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025-200-104
25-20-104 James L*Moore 538 Prather Rd., Gridley cot#r:YUba Sutter Const., Yuba City Permit X4494-81E(r wire carport/SF) i 025-20-0-104 93�-226B,P,�E9 BERG, PATTI 538 PRATHER AVE, GRIDLEY CONTR: BOB FIGHTER _ / 9- 9.3 ADD WALL IN LIVINGROOM TO CREATE NEW BDRM G EnEoppp"p- 09!5-�D—I Dye M RESIDENTIAL -- ---- - - 025-20-0 - -104 -- ---� BERG, PATTI 93-226B,P,E ' 538 PRATHER AVE, GRIDLEY CONTR: BOB FICHTER + ADD WALL IN LIVINGROOM TO CREATE NEW BM JOB FINALE Signature x { i• I JOB FINALE Signature J=OK O=Not OK Not f Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect __ r 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements + 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Conriector,. ;. + 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 't Date Card B-1 Date Card B-1 ":-f Date Card B-1 Date Card B-1 Ij r 1 1 Z MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11, Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Block outs -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---19. i an; Test. First Floor -Tub Access ------ --- ---- 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 DateCard B-1 ----------------------- ----------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------- ----------------- ------------- ----------- -------------- ----- L,--23. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled ------ -- --- --------------------------- --------------------------- %---25-Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ------ ---------------------------------------------------------------- 27 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size ! / ga. ------ ----- - Cu or -Al -------------- 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. - 2�ethes Closet Light -Shower -Light-Sp-a --Light - ---- -- - ----------------- ---------- - --- - - - - - $moke Detector ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------- ----------- - ------ ---- ----------------------------- 35. Vent Fan: Exhaust above ipsul'ion •---------------------------------- -- - -- -- ------------------- 36. Condensate Dr ' Overflow; Size &Grade ------------------------ -------- --------------------------------------------------------- .---- ---- 37. Furna - ent: Access -Comb. Air -Return Air Vent -115 outlet ............. - ----- -- -- -------------------------------------------------- - - 3` tic Access & Platform if Furnance in Attic ----------------------------------------------------------- -------------------- Date Card B-1 Date Card B-1 ------------------ ------------------------------------------------------------------- Dat -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils. Proper Material & Anchors ------------------------------------------------------------------ W all s ---------.Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -------------------------------- ------------------- ---------------------------- 42. Draft Stop in Walls (rat proof) - ---------------------------------------------------------------- 43._F Stops; Furred Ceilings -Stairs -Chases -Tub -- - - ---------------------- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------------- ------ - _ _ 50. Garage Fire Protection Framing -- --- 51. Pr perty Line Firewall & Openings _Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- ----- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------- - 58. Shear Walls; Nailing -Bolts nsulation-Walls-Ceilings ------------ - 60. Infiltration -Walls -Windows Date (J ` and B-1 ate Card B-1 -- =j--- ------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- --------- Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garaqe; Above Floor -Ducts -Meeh. Protection ------ --------- ° edroom Exiting 65. G. F.I.& Bath Fixtures & Tub Access -Spa - ---------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------- --------------- 67. Stairs &Rails 68. ce or Stove: Clearances -Hearth -------- -- - ------------------------ 9. 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. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage; Above Floor-Mech. Protection - --- ------------- ------------------------ 75. Plb__Elec_ - &Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- 7;. --------------7;. 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. Unit: Disconnect. EI Tical, Plumbing f� 3. Vents Above Roof; g. -Appliance- Fi rep lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - 86. Ventilation Throughout House 87. Glass Protection -------------------------------- -------- 88. Corrections from Previous Inspections - - - - - --- ---- --- ------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------- ------------ ---------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates - - ---------------------------- ---- ------ - -- --------- ---- ------ - --- Date �I ---Card -- Date Card B-1 ----- -- .-. -- ------------------ - Dat Card B_1 -- --Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER 025-200-104 ZONING A40 BUILDING PERMIT OWNER PATTI BERG TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2879 CLUBHOUSE RD COSTA MESA 92626 FST 4000 CONTRACTOR'S OHTER TEL§4�%`611 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 52.50 ,b' 26.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 538 PRATHER AVE GRIDLEY Permit tee $ 93.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ORD & BOYLES RCH PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF)dy�] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S I G JW 1 615.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other O Describe work: PARTION WALL TO CREATE BDRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR ORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions e�Code and my license is in full force and effect. u License No. /'7/7 G 7 Classification /1 F]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 Main service 200ATOI000A) 37.50 NEW CONST. / DWELLING OCCUP,tt\ OR ADDNS. \ ACC. BLDGS. // 3.6asq.ft. NEW CONST R. ULTI-OUTLET NON.R ESID BRANCH CIRC ITS 5•00 (POWER APPARATUS e1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 P 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 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. 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 15.00 Heating Cooling Hood 6.50 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 or Butte to enter upon the above-mentioned property for inspection purposes. 1 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 t Sal unty in conseq e f the g rT£ing of this ermit. X Date 'IsIgnature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit ;s required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ o cons (S TOTAL FEE $ 143.75 HAz DFEES I IMP — I FLOOD — I CDF PAtCEL Po I HDAI Issu This mit ' h by issue and the sio of the ut County od an • VVO indica d above for c e By PERMIT PIRES Date applicable provi /or resolutions to do s have been paid. WO KS �3 Receipt No. 130485-13XXX WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' `"^'j1 :l�F'4 ► jh, i� ih�` �yY' .97h.' y" G s !`"sr.: w ! yY' t, j (= yF, ^r'r f - �A ^"TM pK �• / 'uY COUNTYOF B TTE - DEPARTMENT OF Q�VELOPMENTSERVICES - BUIL W V DIVISION " 7 UNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATIO�N DATASHEET - OWNER At P. g��� Proposed Building Use L(, Building Inspector Date �- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $....................................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees . ....................... . 3�ood elevation letter (100 year floodl �y Mo Engineer . ................ . 4..Sanitation and plot plan approval 'rJl�l Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). .. " .. . . 20. Pre -inspection for P'4'"1P�°" �e for required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ....... ............. :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, proc ss as follows: Mail to owner. ail to contractor. Telephone and hold for pickup. at 0 LO office. Deliver with inspector. Other Parcel Creation / Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per e: (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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved byi Date2'L Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cal0ornia 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR OR�E �NI,JktBER ' SS o ZONING ZID BUILDING PERMIT OWNER1 �� TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS/CC'/J ,�� -7 9 9262�6 ' �O CONTRA OR• AME ,^ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEERCENSE NO. LI Filing Fee $ 15,00 Permit Fee $ 10 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING AOD.RESS 3 7n Permit fee $ r PLUMBING PERMIT Filing Fee 15.00 Each Trap J 1 5.001 S'00— 00Solar Solaror heat pump water heater 1 20.00 LOT O. SUBDIVISION NA PARCEL MAP o /� �! i2C Water piping .. 7.00 - Each pas water heater or vent 7.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets- 5.00 Building sewer - 15.00 Mob le Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Insta lati n ❑ Other Describe work: ( _(' 7 -���a 4/\, Permit Fee $ ao,o Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR Main service 200AORLESS 18.50 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 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO t000A1 37.50 NEW CONST.(DWELLING OCCUP.6\ 3.64 sq.ft. ACC. BLDGS. / NEW CONSTRULTI-OUTLET @ 5 00 NON.RESID BRANCH CIRCITSPOWER APPARATUS &) (SINGLE OUTLET CIR. ) 6d Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 7FIXED APLNS. Ex. OCCup. OUTLETS PIRESID IKEA.) i 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /�, C2 Permit Fee $ Q 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 F i I i NIFIrlie 15.00 Heating Cooling Hood6.50 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 an way accrue against said County in consequence of the granting of this permit X Date —2 7j Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit is req required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEEI 3 $ ,7 HAz 0FEES IMP FLOOD COF PARCEL PO 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. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. / 3 h WHITE•O.P.W., YELLOW-Asac3SOR, PINK -INSPECTOR, GOLD ENROO-APPLICANT \LY 1$,l Plan Attached _ 11(mr Plan Athtched lent to 13.1). —/-- TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance WL&ir c5 3�s 7 reil�e rr Owner Location Plan Approved for: Sewage Disposal ✓ Water Supply: Public _ Clearance for bedroom -nAC . , home. Other Hold final for: Final clearance O.K. for:, NOTE: , Environmen 8/92 ealth Specialist a5_ ��CT _/b � AP# Private Well .G Date 1 APPROVED Butte County Cb co off00 0 i. iF 31 o co Q7 APPROVED Butte County Env,ronm tal Health F gl� Dat e10 31 o co Q7 CID gl� at 31 o co Q7 O gl� at o co Q7 O gl� at This set of plans and Specificatio= UTST be Dept on the,job at a-11 times and it is unlswful tq. malto any ch,%.nges; or atterat{.ona on same vgu2wut written wmisalon i)om 4e DepsrUmoPt of Put"O Worka„ couuv of BOW. S/roc. llgt cc. P•G. d 7x9 Cli SOde bedT- op.�Z d,m �Me, sions 8.7.eq.:ri.zre 2 - ' �' L gI Itm, ° �'•tGade . i _ _ ��'hc- �/ver•_ $M All Watsrhdo V Wortmansbtp Mla.n Be I t Aodoidance velth FAmgnIzed Godd l.':'ac*j es and ofd► Qua tty Prescrit*d for the Epee!f'-d use In the Uniform Building, PIjmbing & Mechanierel C4dee md the Niel RjeaUUal Oodo. �j .. .,-n � •� �s � win, � �c� IV WD qt f3j L—S COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Orovilie, California 95965 - APPLICATION-AN9 PER PUBLIC WORKS PERMIT NO. Telephone 916/534-4541 MIT / ASS@SSOR PARCEL NUMBER O ZONING BUILDING PERMIT OWNEAT`LEL�P Hofy[E/� T, S0. F. OCC. BUILDING VALUATION OWNE 3.9LIGN/ E' �l�-.+ K. / ♦ (, �i�L. C-�� 4'.•7; —lj CTO CO1� �� 3"q S J � / �,C: ./�/Vli ! F-�i•�L?i {/'\j/ TEL PHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER, UNKNOWN Fireplace Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADD -R/ ESS Permit Fee $ ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �� THE*- PD- PLUMBING PERMIT Filing Fee 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 � SF E?,--, Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities F1Instal Io ❑ Other Describe work: era/1%•L ���C' �c STCi• Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OC^ '- OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): r_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 NEWCONSTR.'.OUTLE NON -RESID BRANCH CIRCT ITS 2,50 ea NEW CONSTR( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR. 50 @25¢ Ex. Occup. OUTLETS OR FIXTURES BALe10a R Ex. Occup.(our ETS (RESID.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring .5 t, #3) L 7.50 V PIC 6 - sA? • 7, Sv Permit Fee $ 60 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 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 pennit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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. X s%!:'yJ,., �r'4- C ='fl Date Signature of -Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 400 OCCUP. GROUP I TYPE OF CONST. [--]PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO 'SOF PUBLIC l By PERMIT'EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/z i ; /'" z— Receipt NO. r WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ���-- - APPLICATION AND PERMIT ( � ASSESSOR PARSREL NUMBE 2.�S- 2� ��� ZONING BUILDING PERMIT O WNEn A�sI! _o / SQ. FT. OCC. BUILDING VALUATION OWNE MAILING A .— COt� 1/' 5, S NAMESW� n � /AWMO� (/� TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING AD ESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGI ER'S MAILING ADDRESS Permit fee $ BUILDING D RESS tabPLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 LC Water piping LOT NO. SUBDIVISION NAME TRCELMAP Each qas water heater or vent 55.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 1nstalla 'o ❑ Other Describe work: l © 5T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.0 20sgft D CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)PPC-//Ts, ❑ I am exempt under Sec. , Business and Professions Code for this reason NNEW ON•RESID R. BRANCH CIRCUTLET Ts 2.50 ea NEw CONSTR, ( POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES 50 @ 250 ,5 IXED APP LNS, OR Ex. DCCUp.�OUTL ETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 5V 13 PA) L- 79:6- ±7.50 P, %r U Permit Fee $ 6 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 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 shal I bedeemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 2sequenthe granting of this permit. p X /� G- i Date,4 - 1 Signature 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 $ OCcu P. GROUP I TYPE of CONST. PARCEL PD HD I&9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BV PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date z oto -P ,/ 2- -/C- V -7_- Receipt NO. 5-8-Ofg WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLS CANT