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Home My WebLink About024-290-014o`f _ 24-29-14 Bill Pearsall SIS Hollis Ln.,app.1200'E.of Hwy 99, lot #14, Gridley Permit #417-77B P E"M(new single family)? 24-29-14 NEW -OWNER CHARLENE -S PRAQIIE 96 Hollis Lane, Gridley J,ori��:___ Burl_Woodward,_.Grid Iey------------- Permit _____-__-__Permit #846-83B,Ed gnc ,?p.? SF) 1 fU .7o`:d j .i 24-29-14 Bill Pearsall SIS Hollis Ln.,app.1200'E.of Hwy 99, lot #14, Gridley Permit #417-77B P E"M(new single family)? 24-29-14 NEW -OWNER CHARLENE -S PRAQIIE 96 Hollis Lane, Gridley J,ori��:___ Burl_Woodward,_.Grid Iey------------- Permit _____-__-__Permit #846-83B,Ed gnc ,?p.? SF) 1 fU .7o`:d 846-83B,E PERMIT NO. L� / 'aAERMIT EXPIRES / /( /�✓ OWNER CHARLENE SPRAGUE. CONTR. Burl Woodward, Gridley ASSESSOR PARCEL 24-29714 LOCATION 96 Hollis Lane, Gridley • ,A Temp. Power Pole r; Called PG&E y Temp. Elec. Service Called PG&E Temp. Gas Service a Called PG&E JOB FINALED (D rJ Signature J OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except tl's w, Date DECKS COVERS, CARPORTS, ETC. (P*Ks) OK except It's 1. Zoning Requirements—Setbacks—Easements0--toning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/O—Concrete _ otings; Size—Depth—Spacing—Connectors 3,,�,-Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) mood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing__ 5. Electricity; Local ion—Clearances—Grnd.—/ / Amp—Concrete !kAlum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6y—Carports; Windows—Doors 7. Utility Clearance C. Card -BI Date Card -BI Date Card -BI Date L Card -BI ate _ Card -BI Date Card -BI Date CVeBI &Spate Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except q'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 5. Drain; MH Test—Fall—Flex Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 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 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date i Card -BI Date Card -BI Date . 3`n y - = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (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., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kou ts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. 12. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrnit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. _Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (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 72. Insulation -Foam -Looked in Attic ❑Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ - 26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip_ 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -__ 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------- --- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I _ --- Date_ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date _ _-- MECHANICAL (Permit) OK except N's 31. A.C. Ducts: Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 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 Gard -BI Card -BI - - - - - - - - -- - -- Date ^-- -- Card -BI Date Date ard-BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. _Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) _40. _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header &_Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _- Garage Fire Protection Framing _ (NOTE: Anentrymust be made each time youvisit jobsite) t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION~ AND PERMIT PER T NO. ASSESSO PARCEL NUMBER _ N ZONING - BUILDING PERMIT OWNS `J TELE HONE S0. FT: OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - CO ACTO 'S N ME•_ Lr�P ONE Q�j7L -16 0 CO R CTOR'S MAILING A DRESS 7 r �df _ Fireplace CONSTRUCTION LEN ER UNKNOW LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. - Total Valuation $ Filing Fee Permit Fee. Plan Checking Fee Penalty $ 10.00 $ $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING ZESS O �I, PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar Water Heater - 20.00 I , Water piping 5.00 LOT NO.SUBDIVISION NAME - PARCEL AP Each qas water heater orvent5.00 Gas piping system 1 - 5 outlets 5.00 r USE OF STRUCTURE SF [P'* Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e // TYPE OF WORK Addition Remodel ❑ , Uti lit•s [:1In%� tal'lation ❑ Other 0 New ❑ — Describe work: m c Oise =L P01iCJ/i 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 NEW CONST. / OWELLING.00CUP.&\ OR ADDNS. C ACC, BLDGS. I t 2/20sgft • CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check•One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business2OM50C and 'Professions Code and m license is in full rce and effect.' y �G^ 9 �� License NClassification o. � ✓ r� � F1 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)Misc. ❑ 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID, BRANCH CIRCUITS) NEW CONSTR- f POWER APPARATUS &1 NON-RESID. `SINGLE OUTLET CIR, / TSOR FIXTURES aALO 90C EX. OCCUp�OUXED FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring . 15.00 Permit Fee $ Contractor , MECHANICAL PERMIT Filing Fee 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 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 Applicarit: 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 I certify that I have read this application and state that the above. information is correct. I agree to comply to all County Ordinances and State -Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon :the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County -of Butte against all liabilities,. judgments, costs, and expenses which may in any way accrue again sai COounty in conse unen�ce�of the granting of this permit. / DatP1//6 �4/tf ignature of Applicant — Owner - g ❑ _ ❑ Contractor Agent An OSHA permit is required for excavations over 5'O�eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r .cc caouP ' I TYP aF C ST. PARCE - PD •�/ Ho ss This permit is hereby issued under 3ions of the Butte County Code and/or -vork indicated above for which DIRECTOR OF UBLIC 3y, -Date PERMIT .EXPIRES Date-rT� the applicable provi- resolutions to do fees have been aid. P WORKS Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y PERMIT N0. 417-77B,P,E,M' PERMIT EXPIRES OWNER Bill Pearsall CONTR. owner LOCATION (A.P. 24-29-14 SYS Hollis Ln.,app.1200'E.of Hwy 99', Gridley lot #14, Sunset Village Temp. Power Pole Called PG&E Temp. Elec. Serv. 7, , %7 Called PG&E r Temp. Gas Serv. xg l �% Called PG&E ' JOB FINALED (Date) i (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD, DA TE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) - r Fiber Glass In � ' -'. s.�lat��n . BUILDERS INSULATIONSTATEMENT BLOWN'INSULATION. Manufacturer's minimum' thickness to provide the , level of insulation resistance (R) Values as shown: ' R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed iln conformance with the above recom-. mendations to provide a value of R using bags of insula- tion to`cover square feet of area.' + Insulation *Contractor (Sign) Builder (Sign) + 'Company Name Company Name BATTS AND BLANKET - Date R . INSULATION ': R • INSULATION VALUE THICKNESS VALUE THICKNESS R-22 61/z"•`' t R-13 35/e" ' R-1�9 6" R-11 3�/z" Meets Federal • - Specification 'HHI-521 E -Fiber glass batts ou'rolls have been, installed in accordance with the manufacture 's recommendation to provide an R -Value of / / . in the ceiling, �� in the exterior walls, -in the floor or crawl space Insulation Contractor (Sign) Builder (Sign) Company Name Company Name CSG -32-11-C Data CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860; VALLEY FORGE, PA. 19,482 CERTAINTEED COUNTY OF PUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 kTel ephone: 534-4541 APPLICATION AND PERMIT 417-77 A ' z, --- auulUIILV IcNlaaCrlLauVZb UI ule LUunry UI rsuue to enter upon the above-mentioned property for inspection purposes. i/i/ Signature of Per r6j.Kee or Agent Receipt No. -15-6 6 O o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O1�PiJBLIC WORKS By Date 7L-1-( -7 B(ding permit expires Date — —7� BUILDING Owner J? �J SQ. FT. OCC. BUILDING VALUATION Or q Mai I i ng Address4hvl��t4.P r �✓� Telephone No. ��- Fireplace Contractor Total ValuationV Mai I i ng Address Permit Fee C Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Be Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 go Each Trap 1. 6150 p r- .01 01 Repair drainage or vent piping 1.50 Water piping 1.50 SQ Yerification Only Each gas water heater or vent 1.50 p� A. P. No. — Z -- !� Z� n Gas piping system 1 - 5 outlets 1.50 p% Each additional outlet .30 Fe ant Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 r!t"�pFss Recd •Parcel Approval Plan pproval Permit Fee $ $ i 2X NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OO Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( AACCLBLNG DGS.0 P ) 2gsgft -,�. NEW CON ITR. MULTI -OUT NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR.POWER APPARATUS &) NON -R ESID. (SINGLE OUTLET CIR. 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: lam_ Q Ex. Occup(OUTLETS OR FIXTURES)BA@L 71 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 — Mobile Home Facilities 15.00 �� License No. %A9 ��—C Classification Misc. Wiring 6.25 00 D ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ g G WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3�0® Heating ® p 0 Cooling Ventilation % Z D O Hood / 2.00 1 2, p p Permit Fee pL 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 s2 ,Q� oZs1�f TOTAL PERMIT FEE $ S34 auulUIILV IcNlaaCrlLauVZb UI ule LUunry UI rsuue to enter upon the above-mentioned property for inspection purposes. i/i/ Signature of Per r6j.Kee or Agent Receipt No. -15-6 6 O o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O1�PiJBLIC WORKS By Date 7L-1-( -7 B(ding permit expires Date — —7� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 ;Telephone: 534-4541 APPLICATION AND PERMIT ,2 9f - P -1, I BUILDING Owner L! y.� d>.S i9�-�' SQ. FT. OCC. BUILDING VALUATION Mailing Address/30..- .2 6V ® &U dpZ,7-1-) 4U&* p�` ( Telep.haa92" Fireplace Contractor W K(/ >�� Total Valuation Mai I i ng Address Permit Fee PI an Checking Fee &/or Penal ty Telephone No. Permit Fee $ Building Addressa .. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /2. l L Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. V a ` t' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees` W1f_' sertrtatt6n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im r p ovements Lawn sprinkler system 2.00 ans ec'd Parcel Approval Plans Approval Permit Fee $ " $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 v/- Main service eoov OR LESS 5,00 100 AMP OR LESS q1 77Main service EA, ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER MOON 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLOGLING OCCUP. M) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea i NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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: — Ex. Occup(OUTLETS OR FIXTURES) 50 BA@21 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 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 of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling •- Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ••� '- J autnonze representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date / Signature of Permmiitee[or Agent Receipt No. 14 1 �/� 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. r E_ CT OR OF PUBLIC WORKS By/��-•/7 Date i2- permit expires Date (-/( 7 T? ? f nfs set of plats afl^on;.tf�a,'4ts MUST be �4 cepa on the job at all times and it is unlawful to make any changes or alterations_on same without written permisson from the Department of Public Works, County of Butte. 00 Iv Septic system and location of build- c ing drain stub -out to be as per Butte County Health Dept. Re- I� rementS. Q _sFPrI C TA//Ae MIFM See Master ..non file for building plans. „p &f The Idg. setback shall b 5 ff. from G F� I�1 tl^e s de prAnerfv line an ff. from p rmiffing imum of a 2 ft. ecive o erhang. f r 1 i B , E COUNTY¢ BUILD N DEPARTMEN? C APPRO - 5� L_ -x -E 11