HomeMy WebLinkAbout030-010-05030-01+8`Ot5 O 30-01-08
'Larry Quigley _
r ` NIS Nelson Rd.@ inters.of Wilbur Rd., LARRY QUIGLEY
Oroville Converting barn to residence without
contra Wilbur Nesmith, Oroville ermits) -2/26/9'i�
r: ( Permit #4183-8YP s�ErM(new s ngle
family)
' 30-01-8' 05-0
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E con tr : Y Wilbur Nesmith, Oroville
Permit#978-82E (temp.power pole)
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30-01-4D& 050
Permit # 1629-82B(addn deck area 4183-81)
contr: Nesmith cdnstOro ille
ned
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CERTIFICATE OF ROOF COVERING
OWNERS NAME: A.P. #:
ADDRESS: PERMIT #:
BUILDTNG SIZE/AREA: BUILDING USE: F
FTRE,'HAZARD ZONE
ALLOWED ROOFING FROM LISTS BELOW
VERY HIGH
#1,
#2
NEI 'HIGH
#1,
#2, #3
MODERATE
#1,
#2, #3, #4
LIST #1
LIST #3
CLASS 'A' ASSEMBLY
CLASS 'B' ASSEMBLY
CLASS 'A' PREPARED ROOFING
BUILT-UP ROOF PER 3203(e)
CLASS A OR B PREPARED ROOFING
•
LTST #2
ASBESTOS CEMENT SHINGLES
METAL ROOFING
❑
Q CONC. OR CLAY TILE
(OTHER FIRE RETARDANT ROOFING)
[� SLATE SHINGLES
LIST #4
(0'[111?R NON-COML3US'L'1.131.J; ROOFING)
CLASS 'C' 2354 ASI'ILALL' SII.LNGLI?S
I HE-REBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON THE ABOVE
BUILDING, TN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS.
FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE
THIS CEXTI:FICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPEC'T'ION APPROVAL.
January 1988
I
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CERTIFICATE OF ROOF COVERING
OWNERS NAME: A.P. #:
ADDRESS:. PERMIT #:
BUILDING SIZE/AREA : BUILDING USE:
FIRE
HAZARD ZONE
ALLOWED ROOFING FROM LISTS BELOW
[]
VERY HIGH
#1,
#2
F]
HIGH
#1,
#29 #3
MODERATE
#1,
#2, #3, #4
LIST
#1
LIST #3
CLASS 'A' ASSEMBLY
CLASS 'B' ASSEMBLY
CLASS 'A' PREPARED ROOFING
BUILT-UP ROOF PER 3203(e)
[]
CLASS A OR B PREPARED ROOFING
T,TST #2
ASBESTOS CEMENT SHINGLES
EJ
METAL ROOFING
�]
CONC. OR CLAY TILE
a
(OTHER FIRE RETARDANT ROOFING)
SLATE SHINGLES
LIST #4
(01'111-;R N0N-(_1.0M13US`L 1,1fl K ROOFING)
CI..,ASS 'C' 2351 ASI111AU1' SHINCLI?S
:1. 1TERPBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON THE ABOVE
BUILDING, TN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS.
FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL.
January 1988
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PERMIT NO. 4183-81B,P,Epm
3
PERMIT EXPIRES 777
Larry Quigley
CONTR. x Wilbur Nesmith, Oro.
ASSESSOR PARCEL 30-01-8
LOCATION NIS Nelson Rd inters.of
Wilbur Rd., Oroville
Temp. Power Pole
Called PG&E
Temp.f
Ele .'Servi e
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signatur4e:Z
J = OK ,
0 = Not OK
= Not Applicable
= Not Ready
MOBILEHOMES
0
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, _'TC. !Plans) . .,<cept
�l
1. Zoning Requirements -Setbacks -Easements
w
1• Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Su
p Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors ti
3. Sewer; Location -Test -Fall -C/O -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.=R;fg. -(racing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns-Connections-Splice-Decal=Enc,+js„ res
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date ` .
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date _
Date Card -BI Date
POOLS (Plans) OK except k'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-C60ector
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
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane Iboards- 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
ki
a
�l
4
0 = Not OK
— = Not Applicable
* = Not Ready
00
RESIDENTIAL (Single and Duplex)
Date UNDE LOOK P ns OK exce t#'s
Date FRA INGContinued
ning requirements—Setback —Easements
P pe rty Line Firewall & Openings
Ftg., Main; Soils—Steel—E nd.— / /" Ftg. Depth
E ors—One 3'—Check Garage -3rd story, 2 exits
, Garage; Soils—S -7 /" Ftg. Depth •
fairs; Width—Headroom—Rise—Run—Landing i otectio
Ftg., Porches &Decks; Soils—Steel— / /" Ftg. Depth
,,4ywood on Roof Overhang—Attic Vents—Rafter u iggers
Sel&femwalls, Main; StAl—Blockouts—Wrapped—Slab
. Siding—Nailing—Veneer
f/StemwalIs, Garage; Slael—Blockouts—Wrapped
Drip Screed—Fdn. Vents—Underflr. Access
7. P—Fireplace Ftg.—Steel
44 -. "Glazing Area—Glass Protection—Skylights—Plastic
Bj�,D.W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test
Shear Walls; Nailing—Bolts
9 Gas Pipe; Size—Anchors
10.gWater Pipe; Test—Anchors—Regulator—Seryice Test
11.CElectric; Underground
12A Plenums & Ducts; Clearance—Material—Support—Ins.
13KGirders—Sills—AnchorBolts—Joists—Vents—Cripples
Card;,BI Date and -BI Date
C -BI ate -BI Date
Card -BI Date Card -BI Date
C BI Date — Card -BI Date
Date FINAL (PJ9) OK except #'s
Card-1314Date Card -BI Date
Date PLUMBING (Permit) OK except k's
xt. Steps—Door & Sidelight Protection—Landings
moke Detector
A4. -"r.; Vent—Access—Combustion Air
Connector-1r Pipe; Test & Anchors—Nail Protection
5 urnace; Vents—Clearance—Comb. Air—
In arage; Above Floor—Ducts—Mech. Protection
I D. Tesy{�tttigS& An s—N otection
a room Exiting
17. Shower Pan; Test, First Floor—Tub Access
6 I.
& Bath Fixtures & Tub Access
_
^/Z est Tub & Shower, 2nd Floor—Tub Access
lec. Trim & Subpanel; Breaker Sizes—Labels
19. Gas Pipe; Size & Anchors
WeSlairs & Rails
_
ej_-15ireplace or Stove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
BI Date —`LCard-BI Date
ZR'Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance
Card -BI Date Card -BI Date
"--1 lec. Outlets & Receptacles at Kit_Zounter
Date ELECTRICAL P rt OK except p's
Q7lGarage Fire Door; Swing—Landing—Closer
*!A.Cj�ct�i�t Garage—Damper
F' ure & Transformer Clearance—Ins. Protection
ejA-tr. Htr.; Vents—Clearance—Comb. Air—Connector —
In Garage; Above Floor—Mech. Protection
EI c. Receptacles Spacing—Lights &Switches at Doors
jD_-Pib., Elec. & Mech. Equip. Listed for Location,
2 i e Boxes & No. of Conductors—Stapled
2 ex Installed Close to Edge of Studs & C.J.
we _fflec. Receptaclesl.in Garage; (G.F.I.)—Romex Protec.
2 Equip. Ground made up w/Mech. Fasteners—Bond Gas & Water
72. Insulation— Foam— Looked_;,n Attic �i'Es
a/2 Appliance Circuits in Kitchen & Conductor Size
7�ard Rails & ck Construction—Post Caps
74. Fdn. Vent r w ole Door—Drainage & Wood -Earth Clearance
Looke e
26. Subfeed Wire Size /' / ga. Cu o A.C. Wire Size / / ga u r At
27. Range Circ. / / ga.TOor AI—Oven Circ. / / ga. Cu or At,
Insulated Neutral [ ❑No
75. Following instl Drive es No; Walks Yes ❑ No;
Planters es ONo
26. Service—Riser Conductors R. Ground—Main Disconnect
ueGa Brown—Finish
Equip. Clearances; Panels—Motors—Mech. Equip.
7Z__A C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet
W.—Clothes Closet Light—Shower Light
7j,—Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs.
7 ..- ater Well; Disconnect, Electrical, Plumbing
,,per—
C d B -I Dat i/=� and -BI Date
�__ %�
Card B -I Date Card -BI Date
8 xterior Elec. Trim; G.F.I. Receptacle—Underground
a ion throughout House
lass Protection
Date MECHANICAL (Peyrrit) OK except N's
83. Corrections from Previous Inspections
84. Gas Test—Meters Tagged; Gas—Elettc4e-
34!A.C. Ducts: Insulation & Support
ater & Sewer Connected—C/O to Grade—HD Approval
--V"! Fan; Exhaust above Insulation
A,—Energy Compliance Certificate—Other Certificates
_ on nsate Drain & Overflow; Size & Grade
ur —Vent; Access -Comb. Air—Return Air Vent -115V outlet
is ccess & Platform if Furnace in Attic
Q --- --
Card -BI Date D and -B I_ Date
Card -BI Date Card -BI Date
Card -BI Datez", / and -BI Date
C d-BIate and -BI Date
Car -BI Date Card -BI Date
Dhel FRA G PlYnsOK except q's
Comments at Final:
ils; Proper Material & Anchors
Walls; Studs—Nailing, Spacing & Bracing—Plates_—Sound
48—be ring Walls_ over Girders & Floor Nailing_
3 aft Stop in Walls (rat proof)
Fire Stops, Furre in Stairs s — ub
Header & Beam— ize o, Ded,ing_
4t?langers—Post Caps—Anchors—Connectors
43r g. Joist—Rftr. Ties—Purlin_—Roof Brac.—Truss_Ss_i,nq.—Rfnp.
F' eplace Ties or Type_ e—Fireplace Throat
(41YAttic Access: Size & Rom_ex Protection—Draft Stop—Ins. Baffles .
. Windows or Exiting Doors—Sill Hgt. & Dimensions
arage Fire Protection Framing —
(NOTE: Anentrymust be made each time youvisit jobsite)
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140-
UNIFORM BUILDING CODE, 1973 Edi��
or
E CONSTRUCTION P
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Send to: International Conferoke
5360 South Workman Mzri
Whittier, CA. 90601 09
UNIFORM MECHANICAL CODE, 1973 Editi
to: International Conferen
5360 So&ZWOOrwan Mil
Whittiea A.
�y" P0601
tor same address!ps shown for P
10 LOW IF 0 RM PLU�ZJNG'VADF, 1973 Editio�
PLe ational-4L-poc
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—Mon. KA N�' N- 9
pose L af $16.00 19f6\diti(
3ft Cover $14.00
)7.3 Edition li76-
11
76 -rt i,
E g Offict —p
$ per copy 1976' eri t i(
f BuilWng Offici )1w
ad 0 C4
ing Code 'vh-
- $8.00 per copy l9f15 Edifi(
Qg..aq Plumbing & Mec anical 0 s
tv% r -&e e -_12ps sh&4 fo MHO Building Code Ak
JE 1 5 1 5M
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10 AI&R
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ECA%R'ICA (YDE, (NVV5 E it!;en - $5.50 per copy
—ac hvii 5 1 Market Street, San Fran 'Co
Swd o: cgs
0 7re 2cr:t ti As ociation, 470 Atlantic A e ve,-B(
eti al t
*�E ion availlble for $6. 0 a t
Intern%tional Conference of Building Officials 40
5360 South Workman Mill Road, Whittier, CA. 90601
Courity of Butte
DEPARTMENT OF PUBLIC WORKS�41-a-)S)
696 GleandeF-AwL, Chico - ;4D-
"loa 7 County Center Dr., Oroville - 534-4541
Skyway and Elliott Rd., Paradise - 4;;-848&
8 -) A - -'V5 1, 1 EX -f
ZOIR"ECTION NOTICE
' 7' q-
................... . ..... ............................. .......................................
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
imme i rely.
.. .. ............. 4 .....................................................................................
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.............................
......................... ....................................
................................. ......................................... ............... ...........
Date. ................... Inspector
Do.Not Remove This Tog
(400-4)
CERTIFIED MAIL
Larry Quigley
1752 Grand Avenue
Oroville, CA 95965
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
H. W. McDONALD
Deputy Director
April 12, 1982
RE: Permits and Inspections
(AP N0. 310-01-8 )
Dear Mr. Quigley:
With reference to the above subject, on -March 19, 1982, we wrote you a letter
requesting that you obtain the required permits and the required inspections from
this office for the work you have done as follows:
Converting an agricultural building.into a dwelling on your property
located off Nelson Road, Oroville.
Since both permits and inspections are required by both State and County laws,
unless you have obtained the required permits and made arrangements for the required
inspections within ten (10) days of the date you receive this letter, the matter will
be referred to the proper authorities for appropriate action.
Should you have any questions concerning this matter, please contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:dd Chief Building Inspector
cc: Building Inspec tol ville
Assessor
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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
/0"
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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Inspectoj Date
V
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: 672-2961, Ext. 57
CORRECTION NOTICE'
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,,or need "aitional explanation, please contact this office immediately.
Inspector. Date
RESIDENTIAL
ENERGY CONSERVATION_STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTA ED I99NFORMANCEoWITH C Iz ENER ONSERVAT yIQ1�T� PGULAT;
/ (lo ation) 'v
BUILDING PERMIT NO. A;P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn, Walls 3,C7
Floors
Walls ;-,vo
Ceiling/Roof O
Ducts )PP6- iG en.,,J
Circulating Pipes 1/
APPROVED HEATER
APPROVED WTR.HTR. L==,=---
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS.AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name 0"Of Z41 S
Signature of (please print)
Insulation Applicator
State Contractors
License No.
General Contractor er Name
(please print)
Signature of
General ontracto /Own e ,� ..� Date z-
State Contractors
License No. Y,36
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC liVORKS PERMIT NO.
7 County Center Drive - Oroville, California 95905 - Telephone 910/534-4541
APPLICATION' AND PERMIT -
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERM11T
OWNER
TELEPHONESO.
FT. OCC. BUILDING VALUATION
(
67M.00
OWNER'S MAILING ADDRESS ,., •
3 ST
f�37ro��a
CONTRACTOR'S NAME
TELEPHONE'.Q
�3rW.
I
;Zt5-2,90�
CONTRACTOR'S MAILING ADDRESS
---_—` .,
CONSTRUCTION LENDER UNKNOWN
Totff ValUatlon SJ
Filing Fee
S 70.00
LENDE'R'S MAILING ADDRESS
Pei -mit Fee
$ OV.
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$ 757, S�
Penalty
$Itc
AR CIiITECT OR ENGINEER'S MAILING ADDRESS
Permit fez
$ ,sO
BUILDING ADDRESS
PLUIV181ING PER
Filing 1
Each Trap
Repair drainage or vent piping
5.0
Water.piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater,
.5.00
Gas piping system 1 - utlets
USE OF STRUCTURE
SF EJ Duplex❑ Mobilehome❑ Other
SPEC!FV
Building sewer
Lawn sprinkler system.
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ . Instailationo Other ❑
Describe work:
Permlt Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fe 0.
Main service loo apo ORSLESS
Main service EA. ADO'L. 100 AMP
.5
NEW CONST.DWELLING OC P.S
OR ACDNS. X AGC. BLDGS.
CONTRACTCRS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed Linder 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
❑ 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)
EJI am exempt under Sec. Business and Professions Code
for this reason
tJE'.'! C^ JSTRULTI-OUT' Z Oen:
NON APSID. IIRANCt CI r " S
NE71 CONST R. ( PONER APPA S a. Ly
mo I•R =510. %`-�IhGLE U C1 R. /
Ex. 0' HF) I C,T
p(OUTLETS E XTURES BAL�tO
'iXEO AP' OR
Ex. Occup.(c;NL . S R SID.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$.
Contractor
&1ECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to .,become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00 j
Ventilation
e�ermft 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 County ct
Butte to enterrUpon.the above-mentioned property for inspection purposes.
I also agree to. save, indemnify and keep harmless the County of Butte against
ail !iabilities, judgments, costs, and expenses. which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant – Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition ax construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF'CONsr,
PARCEL
PO
HO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for vihich
DIRECTOR OF PUBLIC
By
Pt=R�rifT IrX?IDBS Date
the applicable provi-
resolutions to do
fees kava been paid.
WORKS
Date
'
Receipt No.
_
WHITE -D. P.'N,. YELLOW-ASSES30H. PINI( -INSPECTOR. GOLOEHROO-APPLICANT
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 111 PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 Q ^may
APPLICA,JION AND PERMIT
ASSESSOR PARCEL NUMBER
O
ZO NG
---Z
UILDING PERMIT fil
OWNERr
ELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING DDRESS
CO
TRACTO 'S AME TELEPHON(�E
i
CON RACTORM LING D RE S -
4111:Fireplace
CONSTRUCTION LEKDEIR WPM e
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ b,
ARCHITECT OR ENGINEER Al EM
NO.
Plan Checking Fee ka,
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A DRESS
a
PLUMBING PERMIT
Filing Fee 10.00
PJ
Each Trap
2.00
Repair drainage or vent piping
5.00
U e,
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
--/ USE OF STRUCTURE
SF K ( Duplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ AdditiondeI [IUtilities [IInstallatio Other [L -1r
Describe work: �AAIITJ Jcr ,��-�c`►� 1'
( R3_ 7c '
CCCC 1111 ll
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR SLESS
5.00
!
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.al
OR ADDNS. \ ACC. BLDGS.
2¢ sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' s C de,ay license is in full orc 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 CONSTRI.Ou L T 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW NON-CONSTR (POWER APPARATUS 61 RESID. SINGLE OUTLET CIR. /
eo @ zea
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
Ex. Occup.(oUT LE P(RESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
aga' t aid County in sequenc f the granting of this permi .
X Date
Signature of Applicant — Owner ❑ Contractors 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 $
TOTAL PERMIT FEE $
occUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR T R OF PUBLIC
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-
Receipt No. (C � / C?By915�
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR -/ /PERMIT, NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/ -45 7Y
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER _.
3 O
ZOVI G
BUILDING PERMIT
oNgg
�
A
SQ. FT. OCC. BUILDING VALUATION
0517
L
OWNER'S MAILING ADDRESS
1,7612- �Ait/D ;4V E D r-0
/-3'S7s So Q
/O . D
COJJ7f:AC5OR'S NAME A >�/W
TELEPHONE17
ORC—ALJ23 � p
CONTRACTOR'S MAILING ADDRESS
Z, ^-f-- --z-C�a U
Fireplace 2) A S
25r-ovb, 00
CONSTRUCTION LE R
UNKNOWN
Total Valuation
'0/ 0o
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ :g, 00
ARCHITECT OR ENG( EE
LICENSE NO.
Plan Checking Fee
$ / '06
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �d
BUILD NG ADD ESS
w F� �i(/
F��, / O2>. IAJ��s i, 1Z
PLUMBING PERMIT
Fee
Filin Fee 10.00
Filing
Each Trap
/f 2.00 Z,00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,--,/ USE OF STRUCTURE
SF L'_f Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
" p�
Lawn sprinkl r system 5.00
Aaw
TYPE OF WORK
New PAddition ❑ Remodel ❑ Uti Ilties ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$ (7
Contractor
ELECTRICAL PERMIT
FI'lIng Fee 10.00
Main service 100 AMP LESS
//
4,e&- /Q. 0v
Main service EA. ADD'L 100 AMP
2.50 U
�/
NEW CONST. DWELLING O. 8
OR ADDNS. ACC. BLDGS
26iq ft
��
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑- I am licensed under provisions of Chapt.9, Div. 3 of the BusinessOccup(_50GZW
and Professions Code and m license is in full force and effect.
y
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 U L 2.50 ea
NON-RESID BRANCH CIRC S
NEW CONSTSL / POWER APPARATUS e
NON.RESID. (SINGLE OUTLET CIR.
Ex. OUTLETS OR FIXTURES BAL@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00 f
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ LQ
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
24 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 1,9V1.0 0 0
,Oa
"C_)97_ P&IM
Cooling 3 z
/4C,0
Hood
3.00 S,490
Ventilation
`
Permit Fee
S O
Contractor
I certify that I have read this application and §tate that the above.information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction,. and hereby authorize rgpr¢sentatives of the County of
Butte to enter upon the above-mentioned property fir'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 s County in consequ ce of the ranting of this permit.
`
X Ilk Date AA` S - $ 1
Signatureof pp icant - Owner ElContr for ❑ Agent ❑
An OSHA perm) is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
_
I Tr Eof, `CONST.
N
PARCEL
Po HD
ISeuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT:VO PUBLIC
By
PERM XPfRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 11 -1:T -P1
Receipt No. 58(7(0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVI�_LE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHE-E�/
(. Permit No.
OWNER Jr L/i�ei � CY u�y L E-14 A. P. No.30— ®/ — 09
Proposed Building Use
Permit Fee Based Up n: Complete Contract Price DPW Valuation
A Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
�3. Complete plans in duplicate/triplicate.
;L, Complete engineered plans and acs. . . . . . . . .2b-
5.
- /
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 tatement of Inte t forjVon-Heat nd AC Buildings.
/9. Letter of signature authorization.
.
Q,X 10. Sanitation approval from Health Dept. .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
Pre -Inspection for
�'//� %� Q �f% //Re uired..Pre-Inspecq.�rpe�quest to (Date)
her 12 EGQ/-D�!/ /�- 6. /i -C -L.- q 1 � ��9'L.i�`tar t.
When . ou issue the permit, process as follow Is: Mail to owner. Mail to contractor.
Telephone534- /,Z412- an •`hold for pickup at 0-40 office. Deliver w/inspector.
Other JUDY
Applicant Date I
U
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted pr' erm issuance.
(For required items not checked abovee f a pl' I .) `�.
1. Index permit for above Items No. _
2. Additional items required:
(Contractor, Designe wne was advised of above required dataTelephone �,�Ma1' Other
�
By .e���', Date
/ 1 /4 ' _v
Plans checked by.
Plans approved by
Other
Copy—DPW
WI
Date
Date
W
Q
T
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
LQ�A &MCQLV Bldg. Permit #TIER ` A. P. # 30 "OI - Off' '
A.'GENERAL �Q
Zoning requirements (sideyards and parking). L.
Valuation.
Signature by R.C.E. or Arch' uired).
CO,�C S .
B. PLQOr PLAN
omplete parcel size and dimensions.
Setback, sideyards, easements, etc.
Other buildings or structures.
4� Grading, fills, drainage.
C. FLOOR PLAN
.� Complete to scale plan with dimensions.
2' required windows for light and ventilation -(Sec. 1405).
•�/ equired windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per,State law).
uman impact glass (Sec. 5406).
�Light
equired room sizes, ceiling heights (Sec. 1407).
F.C.I.'s in baths and exterior outlets (Sec. 210-8).,8: fixtures, switches, receptacles, and exterior receptacles for maintenance of
echanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
quipment, and plumbing fixtures.
arage firewall, door size, and'closer (Sec. 503(d)(4)).
3'0" exterior exit door (Sec. 3303d).
�-� eplace location.
Smoke detectors (Sec. 1413).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
4 Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
X. CCX plywood on exposed locations and.overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter'30).
xterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
building.
(State law).
Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
Return to DPW
AGRICULTURAL ,STATEMENT OF ACKNOWLEDGEMENT
FOR RE IDENTIAL DEVELOPMENT
'Section 26-8.1of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
81-3'7249
OFFICIAL f -,F (011DS . F•
UTTE COUNTY-
?
R. GORDS REgrUt— t �a ar
�0 C54 4 19l
The property described herein is adjacent to land or included
��� ��
within an area zoned for agricultural purposes, and residents of CLARK A. NELSON
this property may be subject to inconveniences or discomfort arising CLERK-RECORDER�
from the use of agricultural chemicals, including, but not limited to herbicides, FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Date: /Zl'-,2alop
State of ) _ / On thi�ssCthe _ day of ;/Jl 19 P/ ,
'.6 ) SS. before me'' the undersigned Notary Public., personally,
r VV:
County of fie)y appeared"'
OFFICIAL SEAL
EMMY L. TUCKER
"~ w� NOTARY PU®LIC - CALIFORNIA known to me to be _e person(s) whose name(s) L� c
�" Y�'�� PRINCIPA OFFICE IN T^
ice: ;.
•:�;;�` , �t subscribe to the-' instrument and acknowledged
BUTTE COUNTY
MY CON.N,!SS:ON EXPIRES JAN, 13, T984 that executed the same for the purposes
therein 50tained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal. .
rn '
No Public
Present A.P. NO. 30- d/ -Of `
X4
0 �o
ott-
CON
GO
X4
0 �o
ott-
CON
J.O: De 1--t- me nt
From. -,i-;-,Ith
lanitation Clear
arice
t t sl �4 Q -30 cJ
L o c at i o n
P-1 nn A- -Dro,,,::ed Ir 6 1'
0 S ze �-n lisros, el , er -�,up-1
Fol �inal �or:
i e r sunp-ly
F Ln; a 1 clearance 0. K. -Por: Supply
dleanance for m-. Other
b droor. mka ho
NOTE
Sanit-.ar-ian
� A '
f
Exhibit A
Page 1
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of
California, described as followsMEL 1:
i+
The
South half of Section 89 Township 19 North, Range 3 East, K.D.B. A M•, ('
Butte County, California.
EXCMING THEREFROM that parcel of land conveyed to Northern Q..lectric
Coapany in Deed recorded May 12, 1906 in Book 95 of Deeds, at page 93, !
records of Butte County, California.
.ALSO EXCEPTING THEREFROM 2 parcels of land conveyed in Deed from Tony
1.waos,,et al, to the State of California, recorded June 4, 1965 in Book
13759 at ;page 6819 and in Deed from the Southern paci'ic Company to vhe
State of California, recorded December 24, 1965 in Book 1405, at page 700, f
Official:Records of Butte County. f
PARCEL 2s
The Northeast quarter of Section 8, Tovnship 19 North, Range 3 East,
M.D.B. do M.
EXCEPTING THEREFROM the North 30 feet thereof deeded to the County of
Butteand
dpageed for 77, anduBook 25ublic aofin instrDeeds, atents pager80,rded in recordsBofk25
of Butte
County, alifornia.
PARCE_
The Meat half of the Southwwst quarter, the Southeast quarter of the
Southwest quarter of the Northwest quarter, the South half of the North-
east quarter of the Southwest quarter of the Northwest quarter, the South
half of the Southwest quarter of the Southwest quarter of the Northwest
quarter, the Northeast quarter of the Southwest quar;.er of the Southwest
quarter of the Northwest quarter, and the Southeast quarter of the V orth-
west quarter of the Southwest quarter of the Northwest quarter of Sec-
tion 4, and the Southeast quarter and the South 330 feet of the F ortheast
quarter (also described as the South half of the South half c.' the South
half of the Northeast quarter) of Section 5, in Township 19 north, Range 3
East, M.D.B. & M.
EXCEPTING THEREFROM the South 30 feet thereof deeded to the ':ounty of
Butte and dedicated for public road ir, instruments recorded in Book 25 0
Deeds, at page 77, and in Book 25 of Deeds, at page ;i0, r�.c��rds of Butte,L�L
California. 'y'
County, - j �,
A nge 3 Bas",M.DSB. &eH.t moretparticularlyndesrribedras f,A lows:
Range 3 ^ 07
CA
-o
a
rn
Exhibit A
Poge 2
SWINNING at a point 30.00 feet North of the corner common to Sections
.8, 9, 16 and 17. Township 19 North, flange 3 East, M.D.B. 6 M. being
on the North line of the County Road; thence, West along the North
line of the Ccunty Road, 34:,.00 feet to A point 58.00 feet West from
Engineers Station G8-6+81.2 of the located line of the Northern
Electric Company's Survey; thence, on a curve to the left of a
1382.69 foot radius, 139.00 feet in a Northwesterly direction to
a point from which Engineer Station G8-5+15.19 hears North 580 44'
East 50.00 feet; thence, North 310 16' Nest parallel with and 50.00.
'feet Southwesterly at right angles from the centerline of said
Survey, 515.19 feet to a point from which Engineer Station G8-0+00'
O.T.= L -S67+32.5 B.C. bears North 580 44' East 50.00 feet; thence, in
a Southeasterly direction on a tangent curve to the left having a
radius of 1005.366 feet, 880.00 feet, more or less, to the West line
of the County Road between Sections 8 and 9; thence, South along
the West aide of said road, 28.00 feet to the point of beginning.
EXCEPTING AND RESERVING THEREFROM all minerals, oil, gas and other hydro-
carbon substances below a depth of 500 feet of said real property, without
the right of surface entry, .as reserved in Deed from Sacramento Northern
Railway, a California corporation, to Chico `!oulding Co., a corporation,
recorded January 21, 1974, in Book 1885 of Butte County Official Records,
at page 685.
END Of DOCUMENT
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
?.county Center Drive - Oroville, California 95965 - Telephone 916/534-4541 '
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
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
$
ARCHI-ECT OR ENGINEER'S MAILING ADDRESS
._
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each gas water heater or vent
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 ❑ Remodel ❑12rlrttes ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10000 AMP OV OR ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. /DWELLING OCCUP,EI
OR ADDNS, t ACC, BLDGS.
Z�sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
ElNON-RESID.
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
El 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 Code
for this reason
NEWNON-RCOESINSDTR BRANCH I.OU LET
CI RCITS 2.50 ea
NEW CONSTR I POWER APPARATUS S\
SINGLE OUTLET CIR, I
50 @ 251
Ex. Occup ouTLETs OR FIXTURES BALCmi
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
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.,
X Date
SignatLre of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I JPAIICELl
PD
1
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CalifVnia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
Coo 4-N
ASSESSOR PARCEL NUMBER
_0/ _ 8'
ZONING
BUILDING PERMITI.
OWNER
� � y n �// /
11,e- "w /,
TELEPHONE
� _/
SO. FT. OCC. BUILDING VALUATION
OwNE.R• MAILING ADDRE S!/H��
Jj/\
(/
CON T��RACZTOFiS NAME
TELEPHONE
CON DR'S MAILING ADDRESS
�Zi� J�-/ eD-y/C.(i� (�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDR SS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER' MAILING ADDRESS
Permit fee
$
BulLgl G ADD�E�SO IN�L�G/
N /j/
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
USE OF STRUCTURE
�/� %�
SF 0 Duplex❑ Mobilehome❑ Other �r• /"��r, �L�'
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Re/1m�odel ❑ Utiliyye�❑1 t Ilation Other
Describe work: P� l%r✓�w%' �iJ7��` T/3-�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10000 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Coe and my license is in full fo a and effect.
3
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 -OU LET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS D
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup o DO @ a�
OR FIXTURES 100
(FIXED A
Ex. Occup. UTL APP LNS. OR
p•�OUTLETS (RESID.) EA. 2.00
Temporary service 1 10.00 /0.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ Zf�.OU
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
�V 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
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 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
agai i� County in c4sequence ofthe granting of this permit.
Qy
X Date Zsio
Signature of Applicant — Owner LJ ElAgent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesin height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ZO-od
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL Pb
HD
1 ISSUE
This permit is hereby issued under
of the Butte County Code and/or
w k i di ed above for which
I EG�TOR OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �/� �
-L
Receipt No. /
WHITE-D.P.W., TEL LOW -AS BCSSO PINK -INSPECTOR, GOLDENROD -APPLICANT
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57-06
T. 19 N R. 3E. M. D S. a Af. .30-01
Tax Area Code 104 — 09
104-03.
'Ile 11,04—op
3960
117 3 8.4 C
3
195 Ac 850.67
4c.
09.4c.
212,4c 2 0 �q 6 6, 4'0
J1200,
1.81 AL 2 10.8 4 C
—41
-7 Bell
92 Ac
6"N y #g3 -RI
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NOTE ASSESSOR'S PARCEL BLOCK County Ot butte, C -alit.
8 LOT NUMBERS SHOWN Afnrrh /gc7--,f