Loading...
HomeMy WebLinkAbout026-050-049' [7-654k�1-'R'otL-lk--U_a.ven Ct, Oroville� WILLIAMS � � � — . ^ 41. PErmit#1 B8M;Hl X, 9 sit'�) �Issued —1W �?175 � 26-05-49 �_0i5*1e Home Center � 6261050-049 1 - ,,WILLIAMS, RODERICK,6741 ROCK HAVEN �T', PALERMO, - VINYL SIDING (1700)| ' 0 / ' \ ' ' [7-654k�1-'R'otL-lk--U_a.ven Ct, Oroville� WILLIAMS � � � — . ^ 41. PErmit#1 B8M;Hl X, 9 sit'�) �Issued —1W �?175 � 26-05-49 �_0i5*1e Home Center � 6261050-049 1 - ,,WILLIAMS, RODERICK,6741 ROCK HAVEN �T', PALERMO, - VINYL SIDING (1700)| ' 0 / 0 13 9 -A - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041734 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/15/2004 APN: 026-050-049-000 the Business and Professions Code, and my license is in full force and effect. —7 Q L G D r ! License Class: License Number: O Site Address: 6741 ROCK HAVEN CT PAL Date: ' 1 ' v Y Contractor. ��' Map Index: Description: INSTALL VINYL SIDING (1,700 SF) OWNER -BUILDER DECLARA I N I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WILLIAMS RODERICK JR & CAROL S CP to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 6741 ROCK HAVEN CT 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WILLIAMS RODERICK JR & CAROL S CP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or'improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SELIG CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3851 MORROW LN Date: Owner: #7 95928 530-893-5898 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to -self -insure for License M 711042 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: g insurancecarand policy number are: /� f u p Cartier: !, G 6 0 2 0 0 S Policy #: t G� ' Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. 6- L — 0 L/ Date: V( I Applicant: 9 " WARNING: Failure t se ure works nsation coverage is unlawful, and shall subject an employe t c anal penalties and one hundred thousand dollars ($100,000), n addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe it her issue un r tt1 applicable provisions of the Bntte County CodR anrivr Thereby affirm that there is a construction -lending agency for the •- Res I io to6MVea h e been paid_ . performance of the work for which this permit is issued (Sec 3097 Civ.) Vhice Name: By: Date: Address: i PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authoriz ag nt f the owner. 1 ee Oly with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a off ial fo r doc t of Butte C n e authorize representatives of Butte County to enter the above mentioned property for inspection purposes. Print Name: VE Yl % a M N AlVV-- Signature: 7,4SHC— fl<] Date: —o '—/ J — 0 L/ 0 Owner Contractor ❑ Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVU LE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Namee'Ad,, (� dk., O 'GY pts, Address G^` r 11 City O w -v1' ll/= Clads State Zip — 6 Phone IS3 p5-53 -Z 7 Fax E-mail Date Approved: CONTRACTOR Name 6:o ji4lf_ L ( S l c� Address 3o D F_ P//f-Cls City State Zi Phone Fax E-mail Lic.# � Clads APPLICANT NAME ARCHITECT/ENGINEER Name Ci State city �d�. � -- 41c>� Address . Phone _ ! % b J�2 _,,,-,,Fa), City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name i / ° uv_ V � h�,1. Qi 011H C Address .3 0 A p r Ci State city �d�. � -- 41c>� Zi p �Ss 3 Phone _ ! % b J�2 _,,,-,,Fa), E-mail PERMIT NO a4,Ot BP BIN # LOCATION AP#� Property Addres! Cross Street WORKER'S COMPENSATION Policy Number / 6 6D 2 9 00 3 Carrier 1A f a rv o If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address ll Description or Scope of Work: lw�ST�-i� Sl'b I µ Sq. Footage SA_� ❑ Structure BuiLvdthcrut Permits ❑- Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be i renuired- For office sr,oI : Zoning I Flood Zo SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ece ed by: Amount: `� Bldg SRA Receipt #: Sheriff SMIP Date- Other v - � Total K:\FORMS\BUILDING FORMS\BIdoADDISubRamts.doc Paae 1 of 2 Pr -V d-qn-nd JR SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed,by the preparer. NO GRAPHPAPER! • ❑ ` 3.%, 3 Engineered plans'(if required) ;with :wet signature on plans AND, 2 sets of stamped -and signed ` calculations. ❑: - 4�. 2 Engineered truss details and layouts (if required) (NO ❑ 5. Lettet from Engineer, or -Architect for truss design review. ` _ ; 1:16. 2 Energy compliance design and supporting documentation: (Note: Not required for additio'ls to mobile or modular homes.) ❑ 7___ 2 Flood Elevation Certificate;,wet-stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in,triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed .by the engineer. Mobile, Manufactured, or Modular Homes: Cl 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! u; ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. \ 2 Tloor plans., , , i � I . ❑ 5. 2 Engineered Tie Downs or Foundation -plans. ❑ 6. Sanitation and site plaii.approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ' ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). \ ❑ 7. Statement of Intent for Non -heated and A/C (if required). ` ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 f PERMIT N0. 1306-88MHI existing) PERMIT EXPIRES OWNER CONTR. MH CPnter ASSESSOR PARCEL 26-09-49 LOCATION 6741: -Rock Haven Ct, Oro . } OFFICE COPY ! � d Address i GAS y ate Temp. Power I ELECTRIC Dat Meter By i 1 Called PG ---- Temp. ,Elec. Service Called PG&E Temp. Gas Service Called PG&E r - JOB FINALED (Date) Signature =OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -81 Date Card -B1 Date Card -81 Date Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or 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. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. 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 Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. 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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91, Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) •= OK- •- 0 = Not OK Not ' = Not Ready MOBILE MOBILE HOMES MISCELLANEOUS 4 Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plan 9)OK except #'s 1. Zoning Rgquirements-Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ /"L"ft./ P'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 -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOQKEHOME INSTALLATION (Plans) OK except #'s ing Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date tings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s in; MH Test -Fall -Flex Connector 1. Setbacks -Easements er; MH Test-Regulato Connector 2. Soils; Compaction -Structure Stability Water and Sewer C ected-C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. G_4eand Eleclasqy Tagged pits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 601"6. 5. Elec.; Pool Lighting; 15 volts-GFI Elec.; Enclosures; Conduit Entries -Terminals -Listed l 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ! 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghrtg.. Boxes- Enclosures-Panel board s-Ins..to Main in Conduit Card -B1 Date — ^- and -B1 Date Card-BDate Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date OWNER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE W 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 additiona,,explanation, please contact this office immediately. y MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ..,.� DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER,DRIVE a.v , OROVILLECALIFORNIA — 534-4541 R 7 1 PERMIT NO./ Address or locationof mobi lehome Owner's name //«/� /--r -.0-- 71 e7 Owner's address (f, 7 -/ der ✓4 ' Insignia or hud number �� -I{� —14� �` 71 y _ Manufacturer's name ?� Serial number of V.I.N. l� ��`` �`� Year of manufacture i (Official Approving Installation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE e MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 4 5138 White - Owner,.Yellow - I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO./ 7 County Center brive - Oroville; California 95965 Telephone: 916/538-7541 2D c� / ` APPLICATION AND PERMIT cJ O ASSESR PARCEL NUMBER 61 —. ZONI BUILDING PERMIT OWNE TEL:EPHONE7 SO, FT. OCC, BUILDING VA UA OW E 'S MAILING DDR S , p 41 ro V I CO R OR' NAM TELEPH N CONTRACTOR'S MAI NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ou Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome.4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ `�fni4t I laltiionpq Other ❑ Describe work: Vl C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I 1 ElI 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. .12(01/90S_ Classification — �j 7 F-1 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.m` OR ADONS. ACC. SLOGS. / , /20sgft NEW CONSTR U I.OUTLET NON-RESID BRA.. RAC CIRCUITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES eAL&30 APLNS EX. OCCUp. OUTLFIXEETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 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 PERMITFiI Ing Fee 10.00 Heating Coolin 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 relatin to building construction, and hereby authorize representatives of the Countot y Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again,sA said County in consequence of the granting of this permit. f -;I t/��� X Date Signature Applicant — Owner ❑ 6Jtractor ❑ Agent ❑ An OSHA permit is required for excavationsver ' deep d demolition or construct- ion of structures over 3 stories in height. (p Mobile Home Installation Fee ; 141) Inspection Fee $ TOTAL PERMIT FEE $ 00 OCCUP. CONST.TTPIL SCN OOL PLDOD ARCS PD ND Is3U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dater 6 -z7 -,p 9 Receipt No. ®.©0 �-�� WNITE-O.P.W., YELLOW-A3BC33OR, PINK-INSCTOR. GOLDENROD -APPLICANT A ..r�1�lE"+'7"4L�i7"�..`,.!'Y``►+'•:,�riyr",": , �, . ' i -..-�i',is.Y•,Z'1y+i�l''.;'.lp✓"i`FkJ .iRrC1i`�fwPT7iTVlisii�-.',�y�a9 f�iv'l~ � -t'`.r ' 1 y COUNTY OF BUTTE - DEPARTMEt4TvQF jPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET ? Permit No. OWNER tc ut/ /ha M A. P. o. Proposed Building Use /'lit �X Si C- g p � Building Ins ector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED t ,*1. All items have been submitted. ... _ Plot plans i u I�icate. iplicate, signed by preparer of plans,9- 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. School District "Fees Paid" Stamp on Floor Plan. t 7 Statement of Intent for No Heated and AC Buildings, , _<a. Fees of $ % • 0. . . . . . . .1n 9. Letter of signature authorizatipr�, /%,4 41 00 Sanitation approval from Health 'Dep't..' 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 owner ❑.) �~ _ 15. Improvements may be required. . . . . X16. Mobi lehome Installation t e_- • • . • , • , S' �l Pre-Inspec. request to AP Pre -Inspection for Required. ,., Building Inspec or (D'ate) 8. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of ; 21. Engineered trusses in duplicate (required prior to plan check). 22. issue the 72zlephone _T t, cess as follows: GMaiI to wner, �"���� and hold for pickup a�0bffice, MaiI to contractor. Deliver w/inspector. Other Applicant , e Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permi i ua Se, (Cir new item not checked above). 1. Index permit for above items No. 2. Additional items required: r 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—mall _counter by date :�3 Plans checked by / Date `�J�7 rcCrlans approved by ' Date d7 Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildina Department' FROM: -Environmental Health ' SUBJECT: Sanitation Clearance Owner, Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply i Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other �. -N PV NOTE Sanitarian _ -�' z 7 - Date • ICOUNTY OF BUTTE - DEPARNT �'= PUBLIC WORKS 7 County Center Drive - Oroville, California •965 - `lephone: 916/538-7541 APPLICATION AND P ?MIT PERMIT NO. ASSES R P RGE NUMB R 149 1 ZONI G �� BUILDING PERMIT OWN; TELEPHONE SO. OCC. BUILDING VALUATION OW E 'S MAILI G DDR S 1/ CO RA OR' NAM TELEPHONE CONTRACTOR'S MAI NG ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee !!; $ v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r ) Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE r SF El Duplex❑ MobilehomeZ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer mo oiieHome IS I G W I nn I O.00ea -TYPE OF'WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ st IlationA Other ❑ Describe work: ri I`f ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 _LICENSE LAW declare under penal c�he`ck One): F1 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. �(/ / 0s Classification �' �Y7 ❑ 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.ai OR ADDNS. C ACG. BLDGS. /20Sq it NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) SPOWER INGLE OUTLET zoeaor Ex• OCcup(OUTLETS OR FIXTURES 200030 Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 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: It after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County, in consequence of Ihe granting of this permit. - Signature Applicant — Owner ❑ factor ❑ Agent ❑ An OSHA permit is required for excavationsver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Inspection Fee $ ) ) \ TOTAL PERMIT FEE $ ) 1 occ.P, cox sT.rrPE SCHOOL .LOOS PARCEL Pa I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PPP411T Ct ninicC [foto the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. D. wMl�t•n.� I- .•••.••... •-----^- -•.... .. - KyV jI/ 0-0 k 1001) ?¢n'vtea max.• NOTE; --All Materials & Workmanship 5h�1 W 10 AW&danco wHh Recognize; GOOd grac es �0 prescci6ed for the Specified uss' � HicuicJ Coda, 1 •.,7)1' of plans and specifications MUST bt. ;c r on . !.,, \Ct all times and it is unlawful fO yalce any cliarrges er alterations on some without .vritfen permission► fr6qmthe Department of Public A/o, lcs: Courav of B te� ! �I 1 } l _ ( I J.Y`l.:2 500 SQ. FT. MINiAjArt _,- FOR MOBILES a Utility cpnnectiont shall be %hin 3 4 ft. of the mobil�Iome, eit�i 1 �C directly ehind or, within the rear I 1 half of the, mobilehor>\e. o :., �eruack of 5 ttl trbm the rf property lines a d d setback of 50ft. from thel ropd centerline shall �elear of a structures or equipent exce l 4 ;,,r� overhana.,f e r a� til �asvmer I � NOTE; --All Materials & Workmanship 5h�1 W 10 AW&danco wHh Recognize; GOOd grac es �0 prescci6ed for the Specified uss' � HicuicJ Coda, 1 •.,7)1' of plans and specifications MUST bt. ;c r on . !.,, \Ct all times and it is unlawful fO yalce any cliarrges er alterations on some without .vritfen permission► fr6qmthe Department of Public A/o, lcs: Courav of B te� ! �I 1 } l _ ( I J.Y`l.:2 500 SQ. FT. MINiAjArt _,- FOR MOBILES a Utility cpnnectiont shall be %hin 3 4 ft. of the mobil�Iome, eit�i 1 �C directly ehind or, within the rear I 1 half of the, mobilehor>\e. o :., �eruack of 5 ttl trbm the rf property lines a d d setback of 50ft. from thel ropd centerline shall �elear of a structures or equipent exce l 4 ;,,r� overhana.,f e r a� til �asvmer ik Apo - 'I C! ,� }BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA PHONE: 538-7541 ; +- ' MOBILEHOME INSTALLATION SHEET 1. Owner's Name: W %UACL" Sc 2. Installer's Name: V 1 n 6 , Le 3. Is the site currently under permit? Yes No (If yes, furnish permit r:umber ) OR Is the site an existing site? Yes No F (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 El (If no, clarify 5. What is the mobilehome electrical rating? --------------- 1(L� Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? Yes No (If yes, identify the load and size: U)•Q 1 (Load) (Amps) 9.. What is the mobilehomeo site gas pipe, size? -------- — --- 3/4 (in.) �� ,; `�' " Natural"' LPG .10. What is the type of gas service . ;------.,:--------- '� 11. What is,"the gas pipe length from meter or tank to the mobi-lehome?=-------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) MOBILEHOME SUPPORT DATA ..; .z yy�� If other than single wide, Mohilehome Mfr. K -E- ! 5 furnish Setup Model No. LI 3 Year 0 Width (ft.) Box Length(.oO (ft.) Tagalong or Expando Size fit. 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) Concrete block. a 2. Other.(specify) .Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE _Line 1 Main Beams Linc 2 — — — Main Beams — — — — — — — — — — — — — — — — — .r -Line Tag or Triple Line 1 Fiera: Size -Min. --------- Spacing -Max. --------- Frian Ends -Max. ------- ' Line 2 Piers: „X33" �,4'x3O"1 gbx'30 �4„X3p„ x „X Size -Mill .------------ x Spaciog-Max.--------- From Enda-Max. - --- Line 1 Openings: Size -Min. ------------------ "X Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ „ „ x Spacing -Max.--------------- „ f From Ends ------------ Ijne -3 Fiof loads:, Size -Min .------------yr Location (From Front) L.i.na. 4 Fters : Sizc-Min.------------ k Spa, jog -Max .-________ From Ends -Max.------- I.igS; 5 hoof Loads: s'ze-mlt --------------- F IA�catlnn From Front) x 3d„ -------------34--x 30"1 Size -Min .----------------- "x Spacing -Max.--------------- _ From Ends -Max.------------- - „X33" �,4'x3O"1 gbx'30 �4„X3p„ x „X Size -Min .----------------- "x Spacing -Max.--------------- _ From Ends -Max.------------- - tC10 IR POUNDS' It Inco :►PACT ISDO ;1. iN, mo LIFE 30 W. win X63 C -HALF ooct x'13. siic'28X�o Lo►o r.s.r. 1•HAL►Z6 RA NCHD'. DINTSYALONCTN(MILE C[ER1ERtINEES REQUIRE THEDDIPDXIL SUPPORTS (JAMS) SUPPORTS AT x MUST HAVEA CAPACITT IKAT vILL SUPPORT 1WE RIDGE IEAX LOADS - IN( CHART INDICATES TWE-jIDGt IrRA LOADS SR P"DS. I TWE to - CATIONS rot FOOTINGS i SUPPORTS AT TEARING POIxTS ALONG TWE CERTtR• WE. THE SIZE Or FOOTINGS ARE SNOVX IR SQ.INCHES lot TARI M Solt CONDITIONS. A SUPPORT PIER SHOULD H SELECTED FOR EACH LOCATIOR IROICAM FDA TOUR PODEL. THE CAPACITY Or THE SU►POtt Pit& SHALL it EQUAL TO OR GREATER THAN TWE POUNDS REQUIRED IR TWE RIDGE TEAK LOADS Cot" ON THE CHART ' FOR ADDITIONAL ►DOTING REOUIREHERTS REFER To TWE NC*Q IRSTAL ATSCK KANUAL. tilts S FoolING AEQUTAEHEXTS A I •C D t F �. G K E J L • Gera x.205 7013 4909 30-9 3851 � � 6 0 6 1010 '7 01 707 36 .55 Ds 404- 6 7 472 4-W- 371 303 ,5_0s 354 -3Sq 45o -276 a43 40 2-e3 a8 a13 ' HOUSING CONSTRUCTION U & SAFETY STANDARDS C:> aw OCT 13 M7 KAUFM kK AND BROAD ROME SYSTE?fS, PPC 29 SPAN CHART i ¢ p+ems R I H LIr 8 DA rL AVfZ 41 f W1 CpD(a•�'.5 173 .- ... -. ... _- .. n. v.,—: r.. ....-- ...•. .......w.....a..:r,.a.... ... .M :...-.. <..v..:�.....y._r.. •�..�..-..-.f.: v .:i ... -� w -... f :.r - f Y . •. .n. 1.. -, a ..: A':.a cc 4�- a— fol �," Return to DPW ACft_]:CIl1,rtiRm, STATEM1ISC OF ACKNOWT,M)CE:MEN'1 FOR R1 S7 D]`NTIAL DF'.Vl I.OPMI?NT-- ' -- Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is .adjacent to land or included within an.area zoned for agricultural. purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvest -infr, which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. I Allthatreal property situate in the County of Butte, State of California, described as follows: The land referred to herein is described as follower All that certain real property situate in the County of Butte, State ! of California, dcacribed as follows,, ;PARCEL At !Parcel 3, as shown on that certain Parcel Map being a portion of the 'Southwest quarter of the Northeast quarter of Section 5, Township 18 North, Range J East, M.D.B. 6 M., filed in the office of the recorder County of Butte, State of California, on November 12, of Parcel Maps, at page 76. 1980 in Book 79 I , Date: _June 24, 1988 State of California ) SS County of .Butte ) Sol eeeeeueaaeaeesueetoaeeaeonEf111teel19eeelleo Bleep ® OFFICIAL SEAL �Q 1ESSIE HART "PD ' "•� NOTARY PUCLI: — CALIFORNIA .`. a' COUNTY CF BUTTE Comm. Exp. Augur 26, 1991 �eoeateeeaeeeeeeomaoasieaeaaesaceaetaeatasnuewaes PROPERTY OWNI ItS -.- C� 72/x• On this the 24th June 88 _ day of _ __, 19 before me, tl,C undersigned Notrrl'y Public, personally appeared Roderick Williams and Carol S. Williams Personally known to me. X� / Proved to me on the basis of satisfactory evidence. to be the Person(s) whose name(s) are subscribed to the within instrument and acknowledged that t hey executed the same for the purposes therein contained. IN WITNI3SS WI l?REOI?, I hereunto Set Illy hand and official. seal. Notary Public Present'A.P, No. -U.fi 5-0,=49`0 N i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. �� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSndoORp0�8=E1 BER z GjyJJI BUILDING PERMIT 0 R 1 TELEPHONE S0. FT. OCC. BUILDING VALUATION OW IN MAI LIN, ADD ESS Al C T CTO SNA E nim r TEL PHONE �/�J CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee •$ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ E BUILDING ADDRESS eyl, /j a CK M Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME -PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Utilities I stallation❑Other pq I Describe work: r � r lL c is V 1 a©© An Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �� 91,, �s- Classification 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)�s ❑ 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.SI OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. U TI.OUTLET 2,50 ea NO N.RESID BRAC CIRC ITS / POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES e2ALO ALo 30 90 Ex. OCCUp. OUTLETS FIXEDP(RESID )LNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rvl 1 have placed on file with the County of Butte Building Department I� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the 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 consp uence of the granting of this permit. "1 // �(/y Date G�•3d -��y %� — �'^ �r Signature of Applicant — Owner LJ Contractor ❑ Agentwork 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP. CONST.TYP[ SCHOOL F0000 PARCEL I PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or I ed above f0 which Y DIRE PUB T EXPIRES Dat@ the applicable provi- resolutions to do fees have been paid. C ORKS Jj D ato UD Receipt No. ' WHIT[-D.P.W.. YELLOW -A38935061111. PINK -INSPECTOR. GOLDENROD -APPLICANT