Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
027-240-014
AMA .• �. AP -27-24-014 .r i PI_CKERING, SYLVIA- OR. REXr ti •7750�Palermo Honcut Hwy,/Oro 4' wF PeimJt- #4897-7411E (utiL MH) - .r _ . C •rte' '4• REX PICKERING 7750 Palermo Honcut Hwy, 0 o ily contra ?Acro-LUme, Orovill _ `' Per mit# 17-75B(awning, MH) /a -a47 �� 27-24-14 t Contr • Ray. Newman ..- Permitt#.2367-81 (ele ser ch) exist MH site -- - - T27-24.-14 Contr.--Mobile Home Center r Permit#2405-81MHI 1 .Issued iry 27-24 Fcontr.-4�,eather_River^Gas__-- -Permift2586-81P (gas line. for MH - s,1 e) 27-24-14 Permit .#3449=81B(new awnings & decks/ MR) nQL Pb-* *3 • B27-24-14 ��-Pe- it 1/ renewal/3449-82) F 27-24-14 ISYLVIA �ICKERING `7750.Palermo-Honcut Hwy, Palermo ;(travel'trailer &_ bus inpitalled as r liv`1-ig units w/o . permitsp N 'F ' C*#4 I �7- --�q -f V 7 7S'® ,'4'& �.....� KComplaint-Date Other -Date '?' BUTTE N SPECIAL INSPECTION REPORT U ZONING Owner: cS y b U t kq- `�/ C�K A . P . # Address: 7P),+-L..agkw b Nolyau 141Wc/ QX0, Date of Inspection /p -2:r-(, Tenant.• D Inspector Building Location:_ _775© r�{'�O l�D�'U�CI ✓ /-�C� `� Type of Inspection requested: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: i 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: 1. Housing / / 2. Financing / / 3. Change of Occupancy to [_[ 4. Work W/0 Permit =�.' S. Other (spec icy) X45 /A �LL/,1 oZ Ko . i2s �f Orth ilv/'du Present use of building: F'/f,G('i /47 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: I 7. Natural light and ventilation: I 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. -Stairs:(Rise, Run, Headroom, 1HR, ToleranceS,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: i 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 vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. 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 com Tete description): V AkA 14 2. What action taken (give complete_description): 3. What action recommended: A. Information only - file. / B. Hold for ten days, then write letter. C. Write letter. D. Other: �-MH Util. 4897-74 P, E PERMIT NO. P E M IMH UTIL. iPERMIT NO. PERMIT EXPIRES A2 7S P WNER Sylvia or Rex Pickering Owner -'CONTR. 't ;LOCATION (A.P. 27-24-014 7750 Palermo Honcut Hwy, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp' Gas Serv. Called PG&E JOB FINALED (Date) (SignatureT— COUNTY OF BUTTE — DE,PARTMENT 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 o2— Garage Fdn. Vents Fixtures Footings 'Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. - structure Gas Piping & Test ^ Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough 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 Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPANTMEINT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 1466 7 — Telephone: 534-454f APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate 2 —,3 — % XZ 69 nature of Permitee or Agent Receipt No. /..)&76- 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. DIRECT R OF PUBLIC WORKS By Date BWi4W4wgpermit expires Date...............1.1�Sr!,/,� BUILDING Owner L tz 1A oQ ie)( SO. FT. OCC. BUILDING VALUATION Mailing Address 7750 RAMMO HON(CUT .rW ��/ ��� Tel h ne No. O Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address`?� fj PLUMBING No• @ FEE PERMIT FILING FEE $2.00 .� Q BU Each Trap 1.50 o eo Repair drainage or vent piping 1.50 Water piping 1.50 Q Each gas water heater or vent 1.50 A. P. No. —a r. Zo � & Hing Gas piping system 1 - 5 outlets 1.50 L,,,5-0 Each additional outlet .30 F s S Fire Dept. Fire Zone Use Permit Building sewer 5.00 j' Q EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im Improvements P Lawn sprinkler system 2.00 Bldg ons Rac'd Para AApproval Plans Approval Permit Fee $ 20.0 $ 0 Q NEW ❑ ADDITION ❑ UTILITIES a OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p Q Main service incl. 1 meter 0 O 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 ball 10 Receps., switches & fix outlets bal Q10FZ 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 / Al Ap , jQ Mobil Home Facilities 5.00 Sop Temp. Power Pole 5.00 License No. Classification Misc. wiring -- � I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 42-6-0 $ 1A 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. ❑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 Az 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 TOTAL PERMIT FEE $ o? authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate 2 —,3 — % XZ 69 nature of Permitee or Agent Receipt No. /..)&76- 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. DIRECT R OF PUBLIC WORKS By Date BWi4W4wgpermit expires Date...............1.1�Sr!,/,� .... tea. ; = �_ :...... ount .LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH 1. Maindi, ALD., M.P.H., Director .4 AddCalifornia 95926 -.T.I.phe.. 343-4211 Environmental Health 7 County Center Drive Oroville., California 95965 November 259 1914 Sylvia Pickering - 7750 Palermo HonPvt Highway oroville, California Dear Mrs. Pickering: On November 20, 197,4,, -Mr. Jim Glander- Of the Butte County lf�condud�ed an inspection Building Department and mysO of your residence located at the above address'.and further identifi6d-as assessors Parcel #27-?�414. The- inspection was prompted by the refusal of P. G. & E. to re-4connect electrical service following electrical problems. The inspection revealed that the dwelling is in such a�state of dis-repaiit'and deteriorationj complete with electrical., structural and sewage disposal problemss, that the dwelling is unsafe*for human occupancy-.. Because of these conditions re -connection .of the electrical service cannot be permitted. Without electricity you have no WaUf supplys You are hereby notified to vacate the dwelling as.soon as possiblej We will work with you as much as possible to assist you in developing other living quarters. In the meantime you should make I ever7,effort to obtain temporary housing immediately. ;' If you have y questions any sti ns please contact me.,ir . Very truly yours Lynn Vanhart Supervising Sanitariars LY . ig PERMIT NO. 17-75B P 3 E M MH UTIL. PERMIT NO. PERMIT EXPIRES—� 7� OWNER Rex Pickering CONTR. Acro-Lume, Oroville LOCATION (A.P. 27-24-14 � 7750 Palermo Honcut Hwy, Oroville ,t I, y r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. f Called PG&E JOB / rW�jC� � .1 FINALED _ / (Date) (Signature a COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 3 7j' �� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq 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 Piping & Test Temp. Gas Slab Final 2 - Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors �7 Framin v� z�� 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 DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - ' Orovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT <* BUILDING Owner CKf�)k/ SQ. FT. OCC. BUIL ING VALUATION NO Mailing Address �o �Gtr'�-Its- ONCti -)--7- A.,P v li/LL f Q 9 L Telephone No. ' -10t 53t/ o e Fireplace Contractor ��� -/ME Total Valuation Mailing Address C fj 7 C �� Permit Fee , Fi✓ Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ C Building Address %1"J `-D �L�"���/��' ���r� �' 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. U h% - °oZ '- - Q % Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im roveme is P Lawn sprinkler system 2.00 Bldg. PI ns Recd Parcel Apl V ova Plan proval Permit Fee $ NEW [3ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 ' Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home X) Others ❑ Range, Cook -top or Oven 1.00 _ � / 2 �` � `�y � ���• Water Heater or Space Heater 1.00 Light fixtures lBio Receps., switches & fix outlet]]2ba 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: _ 4Q Z A2CJ z`i A4Water Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pumpMobil Home Facilities 5.00 Temp. Power Pole 5.00 r- License No.. °� Classification IF,/ Misc. wiring ❑ 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 aurrtoriz represent Ives of ne unty or tie to enter upon the above mentioned p perty fo i ecti n rposes. X � Date Signature of P rmitee or ent 100 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Datel' / Lf -76 ilding permit expires Date.................~..y��.O VALUES I :erlificale No. r Side ESE ♦ By DEC. 10, 1972 By APRIL 10, 1973 TOTAL DU TS 1 2 6% PENALTY 6% PENALTY 6% PENALTY $3. COST $3. COST T T T 2 CHECK # DATE IF YOU NEED ADDITIONAL RECEIPT RETURN ENTIRE TA) -ompany and if you are responsible for paying the tax on to this office accompanied by the parcel number for which write or call the numbers below. Very truly yours, ELMER G. EVANS Treasurer - Tax Collector 71 Start Finish�--,. r" r" r" rr+ rr► rrt rrt rr C t -H P -H #,-" t-+ E -r -t 1-" t+i t -+i m W W W w W -i u..A W N.+ m Cust. Job Job C F m m m m m rrl m rrl m t m rrt e H-1 HI "-4 P." "-i HH • 1x-1 w W w w w w w w W t :—.• Start Start Finish Finish m m m m m rn m m rn m H" F -H t-" H-4 "-4 H4 "-4 641 u -j t" w w uu ." a it Cust Job C F T T T T rn r"" T m rrt e H-1 HI "-4 P." "-i HH • 1x-1 1-H t -H t t. t. i W l-" x.1.4 ..1 t_a.J uJ :—.• Start Finish m m m rr " m rn rn m H" F -H t-" H-4 "-4 H4 "-4 641 u -j w w w „j ,.J t_u .,. iSM Start Finish�'. rrt rr-t ri" rrm rrm m r" rT" C !-H H-1 F-" • t- w H-1 �-" t-0-4 P t -t rn m W W w w W i W W r M Cust. u Jab C F rrt rn m T T r M T m m a ►-+--1 +-+—t r+" 1 -r -i r+4 r-"-• H-+ '1 -r -t F+4 o Lu LLP.- w w uu w W, u.j W a Start Finish m rrn m m rr i r -n r i r -n "-t HH H" H-4 r -+-i t"" t-� t -M i -f -i L" w."J w Lu UJ L.Lj ►�+�f u C F rTn m r'n rr-m m 1"" rn rr-v r" u H-1 t -H H-+ F -t -t t-+-1 1-H 1.44 1-H 4-H 0 Start Finish T T T rn rn m i -f -i H-1 "" I-" W-+ ►- 4 F -H ►�+�f w w w w L� L" �Li .,. COUKTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -- ..y - v. aa,r av — — uVv '- above-mentioned iabove-mentioned property for inspection purposes. .19 Date I zz z — zy 4ignature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner ( J r � �� � �, � �J SQ. FT. OCC. BUILDING VALUATION Mailing Addtee's s 5 V /a cc, Telephone No. d Fireplace .co/ractor L -Aa Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressPLUMBING v. No.1 @ FEE PERMIT FILING FEE J$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. �, L/ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcelparcel Declaration Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '- t Main service incl. 1 meter Additional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal�io f Receps., switches & fix outlets 0 (025 hgi in 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.Misc. Classification wiring �+ ® 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 $ $ 1 certify that 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 $ -- ..y - v. aa,r av — — uVv '- above-mentioned iabove-mentioned property for inspection purposes. .19 Date I zz z — zy 4ignature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date f !•'. Sty - ' —344031-81553 PERMIT NO. L r PERMIT EXPIRES OWNER Rex Pickering CONTR. owner ASSESSOR PARCEL 27-24-14 LOCATION -1750 Palermo Honcut Hwy, Oroville e ti F Temp. Power Pole IC • { Called PG&E i Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J OK 0 = Not OK — = Not Applicable MOBILEHOMES = Not Reidy MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's Date DECKS OVERS, CARPORTS, ETC. (P ) OK except N's 1. Zoning Requirements—Setbacks—Easements o 'rig Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch4-footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test-Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4� Wood wn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete um. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG �6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date I C04 -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage. Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand-Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH.Test—Crossovers— Brea kers—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 B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures—Panelboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb;.Cir. Test—Water Supply Test Date Card -BI Date Card B -I Date Card -BI DateCard-BI Card B -I Date Card -BI Date Card -BI Date Card -BI Date I = OK = Not OK = 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 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support _ 32. _33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ---- Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, Californi&95965 - Telephone 916/534-4541 APPLICATION! AI&'PFERMIT ISP1ERlM`I�T N J / ASSESSOR RCEL NU BER/ ZONING �— XX' BUILDING PERMIT OWN ' nTELEPHOO eE SQ. FT. OCC. BUILDING VALUATION OWNFJ'S A LING D SS CONTRACTOR'S NAME W- TELEPHONE CONTRACTOR'S MAILING -ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN/ Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADD S Permit Fee 1 �._. $ Qc ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ e BUILDING ADDDRESS J t / f� PLUMBING PERMIT FilingFee Filih Fee 10.00 Trap 2.00 Solar Water Heater 20.00 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 Iehome [(,Other SPECIFY Building sewer 5.00 Mobi le Home S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describ work: ,pJt,.1 PAQa' Lf Permit Fee_ $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 —� Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. I 2/20sgft ONTRACTORS LICENSE LAW I declare under pen 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 CO ';L ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEWNON.RESID. (CONSTR. /POWSINGLE OUTLET CIR.ER APPARATUS & ExOccu / 20@50e . p(OUTLETS OR FIXTURES BAL@90$ FIXED PLN S. R EX. OCCUp- OUTLETS (RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 PermitFee $ Contractor ORKMEN'S COMPENSATION INSURANCE .I declare and malty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insur,ance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, s � a 1• t pp g Q 4�i yg3 d�ecom��,,,,,�jibject to the W. C. provisions of the Labor Code, youjoifv ytf.44 ,l�wPth comply 1 ith such provisions or this permit shall be deemed retv$ke'tl. T, MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application Xd state;itwh'at tl'he above information is correct. I agree to comply to all County Ordinanbes 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. rr. ,tom, I also agree to save, indemnify and keep harmless the County,�o butt'- against all liabilities, judgments, costs, and expenses wh''gh yna�l:'tiWr "f116 Way accrue against said County in consequence of the grantirig.f.l�tsr,perr. 6t" Date %%" Signature f 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 $ r OCCUP. GROUP TYPE OF CONST. PARCEL PD I HD ISSUE Thi ermit is hereby issued under s' ns of the Butte County Code and/or ork 'ndicate � above for which CTOOF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %Z Receipt No. �6OW WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 91 0d 9!01F/ i�faft l67f1If all61 Oaf �� Aa so •moo �fsNn®a 8 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �PERMI 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / APPLICATION AND PERMIT L ASSESSOR>PARCEL NfJMB ER/ •'—f//t1Y. .� ZONING BUILDING PERMIT 711 OWNER ex /�/G�/ �C n 1 tN�i�,—C� TELE HO ��� f%(e ``1 TJ SO. F OCC. BUILDIN VA •U ION 2 VD - yon vl9J�Jr1y a�.Y"� D1.I L I 'T OR UTOR'S o -- CONACNAM Ey ��� TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION L ID R UNKNOWN Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT ORI IEER - LICENSE NO. .Plan Checking Fee $ 10.40 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ xv By�L I ADDR � �/V , fC0T Y '/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent r 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome /Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK. New ❑ Addition 9- Remodel ❑ Uti ties ❑ Installation[] Other ❑ Describe work:%�s' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y) OR ADDNS. \ ACC. BLDGS. 2Q 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 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 I -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. ( POWER APPARATUS S1 NON-RESID. SINGLE OUTLET CIR. / 50@250 EX. OCCUp OUTLETS OR FIXTURES BAL@t FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Q 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�1 1 shall not employ any person in any manner so as to become subject yet to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation, Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property, for inspection purposes. 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 Coun in consequence of the granting of this permit. R r O,� 162,,8 X Date < Signature o Applicant = OwnerEfrCoroctor ❑ 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 $ 06 occuP.GROUP TYPE 11 7ST, !61//� V/ PARC PD HD ISI This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECM OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 6%3C5 � WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �, t : - �,�--_•. •.,rpt' .. --l—PERMIT NO. 2367-81E 2405-81 �. PERMIT EXPIRES 6.430/82 t p OWNER SYT.VTA PTr. 1<FRTNG "CONTR.—Mobile Home Center ASSESSOR PARCEL 27-24-14 ',' LOCATION 7750 Palermo Honcut Hwy t: .3). i5 • y h Temp. Power Pole Called PG&E Temp. Elec. Service 'v ,. Calle G&. 7, /v I Called PGE ' � 9 JOB FI ALED (Date) Signature V = OK O = Not OK , = Not Applicable MO.BILEHOMES ' * = Not Ready MISCELLANEOUS. 4 Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 2. Footings; Size—Depth—Spacing—Connectors 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.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date' Date MOBILEHOME INSTALLATION (P ns) OK except N's Date POOLS (Plans) OK except k's oning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4_z--eectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI t,frr'a'n-,' MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater. andSewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits; Insp.—Sketch 1 ert. 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-1 Date Card -BI Date Card -BI Date Card -BI Date �2 / X2?,�z �,� ,ep 41 ��, S� �_ e( - fi5 3? 61 9-B = OK = Not OK = Nocable = Nott Ready RESIDENTIAL.(Single and Duplex) Read 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 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perm,it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32_ _33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI -.--.-.Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. 41._Header 42. 43. 44. Fire Stops; Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Bearing Hangers -Post Caps -Anchors-Connectors _ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit lam' number � for the following location: Owner Owner's Address - Mobilehome Mfg L �r -Model Year `% signia No. _i Serial No. It is hereby certified for occupancy at the above described location and may be occupied. i Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. R COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211. Ext. 70 7 County Center Drive, Oroville — Phone 554-4541 Sky`,vay and Elliott Road, Paradise — Phone 877-3435 t CORRECTION NOTICE IT, :.. Vim BOR 'PROPERTY ADDRESS Y ,a A routine inspection indicates that the following violations of County Ordinande exist at the ibov'e 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. Eli r. !(IS tot Date_1-7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING ORVPR0PERTY ADDRESS A routine inspection i . ates that the following violations of County Ordinance exist at the above a ess 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. Dat f � • ` it c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 - ' b APPLICATION AND PERMIT ASSESSOR PARCEL NUMB ® ZON NG G BUILDING PERMIT F. TELEPHONE — p SQ. FT. OCC. BUILDING VA NATION ZWN MAILINGADDRESS CTOR'SNA TELEPHONE CTOR'S M ING DOR55 e 1vOLp 0//LCG�. Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Filing,Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee _ ,$ op Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRESS s PLUMBING PERMIT Filing Fee 10.00 v�LL� Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO 5 BDIVISION NAME C PARCEL MAP Z Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler sysiem 5.00 TYPE OF WORK Ne Addition [1Remodel ❑ Utilities ❑ Installations�'' Other ❑ Describe work::,1,4YS77W L 4L /V "J DO&A6fJ!P_ &a ,6499=_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0v OR LESS 1000 AMP OR LESS 5:00 Mainservice EA. ADD'L 100 AMP 2.50 NE -C CONST" /DWELLING OCCUP.81 OR ADDNS. \ ACC, BLDGS. 22 sq ft }r CONTRACTORS LICENSE LAW I decla3o6der penalty of perjury (check one): EK 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 Classification & / El1, as the owner, or my employees with wage's 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-OU LET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS 6 NON-RESID., SINGLE OUTLET CIR. . Ex. Occup OUTLETS OR FIXTURES a �� IXED APPLNS. OR EX. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ I 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. Ihave .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 beccme subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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 liab' ' ies, judgm nts, ts, and expenses which may in any way accrue agai said County ' c• u �ce of th ti:ng of this permit. ate — S SI ature f Applicant - Owner ❑ Contractor Agent ❑ An 0SH permit is required for excavations over 5'0" deep and demolition or construct- ion of st uctures over 3 stories in height. Mobile Home Installation Fee $ O. TOTAL PERMIT FEE $ , OCCUP. rROUP I TYPE OF CONST. PARCEL Pb I HD ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE�RF UBLIC By. PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' �� a Receipt No. A� �� / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTjTE - DEPARTMENT OFtPUBLIC WORKS - BUILDING DIVI TON 7 COUNTY CENTER DRIVE)- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916_/534-4541 4" PERMIT APPLICATION DATA SHEET ee—N n Permit No. OWNER i Proposed Building Use Permit Fee Based UDoi Complete Contract Price t A. P. No. - DPW Valuation Baer xplain) . Building Inspector 1 Date At time of permit application, I was advised he following data must be -submitted prior to permit processing a0d/or issuance: DATE RECEIVED APPROVED 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. . . . . . s 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. Mobi lehome Installation Data. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the pe it; process as follows: Mail to owner. Mail to contractor. _Ci I elephone ,- o (" and hold for pickup at bkyl) -office. Deliver w/inspector. Other Applisont-Z Date �`Z �/ 1 Copy of plans sent _4'L ,Health!Dept., Fire Dept., ` M Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by 411 Date Plans approved by Date, Other: Copy—DPW w..,-. -.,./ �..•w _ ._ ..-<�,+�W/.,fi> ,4:�PMkn+'44Mi1 ..'AfY.`i ,u' .. .. _- This but aw; N41 IST 6A NO ' ,l AIA als $i `Workman'slii _Y Shall Be in kept on the job of ail times and it is unlawful p Acs rdan e^iwith`�Recognized Good Practices and mace cenu changes or alterc+tions on same wi out iif ;o yubli press +b 4he Specified use in the written permission from the Department Pu ,',Unif rM 9 ild ng, I l in & Machanical Codes and Works, County of Butte., s 'A al Electrical Code. - 1 RL 17� 'S -fir •'i� •••iy, i' ri1k!l' •r i{+!. �y �^� •,� -' '' 1 ' . rS `i a RE SOCA Ta %G3 • '. "0%X A setback of 5 ft. from the pert lines and a setback (' `— �� ' iAt xoj r� h i ' •r 4t ,-,property 1 S,tkQt a s� . v v'�G� An�� .SER�Z s ' _• " 'of 50ft. from the road x ,t..� s -,centerline shall be•clear, or '"structures of equipment except I for !a.2,ft.•pave overhang. '�....._ + 3--n–t- L_ . , # 11I 6 �,:�','i• y ` • � /#ICs �� i /1 d�QCI+i7�ri �� t,.l • r 1, //13U 'BUTTE COUNTY LDING DEPART T• PPROVE ~ BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION -SHEET 1. Owner's name: 2.. Installer's name: l L- 3..'_Is•the site currently under permit? Yes No (If yes, furnish permit number ) OR Is -the site an existing site? Yes No (If yes, furnish two (2).plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach'f ields and clear'of.all setbacks and easements? Yes No (If no, .clarify ) 9. 10. 11. 12. ( What ) 5.., What is the mobilehome electrical rating? ----------------------- Amps 6. Whav is the mobilehome site service rating? --------------------- What Amps 7.. What is the mobilehome site circuit breaker rating? ------------- mobilehome gas demand? ------------------- Amps 8. Is there any other electric load to be served by the mobilehome gas . or less than 50 ft. on LPG.) siteservice? ------------- ---------------------- ----------------- Yes No / / (If yes, identify the load and size: (Load) (Amps) 9. 10. 11. 12. What is the mobilehome site gas pipe size? ---------------------- (in.) What is the type of gas service? ----------------------------- Natural / / LPG /IeJ What is the gas pipe length from meter or tank to the mobilehome? (ft.). What is the mobilehome gas demand? ------------------- (BTU) (This information not required ik pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If "other- than single wide, Mobilehome Mfr. Cc��46v/p� furnish Setup Model No.1L46� -3 -Le Z94 Year��S Width__24k- (ft.) Box Length,(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. Single (ft.)(in;) (in.) (in.) Center support Center support locations* footing sizes (in.) (ft.)(in.) (in.) (in.) 0 (in.) (in.) 0 uxv D (ft.)(in.) (in.) (in.) 1,6V e . -- 1;,#-X:?o (ft.)I (in.) (in.) I t in.) *If center piers are other than drawn above, draw im -locat,ions, spacing,. and dimensions. Footings (check one) �. Wood either pressure treated or foundation grade. 2. Other: (specify) Supporta (check one) dl: Concrete block: 2 : Other. ( specify) 4 —Tagalong or Expando,' show support details. �x JO -- Typical Support .) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) / ` j-- Max. Overhang (ft.)(in.) zoos-�1 eurrE couNrc BUILDING DEPARTMENT APPROVED �Z AP OWNER PERMIT # 3& ?—y MH UTIL.CLEAE D TE C INSPECTOR ELECTRIC GAS Support Str c. Compaction Test Req. service Other 'Pipe YES NO YES NO :ize Load. Tvpe Size Length ® "20 TO S %_/ _ i � ^p CiaO .cling Uepartmeht rom. v nv-ironmental Health 'ubjecv. `Ar9.tation Gl.caranCe . �7 P1.3na approved fur t Seua6a Jigposal � - .+att; Supply GoK . for - Via trr .1"UppIY ,Oraflci, for _. bearoccm mobile hOmt- GLher ? ��t�rar►;,{' j�t�r 3�3f�z Y,xt,n .1� ,..._.._�....---_�...�. �...._._.�._ ....._..r. __.._._.�..�r....._.._._.._...__.�. . _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Orovilie, California 95965 - Telephone 916/ 4-4541 APPLICATION AND PERMIT PERMIT NO. 117� 67=6/ ASSESSOR-.IARCEO/ N MBER ZONING / CJS / BUILDING PERMIT OWN S TELEPHONE r q_ SQ. FT. OCC. BUILDING VALUATION OWNER'S M (LING A11,M/ CO AC DR'S N ME VrELEPHONE T o� CONTRACT R' AILING A DRESS rb Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome,0 Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ lities ❑ Inst Ilation ❑ Other ❑ Describe works Pte`- _� C / P_XI S J n e1 / M L� ` ( �7' ' 1 7 C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5i OR ADDNS. ACC. BLDGS. 2�sgft 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. I.OUTLET 2.50 ea NON -RES'.. BRANCH CIRC ITS NEw CONSTR POWER APPARATUS D NON-RESID. (SINGLE OUTLET CIR. EX. QCcup OUTLETS OR FI XTURES BALO1 FIXED APPLNS. OR Ex. Occup.(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 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. 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 ��� � 1 p ' �Wu�x Date 6 —ate` i o Signaturldf Applicant — Owner [N Co ractor ❑ 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 TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTO OF PUBLIC BY ' (7, PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. � 9sd WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1^. y COUNTY OF BUTTE'- Department of.Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Phone: 916-534-4541 Attention Property Owner: An "owner -builder" building permit has been applied.for. in your nameand be 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. eceived:1. I personally plan:to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ill signed an application for a building permit for the proposed work. 3. I have.contracted with the following person.(firm) to provide the proposed construc 'on: Name a n Address City` dp Phone Contractors Lic nse No. 4. I plan to.provide portions of -this work, but I have hired the following person to coo inate, supervise, 'and provide the major work: , Name Address City Phone Contractors License No. 5. I will pr ide some of the work but I have contracted (hired) the following persons o provide the work indicated: Name Address Phone Type of Work # Signed: Property Owner Social Security numb : Date 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. V COUNTY OF BUTTL - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 .� APPLICATION AND PERMIT 1 [mac V A SESSO PAR=EL NBER / 2 ZONING BUILDING PERMIT OW` (JLi J�� 1j1F��S ��, 7R �W %®,/� `,"v SO. FT. OCC. BUILDING VALUATION /�� Ory✓/ ?I ILP/7f 7 7V) O/C�Ci V f CONTRACT_ OR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 AD /1 � OSS ��Llr/D /c�/ / y /(/f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,,O 17 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑/ RRemmodel ❑' /Utilities Installation Other ❑ Describe work: Y/�J L�y� "s!i/� /�%�l�S%� Permit Fee $ d(J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2;50 NEW CONST. (DWELLING OCCUP..y) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification I, as the owner, or my employees with wages as their sole compen- sat ion, 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 u -Ou LET 2.50 ea NON-RESID BRANCH CIRCUITS NEW CONSTR I POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup o so @ B¢ DR FIXTURES BAL@1 ED A ED PPLNS, OR Ex. OCCup.(pUIXTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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 shal I 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 sai ounty in consequence of the granting of this permit. X Date �_ Signature Applicant — Owner ® Con ctor ElAgent El ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct-w_,a Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ZO , pp OCCu P. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under siof the Butte County Code and/or w, rk indicated above for which ECTOR OF PUBLIC PERMIT EXPIRES Date -8 the applicable provi- resolutions to do fees have been paid. WORKS Date.. Z, Receipt No. �3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville', CA. 95965 OWNER -BUILDER VERIFICATION Phone: 916-534-4541 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 materials for construction of the proposed property improvement (yes or no) E'.S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have emoted with the following person (firm) to provide the proposed construction: Name ieA Address -o_ S'o City Phone Contractors .License No. �-c fah 7 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 Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne. _ Social Security nu er Date �._ , Oa. _ 5r, Sl/ 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.