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Home My WebLink About031-282-00431-282-4 Dwight Ando g e 1520 7th St., Oroville cntr: HolidayTools, chito Perrdt #3460-77B,P,E new private swimming <. pool)� ��/�77 31-282-4 " Con r• Grage Electric , Chico- Permit #3978-77E(ele ser ch) SF 031-282-004 02-0514 t ANDOE, DWIGHT & DARLENE 15207TH ST. OROVILLE" CONT: RON BUNCH —r-=- FIRE DAMAGE REPAIR 031-282-004 �02-1134' ANDOE, DWIGHT & DARLENE 1520 7TH ST., OROVILLE - CONT: RON BUNCH REMODEL BATH - FIRE DAMAGE 031-282-004 02-1430 ANDOE, DWIGHT & DARLENE r` 1520 7T" ST., OROVILLE CONT: RON BUNCI-I GAS PIPING (DUE TO FIRE DAMAGE) • � f . f I P0" If a ZZ, 0 1- 031-282-004 02-1430 0 ANDOE, DWIGHT & DARLENE 1520 7TH ST., OROVILLEE CONT: RON BUNCH GAS PIPING (DUE TO FIRE DAMAGE) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 Vw 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1430 ASSESSOR PARCEL NUMBER ZONING 031-282—W4 BUILDING PERMIT OWNER TELEPHONE M R, T)ARUNP OLIVE MA 533-3384 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS orgKM Q 5 CONTRACTOR'S NAME N BWCH TELEPHONE CDfITRAC_ TORS_ MAILING AD. RESP 85928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1520 71H S'T'REET CROiiiLt E CA 95965 t Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 2 3.0 0 Water piping 15 .00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: GAS PERMIT FOR FIRE D"(;F Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 F ELECTRICAL PERMIT Fling Fee 20.00 Main Service "..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class .r �/ Lic. No. 7 G 7/ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contradtors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sal'e. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ' ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DTAL. i GCS. OR ADDNS. ( a Acc. BLDs. s0 3.5QFT: NEWCONST. MULTI.OUTLET NON-REBID,@7.50 OWER APPARATUS a SINGLE OURET CIR. Ex. Occup. OUTLET OR FDCTUREs sA0 @ 1.000 Ex. Occup. oflxuriers A DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C3-,1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com�ppensation insurance carrier and policy number are: Carrier 'ey,I/r 7:;41,. c4 Policy Number r- */l - __V y c' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fprthwith.comply with those provisions. /''of Date � ' ��- D = Signature of Applicant - ❑ Owner ,WContractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. p, FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By 777 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Pate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1430 ASSESSOR PARCEL NUMBER ZONING 031-282-004 BUILDING PERMIT OWNER TELEPHONE ANDOE, DWIGHT A321 OT.TVP. 911—D84 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTORS NAME RO TELEPHONE TBUNCH CRA G ADDRESS LAGUNA Cr. CHICO CA 95928 CONSTRUCTION LENDER ' Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS .1520 7TH STREET OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDWStONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 r USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other RI Describe Work: GAS PERMIT FOR FIRE DAMAGE Gas piping system 1 - 5 outlets 15.0019-00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service zo A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full fo[ce and effect.POWER License Class Z 9/0— Lic. No. 378'..3/ 3 OWN DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 .of the Labor Code, for the ,peiTormance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier �%i�c Policy Number dyG — Z9F2_S (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwi pl) with those provisions. / X _ Date (� —y L Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excav Ions over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. owELLINo occuP. OR ADDNS. a = 6Lns. so 3.5¢FT; tp=R.Ip MUT. LTI-OUTLET 97,50 APPARATUS a SINGLE OUTLET CIR. 20 @ 1.1 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. OFurLEEDTs PPMOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D FEES IMP I FLOOD CDF pARC0. PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work indicated ve for which fees h e been paid. By Date L1_\1 rl q_ PERMIT EXPIRES dN co c� Date 11171177,33. 00 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL /� 031-282-004 02-1134 PERMIT NOS ANDOE, DWIGHT & DARLENE 15207 ST.; OROVIL•L-E CONT: RON BUNCH j REMODEL BATH - FIRE'DAMAGE 0 Z___4 4* C/ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 1 F t RESIDENTIAL /� 031-282-004 02-1134 PERMIT NOS ANDOE, DWIGHT & DARLENE 15207 ST.; OROVIL•L-E CONT: RON BUNCH j REMODEL BATH - FIRE'DAMAGE 0 Z___4 4* C/ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ✓ = OK ' 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) Water; MH Test -Regulator -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ )'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2.' Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 k` i Date - Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable =Not Ready 8. RESIDENTIAL (; Date ' Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) 8. Piers -Fireplace Ftg.-Steel FRAMING (Continued) ' W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Hangers -Post Caps -Anchors -Connectors 10. 11. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 12. Electric Underground Fireplace Ties or Type A Flue -Fireplace Throat Clearance 13. Plenums & Ducts; Clearance -Material -Support -Ins. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 15. Access & Ventilation Garage Fire Protection Framing 16. Insulation Property Line Firewall & Openings 53. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Siding -Nailing Veneer 17. Water Htr.; Vent -Access -Combustion Air Baffle Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 18. Water Pipe; Test & Anchor -Nail Protection Glazing Area -Glass Protection -Skylights -Plastic 19. D.W.V.; Test Fittings & Anchor -Nail Protection Shear Walls; Nailing -Bolts 20. Shower Pan; Test, First Floor -Tub Access Brace Interior/Exterior Wall Panels 21. Test Tub & Shower, Second Floor -Tub Access Insulation -Walls -Ceilings 22. Gas Pipe; Sixe & Anchors Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date ELECTRICAL (Permit) OK except #'s FINAL (Plans) OK except #'s 23. Fixture & Transformer Clearance -Ins. -Protection Ext. Steps -Door & Sidelight Protection-Lar.dings 24. Elec. Receptacles Spacing -Lights & Switches at Doors Smoke Detector 25. Size Boxes & No. of Conductors Stapled Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Bedroom Exiting 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water G.F.I. & Bath Fixtures & Tub Access -Spa 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Trim & Subpanel, Breaker Sizes & Labels 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Stairs & Rails 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No Fireplace or Stove, Clearance -Hearth 31. Service -Riser Conductors & Ground Main Disconnect Elec. Outlets at Wood Panel, Int. & Ext. 32. Equip. Clearances Panels-Motors-Mech. Equip. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 33. Clothes Closet Light -Shower Light -Spa Light Elec. Outlets & Receptacles at Kit. Counter 34. Smoke Detector Garage Fire Door; Swing -Landing -Closure 75. Date Card B-1 Date Card B-1 iaDate Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Receptacles in Garage (F.F.I.)-Romex Protection 35. A.C. Ducts Insulation & Support r 36. Vent Fan, Exhaust above insulation Guard Rails & Deck Construction -Post Caps 37. Condensate Drain & Overflow, Size & Grade Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Clearance Looked under Floor ❑ Yes 39. Attic Access & Platform if Furnace in Attic Following Instld./Drive :1 Yes :1 No/Walks ❑ Yes :1 No/Planters J Yes 0 No 83. Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection-Lar.dings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive :1 Yes :1 No/Walks ❑ Yes :1 No/Planters J Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: P� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas this office immediately. (i1 0 (n 62 c)(-A-T � �-�-- IZ i Iz c'*> U REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 .A CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. To /> d CX rT 7a -r7_ ..1 -r 4-,�,.,,1.,,., .W :.'. '+/«•'+fLt crtFf�j'f�t"�..wJ.�;.^-�.n'. !-A+..•� "`•t.+:+ Vii:' �rw.r.�.i',!+r-..;,.+ w'-4.-- 4. .r.,�n. lie. 5 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:'/. / /fT it Pn eAr7&if ASSESSOR PARCEL NUMBER ,,�k:y J `` -�Z Proposed Building Use:wCi'/�AIL'2A4h/t I'G al's a Counter Technician: Date: ,5 Items required in order to apply for permit. All boiks MUST be checked OR marked NA in order to apply. JW 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. AV 2. Complete plans, 3 or 4'setssigned by the preparer of the plans. .., ❑ 3. Engineered plans 3 or 4'sets''with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details a4layouts,in duplicate. No faxes! ❑ 5. Energy compliance design and`sapporting documentation in duplicate. ❑ 6. Manufa tc n eFftomes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans all in duplicate. + ❑ T. Metal.buildings ,(A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plaM'in.:triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received,'plan review cannot proceed. The permit will be indexed and returneil•to the plan review line-up when required items are received. „ Nh It g p Date Received By II ❑ 8. Flood Elevation Certificate, wet -stamp e'd and signed, to duplicate ........................:. ❑ 9. Plot plan and'liixsiness license approval1rom the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other !" M Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... vStatement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in tZA O ❑ 17. City of Chico Plumbing permit...................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: ' (B)Parking: (C) Parcel Check: "" ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ................................ �1 ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractors license information. (Number, Name Style, Classification) ...................... t ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... f ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: IF When issued Telephone C 07 and hold for pickup. I have been inform - a items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab d tab ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: /Zl>. Date: s 8 � Plans approved by: 00-43 Date: �Z Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Bulding Division �' r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIIT 0. (Rev. 12/96) APPLICATION AND PERMIT ��4--`f ASSESSOR PARCEL NUMBER 031-282-004 ZONING AR BUILDING PERMIT OWNER ANDOE DWI= & DAPIME533-3 TELEPHONE 84 SO. FT. OCC. BUILDING VALUATION Cont 2419.00 OWNERS MAILING ADDRESS 3321 OLIVE HWY OROVILLE CA 95966 CONTRACTOR'S NAME RON BUNCH TELEPHONE 91-1104 COIRT TIOR� MAILING�T.ESS CHICO CA 95928 CONSTRUCTION LIE�NL'DDER LENDER'S MaUNG ADDRESS Fireplace Total Valuation $ 2419.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $35.10 - BUILDING ADDRESS 1520 7th ST. OROjTILLE Energy Plan Checking Fee $ $ PERMIT FEE $109.10 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7-0021.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel IX Utilities ❑ Installation ❑ Other ❑ Describe Work: REMODEL BATHROOM - DUE TO FIRE, DAMAGE. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home M76 W 920.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200.'OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect.POWER License Class J9 At / C Lic. No. 3 i� 3 /3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors LicenseEx. Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I here affirm under penalty of perjury one of the following declarations: Er I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensati on insurance carrier and policy number are: Carrier , 55r, -;T � -4 Main Service 200.' TO t00 46. 00 NEW CONST. DWEWNG OCCUP. U OR ADDNS. ( a ACC. stns. so SO 3.52Fr. NOµR61DT' MULTI -OUTLET 97,50 AFPARATUS 8 SINGLE OLfr. CIR. Ex. Occup. OUTLET OR FIXTURES 20x'.50 BAL .50 Occu . OFIX.S R p,DEq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 24.50 Policy Number 4`i4;, -7_V2 i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi ith those provisions. X _ Date ..�j=7-OZ Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 247.60 HAZ. D. FEES IMP _ D CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _ By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. at � *22 ate Receipt No. 353435 $201.60//353389 $46-00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � 5 � !4!o v , v A C�.U'• �L, i c o, �.v• S.5 -S z � C/ css a1,22 11 // , 65;1 NOTE: See the attached esid :nbal Co.strurtinn Requirements - I'Pages RON BUNCH GENERAL CONTRACTOR #9 LAGUNA COURT CHICO, CA 95928 (530)891-1104 /S c' 7'-4 st LIC. # 378313 402"-ile, ow. . �f�•�o3/-Z�Z-ooh LEVEL 1 22 T T 4"r-- I - go 500m a' r Room1 r N Room9 --a,e d —20' V �-, PC Room3 flk 29' 3' Room4 BS. -14 r NOTES RESIDENTIAL 031-282-004 4- 02-0514 �,. ANDOE, DWIGHT & DARLENE 1520 7T" ST. OROVILLE CONT: RON BUNCH FIRE DAMAGE REPAIR SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB—STANDARD HOUSING LETTER i JOB FINALED (Date) b L — Signature 0., Y T V= OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh R 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh R 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date I FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I J = OK 0 = Not OK ' - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pi s -Fireplace Ftg.-Steel 10. 11. 12. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Sills Proper Materials & Anchors 15. Access & Ventilation 4 16. Insulation q4. ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. E c. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ID No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. (7 Yj 3 othes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 bate MECHANICAL (Permit) OK except #'s 35!A.C. Ducts Insulation & Support 36. e. 3 . ent Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade F nace-Vent Access -Comb. Air -Return Air Vent 115 outlet 3 Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4 Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing 43100'Drati Stop in Walls (rat proof) q4. ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearinq g$IFireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 61< Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -6i�T ,dth-Headroom-Rise-Run-Landing-Fire Protection P wood on Roof Overhang -Attic Vents-Fafter Outriggers rh 5 Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s eps- oor Sidelight Protection -Landings moke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Prosection edmom Exiting F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 7 i- or --arch Elec. Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter rage ire Door; wing -Landing -Closure uc n ar Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection &7y. b., Elec. & Mech. Equip. Listed for Location 78. eceptac es in age (F.F.I.)-Romex Protection 7T. -Foam -L oked in Attic 8 Construction -Post Caps 81 ens I Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 8 Yes J No/Walks J Yes J No/Planters J Yes D No 8 84. .C. Unit Disco nect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86--W/eterbVLft-0i3c,onnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House lass Protection revious Inspections Tagged, Gas -Electric w,tra-te-ri Sewer Connected -C/O to Grade -HD Approval p lance Certificate -Other Certificates ddress Posted DateC rd B-1 Date Card B-1 D to a Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ..,..,, s��-:...•�"^" ::--�,..=L- _n.' uc �.t"r-y,T'�--r'��.a ...^^r'`r'.r.r'v�.n.-rr�ti+n .:r- aw.y.-t y��.,-+'p,;FyYyr.;, x COUNTY OF BUTTE BUILDING DIVISION: DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PAI -1106 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is ;s completed. If you have any questions pertaining to this matter, or need additional explanation, please c b ntact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y� a ' �S% IT Ivo• (Rev. 1'2/96) APPLICATION AND PERMIT (( `� ASSESSOR PARCEL NUMBER 031-282-004 ZONING AR BUILDING PERMIT OWNER ANDOE DWIGHT & DARLENE TELEPHONE SQ. FT. OCC. BUILDING VALUATION Cont. 47 50C . oo OWNERS MAILING ADDRESS RON BUNCH 891-1104 CONTRACTOR'S NAME 9 LAGUNA CT. CHICO CA 95928 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 414.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1520 71H ST. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 434.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 11 7-007.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: FIRE DAMAGE REPAIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 27.00 ELECTRICAL PERMIT Fling Fee 20.00 V OR UE Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �%/C Lic. No. % e3 /3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To oaoA 46.00 NEW CONST. DW ."NG OCCUP. OR ADONS. ( a ACC. BLDS. SO . 0 NO FIES'. MULTI.OUTLET - 97,50 POWER APPARATUS a SINGLE OUTLET CIA. Ex, OCCU OUTLET OR FIXTURES .00 all @ 1 0 Ex. Occup. oF"r„T D , D ° E,.. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 82.55 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ormance of the work for which this permit is issued. Eikll have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 'S`%iq%,c �� MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 50-00 Policy Number OS/G –Z 5/2-6— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort RR ly with those provisions. X Date //^O Signature of Applicant - ❑ Owner0-'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 594.15 HAZ. D. FE IMP FLOOD CDF PARCEL PD ISSU 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. By DNat PERMIT EXPIRES ON 3 �J U efe Receipt No. 343482/594-1 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBE Q V Proposed Building Use: Counter Technician: Date: Items required in ordfr to apply for a permit. All boxes MUST be checked OR marked NA in ordd to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. t ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other ... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit.......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: 0 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 1. Encroachme_�pyerm}it%for drive kom the Public Works Dept. (construction approval prior to occupancy). ® 22. Pre -Inspection for t'� r -e i�� required ................ ❑ 23. Contractor's license information. umber, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informe a items and requirements for obtaining a building permit. Applicant: Date: -2 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by �Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division w ❑ B.I.N. REQUEST FOR INSPECT�IO�N� �Pf rmit No. Location: • Owner. ContractororTenant: Complaint: / BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. RE - Form Rough Rough 4SPECTIO Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Sewer Piping Well Circuit Verify Utilities OTHER Bond Beam Water Piping Light Niche Insulation Nailing Shower Pan Corrections Corrections Corrections READY FOR a pZ A.M. Final Final Final INSPEC. ON P.M. Date: — Time: Note: FIRE DAMAGE REPORT LOCATION: I oZ O-; vel f CONTRACTOR: Rcv (y� DATE TO INSPECTOR: Oa. PERMrr HISTORY:( ) NONE Building Description: Commercial/Usage: .is. icc�iuci:tiaviLT �ilutw. Currently Occupied AbandonedNacant . Electric: ri Yes No~ Condition of Electric Gas: Natural Propane, Obvious Problems: Sanitation: DATE: a III o a A.P. # '0:J( -,;t a )� ZONING: ( AS FOLLOWS: 9:e BUILDING INSPECTOR'S REPORT Electric currently On Off None Currently On Off. Plumbing Working Well Working Potable Water Obvious SewageProblems Description of Damaged Area: ® 4 ia.._MWIM- - Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Utilities: Inspector._-�� a �/ — Date C51/.•Zd� T Sketch building on reverse and indicate area of damage. PERMIT NO. 3460=77B,P,E PERMIT EXPIRES .OWNER Dwight And6e CONTR. awn Holiday Pools, Chico. 31-282-4 LOCATION (A.P. 1520 7th St., OvoAlle W T 3 --7-'7 9. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Bond Stucco I Final ISuhnanala Mesn MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -----•------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MRS16EH2ME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C ��r4 C d'UrtA cap y+ -e (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUJLDING (Cont'd) PLUMBING Setback `X,_-;7 %% r Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall / Siding To out Slab t Roof Sheathing _ Water Piping�7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall F Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings �� Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab , Final Sanitation Patio o FIREPLACE Final Footings -71-,- `77%� 1 Footing ELECTRICAL Bond Stucco I Final ISuhnanala Mesn MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -----•------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MRS16EH2ME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C ��r4 C d'UrtA cap y+ -e (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE • — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - UroviIle, California 95965 Tel ephoa�:-534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r,. X Date 'I 8- 7:�r 5' uree of r-ermeiteeee or Agent Receipt No. !� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisiol7of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. cc -3J 7,' s DIRECTOR F UBLIC WORKS By Date -7— 1 & ::2 B Zingpermit expires Date 7—`X'%7_ BUILDING Owner Q Wig �.�/ ' N G SQ. FT. bCC. BUILDING VALUATION ZE O e Mailing Address 403 Telephone No. —Ga 83• Fireplace Contractor IYOZ1,0AY COOLS Total Valuation J;"° ,900 00 Mai I i ng Address % tc L S.S VIE Permit Fee Plan Checking Fee &/or Penalty /e C �gleP1one o � � L Permit Fee $ a Building Address �O TN PLUMBING No. @ FEE PERMIT FILING FEE $3.00 04� V/LL C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1,0 5C Each gas water heater or vent 1.50 A. P. N - o� - GC y Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees n I FireDept. FireZone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declarati Parcel Ma P R/W Im r ments P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Appro I Plans Approval Permit Fee $ is Ts. NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 000V OR AMP OLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 n R/V.4T- SLUIIIIYIA/ /0Q(%L . NEW CONST. DWELLING OCCUP. & 22sgft DCONSTR A NEW MUL I 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 Business & Professions Code under the name style of: 1104/0A y /00 0_1 Ex. Occup(OUTLETS OR FIXTURES) 50L21¢ FIXED APPLNS, OR Ex. OCcup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 90 S- .3o�.2-CS � Classification Misc. Wiring6.25 , ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ) WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE ` PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE V�ao authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r,. X Date 'I 8- 7:�r 5' uree of r-ermeiteeee or Agent Receipt No. !� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisiol7of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. cc -3J 7,' s DIRECTOR F UBLIC WORKS By Date -7— 1 & ::2 B Zingpermit expires Date 7—`X'%7_ .:, r .�71 _ ., a ... �� .r+�.r.�-v— ,ygr^-+.s...--.:..,.�yQ•q�:FXsr+.t'::1rrr,,s..,-w'. ii Y V•6 /ln � �, 7 r %'17 f .+'o---�"•w�--•r-.....:--..v,F.e-r�lgar+�!is�c: w+p.F- a.-�-?. , w. .+.-•- -, ,- �.-��•�----�4,'o•^w i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 " APPLICATION -AND PERMIT aUlIlU114e ICfIICJCIILCILIVCJ OI Ulu LuurIIy UI oulte tU erlter upon the above-mentioned property for inspection purposes. X . 1.-Y/ - _ = jr �, •�' Date Signature of Permitee or Agent" Receipt No.� % White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By .cif•.Yar -7 Date B.u:i_l"•permit expires Date -'_ 1 - `% �-- BUILDING Owner l�r�: SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address 11 `' r Permit Fee Plan Checking Fee&/or Penalty 2,- Telephone No. ,,ti;7-!'f, Permit Fee $ Building Address 1 S �(/ ;" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. f p1 - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 / Fees W. SanrtaTltSh' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 1 1dgrPf-an-s-Re-rd. I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 rr�� I L 't' G a`7 - Y Io' i f �„ �_� { }i �. �j Main service 6101 OR LESS 5.00 t 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBL GLING OCCUP. &) 2¢sgft 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 Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BA@ L @V 1 Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �`� 5 � � / � Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ 6 , SrJ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ir. <0 aUlIlU114e ICfIICJCIILCILIVCJ OI Ulu LuurIIy UI oulte tU erlter upon the above-mentioned property for inspection purposes. X . 1.-Y/ - _ = jr �, •�' Date Signature of Permitee or Agent" Receipt No.� % White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By .cif•.Yar -7 Date B.u:i_l"•permit expires Date -'_ 1 - `% �-- - ._ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 w 4• �9 � ,_, %% Telephone: 534-4541 / / APPLICAT-19N AND PERMIT au 411 Izc represeniaUves 01 the County OI Butte to enter upon the above-mentioned property for inspection purposes. X Date S- 9D Signure ermiteecjrr Agent' Receipt No. d 6 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 �a'� �Xa"_OFDate p— s �7 White-D.P.W. —'Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1 13 iii. ermit expires Date .- — ? E BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address —� Telephone No. Fireplace Contractor 4 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty � Telephone No. 3t' MoD 3 Permit Fee $ Building Address s` T -A PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /� /� C, ez 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 Wh5J Sartita[Yt7r1' FireDept. FireZone Use Permit Building sewer 5.00 EQA I Parkin PlansParcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERZ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,p ELe So- fY✓tL� fU A Li C, an service s0ov 0R LESS Mii100 AMP OR LESS 5•00 Main service EA. ADD•L 100 AMP 2.5OVER 0 — Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCU OR ADDNS. ( ACC. BLDGS. P. 8') 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.J NON.RESID. SINGLE -OUTLET CIR. 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: (� ,/ C_A,C-4/ c Ex. Occup(OUTLETS OR FIXTURES)@ BAL@1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. /S'�, aClassification C"%d Misc. Wiring 6.25 ❑ 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation E2O Hood 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 au 411 Izc represeniaUves 01 the County OI Butte to enter upon the above-mentioned property for inspection purposes. X Date S- 9D Signure ermiteecjrr Agent' Receipt No. d 6 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 �a'� �Xa"_OFDate p— s �7 White-D.P.W. —'Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1 13 iii. ermit expires Date .- — ? E