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s " AP 27-12-09 FPermit . QUIGLEY ubbs Rd, Oroville oliday Pools, Chico 3234-74B, ,E ng pool) /-2-7- 741 /LOT 27-12-09BLOCK #4374-8pE(new ele ser for TYPE oP flame da a PERMIT PERMIT NO. PLAN NO. g d OUS _ _T / o7ke 27-12-9 9 Ernest Quigley 3305 Grubbs Rd., Oroville ! Permit #6250-80B,P,E(repair fire .�da.mageLSF) 27-12-09 Perm _t clearance_.fireplace) SF ..f j . PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING BUILDING AND SAFETY T -TRAILER ORN 5 -QUIG Y Ernest 1093-67]Bi 384-66P1'c - 399 -71B* -h 1690-67P* 282-66P( 332-71E* �: 86 —6 Ea; 28 —66� ., r, #3305 -- 9 7_ 27-12— n/s Grubbs Rd. app. 3/4 mi. Pas o Country :s Club •j Dr . , Palermo ji-Xnew single family)-P�& et,Y - ("new single family � _ �'.-.7 O � Is (**add bedrooms) LI27-12-09 4� 35-91_ FRITCH, Dallas. 3305 Grubbs Rd, Oroville Ag Exemption Permit`✓ (goav; &..feed storage) i :Y E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S- SIGN PERMIT I I, HM -HOUSE MOVING i EP -ENCROACHMENT D - DEMOLITION 600. 1 ' L _ r-_. - j r L�� INSPECTION RECORD BUILDING APPROVALS t W 2 aZ Z Z O O Q 1. O ff' J 0 U.0 z m W Z~y W D Z U. O �QFQ ZJ O �QFQ XJ W MIL O W �y F J ZIL Ma' , O W 0: �FX( J WL FY 41 trU Zm V WJ U' Q OLL U S W LL J y, SIG. .'DATE F SIG. DATE SIG. DATE SIG. DATE SIG. i DATE 1 SIG. DATE SIG. C DATE SIG. DAVE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMRINC APPROVAT e PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL ff 'YoNifnfp/VOW.,WA1,i4,11 W IPA PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL I.1 bomi TO Buildina Department FROm:r Environmental Health SUBJECT: Sanitation Clearance y Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for:. Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobil home. Other HOTS •r Sarii-tarian Da —te , s. ~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO r; ) 7 County Center Drive - Oroville, California 95965 - Telephone 9116/534-45Za� ' APPLICATION AND PERMIT ASS SSOR P4 CEL NUMBER Z;041N BUILDING PE OW h e&1 I 3 TELEPHONE ?o l ?� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRr - i r O CONTRA C OR'S NAME ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit" Fee $ 9L,yo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS q d/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping sDo LOT NO. SUBDIVISION NAME PARCEL MAP Each'gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Et Duplex❑- Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK_permit New ❑ Additio Remod ❑ U i lities Instal I tion ❑ Other Describew�ork: (�S. a ( 1r C l9"v1 E� T 1�'P."" Q ui11� Fee $ / d t7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 S� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELL 'a' OR ADDNS. ACC. B" D S. 22 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 Professions Code and my license is in full force and effect. License No. Classification V!(1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR O LET 2,50 ea' NON -RE SID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. 50@250 Ex. Occup(OUTLETS OR FIXTURES BAL@11 A (RIESI OR EX. OCCU / OUTLETS p•\OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �If 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expe2tes which may in any way accrue agai said Count 'n o u,nce of th ranting of this r it. Date ' Signature of Applicant — Owner Contra r ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Occup. GROUP I TYPE OF CONST. I PARCEL f/ PD HD ss0 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date 1 s 1Q (� Receipt No. 1 WHITE -D. P. W., YELLOW -ASSESSOR, PIG -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, 9rovil"le, CA. 95965 OWNER -BUILDER VERIFICATION Phone: 916-534-4541. C 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mater is for construction of the proposed property improvement (yes or no) 2. I (have/have not) U signed an application.for a building permit for the proposed work. .3. I have contracted with the following person (firm) to provide the proposed constructi Name Address City Phone Contractors License No. 1 4. I plan to provi a portions of this work, but'I have hired the following person to coordi ate, supervise, and provide the major work: Name Address City Phone Contractors License No. t 5. I will provide some persons to provide Name A S igned : Property Owne G Social S urity nu�be�c Date .�.�� D, / f/ ,the work but I have -contracted (hired) the following work indicated: ` l�Ss Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. S. COUNTY OF BUTTE - DEPAFSrMEN'T OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. TT OWNER CO. 0 t A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or DATE RECEIVED APPROVED t/ 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . 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 owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . .. 16. Mobilehome Installation Data. . . . . . . . •. Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as fo ail to owner. Mail to contractor. Telephone a hold or pickup at _office. ,Deliver w/inspector. Other Appl ican Date 201/11 Copy of plans sent Health Dept., a Fire Dept., Other V 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 By Plans checked by. Plans approved by Other: Copy=DPW Date Date Date Other Owner: Addres BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL'INSPECTION REPORT s A. P. Date of Inspectipn Tenant: Inspector Building Location: �3 Type of Inspection requested: 1. Housing Ll 2. Financing 3. Change of Occupancy to 4. Other (specify) ?C!/tX-., 1&4"� Present use of build A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior to sewage disposal: 12. Connection to water -.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2.- 3. 4. 5. 6. C. Electrical 1. Service and ground: 2. Receptacles: ' 3. Fusing: ' 4. Comments: �� ' rte• ���� d-���`/ �c.�l ., ,.� _ fi' f D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating v t/s: 4. Comments: l%G c� A41Z A- e c (nnnt�n.�nri n� i�nnL\ E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. C onaaent s F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Rest-oon floors and walls: 5. Exits: 6. Improvements: 7. Zoning:_ 8. Comments v G. Field Problems or Violatioras 1. Problem or -violation (give complete description): 2. What a n taken (give complete description) : 3.What�actx.Jn recommended: /,!% A. Information only - file. / / B. Hold for to -n (10) days, then write letter. Write l..etter. /7D,. Other: 13, e. D. 011 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR. PARCEL NUMBER ZONING BUILDING PERMIT OWNER h tELEPHONE /1 7 SQ. FT. OCC. BUILDING VALUATION V�i�E OJOAIL,y.CI.G AD ES O CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace -A I CONSTRUCTION LENDER / UNKNOWN Total Valuation$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ BUILDING ADDRESS �S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 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 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Instatetion❑ Other ,. ro Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW NON-RESCONISTD, SINGLEOUTLETCIRR (POWER APPARATUS .&, / ) - Ex. Occup(OUTLETS OR FIXTURES BAAL9301 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against'd County in c equence oft granting of this permit. p X Date O Signature of Applicant - Ow tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and,demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcu P. GROUP I TYPE OF CONST. I JPARCELJ__PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 0 DI CT UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �— Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 0 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided'at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until -this verification is received. s 1. I personally plan to provide the major labor and materials for construction of the proposed properpy improvement (yes or no) e� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have con constructi Name Address Phone 4. I plan to p person to c Name ..Address Phone acted with the following person (firm) to provide the proposed City Contractors License No ide portions of this work,,but I have hired the following dinate, supervise, and provide the major work: C ity Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide he work indicated: Name ddress Phone Type of Work Signed: Property Owner z7ezz 6�1 Social Sec tynumber Date_—�' �3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. I This verification must be completed and returned to our office before we are permitted to issue the permit. (, oloo P PERMIT EXPIRES J/�w i i OWNER Ernest Quigley CONT Owner ASS SSOR PARCEL 27-12-9 L CATION 3305, Grubbs Rd., Oroville ' r k� Temp. Power Pole Called PG&E x Temp. Elec. Service 100, h Called PG&E k/ Temp. Gas Service r CalledPG&E JOB FINALED (Date) Signature J = OK O = 'Not OK Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS M Date MOBILEHOME UTILITIES (Plans) OK except #'s A. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or "Joists -Decking -Bracing -Stairs -Rai Is 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-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/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. ` Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1: Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances - 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to -HD Approval r" 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater -Grade 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 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date ` Card -BI Date Card -BI Date 4• 1 �V OK O - NorjOK - = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements •48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth -47..-Ext. Doors -One 3' -Check Gara a -3rd story, 2 exits 3. Ftg., Gar its / /" Ftg. Depth Stl1Pyl Stairs• Width -Headroom ise- anding- ire rotectio wood on Roof Overhang -Attic Vents -Rafter Outriggers 4. Ftg., P & Decks; Soils -Steel- / /" Ftg. Depth 5. Stem al Mai Steel-Blockouts-Wrapped-Slab 3P -Siding -Nailing -Veneer 6. Soemols, Garage; Steel-BIockouts-Wrapped-Slab 'S3-Stucco.Mesh-Drip Screed-Fdn. Vents-Underflr. Access i -Fireplace Ftg.-Steel 54 -Glazing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -Test -2 way C/O -Sewer Test 46 -Shear Walls; Nailing -Bolts 9. as Pipe; Size Anchors tater Pipe; Test -Anchors -Regulator -Service Test 11. leclric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date f. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMING (Permit) OK except #'s ff3 Smoke Detector _ Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting ��p{ater Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 61. & 6 63. 64. 65. G.F.I. & Bath Fixtures & Tub Access _ Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI DateCard-BI Date Card -BI Date Card -BI Date 66. 67. 2L. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Date ELEC ICAL Permit OK except #'s ale"Fixture & Transformer Clearance -Ins. Protection . 70. 71. 72• 73. N 74. 75. Wtr. Htr.; Vents -Clearance -Comb. Air -Connector R.V. In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No c. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled mex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size eed Wire Size / / ga. Cu or AI-A.C. Wire Size /-Z;/ ga. Cu or . Range Circ. /aG/ ga. C or Oven Circ. / / ga. Cu or Al, Insulated Neutral ['s (]No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size 15V Outl 30. Clothes Closet -Shower Light 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to pngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground -Light Card B -I Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MEC NICAL(Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 2 Vent Fan; Exhaust above Insulation gg Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date and -BI Date Card -BI p Card -BI Date ___Date p Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 3 SX'Ils; Proper Material & Anchors _ _ _ 37 --Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ earing Walls over Girders & Floor Nailing 4CIDraft Stop in Walls (rat proof) 0 Fire Stops; Furred Ceilings -Stairs -Chases -Tub y/Header & Beam -Size & Bearing- 4/Hangers-Post Caps -Anchors -Connectors t3 Cing. Joist-Ritr. Ties- Purlin-Roo( Brac.-Truss-Shthnq.-Ring. --2t>f Fireplace Ties or Type A Flue -Fireplace Throat _ %.ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ q$/ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ -q�6-Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) �. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 _ CORRECTION NOTICE BUILDING OR- OPEIi4TY AD,QESS 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. r f Inspector Date I COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n r _ ? . _ 0 ZONING ' BUILDING PERMIT OWNER,TELEPHONE Ir h I Oo I 9-1113.1 -.t6 79 SQ. FT. OCC. BUILDING VALUATION O NL{JE,g�S iv1A I L.I:NG ADp'R ESS v �� �� 0 C`O�JiNT✓R(ACTORRJ'S NAM/`Eaf;,, N Q� i `vl TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER/ I N UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /.y', ARCHITECT OR ENGINEER p LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � \1\ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r'- Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ©Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00 e TYPE OF WORK New❑ Addition ❑ Remodel Utilities❑ Insta_yation❑ Other Describe work: �� C. I �=- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y ! License No. Classification Qt/ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. Ex. Occu / 20@50m P\ou TLETS OR FIXTURES SAL@30¢ FIXED EX. Occup. OUTLETSP(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ur 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. 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 against said County in consequence of the granting of this permit. 1 ' / /c? X % --,/ � _e'_ i!�ilil�i Date / — Signature of Applicant —� Owner 47tractor ❑ Agent ❑ v' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 5 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CT O UBLIC By PERMIT EXPIRES Date �r the applicable provi- resolutions to do fees have been paid. WORKS Date /9-P3 ' // Receipt No. 7 Y WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 6250- 0 Permit#149-83 Ernie Quigley N LAND OF N~ATURAL WEALTH A.ND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY. Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 ;o a Telephone: (916) 534-4541 WILLIAM (ill) CHEFF Deputy: Director Ernest Quigley 3305 Grubbs Rd. Oroville, CA 95965 Dear Mr. Quigley: Danuary 27, 1984 RE: Building Permit No. 6250-80 149-83' Expired- , 1-9-82 & •�_ (A.P. No. 27-12-09 ) With reference to the above subject, our records indicate that your Building Permits expired --- on the above date$ Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus -a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Oroville Yours very truly, Clay Castleberry. Director of Public Works F. Glander \ '-- Chiefi Building Inspector Chico - 19.6 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-29613, Ext. 57 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ?i = ZONING BUILDING PERMIT OWNER ., -, -��SO. TELEPHONE, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME `1 TELEPHONE ` CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fee FilingLENDER'S $ 10.00 MAILING ADDRESS Permit Fee $�� %) ARCHITECT OR ENGINEER E)yy� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �_ j (pt 1 "obi \\� c4l PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00�;� Repair drainage or vent piping 5.00 ,r Water piping o LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF !3Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remode,l�❑ Uti Iities ❑ Instal lation ❑ Other Describe work: '�"��%t� ��>�('"1� ao�'� tY c> ,;�-` _ AX''✓` ✓' `\, 4P ng>.. .A !� (�% i� �`% `'. ,, , _. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 . 1 Main service EA. ADD'L 100 AMP 2.50 NG,O,CC UP:a) ONEW R ADDNS� ( ACCLB, LD 20 sq It - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. j License No. Classification °❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR -OUTLET - 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS b NON•RESID. (SINGLE OUTLET CIR. so � 2s¢ EX. OCCUR OUTLETS OR FIXTURES BAL�1 FIXED APLNS Ex. Occup.(OUT ETSP(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in -consequence of thegranting of this permit. a X - Date-' Signature of Applicant — Owner:''.:• Contractor Agent 0 �❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ .\ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Byn " PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Ernest Quigley 3305 Grubbs Rd, Oroville, CA 96965 butte C LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Qirector 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill') CHEFF Deputy Director Aug. 12,.1982 RE: Building Permit No. 6250-80 (repair/SF) Expires 1/9/82 (A.P. No. 27-12-9 ) With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an.additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and 'an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Thank you in advance for your prompt attention concerning this matter. JFG:ds cc: Building Inspector, Oroville Enclosures: Permit Application, Owner -Builder Information Owner-Builder'Verification Yours very truly, Clay Castleberry Director of Public Works /ChF; Glafder ief Building Inspector Chico - 196 Memorial Way - 891-2751 Paradise - 747 Elliott Rd - 872-2961, Ext. 57 PERMIT NO. 3234' 74'B,P,E P I E _ M i7 IMH UTIL. 1PERMIT NO. PERMIT EXPIRES-* �/ —� 7,57— OWNER Ett6st M. Quigley CONTR. Holiday Pools, Chico rLOCATION (A.P. 27-12-09 ) 3305 Grubbs Rd, Qroville ,1f ,f I Temp. Power Pole Called PG&E s Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB G FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTME'NT'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 Windows 3rd Floor Stemwall Siding To out Slab ' Roof Sheathing Water Piping Piers Roofing Sewer • Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Pi ing & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h— Reinf. Steel .� Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco, Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final ZZ DATE REMARKS OR CORRECTIONS l �CI� a. • IDENTIFICATION A. FIRE NUMBER: 1 B.; NAME OF FIRE: nT e )rx TT_ CAUSE C. RANGER UNIT: _ E. ZONE OF ORIGIN: F. SIZE CLASS: D. DATE FIRE STARTED: 5 2G. G. RE CLS: IAS.--, ar. ?3T.GCK III. LOCATION OF ORIGIN A. GENERAL CAUSE �� b \ L�•a FIRE STARTED ON/IN rIA. B. SPECIFIC CAUSE v KNOWN LOGICAL C. CAUSAL AGENT I LOCAL //�� KNOWN NON -LOCAL LOGICAL D. FALSE ALARM E. PERMIT ESCAPE NON F. PERMIT ?3T.GCK III. LOCATION OF ORIGIN A. SECTION ! B TWP. RGE. y E_ e a M 1,Y S. FIRE STARTED ON/IN C. FUEL TYPE: f D. PROTECTION D -1 ^-"' JURISDICTION 7k" V E. FIRE ON ARRIVAL 1• SIZE: SPOT ACRES (FOREST FIRES ONLY) - 2. •DISTANCE FROM HEAD OF ' FIRE TO ORIGIN FT. ' SKETCH TOTAL AREA BURNED F. BLOCK VI. WEATHER A. ESTIMATED WIND ON ARRIVAL: VELOCITY: rj NIP'r9 DIRECTION: S TOTAL XXXXXXXI XXXXX I I B. FOREST IMPROVEMENTS I XXXXX l XXXxX XXXXX i B. TEMPERATURE: RELATIVE HUMIDITY: FUEL MOISTURE: WIND DIRECTION: ' WIND VELOCITY: xxxxx XXXXX TOTAL XXXXXXX XXXXX I I I C. FOREST PRODUCTS I 1 1 7 SCALE: 1" � 1 / MILES) 1 p C. FROM: STATION BLOCK V. AREA BURNED VEGETATIVE TYPE ACRES BLOCK VII. REMARKS AN ��►�r� C�?vr- fie= , TOTAL XXXXXXX XXXXX TOTAL AREA sty rtrx TV_ T)AMAGE A. NON -FOREST IMPROVEMENTS NO. UNITS DAMAGE '. A31f' t, t "n DAMAGE OF FIRE 5 IS,oirjo F. ESTIMATED RECREATION LOSS TOTAL XXXXXXXI XXXXX I I B. FOREST IMPROVEMENTS I XXXXX XXXxX XXXXX xxxxx XXXXX TOTAL XXXXXXX XXXXX I I I C. FOREST PRODUCTS I 1 1 TOTAL XXXXXXX XXXXX 1 I I D. FOREST AND OTHER VEGETATION I I I � I 1 1 � I TOTAL XXXXXXX XXXXX GRAND TOTAL (A -B -C -D) DAMAGES i D/OR OWNER(S) J hyo E. ESTIMATED WATERSHED DAMAGE OF FIRE F. ESTIMATED RECREATION LOSS BLOCK VIII. SIGNATURES ~� 1 4 '• ��. 1 � 1 % '�% + i RANGER OR ASSOC. • � t ii A. ORIGINAL REPORTBY B. RANGER'S SIGNATURE{ -LA-A NAME e / NAME -----� — TIYLIK YITLQ ;\ ao, 0 COUNTY OF BUTT& — ,DEPARTMENT OF PUBLIC WO K av 7 County Center Drive" — Orovi Ile, California 95965 Telephone: 504-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentione operty for inspection purposes. ��}} X Date Sirr` a of Permitee or Agent Receipt,%.G 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 R4 LIC WORKS By Date J� B ding permit expires Date ................. :.34 �� BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor p S Total Valuation Mailing Address Q Permit Fee Plan Checking Fee&/or Penalty /G O Te epho e N . Permit Fee $ $ (� Building Address 13 S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sani&;o-nl Fire Dept. Fire Zone Use Permit Building sewer , 5.00 EQA I Parking Plans Parcel Declaration Parcel 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parce Approval PI pproval Permit Fee $ $ NEW Eg, ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Q t �p Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2 I 2Y Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ` //O//l " 00 V Hood, Ex. Fan or F.A. Furn. Motor 1.00 Amu � Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License 1\14 0,- 3az c . /" Classification c r Misc. wiring 6i(/Q/�i� .op ❑ 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. @ FEE ^` PERMIT FILING FEE $3.00 Heating Cooling Ventilation -Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 0 s authorize representatives of the County of Butte to enter upon the above-mentione operty for inspection purposes. ��}} X Date Sirr` a of Permitee or Agent Receipt,%.G 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 R4 LIC WORKS By Date J� B ding permit expires Date ................. :.34 �� lkw i FT�_- k103 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1 `1 APPLICATION NSVD PERMIT ASSESSOR PARCEL NUMBEA ZONING ' BUILD)Nr, PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUIL15ING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $_ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[; Other ❑ Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR 'NON-RESIUL TCH '-UT CIRCEUTLT ITS 2,50 ea D BRAN NEW CONSTR. ( POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. / Ex. Occup(ouTLErs OR FIXTURES a ��� FITLE APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 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. Heating Cooling Hood 2.00 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 against said County in consequence of the granting of this permit. 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMI N0� ASS5R PARCEL NUMBER ZONING BUILDING PER OM ,EST 114./ TELEPHONE SO. IT. OCC. BUIL ING VALUATION O`�JLING ADDRESS l�-•V 6135 2D. ©eaV C4 CO909 NTRACTOR'S NAME f fITELEPHONE 4 { .- -CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL2�r, ADDRESS `//� • PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 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 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Al R,em/pdeI ❑ ��Uttii IiTties ❑ Ins�ta/Jlatio ❑��he Describe work: AE �L6-6 � /1 SEC / 'C— Cc.t/T1�UP 40 J= p�a�Ti /71�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee (x,00 Main service 1000 AMP ORSLESS 5.00 IMan ,� / C iJ�. lis �l [�C✓V Main service EA. ADD -L too AMP 2.50 2 - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 20 sq -ft NEW CONSTRNON-RESID. BRANCH ULT'-OUTCIRC ITS 2.50 ea NEW CONSTR ( POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@100 Ex. OCCu FIXED APP LHS. OR p•(DUT LETS (RESID.) EA.) 2.00 . V® Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 decrare 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. IRt 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 3.00 Heating Cooling Hood 2.00 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 again ai County ' onsequence of granting of this permit. X r, _ Date Signature of Applicant — er I� r.tor ❑, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structu•es over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE .� OCCUP. GROUP 1 TYPE OF CONST. PARCEL PD I HD ISSUE This permit is -hereby issued under sio of the Butte County Code and/or w indicated above for which D QTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D e S �� Receipt No. _ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 27-12-09 ZONING A-5 BUILDING PERMIT OWNER Ernest Quigley TELEPHONE 533-5612. SQ. FT. OCC. BUILDING VALUATION 1st 2nd & 3rd Renewals OWNER'S MAILING ADDRESS 3305 Grubbs Rd Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee 02 of Orig X 3) $ 72.00 ARCHITECT OR ENGINEER - None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 3305 Grubbs Rd PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater _ 20.00 Oroville Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other® Describe work: 1st -3rd Rnewals`of .Permit #6250-80 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. •�1/ZQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Na Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.Ft MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &') NON-RESID, (SINGLE OUTLET CIR. / sOeSOe Ex. Occup(o OR FIXTURES 9AL@8oc IXED A PR Ex. Occup. OUTLETS (RESID )EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. 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. iC Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 82.00 OCCUP. GROUP I TYPE 01' CONST. JPAIRCFLJ PO HD IseuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By _Date PERMIT EXPIRES Date 1-9-85 _ Receipt No. T WHITE-O.P.W.. YELLOW-ASSISSOR, PINK -INSPECTOR, GOLD E'NP.00-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMIT O. 1 P ASSESSOR PARCEL NUMBER 27-12-09 ZONING BUILDING PERMIT OWNER Ernest Quigley TELEPHONE 533-5079 SO. FT. OCC. BUILDING VALUATION 1st Renewal OWNER'S MAILING ADDRESS 3305 Grubbs Rd, Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 2 of Original) $ 7.50 ARCHITECT OR ENGINEER None LI CENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 17.50 BUILDING ADDRESS 3305 Grubbs Rd PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Oroville Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF © Duplex ❑ Mobi lehome ❑ Other 0 Clearance Fireplace SPECIFY Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New r-1 Addition ❑ Remodel❑ Utilities El Installation[] Other❑X Describe work: 1st Renewal of' Permit #149-83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA, ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.B OR ADDNS. ( ACC. BLOGS. , hQsgft '- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNONRES I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in, full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUITS) 2.50ea NEw -CONISTR (SINGLE OUTLET POWER APPARATUS e') D. CIR. z0@s0c Ts Ex. OCCup.(ou XOR FIXTURES eALlg 30= EX. OCC _ FIXEEDD APPLNS. OR OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If.after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 17.50 OCCUP. GROUP I TYPE OF CONST. PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date _ PERMIT EXPIRES Date 1-19-85 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT( PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 / AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shal'I not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ^/I ASSESSOR PARCEL NO. FLOOD ZONING 9 ROOFING ISSUE OWNER �D�.�,L s / PHONE NO. �� OWNER'S ADDRESS gal Ugh/ �'t � O✓'ov; ��� gS1t�S LOCATION OF BUILDING3 L3 � h� � � S' Rd, 1nQ ({ j Hot USE OF BUILDING -C I z>' A/& I ci�- e e Q SIZE OF STRUCTURE X = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIRIN.9 ROOF COVER NG / FLOOR TAPE 00 ESTIMATED COST OF CONSTRUCTION 1DOo AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:< /�^— ,�,��+ FRONT '3—bA`-(_SIDES < /17 REAR 3 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date J^ - �l Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. o� White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director of Public s By Date %l5-� FLOOD PARCEL P.D. ROOFING ISSUE I I Director of Public s By Date %l5-� 4 4�'j". P°�` `'FTS? a' T y`C`,i ��iro�f1A�'•,jCtl.! t- _''COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET The fol lowing�Mtt be submitted prior to permit issuance 1. Index permit for ak�o�e items No. 2. Additional items required: ' (Circle new item not checked above). 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 —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date Permit No. OWNER Alz-)Aaos r gtfcA A. P. No. a 7-12-09 Proposed Building Use 46- - QU11r1,Me) Building Inspector Date 3 /eL9Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED `'' APPPqVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6.'Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to; Building Inspector ; (Date) 21. Contractor's license information (No., Name Style, Classification)- ; . . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Marl to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................. ............. . 26. i 27. + r , _ fo 959010 When you issue the permit, process as follows:. Mail fo-owner. Mail to contractor. _Telephone ' and hold for pickup,at a ce. Deliver w./inspector. Other ��/j% L�� �i�r-�chG C1/ Applicant_ t:�4X6/t .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 fol lowing�Mtt be submitted prior to permit issuance 1. Index permit for ak�o�e items No. 2. Additional items required: ' (Circle new item not checked above). 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 —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date Owner: Addres 4---' BUTTE COUNTY DEPARTMENT OF PUBLIC WOW .� .SPECIAL INSPECTION REPORT Tenant: Building Location:2 U �r Type of Inspection requested: / ' / 1. Housing L/ 2. Financing 0 4. Other (specify) Present use of build I' A. P. 7 - Date of Inspection Inspector 3. Change of Occupancy to n .a W A. Sanitation (Housing) ( L 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. 21. Infestation of insects, vermin, or Connection to sewage disposal: rodents: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1.. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating 4. Comments vents: E. Other 1. 'Maintenance and repair: 2. Fire hazards:_ 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: e- 7 ai�4 6. Improvements - 7 . Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: TTA. Information only - file. Hold for ten (10) days, then write letter. C. Write letter. /% D. Other: