HomeMy WebLinkAbout030-350-006AP 30-35-6 O5^ , 3GO
rw-. FARIESTER IJV c�
1248 Grand Ave., O oville,?'
Permit# 3778-74B
(awning, MH)
30-35-06 674-91
BYE, John,"
1248 Grand, Oroville
(elec sery/sf)
J
0
i
3,,,,7,r,1 •�.'ar ,",.`" K'".r'Wy'iccsr�.•..,.'9..ya"r ':y.:�.-.. :"rt*-^....,�s,r" y-vo `um.
30-35-06 674-91E
BYE, John
1248 Grand. Oroville
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9P965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER
030-350-006
ZONING
AR
BUILDING PERMIT
OWNER
John Bye �
TELEPHONE
M3-7447
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1248 Grand, Oroville 95965
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 1,0.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR LN ,INEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1248 Grand, Oroville
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PAgCE1 MAP
1
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE 1I
SF ❑ Duplex[] MobilehomeFXk Other r
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities Installation ❑ Other ❑
Describe work: new eleC box—upgrade _
Permit Fee
$
Contractor
`41ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 (�/�
10.00
Main service EA. ADD'L 100 AMP
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 Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) i
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 CONST. DWELLING OCCUP.M
New DONS. A C, 1
, /20sgft
OUTLET
No N•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20050t
BAL030
FIXED APPLNS
Ex. Occup. OUTLETS (-RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
pre -inspection
115.00
Permit Fee
$ 35.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury' (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fgl I shall not employ any person in any manner so as to become subject
Yom' to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said'County in consequence of the granting of this permit.
X / t � , ' _��_ ; /
Date
Signature of Applicant— Own r.RJ 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 $
Energy Inspection Fee $
OCC
CONST TYPE
-
TOTAL FEE $ 35.00
HAz
cuA PARK
scHL
FLD
CDF
PAR
PD
) HD•
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated abo a for which fees have been paid.
�- DRE OR OF PUBLIC WORKS
Byl �' Yra 4�� Date 3'
PE�tMIT EXPIRES Date
Receipt No. 83593-$35.00
WHITE-D.P.W.. TE4C8WsASS�S,5", PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541
APPLICATIQN -AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER
030-350-006
ZONING
AR
BUILDING PERMIT
OWNER
John Bye
TELEPHONE
533-7447
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ..DORESS
1248 Grand, Oroville 95965
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
FireDlace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 10•�
LENDER'S MAILING ADDRESS
Permit Fee
$
A None RCHITF-CT OR EN ;WEEP.
LICENSE No.
�
Plan Checking Fee
$
Energy Plan Checking Fee
n
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1248 Grand, Oroville
Permit fee'
$
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❑ Mobilehomea Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities kR Installation❑ Other ❑
Describe work:_ new elec box—upgrade _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
100 AMP OR LESS
10.00 l .
Main service EA. ADD'L 100 AMP
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 Code and my license is in full force and effect.
License No. Classification.
F1 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-
0rs.(Sec. 7044)
❑ I am exempt under•Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC, BLDGS.
, /20sgft
NEW CONSTFL U TI.OUTLET
NON•R ESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@50C
5ALe 30
FIXED APPLNS.
Ex. Occup. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
15.00
Permit Fee
$ -35-00
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.
MI 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
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilitie , judgments, costs, and expenses which may in any way accrue
agpisal ounty in consequence of the granting of this permit.
X Date 3 '��—
n
S' of Applicant — Ow r Z Contractor ❑ Agent ❑
n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 35.00
HAz.
CUA
PARK
SCHL
FLD
cDF
PAR
PD
I HD.
ISSUE
This 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 paid.
D E OR UB IC WORKS
ByZ Date g3'��
PE MIT EXPIRES Date f��/
Receipt No.83593—$35.00
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
A—S
COUNTY OF BUTTE - DEPARTMENT Of',PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,CALI FINIA 95965 - TELEPHONE: 916/538-7541
PERMIT APP06ATION DATA SHEET
Permit No. /
OWNER_� �j x . A. P. No. 3,Q 3 - 0 b .
Proposed Building Use cc�/A/IL 5:1 Building Inspector Date 3 –//
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 ..........................................
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 9�=4%— required Pre-I"spe°.'equest c° -
2_ j M
Building Inspector mate)
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. Letter of signature authorization ....................... ........ .
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 533— 7y,�^and hold for pickup at office. Deliver w./inspector.
Other
Applican Date
Copy of Haz-Mat form 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---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
• t i
030 3�io �o�.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIQYH AND PERMIT
ASSESSOR PARCEL NUMBER IZONING _ /1
i W]F&t0
O/;,1- 7 / J •i/ _ 1 5 55-
N
PERMIT NO.
BUILDING PERMIT
SO. FT. I OCC. 1 BUILDING VALUATION
CONTRACTOR'S M -AILING ADDRESS
Fireolace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
LENDER'S MAILING ADDRESS
Fzq
ARCHITECT OR Lv-;I,'JEEP.
LIGE>JSE NO•
Plan Che��Ing Fee
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Z n
D" `�
Each Trap
V
Solar or heat pump water heater
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
Each pas water heater or vent
USE OF STRUCTURE
SF❑ Duplex[] MobilehomqXf Other
SPECIFY
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S G W
TYPE OF WORKccyy��
New ❑ Addition ❑ Remodel ❑ Utilities/ Installation [J" .Other ❑
Describe work: 1177 _� T—-Gi OI�Cv r -
15.00
Permit Fee
Misc. Wiri
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed Contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
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 ou become s b'e t
$
$
$
$
Filing Fee 10.00
2.00
20.00
5.00
5.00
5.00
5.00
10.00 ea
Contractor
ELECTRICAL PERMIT
Filing Fee
10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP..
OR ADDNS. ACC. BLDGS.
, /2 0 s ft
NEW-COINSTNON.RESIO R BRANCH CIRCMU UITS
2.50 ea
(POWER APPARATUS e
(POWER
OUTLET CIR.
Ex. OCcu p OUTLETS OR FIXTURES
5A a 30
200030
EX. Occup. FIXED OUTLETS PIRESIO 1REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiri
15.00
— t C /d J
/
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee
10.00
Heating
Cooling
Hood
3.00
Ventilation
y u I c Permit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
I certify that I have read this application and state that the above information Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee . $
to building construction, and hereby authorize representatives of the County at OCC CONST TYPE
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $
1 also agree to save, indemnify and keep harmless the County of Butte against HAz. CUA PARK scH� Fro coF PAR Po j HD• ISSUE
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
ion of structuresover33 stories in height.
Receipt No. U �7 ",j 3sr6 6 By Date
COUNTY OF BUTTE - Dep?rtment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) a/.� 4 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:
Name /v
Address /' City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name rVrA4
Address City
Phone Contractors License No.
5. 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
Ld
Signed:
Property Owner
Social Securi Number " "
Date 3 7- / - %
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
.19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
PRE -INSPECTION
OWNER:, �p �„�`'� `a DATE
LOCATION : 102 y�g 1,��� /1J . A.P. # O 06'
CONTRACTOR: ZONING
PRE -INSPECTION, FOR : ��I'�/& �<
PERMIT HISTORY:
DATE TO INSPECTOR
E3' NONE 'j AS FOLLOWS: rS 7 e171.
TYPE OF OCCUPANCY
----- ------------------------------------------
4
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
[OCCUPIED HAS ELECTRIC Z`�S GAS �S SANITATION FACILITIES
2HEATED-COOLED L_j PERSON CONTACTED
OTHER COMMENTS:
t
ACTI N RECOMMENDED:
ISSUE HOLD FOR
OTHER:
rr F
;HERMIT NO. 3778-74$
�P
t,
E
M
INH. UTIL.
'PERMIT NO.
PERMIT EXPIRES
* , OWNER W.H. Fariester
CONTR.
yLOCATION (A.P. 30-35-6
1248 Grand Ave., Oroville
r
1
K
l'
I y .
F
t
v.
i
r
g Temp. Power Pole
4
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
s V -OB
t FINALED
I'
(Date)
(Signature)
COUNTY OF BUTTE .= DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD'
BUILDI G BUILDING (Cont'd) PLUMBING
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab"
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Wall:
Reinf. Stee
Mesh
Scratch
Brown
Finish
Interior Latl
Door Closer
DATE
3
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water.Pi in
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
'Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
r Footinq ELECTRICAL
FI
Test
Final
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS_
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Oroville, California 95965
/Telephone: 53d-4541
APPLICATION AND PERMIT v/
autnonze representatives of the County of tsutte to enter upon the
above-mentioned property for inspection purposes.
Date f- 43- ZX
Signature of Permiteee"or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Dater)—Z) — ?�
B Ing permit expires Date ...................F-7 f-.- 7-s
BUILDIN
Owner ' e ✓
SQ. FT. OCC. I PUILDING VALUATION
0
Mailing Address
V0 �� �
Telephone N10 O
Fireplace
Contractor eq�� �%
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building. Address aC/PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. —�
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F s
S n
Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Ptrmel
Declaration
Parcel Ma p
60' R/W
Improvement
provement
Lawn sprinkler system 2.00
Bldg. Pla Recd
Parcel--*proval
Plans pproval
Permit Fee
$
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Its P
_711
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil HometKr Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20�0fdl�0�
223
Receps., switches & fix outlets bol 01101
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation. Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that 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
$
autnonze representatives of the County of tsutte to enter upon the
above-mentioned property for inspection purposes.
Date f- 43- ZX
Signature of Permiteee"or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Dater)—Z) — ?�
B Ing permit expires Date ...................F-7 f-.- 7-s
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
= h SPECIAL INSPECTION REPORT
Owner: e2z H., �t4[r/P.2 .
Address:
Tenant:
Building Location:
Type of Inspection requested:
A. P. # a- b
Date of Inspe tion /
Inspector-�✓�ru0
Housing 2.' Financing fl 3. Change of Occupancy to
/ 4. Other (specify) r� _. /aA-2�1a� �J
W �h 1-4 "or
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shover:
4. Kitchen sink:
5. Hot and cold water to fixtures: {
6. Heating facilities:
7. Natural light and. ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11•. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments•
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing: -4lQ d az
4. Comments- .�
D. Plumbing
1'. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4-. Comments
(enntin»prl nn hnrnlr)
E. Other
1. Maintenance and
2. Fire hazards:_
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
repair:
F. Commercial Buildings
1. Roof covering:
2.' Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G Field Problems or Violations
1. Problem or violation (give complete description):
2.
what action taken (give complete description):
3. What action recommended:
T7A. Information only - file.
T-1 B-. Hold for tea (10) days, then write letter.
/ / C. Write letter.
77 D. Other:
✓t'&Z-'rw
--. V
At —,
June 12 1978
Oroville, Ca.
Public Works
7 Center Dr
Sirs
Thies to inform you of a violation of_ the building, code. , Herb
Fariester 1248 GRAND AVR. NO power. pole, Or pedestal -at the'rAablie
tt-11- 4jii
i
home,. A buried power line from the meter box, p►�s} i ng and gas lines
to.:.,.shed converted -into .li r- . g quarters,not b4dhg used, wtjZ�k'is time.
No permits. or inspection.
&,