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033-056-008
0 33' 056r QRS. ,° .' 92-21 8," WITT�;TLos,L,:, 134. Fernwood •Ave , •Orovil�ld: porch/sf, ", a. ! I •//, t ;O'��`� ' . 033-056-008 99-2516 . TUCKER, LOIS Bo _ y 134 FERNWOOD'AVENUE, ORO' t JL CONTR: K DESIGNERS VINYL SIDING. r: -- _in 033=056=008"` ""99=8764 TUCKER, LOIS 134 FERNWOOD, OROVILLE CONTR: LUMEN ELECTRIC. t "Y UPGRADE ELECTRIC F/ �� I, - *' �„�. Y ... ,s "�'+ � -� :vim, �:w.:.-y;;,,�.�.-+. ,..:3.s -.:-.at•. zr.,,�.d -1 . � _ .I jy ' _� � �� ,. � ;.; 5r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 "PERMITN (Rev. 12/96) APPLICATION AND PERMIT ��'"6g? ASSESSOR PARCEL NUMBER G ZONING BUILDING PERMIT -S OWNER LOIS TUCKER TELEPHONE -SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 136 FERNWOOD RNME 95%6 CO I iACTG'r.n A- ' + IC CONTRACTORS �MAIING AADDRESSSS�� y{►{�y 5561 LIAdR �7iANDOlIE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BLII`J",;y"D rERN" OWVI .F Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL'MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UFQWE SERVICE TO N)F1tT 100 AW 240V CIRCUIT WAHR WO Gas piping system 1 - 5 outlets 415.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ AL ELECTRICAL PERMIT Fling Fee 20.00 - # Main Service 200A OR LESS 23.00 3 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. �� License Class C / -OWN Lic. No. 4 ER -BUILDER 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. ❑ 1, 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'—cooling 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) 011 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 forthwith comply wit 'those provisions. t X L �p Date 'J f�C— +� — Signature of Applicant - ❑ ner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. SO DR ADONIS. ( a Ac' sLDs. 3.50' NoZREOSID. MULTI.14 OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ ,.� aAL w Ex. Occup. OFIXL1lttrs qa,6.) 5.00 Temporary Service 23.00 Mobile Home' Facilities 20.00 Misc. Wiring 23.00 43.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ 4CONST.YPE TOTALFEE$ 43.00 FEES IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _, PERMIT EXPIRES ON the applicable provisions Resolutions to do work been aid. P Date Date Receipt No. 'r /h ef f WHITE -D.D.S 8.0: 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 PERMI (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 008 ZONING BUILDING PERMIT QaaRE)56 lOIS TUCKER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 136 FERNWOOD ROVILLE 95966 co"LUM TEECTRIC X70 Jf-?_n70 CONTRACTORS MAILING ADDRESS 5561 LOWER WYANDOTTE CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILgIri�flDDlgr kN_WQOD, OROVILLE ll,J}CC.}� �� rr..rcrc���� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap - 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: UPGRADE SERVICE TO NEW 100 AMP 240V CIRCUIT BARAHR EQUIP Gas piping system 1 - 5 outlets Building sewer _15.00 15.00 Mobile Home ISI GI Wl 1@20.00 PERMIT FEE $ ELECTRICAL PERMITFling Fee 20.00 Main Service 2�o.A OR l�Ess 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, ( 9 ) and my license is in full force and effect. License Class C /� Lic. No. � S�� 0 OWNER -BUILDER DECLARATION 1 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 Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. so 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. C @7.50 PowEPPARArus 8 SINGLE RAOVTLET CIR. DR Ex. Occup. OUTLET OR FURES BAL 20 @ �:s00 o Ex. Occup. OUTLEEDTS R'ID.oE'. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 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. ❑ 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) 2' 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 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 forthwith comply wit7 th e provisions. X �� Date Signature of Applicant - ❑ ner ❑ 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 Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. C Date Date Receipt No. WHITE-D.D.S.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION NC 11 W.7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 41 PERMIT (Rev.12/96)t`APPLICATION AND PERMIT A.SClSORIARCQ MlN061 C BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAYS 7E1�1gN! 4 v1n4/v 5-3. 710 OONnN4TOA'9 MAtJ►A ADORES. L06c,14:12W OON111TRUCR011 UMOt LEMER'S MMJA AWAM FireP lace Total Valuation S AACMnECT OR L4004 EP UC[J6E No. FGn Fee $ 20.00 AACWM= OR 81w1EM'S YALINO ADORES' Permit Fee $ ADOR aUIDPlan Checkin Fee $ NO ES' Ene*gY Plan Checking Fee t i uDTNa aLAeaveoNSNAMe PERMIT FEE _ �� MAr PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap Solar or heat SF Duplex O Moblehome O Other Water pipin sPEosv TYPE O711tion Each as Ovate New O Addition O `Remodel O Utlities O Other O Gas pipings Building sewer Describe Work: ,f1%��� ot.7P ,$1! �%/GQ �� ��w Mobile Home % %20 /4/27 0 -2 `'/O I/ e117 e u,,% /q,,, ,-2/Z?l1 /t /Q} U/,c7 PERMIT ELECTRICAL PERMIT Main Service ( 8 00V OR LESS 200A OR LESS Main Service 200A TO 1000A heater or vent m 1 - 5 outlets 7.00 23.067. 15.00 15.00 15.00 15.00 @20.00 ng Fee 20.00 23.00 C 46.00 3.52 @7.50 EX. OCCU . ovnET OR FwTUREs2c 0 1.00 aAL .!0 Ex. OCCU pis fR o FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S (,�3, t7tJ MECHANICAL PERMIT Fling Fee'1 200.0000 Cooling Hood 6.50 PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TrPE TOTAL FEE s -3 1 o -O HAZ. 0. fEFS SMP ft000I COf I PARCEL I PO I NO 165E 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 PERMIT EXPIRES ON Date • •__. .. f a • .. .. ,. 11���1V•.•..�K2A�. ny.y�.�. .ii: a. .: •:s,:� .. r��Ta.^�c..�•V +M. . •x .i�.%C��y'+.gY��C:w Jl� 033-056-008 € 99-2516' TUCKER, LOIS B 134 FERNWOOD AVENUE, ORO CONTR: K DESIGNERS VINYL SIDING COQ Ftf M, r • �r fn. ',.9a1rd:.p;Ca�c�n7P: t_M_','q�1�:4 iliikStaV'_.�`@1�`vr''.',`ccr:7'�C�;`._�-','�l`x•r5u�f1R9�',Yrci«.:;�I�q+.�!.1,'�+16aogc<-t«al�wRww•�,.. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�NO• (Rev. 12/96) APPLICATION AND PERMIT _4�* ASSESSOR PARCEL NUMBER w ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNED' ,MAIUN� ADpRESS/ l( CONI/figCTOR'S/jE�C, � � , / S j TELEPHONE t// CONT OR5 IADDRES / 77S CONSTRUCTION LENDER Fireplace LENDER'S MAIUNO ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 11q/ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS11 �III DDD UP DSD a Energy Plan Checking Fee $ $ PERMIT FEE $ +Q LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 Qther ❑ Describe Work: � :, ��% r, / S ��� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( Zoon OF mss 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 Jfull force and effect./ License Class / } 1 Lic. No. t IlE'-, C ( {j OWNER -BUILDER DECLARATION I hereby affirm under penalty'Sf perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of fhe 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 ( TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO DWELL OR ADDNS. ( & ACC. BUDS. 3.5¢FT, rNi .ESLD RANCH MULTI -OUTLET 97.50 P OWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 100 Ex. Occup. OUTLET OR FIXTURES aAL Q .50 XS EX. Occup. OUTELEfSPRELAS pOEq 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. ❑ 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. workers' compensation insuranc@,gaerp�er d policynuf ber are: rrier p ' � �V i I �) 1, ! " L ` i:., Cae MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number W (1-.7C L 'I I I 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 forthwith comply with those provisions. Date �� J Signature of 'Applicant - ❑ Owner ❑ 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 $ 7 O HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE 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 ate f PERMIT EXPIRES ON Date Receipt NO. + 40 0 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 (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER jjv�% �e ZONING BUILDING PERMIT OWNER ( j� �I!//JK/s/^ i TELEPHO� S '/J1 i SO. FT. OCC. BUILDING VALUATION `7` MAI rf?rn0000d D� COMT :'S NAMES /% � - � i/-cif/2,-qk COM`S IU G SS ait aeG>L CONCTION I E DER 5^ ^ _l/ G LENDER'S MAILING ADDRESS Fireplace Total Valuation $ Q ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' - el- (7 �i jj v Energy Plan Checking Fee $ $ PERMIT FEE Y 13 ,Q LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other S PECoWY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remode� ❑ Utilities ❑ Installation / Other ❑ Describe Work: G _-�` , [/ Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE Y ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oR mss 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 Ullfforce and effect. License Class !/"/ LIC. No. � OWNER -BUILDER 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 Main Service To 46.00 CCU000A NEW CONST. DWELLING OCCUP. W:0 OR ADDNS. ( 8 ACC. BLOS. SO 3.5¢x. NEW CONST. MULTI- OUTLET NON-RESID. BR.. CI cu TS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL Q 1.50 Ex. Occup. ourLErDrs(RREs o.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE Y 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. ❑ 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 wor n ins r BItier o'cy nu b r are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of onehundred dollars ($100) or less.) 1 certify Permit is issued, I shall that in the performance of the work for which this 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 forthwith comply with tho provisions. X Date _ /�`L` --- Signature o ppiica ❑ Owner ❑ Contractor ❑ Agent An OSHA p rmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE /�137,❑ TOTAL FEE $ 100 FEES IMP I FLOOD CDF PARCEL I Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _ B / PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate 'Iry Date Receipt No. a 7 r6 6 WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R.FSIDENTIAL WITT, Lois 92-2168 B �tl 134 Fernwood Ave, Oroville JOB FINALE Signature J=OK O=Not OK NotNo Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ -/Amp-Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /-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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC ERS, CARPORTS, GARAGES,(Plans)OK except #'s prrrng Requirements -Setbacks -Easements Foot' s; Soils -Size -Depth -Spacing -Connectors -Steel epk!§r Griders and/or Joists -Decking -Bracing -Stairs -Rails &elftod Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electr' mg; Sils-Anchors-Studs-Rftrs-Trusses ,VIS-iding; Nailing -Veneer -Stucco -Mesh oof; Shthg-Rooting 11. Ext.; Steps -Doors -Landings Dat &ard B-1 Date Card B-1 Date rd B-1 Date Card B-1 Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir.'Test-Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s ' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /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. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples. 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --- - --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------------- ------------------------------ 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------- ----- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access --------------- ------------------------------- --------- 20. Test -Tub & -Shower.-Second Floor -Tub Access --------------------- -------------------- -- 21. Gas Pipe: Size & Anchors - ---------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------- --------- ---------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled - ------------ --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----- --- -- ---- ------------ ----------- - --- ------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ---------------------- --------------------------------------------- -------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------------------------------- 29. Range Circ ! r ga. Cu or AI -Oven Circ. r / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - - ----------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- ------------- ---------- --- 33. Smoke Detector ------------------------- ------------------------------------- Date Card B-1 Date Card B-1 --------------- - ---- ------------------------------------------------ - --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. -.A. -C.- Ducts Insulation & Support 35. Vent Fan Exhaust above insulation ---------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade - ------------ -- ------------------------------------------ .....-.. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----- ----------------------------------- -------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------ - ------------------------ - ----------- Date Card 8-1 Date Card B-1 -------------------------------------- ------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors -------------------- - ---------- ---------------------- ----------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------- 42. Draft Stop in Walls (rat proof) --------------------------------------------------- I -------- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------- -- ---------------- ----------------------------------- 44. Headers & Beam -Size & Bearing P ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Pu rlin -roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --------------- ----- 50. Garage Fire Protection Framing -- 51. Property Line Firewall & Openings _52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------ -- _ 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls: Nailing -Bolts 59. -Insulation -Walls -Ceilings ----------- 60. Infiltration -Walls -Windows -------------------- -------------------------------- Date------------Card B-1 ------Date Card B-1 ------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------- 62. Smoke Detector --------------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------ --------------------- 64. Bedroom Exiting 65.__G F.1 & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------ 67. Stairs & Rails 68. Fireplace or Stove: Cearances-Hearth - - - - - --- -- - --------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. - --- -- - --------------------- 70. --------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------...------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swi-tg-Landing-Closer -------------- - - ----- ---- -- - 73.--A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. . In Garage; Above Floor-Mech. Protection -------------75.-Plb. Elec. -& -Mech. Equip. Listed for Location ------------------ --- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ......--------------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes 0 No; Planters 0 Yes O No --------------------- - -------- ----- 81. Stucco: Brown -Finish --------------------------- --- - 82. A.C. Unit Disconnect. Electrical, Plumbing .. - -- - -------------------------- --- p ---- 83. Vents Above Roof; Plb3 _ A liancpp e -Fire lace. -Clearance to Openings - - - - -------------- ------- ------- -------- 84. Water Well; Disconnect. Electrical, Plumbing ------ -------------------------------- --- ------- 85. Exterior Elec. Trim; G.=.1. Receptacle -Underground ............ - ------------------ 86. Ventilation Throughout House --- -------------------------------------- 87. Glass Protection -------------------------- - -- - - - -- 88. ---------------------------------88. Corrections from Previous Inspections - - - - - - - -- - ---- --- ----------------------------------------- -- 89. Gas Test -Meters Tagged: Gas -Electric .--- ---------- -------- ------------------ -- 90. Water & Sewer Connected -C/O to Grade -HD Approval ----------- 91. ---91. Energy Compliance Certificate -Other Certificates -- --- ----------------------- Date Card B-1 ---------- Card --B-1--- Date Date Card B-1 Comments at Final: Date Card B-1 Date-- Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916,'538-7541 33-D,6'09 APPLICATION AND. PERMIT PERMIT NO. ASSESSOR PARCEL NUMBJELR ZONING ARMH,; BUILDING PERMIT / OWNER LOUS WITT TELEPHONE -533-4156 SO. FT. OCC. BUILDING VALUATION 200 COv 2,600 OWNER'S MAILING ADDRESS 134 FERNWOOD AVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 2.600 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 134FERNWOOD AVE OROVILLE 95966 Permit fee $ 82.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF[: Duplex❑ Mobilehome❑ Other Mobile Home S G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition [Z Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: PORCH (ADDITION) Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000AI CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.&) _37.50 3.64 sq.ft. I declare under penalty of perjury (check one): OR ADDNS. l ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 15-00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•RESI BRANCCRITS POWER APHPAIRACTUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. ) License No. Classification Ex.Occu o Occup(OUTLETS OR FIXTURESAL 20 750 8 ARA I, as the owner, or my employees with wages as their sole compen- D ALNS Ex. Occup. ourLETS PIRESID IREA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Ho Home Facilities 15.00 ors. (Sec. 7044) Misc. g '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ - Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ 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 to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 82.50 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLO CDF PARCEL PD HD Iss agains aid County in consequence of the granting of this permit. )( f ' (o _ ��_ 97 Date This permit is hereby issued under the applicable provi- Signature of Applicant — OwnerE?r Contractor ❑ Agent ❑ � sions of the Butte County Code and/or resolutions to do . An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicateve fohich fees have been paid. ion of structures over 3 stories in height. T OF UBLIC WORKS By Date Receipt No. 11 70 T 9 P MIT EX RE Date WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;.. . y{1,V r V 1 G'� UNTY OF BUTTE : �''PARTMENT p OF PUBLIC WOF�. BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-75C PERMIT APPLICATION DATA SHEET OWNERfl- 3.3 �ZS-�- �- � � A. P. No. 0/ Proposed Building Use 's, Building Inspector %o Date 6 - ZZ 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items hl�vv�e, been submitted . ................ .................. j 2. Plot plans,' A s s, signed by preparer of plans. ........................ 2 ;j 3. Complete plan4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............... 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation ins=ructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. . e 13. Flood elevation I (100 year flood) by California Engineer . .............. . 14. Sanitation andan approval© U Heelth Department. .....:� . 15. City of Chico plumbing permit. ........ .........�. 16. Plot plan and business. license approval from City o- Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prig to occupancy). .. Pfe-Inspection 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. _ 22. Certificate of Workmans Compensation Insurance. ........... +............... ' 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Etatement. .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ..................................... . 28. Mobilehome utility clearance ................ .......................... 29. Documentation of legal access . ............. .......................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ............. ......................°*: ................ 33. 34. When you issue the permit, process as follows: Mail to owner Mail Mail to contractor. D TelephoneS'33 �5'�S� and hold for pickup at �t office. Deliver with inspector. Other Parcel Creation Acreage Applica it Aa,� -,w ,;ZX- Date 6- Copy of Haz-Mat form sent Health Dept. Fire Dept Air Pollution Date Copy of plans sent Health Dept. Fire Dept. ether Date By The following data must be submitted prior to rmit issuance: (Circle newitemnot checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by t/ phone _mail Counter byate Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by /�r� Date 7A� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO s Building Department FROM: ' Environmental Health SUBJECT: Sanitation Clearance 134 Owner Location AP# Plan Approved for: Sewaqe Disposal i� Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other n Aa CA eCO NOTE *** Efate Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 33 056-62, ZONING R BUILDING PERMIT OWNER I -_ 1.015 W TELEPH E/ S to SQ. FT. OCC. BUILDING VALUATION zoo C0.1 -4,600 OWNER'S MAILING ADDRESS C- r K FaJ m OL o CONTR AC OR'S NAME 1(0 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ �S- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z 2 So Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 8z PLUMBING PERMIT Filing Fee 15.00 1n 34- I;rtrh Each Trap 5.00 v S_f6a Solar or heat pump water,Water 20.00 LOT NO. =NAME PARCEL MAP Water piping 7.00 Each qas water D44ater or vent 7.00 'rte USE OF STRUCTURE SIDuplex❑ Mobilehome❑ Other SPECIFY Gas piping stem 1 - 5 outlets 5.00 Building wer 15.00 Mob I Home I S I GJWJ @ 15.00 TYPE OF WORK New ❑ AdditionFVO Remodel ElUtilities ❑ Installation❑ Other ❑ Describe work: Ror-c\,-�t ff o ,,, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 • Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 10o0A) 37.50 CONTRACTORS LICENSE LAW 1 declare under penaltyof perjury ), p I y (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 NEW CONST. ( DWELLING OCCUP. DR ACDNS. 1 ACC. BLDGS. 3.60 sq.ft. NEW CONST R. ULTI.OUTLET NON.RESI BRANCH CIRC TS @ 5.00 /POWER APPAF34TUS e \SINGLE OUT T CIR. ) Ex. OCCUP\OUTLETS R FIXTURES 20 76r! EX. OCCUP. OUT D TSPR lRE51D )E A.) I 3.00 Temporary ser ice 15.00 Mobile Ho Facilities 15.00 Misc.' 'rin g 15.00 Permit Fee $ 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. ❑ 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. MECHANICAL PERMIT Fili ee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit F $ Contraofor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 PP ❑ 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 $ Ener Inspection Fee $ Energy P occ I CONST TYPE TOTAL FEE $ g Z. �- HAz I DFEES IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt t No. I Z �� WNITC-D.P.W.. YELLOW-A3eE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department 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), 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 Address City Phone Contractors License No. I plan to provide portions of this work,,but I have hired the following person to coordinate, supervise, and provide the major work: Name 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 Signed: , Property Owner M-4_ W Social Security Number Date 24-7 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. f .............. .2. S._...._.._.__.._____._._._.__._....__. ___......._ e_� n 50/ --- This --et of -plans -and spuc kept on the job at all times a Location of structures & — equipment shall be as shotivn & clear of all easements. M S � T is unlawful to make any changes or alt ions on.s e with- out written perm from the Departmen Public Works, ounty of Butte. APPROVED Butte County environmental Health Date Signature `N STara�Q NIP NOTE: A(I Materials & Workmanship Shall Be :in. Accordance with Recognized Good .Practices and of a quality prescribed for the Specified use in the. t,hwfQrm Building, Plumbing & Mechanical Codes grid the Na conal Electrical Code. 1 2 .s ' BUILDING DEPARTMP'01- r r�' *A. 1% -fit( , X 6 „ \A1, ` ,Ai d O �v BUTTE COUNTY BUILDING DEPARTMENT ` APPROVED r °N e \Ai AJC Underfloor access an C. i� / -- 114 BUTTE COUNTY BUILDING DEPARTMENT APPROVED entlatOn per I1 'SPECIAL ROOF COVERING REQUIRED. eCfj SS `c /(t rpt/, iA 21410 / Qo 0. 32 BG' Pkouly6 AUcq RR roz14 p• Wit; ttl;. `.. rti.•i., ::i' .l'.� ,, • ,, Y � sr E &6uNTY UIL IHG DEPARTMENT Z11-�G APP OVED SES ATTi�CK���-- -_> 8FRPIV E 4E WL -_. P vtoE Possf riVE Posr To Q"M Co.Ut/e-erION. yP l L J Z �f I BUTTE COUNTY BUILDING DEPARTMENT APPROVED -- p r ty I i r ,°age 05/29/92 . f REC # A.P.-# LAST NAME 761 909. 2 001-02-4-012 MEEKS 3 001-02-4-013 MEEKS 840 001-03-1-022 ADAMS 4 001-03-2-012 OWEN 5 001-05-5-OD3 CALLAWAY 6 001-10-3-015 ALLAMAND A07 001-10-3-015 ALLAMAND _704 001-1570=036 BRONNER 7 001-18-1-004 WILSON 785 001-18-8-008 LEWELLEN -8 002-04-0-016 COOPER 569 002-15-0-091 F I SK/DEMEREE 290 UO3-34-4-008 BETTMAN 597 003-36-3-009 GLASS 559 003-38-1-003 MOORE 291 003-38-2-037 CONNER 292 003-39-1-013 TRECHTER 293 003-39-2-005 ATKIN 839 003-39-6-004 MORGAN 857 003-40-2-002 BROCKMAN 830 003-40-2-005 LAVIN 690 003-40-4-010 CAMUSI 294 003-41-2-013 FAULKNER 729 003-42-3-002 DONALSON/ 703 003-44-1-005 LEONE 295 003-44=4-034 FERGUS 283 003-57-2-011 DIONNE 628 003-57-3-013 NEWSOnZ 841 003-57-4-008 NASH 284 003-57-4-016 LOHMAN 644 003-59-4-012 DAVIS 708 003-60-1-011 SIMS 282 063-60-2-002 PYLE 711 003-61-3-010 CULVER 110 003-61-3-026 TERS T EGGE 709 003-61-3-028 REICHERT 756 004-33-2-004 PANTEL 556 004-33-2-017 TRAVERS 579 004-35-2-012 HARTMON 762 004-35-2-016 SWIHART 9 004-35-3-012 TROL I NDER 10 004-36-3-009 KE I LLOR 11 004-36-3-011 PATINO 679 004-36-3-026 BUTTE COUNTY 12 004-36-4-009 SHERRILL BUTTE COUNTY BUILDING DEPARTMENT -VfOLATION-LIST _ VIOL STAT s 'EXT. CODE CIT.' COURT NOTICE STAT STAT PRI FIRST NAME CODE DATE CODEHO DAY 30'DAY: DATE ENF. ISS. ACTION OF VIOL. CODE_ DATE # OLD) (B,H,P) (B,H,P) (CURRENT) _ 11 ll_ 11 Jl ll_ 11 11 11 lJ 11 11 41 11 lI ll. 11 11 11 WINNIE HHRX 02/16/89- 12/21189 - 1_ / 1 / _ / / / /. / / / / XXV WINNIE HHRX 02/16/89. 12/21/89 / J / / f / / / / / / / AXV 03/05/90 MICHAEL BWRN 04/16192-- 05/26/92 / / / J / / f / / / / / AXV 05/27/92 4 RODNEY -. ART 10/30/84 / / J / / / / J / / / / / / XXF / / BUSTER BWRR 03/05/84 / / - _/ / f / / / / / / / / / IXV 10/18/85 GEORGE HXRR 03/29/89 05/30[89. , % / / / / / / / / / / / XXV / J GEORGE BWRM 05/26/92 - ' 05/27/92-../ / _-1 / / - / /. / / / / / XXV DONALD BWCM 01/24/92. / / __/ /- f 'l I l l I - / / SXV- 02/19/91 VIRGIE BWRR 10/21/85 02/26/92 . / / / / /� / / / / / / XXV WILBUR BWRA 03/23/92 .. / f / / l / _ f / _ / / / / J / XXV MARY BWRN 07/26/89 08/30/89, = f / /- / = / / / / / J / / XXV LEONARD/KRIS BWRN 04/01/91 01/13/92 _ / / -/ ./ / / / / / / [ / XXV DAVID BWMN 11[16/81 / / / / / / / / / / / / J J XXF JOANNE CLARE ZWCN 06/25/91 06[25/91. [ / / _/ / / / / / / / / XXV JAMES A. ZWRM 03/01/91 03/01/91 ` / / / / / / / / / / / / XXV RALPH BWRM 01/26/86 04/26/86 / / / / / / / / / / / / IXV 08/26/86 JOSEPH BWRN 04/17/90 06/05/90 04/09/92 / / / / / / / / / / XXV NORMAN. BWRR 09/13/87 / / / / / / / / / / / / / / IXV 10/07/87 STANLEY -RAY BWRM 04/09/92 05/26/92 / / / / / / / / / / / / XXV / / 1 GERALD M. BWRR 01/09/91 04/30/92 / / J / / / / / / / / [ AXV 02/21/92 GREGORY BWRM.03/31/92 04/15/92 / / / / / / / / / / / / AXV 04/17/92 W. P. BWRA 05/08/92 / / / / / / / / / / / / J / XXV J J ANTHONY BWRA 06/12/89 03/12/92 05/06/32 J / / / / / / / / J XXV MASTAIN BWRR 02/14/92 02/24/92 04/06/91 1 / / / / / / / / f IXV 05/01/92 1 FRANK S. BWRM 12/12/91 / / 04/02/92 / / / / / / / / / / AXV 12/16/91 ROBERT BWRR 04/25/89 06/23/89 / / / / / / / / / / / J XXV ROBERT PWRR 02/05/81 02/05/81 / f / / / / f / / / / / XXF CHRISTA BWRN 09/30/91 12/02/91 05/20/92 / J f / / / / / / / XXV GARY BWCM 04/13/92 05/22/92 / / / / / / / / / / / / XXV ROBERT ZWRR 06/19/81 06/19/81 / / / / / / . / / / / / / XXF JEFFRY BWRM 09/17/91 11/01/91 / / / / / / / / _ / / / J AXV 12/18/91 CHARLES HXRR 02/08/85 02/08/85 / / / / / / / / / / / / XXV WILLIAM BWRR 09112/85 / / / / / / / J J / / / / / In 05/10/86 ALBERT HXRE ,0120/81 10/20/81 / / / / / / / / / / / / XXV FRANK HXRX 05,X30/8 02/19/87 / / / / / / / / . J J / J XXV J / ANNA MARIE e,,RXRX',tV18/t 02/06/87 / / / / / / / J J / / / XXV DELBERT/LOIS�9WCN`{}?/24f97r 05/07/92 / / / / / / / / / / / / XXV ROBERT - -. BWRA:02/11/91; 04/01/9109103/91 / / 03/05/91 04/06/92 / / / / XEV LEROY J. ' ZWRM'04/09/9f 04/09/91 04/19/91 / / / / / / / / / J XXV J / LINDA BWRM 03/03/92• / / / / / / / / / / / / / / IXV 04/21/92 MICHAEL K. -".BWRR 01/22/89 03/21/89 05/23/91 / / / / / / / / / / XXV / / FRANK HHRX 11/16/88 / / / / / / / / / / / / / / XXV / / DOLORES . 8WRM 09/01/86 / / / / / / / / / / / / J J XXV / / . ECON. DEVEL.311CM 12/..18/91 / / / / / / / / / / / / / / IXV 01/13/92 W I LBUR �BWRT 041!8/87*,_ / J . / / / / / / / / / / / / XCV 07/ 13/BT e + 3 r COUNTY OF BUTTE BUILDING DEPT BUTTE COUNTY ��►� a z 1�9� BUILDING DEPARTMENT APPROVED Fte��/ooh`' 1 `i6o 2 /0 15C. -ROW000 116 510 116 3 2 U r,' I 50 60 5 4 6 6 O Q 1010 60 50 50 110 60 5 4 2 6 O Q 1 60 1 50 60 50 loo 60 5 6 3 I 2 6 9 110 1 60 1 50 1 5�, 1 50 1 60 60 50 loo 60 5 4 3 I 2 j(D 0 3 I o 50 5 4 3' 2 (D O @ 0 -,,6 @ G* 6 9 /0 60 50 . 50 5060 RS IC 1 - 52 Set be ell) P/T =RN PACIFIC ADD. M. 0. R BK. 4 PG. 16, 12 F'�Z