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HomeMy WebLinkAbout027-011-050m ' -_--__as Sut t SuttonIS onas * .. ' -_--__as Sut t SuttonIS onas Gr Rd.,opposite Oroville Norman Jordan 383-66BCountry Clu .,Palermo .& 542-66Permit #3224-77B(ins ssed roofover flat roof/SF) 'a rc(new s/S" Grubbs.Rd- OPP- Country, Club, Dr.,,PalenpoCONTR: Geo. Tandy & Son, 1550 Bird St.,0roviover k a f—_ Hoffman3 single family) 'i27-11_Ylac t- bbu Rd., Palermocontr: R. L. Adams Const., OrovilleContr: Mountain DevelopmentPermit#1099-85B,P,E(add utility roombedroom & bathroom/SF) F-, tie -a027-110-050HOFFMAN, JACK ` " ' ' | � � � ~ � . . � i � ' ^ | - - � -�-- u 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 PROJECT INFORMATION Site Address: 3140 GRUBBS RD Owner: Permit No: B07-0168 APN: 027-110-050 HOFFMAN, DEBRA & CHRIST Issued Date: 01/29/2007 By KEJ Permit type: MISCELLANEOUS 3140 GRUBBS RD Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 01/29/2008 Description: INSTALL NEW HVAC (CUT IN) Occupancy: Zoning: Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR ALL ABOUT PERMITS Building Garage Remdl/Addn PO BOX 35 3083 WHISTLER WAY LOS MOLINOS, CA 96055 CHICO, CA 95973 Other Porch/Patio Total (530) 384-2444 (530) 680-7619 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1647 LICENSED CONTRACTOR'S DECLARATION _ OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING 8r AIF 777334 / C20 C38 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AF IRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 menci n ith action 70 ion 700) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in for d II of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 01/29/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: 0 ra Signature Date ❑ 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 ORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: LLLJJJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 713-0013855 ExpDate: 05/01/2007 Policy olicy Number: . Contractors License Law.). (This section need not a completed if the permit is or onLhunn re dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 'ons 01/29/2007 compensation provi of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date ovisionS. X 01/29/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building S' n tura Date NTNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE arising out of, in any way connected with injury, including death, and property damage caudge HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the that t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County t an r the above mentioned property for inspection purposes. I hereby certify that I am the per am a horized to a on the pro o har. 01/29/2007 CONSTRUCTION LENDING AGENCY IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for f Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS v�,-C)j/ 24 HOUR rNSPECTIONtI: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 `�Q OFFICE /J: (530) 538-7541 BP A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds BIN tt "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Na4���v1 FZ Nam r�T Address 2 6 ` i^ ^ Qj Cily r:O7 v 1 I 2 (�,�'�Sta�teiA Zip Phon6_�52 'tom J - Fax E-mail APPLICANT SIGNATURE Ji F -6r office use only: ARCHITECT/ENGINEER Name r f, `S H VA C Address SRA Yes No City �` State Zip Phone � Fax E-mail State License Number APPLICANT SIGNATURE Ji F -6r office use only: APPLICANT INFORMATION NameG Ct r f, `S H VA C Address SRA Yes No City �` State, Zi PhoneC53 Y.,Q � Fax E-mail APPLICANT SIGNATURE Ji F -6r office use only: Zoning Flood Zone Receipt #: SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: U V Cm II autSlvu I I AL KtWUIKEMENTS K:IFORMSI6UILDINC3 FORMS\Bldg] HIJ u gmts.doc Page 1 of 2 PROJECT LOCATION AP# 0(g -110-aSe Prop Address �G cu�lbbs�— A y vc Cross Street WORKER'S COMPENSATION POlicy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Name LENDING AGENCY Address Description or Scope of Work: ilAnl I f n - - - ' - Sq FT- Living Garage Open Cov ❑ Structure Built without 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 required. 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. Received by: Amount: Bldg SRA Receipt #: __Sheriff — SMIP Date: Other Total REV 8-12-05 ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 05449 q ASSESSOR PARCEL NUMBER 027-110-050 A-5 ZONING BUILDING PERMIT OWNER HOF'FMAN .JACK TE534NE7949 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS PO BOX 6104 OROVILLE 95966 CONTRACTORS NAME ���LV7 UNMOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. iling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3140 GRUBBS RD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: 'FT.F,=TCAT. TTPGPAT)F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (9?20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service OOOV oR LESS zoOAORLESS 23.00123.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Moo�1, 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. VI as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ADONS. ( a ACC. BUDS. 3.5QFT: NEWCONST. MULTI -OUTLET NON-RESID. IRCUITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FDCTURES aAI_ 0 4 I. 0 Ex. Occu . OFlx�E�D�A R OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Feel20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number > above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwit com with th a provisions. ��� ���� X Date ature of pylic t ❑Owner ❑ Contractor ❑ Agent An OSHA permit is r q - ed for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -- D. FEES IMP --- --- FLOOD ---- CDF PARCEL -- --- pp HD43.00 -- — E UE 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. _ a .^�—�' "b / C/N/OD By Date PERMIT EXPIRES ON L vw- ReceiptNo. O 1� �,�"�� _n(i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I IlMiiiIII COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 03- PER�yO APPLICATION AND PERMIT 2196) ssoaPu+ea�u�Fx Z-7— /)/ O . ((' ZDNiN°/� _ �'` BUILDING PERMIT � �� �E ; �y 90. FT. OCC. BUILDING VALUATION EM'S MA$JNO on��ll�� FZ2jORS 1.1M ADDRESS ST;LC MLENDER �fOHIR CR �gr5 MNUMG ADORES icescr aR ENr1MEER toTecT OR EMONEUM MANM6 ADORES �. sLiaDivsass Mer+E USEOFSTRUCTURE 3/Duplex'❑ Wbbilshome ❑, Other 1d ©rLDJ) !Z TYPE OF WORK ew ❑ Addik n ❑ Remodel ❑ L069s ❑ InMhk6m ❑ Other 4� esoribe Work mom sik)k slu r:4 7 IVV� 0 IY46 Ntarn co"1 Vs Total Valuation Is Firma Fee Permit Fee Plan g 20.00_ S S Fee S S PERMIT FEE S PLUMBING PERMIT Feng Fee 20.00 Soler or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 Gas in tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Mahn Service D0R L 23.01) Mair Service (► + ) 46.00 .50 Ex. O=p. Dun.LT DR FWMWJ 6 _11L& -% OR Ex. Oeeu . � M3 EX 5.0D Temporary Service 23.0D MobOe Home Facfliides 20.00 LAM thr.,4 ,, 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee f 20.00 Hood I I Ventilation I I S Nbbiie Home installation Fee Energy Inspection Fee S Dec COMM TYM TOTAL FEE -LID:1. FE6 I►tP 1 FLOOD 1 GDF PARGB. PD MD � 65JE This permR is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fess have been paid. By Date PERMIT EXPIRES ON O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES P' NO ❑ 2. I HAVE M�HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL DATE:_ 6 — �2 y -, NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER s` . , O.B.-1 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply If you plan to-do your own world with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. qrely, 1 C.Vi ira, C.B.O. er, Building Inspection NOTE. 71 is Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. � � 7 ply ,ke• PERMIT NO. 1099-85B,P,E M PERMIT EXPIRES OWNER JACK HOFFMAN. t - CONTR. Mountain Development ASSESSOR PARCEL 27-11-4r+,) 31 LOCA oN ` '9-0—rubbs Rd, Palermo k CD 11. r; u s r x' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service i Called PG&E ZZ, JOB FINALED (Date) rX—/ 3/ i� Signature J -'OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES e MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test-Crossovers-Breakers-Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK w� = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UND RFLOOR Plans OK except #'s Date FR ING (Continued) n ing requirements—Setbacks—Easements roperty Line Firewall & Openings F ., Ma' PSoils—cfooi—Elec. Grnd.— 112, /" Ftg. Depth 46.. Ext. Doors—One 3'—Check Garage -3rd story, 2 exits 3. 50._Stairs; Width—Headroom—Rise—Run—Landing—Fire Protection es of —— Plywood on Roof Overhang—Attic Vents—Rafter Outriggers Tx'StEowrXITs, Mai n;.8tee+—Blockouts—Wrapped—Slab Ur Siding—Nailing—Veneer 6._S1 — ou s— rapp — o Mesh—Drip Screed—Fdn. Vents—Underflr. Access s— — 5.. Glazing Area—Glass Protection—Skylights—Plastic 8. D.W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test _&&_$!)ear Walls; Nailing—Bolts 9. Gas Pipe; Size—Anchors 10. Water Pipe; Test—Anchors—Regulator—Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance—Material—Support—Ins. 13. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Plans) OK except #'s Card -BI ny Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14.,Water Ht.; Vent—Access—Combustion Airurn Steps—Door & Sidelight Protection—Landings 5 moke Detector e; Vents—Clearance—Comb. Air—Connector- In rage; Above Floor—Ducts—Mech. Protection 11f Water Pipe; Test & Anchors—Nail Protection 16. D.W.V.; Test—Fttngs & Anchors—Nail Protection a room Exiting — F.I. & Bath Fixtures & Tub Access _ 61. Elec. Trim & Subpanel; Breaker Sizes—Labels tL—SUGwer Pan; Test, First Floor—Tub Access 18. Test Tub & Shower, 2nd Floor—Tub Access -49—Gee Pipe; Size & Anchors & Rails -69- 'replace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date '1915--K'fT.-Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except #'s 66.­E*c: Outlets & Receptacles at Kit. Counter lege Fire Door; Swing—Landing—Closer 68:--A-.6 Duct in Garage—Damper lure & Transformer Clearance—Ins. Protection 6G.-140.—Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— arage; Above Floor—Mech. Protection Elec. Receptacles Spacing—Lights &Switches at Doors Size Boxes & No. of Conductors—Stapled Plb., lec. & Mech. Equip. Listed for Location Romex Installed Close to Edge of Studs & C.J. pl�e7 ceptacles in Garage; (G. F.I.)—Romex Protec. 4. Equip. Ground made up w/Mech. Fasteners—Bond Gas & Water Insulation—Foam—Looked in Attic ❑Yes rQ-ftppliance Circuits in Kitchen & Conductor Size ir-Y G Rails & Deck Construction—Post Caps Meed Wire Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or At dn. Vents & Crawl Hol or—Drainage & Wood -Earth Clearance Lo under Floor Yes �.--Rtage_Circ. / / ga. Cu or AI—Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 7 ollowing instld.: Dr_ive� es [:)No; Walks El Yes No; Planters C] Yes Li�No 26. Be a—Riser Conductors & Ground—Main Disconnect --9b--3Trrcc • grown—Finish 29 —V4 ip-Clearances; Panels—Motors—Mech. Equip. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet -411._G4ethes Closet Light—Shower Light 7Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. er Well; Disconnect, Electrical, Plumbing 8 erior Elec. Trim; G.F.I. Receptacle—Underground Card B -I Date % Card -BI Date 8 e tilation throughout House Card B -I Date Card -BI Date W. ass Protection Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections s T st—Meters Tagged; Gas—Electric -3T -"A C". Ducts; Insulation &Support r & Sewer Connected—C/O to Grade—HD Approval NX Vent Fan; Exhaust above Insulation nergy Compliance Certificate—Other Certificates ..22--Gbndensate Drain & Overflow; Size & Grade 34. Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date F MING(Plans) OK except #'s M. Sills; Proper Material & Anchors 3 alls; Studs—Nailing, Spacing & Bracing—Plates—Sound 3 aring Walls over Girders & Floor Nailing 39�j4raft Stop in Walls (rat proof) Stops; Furred Ceilings—Stairs—Chases—Tub 41. Header & Beam—Size & Bearing angers—Post Caps—Anchors—Connectors 4 . Cing. Joist—Rftr. Ties—Purlin—Roof Brac.—Truss—Shthng.—Rfn_g_._ _ replace Ties or Type A Flue—Fireplace Throat 4 Attic Access; Size & Romex Protection—Draft Stop—Ins. Baffles 46. Bdrm. Windows or Exiting Doors—Sill Hgt. & Dimensions --49---Enrage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE .0 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OW% M r.,'7GIG1 _ PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1� Inspect ors\\� Dated S' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or, need additional explanation, please contact this office immediately. �(`ryY'yti �ury extiusi-' SU (u t./ t' tj Inspector_ _` Date Owner: 7igGK F 14o-��i►i q Permit No. .Q �(— �S i ENERGY CERTIFICAT ION 64r ed e•- e LA/ /%C- LOCATION A.P. No. DESCRIPTION OF INSULATION. ROOF Material . Si5z5 Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material %'ilii% Thickness(inches) !� y CEILING Batt or Blanket Type 77— Thickness(inches) ii Loose Fill Type Minimum Thicknesi(Inches)_______ Area covered(ft. ) ---- FLOOR, ELEVATED Material 7% Thickness(inches) FLOOR, SLAB Material ' Thickness(inches) Width(inches) -- FOUNDATION WALL Material Thickness(inches) Brand Name Cnam'k!4- . Thermal Resistance(R Value) /4-& Brand Name C0�1q,01,1/A! Thermal Resistance(R Value)__, ! Brand Name W__10 Number of Bags Wt. per bag — lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)ff Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FI /OWNER STATE CONTRACTOR'S LICENSE NO.• SIGNA OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or'are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGMA OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' January 1984 fg,;t I J COUNTY OF BUTTE - DEPARTM+ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER IT NO. i ASSES OR PA CEI NUMBER oW L� ZONIN BUILDING PERMIT TELE HONE SQ. FT. OCC. BUILDING VA ON OWN R'S MAILIN DDR S 190 � TOR'S N Conti Ile- © TEL a CON DR S �yS MI G ADD ' � Fireplace CO RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ !O ARC TECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' ' y ' e v $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee V$ BUILDING ADD Ess- GilPLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 8'.00 Solar Water Heater 20.00 a It, r m© Water piping 5.00 SQ 0 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF X, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition 0 /Rf modf I ❑ Uti 'ties ❑ Insta ati n❑ Other ❑ Describe work: vC `/ f o Cs — Permit Fee $ pi' ,00 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 00V OR LE Main service 100 AMP ORSLESS 10.00 © r, + Main service EA. ADD'L too AMP 2.50 NEW CONST. // DWELLING OCC OR ADDNS. l ACC. BLDGS. 2%0sgft 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 Profess) s C de n license is in full f ce and effect. License No.�/ Classification a Fl 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 NON.RESID R BRANCH ILL ITS2.50 ea NEW NON.CONSTRRESID. ( SINGLE OUTLET CIRPOWER APPARATUS & . Ex. Occup(o Ts DR FIXTURES BALQ 30Q SAL@30 FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot` Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a i t said Co ty in onsequence of the granting of this permit. L/ s— Date Signature of Applicant — caner❑ 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 $ Ft^ 0n c ` TOTA PERMIT FEE g, OCCUP. GROUP I TYPE OF CONST, PARCEL D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC BY PEWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date [yam (�j 1 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _ COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 { w PERMIT APPLICATION DATA SHEET J •� ' Permit No. OWNER -t A. P. No. Proposed Building Use %Ir/ i rg ti Permit Fee Based Upon: Complete Contract Price ' bPW Valuation Otheer' (Explain) Building Inspector Date ZZ At time of permit application, I was advised he following data must be submitted prior to permit processing and:/or 'Ssuance: , DATE RECEIVED• APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.,. Plot,pla,ns in duplicate./triplicate. . . . . . . . . . . 3. Compl'Wte plans in duplicate./triplicate. . . . . . . . . Ar 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no.,, name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) ' 15. Improvements may be required. . . . . . . . , , , , 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. ' 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 011� office. Deliver w. /inspector. Other, Appl i Date i S py Co of plans sent Health Dept., p Fire Dept., Other t Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date r Other: Copy—DPW To: . Building Department From: Environmental Health Subject: Sanitation Clearance - Location Plan .Approved for: Sewage Disposal. Water Supply Hold Plnal for: Wa -er Supply Final Clearance O.K. for: Water Supply , Clearance.for bedroom house/mobilehome or rather P i. ,_ a n / -i. d % I I A. A NOTE Q Eu Sr %, oc>t- &A4t-,,O' 74 s LF,.,Fi rH �• �- o �/-a3 /Z) 39 n.ti 0 t,aLtons 61- 2I (tank L- j3. *2 Active Solar (collector brand and model ) O M M I 3) (rated y -intercept) (rated elope) 3 so r o Ilddd 'AUT'IVISNI ft 91 3NOZ (baolp he3flQXype, brand and model number) jcVlle iZzea) (collect q�,q% on location 5PO&''?4e pU �Q1 i�o �5t ��01J 1pU00 6U l IS lXa ;0 6u t Iapowaaa02 S paL®L'4LpU00 &r epal.AanUOo SL 1ewl a0e s paUO L1 Lpubo-UOO bu L1S L -Xa S L 4ey4 coeds Cue pue `SUOISJanU00 011e pue aPejogsWLw4Pq4 SaAOW aSnOLI `seaae 6uLn. 1 0; soLIed pue sa6e,Ae616u.l aanuoa `SuoLIL pe woos apolouL s6uLLL.aMp o4 suoLILppy •s6ulllaMp 04 suoL�Lppe. ; ��ofyo�gn igi►a l@g i � 'N �b�yvMag ee�tthe ;o saanjea; paaLnba.A pue sac ` arose uew° uiM �js g�aays g�1o�ewao;uL�zing tMo��o; ayPltha Heating: Winter design temperature °, elevation ', heating load % BTU gas furnace IeIoj MaN BTU U0141ppy MaN ling: Summer design temperature i, cooling loadNNOM Bk0 3dA1 aouaplsaa • 6uLmit t 5)StG3Q41G6Vt SflCn` g of ; 39VI00A 32vnos 3WVN D IGN COM e d u is of Title 24, Part 2, Chapter 2-53 of the California Administration ode. (SUOT:1TPPd) „du 39d)IOdd f SON I Ql I ng -Id I1NM I SM 01 SNO I 1 I QWTU s ILDING DESIGNER .OR APPLICANT A aoJ 133HS A983N3 L w ?JO ENERGY SHEET FORM i FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. 10f'9-8-5 PACKAGE "A" (Additions) NAME 3A -44e- 1+6FF,0ffAtiV SQUARE FOOTAGE JOB ADDRESS 3l O &&U108S Existing Residence TYPE OF. WORK t1 New Addition 33Ir. New Total The following information sheet, showing mandatory features and required features of; Package "A" must be completed and attached to all plans for, additions. to dwellings. Additions to dwellingsinclude room additions,.converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11' ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA ,&- EILING R-30 R-30 R-38 y L R-11 R-11 R-19 vFtOOR R-11 R-11 R-19 SLAB R- 7 R-11 R- 7 ketAZING ,65 .65 .65 SHADING .iSOUTH -OPTIMUM OVERHANG or .36 S.C. NEST .36 S.C. /LOOSE FILL INSULATION (Density) ✓INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) 1. VAPOR BARRIER (Zone 16) EDUCTS PER UMC - Ch, 10 RIGHTING KITCHEN & BATH NOT LESS THAN -25 LUMENS/WATT 4ZZIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid,or air) Collector brand and •ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept a , rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ . (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form X64) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I•P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Admini atio Code. SIGNATU OF BUILDING GNER OR APPLICANT ter.:. 1336-87B Jack Hoffman 3140 Grubbs Rd (!,Dv r r 60 Drive COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, lifornia 95965 - Telephone 916/534-4541 �. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - !1 '• j ZONING '~ BUILDING PERMIT OWNER- I " l TELEPHONE SO. FT. OCC.1 BUILDING VALUATION i OWNER'S MAILING ADDRESS II 1 - � Lr' ,r � f �� '- � �l �r � •' � t 1 t I i CONTRACTOR'S NAME" -- TELEPHONE CONTRACTOR'S MAILING ADD ESS'N / fl f) f� 'f 1 V'r , / I f^ Fireplace CONSTRUCT ON LENDER / f � �jr M � UNKNOWN Total Valuation $ Filing g Fee $' 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ! r ARCHITECT OR ENGINEER t = LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER Penalty $ BUILDING ADDRESS 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 SF j, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ jRemodeI ❑ Uti '.tiles ❑ Installation❑ Other &I Describe work: t ir`l L tai l Jf' r ff �� • r: �„ , t - ��,� , I o /� 7 0 I t.•.�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / U Main service 600V 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): EJ 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. i=� 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) ElI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR ACDNS. ACC. BLDGS. h¢sgft NEW RESID, MULTI -OUTLET 2,50 ea NO N•R ESID BRANCH CIRC ITS /POWER APPARATUS hl (SINGLE OUTLET CIR. I EX. Occup(OUTLETS OR FIXTURES eAL@30 eAL990 FIXED PR Ex. Occup. OUTLETS (RESIO.IEAJ 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑,.�I'have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. 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 �' f 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCup. CONST.TYPE FLO PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which /DIRECTORrOF PUBLIC By.. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. I p WORKS n Date "% Receipt No. - r: % WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caliti "ia 95965 - Telephone 916/534-4541 APPLICATION•AD PERMIT PERMIT NO. ASSESS PARCEL N MBER ZONING BUILDING PERMIT OWN �r TELEPHONE SO. FT. OCC. BUILDING VALUAIVON ' OWN MAI NG ADE^SS ,^ Y © U`lie ONT C OR'S M � E PHON ONT CTOR'S MAILI IL/1G DRES j!' o ('� [LENDER'S Fireplace O U N LEN ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 MAILING ADDRESS Permit Fee $ ARCHITE OR ENGINEER ENGINEER'S LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARcHi1rECT OR MAILING ADDRESS Penalty $ BUILDING ADDRESS ,^ J �r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Y1 ` C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each etas water heater or vent 5.00 USE OF STRUCTURE SF150 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel [IUtiLid es ❑ Inst tion Other 9 Descri rk: � f i t" t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 50Ov 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 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full ff a and effect. License No. _ Classification iS ❑ 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 licensedcontract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� , OR ADDNS. ACC. BLDGS. / /2 Osq ft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) EX. OCcup(OUTLETS OR FIXTURES 200500 eALO 30 EX. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin 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: 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 Penult 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil'.I judgmen costs, and expenses which may in any way accrue againstVai.,County i c sequ , ce of the granting of this�peermit.``�� c� Xate/ d2 7 ` d �— Signature of Applicant — Owner ElContractorAs❑ 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 $ occ up. CONST.TYPc �PLOODJPARCELJ PO ND I ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which IRE F PU BY _ i PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I WORKS Date Receipt NO.W-04 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 3224777B PERMIT EXPIRES -5 76 OWNER Thomas Sutton CONTR. Donald C. George, Berry Creek LOCATION (A.R. .27-11-18 S[S Grubbs Rd.,opp.Oroville Country Club Rd., Palermo Temp. P ' ower Pole Called PG&E Temp. Elec. Sew. Called PG&E Temp. Gas Serv. Called PG&E JOB Fl N A L E D 7,1 (Dat e)° (Signature) 9 COUNTY OF BUTTE'- — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ; Firewall / Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings f Windows i 3rd Floor Stemwall j Siding i To out Slab f Roof Sheathing S� Water Piping Piers Roofing `711,F�17 ZiW, Sewer Garage / Fdn. Vents o ,i Fixtures Footings / Stemwall i Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica e. Conformance of ex. structure , Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio Final Footings , Footing ELECTR C L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIR SPRINK ERS Motors Framing —7ZI5� % Test Water Htr. Stucco Final Subpanels Mesh I MEC TIICAL Grd. Fault Prot. Scratch Heating Service ` Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation L Permanent Door Closer Final V Final / Y MOBILEHOME UTIL) IES - - - - - - - - - - - - - - - - - - Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping M B EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 71 (NOTE: An entry must be made on this form each time you visit the job site.) y� .r i COUNTY OF A�iTE — . DEPARTMENT OF PUBLIC WO . S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT &j�u-» authorize representatives of the County of Butte to enter upon the above -me tioned proper/tJy for ' spection purposes. X Datey ,2d — / Signature of Pe itee orAgen Receipt No./�/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS RV Date.7--S-- 7 7 Zng permit expires Date 7— J -7 OP BUILDING Owner , Wu '� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �� G Total Valuation Mailing Address _ 0 ` Permit Fee Plan Checking Fee &/or Penalty �GTeln N7o. C� J Building ddress S r Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Late 4 Each gas water heater or vent 1.50 A. P. No Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F *-6 Itati n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma 60' R/W Im roveme s P Lawn sprinkler system 2.00 B I d ans Recd Parcel A4/royal Planspproval Permit Fee $ $ NEW ❑ ADDITION' UTILITIES ❑ OTHER D4 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �' ��f;Main service 100 AMP ORV OR LE LESS5.00 Main service EA. AOD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELLING OR ADDNST ( ACC. LDGS. cup. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & ' NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State o Califor usines Professions Code under the name st I y��I � Ex. Occup (OUTLETS OR FIXTURES) L@1 BAL'1 09 FIXED APPLNS. OR Ex. Occup. (OUT LETs (RESID) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /� License No. 7 Classification 3%� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE is authorize representatives of the County of Butte to enter upon the above -me tioned proper/tJy for ' spection purposes. X Datey ,2d — / Signature of Pe itee orAgen Receipt No./�/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS RV Date.7--S-- 7 7 Zng permit expires Date 7— J -7 OP 1 PERMIT NO. 4622-80B� e PERMIT EXPIRES OWNER Jack Hoffman CONTR. R. L. Adams, Const., Oroville ASSESSOR PARCEL 27-11-27 LOCATION 3140 Grubbs Rd., Palermo i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E T/FINALED rvice &E J (Date)l 7 a v Signature V = OK O = Not OK r - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) / Date UNDERFLOOR PI' OKexcept #'s Lefboning requirements -Setbacks -Easements 2. Ftg., Mai Soils-Steel-Elec. Grnd.- / /" Ftg. Dept Ftg., moils -Steel-,/ " Ftg. Depth 4. Ftg., Porc s & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab V9temwaIIs, Steel-Blockouts-Wrapped-Slab 7. Piers-Fireplac Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Joists-Vents-CrioDles Card -BI Date Card -BI Date Card -BI Date Card -BI Date DatePLUMBING (Per 't) OK a ept q's 14. Water Hi.; Vent Ac ess-Combustion Air 15. Water Pipe; Test Anchors -Nail Protection 16. D.W.V.; Test -F s & Anchors -Nail Protection 17. Shower Pan; T st, irst Floor -Tub Access 18. Test Tub & ower, 2 d Floor -Tub Access 19. Gas Pipe; She & An hors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except N's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacl s Spacing -Lights & Switches at Doors 22. Size Boxes & N4 of onductors-Stapled 23. Romex Installed I se to Edge of Studs & C.J. 24. Equip. Ground maye up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circ is in Kitchen & Conductor Size 26. Subfeed Wire Si e Y / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / a. / Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Ne ral Yes [)No 28. Service-Ris r Cond tors & Ground -Main Disconnect 29. Equip. Cle ances; P Is-Motors-Mech. Equip. 30. Clothes Cl Oset Light -Shower Light Card B -I Date _ Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Perrnit) OK except p's _ 31. A.C. Ducts: Insulation & Support 32. Vent Fan; Exhaust above Insulation _ 33. Condensate_ Drain & Overflow; Size & Grade 34, Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date -Card-Bl- _ Date Card -BI Date rd -BI Date Ca Date FRA ING(Plans) OK except q's _ _ IIs; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ '3E -Bearing Walls over Girders & F_loor_Nailing_ _ AJ@.- Draft Stop in Walls (rat proof)_ 44- Eire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors W -161-g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. -mr-Fireplace Ties or Type A Flue -Fireplace Throat .49- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6166. Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions .47Z.Garage Fire Protection Framing Date FRAMING (Continued) - 8. operty Line Firewall & Openings 4$,-l!'xt. Doors -One 3' -Check Garage -3rd story, 2 exits ..4Q_Sta'rs; Width -Headroom -Rise -Run -Landing -Fire Protection I wood on Roof Overhang -Attic Vents -Rafter Outriggers _ iding-Nailing-Veneer -59:--Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access O 74 --Glazing Area -Glass Protection -Skylights -Plastic .66, -6hear Walls; Nailing -Bolts Card -BI Date -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: Anentry must be made each time you visit job site) J OK 0 - Not OK = Not Applicable * - Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's ' 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR"-4 County Center Drive - Oroville, California 95965 -Telephone 916/53APPLICATION AND PERMITj ASSESSOR PARCEL NUMBER 2_7-11__40S7 ZONIN -S� 11-111 UILDING PERMIT O,ac) 07 R TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CR TOR' A E �• TELEPHONyEaj .N/TjRACTO 'S MSI LING ADDRESS V Car / Oko NSTRUCT N LENDER UNKNOWN Fireplace Total Valuation $ yy �Ld - LENDER'S MAILING ADDRESS Permit Fee $ 229, ® 6 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 14,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ®Q BUILDING ADDRESS s e PLUMBING PERMIT Filing Fee 3.00 u Ct Each Trap 2.00 Repair drainage or vent piping 2.00 U O Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTU�" SF ❑ Duplex❑ Mobilehome❑ Others /• ,SLfoA �S tP SPECI V Building sewer Lawn sprinklers stem Y 2.00 TYPE OF WORK New® Addition Remodel Utilitii s❑ stallation❑ Other ❑ Describe work: 31 co LNS •'Q — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service iD°DV OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 NEW OR ADDNSCONST ACCDWELBLOGS.LING CCUP.&� 20 sq ft 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 Profession Coe nd my license is in frl fprce and effect. License No. 3Z. 7� 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 NEW CONSTR. U TI.OUT LET NON -REBID BRANCH CIRC U ITS 2.50 ea NEW CONSTR. POWER APPARATUS &) NON -R ESID. (SINGLE OUTLET CIR. Ex 50@2_54 . Occup(o TS OR FIXTURES ggL@t� FIXED Ex. Occup.(OUTLETS P(RESID,IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc., Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg ents, costs, and expenses which may in any way accrue against I Count eque f them�e granting of this permit.XZ X �<<Date Signature of Applicant — , Owner El 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 $ Land Development Fee $ TOTAL PERMIT FEE $ :::'-2_, co OccUP, GROUP v/ I TYPE OF CONST. PARCEL PD ✓ ND I ISSUE I/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to —�a'�� /{��� Receipt No. 4,-®7 J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Accordc ofaqu Uniform the Nal O 1`'!07" Map ►� e2 r+c� f- M � R . -392 Y72- 39`1 P6Rce l ' fiPo27-11-0- �� 100� 3/y„ Materials & n Workmanship Shall Be I II Good Practices and This se# e with Recognized kept on the o6lons and spe rescr;bed for ;he Specified use in the o f r cificr & Machan;cal Codes and me ke onv ch 1. f'"'� f`ans A�C1ST �y p Plumbing M wrif#en qes or hly� �d i# is u a uiljing. n s n Por,, cion fr r`"';ens on so nlcaw ful fo is Electrical Code. Works, Cov omehe De ►no without n#y of eu#f . parr#n7on# o f Publle I r P(ZupOLS ED 13w,�J�w� J A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of . J structures or equipment except peo p o.s 6 o I3 i �� .� ` �.o be- ' e i4 i� p�..cy, ' 30 �✓ Burr couNTY CUILQI,NG DPARTM ' ;. APpR0VE®. M ri r P(ZupOLS ED 13w,�J�w� J A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of . J structures or equipment except peo p o.s 6 o I3 i �� .� ` �.o be- ' e i4 i� p�..cy, ' 30 �✓ Burr couNTY CUILQI,NG DPARTM ' ;. APpR0VE®. M a -BU/ZD/AIG co u ry r, ,04,PP RO 10 71 - .je S ED 'UTTE COUN-ry BUILDING r APPRO�i 99 m a� 9a, Provide'/'1 x 10" anchor bolts @ 6' O. ,gmax. and within — fl, C)f !064s. p � FOµNo�„O� ►3�i�s c� v X41 /r 1=0U.�ort-� row 0t 7 N BUTTE COUNT,. JRurL®/Rsrr� -. ,�r�lE�1� ria P