HomeMy WebLinkAbout030-010-012.,' .� .- � ... �� � "" `i;:::.."5.,�-�. •wYi ,— - _: e '" `J'°' _ � ' . _tea. ik R' , }.._ �. ..� _ _ `` , �,,..� ' /
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30-01-12
GERALD E. NOSLER
SW corner of Oro Nglson & Wilbur '
Rd., Oroville - j/- ? �<
ontr: Oro. P p & Elec., Oro_vil_
Permit ##657-7 ,E (u iiH)
ELEC.
GAS2,
I SUPPORT STRUCTURE REQ.
'COMPACTION TEST REQ.
$07-0996 ' • 030-010-012 a }
MISCELLANEOUS r Ag Exempt
'AG EXEMPT BLDG: STORE FEED & \k,
ORO NELSON RD'
+ LAMBERT'-STEPHAN & CYNTHIA
n •• ...,� � fi may} �� - � ��� (7 �.7 "�,�Y �'+
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR MSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: ORO NELSON RD
Owner:
Permit NO: B07-0996
APN: 030-010-012
LAMBERT, STEPHAN & CYNT
Issued Date: 6/4/2007 By GLB
Permit type: MISCELLANEOUS
2938 NELSON AVE
Subtype: Ag Exempt
OROVILLE, CA 95965
Expiration Date: 6/3/2008
Description: AG EXEMPT BLDG: STORE FEED
(530) 533-4447
Occupancy: U-3 Zoning: U
Contractor
Applicant:
Square Footage:
LAMBERT, STEPHAN & CYN
Building Garage Remdl/Addn
2938 NELSON AVE
1,200
OROVILLE, CA 95965
Other Porch/Patio Total
(530) 533-4447
1,200
FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $109.98
Total Charged: $185.68 Fees Paid: $185.68
Balance Due: $0.00 Receipt No: B2975
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such peril to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a peril subjects
X 6/4/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
XCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE,
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
❑I as required by
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not a completed if the permit is or one ellars ($100) or less.)
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
❑ I AM EXEMPT un r9 ctio B. & P.C. for this reason:
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
(L�1
Compensation laws of C a, an gree that if I should be me subject to the workers'
6/4/2007
compensate is' sof Se do 700 of the bor Cod shall forthwith comply with those
Owner -_ nature Date
provisi
6/4/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
the issuance o his permit. I hereb cknowledge that issuance of this peril does not authorize the
t is
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or o a y of si a al , street, or sub ewalk hereby authorize representatives of Butte
ATTORNEY'S FEES.
Count an; r the bove m ned property ori,
r insp on purposes. I hereby certify that I am the
pro n Dwyer m author' d to on lh rape wners behalf.
CONSTRUCTION LENDING AGENCY
6/4/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
a e of P ml ee ISIGN Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. FlAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net/dds
AGRICULTURAL BUILDING EXEMPTION STATEMENT
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house
farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of
human habitation or a place of employment where agricultural products are processed, treated or packaged, nor
shall it be a place used by the public.
Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for
an agricultural exemption.
Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any
requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte
County Environmental Health, or any state and federal agencies.
14
Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initials &�&G Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence,
10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings
Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
residence and a manufactured home, and 40 feet from a commercial/industrial buildings
Site Address:
ORO NELSON RD
Permit No:
B07-0996
APN:
030-010-012
Square Footage:
1,200
Permit Type:
MISCELLANEOUS
Occupancy:
U-3
Permit Subtype:
Ag Exempt
Zoning:
U
Description:
AG EXEMPT BLDG: STORE FEED & VET
Required Setbacks:
Applicant:
LAMBERT, STEPHAN & CYNTHIA
Front: 201. Side:
20' Rear: 20'
2938 NELSON AVE
Type of Construction:
OROVILLECA95965
(530) 533-4447
Type of Siding:
T-111
Owner:
LAMBERT, STEPHAN & CYNTHIA
Est. Const. Cost:
$ 12,000.00
2938 NELSON AVE
Roof Covering:
Compostion
OROVILLE, CA 95965
(530) 533-4447
Floor Type:
Concrete
I declare under penalty of perjury that the building will be used as stated above, and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the
requiremen
Signature of
FILE COPY
Date: 5/8/2007
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name/ I
L rne0
First Name
Mailing AddressADS
City O kO 0 t L Lk—State
/}
Zip n
Phone JGJi3_L� +-
Fax
E-mail
CONTRACTOR
Name
Address
City
State
Zip
Phone
Fax
E-mail
tic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
-
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
PROJECT LOCATION
AP#G3L)_ o(o C�iZ
Property Address
City 0EOV Vi 1
PERMIT
NO.
BIN #
WORKER'S COMPENSATION
Policy Number.
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
X 5�
)
,L f
JO
I e7e`s_� No
Occ.
Type Const.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone _ SRA
I e7e`s_� No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every perms ed by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completeZvoithin one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite nu of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspleetiqns. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit afte iration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon mpletion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal occupy this building or any portion of the building for which this permit is
issued without a final inspection. W ;r R9 Rt* wn')Is
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municiyalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0996
Location: ORO NELSON RD
Parcel Number: 030-010-012
Owner Name: LAMBERT, STEPHAN & CYNTHIA
Description: AG EXEMPT BLDG: ST04M-FEED & VET SUPPLIES
Signature of Property
FILE
Date: 05/08/2007
Phone: (530) 533-4447
Date: 05/08/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. 1 PERSONALLY PLV TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. YE OR NO)
u
2. I V /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE 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
Description: AG EXEMPT BLDG: STORE FEED & VET SUPPLIES
Reference Number: B07-0996
Applicant Name: LAMBERT, STEPHAN & CYNTHIA
Owner's Name: LAMBERT, r Y"NYN 'IA AP # : 030-010-012
Signature of Property 0 Date: -—�
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
C
V"' pig
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-0996
Date:
05/08/2007
Location:
ORO NELSON RD
By:
KCG
Parcel Number:
030-010-012
Sub Type:
Ali Exempt
Owner Name:
LAMBERT, STEPHAN & CYNTHIA
Phone:
(530) 533-4447
Description:
AG EXEMPT BLDG: STORE FEED & VET SUPPLIES
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB .1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 05/08/2007
.h;ut 11. , MH
PERMIT NO.
.. y
PERMIT EXPIRES h
-',OWNER Gerald E. Nosler
..ItONTR. ` Oroyille Pump & -Elec. , Oroville
LOCATION (A.P. 30-01-12
i
..SW corner of Oro Nelson & Wilbur Rd.,Oro.
i
.a
1E
1'
Temp. Power Pole
Called PG&E
}` Temp. Elec. Serv.
Called PG&E
ISCal/FINALED mp. Gas Serv.
led PG&E
B
` (Date),»
1
(Signature)
. I}
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS /�%
7 County Center Dri90 -=i. 4)roville, California 95965 �J -76
Telephone: 534-4541
A APPLICATIQN AND PERMIT
- uu vca v� int %.vunry vi Quirt ru CIIICI UPU11 LIC
above-mentioned pr9Perty for inspection purposes.
X
of ffermitee or Aqent
Date �� - ',&_
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 ?WBLIC WORKS
BY � Date Z
ui Iding permit expires Date 7,—.,r -7z
BUILDING
Owner �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address -)
Permit Fee
Plan Checking Fee &/or Penalty
�
elephone N .
Permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3, 00
Each Trap 1.50
'
Repair drainage or vent piping 1.50
Water piping 1.50e) ID
Each gas water heater or vent 1.50
A. P. No.A _ _
eq Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FAet(
o
Fire Dept.
Fire Use Permit
u) rding sewer E -A910,00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
a Parcel proval Plans A�vaI
NEW ADDITION ❑ UTI LITIES,� OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00 3,
OR L
Main service 100 AMP ORSLESS 5.00 :S ed,o
Main service EA. ADD•L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING O
OR ADONST ( ACCLBLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busin & Professions Code under the name
style Of
Ex. Occup(OUTLETS OR FIXTURES)@25a
104
Ex. Occup. (FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 / :p
License No..; Classification
Misc. Wiring 6.25
FT
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ s
$ Z
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
Cal i forni a.
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
$
- uu vca v� int %.vunry vi Quirt ru CIIICI UPU11 LIC
above-mentioned pr9Perty for inspection purposes.
X
of ffermitee or Aqent
Date �� - ',&_
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 ?WBLIC WORKS
BY � Date Z
ui Iding permit expires Date 7,—.,r -7z
FA
TO: Building Department
FROM: Environmental Health
RE: Sewage and/or Water Clearance
w �Ij I
04NER LO TIOii A .Pj
Has been approved for:. l
SsdAGE DISPOSAL
t,: -:R -SU -IP ----`I SUP'.LY 0�..
Sanitarian'
Date
V
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) I PLUMBING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footinas Windows 3rd Floor
Slab
Roof Sheathing
Water Piping(Q?
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
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
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
z -/Cl 7�- 0- P --f
o -c - -e--
7 `
(NOTE: An entry must be made on this form each time you visit the job site.)
x�. s
Gerold E. Nosler
P 0 Box 1127
Alturas, Calif,
NOTE:—All Materials & Workmanship Shall. Be 16
Accordance with RPcoanized Good Practices and
of a quality prescribed for A& Specified ute ii► 'the
Uniform Building, Plumbing & Mcichorijeal Codes and
tate National Electrical Coded r ;
i
I
a,a,
All utility connections shall be i
located within 4 ft. outside the real•
third section of the mobile h6me
an thq left (road) side of tH6 rribbile
�Qe
O,/#
The ghh5. Setback shall be 5 ft. frdM
the side property line and 54 ft. front.,
the centerline of the road, permitting
a rnaximm of a 2 ft. edve oyeAcmg,
96101
4
,+his sat 'of plena ►iiieat+i+orrrr MUSTT
kept on ,the job at all times and it is unlawful ter
make any changes or alterations on same W%Oul
wtt"on permisson from the Department of Pub"i
Works, County of Butts.
Septic system and locatiorre660W&
to be as per
Butte County Health Dept. Re-
quirements.
i
?ail to broville Pump & Electric Co
P 4 Box .279
Qroville, Calif. 95965
40 "
rX Permit .,,{���bileba"'�R' ;
inStallatio . Puki t
Z'
8UTTE COUNTY
BUILDtW.3, DEpARTMENI
APPROVtf)