTY OWNERS: State of California) On this the 25th day of September, 1981, ) ss before me, the undersigned Notary Public, County of Butte personally appeared: WILL B. MATTLY AND CAROLYN F'. MATTLY Present A.P. No. 24-08-39 known to me to- be�the person's whose names are subscribed to the within instrument and acknowledged that they 6xecuted the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public -2- PFFICLAL SEAJ: PAULENA F. KM(x' NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My COMMISS!ON EXPIRES OCTOBER 28,1982 �Nu OF DOCUMENT C= 779 Return to DPW AGRICULTURAL STATEMENT OF'ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPNENT Sectfon 26-8.1of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. LJ 17 1., �tjL; , �9; V F -- The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thl's property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, bbt not limited to cultivation, plowing., spraying, pruning, and harvesting which occa- sionally.generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All of lots Five C5), Six (.6) and Seven (.7) of Gridley Colony Five (5), as designated on the plat thereof filed in the-office"of the County Recorder of Butte County, California, except the Northerly fifty (50),feet thereof, and excepting streets as platted and rights of waT., heretoforereserved or conveyed. All that ieal property situate in the County of Butte, State of California described as follows: '_ I A portion of Lots 3 and 4 of Gridley Colony No. 5, according to the Official Map of said Colony, filed -in the office of the Recorder of.the County of Butte, State of California,'April 12, 1906 in Map Book "5", at page 23,.described as follows: Beginning at SoE corner of said.Lot 4; thence So 890361 W 647.25 ft along RR5t9ft1XffiWRRk (SEE CONTINUATION SHEET) State of On this the day of 19-, SS. before me-,' -the undersigned Notary Public, personally County of appeared known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that exdcuted the'same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. NO. �2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 711 KEIFER AVE Owner: Perinit No: B07-1783 APN: 024-080-128 PENNING PATRICK M Issued Date: 8/21/2007 By GLB Permit type: MISCELLANEOUS 711 KEIFER RD , Subtype: Fireplace/Wood Stove GRIDLEY, CA 95948 Expiration Date: 8/20/2008 Description: INSTALL GAS REATSTOVE (530) 846-5426 Occupancy: Zoning: Contractor Applicant: Square Footage: STEWARD, MARK CONSTRUCTION STEWARD, MARK CONSTRL Building Garage Remdl/Addn P 0 BOX 1060 P 0 BOX 1060 BIGGS, CA 959171060 BIGGS, CA 959171060 Other Porch/Patio Total (530) 868-1075 1 (530) 868-1075 1 FEE INFORMATION DBP Gas System (enter outlets) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4313 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License STEWARD, MARK CONSTRUC' 496738 / B / 5/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIR ENALTY OF PERJURY that I am licensed under provisions of Chapter 9 My 47P . w (commencing it el!!E- 00'0) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the n1(deffecTJ-_, Ix, �61� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 8/21/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Nanature Date 1. As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE EICOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS"COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier State Fund Policy Number. 713-002!268 Ep. Dat,:1 0/1 /2007 Contractor's License Law.). (This section need not be compl5led it ins permit is tor on. hunUred dollars ($100)_o_rTe_ss.) I AM EXE;TX-"A4;�" B* 8 P,C, for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' '� Compensation ifo is, and agree ihat if I should become subject to the workers' kl� 8/21/2007 I com?ensati of S ction 3700 abo r Code, I shall forthwith comply with those — Owner's Sig'lature Date provisions. XC 8/21/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permli . " acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of i walk, West, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ante I above ritioned property for inspection purposes. I hereby certify that I am the rope o a auth riz act on the flWlly owners behalf. R%W- E CONSTRUCTION LENDING AGENCY 8/21/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Pernrvee [SIGNL_--1 PrinY- Date 'he performance of the work for which this permit is issued. (3097 civ. code) 1:1 Owner 1:1 Contractor OR: E]Agent for Owner E]Agent for Contractor FILE COPY Lenders Address city State Zip "Q'T BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION. 0 0 OFFICE#: (530)5')8-7541 FAX#:(5J'O)5')8-2140 0 0 0 A FEE WILL BEREQUIRED AT TIME OFAPPLICATION Welbsite: w. 1w.buttecounty.net/dIds lui N "PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name pj&v\ V) � vl!�� I Firspr Mailing Addriss -7 t I i eE_(r-f_\P- 0�j E_ City C�, tz\ Q Lt --L( - 'ae CA "'95SItS Phone Fax E-mail CONTRACTOR Name Address R"t* City 42 late 41P CP Phone K 10-7 _�5 EF. ax E-mail Lic, # Lj ql"j& Class APPLICANT INFORMATION ARCHITECTIENGINEER Name City Address Zip City Fax zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' 5�mc A 5 Address City State Zip Phone Fax E-mail LWE WON PERMIT NO. n-1 � - P 9 BIN # PROJECTLOCATION AP# 2 L/ 0 k(2> / a 9' - ' Property Address -7 /::i� j2 14 -Al E city WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of wo�,� compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 6 Sq FT- Living Garage Open Cov • Structure Built without Permits 1-000 • Proposed Change of Occupancy (Note previous use): 0. For -office use only: Zoning Flood Zone SRA 'I Yes No Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 711 KEIFER AVE Owner: Pennit No: B07-1207 APN: 024-080-128 PENNING PATRICK M Issued Date: 6/4/2007 By GLB Permit type: MISCELLANEOUS 711 KEIFER RD Subtype: LPG Tank (AbvGrnd) GRIDLEY, CA 95948 Expiration Date: 6/3/2008 Description: INSTALL PROPANE TANK AND V 530846542 Occupancy: Zoning: Contractor Applicant: Square Footage: STEWARD, MARK CONSTRUCTION STEWARD, MARK CONSTRIU Building Garage RemdUAddn P 0 BOX 1060 P 0 BOX 1060 BIGGS, CA 959171060 BIGGS, CA 959171060 Other Porch/Patio Total (530) 868-1075 (530) 868-1075 FEE INFORMATION DBP Gas System (enter outlets) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3341 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Fxpires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License STEWARD, MARK CONSTRUC' 496738 / B / 5/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFF R DER PE OF PERJURY that I am licensed under provisions of Chapter 9 (commencing ith ecti n 0) of Division 3 of I a Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force d ffect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 6/4/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Skinature Date 1. As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS"COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1. As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: -;action 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 713-009 �u68. Ep. D,te:10/1/2007 Contractor's License Law.). (This section need not be completea it ine permit is for on n d dollars ($100) orTess.F ElI AM EXEMPT under Section — B. & P.C. for this reason: 3 CERTIFY THAT IN THE PERPRMAt�,E OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shaill not employ y iti any manner so as to become subject to the Workers' Compensation aws of . ia, and agree . ould become subject to the workers' X 6/4/2007 compensation rov' ons of n 3700 the Labor ode, I shall forthwith comply with those Owner's Signature Date provisions 6/4/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE \T SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, const ction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless ButterCounty, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, in - ry - ncl dinp death-, ariLd a ' rage caused by, arising out of, or in any way connected with u � PZ 1h. i.�u"anue this per rherreby ad nowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND otryotnp �kcy of Imy si Alkilk, street, or subsidewalk. I hereby authorize representatives of Butte 0'0 p ATTORNEYS FEES. Zuse C.0 oun the nty t a a ve m tio roperty for inspection purposes. I hereby certify that I am the y 0 top y o at r a hor' c n a owners behalf. roP4 CONSTRUCTION LENDING AGENCY 6/4/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Perm [SIGN]— Print Date the performance of the work for which this permit is issued. (3097 civ. code) N ElOwner Contractor OR: DAgent for Owner ElAgent for Contractor FILE COPY Lenders Address city Stat IP 103 T BUTTE COUNTY PERMIT 16 DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE#: (530)538-7541 FAX#:(530)5')8-2140 0 0 '0 A FEE WILL BE REQUIRED AT T11WE OFAPPLICATION C, Web�ite: www.buttecounty.net/dds �R 1i *-"PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name ice il Y\ I First '?�T Mailing Addr . ess AVC 7 IZEIF City (20 1 PLEY State Zip Phone Fax E-mail ARCHITECTIENGINEER CONTRACTOR Name City PAU- S-1EWA-,F_D Address &�� Ic) ('9 Z) city (;�j t5,64— State c zip 9s, Phone ():7 Fax E-mail Lic. #," � 7M Class ARCHITECTIENGINEER Name Address City _Sta� zip Phone Fax E-mail State License Number ON PROJECT LOCA TION AP# 02-cl QSro /2 -IR" Property Address zz/ City -:F- CP4D66Y WORKER'S COMPENSATION Policy Number A--,-7 Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address -DESCRIPTION OR SCOPE OF WORK: AAW e::W ./& kzz� Sq FT- Living Garage Open Cov 0 Structure Built without Permits a 0 Proposed Change of Occupancy (Note previous use): For office use onIV: APPLICANTINFORMATION Name SRA Address No City Ty* Cons- State Tzip Phone Fax E-mail ON PROJECT LOCA TION AP# 02-cl QSro /2 -IR" Property Address zz/ City -:F- CP4D66Y WORKER'S COMPENSATION Policy Number A--,-7 Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address -DESCRIPTION OR SCOPE OF WORK: AAW e::W ./& kzz� Sq FT- Living Garage Open Cov 0 Structure Built without Permits a 0 Proposed Change of Occupancy (Note previous use): For office use onIV: Zoning Flood Zone SRA I Yes No Occ. Ty* Cons- -78B,P,E,M PERMIT NO. 702 PERMITEXPIRES I -OWNER William Mattly i'CONTR. W- W- Means, Orovillp !LOCATION (A.P. 24-08-39 N/S Keefer Rd., app.3/10 mi.E.of Larkin Rd., Gridley Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. k Called PG&E 013 FINALED (Date) (SignattFe) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION �'RECORD BVILDING, , I BUILDING (Contd) I PLUMBING, Setback Firewall Soil Piping Forms Parapets sla oe 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 11�11 3rd Floor Stemwall Siding Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage ents Insulation Water Htr. Heaters Slab' Carport Footings Prov. for ph sically handicappey Conformance o�.ex. structur Appliances Gas Piping & TeSVII, Temp. Gas I/ Slab Final Sanitation / , , Patio FI I�EPLAQE,, Final -1Z 4 Footings Footing ELE.CTR"Le Masonry Walls Throat Rough Reinf. Steel z Final Fixtures Bond B m FIRE SPRINKLERS Motors Fr ming. Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin g Service Brown Cooling nn�-, z .9 Temp. Pole_ Finish I VIA 0' Ducts jr—;V�4-W I Underaround Interior Lath --�7 Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service- Elec. Pedestal ater Piping Sewer Gas Piping M12816EWOME INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS e (NOTE: An entry must be made on this form each time you visit the job site.) COUNTYOFBUTTE DEPARTIVIFNT OF PUBLIC WORKS 7 County Center Drive - 6roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 7� Z- — - I - . - - , — �.Y . W-;.- VIPLVI UFUII t1JW ove-mentio'ned property for inspecti n PU rpose Date Signature of Perm(tee or Agent Receipt No. (a L 9.39 White-D.P.W. - Yellow-Assessorj'- Pink -inspector - Goldenrod-Appli cant 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 OW'PONALIC WORKS V Date -2 7 - 211F -a Date' dddoiing permit expires I �e B )-ate 7-7 02 BUILDING Owner SO. F T. OCC. BUILDING VALUATION Mailing Address 00 Telephone No. Contractor (p tw Mai I ing Address C2 �1 eooi— e_1 F i rep I ace 1 aluation Total Vg 11) Permit Fee Building Address At ks el P�,p "r 'R d ?h 0 'kid nA k - PlanChecking Fee&/orPenalty Permit Fee $ 0z $ I PLUMBING No.1 @ I FEE f PERMIT FILI_NG FEE $3.00 at) Each Trao 1.50 lob hz �-tdl — Repair drainage or vent piping 1.50 A. P. N�,,Aq 37 I 1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s i on] FireDept.1 FireZone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA' I Par��ing Plans 'Parcel I Declaration Parcel Map 60' R/W I IMP rov!22ts Each additional outlet .30 Building sewer 5.00 Bldg. Plean'sRec'd Parcel AEErov.�� Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES,[:] OTHE�R Permit Fee $.ARM is - , )" 'R R - r, vlbtpe JJR—AeU W60- ELECTRICAL No.1 @ FEE tip I I sc_ C_ o -b PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 21,000, Dupllx 0 Mobi I HomeEl Others E] Main service EA. AOO'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 _20sq NEW CONST. I -W E L L9J;C C u P - ")I ft (3 OR ADDNS. % AC C. 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 CONST11- TT-OUTL T BRAN RCUITS) 12.50ea NON.RES'., (MUL CH C1 NEW.CONSTFL (POWER APPARATUS.&A NON RESID. SINGLE 0' 'T1 ET CIR Ex. Occut)(OUTLETS OR FIXT11RES ou e BAL@1 FTZEE5 XPPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA) 2.00 Temporary service 10.00 W.W. Mobile Home Facilities 15.00 License No—;;—p Classification 43 — Misc. Wiring 6.25 E] I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot 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 �11 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 Cal i forni a. MECHANICAL N0.1 0 FEE PERMIT FILING FEE J$3.00 00 Heating 0 00 Cooling 2 T If, 00 - Ventilation Hood 2.00 Permit Fee $ Abo $ 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 $ Z- — - I - . - - , — �.Y . W-;.- VIPLVI UFUII t1JW ove-mentio'ned property for inspecti n PU rpose Date Signature of Perm(tee or Agent Receipt No. (a L 9.39 White-D.P.W. - Yellow-Assessorj'- Pink -inspector - Goldenrod-Appli cant 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 OW'PONALIC WORKS V Date -2 7 - 211F -a Date' dddoiing permit expires I �e B )-ate 7-7 02