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028-290-021
28-29.21 �� n � Minerg W/SBan or Park Cut of . IJP: 500' No. of Drobish Rd. ngor contr: Holmds Mob a Home Serv., Oro. Permit #3722-79B( ew open deck/MH) 28-29-21 Permit #326-81B(new patio cover/MH) 28-29-21 1193-91E, -�EKDAHL, . Paul W63'.Shady Green'Ln, Bangor r� Cont:�-Geral&-Ekdahl""�"'�•-4 (new el'ec, sery for. welder) � ■ _■ � I � u� ` � c�� ' L� i ;, L F 326-81B PERMIT NO. i. . PERMIT EXPIRES— OWNER XPIRES OWNER J. W. Miner CONTR. owner ASSESSOR PARCEL 28-29-21 LOCATION W/S Bangor Park Cut -off -Rd., app.2500'N.of Drobish Rd., n a Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (D Signature V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 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.-Rfg.-Bracing 5. Electricity; location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 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 #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg, Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date .Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single'and Duplex) , Date UNDERFLOOR Plans OK exce t#'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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-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/0 -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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. 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. 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 q'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. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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 ❑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 Opngs. 79. 80. 81. 82. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 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 _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size Bearing _ 42. 43. 44. _& Hangers -Post Caps -Anchors -Connectors Cing. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthng.-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 youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS� PERMIT NO„� ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT ASSESSOR PARCEL•NUMBE -a _ ZONING BUILDING PERMIT OWNER / A TELEPHONE SO. FT. OCC. BUILDING VALUATION O ER'S M L NG ADDRESS CONTRACTOR'S NAME TEL PHO E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS1 Permit Fee $ 11 ARCHITECT OR ENGINEER IN 0,71 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILD% G ADDRESS — P-;;wnionr Ar PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME RCEL MAP Each alas water heater or vent 5.00 Gas piping system 1 - 5 outlets RUCTURE USE;��Dther ilehomeSF ❑ Duplex❑ Mob SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition � model ❑ Utilities ❑ Installation[] Other ❑ Describe work: �D �� U�,)' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST, '(DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): l F]1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in' full force and effect. Y License No. Classification 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 -OUTLET 2,50 ea NON.RESID BRANCH CIRC S NEW CONST R. / POWER APPARATUS b) NON-RESID. %SINGLE OUTLET CIR. I Iso @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL@1 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 FitingFee 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 0 onsent 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 S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aginaid C unty in co%,sequence of the granting of this permit. XVV Date .. Siof Applicant — Owner Contractor ❑ Agent ❑ Anpermit 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 $ 70 ' 0 OCCUP. CROUP I TYPE OF CONST. PARCEL P11 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT A F PUBLIC BY PEPO iXPI`RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2_2,8 Receipt No. 73 le WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rI _ offs Ount ......... . - I LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS - CLAY CASTLEBERRY, Director ,1 ra +;�: •�: 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 ` H. W. McDONALD - .._._ .__..._. Deputy Director loll ary Jack ftner RE: Building Permit P:.0 : oz� i56 A.P. # 28-29.21 $angor-, OA- 9$9`14 pear iC. mii ar.t With reference to the above subject, we have been advised by' one of our building inspectors that you have not obtained the required permits and.in'pections from this office for the work you are doing as follows: Constguctiolm of a patio cover on your property located off Bo Igor Park Cutoff "+pad, Bangor. t 1 Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this°.letter, submit two (2) completesets of -plans, apply for the required permits, and'pay•the appropriate fees. at: All work must stop until you obtain -these permits and are authorized by our field inspector to proceed. This field authorization cannot be.made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F..Glander JFG:dd Chief Building Inspector (vis) cc: Building Inspector .. 0rov►ilie AeaQaaR�ar " File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. I V I (_)_ _ O&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Maps Permits BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL 11gS*FtCTION REPORT ��� Owner • A n e r Address: Tenant : Building Location: Type of Inspection requested: 1. Housing IL 2. Financing q / -4,9ther ( specify) Present use of buil A.P. Date of Inspection J- gya'l Inspect " 3. Change of Occupancy to 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. 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. Fu s ing : 4. Comment: s D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Cas hearing vents_ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards:. 3. Safety hazards:'�~ 4., Weatl!er protection: 5. 'juderfloor and attic, ventilation: N 6. Corrwrents: F. Commercial Buildings 1.. Roof covering: 2. Distance to property lines: _ 3. Physically handicapped:. 4. est-owa floors and walls - 5. Exits: 6. Improvenents: 7. _ 8. Cornm2rit. G. Field Problems or Viclatiovs 1. ProhleTp oz- -�iol3tiorr ;gave .^.cimpk.te. description) : 2. What action taken (give compute d.escIripti.on) : � r 3. WF�:t* acf.;:.onu.racc;*nr:iended: %% A. s.nfor.,aation only - B. Hold for tcn (10) days, then write 1.�ttter. l r^ Wrl.%e Ietter. /7D. Wither: Above b6CQ.rvej WLIe- vn-akrv,al ihs d i. ��''+�+:�• 'a.c,r/" �'"tiy iA.r�'%r�'z.*"crS*�" �•�E�C'"�: yit �.�'�"�'rcc`G;,ey.:.9°"`��'q" Via- . , _,w, . r 28-29-21- r .1193-91E EEgg AAgg i •. 5'3DShadyPNe�en� Ln, Bangor.; ,,. -. Cont: Gerald' Ekdahl, (new 'elec-.sery for, welder) *'a(0 -9c.-) • i r i 28-29-21- r .1193-91E EEgg AAgg i •. 5'3DShadyPNe�en� Ln, Bangor.; ,,. -. Cont: Gerald' Ekdahl, (new 'elec-.sery for, welder) *'a(0 -9c.-) i �.i: ;i � rj �'� y �.. ""r "'x'13. �'R^; ¢--+,���1. r �y ,'rq'�..�'f"�,i. �. � ,S �T _- ..t; •� ,y;:., COUNTY OF BUTTE - DEP,-4 mrNT OF PUBLIC WORKS' 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. 1193-91 M ASSESSOR PARCEL NUMBER 28-29-21 pT ZONING , BUILDING PERMIT OWNER - Paul Ekdahl TELEPHONE 679-2542 SQ. FT. OCC.. BUILDING VALUATION OWNER'S MAILING ADDRESS 53 Shady Green Ln + Ban'or 95914 w. CONTRACTOR'SNAME Gerald Elcdahl TELEPHONES CONTRACTOR'S MAILING ADDRESS PO Box 297 Bangor 95914 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. F Plan Checking Fee d$. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1� 53 Shad Green Ln, Bangor Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 I Solar or heat pump water heater 20.00 " LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 1 SF ❑ Duplex[] Mobilehome- Other cA. i�fL��SL 1C�/� PECI v Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 110.00 ea TYPE OF WORK' i New ❑ Addition ❑ Remodel ❑ UtilitiesW Installation❑ Other Describe work:`- second service for we6der , r Permit. Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 10.00 1000 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one P Y P er Y hk . ( ) ( I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$$ and Professions Coe 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 CodrprainS for thi's reason NEW CONST. DWELLING OCCUP.&) , OR ACDNS. ACC. BLDGS. hPSQa NEW RESID, U NCH CILET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. zo®eoa Ex. Occup OUTLETS OR 'FIXTURES eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ection 15.00 Permit Fee $ 37*50 Contractor WORKMEN'S COMPENSATION INSURANCE I 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 Certi ic'ate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure.; aid ` shall not employ any person in any manner so -as to become subject to the W. C. laws of California. " t .- 4 A 1110 0. Notice to Applicant: If after making this statement, ishould you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating lg " r Goofing 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 againstHAz. all liabilities, •-judgments,,costs,=and expenses which may in any way accrue against said County in co seq en a ofthe granting of this',permit. 11 Aw * X��, _ �Date Signature of Applicant — Owner El{ Contractor 1K l 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 E� Energy Inspection Fee $ occ CONST TYPE !`'N f_ TOTAL(FEE,,$ ( ; 37.50 can °PARK scHL FLD CDF PAR PD I HD. ISSUE. This permit is hereby issued uroer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRE _FTOR OF PUBLIC WORKS ��L/ / By ! Date/ r P ✓ wv � � �,7� _,��� PERMIT EXPIRES dDate $5823 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Z; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 1193-91 1L� ASSESSOR PARCEL NUMB RZONING, 28-29-21 BUILDING PERMIT OWNER Paul Ekdahl TELEPHONE 1/ 679-2542 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 53 Shady Green Ln Bangor 95914 CONTRACTOR'S NAME Gerald Ekdahl TELEPHONE CONTRACTOR'S MAILING ADDRESS PO Box 297 Bangor 95914 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 53 Shady Green Ln Bangor Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ,G- SF ❑ Duplex❑ Mobilehome. Other ��fZ--/� SPEC14rY r Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I i�0-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitieJ5 Installation❑ Other Describe work: second service for welder Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co a and my license is in full force and effect. License No. Classification, . ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Codgr for this reason NEW CONST. ( DWELLING OCCUP.19 OR ADDNS. ACC. BLDGS. yztsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50t BALeeo FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 ainspection 1 1 115.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ CBontractor 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 I Count in co seq en a of the granting of this permit. ZThis X Date Signature of Applicant — Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 7 TOTAL FEE E $ 37.50 HAz. cuA PARK scHL FLD PAR PD ) . ISSUE permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. p Of E R OF UBLIC WORKS By -Z6-R/ Dat�e PE MIT EXPIRES o6ate �V-2& L /�� Receipt No.88823 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ri ` 7 COUNTY CENTER DRIVE - OROVIL�LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER�Ul��f�r' / 1� Permit No. A. P. No. �28- Z qU 02 Proposed Building Use/V�C� S4?/V - Building Inspector le< i 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. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans ... 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... KA 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ---�,25. Lettra�_pigp ................................... V 26. I V 7" 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. elephone and hold for pickup at office. Deliver w/inspector. Other XApplicant .Date / Copy of Haz-Mat fort sent Health Dept. Fire Dept. --Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---rnai[—counter by Contractor, designer, owner, was advised of above required data by—phone —ma il—counter bv. Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder t Copy—DPW _ date date e PRE -INSPECTION OWNER: PAO& reD1q& ,DATE 21- Z z / LOCATION: �� �f) A� ai e "' C_ Wllco *P.4 - 2 CONTRACTOR : rserA (G� , �/��ZL C� `� ZONING PRE -INSPECTION FOR : C6,-Cy-'12GCA C 5 rl)f Ce_ f'ole 1 U e--uJ FOEi DATE TO INSPECT R ------------------------------------- PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED D HAS ELECTRIC F] HAS GAS Q HAS SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION ECOMMENDED- ISSUE 4�HOLD FOR t� I FA I- / tw- o a _ OTHER: \ / C7 Cep v �GcJ /Z/ 1'1'66 l9 C V • r 116Y4 DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r7 O Z-ONING BUILDING PERMIT OWNFR 0146111- AmftDE IgYL TELEPHONESO. 6�4-�5 - FT. OCC. BUILDING VALUATION OWNER'S MAILINGDse S 45 /r CONTRACTOR'SNA 133- 1129/4c>C TELEPHONE CONTPOC 6 MAILING ADDRESS RN �� ���� 7UNKNOWN Fireplace CONSTR CTION LE ER y �N� Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER v/v,e LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5 3 ee►,1 GRNe Permit fee $ C Qsq� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome2r Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New❑ Add ition❑ Remgdel❑ Utilities[]Installation❑ Other Describe work: ` Wie_(k(L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /0.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury P y P I y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification. 1:11, 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 Main service EA. ADD'L 100 AMP 2.50 .2,56 NEW CONST. DWELLING OCCUP.A1 OR AODNS. ACC. BLDGS. ) , Aesgft NEW CONST R U 1 -OUTLET NON.RES.D BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) OUTLET CIR. EX. OCcU OUTLETS OR FIXTURES P 20950teAL930 FIXED EX. Occup. OUTLETS PIRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Pre _Z7/1J 5e 15.00 ,© Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which 'may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required For a cavations over 5'0" deep and demolition or construct. ion of structures over 3 stories i eight. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Pennit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ 0 OCC CONST TYPETOTAL FEE't SCHE FED cDF PAR PD j HD. ISSUE MAL CUA PARK This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 37 S. WHITL-D.P.W.. TELL0W-A5at3 OR. PINK -INSPECTOR, GOLDENROD -APPLICANT L 0 PERMIT N0. 3722-7qB PERMIT EXPIRES OWNER Jim Miner CONTR. Holmes Mobile Home Serv., Oroville 28-29-21 LOCATION (A.P. ) W/S Bangor Park Cut-off.Rd., app 2500'N of Drobish Rd., Bangor Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD ' BUILDING 1 BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor .Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage :Fdn. Vents Fixtures 'Footings Stemwal I _Garage Vents Insulation Water Htr. Heaters Slab Carport Footings 'Prov. for ph sically handica ed Conformance of ex. structure A liances Gas Piping & Test Temp. Gas Slab Final Sanitation ti Patio i FIREPLACE Final Footings Footing- ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heatin • Service Brown Cooling Temp. Pole Finish Ducts.: Underground Interior Lath Ventilation Permanent Door Closer Final. Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping NIRBILEHOME INSTALLATION - - - - - - - - - - - - - - Support ' Elec. Continuity . Water Piping Drainage Gas Piping . DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PERMIT NO. 3722-r7+9B PERMIT EXPIRES 3/18/81 OWNER:r;B&, MINER CONTR. 1401m6S Mobile Home Servi -e ASSESSOR PARCEL 28-79-21 i LOCATION _ w/S Bangor Park Cut-off Rd, app 2500'N of Drobish Rd, Bangor , I i i i Temp. Power Pole Called PG&E + Temp. Elec. Service Called PG t Temp. Gas rvice Call dPG&E JOB FINALED (Date) 1 Signature = OK = Not OK = Not Applicable MOBILEH©MES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'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 #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 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 -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK r Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OlZexcept#'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 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q'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. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 15.Water Pipe; Test & Anchors -Nail Protection 16. 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. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 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. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation-Foam-Looked am -Looked in Attic ❑Yes 73. Guard Rails Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 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 0 N 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 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 (Permit) 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. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date 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. 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-Shthng.-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 — D�PAR7'MENT OF PUBLIC WORKS 7 County Center Drive. - 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING !' i Owner SQ. FT. OCC. BUILDING VALUATI g� Mailing A ress Telephone No. Contractor W Mailing Address Building Address A. P. No. —- oning & Planning F Sgak ti�ooj Fire Dept. Fire Zone Use Permit Parking Parcel' EQA Plans Declaration I Parcel Map 60' R/W I Improvements I6gy�� v �1,..g d Ions Rec' Parcel Approval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of palifornia Business & ProfessA2" ions ode under the name sty e o License c - No. � Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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 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 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 Sig ture of Permitee or Agent Receipt No. ^ Ad White-D.P.W. - Yellow -Assessor - Pink-Sa r - oldenrod-App it -t Fireplace ' ' ' BAL@1 Total Valuation $ Permit Fee pc3 Plan Checking Fee&(or Penalty .. Permit Fee ,dam PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ' ' ' BAL@1 $ $ ELECTRICAL No.1 @ FEE Mobile Home Facilities PERMIT FILING FEE $3.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. ") OR ADDNS. `ACC. BLDGS. 20sgft NEW CONSTR. MULTI-OUTL T NON.RESID- BRANCH CIRCUITS 2.50ea EX. OCCUp OUTLETS OR FIXTURES ' ' ' BAL@1 / FIXED APPLNS. OR EX. OCCU p•\OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee $ MECHANICAL No. @ 1 FEE PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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 9A, PUBLIC WORK 1 ci�0 By Date B ding permit expires Date ' (J ,T}a -TL a •fi{ . 7 vSO- -rte IT 1 t OT 74 /• ! /�i � build}�;±�'' Septic system and I ation of build- / a �c See MasterlPlan on inv drain stub -gr!{ to be as per % V;2.0 Bufte Counfy/Heclfh Dept. Re- 12 al c:.1p.ans. i: , Tom►. I y`�4he E31dg. ' S-46cck s e �a {t. ft > e �! proper y iino tY '50 Vit. fr+,P e'I r T�'C. �C R.THrr'litti:ng Gi;p�i~dl n .:c'_*'i"� +Cr'� • - -- 1 �t �I I rC . r;i'� but , �� - t 1i I , { nwrik WATeR Az Iv �+ uJorl.?tsJ.lp Shat: u' an yrs }l• I �� ,Fa +'s�, NOTEr��rj•n r i�� C': ' aCtG85 +y , tylt , ^ in IVIG f�cccrdrsrfce; r- �� S,ticc;f;e�i use pr��c ! anicul CO F,4..l..J.� u: rlBLh ^i4� Ut '' Electrical Code. ti L. E��•, Ma 4, bi1W.y 1' i`W��,t . tie Nd, This SO Of pians and s{� cificct'ons MUST be ICep+ on the jo'� a•t c+�' is u•nlowfill to rh* nn r r n, ___,: ,.,s On wine wiihat!t mr ce any j 2,�— L"c" c,r invent of Public Wort. Covr.ty cf Cut `c. BUTTE didi '1TY BUILDING APPR'dVED 'TA