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035-180-021
l 35-18-21 COOPER, Alton W. •677-67B w; JOHN BA - 2151 Ithica, Or-oville n Permit#350-89E(upg e ele)SF bx ���` q 35-18-21 12151 Ithica St., Oroville 5' 3 (add back porch) Permit__#45/9 W take out inters. r Baring i� ;. wall -F � f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds 1 Permit No: B06-2254 Issued: 09/20/2006 Address: 2151 ITHACA ST APN: 035-180-021 Permit Subtype: Re -Roof Owner: MILLER, RICHARD Applicant: MILLER, RICHARD Description: REROOF 8 SQ aX MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING I Inspection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2151 ITHACA ST Owner: Permit NO: B06-2254 APN: 035-180-021 MILLER, RICHARD Issued Date: 09/20/2006 By AAM Permit type: MISCELLANEOUS 2151 ITHICA ST Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 09/15/2007 Description: REROOF 8 SQ (530) 534-1523 Occupancy: Zoning: RN Contractor Applicant: Square Footage: MILLER, RICHARD Building Garage Remdl/Addn 2151 ITHICA ST OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-1523 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B195 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/20/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE NIC, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the perfcrmance of the work for which this permit is issued. My Workers' Compensation insurance carrier The Contractor's License Law dows not apply to an owner of the property who builds or improves and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not a completed if the pe mit is for one hundred dollars ($100) or ess. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: Uri CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS YSWSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/20/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Sig ature Date provisions. X 09/20/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless agents and employees from any and all claims and liability for personal Butte County, its officeBath, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, a, injury, including death, and property damage caused t is arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enterA above mentioned property for inspection purposes. I hereby certify that I am the property own a thorized to act on the property owners behalf. 09/20/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) r%wner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor FILE Lenders Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 0I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 20 I (HAVEIHAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REROOF 8 SQ Reference Number: B06-2254 Applicant Name: MILLER, RI �� \ Signature of Property Owner: Date: Pi� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name. . / �M, irsme` I c � Mailing Adds S l -I- 91 f1 city (C& V IGtr Stjt � zip-. G6 Ph e- Y. , J a 3 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name /fir u ,t„r Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail _APPLICANT SIGNATURE X For office use only: AP# 03 S - 06 - a Z Zoning City Flood Zone SRA SRA Yes I No Occ. Date: Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECTLOCATION AP# 03 S - 06 - a Z PropertyA ress I S_ _ -- I City Cross Street SRA WORKER'S COMPENSATION Policy Number Carrier. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date: LENDING AGENCY Name Address Description or Scope of Work: - ivin Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total + 350-89 • r PERMIT NO. 459-89B PERMIT EXPIRES 3- r OWNER JOHN BASS CONTR. owner ASSESSOR PARCEL 35-18-21 LOCATION 2151 Tthica St, Orevj-jIe ,a r t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 1 JOB FINALED (Date) Signature r , + 350-89 • r PERMIT NO. 459-89B PERMIT EXPIRES 3- r OWNER JOHN BASS CONTR. owner ASSESSOR PARCEL 35-18-21 LOCATION 2151 Tthica St, Orevj-jIe ,a r t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 1 JOB FINALED (Date) Signature 1* •i w .. . '� ��,. �. jv COUNTY OF BUTTE �. DEPARTMENT O*1PUBLIC VMR'KS , 1.96 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector G//r r/l Date_��� / " r• Inspector G//r r/l Date_��� / = OK 0=Not OK �7«,rf�' '• "` =Not Applicable adMOBILE MOMES nu MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ► . 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- I Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat:"or/'.. /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. H i -m 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses - 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -Bi Date- 10. Roof; Shthg-Roofing Card -B1 "- Data Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, -Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date - - 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s - 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6: Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval "" 3. Pool Structure; Steel -Connections Dead Men -Lining -Thickness -8. Gas and. Electricity Tagged. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch4. r 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed j. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 • Date'' Card -B1 'Date Card -B1 - = Date Card -B1 Date 9. Health Department Approval i :. 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = uK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De, 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Silts -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date?.(Z Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 20, uip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insujated Neutral Yes No ervice-Riser Conductors & Ground -Main Disconnect ip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 ate .(LCard-131 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors ells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. D ft Stop in Walls (rat proof) 40'FjLe Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties- Puri in -Roof Brac.-Truss-Shthng.-Rfng. 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 T -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-Clg. 60. Infiltration-Walls-Wndws IN Card -81 Date`%,/z-&Card-B1 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68.Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. 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 D Yes 80. Following instld.; Drive •a Yes 0 No; Walks O Yes D No; Planters Cl Yes o No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90.Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENT OWPUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION ANS PERMIT PERMIT NO. -- 17�— /,::-7 ASSE OR PA L M ER ZC3NING BUILDING PERMIT Ow - TELEPHONE S0. FT. OCC. BUILDING VALU TION OWNE 'S MAILING DDR ESS 1.ki Crpv• COI' RACTOR''S `NAME uJ Y7 CI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON MCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ina V ' �- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF00 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ R model Utilities ❑ Inst llation❑ Other] Describe work: ir` (� b" tAI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.OfT Main service eoov OR LESS 100 AMP OR LESS 10.00 l Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NOD 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. — /L' ansa 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.ei OR ADONS. ( ACC. SLOGS. , /20sgft NEW CONSTR U TI.OUTLET N.R ESI2,50 ea .BRA CH CIRC TS /POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCU o 20050e p UTLETS OR FIXTURES eAL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESID ) REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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 gertificate of Workmen's Compensation Insurance or a Certificate,gr 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia itie , judgments, costs, and expenses which may in any way accrue agains aid ounty in c eq f the granting of this permit. %� ` Date _ Signa re of Applicant — Owner ❑ Contractor ❑ Agent ❑ An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PE MIT FEE $S. occuP, CON YP! SCHOOL FLOOo PAR,eIL (� PD ND Is his permit is hereby issued under sions of the Butte Cou Code and/or work indicat above for ich OR UBLIC PERMIT EX 1RES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No.'Sm!SBY WHIT!-D.P.W.. YELLOW-ABO!»OR. PINK -IN SPECTOR. GOLDENROD -APPLICANT Y� N COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Or6ville, 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. 4. I plan to provide portions of this work, but I have hired the following person '. to coordinate, supervise, -and provide the major work: Name 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: /J Property Owner Social Security tuber - Date — 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. 'BASS i BC 3x4= A - 7- 9- 9-11-04 D 3x4= C 3x5= SPACING - 24.O.IN. LOADING LIVE DEAD (PLP) TOP CHD 40.0 20.0 BTM CHD 20.0 40.0 TOTAL .60.0 60.0 120.0 SUPPORT CRITERIA JT REACT WIDTH JT REACT WIDTH LBS IN -SX LBS IN -SX A . 578 3- 8 C 578 3- 8 JT TYPE CSI SIZE LUMBER FB PLATING CONFORMS TO UBC NOTES: TOP .29 2X 4 DFN02 1450 (ICBO) APPROVAL #1591 1. TRUSSES MANUFACTURED BY BTM .34 .2X 4 DFN02 1450 GRIPPING BASED ON GREEN DF LMB CTR SYSTEMS PLUS ANDERSON.CA. WBS .21 2X 4 DFSTAND 600 PLATES - 20 GAUGE HYDRO -PT 2. CONFORMS TO TPI -85. LUMBER STRESS INCREASE: 15.0% GRIPPING 313-246 PSI PER PAIR 3. PROVIDE DRAINAGE TO INCLUDES 15.0% INCREASE PREVENT WATER PONDING. LATERAL BRACING: TENSION 864- 553 PLI PER PAIR 4. GIRDER CONDITION: TOP CHORD - CONTINUOUS SHEAR 956- 548 PLI PER PAIR TIE-IN TRUSSES ON BTM CHD BTM CHORD - CONTINUOUS WITH SPAN OF 4'- 0" SPACING - 24.O.IN. LOADING LIVE DEAD (PLP) TOP CHD 40.0 20.0 BTM CHD 20.0 40.0 TOTAL .60.0 60.0 120.0 SUPPORT CRITERIA JT REACT WIDTH JT REACT WIDTH LBS IN -SX LBS IN -SX A . 578 3- 8 C 578 3- 8 JT TYPE PLATE SIZE X Y A 2001 3.00 X 4.00 5.3 3.2 B 4000 1.50 X 4.00 CTR CTR C 4010 3.00 X 5.00 CTR CTR CONNECT JACK FRAMING TO GIRDER D 1030 3.00 x 4.00 CTR CTR TRUSS WITH SIMPSON LUP24 E 1001 1.00 X 4.00 CTR CTR HANGER F 5250 4.50 X 4.00 CTR 1.5 G 1050 .3.00 X 5.00 CTR CTR COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOJ�VIA 95a45 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET --- '� Permit No. OWNER Cl ,vl QS� A. P. No.� Proposed Building Use Building Inspector Date At tim7ofpe. it application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED items have been submitted. ...... 2. Plot plans in duplicate triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ............................ 12. School District fees paid ................. 13. Sanitation approval from Health Department ... c 14. City of Cl ico.,pl&mbing permit ...................................... 15. Plot plan and business license approval from City of i (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner. ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone v nd hold for pickup at office. Deliver w/inspector. Other Appl ica Date `,-* ---/ , �- `j r _� Copy of plans sent Health Dept., Fire Dept,/, Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, deli Contractor, desi Plans checked by Copy—DPW ner as advised of above required data by vphone___nall_counter bye F' date owner, was advised of above required data by—phone —mal l_count by date Date Plans approved by Sets of plans on hold in File cabinet AP folder Date -3'3 8�-OZ-O� �O�J BSS • -W W\i DO U3 QKTS-012Q oA�-��i� 6Z�� DE-P,dD LO -MO = CO PS V: L I(PS F—' �T_ Z 2G P8� 16,/ F-- /D5' fC2 )Co•zs� !/' /'1�J� GcJQB' I1o4516s GI�ZZ.IL ¢oCG2 (4 S U VO E 0 9 AAO Z l R ETTE'rL� Oc 35 LILT 1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, . 44npia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT —PERMIT N0. ASSESSOR PAR L NUMBER j �Z2 ZONING BUILDING PERMIT/' OWNER ..A TELEPHONE SQ. FT. OCC. BUILDINGIVALLVTION OWNER'S MAILING ADDRESS LIIvc'©�-// CO J RACTOR'S NAME YELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERVZe UNKNOWN Total Valuation $ LENDER'S MAILING DRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECTOR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ ,� C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Q Each qas water heater or vent 5,00 USE OF STRUCTURE 1v� SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea -F TYPE OF WORK New E]Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: f - I i Permit Fee ; Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L' ense No. Classification 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 - q.rs. (Sec. 7044) �l am exempt under Sec. , Business and Professions Code for this reason - Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING o B OR ADDNS. ( ACC. LDGS.1ftsgftNEW CONSTRTI.OUTLET NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES 20050t DAL@ 30 EX. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1'31 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of nsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 *� Heating Cooling 9 Hood 3.00 Ventilation Permit Fee ; ZZ 19 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia lities judgments, costs, and expenses which may in any way accrue again t ai ounty in cor�sequenc of the granting of this permit. X (Ey/J _ �� Date Sign re of Applicant — Owner �ntroctor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep demo 'ti or construct- ion of structures over 3 stories in height. L{s Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, I CONST.TYPC SCHOOL PLOOD PARCEL PD ND ss This permit is hereby issued under sions of the Butte County Code and/or work indicated bove for w ich 1 CT R OF BLIC By PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �Q_ 2 Receipt No. S WHITE-O.P.W.. YELLOW-ASBtSSOR, INK -INSPECTOR, CCL ENROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT -OF' PUBLIC WORKS - BUILDING DIVISION V _ 7, COUNTY CENTER DRIVE - OROV`LLE1, CAL ORN11A 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. l OWNER /S- - A. P. No. Proposed Building Use 424�0� 7- 44,4 � Building Inspector Date R` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans.......:, - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. •7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ...............................' 9. Fees of $ ..#........................ 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... _ 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17 Improvements may be required. ,1 Dri way permit (construction approval required prior to occupancy) ... dov Q Pre-Inspec. request re -Inspection for required . —� ' ' ' ' •Building Ior (Date 20. Contractor's license information (No., Name Style, Classification) ...... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... x.25. `26. When you issue the permit, proc ss as follows: Mail to owner. Mail to contractor. Telephone - ��,� and hold for pickup at office. Deliver w/inspector. Other Applicant ��—Date Copy of plans sent Health Dept., Fire Dept.; Other Date / The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW PERMIT NO: -7 -89 Lake Oroville Area Public Utility District 1960 Elfin street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the -Butte County. Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: February 10, 1989 Applicant: JOHN D. BASS Applicant Address: 4956 Lincoln Blvd., Oroville, CA 95966 Applicant Phone No.: 533-2140 Property Location(s): 2151 Ithaca. Street Lot #20 A. P. No. (s): 35-18-21 Fees due: No fees due. Line replacement only. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: A • 1 11 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 at rials 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 `=--e— Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 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 Social Security Number Date -- 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oreville, California 95965 - Telephone: 916/538-7541 APPLICATIMAND PERMIT PERMIT NO. ASSESSOR PAR EL NUMBER �-- /S" ZONING BUILDING PERMIT OWNER/� fJ /-I A—) TELEPHOlNNE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Z L1106_e9Z- CG., RACTCR'S NAME YELEPHONE Y CONTRACT CR'5 MAILING ADDRESS ireplace CONSTRUCTION LENDER KVOWN Total Valuation $ LENDER'S MAILING ADDRESS Fili9 Fee n $ 10,00 rmit Fee $ ARCHITECT OR.t*NGINEER LIC NSE Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking gy g F ee $ Penalty $ BUILDING ADDRESS vi /,el Permit fee $ PLUMBING PERMIT Filing Fee 10.00' Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 01 1 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex[] Mobilehorne❑ Other k SPECIFY a Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeI S EG W 10-00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other,R Describe work: f.441�j�e h /,0e) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service ,00 AMP ORSLESS 10.00 d� CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of tlie Business/POWER and Professions Code and my license is in full force,and effect. L' ense No. Classification 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) 1 ❑ I, as the owner, am exclusively contracting with licensed contract- prs. (Sec. 7044) i " I am exempt under Sec. , Business and Professions Code for this reason - Main service EA. ADD'L 100 AMP 1 2.50 NEW CONST. DWELLING o OP. ADDNS. ACC. BLDGS. 1/22Sgft NEW CONSTR ULTI.OUTLET N ON.RESID BRANCH CIRCUITS) 2.50 ea APPARATUS e (SINGLE OUTLET CIR. Ex. o OR FIXTURES ez0050C AL930 FIXED APas Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 G Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.0 (valuation) or less. I ❑ 1 have piaced on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or r:. Certificate of Consent to Self -Insure. + hall not employ any person in any manner so as to become subject 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 provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia lities judgments, costs, and expenses which may in any way accrue again t,§ai �gounty in cor}sequenc of the granting of this permit. X (�y// C _ Date_ _-- Sign re of Applicant — Owner I Contractor EJAgent❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ J �5 TOTAL PERMIT FEE $ S occu P. C0.3T.TTPEJ I.CHO-O-LIFLOODI PARCEL PO ND s9DE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. yy WMITC-O.P.W.. YELLOW-ASSF550R. INR-IMSPtCTOR. GOLDENROD -APPLICANT � , �� � / J"� ' � v/ �(/ �� �� � _ � - %%%%%%% I �� MW I , , I I t .,-,. '-, 1 ''t, ".!� ", - � l ' , � �" , ,; - : , 1. '' " ' I -.k � . '�J$ �' ., , - I - -'."'1'-' 1. '�AIte � "' f �' � I ' I I � -- , , 'k , ,:: i I - "' i;��' , . � r . 1, I ., I I , I I � �, I�' �'-" �� ��'� - � �::"A'.""- � 1) 01 11, I - 1 I . 1� I I. � I � I " - �' - '�- ��\ , ' "I ' . I� 1� I "I I . , � I t ." i , �. '�' � �' �'� '� I , 11 1 -..��!:l �' � ':"' I - ., �,�I - - �i: ' - 1, "�"'' . I ''i " ''. 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