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Home My WebLink About035-225-007r; 35-225-07 # Cont: N/A N-0q RE-ROOF 6 SQ B06-2495 035-225-007 MISCELLANEOUS Water Heater C/O INSTALL WALL HEATER, _REPLACE 1 1940 HELMAN ST r KUPELIAN, ROBERT. 1 J 1 5� w. A R 'i _ w. 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 f Site Address: 1940 HELMAN ST Owner: Permit NO: B06-2495 APN: 035-225-007 KUPELIAN, ROBERT Issued Date: 10/23/2006 By KCG Permit type: MISCELLANEOUS PO BOX 5915 Subtype: Water Heater C/O OROVILLE, CA 95966 Expiration Date: 10/23/2007 Description: INSTALL WALL HEATER, REPLA4 (530) 538-0591 Occupancy: Zoning: RN Contractor Applicant: Square Footage: COMMUNITY ACTION AGENCY OF BUT COMMUNITY ACTION AGED Building Garage Remdl/Addn 2255 DEL ORO AVENUE 2255 DEL ORO AVENUE OROVILLE, CA 95965 OROVILLE, CA -95965 Other Porch/Patio Total (530) 538-7534 (530) 53877534 FEE INFORMATION Heater (Wall) $55.00- 55.00-Water WaterHeater (qty) $55.00 f` ''LICENSED CONTRACTOR'S DECLARATION- -,---Contractor (Name) State Contractors LicensecAo. / Class / Expires COMMUNITY ACTION AGENCY CSLB-617201 / / L- LJ ---,,R_ 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/23/2006 Co ,Actors Signature Date K . WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier: d icy Number: permit i 1 e� Exp. Date: / as J C (This secti n need not a completed if the permit or one u dre ollars ($100) or es— s� ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the 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. X 10/23/2006 Sicioeure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ' CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) i Lender's Address City State Zip I otal Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B615 OWNER / BUILDER DECLARATION 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 (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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Signature 10/23/2006 Date I 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, 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 use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro arty o m author' ed_ to act on the propsowner's behalf. -;F_—,, �., 0/23/2006 Owner Contractor OR; Agent for Owner gent for Contractor FILE COPY ;;Z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLYrY CONTRACTOR OWNER.- WNER -Last LastName brls IV E3 irst Nam �. 2,6 Address State City _ / Phone7P� State C� Zip Phone J3� 5C Is 3n Lic. # Ab Fax E-mail State License Number CONTRACTOR ARCHITECT/ENGINEER Name CA A a E3 Address .. S. �' City State Zip 9 sus Phone7P� Fax Phone E-mail Lic. # Ab 6l Class APPLICANT NAME ARCHITECT/ENGINEER Name City t �� Y Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City t �� Y StateL� Zip Phone TZ Fax E-mail APPLICANT SIGNATURE X G� For office use only: Zoning Property Address cl Yo Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# d35 - 225- ooj Property Address cl Yo City Cross Street WORKER'S COMPENSATION Policy Number is d Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Oop - ,t—_-. E2 �� Sq. Footage ❑ 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. I I Received by:Kel , Amount: -1110— Bldg I I Page 1 of 2 Receipt #.'66 15 &h Date: 10- 23_0 SRA Sheriff MIP Other i$ I 1( /� I r O _Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached, Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 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 PERMIT NO. BP041691 LICENSED CONTRACTORS 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 Issued Date: 06/10/2004 APN: 035-225-007-000 the Business and Professions Code, and my license is in full force and t effect. License Class: License Number: Site Address: 1940 HELMAN ST ORO Date: Contractor: Map Index: Description: RE -ROOF (6 SQ.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a ROGERS DOROTHY SUZANNE permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of ST the Contractor's State License Law (Chapter 9 commencing with Section 1940 HELMAN 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption.' Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ROGERS DOROTHY SUZANNE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code (D 1 V- i1y Q 9 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as r / required by Section 3700 the Labor Code, for the performance of Architect: L the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: f�l I certify that in the performance of the work for which this permit is J` Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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: VDkb - oCl Applicant: oti WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor ee�� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This pe it i he h issu u er a applica le provisions of the Butte County Coda 2nrUpr ResolulionsAo 00 w Id o w ch fees av been pDai O // performance of the work for which this permit is issued (Sec 3097 Civ.), By Name: 0 PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or current of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection p oses. Print Name: ��Q_�fV / p e)!g 'L� i Signature: C Date: In - Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor ti 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 PERMIT NO. BP041691 LICENSED CONTRACTORS 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 Issued Date: 06/10/2004 APN: 035-225-007-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1940 HELMAN ST ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE -ROOF (6 SQ.) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROGERS DOROTHY SUZANNE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1940 HELMAN ST 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ROGERS DOROTHY SUZANNE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code � - 1 V- Oy Owner: Q 9 Date: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. {� 1 certify that in the performance of the work for which this permit is 3` Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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: lb - OO >�+- Applicant: Qf� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / CONSTRUCTION LENDING AGENCY er a applica le provisions of the Butte my COdR enrVor This pe it i he h Co� I hereby affirm that there is a construction lending agency for the �issuu Resol ion o o- Id w ch fees av been pai /1 n /J performance of the work for which this permit is issued (Sec 3097 Civ.) / U Name: By: Da Address: PERMIT EXPIRES ON: t/ Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p oses. Print Name: A �� Vl / P C Signature: Date: b - \ O — .(LI-( CR-0wner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE' COUNTY ..q DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION APPLICA T NAME CONTRACTOR Name City State Address Phone ity State State Zip Phone E-mail Fax E-mail Planner Lic. # Class APPLICA T NAME ARCHITECT/ENGINEER Name City State Address Phone City State Zip Phone Fax E-mail State License Number APPLICA T NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 0lNO BV/0q1 . BIN # LOCATION AP# 35 Property Address/ Cross Street �f 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. LENDING AGENCY Name Address escr7ipior Work: Sq. Footage ❑ 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 Page 1 of 2 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. Rec by: Amount: Bldg SRA Receipt Sheriff SMIP te: Other / Total REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPERI ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. _ - ❑ 4. '2 Engineered truss details and layouts (if required) (NO`FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signedy the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. , 2 Floor plans.', . ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3: 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from'the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 O.B.-1 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. (3-1—personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 9, NO ❑ (a� -HAVE '13 HAVE NOTX signed an application for a building permit for the proposed work. 3. I have contracted with the following person (fum) to provide the proposed construction: NAME: ! _ ADDRESS: CITY: PHONE: CONTRACTOR'S 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: PHONE: CONTRACTOR'S LICENSE NO. S. 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 NOTE: This Owner-Builder,Yertfica&1on is required by Section 19831 and 19532 of the California Health and Safety Code. This veri}rcadon must be completed and returned to our office before we are permitted to issue the permit: OVER OWNER BUILDER WFORMATION Dear Property Owwner. - o.B.- An application far a budding permit has been submitted in your name listing yourself as the budder of property improvements specified. For your protection, you should be aware that as "Owner -builder" you are the responsible party ofrecord on such a pem>it: Building permits we 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 eeuccePtion of various trades that ybu plan to subcontract, you should be aware of the following information for your benefit and protection: ' 4 If you employ or otherwise engage any persons other than your immediate hmily, and the work (Including materials and other costs) is $300 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 Governments as an employer and you are Subject to several obligations including state and federal income tax withholding, federal social security taxes, worke compensation insurance, disability msurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation msuaaace. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if yon wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit 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 their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner budder" building pewnone t� �� that tine property owner is providing his or her own labor and material personally. Building permits are required to be signed by property owners unless they are perming their own work personally. hhrmation about Nlicensed 00nfrac�tors may community or at 1020 be obtained by contracting the Conhactors State License Board in your Street, Sacrameuta, CA. 95814. Please complete the "Owner Budder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued u13M the verification is returned. lY. 11T I C. Vi ra, C.B.O. , Bmlding Inspection NOT M III 11-e7-,3IIff .E7f0?mation is rdpb-ed by Secdon .19930 of flee C.Wornfa Health cad Safety Code Butte County Department of Development Services ADMINISTRATION ` BUILDING ` GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile June 7, 2004 Dorothy Suzanne Rogers 1940 Helman Street Oroville, CA 95965 RE: Formal Warning Notice Butte County Code Violation 1940 Helman Street, Oroville AP# 035-225-007 Dear Ms. Rogers: Through our courtesy notice on February 19, 2004, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. Unauthorized camping or otherwise occupying a recreational vehicle. 2. The accumulation of junk in public view 3. The accumulation of garbage for more than seven (7) days in public view. 4. The keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code Chapter 24 Section 24-125 - The R -N (Residential - Nonconforming) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the R -N zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. • Butte County Code Chapter 3L Section 31-50 - The owner or tenant of any premises;, business establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the creation of 'a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to remain on the premises Dorothy Suzanne rogers AP# 035-225-007 June 7, 2004 Page 2 for more than seven (7) days. Non-flammable inert materials. stored on a premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non-flammable materials which are not properly stored shall not be allowed to remain on a premises for more than thirty (30) days. • Butte County Code. Chapter 28, Section 28B-1 - State Housing Law adopted by Reference. This section adopts the State Housing Law. You are in violation of maintaining a residential building not meeting the minimum standards. In order to comply with the Butte County Code and State Housing Law, you are hereby requested to immediately contact the Department of Development Services, Building Division at (530) 538-7541 to obtain the necessary permits and inspections to.bring your residential building within minimum standards. • Butte County Code Chapter 26 -CBC 1998 Addition Section 102 Unsafe Buildings or Structures. All buildings or structures regulated by this code which are structurally unsafe or not provided with adequate egress, or which constitute a fire hazard, or are otherwise dangerous to human life are, for the purpose of this section, unsafe. Any use of buildings or structures constituting a hazard to safety; health or public welfare by reason of inadequate maintenance, dilapidation, obsolescence, fire hazard, disaster, damage or abandonment is, for the purpose of this section, an unsafe use. Parapet walls, cornices, spires, towers, tanks, statuary and other appendages or structural members which are supported by, attached to, or a part of a building and which are in deteriorated . condition or otherwise unable to sustain the design loads which are specified in this code are hereby designated as unsafe building appendages. All such unsafe buildings, structures or appendages are hereby declared to be public nuisances and shall be abated by repair, rehabilitation, demolition or removal in accordance with the procedures set forth in the Dangerous Building Codes -or such alternate procedures as may have been or as may be adopted by this jurisdiction. As an alternative, the building official, or other employee or official of this jurisdiction as designated by the governing body, may institute any other appropriate action to prevent, restrain, correct or abate the violation. • Butte County Code Chapter 26 Section 26-6(b) - Unsafe for Human Habitation This dwelling has been posted by the Butte County Department of Development Services, Building Division as unsafe for human habitation. There are numerous conditions existing which are in violation of the State Housing Law and the Health and Safety Code. It is unlawful to occupy this dwelling. It shall be vacated at once and remain vacant until clearance to occupy is received from the Butte County Department of Dorothy Suzanne rogers AP# 035-225-007 June 7, 2004 Page 3 Development Services, Building Division. It is a misdemeanor to occupy this building, or to remove or deface this notice. Butte County Code Section 26-6 (b). Failure to vacate this dwelling as required by law will result in legal action through the District Attorney's Office. The determination that this violation exists on the property is based on the following definitions in the Butte County Code: • Butte County Code, Chapter 24, Section 24-305.240 - Junk. ) Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. • Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. • Butte County Code, Chapter 24, Section 24-305.360 - Refuse. "Refuse" shall mean and include any solids or semi-solid waste other than domestic sewage, including, but not limited to, garbage, rubbish and trash. �. • Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. 2. Remove all "junk" in accordance with the Butte, County Code, Chapter 24, Section 24- yt .` Dorothy Suzanne rogers - AP# 035-225-007 June 7, 2004 Page 4 305.240. 3. Remove all inoperable/junk vehicles from the property'. 4. Cease and desist camping activities on the property in accordance with the Butte County . Code, Chapter 24, Section 24-260(a). H 5. Bring all residential and=non-residential buildings to meet minimum standards. Obtain all required permits from the Building Division .of the Department of Development Services for all additions and structures built without approvals and permits. 6. All unsafe buildings or structures must be abated by repair, rehabilitation or demolition as per the, Butte County Code, Chapter 26, CBC, Section "Unsafe Building or Structures." This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing,to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or, telephone number listed above. Sincerely, Scot Johnson . Code Enforcement Officer SJ: Ir cc: Department of Development Services, Code Enforcement February 5, 2004 Gil Smith 460 Rio Lindo Chico, CA 95926 Count, L A N D O F NATU RAL WEALTH A N D B E A U T Y DIRECTOR'S OFFICE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 www.buttecounty.net Re: HAZARDOUS ELECTRICAL CONDITIONS 1940 Helman, Oroville AP# 035-225-007 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On February 4, 2004 an inspection was conducted by this department and the Butte Interagency Narcotics Task Force. The owner (Dorothy Suzanne Rogers) and tenants are not currently occupying the structure. The structure at this site has numerous electrical hazards including but not limited to .open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. The structures have been posted for nonhabitation . As the Chief Building Inspector for Butte County, I am requesting that the electrical and gas to the structure referenced above be disconnected until appropriate actions are taken to resolve the hazards. Further, I request that the electrical and gas service not be reconnected until an authorization from this Department is granted to do so. This letter shall also serve as notice to the property owner and tenants that the electrical and gas service is to be disconnected. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Scott Rutherford Chief Building Inspector = OK. 0=Not OK Not Read�yable MOBILE HOMES MISCELLANEOUS bate MOBILE HOME UTILITIES (Plans) OK except #'s Dgfte 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:Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5..Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / P'Nat. or/ : %"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 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 -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B? Date _ Card -Bt Date Card -131 Date Card -Bt Date , 9. Health Department Approval i 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -81 Date 0 = OK =NotOK Applicable =,JVot ApRESIDENTIAL (Single and Duplex) = Not`Ready Date UNDERFLOOR (Plans)' OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng. -Ring. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48..Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 31. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ,2 - ,�- � MIT 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 v/ Date /l�� a COUNTY OF BUTTE DEPARTMENT,OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE • OWNER G PERM 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 Date- . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS J 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT N Q AS SOR P E NUMB R — — ZON G BUILDING PERMIT owN R — TELEPHONE SQ. FT. OCC. BUILDING VALUATION QIINI Ar, N DR E35 CO TRACTOR'S NA E —r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST. UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC 1• ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 110 U I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN V0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti s Ins Ilati�❑` Other Desc ' e work: I f- — InrJel ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Sf e00V OR LESS Main service 100 AMP OR LE55 10.00 ADO Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ 1,• 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 OC W1! YZQsgn OR ADDNS. ACG. BLDGS. NEW CON5TRTI-OUTLET 2.50 ea NON.RESID BRA C CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUT LETS OR FIXTURES e� 090 FIXED APPLNS. . R EX. Occup. OUTLETS (RESID)EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ F, 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 FiIingFee 10.00 Heating Cooling ) l:V4 110('Q 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. 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 agains :a2dountyin nseqlience of the granting of this permit. /IILttJ�� 7TH'''' X - - Date ✓ Signature of Applicant - OWn.A 4ontractorE] Agent ❑ JJI 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 4ee _ $ GnPra i Ineno� — (�-- $ S On IF TOTAL PERMIT FEE $ I 49.L30/ Occu P. CONST.TYP! I FLOOD PARCEL PD NO 133 This permit is hereby issued under sions of the Butte County. Code and/or wor in icate ab o a for which E TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 9! 8 Receipt No. ref WNITE•D. P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: OWNER -BUILDER VERIFICATION Attention Property Owner: 916-538=7541 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) ;L -LIP _ 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 lu U101VCity Phone Contractors License No. 4. 1 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 pe;- mitted to issue the permit. Fredrick A. Schwartz 935 Gulfwind Way Sacramento, CA 95831 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: X538-7541, DATE 6/16/87 With reference to the above subject: / X/ Attached is: _X_ Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form RE: Building Permit Application A.P. # 35-225-07 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER Y We need the following information: X Permit application signed and completed where indicated with all copies returned. X Fees of $ 149.30 payable to Butte. -County Treasurer. X Certificate of Workmen's Compensation Insurance or check exemption statement. X Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). • sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health. Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X OTHER Please complete the attached forms were indicated and return to this office -along with your check for $149.30. Thank .you. M. Should you have any questions concerning the above, please contact this office.. JFG/aj Yours very truly, William Cheff Director of Public Works AF. Glander ief Building Inspector E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASR P NUMB vCJ\ 20N G BUILDING PERMIT owN R TELEPHONE SO. FT. OCC., BUILDING VALUATION QTINER'S MA N DRESS Y113 S_ ' CO RACTOR•SNA & r T LEP ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 " LENDER'S MAILING ADDRESS Permit Fee $ ARC 1 ECT OR ENGINEER W; LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ ,PLUMBING PERMIT Filing Fee 10.00 s: , %L ' Each Trap., 2.00 Solar or heat pump wat9r heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Q Each Stas water heater or vent 5.00 USE OF STRUCTURE SFN Duplex[] Mobilehome❑ Other SPECT FV , Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSTG IN 0.00ea TYPE OF WORK 9 New ❑ Addition ❑ Remodel ❑ Utl lits s Ins lati [] Other ti Desc ' e work: E to ill` r I' Permit Fee $1649) Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 100 AC- 001MP ORSLESS 10.00 , QU Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 I declare under penalty of perjury (check.one): " ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Js In full force and effect. License No. Classification , as the owner, or my employees with wages as their sole compen- s1 ation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licenlsed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code fi for.this�reason-- - NEW CONST. DWELLING OC OR AODNS. ( AGC. BLDGS. 1/20sgft NEW CONSTR u L T2.50 ea NON.R ESID BRANCH CIRC 3 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp OUTLETS OR FIXTURES .ALS 30 FIXED APPLNS. O Ex. Occup. OUTLETS IRESID,I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ �r „• - +' WORKMEN'S COMPENSATION INSURANCE '1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less.I C]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. �j 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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, Indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid ount in nse encs of the granting of this permit. D� X - Date- 1` ., � o ontroetor ❑ AgentJ Signature of Applicant — Owner an An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ign of structures over 3 stories in height. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling J IV4 Q Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation 4ee $ FnPro� ►IL^p��:.'^� /'F- 14LSP$ S IF TOTAL PERMIT FEE $ occu P. CONST.TVp6 I I FLOOD PARCEL PD 1 ND I 13SUH This permit Is hereby Issued under si Ins 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. �G %SS� wMne-D.�:w., tLlow=AaetaboR, ►las•+we�ee�orl, aOLD6NAOe•APPLICANT Yf /lam Aa - ea COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916=538-754.1 Fredrick A. Schwartz 935 Gulfwind Way . Sacramento, CA 95831 With reference to the above subject: l / Attached is:. X Application for permit Building Plans Engr. Calcs X Owner -Builder Verification Form OTHER DATE 10/26/87 RE: Plumbing Permit Application A.P. # 35-225-07 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced LXL We need the following information: X Permit application signed and completed where indicated with all copies returned. X Fees. of $_ 15-.00 payable to Butte County Treasurer. X Certificate of Workmen's Compensation.Insurance or check exemption statement. X Contractor's -License Law information or check exemption statement. Complete plans in including plot plans. Plot plans, in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street. and drainage improvement plan approval from Land Development'Section (DPW). sets of plans,in accordance with the changes marked in'red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,: Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7.County Center Drive, 0 ill f . rov e, . or X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Please complete the attached forms where indicated and return to this office along with your c ecc orThank you. Should you -have any questions concerning t e above, PSA -4/0 k JFG/ejo /Q please contact this office. Yours very truly, William Cheff Director,of Public Works F. Glander Chief Building Inspector v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ►� APPLICATION AND PERMIT P PERM T N0. A98 so P4�A�CL tjy�J.•IBE �1 Zo" G BUILDING PERMIT OWN R — re Z TELEPHONE Jr SQ. FT. OCC. BUILDING VALUATION O ER•S M�ILI Nva ADD S , ( it ItI,IV� 11 7TR TORS NAM TELEPHONE V^ C`0NTRACTOi MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH1, ECT OR ENGINEER CJ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19 {6,[lO Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 , ` 0,/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each -gas water heater or vent 5.00 ,USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New❑ Addition Remodel Utilities Installation[] Other Describe work: ` ff 71 Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Q Main service 6001 OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with Wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, 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 New DONsrR� ACC. B , /20sgft OUTLET NON.RESID .BRA C CIRC TS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 1i y3o o FIXED APPLES. OR EX. QCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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. �pf I shall not employ any person in any manner so as to become subject �4 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this applacet,ion-an`d'state,that the above information is correct. I agree to comply to all County Ordinancesxand State Laws relating to building construction, and hereby 'authorize,representatives of the Countyot Butte to enter upon the above-mentioned property,4or inspection purposes. Ii) Y 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 agains sai County 'n consequence of the granting of this permit. Date &Nyll 97This Signature of Applicant — Ownei Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �`j,00, OCCUP. CONST.TYPE SCHOOL FLOOD PARCFLJ PD I NO I ISSUE permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRET F PUB !,C I3 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date Receipt No. M/� WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .'COUNTY OF BUTTE - Dbpattment of Public Works 7 County Center Drive,.Oroyille., CA 95965 Phone: 916,538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will:"be.issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction -of 'the proposed property improvement (yes or no) 2. I (have/have not) a-ve- 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 ICity Phone VContractors 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 3MV 87 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- mrtted to issue the permit. . Ise. �rt� WORKS PE �• honePUBLI-9 COUNTY OF BT 541 0 ovillDeECaIlRforni)a 5s65PATENT0FTele 7 County centerDrive APPLICATION AND PERMIT ( ZONING BUILDING PERMIT ASS 1 -S -i PARCEL NUMB R SO. FT. OCC. BUILDING VALUATION 35-225-07 TELEPHONE 421-5156 ' FREDRICK A. SMARTZ OWNER'S MAILING ADDRESS CA 95831 1st renewal Gulfwind Wa Sacramento TELEPHONE ermit 935 CONTRACTOR'S NAM OWNER Fireplace CONTRACTOR'S MAILING ADDRESS Total Valuation $ • UNKNOWN $ 10.00 CONSTRUCTION LENDER Filing Fee $ Permit Fee i $ LENDER'S MAILING AOORESS plan Checking Fee II t LICENSE NO. $ OR ENGINEER Energy Plan Checking Fee ARCHITECT NONE $ OR ENGINEER'S MAILING ADDRESS Penalty $ . 32.25 ARCHITECT Permit tee 10.00 ADDRESS PERMIT FilirtgF BUILDING PLUMBING ! 1940 HELMAN ST. 2.000 Each Trap Solar or heat pump water he 2 0.00 OROVILLE 5.00 f 1 PARCEL MAP Water piping heater or vent5.00 5,00 LOT NO. SUBDIVISION NAME Each Qas water system 1 • 5 outlets t Gas piping 5.00 USE OF STRUCTURE Building sewer 0.00 ea 1 SFUDuplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W TYPE OF WORK $ 1 Other ❑ Permit Fee ❑ Installation New ❑ Addition ❑ Remodel ❑ Utilities Contractor ELECTRICAL PERMIT Filing Fee 10.00 Describe work: permit #2404-87 eoov OR LESS �. of ,Main service too AMP OR LESS 10.00 2.50 1st renewal 1' Main service EA. ADD'L too AMP 1 NEW CONST. ( DWELLING OCCUP.d\ ACC. BLDGS. I 1/20SQft OR ADONS. CONTRACTORS LICENSE LAW NEW CON TR. U .OUTLET CH CIRC TS 2.5O ea �• Check one)' NO N.RESI I BRA I declare under pena ty of perjury ( POWER APPARATUS e, Div. 3 of the Business (SINGLE OUTLET CIR• 00501 I I am licensed under provisions licenseisin full force and effect. Ex. Occup OUTLETS OR FIXTURES Professions Code and my FIXED APPLNS. OR ISAL@30 2,00 I and Classification EX. Occup.OUTLETS(RES EA.� 10.00 j License No. i employees with wages as their sole compen- or my. or offered Temporary seryice 15.00 satis t will do the work, and the structure is not Intended I s io the owner, Mobile Home Facilities 15.00 for sale. (Sec. 7044) -acting with licensed contract- Misc. Wiring I C] I, as the owner, am exclusively con ors. (Sec. 7044) Business and Professions Code 1 am exempt under Sec. for t ' r n WORKMEN'S COMPENSATION INSURANCE I declare and r enalty of perjury (check one): nThe 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 e Self -ploy anyrp. I shall not employ arson in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should ou must forthwith comply becomewith subject to the W. C• provisions of the Labor Code, y ou provisions or this permit shall be deemed revoked. that I have read this application and state that the above information 1 certify to all County Ordinances and State Laws relating is correct. I agree to comply for Inspection purposes. to building construction, and hereby authorize representatives of the County o Butte to enter upon the above-mentioned property I also agreeand expenses which may in any way accrue to save, Indemnity and keep harmless the County of Butte against 11 liabilities, judgments, costs, ranting c this permit. a inst said County in consequence of the g Date XOwner ElContractor C3 Agent ❑ I nature of Applicant — 5'0" deep mand demolition or construct- n ~ilt Fee Contractor MECF Heating ICAL PERMIT I FilingFee 10: Cooling 300 Hood Ventilation $ Perrnit Fee Contractor $ Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ 32.25 /LOOD PARC[L PD ND This permit is hereby issued under the applicable sions of the But County Code and/or resolutions work indicated above for which lees have been DIRECTOR OF PUBLIC WORKS g An OSHA permit is required for excavations over. B Date - A n Of structures over 3 stories in height. y PERMIT EXPIRES Date Receipt No -