HomeMy WebLinkAbout026-132-004D�
AP 26-132-4
J.D. SMITH - �!b r2✓ ti
STORM.; DAMAGE REPORT -2455-�-N. -Villa-,--Palermo
(HOUSING INSPECTION) 3/15/79
r
yjw 26-132-4
-- J,
1
T WALTER HOAGLUN ee
/L _
2455 N Villa, Palermo Permit #4449-79B,P,E(remoz�
a s per housing insp
)
Y. S� Y .\• P rye .� K
s y3ffi r�a' �r r f'
26-132-4 s� �`', f r
r ontr : Ken Rash, Palermsy`ti{�r� 1�
ermit#662 9- o
79B (replace wooden fl ith
` a ' ak .y r ( concrete slab & footings) ' F
r .,�„ �`yq` ;H:. r .:f6. Y1Ti��'rs'+.�C y,.„ ';r '•.,`'
4�0 VT
-� 26-132-4 0
�a, Y Permit��5145 OB 1st
,renewal/4449-79)_
-, (
, � 93-3085 B
026-1-3--2-004.. ' -
,
HEDDENS GILBERT"
2455, N VILLA,`' PALERMO
DAN ECOLBARGER3
-}-t COr�NiT(�: r
.?'rT 1i',.,�;,"t"s 'e .F • y STUCCO/Sl'
y.2. r y,T ,'i ` •` ,:.r ,y t f.»P`"ts. 'r-
r .. M
err. �s
T4 `
1 W
All C'
L
Ii *.:
y},
'y-'%{ c ,T',r• `$_ �x sh, ''�t r _4 Y�` 4 ` S .�!° r '�1 r a t'.: a.. n .
• , f,' 4 taw '� f,, `Y$.'..' 3�.� d i � y .:fir :iF' ?-.
M• i..'N'°_y J •.MG i'\� r J 1 e A :;-fir it .,i!, � 'L Y:. ..
,,�k. '� Y. , 1S ,; T r A .fCa� F '!' Y.G. �`f.+,'� �� _ •
f}t. rs)�� f ;'''.o Vx.:� ♦t _"s .fi5k� i.>I��: r' .;,xy rd
41
" j. # Arm ty � ,i ., n , dd.2� S i� r rr✓
` I; r
8
/ .,
°7 °
�
8
/ .,
v,
.. {
}
8
.. {
}
..
.. . '.�
. I
A "A" .."
,+
m
• -r 111
� I
_ .
, ,� ,�.,,�;
MI
hit Iq
BUTTE COUNTY -BUILDING OFFICIALS
JURISDICTION Block Parcel Noc
��C?Q Rapid Evaivation Safety Assessment Form
BUII�L1l�C� .D%`PnOn D OVE is: RATPi IG: �Clceck Ones
Name: (�.1 S . LNSPECIED (Green)
Ext
error only
Address Exterior and Interior
IZMITED E�I'TRY (Ye ow) Q
No.. of stories.. j.-. UNSAFE (Red) [�
Basement: Yes ❑ No Unknown ❑
12 INSPEC M
PrimaryOccupancy: Dwelling, Inspector ID
Other Residential Commerc1al 0 Office Q Affili.
Industrial 7 Public Assembly [].:School []', ]INSPECTION DA'IE:
-Government ❑ - Emer. Serv. [ I Historic 0. Mo/day/year
Other Tune27 ? am
Instructions:. Review structure for the conditions listed below. A "yes" answer to'1i 2, 3, or 5 i
grounds for posting entire stricture UNSAFE. If more review is needed, post LLMUE •N�-}Z`�.
A "yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the b.axard.
Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be potted and/or.
y
Sanitation
Plumbing working �S
Running water
Well Flooded
Obvious Sewage Problems
Chemical/Fuel rl
Wet, flooded, lost chemicals 0'
Type pesticide, fertilizer, other chemicals
Amount
Fuel tanks (above or below ground)
Obvious hazards
Aariculture Loss
Crop Damage
Livestock Lost
Building Damage
Roads (Public) r t-� kAJDU�
Road Name
Obvious Damage/Hazards
Location/Landmarks
Traversable (Sedan, 4 wheel)
Involved Utilities (downed wires)
Levees Public ( ) Private [ J
Waterway Name 611 -
Location of damage/problem
Obvious hazards
Nearest Landmarks
Overflow/freeboard
conies:
[ ] OES [ 1 Agriculture
[ ] Health [ 1 Fire
( J Building [ 1 Sheriff
3t .`�'�M '+iya�� k'�i`s.Kt�?-i, . ��"•`' - a.5 �.4. .l: _'t c> t ,.. .. � 1` r ,. _ . , ;.i,;, _ ..
'`� 026-13-2=004
HEDDENS, GILBERT' 93:3085:8 t
2455'N: VILLA, PALERMO
. s
CONTR ,` ,. SVIP
DAN ECOLBARGER. . k
STUCCO/SF.
,
I y f ty
r
! I
I � 1 fir• �j
�f1'"'� .. �gN}�rAr^1'.Y{" r ��' �,' "^F s.—„�,...r�qp,• �_ rT,�..,,ti
COUNTY,OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ,DIVISION
7. County Ceriter :Drive - Oroville,. California 95965 - Telephone (9116) 538-7541 PERMIT NO.
APPLICATON'SVD. PERMIT
ASSESSOR PARCEL NUMBER - -
026 -132 -004 -OPO
ZONING
ARM I
- BUILDING PERMIT
OWNER GILBERT �' N'EDDENS-'' °'^
TELE
53 N91178
SQ. FT. OCC. BUILDING VALUATION
•E+ i . , t� , P111 ; f
`J tali
OWNER'S MAILING ADDRESS 272. l.�ti i V17 gfifff 7.IL1IY7! DR! --',.
R!-' ,.P,''.@RO M IL L 9596
CONTRACTOR'S NAME DANT_.ECOLBARGER
TELEPII NE
11
CONTRACTOR'S MAILING ADDRESS
i .
Fireplace
CONSTRUCTION LENDER.
UNKNOWN,;.. _.
Total Valuation $
Flling Fee $. .. 20.00
LENDER'S MAJUNG ADDRESS - -
Permit Fee $ . 54,(}0
ARCHITECT OR ENGINEER
•
DCEN 'NO'
Plan Checking Fee $
Energy Plan Checking Fee $: .
ARCHITECT.OR ENGINEER'S MAILING -ADDRESS
Penalty . $
BUILDING ADDRESS -
2455 1 ., VILLA
PERMIT FEE '$ 74.0 ,
PALERM
PLUMBING PERMIT Filing Fee 20:00
Each Trap1 7.00
l
LOT NO. SUBDIVISION'S NAME PARCELMAP.
Solar or heat pump water heater J 23.00:.,
Water piping
Each gas water heater or vent 15.00
USE OF STRUCTURE
v
SF -CT Duplex:❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building.sewer 15.00
Mobile Home S G W 02000
TYPE OF WORK
New '❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe Work: STUCCO . SIDINC
PERMIT FEE g
Contractor
ELECTRICAL PERMIT Filing'Fee 20.00.
}
11 i V .A
Main Service ( 6MV OR LESS ) 23:00'
111111 LESS
Main Service ( 200A TO 1000A ) 46.00”
NEW. CONST. ( DWELLING OCCUP. ) 3.5C SO,
OR,ADDNS. -. .. SACC: BLDS. FL
_
' - !'•. . 'i
CONTRACTORS LICENSE LAW N;', `
declare under penalty of pe*rjury:(check.one)J, , {
❑ I am a licensed under provisionst of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. ` - Classification '
❑ 1, as the owner, 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)
D I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code.
forthis reason
• NEW -CONST" MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS
C POWER APPARATUS
( B SINGLE OUTLET CIR. )
Ex: Occup. +( OUTLETOR FIXTURES ) BAL @1.60
FIXLD APPLNS. OR
Ex. Occup' O UTLETS (RESID.) EA. 5.00'
( ),
Tempo rary,Service
"
Mobile Home,Facillties' . 20.00
Misc. Wiring '
+23.00
_ WORKER'S COMPENSATIOWINSURANCE,
d_eclare,under penalty of'perjury,(check' one, ): `'
❑ This permit is for $100:00(valuation) or less., ,
El have placed on file with_'the County of Butte Dept. of Development Services
Building Division a Certificate of Workmen's Compensation .Insurance or a
",Certificate of Consent to Self -insure.
`O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to -the
Worker's Compensation provisions of the Labof Code, you must forthwith comply with
such provisions or this permit will be revoked.
a.' t ,., PERMR FEE,, $
Contractor _
MECHANICAL PERMIT .' FilingFe
'' e 20.00'
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 Butte County Ordinances and California 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 consequence of the granting of this permit.
X (nom[ I`� 1 Vit• �d'r`'"'' Date �>� `
Signature of ApplichAt -)K] Ownei ❑ Contractor O Agent
'
An OSHA permit is required •for excavations, over .5"0" deep, and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy In Fee $
OCC'
CONST. TYPE
TOTAL FEE S; 74.00 .
HAZ. I
D. FEES
I IMP
I FLOOD
I CDFPARCEL
PD
HD
ISSUE
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 �CfC�d4 • -" {rf Date r
PERMIT EXPIRES ON - OW 9Y .
/ (Datal
Receipt 14k3696
WHITE-D.DS.-B.D. CANARY -ASSESSOR-., PINK;IN SPECTOR GOLD ENROD-APPLI CANT
.D:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVI - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - p ne (916) 538-7541 PERM
4 APPLICATIOWAND PE I 3
ASSESSOR PARC EL NUMBER 026-132-004-000
ZONINGARMH1
BUILDING PERMIT
OWNER
GILBERT J. REDDENS
TELEPHONE
533-9178
SO, FT,`. OCC. BUILDING VALUATION
2900.00
OWNER'S MAILING ADDRESS 272 CANYON HIGHLAND DR OROVILLE 95966
CONTRACTOR'S NAME
DAN ECOLBARGER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEER
ucDVSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2455 N. VILLA
PERMIT FEE $
74.00
PALERMO
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAMEPARCEL
MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF lY Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G0.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 1:1Utilities ElInstallation ❑ Other
Describe Work: STUCCO SIDING
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A ORLESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST., DWELLING OCCUP.
OR ADDNS. ( S ACC. BLDS. )
,
3.50 FST.
NEW CONST.. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do
Ae work, and the structure is not intended or offered for sale. (Sec 7044)
f I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
K23.00
Temporary Service
Mobile Home Facilities
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
certificate of Consent to Self -insure.
4`T I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling '
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 consequence of the granting of this permit.
X r , Date / `/.) —9 3
Signature of Applic t y51 Owner C1 Contractor ❑Agent
An OSHA permit Is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Dcc
CONST. TYPE
TOTAL FEE $ 74.00
HA?.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIREC��TOR�� OF PUBLIC WORKS
By Gin"'
PERMIT EXPIRES ON /
tel
provisions
to do work
paid.
/
Date
Receipt NO. 148696
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENT OF DEVEL�_PMENV ES -BUILDING DIVISION ;
7 COUNTY CENTER DRIVE - OROVIL&- z CA L`-IFORNIA959 - TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use -277JGG 0 S/D/A/" A Building Inspector
A. P. No. a 77-6-13 z
Date
At time of perhiit application, I was advised the following data mush be submitted prior to permit processing and/or issuance:
DATE RECENED 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 $ i . ............................................
............................
11. Impact fees as shown on attached schedule. ...........
12. California Department of Forestry plan approval/fees. .......... ........... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
i 14. Sanitation and plot plan approval 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`�I" .n r"°�
required. . to Building �nspedor (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 . ........ ............................... .
v 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, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation ,► �
Acreage Applicant f �cda!� --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 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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date . Plansapproved by Date .
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
P,FRMIT NO.
3 "
, PERMIT EXPIRES 72.3/80 '
€' OWNER; XK WALTER HOAGLUN
CON TR. Owner
r I LOCATION (A.P. 26-132-4 )
2455 N Villa, Palermo
�.w �o
Y
t
1 A !
- y
Temp. Power Pole
Called PG&E
}` Temp. Elea Serv. i
Called PG&E
? Temp. Gas Serv.."
Called PG&fEv
JOB
FINVDZ—
(D
t
( ature)
I ,
t
f r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
_ Soll Piping
Forms
Parapets
lst'Floor
Main Bldg.
Restroom Finish
2nd Floor '
Footings
Windows
3rd Floor
StemwaII
Siding
To o t"
Slab
Roof Sheathing
er Piping
Piers '
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents ?
Water Htr.
Stemwal l
Insulation
Heaters
Slab
Prov. for physically
Appliances
Carport
handicap ed
C
Conformance of ex.
Gas Piping & Test
Footings
structuren
Temp. Gas
Slab
Final
Sanitation
Patio
I EP E
Final
Footings
oti
ELECTRICAL
Reinf. Steel Fixtures
Bond Beam RE SPRINKLERS Motors.
Framing' Test Water Htr.
Stucco 'I
A ZV Final Subpanels
Mesh MECHANICAL Gird. Fault Prot.
Scratch' 91,11 Heatina Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Close Final Final
MOBILEHOME UTILITIES - . -' ------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
W2§ILEHOME INSTALLAIM - - - - - - - - - - - --Support Eli=c. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
�✓�'allZ[s'cluil ./�yllLCi� liti`IGGI�r�/
(NOTE: An entry ade on this he%yop�v-ias1t ffhee job s'i'te `, "�
��
;,..
�o
COUNTY OF, BU7,TE DEPARTIAENT-�OF PUBLIC -WORKS 'PERMIT_NO. ,
` 7 County Center Driye - Oroville, California 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
AS SSOR P RCEL MBER
zON1�}i-
'
BUILDING PERMIT `f�_ �• .,.
i O /��-�-� � -
WoEe
TELE PHONE
SO. FT. OCC.. BUILDING.VALUATION
i7! .SMNG :ADgRE55C147
CONTRACTOR'S NAME IIJ,
TELEPHONE _
-
-
CONTRACTOR'S MAILING ADDRESS -
CONSTRUCTION L� R
N
Fireplace
Total Valuation 1$
LENDER 'SMAI LI' G ADDRESS -
Permit Fee
$ S
ARCHITECT OR ENG NE R -
LICENSE NO.
Plan Checking Fee • -
$'- -•
Penalty
$ ,•:
AR CHITEC T.OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ��
BulLfj{tJG n' ,r ss ' / '
�L/r- .�J,
PLUMBING PERMIT ,1'.:
- Failing Fee .3.00 ,
Each Trap ." -
:.- 2.00' .
Repair drainage or vent piping
i' 2.00 `
" /'tom✓10.
Water -piping
LOT NO. SUBDIVISION NAME _
PARCEL'MAP
Each qas water Heater or vent
2.00
Gas piping system 1 -5 outlets
USE OF STRUCTURE
SF, LK Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer .
Lawn sprinkler sy""stem
2.00
..
TYPE OF WORK
New ❑ Additio ElRemodel4 Utilities ❑ Install *i�Other
Describe work: �S'.N—/•
Permit.Fee
$
Contractor
ELECTRICAL PERMIT
_ Filing Fee 3.00
Main service AMP OROR SLESS
15.00
15.00
Main service'EA. ADD•L 100 AMP
2.50
NEW CONST OCCUP, h\
OR ADDNS. ( ACCL BLDGLING
S.
I Z0 sq ft ._
�
CONTRACTORS LICENSE. LAW
• -
declate'under penalty of perjury (Check One):
'
s❑ 1 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, 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 CONSTNR' U TI -OUTLET .'
ON•RESID �• BRANCH CIRCITS
2.150 ea
NEW CONSTR ( POWER APPARATUS B
NON RES D. ,(SINGLE OUTLET CIR.
5o@2sc
Ex. Occup(O,UTLETS OR FIXTURES BAL@10Q
FIXED' APP LNS. OR
Ex. Occu , -
p•(OUTLETS (RESID.)-EA.� 2.00
:Temporary service 10.00
Mobile HomeFacilities . 15.00
Misc..Wiring ; 6.25
Permit Fee $ .
Contractor
` MECHA'NICAL PERMIT
'Filing Fee. 3:00
WORKMEN'S COMPENSATION INSURANCE.
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.
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 s�tatement,'should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked:
Heating
'Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I.certify that.1 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 ot-
Butte to enter upon the above-mentioned property for inspection purposes.
[.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 s id County in cons quence of the granting of this permit...
X Date%^�D "—�� °.
Signature of Applicant — O,,er Co ractor ❑ Agent ❑
'An OSHA permit is required for excavations over. 5'0" deep and demolition Or construct-
ion of structures over 3 stori s in height:. - '` .r
Mobile Home Installation Fee
$,
Land Development Fee $
TOTAL -PERMIT FEE., ,-11 $ . ��; Is
OCCUP. GROUP
TYPE OF;CONST:
PARCEL
PD
HD
SSUE
This p rmit is hereby iss6ed.,under the applicable provi-
sion o 'the ;Butte County Code and/or resolutions to .do
wo i ic.at ab a for which fees have. been paid;
D E OR OF PUBLIC WORKS",
p '
By } DatGee : [/F 0 �-If
PERMIT`EXPIRES .Date _-'
Receipt No. •
WHITE-D.P.W., YELLW-ASSESSOR, P,INK-I NSPECTOR,•,GOLDENROD,-APPLICANT •
O
.
j:..'
Slow,
1'� f -_"r.
�- : Ey -
f -
•. :+il .:`'.� ¢ er ..% f
T• 1
_ �?. j .�
M!.'
J
"�-_
'`.
' �,= f
is ,
(-
..
t 7
;' I, '{ z.✓^ ,
a• l .t
r 1 ,�
I ..1
r..
G -f-.t ,
if
'tii
(
'1. +��- w.�'•
:.
.-. 7 ::r .. _
rf..s.
_ .Q,.r! ,i.•
T Wit- r !_f,-` - }A - ..
r
,h t t .
+
- .,,'L•.t a , , �' t
-�Y,,
_i
}a!OVA
3 1r- 1,
.rIy
.h
AN,
t
t:
YA
.y�l} i .(.�
17 FA
r'f
1.
�.l f.� s '� 3 ',}� �'1»
f -
t>f�r-
tt �• .".
_.rt moi.
-kt
I xf ..
1.•.^
t.
.f`t. 7 .'� ..
;
-,�.
- � ..
`�r r Wit_
r :
c M .,! t
` 1,.
.?'��,:'�"
.'i �•J.
i
�S
.�
_
:
,'�++'
�.t
1
:F' 't
� _ .k„ 1 -�r' C
!' t t
� . 1 .( r e✓
t t,—'}.
,.
't .� 7� -�. ��.;,�, 5-'�' 1
S' -,`
e.. �-
"f.; TWO,
11. 1 r
'�'S.' 'a+' i� +a.,r,� '�
-.i
,'? J
-
•� ��-� t
'f5
1
�'. i'. "�• yy„4.s j¢ };'
11 I' '..15 ..��•• �_.,,
�14.,
-, w.+
6. ..^A ...1�
y
..K .ys i`
r
r: .-iii
�'' '�•'. `�
�,
. ,
7�;
t:`v -
! U„ .3 .
�... ��• L .,. .•9'•.. . ..-
rl Y.':3-
.Yr. ..
.. �.�.. -.f -.. ,:i
- r ..
Z!
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California.95965.-
Telephone: 534-4541
APPLICATION
AND PERMIT ;
�z
'BUILDING',
Owner �,�� �. ' ���
SO. FT. OCC. BUILDING VALUATIO
' Mailing Address D
?•
Telephohe;No:
-
,Contra'ctor
Mailing Address -
Fireplace
Total Valuation
Telephone'No.
'
Permit Fee
_
p
',
Plan Checking Fee&'/o.rPenalty
Building Address : i
Penni t -Fee
T713
.PLUMBING
No -1 @
FEE
.
PERMIT FILING FEE-
$3.00
Each' T raD.
-1.50
Repair drainage or'vent piping
1•.50
A. P. No'. '"' --� dil
Planning
Water piping `',
1.50
CR
oning &
Each' gas water heater or vent
.1.50
. F
V�'�
Fire Dept. 1
Fire Zone
Use Permit
Gas piping system 1'-5 outlets
1.50
EQA'
Parking
Plans
Parcel
DeclarationBuilding
Parcel M
60' R%W
Improvements
Each additional outlet
.30
"5.00
sewer
Parcel A royal
Plans Ap"royal
Lawn sprinkler system
p y
2:00
NEW-� ADDITION Q E UTILITIES OTHER
-
-
Permit Fee
$ -
ELECTRICAL
No. ' @
FEE
.
PERMIT FILING FEE
$3.00
06
OOV OR- LESS
Main'se ryiCe .700 AMP OR LESS r
5•��
,.- .
'
Single Family Duplex -0 Mobil Home, ❑ Others 0
Main service • EA. ADO'L 100 AMP
2.50
- --
OVER (500V-
Main service 100'AMP OR LESS
25.00
�-
C� h ty CS 44
Main service// E. ADD•L 100 AMP
1.00
r- '.•
ONEW R ACONST 1DWELLACC.LBING-OCCUP. fie) 20 sq ft
..
•
C NTRA&ORS LICENSE LAW
NEW CONSTR. (MOLT I.U T
NON:RESIDBRANCH CIRCUITS
2.50ea
-
am licensed under the provisions 'of 'Chapter 9,. Div. 3, Of the
NEW,CONSTR. // POWER, APPARATUS. C.
NON-RESID. % SINGLEOOUTLET 'CIR.
- -,
State of California Business &. Professions Code under the name'
Ex: OCcUD(OUTLETS OR FIXTIIRES
` BAL50 ei
style of:
Ex.'000Up.(OUT LE ((RESID )FIXED APPLNS.RE A)
2.00
Temporary service
10.00
Mobile Home 'Facilities
15:00
Misc. Wiring
6.25
,e2j
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 FLING FEE
$3.00.'
I am aware'of the provisionsot:Section 3700 of,the California Labor' '
Heating -
Code which.,requires,every empl'oyer.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.l,nsurance.
I. certify that in the,.performance- of the work. for which this
Ventilation.
permit -is issued. l -shall not employ. any person' in manner.
—
.any
so as to become' subject •to the Workmen's Compensation Laws of
Hood r
2.00
California.
Permit Fee .
$
$
I certify that I have read this application and' state that the ,above
Land Development Fee
$
information is'correct.'I agree.,'to.comply to all County Ordinances
TOTAL PER FEE
$ p lou
and State • Laws relating to:`bui Iding ,construction, and- hereby
-
authorize representatives of the: County of Butte to' enter upon the ..
This permi't,is hereby issued under
the applicable
provisions of. `
above-mentioned proper y°for ins ' n purposes.
the. Butte County a and/or resoluti
do -work indicated
,•.
above for whic a have been
paid.
..
-
I CTOR GF_"
WORKS
X Date'
Signature.of Permit o nt-
v.
By .
ate
Receipt No. 2. ,/ t�
a
White-D:P.W. — Yellow -Assessor— Pink -Inspector'- GoWe' nrod `Applicant
rmit 'ex s Date
. ] :
tm; ?. . t :-:. t .>.. �y;ty;
"
�:1;fI.+';➢�\ ;,t -%.'k 3hamY. r.r %2.
.
YYr ,yf �:
i
} r t 'r �Sc
-
I.sS- iut. ' �'r - r F°.
'J , t It _ y { -
F
,
Y ' I!. - -'•-'], / { ,
i
,' S i;4 i d
4..'
t T t
,.'] i
t
- - .,
31. 1 h: N.
"i {11 '� jj11�
f
1
..F .c if , _.r
;
t [, i` t r - 7i -
AC
9i,L
�, 1°.F 1 +v." „
✓ » � d 1 J }•rtd .b .' 7� "'.
f�Y�l' _ j, xF�� 1 i 1 , V .
'rfYt�1"
! `
t A''�3K-.. S.�+' )rr "c le +Ir 'F �, p :J. , -
? ', u"
;{ IJ r in�{ �. H' 4 .(a:-} .: i •k �4
S.,
�F
.y
c". ; ;;
' �r E -%, 1. :1
, t i .
r
-<.z.12,,
„� - .� ;
?11 � r > a ' 4�
t I!
.jai �
1 "4 S'}Tt 4\.
I
5 �,' k 3! "� ' 4� LS ,.�
6 1?,. {iF: ,;1i IV
*• .t, ^t. '.y(], [ Ksl . `Y, -t s�`� /' Y'.` � r+• f
t 6 ] h M �T 4 ,•
fwJhy. 1 y f.. ' Eyf 57 1 o� CCN F
,. �` !
_ , -
F
Jt .
4x'
6 9�I•�h 4. t', L -+. }
t�A ', .+t- a
' i
�
C,.i- a k -.
J�1. - , t {, . ,
S ,
. i
`',�
h ! } — t'n -
h, -s
, a a J. 7 v
",,. ,rI� �,- _ + F`,
9 4 1. "i ' 7.11
r z ;
t� SL-
I s t; 4 •
'-
{ •fit ,'f
L•
1 ^ 1, 1 f hr+ .
», +} $$
l„ _ S Y -
, Y x•J� 4
�.
i
a.,t
.
f i� r { 1
I .1
-. '
" - r L �'
R v
f I -. .y c r
#
'y �'
t
, 1 l Z 11
a it .. t r .'f ..,•
',-
; i S Y 1 ,'y ,
,I, ,,
2. i -1..i y t 1. .r '. y., . '.n, .�.� -
�. .`f 3
- t
't
:� S
{
' Y. } k i <
'�
+5•v p
-
T-._1J{,Y '." 1.
T
It f hY( ? sY�
Y w ..:r:l 74, r }. e Xt
b� l{ f.'iG� f > {JL Pf },.t
a ..,,r .g' >< .- i Ji � a '� y' �#�.S '' •. d •-•-, i >Y
.;W .
w r4
{{ lA , 't-' °y tii
i'...�F
t 1 F ♦ . , 1
Y
"ift'
F..
! ... 4
i `-
, f r+ r v.
r y:
`�[ . .
r t •�.m
Y ` ]' T
• i.,, y ' 1• L Y 1 . i
(iryi H,� .S? i 1�ii
y f o 3 J1 n -""ii 5='(�i..e�4 � ,-ki�{i -:A iw {t., .I
-
(:.♦ _
t, d ]
-
r -r{4 :�
•
L i r ., t� t,.�• �1 e ?.
s "Q �" < f ` T
,Y t M � t S� ,++n^�. S y - \ '� - y` J" '�
.t'.�
Ir t'. ..� E t G 1 J Lf i 1 f{y T t 5
( -' ! �' 't ,r% 7
? :L. H [',_
f
R.; L'* v k,< ; '-+1'
t �', 3'" a: y'33
I.4 r
y c {..'^�.
=
1 f J k S i i 6
f �4 �� F.-+ r5'r __ ..
+�i )} (. 111
r .,t„q,4 �r Jt -- � !
,
-'h ,2` .,,{ 3. � t 7r L3'„ 1. '+
N .3'.`
.�.
t1
-4 1
1
°€ ...a J -
I
`" c' -}« �' �;-
'',` � ,,
• 11
[
z -,f )
,:- R
.fir
kip e
. a .� : n x
H
`-'Sy s� ,. '� '. j J P"It r d ..
f y , Y` > M-...{ r 7 . �9J 'Ey"fli� -�-r+• z - :
, --Y- lj - 1 -'4 n r 1'
t ,
� vA _ I , S F �r
j �. -�
i
r r l`. y ^. 4--
. 11 Ih, +=a': '. ''. �y-:'..
-�� \34 .+w c. j ate t 4, moi
i [.
..
. r .�. u
_
�ih ' it - -r
FPv ' ' + '1 r .� r, .�t'es, t; �� �t ; a h , _
t �f �� t . i
{ tl. ] '� -
I +,A °t 1
�P"f . rte;
. .; + j { 1. !�, [� '1
�, ,z( q. 7, y
».> f ,A %s ,. f )q dit , Sfi I lain 1Y-;� 1 �'.'+ j -
4 t =,ti- ! .� �.- , . s, ,. �..'^M
i. +
Fi x \. , ,fit! r y �' `:'t i ds, _'
� i n � 5 J t y xl i
..'. ; i a _ _-w r
;3 i , � N
-. .-.. s . - .f
-G - .. _.
t
f .,� i �l < y,J y% ., 11 1 [ S,,C4. f
- i
� .
�+ }
s
, rw: { s t
r ;,,'A It 4M � �- 'l
3 114 ) �l. r3 i"l R3' 1 1 ,��i ` ±i'M1' C �} 7� { t Y b- , 't�
li w'Y'1). �v^` `
') �, t y Y' 1 n . r
•y�- :'
i�
> k �' f'" 'Y
�?'-
t�} .. t , yy e,, } d
r'{
{.h.; fhl
> f �,
` r;; y
r
efly, .k.. e. ¢ .0 . h it
`
I kH'1-':
, X -fi 4- '7 i 'i i !^--,-! UP! 4; ".'r •-�'•te } :��5g. .
' ` f _
vf' - +�Y
i.
'. 7, f,i , r, it`.' �_ y f , , f }�..1, I i t
4' t—
, t rr ' r i
j ~� } ,�1. r
ff1 1
t t uhf # 1'.f. �' J y iI. {4 '•� ":Y
S } t
J {t i _ 1
f1 P , �(' f{.l!, �k S}� I'll ,A 4 V
,J p .�y
-
` 1 » I- I ,., ,y� 1: ';f ro iy J L -'�, I Jill ,
{1.
' r J •. `� LY 1. '. Zh , � >, 1 f F
- 3 4 't`.y, . ' Vf. , S{ 1- - n ; N
l�t fr i».I:Cr ,S 1 .-, f '[' •. t
.t 9! a
�.t r✓, j' } J ] i
¢
K
1
`'Tr'1+'Y
nn , 9, ti .. 1 'A , f S i Y Int= 1 s `YJ
�
-.r C'I 11 -L, h l •ufj[- lr� :. wl y r, I'� In' 1.
-.a -=yd. F �-4', � ut F n. L �
t
"y. t>!7.'.�' 1il' i• } y)S, it ,, * 1 1`i{0' 4x S{ ]t iit .�'r r6..?.E t L1.
�
- w. '
. LAND OF N.ATU_RA.L. .WE,A.IT.H AICDfq
BEAU'.TY
DEPARTMENT OF PUBLIC HEALTH
:l
.DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 695 Oleander Avenue,'P.O. Box 1100 7 County Center Drive ❑ 747 Elliott Road
'Reply to Chico, California 95927.Oroville,-California 95965 - `Paradise, California 95969
Telephone: 916/343-4211, Ext. 62 Telephone: -916/534.4281. , Telephone: 916/ 8727296.1, Ext. 58
avril 18, 1979..
Mr.. and Mrs-. J. D. Smith
`:lost Office Office Bo« 41-i3.
!.Palermo., California '95958
:Re .2 11 Nbrt'_r_ V.i l.I_>a,� ?P,al 07.-
app
Dear _ Mr. ar..c? :Mrs..-Sm=t:h :
On nnri1 9, '19?9, a representative of thi- •department mad- e::a o,_r_t
inspection with you of the above premises.
At the `<tie of ahe inspection, the fo.l3_osri.n ,cord.,t; ons �rer�
e.�erved that a.re' viol atioris of Callf:ornia State . Ho�.xsi
1.' There were hazardous electrical conditions incl ud? n loose
o ^ missing
light.fixtures, uncovered electrical :swi-tche,s •.and'outlets
;arid inoperative portions of, ,the :.el,e,ctrical system.
2. :The hot grater heater eras i�properl4 , ntalled, Tt ' :ras T:o.t
r�-ovi ded ?•rith :an a-onroved vent or.. •a pressure and to __nerat?are relief
Avealve combination.
3..The�.b'athtub :overf-how,pipe was.'>m�sssn&.
4. There -.were ioles in the i-.Talls
5 .The ;front .:be;dro,o'n i �s :,note provided rith ,:an-adeaue: e emer2. e _•cy
Sei,!age "_JdySc'har ;ed: Onto "tti:e: sur `R:^ . ,:of
"the. .ur'oun d.. V
not ni 1 a C
1pl;7 Co,'C2'e :..
7: -.
8 Alt'Qov h :`there irla S..'no' eZTid-.T of -:? '�1r?? ,cC� �` ee d
thA,re waS overall s ri3.ct-LiraI. cl, te-r,i-Cr-a}J C s 7.,Te e no'
�:•eCTe:� ; 1�r �.l S :riArP..nOt '.p.l.umb; n.orticns _of. theroo a2^dan- -mss are :,,,f Pr-
o rtade,ouate .
-
•
e:rid "Mr r
J,., D.. Sm t, PagA intro
il
�To 'corlply .14-th California .State :Ho?��rn;. ZaW„: Prov rare d 'rec,ted <at:o
.abatb the above con.'dition's' in,.the f.ollo•viinq mariner:
1.: Provide a safe, properly fused acid grounded electrical sys.te*n.
:with,',sufficient amperage to ;safely meet the basic”, electrical needs o..f'
the I drelling: To e1ectri cal. `clean-up stork .as necessary, .includin the-
correctior of the above electrical conditi ors. Remove uruse( and/or
m rope installed electrical Jnr ng.
2. Provide .a properly instal7.ed and vented hot > water 'heater-.Ti°lth
ars approve'dpressure .and- temperat-L re relief valve, combination..
3 .:1r..ovidF' .an overflowpipe f. or the'. bathtub"
Renair .all :holes. in: the.waw. s. and: otherwise :'aake.the dwel•ling.,
weathertight . .
:5.
Pr Ovide an approved emer;enczT ,exit for -the .front :bedroom.
�7here Sr.�i rdo;as are provided, their sha1:7_ : havea net cl-ear openabT.e area
>o:f not e'ss' -than five square 'feet with no d:imensi`on less than 22.�-incheG
'sand a: _sill height of not more 'than 48 inches above :the Tll`o.o.r.
6 ,Fr. ide .le Al - arid. saiiitary ra.stewa_ ter. =a_n,d .TseGrage .d soos:al
Connect 'all ,plumbing fixtures to an annroved 'setaae dispoaal ,sy^teen. '
'Proberly';;:cover .ahe septic tan_.
d.
I strongly reco ?riend `that vou'talre effective' at:an .to i�rot.ect,:and. .
i?r!rrove the structural integrit- of the dwelling, Should .the direlling
Ja ..alloyred, to continue to deteriorat,', it will be, declared. ,;a .nuisance
as defined by California ",State 'Hov.sing :LaTrr.
.A _. i spection will be 7made xzithin thirty , (3��. days tsee'rtai n
comrliance frith this 'notice ,You are. directed'to "Tta:int�;in the d:rell ng
In 8. 7�:C?r) i C:OTic .1t.7.:O.T_ until .t' is made ' to C�J^t'?1.y wri.th :r n �rium' ;Hot:sZn�' V .
Law requiremefits,.
If :.l .can :be o'f a���7.stan.eP._.o._ �ns?:•e,r -ti plAa_:se .c'ertact.
m,e 'at the 4bove addre s and "tele ho,n'e - i-1,ber,.
Yours., -truly.
-Reid
Sa.nitariaT
t
cc .Jim �G7 an:der. , B7:dg, 'Dep
OF BUM
L)EpT. OF PUBLIC
AGR z 0 1979
AM
_ LAND OF NATURAL WEALTH AND - BEAUTY- .
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address 0 695 Oleander Avenue, P.O. Box 1100 N 7 County Center Drive 0'747 Elliott Road
Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969
Telephone: 916/343-4211, Ext. 62 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext: 58
March 16, 1979
Mr, and Mrs. J. D. Smith
P.O. : ox 443
Palermo, California 95968
2455 N. Villa,
Palermo, California
A . No. 26-13-2-4
Dear "Mr. and .Mrs. Smith: ,
,On a recent date, an inspection was made of the above.premises Butte County
-
Assessor records list you,as the owner of the property.
The dwelling located on the property was vacant atr the time of the inspection
Wand an interior inspection was not made. However, the following exterior
conditions were observed that are violations of.the California State Housing
.Law. -and/or the Code.of Butte County:
.1. Waste water pipes.were installed to discharge -waste water -.and/or
sewage onto.the surface of the ground.
:2.. The _septic tank or cess pool -was not properly -covered.
3. There was evidence of structural defects and structural
failure and that the dwelling is not,weather tiilht.
You are directed. not to allow occupancy of the dwelling until itis•made to comply
with the minimum health and safety provisions of the California State Housing Law
and the Code of-Butte_County. It will .be necessary to make a complete inspection
of the dwelling. Please contact me at the above address and telephone number at
your earliest convenience to arrange for the inspection. The inspection should
be made within thirty (30) days b.ecause.continued deterioration ofthe. dwelling
will result in the dwelling.being :declared"a nui.sance-as defined by the California
..State Housing.Law.
Very truly yours,,/
'Thomas Reid,,.R.S.
' Division"of' Envr 'onmental, -Health
TR•bws -
• i:l1e -
cc
-J .
�;F ' Glander
lander.,-'.
t ,.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS,
BUILDING INSPECTION REtiORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback 7Firewall Soil Piping
Forms Parapets list Floor
Main Bldg. Restroom Finish 2nd Floor
Footings _ Windows 3rd Floor
Stemwall hF------ Siding To out
Slab - Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footin s rhandlCa
age Vents Water Htr.
Stemwa I l ulation Heaters
Slab v. for ph sic Ily Appliances
eCarport formance of ex. Gas Piping & Test
Footings Temp. Gas
Slab in Sanitation .
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rou h
Relnf. 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
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal'
Water Piping Sewer Gas Piping
ME IN11156LATION- - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
r •
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTfiE DEP.ARTMENT:OF WORKS,
•'7 County Centen,Drive - : OroviIle,.Califorriia 95965,-
f ' Tetephone:.534=; 541
`APPL'ICATION AND:.PERMIT n -
I authorize.repres(
above-mentioned,
X,
Signature'y
Ives
Receipt No'.
White-D.P.W. - Yellow -Assessor
the County ot,l3utte•to enter upon the 'This per
inspection.purposes. the Butte
y O abov o
- 'Date. /6 l
\Agent'
—1-P i nk -1 n sp ec to r, = Goldenrod -Applicant BUildln[
mit;is hereby issued under the applicable provisions of
County .Code and/;orjesolutions to do'work indicated
which.fees ave been paid.
OFCR ORKS
�l
e mif expires Date {
BUILDING
Owner `
W 7�z. 6 ;J
SQ FT. OCC., BUILDING VALUATION
Mailing Address r 1• liL''�
p}-
Telephone No.
Contractor' Z1�1J,
..
Mailing Address c7
Fireplace :'' f
'Total Valuation,
,-c 0
Telephone:No.
' PermitFee .,00
Building Address �`;
;5 "'
Plan Checking Fee&/or,Penalty
Permit Fee
d
PLUMBING . No: @ FEE.
PERMIT FILING FEE',
Each Trap
Repair drainage'orvent piping: 1:50 -
A. P, No. 1d�:�.. '—
Zoning�8 Planning
Water piping a , A 50
Each gas water heater or'vent 1'.50' .
s
F.ireDept.
.Fire Zone'
Use Permit
Gas piping system 1.:5.outlets 1.50
EQA
Parking
Plans
Parcel
Declaration,
'Parcel Map
`60' R/W
Improvements
Each additional outlet •.30
Building.sewer .: -. 5.00
Bldg. Plans Recd
Parcel A royal
Plans Approval
Lawn sprinkler_ system = 2.00
NEW ❑ ADDII.ION ❑ :' ..UTILITIES ❑ OTHER
Permit Fee ,$
$.
i"Ttw
ELECTRICAL , No -1 @ FEE;.
PERMIT. FILING• FEE $3.00
Main service 100 AMP 600V ORLOR ESLEss 5.00 -'
Single.Family DuplexMobil H~ Others
E]❑ ❑
Main service EA'. ADD -L 100' AMP 2.50
. .. -
.
Main service O.vER 600V 25.00 .
'100 AMP OR LESS.
,..
Main service EA. ADD'L-100 AMP - 1.00: .. -
NEW OR ACONST ( DWEACCLLING' CCUP. 4) 20 Sq ft'
' .
CONTRACTORS LICENSE LAW
I am licensed under the pro4isions• of Chapter 9,, Div. 3„:of then
State of California Business & Professions Code under the name
- .style of: .r_
NEW CONST(MULTI-OUTLET R. -
NON.RESID BRANCH.CIRCUITS 2.50ea .
-
NE.W.CONSTR. POWER APPARATUS E'
NON-RESID. .SINGLE OUTLET CIR.
�j
Ex. OCcur)(OUTLETS OR FIXTIIRES ., BALFIXED
ALNS.
,Ex. Occup•_(OUT ETS P(RESID)REX) 2.00 - •
Temporary ,service ; ' 10.00
Mobile Home Facilities 15.00
�S�,�j' Z,.
License No. /- Classification
Misc. mss. 6.25'
❑ I am exempt. from the Contractors License Laws of the State of California.
Permit. Fee r $ -
MECHANICAL No. @ FEE '
_
WORKMEN'S,COMPENSAT:ION'INSURANCE.
I am aware of the-provisions'ot Section3700of 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
men s Compensation.lnsurance.
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.
PERMIT FILING FEE. $3:00
Heating.
Cooling
,
Ventilation
Hood
Permit Fee $'; ;
$
I certify., that I heve.read this .appli.cation,and state that the above
information is.correct:'_I agree to comply to all' County Ordinances
and State Laws rel'afind. to building construction.: -and hereby
-'Land Development Fee
$
TO TAL��PERMIT.FEE
$: -�
I authorize.repres(
above-mentioned,
X,
Signature'y
Ives
Receipt No'.
White-D.P.W. - Yellow -Assessor
the County ot,l3utte•to enter upon the 'This per
inspection.purposes. the Butte
y O abov o
- 'Date. /6 l
\Agent'
—1-P i nk -1 n sp ec to r, = Goldenrod -Applicant BUildln[
mit;is hereby issued under the applicable provisions of
County .Code and/;orjesolutions to do'work indicated
which.fees ave been paid.
OFCR ORKS
�l
e mif expires Date {
.i, . ,11 _
...
l %� . t
, ' e 4 i } y. } - .. y i� I' tr g y 1 , } i r , r
.
41`.k _� _ ' 1S S j 3 5 r
15 . F r r' =y- r. M ' h i I
4 F".Lrf ' ' .. 4 y. s^ 1 , t �.. . ! t I - x - 1! .. tl
:t°% 1i 'r " -i 'b:. J„ r.L r,:,n ! -1 rr t.
7 r-. - J_ - C t 3 :.5
',� ! s ,J z, t I. ,4
1> m I i t <
d / '� ` ' 1«a, t f,jf r F•, ' t- , . -' + $ '� ,y f �t�'.r. .
i i.+' i,,. .L "if 4, 3 .1 ti: 7 '' 't _ .. k -� ..
i .
F + I T !f -1 'r't 4 l S i 5t i..1 t _ 7 , f
t .< t f,'•
s ::l f� 4 - - x LLra rs r.� y. ,4 '' , td �' t / �I ' _ `.
}`..
:.; " v iA ,t F f J • 1 i $. S t 1 +. '
r - H 1 dy,.. . r r p. . Y 1 r t P' ,1. c'.'S
++ r, ' , `!. .N _ x , .: t },: •i . " � T t - - } :� i � t .�..''. ' •'�,i, .L. '; . 'fCS.. r N
r y t1 _ r_ �. { {, .. t y. " ` ` �` _ �'• \-x { a pt
.
r, r �- r.�., r.c .��x ?i t' 4+t - t N• 'ri r( ii r `:. -'x'.' t -.-f. e'x ^ 1
r r. .,(�. t *�" 9�l Y•" 5 + V - - t,f ! . ,r i .r (: i t.� { .J' "t•-3
T I' �+. � - Yp,-'+;- 1. s '3. N% x , r 4 h '1-' i.l;" . j' ri . '� :;y ' a r '.j : s ( r •� i
S .t ..' - t�rr'' .a .� �;C.+`: -j1 ��tl y. _ C (: rY. f,� ",^t 'b 5 tit ., t. .�fs` s '`f -
>a` ll - t h`i'r': - 1f Y 5' Ate( ,-
.,�. LF' a .>7 •L. r Y µI S «2- rZ {'ji .y,]t} ;r , l' h .""I 1, b � ,�ti �r 'i -f.• . ,
7, i14' L ` a JJ i%. r Y S J••4, atp. '-.z
t r ; ;1. P 1 .. 6' i ?' y y r f r t a.
t - r J _z qt -t- y,� r y- f , i Y 7� h� y`
+ t l r ';' f t
4. f `:^ " L. _ I . '"•sr `�,, ,� "� ". t e iw s� t' -'.¢ • , .� I t {, ,, - .
!.-R ,f` :i rt :' it'I 'l'- 1:_ `, ..p� y the ..r .i. �r 5.�..;.,.,vri.
k. ..
J Y -' r 1 {
.. nr _L -i. L'
'J' �.,.;f j,�';.r%r "� ;t r 1 f/�, Fj;.. t `�. r. i j':a i. i' 1 vu 9t ,,s-
r r';�•', %,� - (c, . , i.. •. t r r � t . . $ f • ' r- i F . } r ( :+r; '- ,. rt
A � y is . c - ;I'll 3 1. 't- q
,i _ 4 ._ (I. �' } '` i l- .' r k.. .4t h(
I T .f. �, L,, �
t Jra 1 ", rx t ,.. . �. r t1. -
I 11
r, gt4r, x
.I
_ . '