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027-080-005
$� \ - C.— uritt .. A. P. 7136 Upp",er"Pale o Rd., Palermo Permit 194-72B (ert storage bldg. to family roo & bath to be�use� d with ' mobile home) 1 N A-L g16 173 A.P. 27-08-5 II� - E�TF�.T, . 7136 Upper Palermo RZ1-.,; Palerm _ Permit 2965-72B (covered porch f r mo A .T .7'=08=5— C. M. EURIT' r1 7136 Upper Palermo Rd Permit 3904-73B (covered do for MHS CW 9 604 * 27-08-5 Louis M. Du ca pper Palermo Rd., Palermo Permit #5384-77B,E(add 2 bedrooms/SF) -pe'qA) 5-1AAP 27-08-05 j' NEW W OWNER BENNIE HATFIELD j 7136 Upper Palermo Rd, Palermo Permit#841-85B,E(new garage) 027-080-005 04-2161 WOLD, MICAH 7136 UPPER PALERMO RD, PALERMO Cont: OWNER RE -ROOF r ti 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.neAdds PERMIT NO. BP042161 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' ' _07/20/2004 APN• 027-080-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 7136 UPPER PALERMO RD PAL Date: Contractor: Map Index: Description: REROOF W/COMP (11) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WOLD MICAH T to its issuance, also requires the applicant for such permit to file a 7136 UPPER PALERMO RD signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their ' \ sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WOLD MICAH T Code: The Contractors' State License Law does not apply to an • owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractom not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.)).. 1 ❑ I am E mpt under A ' l4ofE usiness rfd Pfofessions Code r Owner: Date: License #• WORKERS' COMPEN ATION DECLARATION I hereby affirm under penalty of pe ury 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: F lure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 4-6 CONSTRUCTION LENDING AGENCY This.pennit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o c icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) • � , " Name: BY // Date: r/ - �v • G Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection urp e . (tett Print Name: � WOLD i= Signature: Date: 7 0 Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor l� AUT%. BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 - - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 _ OFFICE #: (530) 538-7541 CQU Why A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name n / I irst e n Address 7/ 36 laR,,CZoo /0 City � State Zip Phone r� �l0 Z d Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail N WN MOP, __ For offic use only: Zoning Property Address Flood Zone Cross reet wD L7 SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION AN Property Address I cityn I7iQ/l�%a Cross reet wD L7 WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ,Q6D,C I J 17-H Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BLIILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 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 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. ReAmoWunt (� �— Bldg ive SRA Receipt #: Gi� Sheriff qde SMIP Date: Other Total REV 6-16-04 n - SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. � 2, Engineered truss details and layouts (if required) (1VO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ' ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signedy the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 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 retum.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. S I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES X NO ❑ I HAVE#HAVE NOT E3 signed an application k. tion for a building permit for the proposed wor I have contracted with the following person (firm) to provide the proposed construction: 77 W QQ ADDRESS: PAt,0 ./-?V')y / xrrY: �� 0 SO -3 - /0(n 2—CONTRACTOR'S LICENSE NO. 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. work indicated: ADDRESS PHONE TYPE OF WORK GNED: WDL D PROPERTYO iv11 CA N 7: , DATE: oZa 0 L% NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 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 r OWNER BUILDER INFORMATION 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 -binder" S a peYOU are the responsible party of record on such permit permits not required to be signed by property owners unless they are personally performing own work. If your wank is being performed by someone other than curse rmiag their liability if that person applies for the Y � You 'Proms Yourself from possible Proper Permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California license from the city or county. They aand to have a business re also required by law to put their license number on all permits for which they apply. beaware of the to do your own work; with the exception of various trades that yon plan to subcontract, you should WYOU plan Wing information for your benefit and protection; r, a If you employ or otherwise engage aay persons other than your immediate and other costs) is $300 or more for the entire may► and file woiic C=k dmg materials sub actors, then You may be an Pro] cad such Persons are not licensed as contractors or employer. ♦ If You are an employer, you must rear W& the State and Federal Gov=ments as an employer and you are subject to seve=a.1 obligatiincluding workers compensation iasiaamn � � �� h==Unemployment o�g, feral social security taxes, + There may be financial risky for as if com�pensatioa coons. Y yon do not ceriy out these obligations, and these risks are especially serious with respect to worker's compensation ;1MHm.�e. ♦ For more specificMtEnation about Yam obi°m under Fedeial Law, contract the Int=al Revenue Service (and, if yon wish, the U.S. Small Bmsiness . ' ). For more specific iafoimation abouit S`tabe'Law, contact the Depmtnent ofBenefit payments and the Division of Your obligations tinder industrial Accidents. If the structure is i>smded far 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 tender limited conditions. A frequent practice of umiicensed persons professing to be factors is to secure an ¢owner builder" building Pew erraneo�5' �� that the Property owner is providing his or bar own labor and permits are not required to be signed by property owe runless material Pe�sanally. Briding k*uoatioa about iicenasd reactors may be obtained are pig their own work persoisaliy. commmnif or at 1020 N Street 5 �. GA. 95814. he yrs State License Board in your Please complete the "Owner Builder Veiificabion" on the reverse side of tris farm so that we can coafr are aware ofthese matt= The building pmt will cat be issued mml the Verification is retumed. rm that yon N077-- 2 ' 0wner-,Su"7LMO r=rwft is required by Section 14830 ofthe Cali Omla Heal& mid Safety Code OVER Y PERMIT NO. 841-85B,E PERMIT EXPIRES OWNER BENNIE HATFIELD CONTR.. owner ASSESSOR PARCEL 27-08-05 i LOCATION 7136 Upper.Palermo Rd, Palermo i Temp. Power Pole (f Called PG&E 1 - Temp. Elec. Service Called I I Temp. Gas E { Cal led F 1 JOB FINALI I Signatul 1 A i Temp. Power Pole (f Called PG&E 1 - Temp. Elec. Service Called I I Temp. Gas E { Cal led F 1 JOB FINALI I Signatul V = OK 0 = Not.,OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 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; LocatiorrTest—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 It'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 7, Water and Sewer Connected—C/0 to Grade—HD Approval 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed 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. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 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. Inspector' -Q QA/ V Date : ' ! 1� V I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERT NO. i 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT ASSESSO PA NU ^� — ZONING BUILDING PERMIT OWNTELEPHONE 61 i Q; ta SQ. FT. OCQ. BUILDING VAL TION O OWN E MAILINGA ORES ,AA ,r YY ` e r wo CONT CTO SNA TELEP ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHIT T OR ENGINEER © LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ._.. BUILDING ADR S �Y. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Q e r W1 © 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 STRUCTUR SF ❑ Duplex ❑ Mobi lehome ❑ Other f^ 6L SP CIFY Building sewer 5.00 Mobile Home S I G I W I 1 110-00 e TYPE OF WORK New )4 Add ition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Des vibe work: — 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. LBLDGS.LING CC P OR ADDNS. l ACC 2Y20Sgft /0,0 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 ULTI.OUTLET 2,50 ea NO N•R ESID BRANCH CIRCUITS) NEW CONSTR ( POWER APPARATUS &� NON•R ESID, \SINGLE OUTLET CIR. OR FIXTURES BAL®30Q 0AL930 Ex. OCCUP. FIXED A FIXED APP LNS. OR EX. QCCUp. OUTLETS (RESID,) EA.) 1 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. 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. 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 against said County in conequ note f e granting of this permit. 2� —a�- U� Date u gniaturee of Applicant — er 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 $ I t TOTAL PERMIT FEE v OCCUP. GROUP TYPE OF CONST. PARCEL PD MD 11 Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which DIREC O OF PUBLIC BY PER' IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date �����•S ��'� Receipt N o. 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 PERMIT APPLICATION DATA SHEET -- Permit No. OWNER H JAi7 n �+ A. P. No. Proposed Building Use 7,�. w- e) n Permit Fee Based Upon: Complete Contract Price x DPW Valuation Other (Explain) h �/ Building Inspector / ���d 14,E / Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. t, 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 $ . . . . . . . . 09. Letter of signature authorization. ._Sanitation approval from �'�.�a % l f4 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. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector (Dote) 1 Recorded copy of A ricuI ural cknowledr-kawgment Statement. �� ��.- 19. Other When you issue the permit, process as follows: X Mail to owner. Mail t contractor.JI A I Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant i/G_� .��J% ,�-��Date� - /. `l Copy of plans sent Health Dept., Fire Dept Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at ti 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 byDate Plans approved by Date Other: � A&A -IS /44414) /4P�(i e.4C .SrA6 tt &aA/ &J'e— C#Ad 1INK_q-- Copy—DPW r To: Building Department From: Environmental Health Subject: itat' n Clearance G�'r��� ?,Z-ox— er _Jo Ion Plan Approved for: Hold Final for: Final Clearance 0.1K. for: Sewage Disposal Clearance for bedroom house/mobilehome or other NOTE * * * Water Supply Water Supply Wager Supply . c+ ❑ ❑ ASSOCIATES Mr. Jim Glander Butte County Building Department 7 County Center Drive Oroville, Calif 95965 Ref: Flood Hazard Investigation AP 27-08-05, Palermo Dear Jim: U LTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533-6457 CALIFORWA P. E. NEVADA P. E. OREGON P. E. April 8, 1985 The above referenced property is located within the 100 year flood zone on the currently applicable maps. In support of the owner's application for a Building Permit for a garage on this property, the following evaluation of the actual flood hazard is submitted. The attached map shows the location of the intended garage, the existing residence, and the adjacent watercourse. The streambed elevation at the culvert exit is approximately 182 feet MSL. The Wyman Ravine Drainage Study estimated the 100 year flow in this stream to be about 220 cubic feet per second. The existing conditions of topography in this area are such that this flow can easily be accomodated with a water surface elevation below 184 feet. The water surface elevation is at least two feet below the elevation of the proposed garage. It is my opinion that the 100 year flood will present no hazard to the construction of a garage at the proposed location. enc cc: Jan Hatfield DR. LLOYD M. COOK ED. D. JOE E. COOK W E. Very Truly Yours, Cook Associates Tom CiivillEEnen ESSI Gj�/ /1146. CF al NANX� 3 X /9f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Bennie Hatfield 7136 Upper Palermo Road Palermo, CA 95968 With reference to the above subject: " Attached is: OTHER DATE April 1, 1995 RE: Building Permit Application #841-85 A.P. # 27-08-05 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced �l We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L1LJ_ OTHER_ our records show your parcel to be within the flood hazard boundary aa established by Federal Tnanranre Adminiatratinn- you nape] to cont -act a Licensed surmayo>. Or. Anginapr and have them estahliah the rmgnlatar,.,y fland elavatinn, 100 yeAr, and G12bmit a methnd of rnmplianrp with Article ju to Chapter 96 of the nnttp County coAa Should you have any questions concerning the above, please contact this office. JFG/ j Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector ►:• __ PERMIT NUMBER - B 194-72 P 168-72 E 163-72 10 PERMIT EXPIRES �— �O — /� OWNER C.M. Euritt CONTR: owner LOCATION (A.P. 27-08-5 7136 Upper Palermo Rd., Palermo i. e DATE REMARKS OR CORRECTIONS ��'avL�� /•l2 Svc � - 1/C �U � • COUNTY OF BUTTE Department 'of Public Works BUILDING INSPECTION RECORD Zoning Setback F Forms Foundationc� Piers & Girders,--__----_-_._ Fireplace Rgh. Plumbing /,0 , T-/�%-�%� Bond Beam - Lath & Plasterer' Rein. Steel Gas Piping & Test _ — Found. Vents Framing Plmg. Topout —/J �%,=_P-- Rough Elec. Wtr. Htr. Furnace Kitchen Vent T— Firewall Garage Vents Sanitation & Water -• ELECTRIC _ GAS BUILDING Temporary Temporary 'Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS ��'avL�� /•l2 Svc � - 1/C �U � Permittee Owner Mailing Address Contractor Mailing Address BLDG. Address COUNTY OF BUTTE JA DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT J A. P. No. 7 Fire Zone Zoning Sanitation /� Planning Plans Fees __ I W.C. R/W Encroachment NEW F-1 ADDITION REPAIRS OTHER Q F 0 U N D A T 10 N Others ��/ fj %r MATERIAL EXTERIOR PIER \ - �-" -rs/`� � ~ Single / . Multi Width at To a USE OF STRUCTURE Family � Duplex 0 Dwelling Q p a 5 `N a Others ,��r •� �+ f r'��+ %� Width at Bottom 0 Depth in Ground a�5 J aPr SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE 0C IN �'�� .SPAM Girders ej oists - 1st Floor a�5 q Joists - 2nd Floor a'<� a Fireplace Joists -'Ceiling �� ya(,'�� a0` G Total Valuation Exterior Studs Permit Fee Interior Studs PG a\ Plan Checking Fee &/or Penalty Roof Rafters 0 Total Permit Fee �. Bearing Walls CONTRACTORS LICENSE LAW �` A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name styleof.............................:.................................................................................................................................................................................................................. . License No . .............. ; ........... . Classification .............................................. . and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. ,7044). QBasis,, if any, for other statutory exemption,,,,,,,,,,,,,,,,,,,,,,,,•,•„••,,,,,.,•,,,,,,_.,._,. WORKMEN'S COMPENSATION INSURANCE - I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. • 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. X.............................................................................. Date ...........r.................. SIGNATURE OF PERMITTEE OR AGENT i ReceiptNo......................................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ..................... Permit Expires Date ...................... L r �fY/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Dove - Qrovllle, California 95965 Phonet 533-1230, Ext. 259 _ APPLICATION AND PLUMBING P E R M I T Permittee Owner ( ►—�/`--2.f//i% ��_�— -J` A.P. No. Mailing Address / 7 s '� .✓✓ •' . /,d < <- �- . �-wJ Contractor Mailing Address BLDG. Address�� -� C /.G+•/' ./ f's',.` -+�� %�y t" DESCRIPTION OF WORK NEW ADDITION REPAIRS 0 OTHERS:--�y`'•� � � Remarks: �•/��' ��Y..— YC_ PERMIT FILING FEE No. @ Fee $2.00 - Each fixture or trap or set of fixtures on one trap 1.50 Repair or alteration drainage or vent piping 1.50 Installation or repair water piping `` 1.50 - Each gas water heater or gas heater vent _ 1.50 USE OF STRUCTURE Single Multi RESIDENTIAL Family 0 Duplex Q Dwelling OTHERS: Remarks: Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE E CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof.....,...... .............. .......... .....I...................... .......................................................................................................... License No. Classification ................ and certify that the aforesaid license,is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of•th'e State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). , I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption......:...................................................................................................i.....::..............................................: I , ......... ................................................................................................... WORKMEN'S COMPENSATION INSURANCg I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation.'I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. ........................................ Date........................ SIGNATURE OF PERMITTEE OR AGENT Receipt No ............................. .......................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................................................................ Date .............................. 41� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AN'D IELECTRICAL PERMIT Permittee Owner / i "ra f, ��/ -.e e / % A. P. No. -7 - ' l ''f •r Mailing Address Contractor - �--J Mailing Address / BLDG. Address If, DESCRIPTION OF WORK NEW 0 ADDITION 0 METER SERVICE F-1 OTHERS: / Remarks: USE OF STRUCTURE Single Family Q Duplex O OTHERS: Remarks: PERMIT FILING FEE Filing Fee Main Service (12 orr (more than Sub -panel less)- 12) Range, Dryer or Water Heater Oven, Cook -Top or Space Heater Light Fixtures 1 Receptacles., Switches & Fixture Outlets MultlHood, Exhaust Fan or F.A. Furn. Motor Dwelling Dwel Evan. Cooler. Gar. DisD. or Dishwasher Air Conditioner or Heat Pump Water Pumn �/ 01 No. .4- $2.00 1.00 TOTAL FEE Fee CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name styleof.......................................................................................................................................................................................-.................................................__ r License No Classification .............................................. . and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). ]. I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, focother statutory exemption........................................................................................................_...._............._ ....... .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued tinder the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. • DIRECTOR OF PUBLIC WORKS X...................................................................................... Date ...... ::.�................... SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Date .................................. ReceiptNo..................................................................... Z Each Each L00 Each ..50 First 20 .20 Each Additional .10 V First 20 20 Each Additional .10 Each .50 Each .50 TOTAL FEE Fee CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name styleof.......................................................................................................................................................................................-.................................................__ r License No Classification .............................................. . and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). ]. I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, focother statutory exemption........................................................................................................_...._............._ ....... .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued tinder the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. • DIRECTOR OF PUBLIC WORKS X...................................................................................... Date ...... ::.�................... SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Date .................................. ReceiptNo..................................................................... . :; PERMIT NUMBER _ B 3904-73B P �i , E i� tr PERMIT EXPIRES/ -7 OWNER C. M. Euritt CONTR: Owner t LOCATION (A.P. 27-08-5 ) 7136 Upper Palermo Rd., Palermo COUNTY OF BUTTE Department. of Public Works BUILDING INSPECTION RECORD u Zoning Setback .f'9� % —% �' �' /// Forms 7" Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing 49 _ Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965gD Telephone: 534-4541 APPLICATION AND PERMIT A allL"OrZe Iep esetltauves uI ine County of Butte to enter upon the above-mentioned property for inspection purposes. X U2 App I LC' /.,90-L�_ Date P Signature of Permitee or Agent Q �f10 Receipt No. / D� 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 BY Date' " z �' 7 Building permit expires Date`O;: z Y - 7 _.. �.._.; BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Q [Fireplace Telephone No. Contractor Total Valuation 17- Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ % =� Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ �j Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bld .ans Recd P�ccBLApp�oval Plan proval Permit Fee ,$ NEW ❑ ADDITIONZ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Dup ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 axle Water Heater or Space Heater 1.00 Light fixtures "ba 20P �a Receps., switches & fix outlets 20-T�23 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I amexempt 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 RI �. 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 $ 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 I TOTAL PERMIT FEE $ -' allL"OrZe Iep esetltauves uI ine County of Butte to enter upon the above-mentioned property for inspection purposes. X U2 App I LC' /.,90-L�_ Date P Signature of Permitee or Agent Q �f10 Receipt No. / D� 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 BY Date' " z �' 7 Building permit expires Date`O;: z Y - 7 _.. �.._.; r; , nis set of pians and specifications MUST -be t an the job at all times and it is unlew'ul to make any changes or alterations on same without j written permisson from the Department of Publit Wk f or s,. County o oufte. t Workmanship Shall Be or, Accordance with Recognized g Good Practices and CYf a quality prescribed for the S �uf�rm Building Specified use in the Code, Uniform Plumbin Notional Electrical Code. g Code, and 104 *OGO G.Z.°/ 6 -Z/ --r ; - /- S Fxe/r'/11i 43/ �03;�� J* 6.33-337 � ---. - �, i �, -� "'�� �� S -� I / -� �� I v G . f I PERMIT NUMBER - B 2965-72B P E PERMIT EXPIRES /O OWNER Emil Euritt CONTR: owner LOCATION (A.P. 27-o8-5 i I 7136 Upper Palermo Rd., Palermo COUNTY OF BUTTE Department of Public Works i BUILDING INSPECTION RECORD Zoning _ Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing _� — Plmg. Topout Wt -r. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final. _ Final DATE Forms Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final //— /" REMARKS OR CORRECTIONS I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviIIe, California 95965 Telephone: 533-1230, Ext. 259 ) 9�/- - 2 x /3 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above �-mentioned property for inspection purposes. +y X A6 , Date Q/,ef Signature of��ttPermitee or Agent Receipt No./ a o / 9,3 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PIJBLIC WORKS BY �����ate � c�—a 7-7'Later---1-7-7'3 BUILDING Owner It -711-1 -FT SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 �, GO 0 ?zpz 10FAID Fireplace Contractor rJ 6e,/f/!Fa Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address 7/36 1E SIO / / 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. 2 -- C7�— Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans el-- Fees W. C. R/W I Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ �� ���� C y Olt' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A7 e11314r ,tlG/Vr- Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 7-110 Oven, Cook -top or space heater 1.00 Light fixtures alldfu/ Receps., switches & fix outlets EM 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification 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. I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ nsr umentfa° on a anion $0.07/$1000 Evaluation $ $ TOTAL PERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above �-mentioned property for inspection purposes. +y X A6 , Date Q/,ef Signature of��ttPermitee or Agent Receipt No./ a o / 9,3 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PIJBLIC WORKS BY �����ate � c�—a 7-7'Later---1-7-7'3 I I his set of plans and specifications MUST be kept on the job at all tinges and it is unlawful to make any changes or alterations on same without written psrmisson from the Department o Public Works, County of Butte. BUTTE COUNTY BUILDING DEPARTMENT APPROVFD 7a 5 7� S/ 10 PERMIT NO. 5384-77B,E PERMIT EXPIRES s• OWNER Louis M. Duncan CONTR. owner LOCATION (A.P. -27-08-5 7136 Upper -Palermo Rd., Palermo t• Temp. Power Pole Called PG&E —50 { Temp. Elec. Serv. T �� Called PG&E Te p. Gas Serv. Called PG&E OB FINALED �� y (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ZOO (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback z p?% % Firewall Soil Piping Forms Parapets 1st Floor (p Main Bldg. Restroom Finish 2nd Floor Footings Windows ©2 > �. 3rd Floor StemwallSidin To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage V Fdn. Vents oe Fixtures Footin s Garage Vents Water Htr StemwaI I Insulation Heaters Slab Carport Footings Prov. for physically handica ed Conformance of a structure Appliances Gas PI Ing & Test Temp. Gas l Slab FinalSanitation i Patio FIREPLACE Final c� Footings Footing LECTRIC Masonry Walls Throat Rough 30 ,� Relnf. Steel Final Fixtures Bond Beam FIRA SPRIN LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh M NICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling A Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer FinalI I Final �•T/ MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ZOO (NOTE: An entry must be made on this form each time you visit the job site.) V/ COUNTY — U TY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965�(��-�7 Telephone: 534-4541 cctt / APPLICATION AND PERMIT BUILDING OwnerSQ. X O u-, S /44. be -'a C_ Jli v FT. OCC. BUILDING VALUATION 0 /e, o -go O Mailing Address L13 A4,4P-1—!�✓ r" r c- It pt L elephone No. Fireplace Contractor Total Valuation )) Mai I i ng Address w A/ Permit Fee S! 00 Plan Checking Fee &/or Penalty 1 -Telephone Telephone No. No. Permit Fee $ 00 pt Building Address S lt/ p WI ✓ A�Q— 8 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 u P fOf - 'F�p L.ems w. o '(� , Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ro u t iL,(,-�_ Each gas water heater or vent 1.50 A. P. No. a *7— 0 $'.-Gas J Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 ftws Se) ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans R� Parcel Approv P pproval Permit Fee $ $ NEW ❑ ADDITION XL UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 S,� 2 M( Main service soov OR LESS 100 AMP OR LESS 5.00 Main service EA, ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service VER 600V AMP OR LESS 25.00 Main service EA, ADD'L 1000 AMP 1.00NEW CONST. g �1 OR ADDNS. ( DWEACCLBLDGS.LING CJ �/ V) 20Sgft 0, 0 NONNEW•RESID R. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR, 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 Ie Of: Ex. Occup(OUTLETS OR FIXTURES)@L25C BALCy/ FIXED APPLNSORSt Ex. Occup. (RES,D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LZALi I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 13, KO $ 73 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. [have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. lirl 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.1 @ FEE PERMIT FILING FEE J$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 $ above -me tionedvproperty for inspection w c �w �� c purposes. c X Date l6' 11-_72 Signatu Permitee or Agent '7 Receipt No. White-D.P.W. _Yellow- /, P,—)Pin -Insp of 6 denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indic to above for which fees have been paid. t�,(10?o DIRECTOR OF P LIC WORKS BY Date rte— 7 �4 —77 Bu ing permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: 1-Du1S 14. DKvGA►J A.P. # .27- o8' -S Address:- 3/ �A Y ` w A y Cil I- M c 6 g e ` �a� �'� Date of Inspection Tenant: Inspector Building Location: , yAl 8 c I +•J u P!a Q_'_ Type of -Inspection requested: 7 1. Housing 2. Financing 3. Change of Occupancy to 77 4. Other ( specify)_ if zy/ C f` <O ct .LD T 7-0 e e / %h - -- s A AA o b. L C_ o kr Gam' Present use of building: _Za 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. Connection to sewage disposal: '12. Connect -.ion 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. Contents: 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 vents: 4. Comments: 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: 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: 77A. Information only -,file. T7 B. Hold for ten (10) days, then write letter. / / C. Write letter. 77D. Other: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: r / l / G 0 � A. P. # 2V 7'' i5 - Address: U;2 - gL')Date of Inspection�53`>> c2Hr 0 Tenant: - - Inspector Building Location: -r.1 C -- Type Type of Inspection requested: 1. Housing / / 2. ,F iinaJnc ing 3. Change of Occupancy to �^ / 4. Other ( specify) (J�� h '� �.Q� r � O U T- 0 PL, % /yl f7-- / use of building: k Pk A. Sanitation (Housi�iQ) 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. Connection to sewage disposal: 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. Plumbin 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments liY - Sew JAC (rnntinliod nn harlrl E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection:_ 5. Underfloor and attic 6. Comments: ventilation: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: ield Problems or Violations 1. Problem or violation (give complete description): %�z ,:TicQ�J� •--c1�1�-��-r.�-�f;k� y-�-��,r", .ro-�-��f/ .� .� r,.,, o _ �,� 2. What action taken (give complete description): ,' , 3. What action recommended: % / A. Information only - file. B. Hold for ten (10) days, then write: letter. C. Write letter. / / D. Other: J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v •"r•"`•�•••"•••�•+ .�11 Vv ..ay vi uU - IV 6111VI upull IIIC above-mentioned propertx for inspection purposes. Date /-�;0/7-7 Signature o tee or Agent z 6 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 aboveff hich fees ave been paid. ,/`�D0EQO'9i OF PU•8t6C WORKS W441 1", /� wr 01 1 , k -1 INJO A Mr i e permit expires Dat ' BUILDING Owner �0it SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 / av ' t1'76; TelephonehA o. Z j Fireplace Contractor Total Valuation Mailing Address L'of FS Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00:66 Inn V 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. N �''— —• Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 ans ec Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p� f AA UJAZ4 r_1A_&4ek cp �5eroiry jpain service 600V OR LESS1 100OR 5.00 ,Orj (: e-CIo Main service EA. ADD -L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGDWELING OCCUP. &) 2¢sq tt NEW NON-RESID R. (BRANCH CIRCUITS) 2.50ea NEW CONSTFLPOWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) 50 B,qL� Ex. Occu FIXED APPLNS. OR P•(DUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ xig,rf $ WORKMEN'S COMPENSATION INSURANCE I 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. F-1 have placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. certify that in the performance of the work for which this ermit 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.1 @ FEEPERMIT FILING FEE J$3.00 3, Heating Cooling Ventilation Hood 2.00 Permit Fee $ ,OQ $ 501 1 C7Z 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 I TOTAL PERMIT FEE 2 �. •"r•"`•�•••"•••�•+ .�11 Vv ..ay vi uU - IV 6111VI upull IIIC above-mentioned propertx for inspection purposes. Date /-�;0/7-7 Signature o tee or Agent z 6 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 aboveff hich fees ave been paid. ,/`�D0EQO'9i OF PU•8t6C WORKS W441 1", /� wr 01 1 , k -1 INJO A Mr i e permit expires Dat 0 , , 1 Butte County Dept. of Public Works October 24,1977 7 County Center Drive Oroville,California I hereby authorize George P.Johnson to act as my agent and to sign for me as required to obtain a building permit. Louis M.Dunc .'" r� * � — I — . 1. I . I % . . . � A_ I - . . . . . . I . . . 1. . - - , - - I r. . . " I y,l ! I I . 1W . . I . � 1. � I . . y 41 . If . . I � . . I - 11 I . � I - . . 1. � . I I . - W , I i , A - - . 11'. : I *-. .. .1, I I I - , AI - , I i " - I .. I I L . ... " A I . .4 - . . I I � .V � . . . I I . I ... . I . . . . i * I, . I I , I , . , ,,,,, . I . . _�:_ I I Ll--� . 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