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025-020-020
--------------- AP 25-02-20 HOMER WILSON s1s Palermo Rd., 4 mi. E. of Hwy 70, Oroville Permit# 443-75E(service change), 25-02-20 Pa 02-2 Permit #6201-75P,E(util.,MH LEC_ GAS SUPPORT STRUCTURE REQ. COMPACTION' TEST REQ. 25-62-20 908 Palermo Rd, Oroville Permit'#A886-82B(new .4 freestanding car - 'port).. 25-02-20 Gontr.: MH Center P M - er +_t#,1746-87MHI Issued: - 25-02-20/' ContR: K Designers rmi 11 (vj in Lermit#251 nyl -'dl 1-89B(vinyl s1i nySFS-/ 0 04-0945 025-020-020 0 A W ILS 04-0945 WILSON, RANDAL P 908 PALERMO RD, OROVILLE 0t. 0 Cont: OWNER BUILDING AG BUILDING `� 1 `. l� . BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. _BPO4-0,q*s Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNERUAt4,J,J PHONE NO. OWNE P9SS�1 LOCATION OF BUILDING90 USE OF BUILDING SIZE OF STRUCTURE ' n -'X �' = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE Y OTHER (Specify) TYPE OF SIDINA ROOF COVERING FLOOR TY E l- t C' ESTIMATED COST Or CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permitsJnspections, and approvals to comply with the requirements in effect at that time and before occupawt& Date —6Signature of Owner / 48 Permit Fee - $6"0 �9, The above described AG Building is exempt from a building permit. Receipt No. 3"55 4- White — W, Y ow —Assessor, Pink — B. I. Manager Building Division By Date Goldenrod —Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. , 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT ASSESSOR PARCEL NUMB -� ZONING BUILDING PERMIT," ;. OWNER (/ 0 /+!Y'' S 1-11y�tr , ( SON TELEPHONE 1--7J _2_ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RES (�SIC,�iC12 HiQ V 9 CONTRACTOR'S NAME . L`�U C t ► -r r' s TELEPHONE CONTRACTOR'S MAILING A DRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Flung Fee $ 10.00 Permit Fee $ S Cj S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee I $ Energy Plan Checking Fee ` $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS t `I Y`' V� (� O/` C Permit fee $ PLUMBING PERMIT r Filing Fee 110.00 Each Trap 2.00 ^� C J r O U 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 STRUCTURE SF„Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 f Building sewer 5.00 j Mobile Home S I G I W 0.00 eal TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe work: �r i Ji cA Permit Fee $ ,r Contractor ELECTRICAL PERMIT 10.00 FilJ12q Main service 100 AMP OR00V OR LESS Main service EA. ADD'L 100 AMP 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. V1+ / License No. Classification "• � �1 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ACDNS. ACC. BLDGS. ) NEW CONSTR '*UTI -OUTLET NON-RESID .BRANCH CIRC ITS POWER APPARATUS h (SINGLE OUTLET CIR. / I EX. OCCUp�OUTLET3 OR FIXTURES 20@03 5AL03p FIXED APLN Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 j Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor j MECHANICAL PERMIT FiIirig 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 above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of,the granting of this permit. ��,, J X �_� l �.,��,�„` ,,�W. ��� I ,rl Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ •� '� An OSHA permit isrequired for excavations over 5'0” deep and demolition or construct- ion of structure over 3 sto ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP' P! CONST.TY SCHOOL FLOOD PARCEL PD ND ISSUE / V This per is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PERMIT -EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date Receipt No. ✓ _ WHITE-D.P.W., YELLOW -A eC7SOR, PINK -INSPECTOR,. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 'APPLICATIOWAND PERMIT iJ U ASSESSOR PARCEL NUMBE� ZONING-4�7 — 0 BUILDING PERMIT OWNER TELEPHONE ( » 6LZ SO. FT. OCC. BUILDING VALUATI wee►- SON OWNER'S MAILING D E VC _-610 909 GONTRACTO NAME TELEPHONE S CONTRACTOR'S MAILING DRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ r-•-- LENDER'S MAILING ADDRESS _ Flling Fee $ 10.00 Permit Fee $ s6 ARCHITECT OR ENGINEER LICENSE NO.- Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t\ 0 ___[SUBDIVISION Solar or heat pump water heater 20.00 LOT NO. NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �( USE OF STRUCTURE SFF Duplex❑ Mobilehome❑ Other Gas piping system 1 - 5 outlets Building sewer 5.00 5.00 ��-- SPECIFY Mobile Home TSG W O.00ea TYPE OF WORK New ❑ Addition [:JRemodel ❑ Utilities ❑ Installation[]Other K Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUPA ) , /20sQ t I declare under enact of : penalty perjury Y(check one): OR ADONS. ACC. BLOGS. NEW CONSTR I� IYVj'I I am licensed under provisions of Chapt. 9, Div. 3 of the Business NO N.R ESID BRANCH CIRCUITS) POWER APPARATUS e 2.50 e and Professi my license is in full force and effect. SINGLE OUTLET CIR. ) �arnd License No. 199 Classification C Ex. OCCUp(OUTLETS OR FIXTURES 20@S0 OALO 3 EJ 1, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.O sation, will do the work,and the structure is not intended or offered Temporary service 10.0 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.0 as owner, am exclusively contracting with licensed contract- ontract= ors. ors.(Sec. 7044) Misc. Wiring 9 15.0 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingF 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating MI 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. Cooling 9 ❑ I shall not employ any person in any manner so as to become subject Hood 3, to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPL SCHOOL FLOOD PARCEL PD ND ISSUE all liabili ' Judgipents. costs, and expenses which may in any way accrue I I I against ai Cc y in consequence oft a granting of this permit. I X Q{/ Date This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do •c Signature of Ap ant – OWner ❑ Contractor 1:1Agent ❑ work indicated above for which fees have been paid. An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structure over 3 s o 'es in eight. Receipt No. BY Date WHIT[-D.P.W.. YELLOW -A DL390R, PINK-IN9PLCTOR, GOLDENROD -APPLICANT PERMI XPIRES Date — 5 O I4'7�e`t, 1'' #1 IN THE WEST" 3170 Fite Circle, Suite 1 Sacramento, California 95827 (916) 361-8800 T0:�?�� �DAT f /� E: l U SUBJECT: BUILDING PERMITS /J JOB SITE ADDRESS: V!1v �cc ele PLEASE ACCEPT THIS.AS YOUR AUTHORIZATION TO ACCEPT THE APPLICATION AND ISSUE A .BUILDING PERMIT FOR .THE ABOVE DESCRIBED JOB SITE SUBMITTED BY A REPRESENTATIVE OF K -DESIGNERS. PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB SITES ONLY AND NO OTHER PERMITS ARE.AUTHORIZED HEREIN. (SIGNATURE) RESPECTFULLY, I AN COLE PRODUCTION MANAGER 2330.5!li nvp. So. 6325-J $in, I.ene 5941 N. Broadway 4355 Haroldaen Drive r.- "• �'Y r n'3! ! BiIlinps. Montane 59107 Artinnllo, 1rxB9 79109 Denver, Colorado 80218 Idaho Fe11a, Idaho 83401 t?v! 1 .. (n051 2n5.6n04 (Poll) 35P-PC61 (303) 296.6900 (208) 522-8811 - BUILDING :PERMITS Corr APPLICATOR NEEDS: 1) CHECK SIGNED 2) BUILDING PERMITS SHEET FOR APPLICATOR 3) I.C.B.O. #3985 4) C-61 LIC. #498806 5) POLICY CERTIFICATE #759611-86 6) AUTHORIZATION LE'T'TER HOMEOWNERS: NAME: ADDRESS: CITY, STATE, ZIP: l J &DU ( 16 L/,s qj�5~ NEAREST X STREET:------------- �,0`' PHONE #: VALUATIONS: 5 I q 5 . (bb SQUARES: PRE INSPECTION: FINAL INSPECTION: = OK 0 =' Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS -� Date' � MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . 3. Sewer; Location -Test -Fall -C/O -Concrete 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ PV ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card 81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s —7. oning Requirements -Setbacks -Easements Card -131 Date Card -131 Date Footings; Siz Spacing-Marri a Line Card -131 Date Card -131 Date Gas; MH Test- D and- ctor Electricity; MH Test-brosovers-akers-6pdrancesTest-o Date POOLS (Plans) OK except #'s Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval --B—Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B Date Card -61 Date Card -131 Date Card -131 Date �7 _ 7� ,' / 73 F + Card -81 Card -131 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card -131 Date Date Card -61 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable ''= Not R6ady Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Cig. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card Date Date PLUMBING (Permit) OK except #'s -Bt 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -81 Date 66. Stairs &Rails Card -61 Date Card -81 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instid.; Drive 0 Yes O No; Walks 0 Yes 0 No; Planters O Yes o No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections " 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMITNO. -� Address or location of mobi lehome �/ �-$Owner's name /�j�l•./i3� . G"� ��% % / - Owner's address �Insignia or hud number- + I- Manufacturer's name Serial number of V.I.N.7Year of manufacture "/2• (Official Approving Inst('3'llation) % (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPZANCE 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 WORKS F 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ���: A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. X, Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ; 7 County Center Drive - Oroville, C�tIifornia.959E5 - Telephone 916/534-4541 l APPLICATION AND PERMIT ASSESSOR PARC S O�CJEL NUMBE®�— o? ZONING BUILDING PERMIT OWNER ase TELEPHONE OWNER'S MAILING ADD SS SQ. FT, OCC. BUILDING VALUATION CON RACT 'S NA ,UC_ TF�j..E PH NE 33 CONTRALTO 'S MAILING DRESS % ,� ®� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee LENDER'S MAILING ADDRESS Permit Fee $ 10,00 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1% 7- F 1170 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeW Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation(k Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de ]are under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force andeffect. License No. 0110 1'70 Classification _ 6 ` T / ❑ 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 th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , New DCNNS. A ) !z¢sgft ULTBI ODUTGS LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL030 FIXED APLNS Ex. OCCup. OUTLETS P(RESID IREA.) 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. 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify ee armless the County of utte against all liabilitie a s, cos , and a enses which may in a way accrue against Co co a uence he ting of this pernlr .Q B %� Date ��'/ CJ ' Si ature of Applicant — Ow er ❑ Contractor Agent An OSHA permit is required for excavations over S' ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 41,4 Energy Inspection Fee $ DOy TOTAL PERMIT FEE $ OCCUP. CON ST.TYPC FLo D ARCEL PD s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOP OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ',Z� �yy �� A Receipt No. ���Z7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSETaR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 0 5,06LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE GAL-IFOR'NIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNERS �i�� d A. P. No. fS=OZ -Z 0 _ Proposed Building Use - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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 duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for!(A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerEl). —15. Improvements may be required. . ... . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) . Pre -Inspection for Required. Building Inspector 87. ecorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. I} When you issue the permit, process as follows: Mail to owner, Ma.i.l—to contractor. Telephone Ef 0 _S and hold for pickup ate, ;"D liver w/inspector. �. .M her Applicant ! 1- Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by—_,_ date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. TO. Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location. AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. 'f or: Water Supply Clearance for 6-R bedroo mobi home. other NOTE * * * Return., to DPW AGRICULTURAL STATF.MEN:T OF ACKNOWLEDGEMENTvrr NOT COMPARED Wi I H FUR RESIDENTIAL DEVELOPMENT :'�, )fr,�a�P ORIGINAL DOCUMENT Section 26-8.1 of the Butte County Code requires this ac knowledgementh�-A- 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 property may be subject to inconveniences or discomfort arising* from the use of agricultural chemicals, including, but not limited:to''.herbicidespe and fertilizers; and from the pursuit of agricultural operations ineluding',�,bui to cultivation, plowing, spraying, pruning, and harvesting which:occaeionalll g smoke, noise, and odor. Butte County has established agricultural,.zonev.4hich# priority use for productive agricultural purposes, and residents within,:saidlto adjacent property should be prepared to accept such inconvenience or.disconform necessary farm operations. Y fl�Ltij{y All that real property situate in the County of Butte, State of California', as follows: } } i"• t,4. �.�1f �y .f. CRUEgE..—�- C1.ERK Sr - 8'7. .19'7'7 0 Date: rJ� �19fYt�jdr� :F **SEE ATTACHED LEGAL DESCRIPTION*.* tl,a 4 • i 't J� J Y � PROPERTY OWNERS: .�,, —rte- � _ _ _ ... • << �{ ,+�: s; �i p i- — °.o+ - —�� State of ) On this the day of , ,19 "Y , 'bi SS. me, the undersigned Notary Public, personally aePeared .i County of STATE OF CALIFORNIA Iss. COUNTY Of _.- .%-_ __�_� - -- I On Gni y e� 6 J* 7// M -, / before me, the undersigned, a Notary Public in and for E said State, personalty appeared--- _ N �l'."7 - . - ��`� I,v--- __. _. .._ Personally U known to me (oF proued A@ me on asis of the o — -- ' a+ F= .1'hl ..ir r.0 ti�.c rw c• acre ss s•• nr,Lally k�wn to rnn►lo be the person whose name is subscribed to thewithin instrument, as a witness thereto,who being by me duty sworn, deposed and said: U E That he/she resides in _Ur2UJll U� l3vr71� E a _ that he/ohe was Present and saw—/)l%,,tt�i�1�--(�t1.rl-SClrIJ 4- I?�■■■■■■■■■■■■■■■■■■■■■�■■� N ■ UG! LL/� w is uemu DANIEL F. HUNT ■ personally NOTARY PUBLIC -CALIFORNIA ■ 3 known to him/her to he carne person(s) describe in and who „K Butt6 County ■ executed the within i tr ent, as a pa (ies) the t sig al■ My Corfimission Expires ()ct. t,1990 ■ and deliver the same nd hal said pa (i s) duly ck ow d ed■ ■ cO in the presence of 'd ffiant, that e/ he pa a ecu ed he®■■■■■■■■■■■■■■■■■■■■■o■■o same, and that said ffmn , thereupo a e pa y's es') q est, o subscribed his/her' m as a witn s t er o. 0 Cl) • WITNESS my d i i 1 seal. Signature _ _ _ _ (This area for official notarial seal) 1 -?1-2 ��'- oa - -26 ne on;ithe lbas,i t aory�gviden�;��g'!��c�`.�'''; .`'.... subscribiNItc" rtd officia1158//tl1'i t„ r' >:, it • r r 1 C! " 4 Wig ' sf(a�•r �) I ) yl: 1� —rte- � _ _ _ ... • << �{ ,+�: s; �i p i- — °.o+ - —�� State of ) On this the day of , ,19 "Y , 'bi SS. me, the undersigned Notary Public, personally aePeared .i County of STATE OF CALIFORNIA Iss. COUNTY Of _.- .%-_ __�_� - -- I On Gni y e� 6 J* 7// M -, / before me, the undersigned, a Notary Public in and for E said State, personalty appeared--- _ N �l'."7 - . - ��`� I,v--- __. _. .._ Personally U known to me (oF proued A@ me on asis of the o — -- ' a+ F= .1'hl ..ir r.0 ti�.c rw c• acre ss s•• nr,Lally k�wn to rnn►lo be the person whose name is subscribed to thewithin instrument, as a witness thereto,who being by me duty sworn, deposed and said: U E That he/she resides in _Ur2UJll U� l3vr71� E a _ that he/ohe was Present and saw—/)l%,,tt�i�1�--(�t1.rl-SClrIJ 4- I?�■■■■■■■■■■■■■■■■■■■■■�■■� N ■ UG! LL/� w is uemu DANIEL F. HUNT ■ personally NOTARY PUBLIC -CALIFORNIA ■ 3 known to him/her to he carne person(s) describe in and who „K Butt6 County ■ executed the within i tr ent, as a pa (ies) the t sig al■ My Corfimission Expires ()ct. t,1990 ■ and deliver the same nd hal said pa (i s) duly ck ow d ed■ ■ cO in the presence of 'd ffiant, that e/ he pa a ecu ed he®■■■■■■■■■■■■■■■■■■■■■o■■o same, and that said ffmn , thereupo a e pa y's es') q est, o subscribed his/her' m as a witn s t er o. 0 Cl) • WITNESS my d i i 1 seal. Signature _ _ _ _ (This area for official notarial seal) 1 -?1-2 ��'- oa - -26 ne on;ithe lbas,i t aory�gviden�;��g'!��c�`.�'''; .`'.... subscribiNItc" rtd officia1158//tl1'i t„ r' >:, it • r r 1 C! " 4 i 'h . i +1 ftn t y OI nW t t e Sta is a( C&Warula. deuxt d as (enme S 'ortion of Lot 11. according to that oertain sap eat itled Oak Grove SUbdivi sion Unit. No. 21% which map was - filed' for 'ecord in'the office 'of the Recorder of the County of Butte,`, Itate of California, February 21 1949 in Book'l7 of -Maps t r paPas 10 and 11,, more particu1arlf described as follc�ws;' �. �eeinning -at' the Northeast corner of said Lot 11; thence r ;; �c_ath 0" 271. West alone the East line of said Lot 11 a distance 'a f 698.8 feet to the Southeast corner of said Lot 11 • thence , outh 890 45' West along the South lira of said Lat i1 a istance of 146.3 ,feet to a point; thence Narrth 0' 271 East,'; 99.41 feet to a point on the North line of said Lot 11; J hence Last 146.3 feet to the point of beginning. ti- A setback of 5 ft. from`tti— \� property lines and a sett of 50ft. from the road centerline shall be clear of structures or equipment oXC('P1' for a 2 ft. eave overhang, Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half eff of the mobilehome. PVMMITS RE,mj&ftt:*- mp, Ra * I � �-�'�C'• � `fit 1---,�� y1 •a•ly. 4 �.. jeo � �iusn�g8x4� ,. f:: � �• 4 .,: To 1'1-ocA're )F mss ev This set of plans and specificafions*1USTie '�' ti Rept on the job at all times and it is•unlawful to Melke any changes or alterations on same without , mounty of "iffen rmission Cf Buttehe Department of Public MOBILE -HOME CENTER INC. 1740 Feather Rivet Bl. 5` Oroville, CA 95965'`r ! ; 3"4 K )TE:—All Materials &Workmanship Shc t%ctors License •�� 4 -ordance with Recognized Good Praetiee. amiP261905 } a quality prescribed for the Specified use in the WILDING pE'ARTMEI`�' form Building, Plumbing & Machanical Code and .. National Electrical Code. P A: -Eb'' 17�b_.�7s r" w, 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's Name: 3. Is the site currently under permit? Yes No F] (If yes, furnish permit number ) 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. tank and -leach fields and clear of all setbacks and easements? Yes �No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --- - -------- /`A S"- Amps 7. What is the mobilehome site circuit breaker rating? ---- �Q Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------- - No (If yes, identify the load and size: (Load) (Amps) 9. What is'the mobilehome site gas pipe size.? ------------- - �/ � (in.) 10. What is the type of gas service? --=---------------- Natural .1:1 LPG f/ 11. What is the gas pipe length from meter or tank to the mobilehome? --=-------------------------------=--------- 12. What is the mobilehome gas demand?---------------------- -/� (ft.) *(This information not required if pipe.length less than 6 ft. on natural gas or less than 50 ft. on LPG.) =ate (BTU) MOBILE10ME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width(ft.) Box Length��(ft.) Tagalong or Expando Size —_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) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete bloc er (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams u,e c Line 2 — — Line 2 Main Beams - — — — — — — — _ _ — _ — m Line 2 Line `l .-Line Tag or Triple Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min ------------- Spacing -Max---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 1 Ooeninlss• Size -Min. ------------------ „x n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max.--------------- r o From Ends -Max .------------- e 4 Piers: Size -Min ------------- Spacing -Max.--------- , n From Ends -Max .------- Line 5 Roof Loads: Size-Min.------------ ux n uxnx n ux ul „x Location (From Front) I _ „� ,_ '_ e 5 Piers: (Under Bearing Walls Only) Size -Min------------------- Spacing -Max ---------------- r_ u From Ends -Max .------------- OWTE CO SSG/- } -: uti1 ,MH PERMIT NO. 6201-75P,E i P v E M MH UTIL. PERMIT NO.. (p PERMIT EXPIRES OWNER Homer Wilson ( CONTR. owner LOCATION (A.P. 25-02-20 ) 1 4 SIS Palermo Rd., 4 mi. E. of Hwy 70 '. s-2 4� k. . Y f 1•• d; ;5 r� ,t Temp. Power P Called PG&E Temp. Elec. S 'Called PG emp. Gas Se Called PG JOB /�FINALED "(Date — (Signature) "' COUNTY OF BUTTE — DEPARTMENT. QF -.;,PUBLIC WORKS' BUILDING INSPECTION RECORD r BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Pipin Z-- '7 ' �--- Piers Roofing Sewer Garage• Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Footings Conformance of ex. • - structure Gas Piping & Test ./ % 5-- j Temp. Gas Slab Final Sanitation Patio FIREPLACE ••, Final �-- Footings ; Footing ELECTRICAL Masonry Walls Throat Rough /Z Z. 77 Reinf. Steel Final .Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp., Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final J S DATE w REMARKS OR CORRECTIONS' _ jai � � • — . .' j '.%-. ' ' •r r a's,Ti�.. � ..+j ' .y •. y-�. .. . �•`; t COUNTY OF BUTTE - DEPRRTMa!T OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICNTIONJAND PERMIT L . ..,.........�... a...... uw vwu,, y u� uuaac lv culcl UIJVII II IC above-mentioned property for inspection purposes. )( ��CVy 2l/pis pate% S� Signature of Permittee/or Agent Receipt No. ,!� 7k�H y� 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 p DIRECTOR OF U LIC WORKS BY Date Bu ding permit expires Date /z ��� BUILD NG Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address j `, / PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 7,0-0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1A, 6V Each gas water heater or vent 1.50 A. P. No..Z-5 — 0.-z_ Z i _ a "'09 Gas piping system 1 - 5 outlets 1.50 /.4-0-0 Each additional outlet 30 F W a t ion FireDepti Fire Zone Use Permit Building sewer 5.00 Id 6-0 EGA Parking Plans v r Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 d Plans Recd Parce Approval 0 Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES Q-___0THER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 d -C> 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Q--_ Others ❑ Main service OVER aooV 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST ( DWELING ACCLBLDGS.OCCUP. &) 2dsgft NEW CONSTP_ MULTI -OUTLET NON.RESIDBRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RES,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)@L�C BAL@1 Ex. Occu FIXED APP LN S. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 jr(rD . License No. Classification Misc. Wiring 6.25 Ft DJ -9m, exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ . ..,.........�... a...... uw vwu,, y u� uuaac lv culcl UIJVII II IC above-mentioned property for inspection purposes. )( ��CVy 2l/pis pate% S� Signature of Permittee/or Agent Receipt No. ,!� 7k�H y� 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 p DIRECTOR OF U LIC WORKS BY Date Bu ding permit expires Date /z ��� DECLARATION R.G/1?'iDiiG 1 Ul:i i. I cert;fy that as o,4ner o� thv-- property acquired icy deed in 6- 0.:)- - Vol , , e :Z_, page �iTl 1, 0, f ficial Records of Butte County, (r�P. O - © ), I am re uesting per►na ssa_on to build or install A an additional living unit on this p�;,oUperty, I Will not divide the aA'ora �...mentioned property for sale, lease, rent, or financing unless * all &Dplicable--land -division ents-are-conplied-_with. I am conversant with the present zoning. regulations affect;:ag the a1o_ementioned property, and declare that I shall not violate sa�;le. Z • ,represent that the proposed use of the additional living unit is and further I-shall -not'-change -this -proposed; use -of -the- additio„al living,unit unless and -until 'i receive wri sten- approval therelEor frown the County of Butte. - I fully understand that pursuant to Chapter 20. of the Butte County . ` Code and §11535 et seq of the Business and Professions Codethat if I, in she fu�.ure, sell, lease, or finance she area on or adjacent .moo said. improve-iI2I3C without fully co�•nplying with -the applicable laws- =;. ordinances, that I shall be guilty of a nisdelmeanor and therefore- subjei to the a f or said penalties and 'impr.isonnent pursus L_ to lawn Further, ' this statement- shall -be- properly:•-sc:•cnowl edged and---reco'rdsd- at- the r•eques ~• 152 .. L OFFICIAL RECORDS g CCR / 01 / •. *rlllorpm i-aWSE Kt_lli:taGER • . � . _ - COUNTY REryUDER �G - • /��/� 7 5 Dates h - CFFTM\x, S7AL - STATEOF CA'LIFO iIIA -) lam'D, NOTARY FFREFA B. UZZ-EL f -- - s s . v;�US: CGJi1_ i Q BVTTE ) i /' Ji f JUNTY My C0_MMiSSi0n'Lrh3 Jan. 29, 1978 OPti P On this 1st day o� December .. 197.5 , Before t, ?, C i:o�a-ry Fublic in and for. :.he ScatO 0- California, residing thereian, 4'0-:i55to.neCIL and s,/orn, perso-nally appeared Homer L. Wilson no;;n :o me to be rre pe-soa �,:los� na-.°��. sca0scri�d to the ;witnin insLrur e:a�_ and ac?:nozilea.,- a io e . �;:a —A L-1— e ccuted the a.r-iie'. - �Q CID- ... 14ITilc.SS 1,4H ..L7 i ho to her`ui to scc-c m 11,:!lu �1cZ-? ;liL_4 c,'1_ ._o! Ana in ti1C CU-ItY Oi Butte ;;7y and �'': .fir `L1 At �. CiCi1 �L i 1T- ii.. above i;r; ti Win? r" G% CP M OF DOCUMENT Votary TPublitt• Frei Uzzel U` 1�ni:c;�:r DECLARATIGN REGA?7 i sG 1 ur:� :, o;rner of the property acquired' by deed in Vol , a e - 77 o 7 page p _, , Official Records of Butte County, ;r pas- Ute- 0 - (D, U -y )., X am re uesting permission to build or install an additional li�ring unit on this p oper.ty. I wi 11 not divide the wore- , _ _UU entioned property for sale, lease, ren", or financing unless all - applicable- -1and-division-I@Ws-arid-.nap--requirements are -coi•npl? ed -with. . � r z:_ am conversant With the presenu zoning. rr regulations as ecng the afo_J�entioneci property, and declare that I shall not violate sa,�2. I •.berresent that the proposed use of the additional living unit is and -that fur-her, I-shall -no- •-change -this proposed" use -of -the- 7a.dditio..a1 living unit unless and �psitil 'i receive ,-ritten• approval the reI0 from the County of Butte. I fully understand thatpursuant :to Chapter 20 . of the Butte County - • ` Code and §13.535 et seq of the Business and Professions Code that if I., � ..•�,, i - _� y a. u . ire she fu..�ure, sell, lease, or frinance ,Lhe area on or adj acen� �0 said. i.xp�ove�ent without fully complying with -the applicable laws and or�?i nancQs, that I shall be •nie`r "guilty of a isdeanor and therefore:. subs e( to the* aforesaid aeralties and'_impri.sonnzzt .pursuant to lawn Further, _ B statement.= shall -be-properly--ac now edged and --,Ceco:rd-d•at. the .request. N .COMPAREDMITI-1 522 _ Oltk61MA.L -1 6q(iMENT.' _ `�i �- Z47- S' �iGLL 122121,. OR p� 111 T C C U'41�t"y;.t.'A Ad rest �7 PSI 19�� - 1 :. �•�7�Z� LO ule �t�U�:,a�R ... ' FEE Dat - FREIDA B. UZZEL ' ID ca%o NOTARY PUBLIC-001 IFIA' I -- STA 0:. CALIFORNIA i •vJ^ Ol ) s s . UFpPBUTTE COUNTY.LCPi� MyCommissionExpireshn,2 29, 1978 On this 1st day of December . 1975 before r, .2 __ `i .. a i:otary Public til a;�d for. the -CcunL .or . Sic- tC o= C-11; ornia, r`siding LherelPsJ CJ:T-? Ssio.nec! and s.lo: rte p2rS0^ally appeared Homer L. Wilson no:• n to nie to .be tr_e pe-son 1;;jos; n a_lz - --- suo5c iS—,c d to instromant and 3q!,uno:Ile6.;ea to me that- -:7-a- - CxeCuLed the same41. . ESS T'1� 1:...:.1:..7;: 1 ilo `: C �1er'��.li:-:i..17 � t^• L � . j' :-Ir rlu X1 ::'1 c].L J. seas in t)IC cot:-Itl of Butte t+ ^-6-ay an'd y `a._ �~: phis ,=c IficnLL r1L s ai70Ve ?ir: -. tl. Zf NOTARY PUBLIC' NOTE:-- Accordc ofaqu Uniform the Nat This set kept on * make any written pe Works, C G Materials & V`1.�-� ►�+anship Sha�Be�n . 13 r-'�od Practices and with Recc�an prescribed for '��-^ �^ecified use in the Plumbing & Machanical Codes and ling, Electrical Code. F plansa *e,_,, MUST be job at all times rvn4 't is unlawful to onges or alterc4ir,ns on 'crme without fission from the Department of Public t,tv of Butte. system and location ' abiut to be as per County Health Dept. Re- P'= x �4'0 a A permit will be required for, fRg installation .o_f the mobileh�or % �40 All utility connections shall 6e located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. The Setback shall be 5 ft. from the si a property line and 50 ft. from the c nterline of the road, permitting a ma imum of a 2 ft. eave overhang. BUTTE COUNTY BUILDING DEPARTME APPROVES I PERMIT NO. 1886=82B PERMIT EXPIRES OWNER Homer Wilson CONTR. Owner ASSESSOR PARCEL 25=02-20 LOCATION 908 Palermo Rd, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service 3 Called PG&E Temp. Gas.Service/ Called PG&E 3 JOB FINA/,(Date) Signature t i. t' Temp. Power Pole Called PG&E Temp. Elec. Service 3 Called PG&E Temp. Gas.Service/ Called PG&E 3 JOB FINA/,(Date) Signature V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEO"c Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS VERS, CA TS, ETC. (PI s) OK except N' 1. Zoning Requirements—Setbacks—Easements 1 on' equirements—Setbacks—Easements 2. Soils; Special MH'Support—Sketch ? ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) r�d Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. _Bracing 5. Electricity; location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6A61ports; Windows—Doors 7. Utility Clearance 7. Elec. C BIate and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Ca -BIfe _ Date . p and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N'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—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—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 Date Card -BI Date Card -Bl Date Card -BI Date Card B -I Date Card -B1 Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N'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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q'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-Mech. 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. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 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 Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive E) Yes [:)No; Walks []Yes ❑ No; Planters El Yes E) No 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval _ 31. _A.C. Ducts; Insulation & Support 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 Comments at Final: Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 38. 39. Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ -41.--Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) � r c i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P IT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 i APPLICATION ASVD PERMIT ASSESSOR PARCEL NUMBER — — NI G BUILDING PERM[ OWN E .S c Z) hTELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER'S MAIV7NG ADDRESS CONTRACTOR'S NAME VAITE'LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING AODIREIM r Total Valuation $ Filing Fee Permit Fee - Plan Checking Fee Penalty Permit fee $ 10,00 $ $ 0 $ $ X t BUILDIG A RESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other `e -t �- SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK Newg,Addition [:1 Remodel[] Utilities[] Installation Other Roo Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR LE 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ODWELING R ADDNS. (ACCLBLDGS.CCUP.y) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR BRANCH MULTIRC U -OUTLET 2.50 ea NEw CONSTR. ( POWER APPARATUS h J NON-RESID. SINGLE OUTLET CIR. s0 @ 250 Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50. Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 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 of Butte to enter upon the above-mentioned property for inspection purposes. I also agreeto save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /j Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 7CCUP. GROUP I TYPE of CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or s/ork indicated above for which DIRE OR OF PUBLIC BY MIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i ,�� _, � ,� �� �� -� 25-02-20 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 _ APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address r, Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee PI an Checki Fee &/or Penalty Telephone No. ng Permit Fee $ $ Building Address PLUMBING PERMIT No.1 @ FEE FILING FEE J$2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 A. P. No. Zoning &Planning Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 $ EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements Lawn sprinkler system 2.00 P Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more,than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20@25 Receps., switches & fix outlets CONTRACTORS LICENSE LAW Hood, Ex. Fan or F. A. Furn. Motor 1.00 I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar. disp. or D.W. 1.00 State of California Business & Professions Code under the name Air conditioner or heat pump style of: Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ � $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE $ and State Laws relating to building construction, and hereby OUII IUI ILC ICLII CJCIIICLLIVUJ uI me t aunty oI tsune to enter upon ine above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date ............................................ FA -. �. � . ��� f � �. .i....L✓v\ �'1+-wr�l-- 1. ^�,...�^'-- .. r'Y_. r �-.1'.`iI, r -`-•�'_ ,ice' ..-.- ...T`�.`\ �i . i w. � i .... - r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 , Li ` Telephone: 5344541 APPLICAtION AND PERMIT above-mentioned property for inspection purposes. v y ry y~V X 2l%Z412— Date Signature of Permitee or Agent Receipt No.,%&S%s A l7 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. DIREC F PUBL RKS By 0, a. Date Building permit expires Date ...........-.......0 . .....,.. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor A1,07,e Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address, �� f d PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50' axe- G 2= Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees ,W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQAParking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. 'Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE -$3.00 3 QQ / h Main service incl. 1 meter S,60 Additional meters, each 1.00 Single Family J Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (mor an 12) S R e, C -top or Oven 1.00 /� O Water eater or Space Heater 1.00 Q� Light fixtures 20 balaio Receps., switches & fix outlets LIM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ,oc::> I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Ae5szl$ 61 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ W 1 have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. ❑X 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.1 @ FEEPERMIT FILING FEE J$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 $ S above-mentioned property for inspection purposes. v y ry y~V X 2l%Z412— Date Signature of Permitee or Agent Receipt No.,%&S%s A l7 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. DIREC F PUBL RKS By 0, a. Date Building permit expires Date ...........-.......0 . .....,..