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HomeMy WebLinkAbout024-110-014^ ~ WALLER313 Wright Ave, Gridley` � ' � | - CIO' COMPACTION TEST REQ. Z/V ^ -l4 ~ ~ ' ------ ---- ---`-er - - t#3524-89MB ssued 24-11-,01 14 ' /]�t�/~�� -� _----' --- _-- 'install /. | ' / / / | } . ' � ) | CU9 ` ' ____-__----- - 24-11-14 , _J WALLER, Francis��"$� 313 Wright Ave, Gridley Contr: Mobile home Center i (util, MH) PEF\ PERMIT EXPIPES �� [ r OWNER y, CONTR. ASSESSOR PARCEL � LOCA T IOW FS j (7 o (.,OL -k 'j -� 2'q DO 1 � V' Temp. Pager Pale Called PG&E— -- —_-- Tt•rnp. Elec. Service -T_. Ll_ Called PGSE -- - Temp. Gas Ser,. Called PGS JOB FINALED. Signature = OK 0=Not OK ' = Not Read'yable MOBILE HOMES 4 ` MISCELLANEOUS Date h1OB 'E HORSE UTILITIES s K except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #' oning Requirement -Setb Easements 1. Zoning Requirements-Setbacks-Easements oils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel ,,ewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Electricity; Location-Clearances-Grn Amp-Concrete Shthg.-Rfg.-Bracing Pas; Location-Test-Wrap: / P'U'ft. 5. Alum. Awn.; Colufnns-Connections-Splice-Decal-Enclosure• ` /"Nat. orjyQ"'L' f3.i�/"LPG 6. Carports; Windows-Doors >W- Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses _ 9. Siding; Nailing-Veneer-Stucco-Mesh Card-61 0.10 Date and-B1 Date 10. Roof; Shthg-Roofing Card-B1 Date ifand-81 Date ( 11. Ext.; Steps-Doors-Landings Date Po 'HOiti1E IN ALLATION (Plans) OK except #'s )i o ing Requirements-Setbacks-Easements r Card-81 Date Card-B1 Date 1 — ooti �, Size-Spacing-Marriage Line Card-81 Date Card-B1 Date i� s; MH Test- Demand-Valve-Connector ectricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s MH Test-Fall-Flex Connector j 1. Setbacks-Easements ater; MH Test-Regulator-Connector _ 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- 8. Gas and Electricity Tagged Dead hien -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI i 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 't 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater Card-81 Date 1 'ard-B1 Date 8. Elec.; Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg,, Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-B1 Date _ and-B1 Date � 1 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-81 Date Card-81 Date Card -B1 Date Card -B1 Date = vK o = NotOK RE RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except 4's _ Date FRAMING (Continued) 1. Zoning-Setbacl(s;-Easements-Flood-Slope _ 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Ste31-Eiec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wra,,ped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access m 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walis-Cig. _ 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Dale Card -61 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or AL Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light _ 33. Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation _ 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -81 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & eracing-Plates-Sound 41. Bearing Walls over Girders R Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -81 Date Card -81 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. garage Fire Door; Swing -Landing -Closer 73, A.C. Duct in Garage -Damper 74. Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Rornex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No Planters ❑ Yes ❑ No _ 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. `Nater Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground _ _ 86. Ventilation throughout House _ 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 894-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 - . 747 Elliott Road, Paradise— Phone: 872-6307 - CORRECTION NOTICE R"— PERMIT—NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining.to this matter; or'need. additional explanation, please contact this' office immediately. r Inspector COUNTY OF BUTTE + DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMI NI 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 /m''a'.`tt' or need additional explanation, please contact this office immediately. A 1 i1 n ,fin 0 Inspector_ Date —_ v-: t Inspector_ Date —_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ),,ORRECTION NOTICE 3S� R 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 N 1-ispector Date il�v +� ,COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial'Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 14 OWIVER PERMIT N( • A routine inspection indicates that the following violations of County Ordinance exist at.the above address and should be corrected. Please notify this office ,whenPorrection of work is completed. If you have any question pertaining to this matter,'or need additional explanation, please contact Pis office -Immediately. r 1 S z t f l I ispector Date 1 SPQ d MOBILEHOME INSTAW P MEPTANCE COUNT d TTE DEPARTMENT OF PUBLIC WOAKS --^7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome "s Owner's name Owner's address Insignia or h ud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT�Np 916/538-75 ASSESSOR PAR EL NUMBER CJ�1j ZONING45 BUILDING PERMIT OWNER L;Ha� SQ. FT. OCC. - BUILDING VA ATION OWNEIS%r.1AI LING gDQR E55 Vl 3 W �/C/��-- TELEPHO WO -3 C 0NTRA CTGO,R/' MAILING ADDRESS 79eO a Z / �LT/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USEOF ST URE SF ElDuplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ �Utilities ❑ Installation Other ❑ Describe work: tG7(� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force n7d effect. License No. �Q T� 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 CONST. DWELLING OCCUP.ad OR ACDNS. (ACC. BLDGS. 2,h2sgft NEW CONST R. ULT( -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e1 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200530 Ex. Occup. OUTLETS RESID IFIXED APPLNS, RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. '1�I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 County of Butte to enter upon the ab entioned property for inspection purposes. I also agree to save, i emni and keep harmless the County of Butte against all li ie judg nts, osts, and expenses which may in any w ac rue a nst s C nt n sequence of the granting of this permit. _ Date Signature of Appli t — Owner ❑ Cant racto Agent ❑ An OSHA per it is required for excavations o r 5'0" 5�y a demolition or constru�t fj ion of structures over 3 stories in fight. �jr 1.r,1v,2 Mobile Home Installation Fee $ $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $�� Y1. AL HAZ AlcuPARK F D P R P ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated bov. for hich fees O PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ��— Receipt NO. is. 00 4 WMITC-D.P.W., YELLOW-A38ESSO R, PINK -INSPECTOR, GOLDENROD -A PLI CANT ELECTRIC GAS: Support Struc. Compaction TesC Re . Service Other Pipe YES NO YES NO Size Load Type Size Leri th �v 7 COUNTY OF BUTTE DEI -NT OF PUBLIC WORKS 7 County Center Drive - Oroville,~Califo la 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. S ASSESSOR PARCEL NUMBER _n1lBUILDING ZONING PERMI rO NER /I 9l w TELE PHO. c J SQ. FT. OCC. BUILDING VALUATION , OW R'S MaING AD RESSAs CONTRA C OR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRE '� E % o F v ` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /, /qD -3 w/L� ��� Permit fee $ l -� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAM PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF UCTURE SF ❑ Duplex❑ Mobilehomee Other SPE 1 -FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G O.00e -� TYPE OF WORK New ❑ Addition ❑ R�emod I ❑ UtilitiesInstallation❑ Other ❑ Describe work: lv/N Permit Fee $ 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 �50 CONTRACTORS LICENSE LAW I declare er 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 a deffect. License No. 496 / %D� Classification C / �7 ❑ 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 CONST. DWELLING OCCUP.tr, OR ADONS. ( ACC. BLDGS. /20sgft N EW CONSTR. ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .200090 Ex. Occup. OU LETS P(RESIFIXED APLN S.D,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The rmit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 ab men ned property for inspection purposes. I also agr o sa i mnify a keep harmless the County of Butte a amst all Iia ' )ties, d e s, cost and expenses which may in any wa accr agai t sa' ou y in ons ence of th nting of this permit. Date �7 Q Signa a of Applicant — wne Contractor Agent ❑ An OSHA permit is req red for excavations over 0" deep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ' HAZ CUA PARK SCHL FLD PAR PD D suE This permit is hereby issued under sions of the Butte County. Code and/or work indicated abov for which fees DI EC 0 PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / 3' J�VQ //-3— Date ll // Receipt No. 4 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT f R - At time of permit application, I was advisec the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED / 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicateatriplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with Wet signature on plans . . f 5. Hazardous Material Form .......................................... .6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -:Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ................... . 10. Fees of $. ......................... 11. Chico Urban Area fees paid ..................... ................ ,t 12. .ark fees paid .................................................... Scho I District fees paid . 4.. c nif'a ori ad r`6v'�a�f or'i�' Health Department City of Chico plumbing pernit.................................... 16. Plot plan and business license approval from City of "ee City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be requirec. Contact Land Development Section DPW Driveway permit (constructicn approval required prior to occupancy) Pre-InspV20. Pre -Inspection for required Building In rector to ' 'Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22 ertificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... d Recorded copy of Agricultural Acknowledgment Statement ......... �d 2 25. Letter of signature authorization .................................... 26. 27. Whe you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to per it suance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date Contractor, designer, owner, was advised :)f above required data by—phone _mall—counter by date Plans checked by /��� Dcte' Plans approved byDate (C) -a Sets of plans on hold in . File cabinet AP folder Copy—DPW ., TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Le e. o2y- Owner Ldclation AP# Pkan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for 3 bedroom mobile Other NOTE * * * _. Date Sanitarian TO: Building Department FROM: Encroachment Permit Section RE: 'Driveway Clearance fan cg's "/lam 3 / 3 Vr. owner locati n AP # Driveway permit �%�/`� DO has been issued for the above property. n b sign re date 0 Return to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acki'bi(Aedgement be recorded prior to issuance of..a building permit. 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 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: TAT 13, ACCORDING TO THAT CERTAIN MAP EN'T'ITLED, "MAP OF GRIDLEY COLONY", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTIE, STATE OF CALIFORNIA, ON jUNE 7, 1905, IN VOLUME 4 OF MAPS, PAGE 37. ,qp Date: State of County of STATE OF CALIFORNIA COUNTY 89-041772 R e c Fee 5.00 Cash 5.00 Recorded Official Records County of Butte Candace J. Grubbs PARTY SHOWN Recorder 1:55pm 24 -Oct -89 BG i PROPERTY OWNERS: k Ge T N C51S 1 On this_gned the _ day of 19 before SS _me;"•fFie undersitary Public, personally appeared ss. a Notary Public in and for said State, personally appeared: C-72 PTO'J:=p �-JZI S personally known to me to be the person whose name is subscribed to the within instrument. as a witness thereto, wh being me duly sworn, deposed and said: That he resides in�rnLL�— that he was present and saw personally known to him to be the same person_— described in and who executed the said within instrument, as part —thereto, sign, seal and deliver the same rA*Igrifrnongv P 9 rrrrrr.rarrrr■ that the said CIS• ���E1C- r r --r- CYNTHIA A. COLLIER an m NOTARY PUBLIC -CALIFORNIA Butte County I'll duly acknowledged in the presence of said affiant, that MyConuntsslonEWrespc,30 �� executed the same, and uthat js L1. the name ae said �'a witnereup''l. rrmarrrrr,rr,rrmongoose • :we L2-- q ■ WITNESS my han nd officia Signature e (Typed or Printed) ,This area for official notarial sear 7 to me bn the basis Sifactory evidence. subscribed to iat in contained. id and official seal. 'y Public wllyl/�'4 NOtE:—Aa Materinls & Wor,':rr+can5!,,ip Shall Be k. Accovdciur:,-: wi:!i (: C 1 I r:i..iic es and o! a ik, ~'f::, I i:.a in the yu,: pre�.l lodes and t'i►& �t jjwcA EleGttical COde. and Sri-,Y,1ryht�3i�6 l`�I�%�� tDb F eept v,1111 10 on th') jrV rtt rAl times rz:�:) it is unl .lvi h��ogtri �s r;. ,._I!,;r ••'1+;::... '•m 5Gir1e . �Orv�'' make ani chc: r L�ilni.�A. Nrittcn p�r� i �'t�'� U�F� • f 1 A setback of 5 :ft. from the ''ierty lines end a setback ¢00 SO. FT• MINIMUM ; ' ! bf Oft.: from the road I ; FOR.- OBILES cgnterli'ne shall be clear of O structures on equipment a; ;V ge Z h. ee-V overhang.d (° cru i" 1740 raft r►f1r .K. � Oroville, CA 95965 f. � �—�is �;c� �ItDI�VG DEP �7 Y PPtoS , AL 0 NO'FEs- A% ► atgnaris , & rae iae� q�d 1wc�h: R:n�zo..: G®� . Esse in. fihe, Roeordan c© I f0� t� Sac fav Soda presc;�, s:iu+(d: ' 13uis`iRg� I'►amir�g &! Niecha� Z7,0 fv'Odd Rpaf�, is r .1jawilu,+Ci •. i s�:;^t�e NitilOWt • � ce t ori '�+�., , .• , ' „�;R.:,�i�,•r ,��� .�rittct? perm' -tj'e •c'- ;• Gam! r7- y gorri the►' rope and lints and a setbecle ' �DO FOR M(�BILEa of SQft. fror'i t^A road centerline shall b6 clear of • � ��� � , •structures or. �quipr�ent excep�; . MOBILE.HOME.CENTER INC, SER !t�"�/ f s'—'�1r flog W2. ft: e0vwc;V6 i+ama. ,N , C-5 tF4 s 1 1740FulbriC►iii@ gr, "','Omvlll%CA95965 �, i � . ,(.',C'i 'f►� �E%� < `y �'� `��ii�l�•iel.l}a✓'i� �,ii.�::JSe.fE: ® V� -i{�i �7Zyarb 11.0 WX140 NS IDS, - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,-CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1., Owner's Name: 2. Installer's Name: ?s}��� � � L°biV -,!: 3. Is the site currently under permit? les No (If yes, furnish permit number 5� 3. �) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating': --------------- Amps 6. What is the mobilehome site service rating? ------------ p�4 C> Amps 7. What is the.mobilehome site circuit breaker rating? ----- % fJ Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------- --------------y Yes No El (If yes, identify the load and sizer (Load) a� (Amps) 9. What is the mobilehome site gas pipe size? -------------=- /OYin. type g ------------- 10. What is the t e of as service? ------ NaturaLa�e- LPG 11. What is the gas -pipe -length from meter or tank to the.701 mobilehome?------------------------------- (ft.) * 12. What is the mobilehome gas demand? --------------- -- (BTU) *(This information not required ifi e lent les F P g natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, f�l� Mobilehome Mfr./.t/�-furnish Setup Model No. ��� Yeah "v/ Width _(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. 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). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 0 2. Other (specify) SUPPORTS (check one) 1. Concrete block -..a"2.; Other (specify) ••� NPier Footing Sizes• and Locations 4 SINGLE -WIDE Line 1 Piers: Size -Min. -- '------- ,k Spacing-Max--L�l---- ,- From Ends -Max. ------- Line 1 Openings: Size -Min. ------------------ �k n Each Side of Openings With Width Over --------- Line 2 Piers: 22 Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ / „x`7Size-Min------------------- Spacing-Max - ------------------Spacing-Max.--------- 15-1 - „ Spacing -Max._ -------------- - „ From Ends -Max.------- From Ends -Max -------------- Line 3 Roof leads: / Size -Min:,- -----j ja „x3v " �'b3o " `x3V" ,3W'k Sap x3o„ x „x „ „x Location (From Front)P60, Q -1A ,_ R -1/9 '-' ,_ O ., (J '- 8 ,_ .. Line 4 Piero: dine 5 Piero: (unser nearing waias unayj Size -Min. -- ,k Size -Min.------------------ „x „ - Spacing -Max.--------- ,_" Spacing -Max.--------------- From Ends -Max.------- �_ „ From Ends-Max; 5 Hoof Loads: Size -Min. ------------ x 'k 'k " "x " 'k "x " "x " "x " Location (From Front) m OD 1 m � jYbt •%' S�� taxa ' rj' ^' �.s.r : t.lurv' 2 • —1 NJLTI•VIDE ICSILE iDFES REOVIat AOOETIOM StDPog, AT StA311Rj � /-71071 AtONC TW CERT(RLI+t. frit SUPPOM PX33) KMT NATI A ' 1 l Q , CatACITT hull rttl. supnjtT THE RIME IW( Lem. , 1 A -µLf DIE CKW MCATES TIS "M IM Loan Lw ?a m$. i Tx LD - "TIONS /'OR TOOT M I AIPPORTS AT VWM P91013 ALM } — tlNf. T'IE SILT 13E CORtl. OP F'oOTIRCS Ant Sm" IV SO.tnin tA oFs FUM SatL taMolrtas. `to1_slf A SiPPORT DILR SHOoL4 K S[LECTEI r'oR EAU EOCATIOR IIrIIIGtM fM TVUK 1901. TK CAPA"Tr or r4 SuppoqrOlt RIMLL TO CRIATE,LrA" TRE PKM "WIRfO lit T3Ett4J31( Pum = tallv+r C" THE uuRT AS L - 1 rot +mctTloNAt rWTlNc tEaulRimtTs Rls[X To r+t 1vE RSTA,turloe , • 1 /I(�S i FJOr1Ki REQC'S�riMCKrS I A t E D t I C I K t. 1: t. Pat„03' rCXOlr Soo 10,794 .330c :r-2 43 541�5 :, tsco Z g 394- 7-t d b7 z 3! 7 rrl: I:.A Z v 2-q ., SA� 5o4_ O( 19 rat. zsoo I.7 237 3 403 / q 4UWqCIO ® 'ART ' I �.�'ING CD ` °raF,LLJkv aKA FW ARD atom (z) Hors ST OCT 13 X987 a= ..... � ••� �. • - SPAS CHART - � •`_`. - ,, ,, 1 ,4 • - .. ... � 7TH .:...- -- .: I vs 114 %O� r 0 cj -11:I -,;r 71 / W: lio 1740 reWOW 0mville, CA 95965 A NOTE: --AN 'Malerids h 0W0F1'1i1(1"`!"P 5liollBe is. I-1,1-.1iL05 Ond Acc-olJOW0 Wl--' ma' in the of a qij,;. I codes and Elechic(A C044L. C04 ST,.w4, .,.t",Ajo,as IDt OWN I is.tJ1111VI-1111 to rep '11 (TIA ti:�.;!:i on lk i(X rif t_jbj,jtjIjn-,A 64 POO' will., qrmjs4zn Walk p"10% �/l./ . , I POO SQ. FT. m1himum IFOR MOBILES I A setback of 5 It. Iror" the lillel p"d a selbaA 0ope y f,10111 shall Lip (-,()a, )I unet', 0)�QQF I structures of,/ eqtJ11 to i 211- 6 5 v A Awl A 00. STATE OF CALIFORNIA COUNTY On T ` 2t-{ l jbefore me, the u ndersigned, a Notary Public in and for said State, personally appeared AVe'q s�''y�� personally known to me to be the person whose name is subscribed to the within instrument, as a witness thereto, wh being by me duly sworn, deposed and said: That he resides in that he was present and saw t N personally known to him to be the same person_— described in and who executed the said within instrument, as part!!'cS thereto, sign, seal and deliver the same ®�e%•�if�0•r• — 'F2Prl�iCl,�� X1.12 ••••�••••® that the said— r CYNTHIA A. COLLIER �`� �.l .l ,r✓ iy ��+� NOTARY PUBLIC -CALIFORNIA go• YCommisslpn a �� A4 ^n' duly acknowledged in the presence of said affiant, that �feSO0L30,1992 • that he, executed the same, uest,subscriLddhhis naa ase said fflanwitnes�thereto�•••■••■••■■OM•7AG 12WITNESS my han nd oZia SignatureW ----�`1 _l. l �� e (Typed or Printed) This area for official notarial sear Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT .9 .. j 17 7 2 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 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 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_C.alifornia, described as follows LOT 13, ACCORDING TO -THAT CERTAIN MAP ENTITLED, "MAP OF GRIDLEY COLONY", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNT'Y OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1905, IN VOLUME 4 OF MAPS, PAGE 37. 89-041772 Rec Fee 5.00: t Cash 5.00 � r Ll/ Recorded Official Records . v ` ! County of Butte Candace J. GrubbsPARXy SKOW i Recorder f 1:55pm 24 -Oct -89 BG 1 1 Date: PROPERTY OWNERS: i' W fiNGgS -T N ec,5 \k� 1 State of ) On this the _ day of 19 before )• SS.me t a undersigned tary Public, personally appeared County of Qon&yy know o me. _ Proved to me n the basis of satisfactory evidence. to be the pers (s) whose names) subscribed to the within i trument and acknowledged that executed the same for the purposes therein contained. IN WITNESS REOF, I her_eunto'set"ym__y_-h-a-Qd and official seal. Present A.P. No. �lq tary Public END OF DOCUMENT s N � I Z-ee Lr 3� cr) CO LL :7j- ♦ , .r !'r" �1..'�•aL-.'..('�V`.�ttr-lr='�'�--!•s`.''�'r '.r!-�{'".r..Yw^•1.,..�y�: .a ft,""1^i,r.iy., ��v �..�•' 1j,;�.,.: .t.^^e+fL 11,4 ZJT COUNTY OF BUTTE - DEPART.NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. Californi 95965 - Telephone: 916/538-7541./ / �k `7 APPLICAT�(A D PERMIT ASSESSOR PARCEL NUMBER - .ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORES C.�P,NTRACT R'S NAM / ELE PH9NE l% J �i CONTRACTR�'S�°.AILING ADDRESS`'' � leJ¢/J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �n Permit fee $ PLUMBING PERMIT FilingFee, ,10.00 n - �, / ICY • '' Each Trap 2.00 ~ � Solar or heat pump water heater 20.00 LOT NO. I SUBDIVISION NAME PARC E' L MAP_ 5.00 Water piping ,! Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY t Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation, Other ❑ Describe work: 112Z4/ —_ 1A)S -r/4,// _ ; r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS & Vv Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW- I declare u9d penalty of perjury (check one): �./ N I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and nay- license is in full rce and ete.cl. 1"� 'S ,-'•- ; / 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) F1 I, as the owner, am exclusively contracting with licensed,, co ors. (Sec. 7044) _ '� ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST., OR ADDNS. ( ACC. BLDGS. DWELLING occuP.� ) /22sgft NEW CONSTR ULT'-OUTLT NON•RESID BRANCH CIRCEITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 2AL*30 eAL030 FIXED Ex. Occup. OUTLETS IPRESID )REAJ 2.00 Temporary service 10.00 Dp Mobile Home Facilities 15.00 /S,ntract- Misc. Wiring 15.00 9 Permit Fee $ 3 S 0�0 WORKMEN'S COMPENSATION INSURANCE ` I declare under penaltyof"perjury (check one): ' ❑ The pcmi<s for $100.00 (valuation) or less. 9� �h/ave placed on file with the County of Butte Building Department lda Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have 'read this appli;cation)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, indemnifyind'Wep harmless the County of ButtQ against all liabilities, j.ud`gmnts,-costs and expenses which may in any $y accrue against said -Count /in co sequence of th granting of this permit. /yyy __ X� , - Date g�att- of Applicant - Owner ❑ Contractor _- Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation,Fee Energy Inspection Fee $ occ CONST TYPE • ' TOTAL, $ 3 BD s' HAz CUA - PAR HD 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. OF PUBLIC WORKS SFE/,(�/ /� ¢ v �^-*�� na/te %�<J PERMIT EXPIRES Date %/>•" / Receipt No.Z,,�) WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DiPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA O.N WD PERMIT PERMIT N ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORES 3 2i C NTRACT 'S NAM T EPH E A�C \ CONTRACT 'S (LING ADDRESS—/,7 /7�4-0 / 6" • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 L� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRU RE SF ❑ Duplex❑ Mobilehome Other SPECT r' Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallatio ther ❑ Describe work: — 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 & t)> CONTRACTORS LICENSE LAW I decla u penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions ode and rgyJ.cense Is In full e an efjP�. 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) E:1 I, 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , /2O qIt NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ' Ex. Occup OUTLETS OR FIXTURES 20 ®800 SAL v. FIXED APPLNS. EX. OCCUp. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 15, � ' Misc. Wiring 15.00 Permit Fee $ 0,0 WORKME ' OMPENSATION INSURANCE I declare under penalt perjury (check one): The r1111is for $100.00 (valuation) or less. dave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 hereb authorize representatives of the Countyot Butte to enter upon the ab mentlo d property for inspection purposes. 1 also agree , i em if and ep harmless the County of Butt against all Ii ies, gm ts, osts, d expenses which may in any y a rue ag ' st sai ount / co s nce oft _ anting of this permit. Date/ Signature of Applies — Owner ❑ Contractor •Agent ❑ An OSHA permit is 'required for excavations o 5'0" deep and demolition or construct- ion of structures over 3 stories in height.2, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �• HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIREZR PUB yDate P MIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS /aA/v Receipt No. J'� psi WHITE-O.P.W.. FELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT