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040-150-055
40-15-55 Wayne Bird 40-15-55 41N/S Tabbyane, app. Q5.0'E.-o-ffL'ott Rd. , VERNON PATRICK Du 'ham 1142 Tabby Lane, Durham Permit#24-88A Ao Pe it k3� 9"- -78B, M( lej ing e ( tural Bldg Exem fa ill almond storage, p y) �� age, sprink ers 40-15-55 Wayne Bird' NIS Tabby Lane, app.750'E.of Lott Rd., Durham' :# Permit #2123 9B,P,E,M(new single Family) ` �/, f 40-.15-55 ermit#2411-79B,P,''E'(new pri.garage & ffice) /tee% f 40-15-55 i Permit #2584-79B,E(a#dition/SF) 34 40-15-55 5(- Permit #258.5-79B,Ertaddition.to.pri. garage) ` 40-15-55 mit ! PerP2096-R09 bdr'M/pl Wayne Ri dd, Chico Ci' 4 "— --- 40-15-55 Permit#1:964-83B",P(convert playroom { , &co'9`e`tfor master bedroom/SF) t 40-15-55 1742 Tabby Lan Durham Permit#381-86P.(ins gas line/�k'ln) 40- 55 i, Contr: Hale Powell 7�8/8b -Permit#433-86 e/381-86) 40-15-5 Pe #1314-86B(clpss A flue/kiln) "0401'15-0-055 "00=1937 PATRICK, VERNON & CRYSTLE 'S;':1742 .TABBY.LANE, DURHAM '' CONTR:.TERFECTIONYOOL POOL'141ASTER #500' 94OZ /2 ,, NOTES RESIDENTIAL 040-15-0-055 00-1937 I PERMIT NO., _PATRICK, VERNON & CRYSTLE 1742 TABBY LANE, DURHAM CONTR: ERARION POOL POOL MASTER 11500-99 F/.2,1 ID ,v -3 4- +0 ; SPEMAL CONDITIONS — SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) O o �' Signature CHECKED BY i. i .1 '1 i 1 RESIDENTIAL 040-15-0-055 00-1937 I PERMIT NO., _PATRICK, VERNON & CRYSTLE 1742 TABBY LANE, DURHAM CONTR: ERARION POOL POOL MASTER 11500-99 F/.2,1 ID ,v -3 4- +0 ; SPEMAL CONDITIONS — SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) O o �' Signature CHECKED BY ✓ = OK 0 = Not OK = Not Applicable ;::MOBILE HOMES =,Not Ready: Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Discorinect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector INAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setb cks-Easements 5. Drain; MH Test -Fall -Flex Connector 9ils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector StFacture; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 R r MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date INAL (Plans) OK except #'s Setb cks-Easements 9ils; Compaction -Structure Stability Cie"Pool StFacture; Steel -Connections -Thickness 41'E ; Receptacles and Lighting, Distance-GFI bl"Ef.de-Pool Lighting; 15 Volts-GFI 6_11-c.; Enclosures; Conduit Entries -Terminals -Listed E c.; Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Ho(th Department Approval Plumb.; Cir. Test -Water Supply Test • ght Niche Date pt Card B-1 Date Card B-1 Date "S -®O Card B- Date Card B-1 V = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 47. 1. Zoning-Setbacks-Easements-Flood-Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Garage Fire Protection Framing 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel-Wrapped 59. 8. Piers-Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 62. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Plb., Elec. & Mech. Equip. Listed for Location 11. Water Pipe; Test-Anchors-Regulator-Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance-Material-Support-Ins. 64. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 15. Access & Ventilation Clearance Looked under Floor O Yes 16. Insulation Following Insild./Drive J Yes :1 No/Walks :1 Yes :1 No/Planters J Yes ] No 83. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Well, Disconnect, Electrical, Plumbing 17. Water Htr.; Vent-Access-Combustion Air Baffle Exterior Elec. Trim, G.F.I. Receptacle -Underground 18. Water Pipe; Test & Anchor-Nail Protection Ventilation Throughout House 19. D.W.V.; Test Fittings & Anchor-Nail Protection Glass Protection 20. Shower Pan; Test, First Floor-Tub Access Corrections from Previous Inspections 21. Test Tub & Shower, Second Floor-Tub Access Gas Test -Meters Tagged, Gas -Electric 22. Gas Pipe; Sixe & Anchors Water & Sewer Connected -C/O to Grade -HD Approval 93. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date ELECTRICAL (Permit) OK except #'s Date 23. Fixture & Transformer Clearance-Ins. Protection Date 24. Elec. Receptacles Spacing-Lights & Switches at Doors Comments at Final: 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or Al Insulated Neutral E) Yes O No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing >ingle & Duplex) `T • r Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 77. Plb., Elec. & Mech. Equip. Listed for Location Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive J Yes :1 No/Walks :1 Yes :1 No/Planters J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 2. COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES r 411 Main Street • Chico, CA • (530) 891-2751 :f•_; 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE O�f 3 2 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is J_', completed. If you have any questions pertaining to this matter, or need additional explanation, 0.':• / ~t Date v Inspectorel T REV 10/92 e.: Y y f�. 6� yy ,T 0.':• / ~t Date v Inspectorel T REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER VERNON & CRYSTIF PATRICK TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS—EST23-255.0 CONTRA OR'S NAME TELEPHONE PERFECTL 195-0437 CONTRACTORS MAILING DRESS CON T UC1 LE D 20T14 ST, Q41C.0 9-59-228- Fireplace LENDER'S MAILING ADDRESS Total Valuation $21-295-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 243.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 00 Describe Work: NEW POOL MASTER #500-99 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class 1 °—� �j Lic. No.(p� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To IDDDA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLAS. s0 3.5¢Fr. NPN-RESIDT. MULTI-OCIRCUI TS I @7,50 APPARATUS 8 SINGLE OUfLEi CIE. Ex. Occup. OUTLET OR FDCTURES so p 1.00 BAL @ .So LNS Ex. Occup. ountDrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 POOL 30.0 PERMIT FEE $ 50.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ccensation insurance carrier and policy number are: Carrier AGo� Policy Number a ^' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the orkers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those pvisions. 7[13/01 XDate d 1 D 1 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 371.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County ode and/or indicat ab for ioh fees have B /�/✓ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q � DateO 8// O Date ReceiptNo. ' A / 471 no WHITE-D.D.S.-B.D. C NARY -A S'ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION L 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) < APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ iX ZONING BUILDINGPERMIT OWNER n v TEU9NONE Sa. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORESS COMRACTOR'9 NAME a TELEPHONE� CONTRACTORS MAID: DBEs CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $20.00 Permit Fee $ fo Q ARCHITECT OR ENGINEER'SMAIUNO,DOREss Plan CheckingFee $ Q BUILDING ADDRESS Energy Plan Checking Fee S $ PERMIT FEE LOT NO. SUBDNISpN9NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.006W Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: /f G�' rk " " ' 4: [� / � Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W III @20.00 PERMIT FEE $ e ELECTRICAL PERMIT Fling Fee 20.00 *00ALE Main Service 200, OR LESS 23.00 .-- - -L/ ReceiptNo. WHITE-D.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. ( lcBIDS. 3.50FT. NEW CONST.MULTI.OUTLET NON-RESIo. @7.50 PO'r APPARATUS SINGLE OUTLET Clil Ex. Occup. OUTLET OR FDRURES 20 ®I.00 SAL @ .SO EX. OCCU O'Ers gESIp,°E - 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i PERMIT FEE i , MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ?171 HA2. D. FEES IMP FLOOD COi I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I 0fife) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALEFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER:. ASSESSOR PARCEL NUMBER: j!� -I<e -L-/ Proposed Building Use: X AV_UJ Building Inspector: /_ T Date: At time of permit application, I wis advised the fbHowing data must be submitted p - . nor to per" p;ocessing and/o�,issiuianlce. El 1. All liems have been submitted --------------------------------------------------------------------------------------- Date Received By '�O. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation - ---------------------------------------------------- El 7. Statement of Intent. for Non -Heated and A/C Buildings - ---------------------------------------------------------- 118. Hazardous material Form - ----------------------------------------------------------------------------- ------------- El 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 010. Fees of$ ------------------------------------------------------------------------------------- 0 11. Impact fees as shown on the attached schedule - ----------------------------------------------------------------- 1112. California Department of Forestry plan approval/fees - ---------------------------------------------------------- Ell 3. Flood elevation certificate - ------- 1*4. Sanitation and plot plan approval El 15. City of Chico plumbing permit. -- Health Department. El 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: El 18. Contact Land Development about El Improvements, El Drainage, El Legal Parcel. El 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required Request to Building Inspector on El 2 1. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number - ----------------------- E123. Owner -Builder Verification (Given to owner El, Mailed to owner 0). -- 024. Letter of signature authorization - -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - -------------- 1126. Letter of intent on budding use - ------------------------------- 027. Manufactured Home utility clearance - ------------------------ 028. Existirg violations and/or expired permits - ------------------ i 029.1143-3 A utffant Deed 0 M P Tifl� [I r), 1, +_ U f, n (Date) - --------------- 1130 - Other 7es as follows 11 Mail to owner []Mail to contractor. T�rn YOU issue the permmiit pmpess �, fhlln.� �nmil Telephone and hold for pickup at /"pffice. 0 Do iver with inspector. A p p li r4 in t VAt 'VIL Date: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date: By Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: BV: 1. Index permit application for the above items numbered: —0 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division couriter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter', by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 Building Division counter, by Date: Plans reviewed by.- Date: Plans approved by: Da—te: Sets of plans on hold *in 0 Plan Cabinet, 11 A.P. folder. Note transfer by: Date: E.H. USE ONLY Plot Plan Attached Floor Flan A • _ Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Loc tion AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for - eOther � t /)er' �lvf � Hold final for: Final clearance O.K. for: NOTE: � I zka4=2 / S 9 - c)d Environmental Health Specialist Date .8/96 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ga;ifornia 95965 - Telephone 916/534-4541 R, AGRICULTURAL BUILDING EXEMPTION PERMIT e!?M 10 e Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEONO. /s ZONING ! s� l OWNER PHONE NO. Ile Q S OWNER'S A DRESS414 LOCATION OF BUILDING "_� USE OF BUILDING SIZE OF STRUCTURE x _30 = aD SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME L -STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �, FRONT_, X -I1 :9 !i_ SIDES �Jc REAR r - AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date '53 //'�- ler Signature of Owner c Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. `_ Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant ' COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ° PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. 4-1�0' CS�S�j Proposed Building Use Gf �J ��LV2 Building Inspector Date- At time of permit application, I was advised the following data must be submitted prior to permit processing and:/Or j.SSUanCe: 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. Plans with Energy Design Compliance Statement. . . . . 6. School District "Fees Paid" Stamp on Floor Plan.. 7 Statement of Intent for Non -Heated and AC Buildings, , 8. Fees of $ . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11, Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14, Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . , , , , , , , , , , 16. Mobi lehome Installation Data. . . . . . . . .. 17. Pre -Inspection for Re uired, Pre-Inspec. request to Required- Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: //Mail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other Applicant ate 8 P 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_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW vltil-y f i 11 OFFICE COPY Address GAS Meter By ELECTRIC Date Meter By cr Ile4 OFFICE COPY Address GAS Date Meter BY ELECT Date Meter BY 1't pCOL1NTY�OF E3!JTT.E DEPARTMENT OF PUBLIC WORKS , PERMIT NO. 7 County Center,Drive•� •Oroviiye, California 95965 - Telephone 916%-4 53454'11 w't* .,+y� " APPLICATION AND PERMIT A ASSESSOR PARCEL NUMBER I 4)o .-/5 _ < <- ZONING/ r BUILDINGIPERMIT 1OWNER Pt �nnl (1,�rr ` (� TELEPHONE 7;Z 'IV ::14, ;.Z.: SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS • `• i %N 2 �a L. h,, lAi. 0 r �Q /n CONTRACTOR'S NAME . l- 1w. C,,` TELEPHONE ... CONTRACTOR'S MAILING ADDRESS 1 \ Fireplace CONSTRUCTION LENDERUNKNOWN 1\)nr.lo d`` Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS - ` Permit Fee $ ARCHITECT OR ENGINEER , LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S M.A_► ING ADDRES ' t Penalty $ BUILDING ADDRESS A-,+ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 _Each Trap 2.00 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 j� USE OF STRUCTURE SF [_1Duplex❑ Mobilehome❑ Other '-"& � ,. �� �� SPECIFY Gas piping system 1 - 5 outlets / 5.00 5700 Building sewer 5.00 Mobile Home S G W 0.00 ea i TYPE OF WORK ,r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: /1/ S 4 G h "Ve -J. 'I ry• Permit Fee $ !� �+, Ld Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 10UO AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW ( I declare under penalty of perjury ((check one�:i ✓ ' � ❑ I' am licensed under provisions of Chapt. 9, Div. 3 of the Business my license is in full force and effect. and Professions Code: and' my License•No. r Classification I,' as the owner, Or my employees with wages as their sole compen- ' sation, will0o-tbe work,and the structure is not intended or offered ff rIsa e., (Sec: 7044) C� \ �v \ \ ❑ I, as the own xetu ively contr�cti c� with licensed contract- 1A � \ ors. (pec. 7044) k � cy :�� ❑r+-�i\an exen� nber, Sec: Bu�ine�and Professions Code for thi .�reason .' NEW CONST. DWELLING OCCUP.N` , OR ADDNS. ACC. BLDGS. / /20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. CCUp EX, D(OUTLETS OR FIXTURES eA 090t. FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service r. 10:00, , Mobile Home Facilities f / 1,15.00; r, - Misc. Wiring- _ �. ' ! ... , } • +'+ Permit Fee„ / x- "� $ Contractor-' '„' ,' _ f I l�` AAA -'C y. t WQ5KM W'S yO PENSATIO' INS A�1 °!z�\ � U Iicdec4are ander pen of �juA (f ec��o e`�� —�d T ,,� rmit is(fo $100.00 (valuation) or less.- .i� ❑I have placed -W le�with the ACountyti of Butte Buildrng Department � a Gertif)cate off WorkmerW&A*�at4on "urance or a Certificatelin of Consent'to Self -I ure r I'shiallknot-employ ariy7persontm any manner so s 7`1 ecome subject to\the W. C.(laws of California. r Notice to Applicant: If afterfniaking this statem ;Ahijilyl you become subject to the W..C. provisions of the Labor Code, you must forthwi`th-comply with succi provisions or this permit shall be deemed revoked. --. _ )' MECHAI41_CAQ PERMIT FiIingFee 10.00{'y _Heating " g l�"^' Hood 3.00 VV,4IiitioniY`�- ' ,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 against said County infccoons/e( uence of the granting of this permit. A y X ��Yl r1 J��/ /,�i4�LC.�J'/� •Of A b Date Signa ure of Applicant — Owner © Contractor ElAgent❑ An OSHANpQrmi~VI requiredtfor excavations over 5'0" deep and demolition or construct- ion of structu`r„es ovpg3 stof[es\r-height. \ Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �f} , v 3 Occup.CONST.TYP! r IFI-00111PARCELI PD 1 ND 1 139UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. � DIRECTOR OF PUBLIC WORKS By % /��! ✓/ Date C- PERMIT EXPIRES Date _X ! - yc7 Rece pt'Na l 4y ov WNIT!-D.P.W.. YELLYOw�/S"S'ItSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _..�� • r- ;� V .� Q _� 3 COUNTY OF BUTT -E ='DEPARTMENT OF PUBLIC WORKS PERMIT N0. , F. 7 County Center Drive;7,`Orovil*e, California 95965 - Telephone 916/534-4541 ��t` ,/ •: _ ,^ APPLICATION AND PERMIT X � ASSESSOR PARCEL NUMBER XyU ^ J S` -- S5 ZONING r BUILDING PERMIT OWNER f� kIPrNO,4 1 n 4 f,c. TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS /'7<, --r, br�.. y j' ' CONTRACTOR'S NAME 1 /1-1 142 PO K+ C TELEPHONE 3 'y 3 .y 76 CONTRACTOR'S MAILING ADDRESS t a U q J, r •+ 1 G 'k Fireplace CONSTRUCTION LENDER n/onA_ UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENG INEER`, ,` �� ry LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .6 /1l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex[-]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Q1, r 7cw A,. (,v �4L �� 4'0.,, �, ��,� p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 f � ' C^'� Oe r A' L l i T- Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50a�Q% W C TRACTORS LICENS LAW I declare under penalty of p 'ury (check one ❑ I am licensed under orof Chapt. 9, Div. 3 of the BUSInesS and Professions Code and my license is in full force and effect. License No. #2;)S30 Classification "10 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- f ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ADDNS. ( ACC. BLDGS. 2h4sgft NEW CONST" ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIS. Ex. Occup(our LETS OR FIXTURES 204P50 ALO SAL@30 FIXED APLNS. Ex. OCCup. OUTLETS PIRESID IREA.1 2.00 Temporary service 10100 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / • uu "Tw ,v0 Permit Fee $ S 1!J 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 E:1 1.Certificate of,Workmen's Compensation Insurance or a Certificate of Consent to Self -Insuree` +. ti I' shall not employ any rperson'in any manner so as to become subject i� 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save -,,indemnify and keep harmless the County of Butte against all liabilities, judg*Ients, coJt,s, and expenses which may in any way accrue against saj.6 County in.00nsequeR a of he granting of this permit. ��:, A _ X Date Signature of Applicant - 0 ner Contractor ❑ Agent ❑ An OSHA permit��requirecI4 r e pns over 5'0" deep and demolition or construct- ion of structvi�es�o.+ve�r 3tstco�resn Reig !� A Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT"FEE $ v��• r(� Occup, CONST.TYPE J FLOOD PARCEL P11 ND ISSUE This permit is hereby"___" sions of the Butte COu6ty 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 �v/+''yTF7 ^�.— .� ^ '�"A Receipt 135".7, WNITC-D.P.W.. YELLOW,-AS,s E SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive— Oroviiit,,e, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER I f' - P.5 ZONING BUILDING PERMIT OWNERff r�'. TELEPHONE S W J SQ. FT. OCC. BUILDING VALUATION OWNER.'S MAILING ADDRESS)) CONTRACTOR'S NAME LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ()L, �- CONSTRUCTION LENDER / - " ', UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $'0 ' ARCHITECT OR ENGINEER "0/- " '! " LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS J ( ( Permit fee $ f /, PLUMBING PERMIT Filing Fee 10.00 ! Each Trap 2.00 h 11 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 1 SF ❑ Duplex❑ Mobilehome❑ Other /<r r ✓1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other �- Describe work: F Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 S C t .3 �/ —Y 3 3 — Main service 100OOOOR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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- ontract- ors.(Sec. 7044) ors. ❑ I am.exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC UP.� New CONSTR.( A ) �z2sgft ULTBI.OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@ DL93030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 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 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 ,r ',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 liabilities, judgments;rycosts, and expenses which may in any way accrue against said County in c°ona ence of the granting of this permit. X u Date .- 191pl. �f Signature of Applicant — Owner ❑ ` Contractor ❑ Agent Elwhich � An OSHA permit is required for excavations over 5'0" deep and demo ition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE • �� �� OCCU P. CONST.TYPE __J___FIAOD PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for , fees have been paid. / 61RECTOR OF PUBLIC WORKS L//// 1 By /.' , f,: ;i %�' Date - --�.•: �' "' -, PERMIT EXPIRES Date Receipt No. (N - � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . ` p (4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A ES SOR ARCEL N"BER ZONING BUILDING PERMIT o / Ve 7 Jr, TE'4 PHRr�E� /t S0. FT. OCC. BUILDING VALUATION OW SPS,yt (LING R SS CONT�C/((`` R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Q CONS CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH) ECT ORENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES ,, TabG Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME jPARC`EL.AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other K. n SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR101 OR L LESS10.00 Main service EA. ADD'L too 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 1, as the owner, or my employees with wages as their sole compen- �Klsation, 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 OCCUP.5 , A ) h2sgft New CONSTR.� MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( 20®50t p OUTLETS OR FIXTURES DAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 againstoCCUP. all liabilities, judgment , osts, and expenses which may in any way accrue against aid County in o e7beftk cy the granting of this rmit. X Date Sign Lure of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion OF structures over 3 shoe es in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.TYPEJ -[—FL000 PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work Indic d above for which IRE P UB By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. RKS Date Receipt No. lk7 WHITE-D.P.W., YELLOW-ASSESSO , PINK -INSPECTOR, GOLDENROD -APPLICANT May 20, 1956 County Of Butte Department of Public Works 7 County Drive Orivi.11e, California 95965 To whom it may concern: The ceramic Art studio located at 1742 Tabby Lane is used for private ceramic work only. No commerical business transactions will take place at this residence. Sincerely, Vernon Patrick 4014 Cme, C9 JfNC Provide We of clearance protection and .a Type -A Flue. C -e- .69jpt 7-Awt,ie CA /f/ &A01r— y",Pz ��arl: �G OFvS�1'y Q0irc T* a B ZNf89/04L At no I e—No �,14nNG F,,p��Ri tNSu I.ArIF,,�.��/ C10WIN04! PROVIDE 7CPPROVED v AIR FOR Plem' nE R,oD I I I Nd1TE:=-�AII Material & Workmanship shall Be In A�orda c® with Rec nized Good Practices and of a qua 'ty prescribe for the' Specified use in the I Un�form uilding, Plum ing & Mechanical Coder, and I th, Naticl al Electrical Code. 1 I I I This set of plans and specification MUST be I I kept on the job at all times.and it is inlawful to I lmake any changes or alterations on so a witJaut written permission from the Departma t of Public' I Works, County of Butte. t � 1 1 . � � CipiE�JIW6 I I U+VSIM 4Lo xwsg4tr/NG I�iyeE�3¢/ciLs, C►-vOU A/ If AV1;t,E T*i -ft"5. DEPARTMENT APPROVED. If y� �s—,� veog aoN ,���ve't / "= /o x, �:,R�tll?3�a ��DUg7�iS 'abfV�'1� .'tri . *vY 31Cy\ Z ? fA:I-i >�0; A;A ni e� 1#�:5? �"s?iz:{�rrrs�»�A! �► sia�izct��4� #1;�►-�-:�TC:r� '�nr✓ a`'���t=a"s" �ijfit;� ►:�x.tf',i�t.:':Tk r#�l'.`t U��;..i:"Q��J't A tl! O?u L'=i�: %�'�,� fiat '{:'3�' �'3G�i1:?� ri'•t 1(�it[,Jt) is t0 ono �cxsac� ;;s�;r,�rt:a A za pn c lr{ki9 , jpr.;Siiu9 r viol;nU .rai)Cfti �KiJkit«"?�� itlTlrJii�� 3:�� d � �PY� �tkOt�'� t•l�J�tys ,;nti. 2 S�#t! IG lot 2kti1 a it cin; : 4 no ic;9i ,UoAti io nrnnrio Yra v iar,'s q 1C? fl{T'ti"kt5;�': rµ`S rc: t, 2irtiti9C4 CkStti�W - q q A- Rd VAGUE pxo5suea lo41*e Cfr!°AAWIC 64S 10441 1736 TitMY , 4Ai AW Ole �fl�tiw� GA5 GAS ' Ag�+p�" � 64s 1 oPIAvIA S 0 Doo oe %U1TE WGNMOM G� GILDING DEPARTMEM f�coo APPROVED L 4,S"w. x 36 04.'Y. I"/.P/R/G 5jW4 -- .2F "W. 33114, 4[L webs 9" r#ioe /,t/s'u c.4TA✓&F VE&'Moi✓ �e����uG / �� �O •� C45 SNE � 0#8 CE -e -fl e' Sip/o /7 L "X14- ( -T &" -/Alit ETEQ, Pvat WOOD tXxn wS B CEiQAN�� /s�jl/i%ils0o�t ,Dave 6:' Ce"Ic !oil's wop IAR" COUNTY -NUILDIMG DEPARTM 'APPROVE vexAma P*rvc , /'s G " CERAMIC GAS KILN 1742 Tabby Lane, Durham, Ca. Vernon Patrick DESCRIPTION: 30 cubic foot natural gas ceramic kiln for art studio. Cube shaped with a contained arch and down draft exhaust vent. Fired .by two forced air natural gas burners with safty controls. Firing.time 10 to 18 hours. TEIPEILITURE RANGE: (measured by proymeter) Interior temperature to 2300° Fahrenheit. (cone 10) Exterior temperature to 150° Fahrenheit. DD, ENSIONS : Exterior 6311w, x 54"1, x 7011h. Interior - 45"w. x 36"l, x 45"h. Firing space - 2811w. x-33111. x 4011h. CONSTRUCTION: - FLUE: Base - Cinder blocks on 2" leveling pad of fireclay and cement. 4' Transite layed on top of cinder blocks. Bricks - Floor made of High Alumina Firebricks. Interior walls made of K 26 Insulating Firebricks. Exterior walls made of K 20 Instlating Firebricks. Roof includes I" layer of Cer-vlool blank. 71' x 9" opening at base of kiln. Type A. flue pipe with roof cap 1t above building roof. Flue pipe has 8" interior and 14"•exterior. Damper l.acated 21 above the base of the flue. BURNERS: Two natural gas (Sun Burners) with safty controls. .56 to 1.0 millon B.T.U. Primary safty controls include; pilots, ignition start, fireeyes, solenoids, gas: pressure gauges and valves. 110 electoral po-wer. Burners to be installed by Don Buckman Inc. 830 Cherry Street Chico, Ca. 95928 M COUNTY WILDING DEPARTMEN11 APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ly ASSESSOR PARCEL NUMBER Ay 0,- 1 S' " SS . I ZONING BUILDING PERMIT OWNER, rNoeJ A 4r« TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS --T- b. ►.w.., 9s CONTRACT R'S NAM f owe TELEPHONE CONTRACTOR'S MAILING ADDRESS e O 6ate+ 'F` Get C J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR 71NEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �s� �NLAr Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New Addition❑ Remodel[] Utilities❑ Installation❑ Other❑ Describe work: t— ;?Oo A&4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 �, 0® Main service EA. ADD'L 100 AMP 2.50 T-0 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 Profession^s] Code and my license is in full force and effect. License No. �O ?S30 Classification e�10 ❑ 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.y OR ACDNS. ( ACC. BLDGS. 21/20sgft NEW CONSTR ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL930 eALa 30 Ex. Occup. OUTLETS P(RESID )FIXED APLINIS. REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mibi. Wiring 15.00 /15",00 ,00 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 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1K�/I 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 Coolin g Hood 3.00 Ventilation penult 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 Iiabiliti s, judgments, o ts, and expenses which may in any way accrue against a County in c s e of he granting of this pe mit. X1 Date Signature of Applicant — OwneContractor ❑ Agen ❑ An OSHA permit is required for a covet ons over 5'0" deep and demolition or construct-DIR ion of structures over 3l1stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC I I FrLOODJ PARCEL PD ND seuE This permit is heissued under sions of the Butte County Code and/or work indicated above . for which TOR OF UBLIC Ab BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date yin Receipt No. �P,/� O WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLEr- CAL,IFORNIA 95965 - TELEPHONE: 916/534-4541 -,.PERMIT APPLICATION DATA SHEET -' Permit No. OWNER 1 /,- A njta j A. P. No. y U Proposed Building Use Permit Fee Based Upon: Complete Contract Price L -----DPW Valuation Other (Explain) Building Inspector \J \ �.�`� Date �2 - 27–S -(- At 7–Ss(- At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED• APPROVED 1. All items have been submitted. . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner-Buiider Verification (Given to owner[], Mail to owner[].) 15. Improvements may be required. . . . . . . . . . . r�16. Mobilehome Installation Data. . . . . . . . . .. o - D C r •Pre -Ins ec. request to � 17Pre-Inspection for (��. 5 CL -n-,513. Building Inspector pd�018' . Recorded copy of Agricultural Acknowledgment Statement. 19. Other D:riyewav permit T41(cons t, approval. :raauired prior to occulaancv i When you issue the permit, process as follows: % Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant n6? 1�� DateG/�. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process,—the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER r rwrj 41', 1r TELEPHONE tis -^_6d S0. FT. OCC.. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT R'S NAMTELEPHONE CONTR CTOR'S MAILING ADDRESS D av,. + Get J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation -4$ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT pORYE Ny�fr INEER Y V b ' v ! LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1N �[*, ��� Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUREGas SF ❑ Duplex❑ Mobilehome❑ Other SPE IFY piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In lati ❑0 Describe work: c [_a.. Lv t+L k ce. ,�-e CONTRACTORS LICE LAW I declare under email of perjury penalty p l y (check fie). ❑ 1 am licensed under prov' ns of Chapt 9, DI 3 iness and Professions Code an license In II d effect. License No. n Cla si n El 1. as the owner, or my employees Ith s as t I sole compen- sation, will do the work,and the uc a is not intended or offered for sale. (Sec. 7044) '• I, as the owner, am exclusi ant ding with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 Main service EA. AOD'L 100 AMP 2.50 Vol NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. /20sgtt NEW CONSTR.MULT NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20630¢ e AL6 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 -Misc. Wiring PMobile .00 �L?U Permit Fee $ S O 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 Jlo 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 Hood 3,00 Ventilation Pe 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 liabiliti s, judgments, o ts, and expenses which may in any way accrue against a' County in c s wLace of he granting of this pe mit. Xpf Date Signature of Applicant — Owner Contractor ❑ Agen ❑ An OSHA permit is required fore Cavat ons 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 $ OCCUP. CONST.TY_IIPE FLOOD PARCEL PD NO 390E 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 faecelpt No. -5-P, wNitc•o.�.w., tuLow-wseRalS�--INSPpcTpA c—P1IclNY COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT] NO. ASSESSOR PARCEL NUMBER / _ ZONING BUILDING PERMIT OWN R // J! N PU irf'1 TELEPHONE S^916a SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ((�� fat N, 4.JeA r l'�a rh, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS fr(. Permit fee PLUMBING PERMIT Filing Fee 10.00 - iZ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00, 00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other �eocnti.A SPECIF���rO EI rc? Gas piping system 1 - 5 outlets 5.00 S-00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition R _R_'femod/el ❑ Utilities ❑ Installation❑ Other Describe work: S r, to .4 -c- - ye �Qar _ >k1r� N, Permit Fee $ 0d Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 /,sQsgft OR ACDNS. (ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t e AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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. ❑ 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. 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments osts, and expenses which may in any way accrue against it County in ence f the granting of this p rmit. X Date xx�� Signature of Applicant — Owner Ixl Contractor E]Agent ❑ An OSHA permit is required for excava ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ n TOTAL PERMIT FEE $ p -a occu P. CONST.TYPC I I FLOOD PARCEL 1 PD 1 ND ISSOE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR CTO F PUBLIC WORKS By Date PERMIT EXPIR S Date _ ^ ZI — 6 Receipt No.-igod) i O WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9 1i 4MIT NO. 2096-82B,E,M PERMIT EXPIRES t ! OWNER Wayne Bird CONTR. Wayne Bird, Durham ;. 5_.•:_ ASSESSOR PARCEL _-4 , "• LOCATION 1742 Tabby Ln, Durham (N/side Tabby Ln, app..900' E. of Lott Rd, Durham) r J ( L 't:'• .J r � Temp. Power Pole Called PG&E Temp. Elec. Service J Called PG&E p Temp. Gas Service 'I Called PG&E JOB FINALED (Date) f Signature t# 1 / i J = OK 0 = Not OK r - = Not Applicable MOBILEHOMES `� " MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) (ji, �Acept k 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4, Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.o:;,.tes 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance . 7. Elec. Card -BI Date Card -BI Date Card -BI ..Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Card -BI Date Date "POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7• Elec.; Bonding; Metal w/5'-Circulating.Equipment--'Heater:,•41 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig, Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI - Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL' (Single and Duplex) i. 'n Date UNDE LOOK Plans OK except #'s Date FRAMING Continued o ing requirements-Setbacks-Easementsla—Property Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth IQ—.Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3-.--Ftg., Garage; Soils -Steel- / /" Ftg. Depth -5113:-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ll r. --F Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-QFeekwM-Wrapped-Slab Siding-Nailing-Veneer -6,-8'temwalls, Garage; Steel-Blockouts-Wrapped-Slab -53- Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access "54 -Glazing Area -Glass Protection -Skylights -Plastic .�-�,�iers-Fia1RW4e-FT.-Steel O. U.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test -13-Sh ar Walls; Nailing -Bolts "97 -Gas Pipe; Size -Anchors 44rrWater Pipe; Test -Anchors -Regulator -Service Test Ly -IT.-Electric; Underground 12elPlenums & Ducts; Clearance -Material -Support -Ins. d4r-Girders-Sills-Anchor Bolts -Joists- - rip Card -BI < Da j Card -BI Date t CA rd -BI Date Card -BI Date a -BI Date Card -BI Date Card -BI Date ( Card -BI Date Date FINAL,(Plans) OK except q's Card -BI Date iJ. Card -BI Date Date PLUMBING (Permit) Oil except q's Ext. Steps -Door & Sidelight Protection -Landings . Smoke Detector _-44. Wetter Ht.; Vent- cess -Combustion Air ,5& FuuWgg;. +s -Clearance -Comb. Air-Connector- In Garage; Above Floor -Ducts -Meth. Protection ater Pipe- T . . Anchors -Nail Protection D.Wt tngs & Anchors -Nail Protection g I,-_gedroom Exiting Sh Pan; irst Floor -Tub Access . G.F.I. & Bath Fixtures & Tub Access Is -;--Test Tub & hower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels as Pipe; Size & Anchors t2:-'St&"s-S-R5aiIs mor Stove; Clearances -Hearth -64_-E4ee-.-Q...:ets at Wood Panel; Int. & Ext. -BI C\ Date L Card -BI Date 4S--14 6-F4xr & Appliance; Grnd.-Air Gap -Cooking Clearance CardCard ` Date Card -BI Date A6 --E a tlets & Receptacles at Kit. Counter Date LE TRICAL Permit OK except N's .53.-G2iTg-e Fire Door; Swing -Landing -Closer ,58.-Pr6-Bast in Garage -Damper W. Fixture & Transformer Clearance -Ins. Protection ts-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection tlr Elec. Receptacles Spacing -Lights &Switches at Doors „7n -P{{T-E{ec. & Mech. Equip. Listed for Location 4ize Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. ceptacles in Garage; (G.F.I.)-Romex Protec. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes &,4LA/jgD 64Z1,y� -+&.--eaard'-Rftft & D'eck Construction -Post Caps - --pe--Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -"Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No -?S7-l`VHvw rTTinstld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No .28, Service -Riser Conductors & Ground -Main Disconnect -76. 64neeo; grown -Finish Equip. Clearances; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet --- — -80-Clothes Closet Light -Shower Light its Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 4ell; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I -t- ---i- ()( Date Card -BI Date entilation throughout House 482-Mlass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except H's e9 -Corrections from Previous Inspections �g--st-Meters Tagged; Gas-Electric -4"--A.C. Ducts; Insulation & Support -p . eer & Sewer Connected -C/0 to Grade -HD Approval --.*- Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates --33- Condensate Drain & Overflow; Size & Grade fd3- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet -eel Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date G _V_iJ—ft? Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Car - I Date Card -BI Date Ca -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's 3 ills; Proper Material & Anchors _ _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound VBearing Walls over Girders & Floor Nailing__^_ Draft Stop in Walls (rat proof) _ _ p Fire Sto s; Furred Ceilings -Stairs -Chases -Tub t;�C�eader & Beam -Size & Bearing rs-Post Caps -Anchors -_Connectors Z� ing. Joist-Rftr. Ties-Purlin-Root Brac.-Tr Shthng.-Rfng <.44—Fireplace Ties or Type A Flue -Fireplace Throat Attic -Ac cess: _Size & Rom -ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47 -tarage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) I COUNTY OF BUTTE - DEPARTMENt OF PUBLIC WORKS PER NO. v 7 County Center Drive - Orovil.le, California 95965 - Telephone 916/534-45 J �— r APPLICATION ANDrPERMIT . A ASSESSOR PARCEL NUMBER ZONING BUILDING PERMITV OWNE r n v /L TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI NG ADDRESS CON R CTOR'S NAME i TELEPHONE CONTRAC O 'S M 1 G ADDR SS % Z ,l Fireplace C NSTREEUCTION L ND R UNKNOWN Total Valuation $ v Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A10 LICENSE NO. Plan Checking Fee $ O Penalty $ ARCHITECT R ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS N J, / PLUMBING PERMIT Filing Fee 10.00 / p Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF uplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel tilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 •O NEW CONST. C DWELLING CUP.01 S. NEW CDONSTRACC. I o NON.RESID BRANCH CIRCUITS) L 0sgft 2.50 ea 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 ful ,force and effect. �, I License No. 3 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 CONSTR ( POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 50 @ 250 Ex. Occup OUTLETS OR FIXTURES BAL@1 IXED APPL NS. OR Ex. Occup.ouTLE TS (RESID,) EA. 2.00 ( Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation , 00 permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 liabilities, judgments, costs, an expenses which may in any way accrue against sajd County in co equence` f the granting of this permit. X Date �y/ Signature of ApI Cant — Owner ❑ 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 $ TOTAL PERMIT FEE $ v OCcuP. GROUPTYPE OF CONST. PARCEL PD N / ISSyE `/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC BY PE E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �? Z Receipt No. TZ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ti. (00o() _ r c `PERMIT NO.1964-83B, P PERMIT EXPIRES !O/D`6i A j� OWNER WAYNE BIRD CONTR. Owner ASSESSOR PARCEL ' 40-15-55 LOCATION 1742 Tabby Ln, Durham _ ti 4 Y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ` Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature d -OK a 0 = Not OK' — = Not Applicable MOBILEHOMES =" MISCELLANEOUS * = Not Ready . I ; Date MOBILEHOME UTILITIES (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—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 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"fl./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s V 1. Setbacks—Easements 2, Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK y - = Not Applicable RESIDENTIAL (SBngle and Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access NJ _11-9. Gas Pipe; Size & Anchors 62. 63. 64. Stairs & Rails Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI D te, 65. Kit: Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI ELECTRICAL Permit OK except q' 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance- s. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. - Elec. Receptacles Spacin L isPL witches at Doors 70, Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Con uc rs apled 71. 72, 73. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps _- 23. Romex Installed Close to dg f Studs & C.J. - 24. Equip. Ground made up w/ ec IVFasteners-Bond Gas & Water 25. 2 Appliance Circuits in Ki & Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Holt Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -_ - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Plariters ❑Yes ❑No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels -Motors -Mach. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------------- Card B -I --- -------- Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except k's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 3_3. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI- Card -BI ------ -- - --------------------- Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _37. 38. 39. Walls; _-Studs-Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) 1 COUNTY OF BUTTE - DEPARTMENV� OF PUBLIC WORKS 7 County Center Drive - Oroville, California'S95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMI NO. r M ASSES50 PARCEL NU BE L[ -/57 — $R ZONING BUILDING PER IT OWNS R gyVE i3/ob TELEPHONE FT. OCC. BUILDIN SQ. FT. (A")LUATION OWNER'S MAILING ADDRESS CO TRfy[rfJ3•eAME 8/� TEkE�HON� CONTR//,,''JJC/�/�TOR'S MAI N�}(�DgES� �% b77 �{ Fireplace CONSTRUCTION ENDE% UNKNOWN Total Valuation $ �tioc%'G�'ti Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR (NEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR GINEER•S MAILING ADDRESS Permit fee $ BUILDI 7,,,Q Dpr SS ^ t r� '/`)'f/�G VK/}' N PLUMBING PERMIT Filing Fee 10.00 Each Trap 3 2.00 (9,7 Solar Water Heater 20.00 Water piping 5.00 5f0,0 LOT NO. SUBDIVISION NAME' PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 �( Mobile Home TSTG W 10.00 e TYPE OF WORK New Addition�y❑,MReemoodeel[ U,,t'ilitiie�s❑ Installation❑ Other❑ Describe work: ' 80A1 //N4111e�f%V Bl? -7# G/Ll/56� 9- Al( rJ� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR LE Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2,hQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): rL J 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) ❑ 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 CONSTR. ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR.POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. OccuP(ouTLErs OR FIXTURES 20@50c BAL®30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 liabilities, judgments, costs, nd expenses which may in any way accrue agai*sa*nty in conseque ce of the g nting of this ermit./* X Date Signant - 0 ner Contractor ❑ Age t An OSHA permrequired f r excavations over 5'0" deep an demolition or construct- ion of structures oovver 3 storie 'in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0ccuP. ROUP RJPA��E`1_1 TYP of NST. POall ✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORAF PUBLIC BY !OM I T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�'Z-7—P 7 iZ3� Receipt No. I0©%4// WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE:—All Materials & Workmanship Shad Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Cod% . and the National Electrical Code. f This set of plans and specifications MUST be kept on the job at all times and it is unlawful t1- make ;make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. SES 8P� 2c�i(o—. S2 p.,�pt�ic-��c.� :iJo-�-l✓s. o 0 BUM Cou N l Y BUILDING DVARTmNl APPROVPD rolg67i�i LEliC -h ' A/ 1 1 a r`'51RA19- EYi4 ff/n,c PA/2r. 1 i Q C. �tT.& Docse I f ( m in 0 C GdSE PK/577, m $U/U) AJ&W NAu Pf�'T7 r7atJ a r`'51RA19- EYi4 ff/n,c PA/2r. 1 i Q C. ( m in 0 Si `FACE F Al F (r rr 4.�t f 4 ♦ F }4 X F v F .. + - __j d 41 BATH 0 011-1 &* vooME 6 5 `f 3V I 3 y.o . a -' t .Install ke *Oor r fie. , T fa J fT: s ,. 7 .. . ,� •�. - • / F a f • i- /. -3 Si `FACE F Al F (r rr 4.�t f 4 ♦ F }4 X F v F .. + - __j d 41 BATH 0 011-1 &* vooME 6 5 `f 3V I 3 y.o . a 11 2123-79BP'E,M- PkRMIT NO. N, PERMIT EXPIRES OWNER Wayne Bird owner CONTR. 40-15-55 LOCATION (A.P. NIS Tabby Ln., app. 750'E.of Lott Rd. Durha Temp. P 7". er P ol Call d PG&E Temp Sery Called PG&E Te pjGas Serv. Called PG&E JOB FINALED Door Closer [/ `;�O «/ I Final Final NOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping % MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall` </ Soil Piping Forms . ::-Pa e s / 1st Floor Main Bldg. I 1 tt Restroom Finish 2nd Floor Footings k( (i Windows loor - 3rd Floor/1 Stemwa I I StemwaII tA Siding To out z �; 7 Slab Roof Sheathing Water Piping Zai' '7 9 PiersL( Roofing i Sewer r/ Garage V Fdn. Vents/ Fixtures Footings Garage Vents Water Htr. Stemwall Insulation > / Heaters L Slab Carport Footings % for sically i >han ex. structure Appliances L t Gas PI In & Test%rmaiise_n Temp. Gas Slab % Final -Sarr"Nilon Patio X FIREPLACE Final //"/ Footings Footing ELE TRICAL Masonry Walls Throat Z Rou h, Reinf. Steel Final t% Fixtures c/J Bond Beaci FIRE SPRINKLERS -_Motori� Framinq f Zy Test "I-, t� Stucco 97% Final ^1 Subpanels r/ Mesh MECHANICAL Gird. Fault Prot. L% Scratch HeatingService ' Brown Cooling '� Temp. Pole Finish Ducts Underaround Door Closer [/ `;�O «/ I Final Final NOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping % MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 2584-79B,E %PERMIT NO. PERMIT EXPIRES Wayne Bird OWNER CONTR. owner 'LOCATION (A.P. 40-19-99 ) NIS Tabby Lane, app.750'E.of Lott Rd., Durham Nt c ' y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) , (Sig lure) Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMEING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures " Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final g Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAI Masonry Walls Throat I Rough Reinf. Steel Final I Fixtures Bond Beam FIRE SPRINKLERS I Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final A MOBILEHOMEUTILITIES------------------ Elec- Service Elec. Pedestal Water Piping • Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be"made on this form each time you visit the job site.) RES IDENT IAL ENERGY CONSERVATION STANDARDS . CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT b (location) BUILDING PERMIT NO. Z/.Z3-72 A;P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. /v Fdn. Walls ffA Floors A( - Walls X- I( Ceiling/Roof 3-a Ducts Circulating Pipes APPROVED HEATER_ qW APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) �4 _ CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK'DAMPERED FANS INTERMITTENT IGNITION D!V CES CERT. APPLIANCES �C t I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Namemaj� Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name (pleas print) Signature of General Contractor/Owner Date State dontractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9 X Date ` Signat a of Permi ee or Agent Receipt No. /k?. -9 C/ - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP.OF PUBLIC WORKS By Date -(-X 7 - 7 1� B 'ding permit expires Date -.,?-7-Rn BUILDING Owner SQ. FT. OCC. BUILDING VALUATIO 1 262 Or4p 0,-_ Mailing Address a (� Telephone No. Contractor Mailing Address Fireplace 000 Total Valuation 4�(o Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 p p Each TraD 01.50,pd Repair drainage or vent piping 1.50 -42 `, o _ A. P. No. L� �-4s ��`� S Q'Z,- Zoning anIn Water piping 1.50 '-a Each gas water heater or vent 1.50 s Sa on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans arcel Declaration Gg� Parcef'Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. Plans Recd Parcel A roval Plans Approval • Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O� Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O C P. OR ADDNS. ACC. BLDGS. 2¢Sq ft y,Z� CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW NONRESID, BRANCH L hT .CONS BRANCH CIRCUITS 12.50ea NEW CON ST R. POWER APPARATUS a RESID. (POWER NON. ( OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 t I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q° 7.. ZO $ 71 Zi MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3,D d Heating 10044 07V 4• O O Cooling •r Ventilation y �� Hood Permit Fee $ 17,00 $ 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 Land Development Fee $ .0c TOTAL PERMIT FEE 7C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9 X Date ` Signat a of Permi ee or Agent Receipt No. /k?. -9 C/ - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP.OF PUBLIC WORKS By Date -(-X 7 - 7 1� B 'ding permit expires Date -.,?-7-Rn COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -1 BUILDING DIVISION ' r*7 County, Center Drive — 0rovilJe,G l prnia 95965 —,Telephone: 534.4541 a5 PERMIT APPLICATION DATA SHEET OWNER PV,5',e�X. Proposed Building Use .5�. Permit No. A. P. No. 13' 6_Z5 / Permit fee based upon: Complete Contract Price !v DPW Valuation Other (explain) f Building Inspector .9-1 40• //0( Date _� / �"' %cl 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for. Non -Heated & AC Buildings ................... 8. Fees of $ .......... 9. Letter of signature authorizati.on...........!...................................... Q /� 10. Sanitation approval from -' '`"�-® Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... , 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow) ................................................................................................. 15. Pre -inspection for required. Pre•inspec.request to 16. Other bldg. inspector (date) When you issue the permit, process as follows: - Mail to owner Mail to contractor. Telephone 3 14s' O-" ..and hold for pickup at Gds-®• office. Deliver w/inspection. Other Applicant f� ' (/� Date't� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone , r Mail Other By Date Plans checked by Date Plans approved by .,� Date J7� OTHER coov/DPW •' 4 Owner %Vp,YoJ6 &92-r Mailing Address FT,2 Contractor Mailing Address Building Address IU& k COUNTY.,OF BUTTE - -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —-Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT' Zs Telephone No. 34��z Telephone No. - Itl Single Family la Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License'No. Classification _ BUILDING V SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty_ Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 6001 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUR. N NON-RESID. % BRANCH CIRCUITS NEWCONSTR. POWER APPARATUS 6 NON -RESID. (SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXTIIRE: Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. f f 2ND FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 @ FEE $3.00 14 I certify that In the per ormance o t e wor or w Ich this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date U --7J lel Signature of Per2mitteee or Agent Receipt No. on 35 5-f White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ $a TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date a - 19 ing permit expires Date I —Z7— RQ V A. P. No.�� J CJS Zoning�'ning F s W'C. w Fire Dept. Fire Zone Use Permit EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Bldg. Plans Rec'd Parcel A roval Plans Approval NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ - Itl Single Family la Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License'No. Classification _ BUILDING V SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty_ Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 6001 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUR. N NON-RESID. % BRANCH CIRCUITS NEWCONSTR. POWER APPARATUS 6 NON -RESID. (SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXTIIRE: Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. f f 2ND FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 @ FEE $3.00 14 I certify that In the per ormance o t e wor or w Ich this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date U --7J lel Signature of Per2mitteee or Agent Receipt No. on 35 5-f White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ $a TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date a - 19 ing permit expires Date I —Z7— RQ �iCOUNTY OF BUTTE., DEPARTMENT OF PUBLIGWORKS BUILDING DIVISION 7 County Center Drive — Orov 0',.Ca vornia 9596.5 — Telephone: 534-4541 " ' d PERMIT APPLICATION DATA SHEET Ayoe , Permit OWNER A.P. No. o. Orl�j'—�� Proposed Building Use 0 f 71a � S F C) � 8P i"a at 23 --7ci Permit fee based upon: Complete Contract Price DPW Valuation Other. (explain) Building Inspector ( - ;' 4 � /i _ -- Date 5�7 % Z 7 fI At time of permit application, 1G�sa advised th,,e�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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..............................:...................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... .8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow).................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. -inspector (date) 16. Other When you issue th.e_pe_rmit, process as follows: 'ail to owner Mail to contractor. Ci Telephone "� �' D�and hold for pickup at f4, GU office. Deliver w/inspection. Other Applicant 7-7f Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date .Plans approved by Date OTHER: r..-... snow fiv r ..4 ✓J� JV OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Wayne Bird ADDRESS: Rt. 2, BOX 242 CITY & STATE: Durham, ,CA.. 95938 IMPORTANT: April 17, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit 03895-78B,P,E,M - Receipt #178536 - JBuilding permit fee ----- $178.00 i Amount of refund due ---. ---------$118.67 Plumbing permit fee ------$ 19.50.* RetcLin filing fee 3.00 --- ---+ ---- Amount of refund due --------------- $ 16.50 I� Electrical permit fee --- $ 60.20 Retain filing 3.00 e Amount of refund due•-------------- $ 57.20 i Mechanical permit fee --- $ 17.50 Retaim filing fee ------- Amount of refund due -------------- 14.50 Total Permits Fees Refund Due ----- $206.87 f LaU4 VevelopmenrRefund --- .0 — TOTAL REFUND DUE ------------------$231.87 , $231.87 TOTAL $231187 • I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriationor Specific Board Approval (Checkone) for the same. 17th Apr 79 Orovil e Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... • Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. I INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be 'itemized, giving 'dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or_delivered. Claims must be certified by the claimant -and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. , Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before ~preceeding Wednesday noon. .. Compliance with above will expedite -payment of- claim, failure to do so may delay payment considerably. •a 4.� 11f 6 33 P_ ao6.8� l0 8.33 V� 11 j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUAT IQ Mailing Address 63 1 00 Telephone No. Contractor r 11 j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ouuI—. VF/IV.VII .11 Voa UI 1110 "UUIILY UI OULLU LU V111,111 UPUII LIIC above-mentioned property for inspection purposes. X /Date Signotu of Permitee or Agent Receipt No. I:a 5-3G White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. > DIRECT F BLIC WORKS :�.i ar �� ate ll -,P— 7,P iding permit expires Date ll—� .7 /17 J BUILDING Owner SQ. FT. OCC. BUILDING VALUAT IQ Mailing Address 63 1 00 Telephone No. Contractor r Mailing Address_- `f'� Fireplace Total Valuation r T le hone No. � Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee 7 PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 = Each Trap 1.50 C) %g*.q Yprifcsfion belgl Repair drainage or vent piping 1.50 A. P. No ZJAS In Water piping 1.50 Each gas water heater or vent 1.50 F Jesl S t on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration bZ-� Parcel M 60' R/W Improve nts Each additional outlet .30 Building sewer 5.00 Bldg. ons Re 'd Z 'Parcel A roval I I Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ 9., CD is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c ' Main service &o0V OR LESS loo AMP 5.00 Single Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ -L 00 A Main service EA. ADD'L loo AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNS. C CCUP. Y\ 22sgft d�V CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y ��/ � �� Q /��� VA �/1 1// NEW CONSTRESID, BRANCH CIRCUITS NON -REBID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (POWER OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L� Ex. Occu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. � �� 7 � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �( WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE J$3.00 Q_b Heating Cooling Ventilation Hood 2.00 t®Q Permit Fee $ � $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ ©) TOTAL PERMIT FEE $© ouuI—. VF/IV.VII .11 Voa UI 1110 "UUIILY UI OULLU LU V111,111 UPUII LIIC above-mentioned property for inspection purposes. X /Date Signotu of Permitee or Agent Receipt No. I:a 5-3G White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. > DIRECT F BLIC WORKS :�.i ar �� ate ll -,P— 7,P iding permit expires Date ll—� .7 /17 J f r rte• . To' BUILDING DEPARTMENT From: E`1VIRONMENTAL HEALTH Re: Sewage and/or Water avid/or Addition Clea-rance(s) a!j U.e- 3 e Alls FK I o4 T U, V t wa A A es OWNER LOCATION AP# Plans are.approved for Sewage Disposal.. x Water Supply Hold up final for: Water Supply Final Clearance ok for:, J Water Supply_ Clearance is for a 3 bedroom (home or mobile home). Other The addition(s) will be ba to a �I' 7 �R • Date Zoning Use sed r APPLICATION WORK SHEET Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): Permit No. A. P. No. Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items'have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- /�Letter of signature authorization. Q= 7. Sanitation approval. ------------------------------------ 8. Planning approval for T' 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. Ot r ------ - Byry Date �s Bldg. nspecto During plan checking process, the following data or information must be submitt d prior to permit issuance: ly , 1. Index permit for items above and in addition the llowing: 2. Applicant advised by Telephone Mail Other 3. Plans checked by - Dat 4. Plans approved by %Dat Ls issuea, process as rollo Mail to owner. Mail to contractor. Deliver with inspection. Telephone for pickup @ 5. Other and hold office. Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtice Sent - A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other 0 Z4ll'-79B,P,E •� PERMIT NO. ' P PERMIT EXPIRES/ D v I OWNER Wayne Bird CONTR. nwnPr ' 40-15-55 LOCATION (A.P. ) NIS Tabby Lane, app.750'E.of Lott Rd., Durham Temp. PoHcer Pole Calle PG&E Temp. lec. Serv. t Cat'led PG&E Tem .Gas Serv. Called PG&E �0 B r FINALED fI (Date) (Signal e) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTION RECORD BUILDING - BUILDING (Cont'd) s5 � PLUMBING etback _2 % Final Soil Piping Forms FIRE SPRINKLERS 1st Floor Main Bldg. Test 2nd Floor Footings Windows 3rd Floor Stemwall Siding 2 To out Slab Roof Sheathing Z Z' Water Pi in Piers Roofing Sem—'-' 'Garage Ducts Fixtures Footings Stemwa I I Garag ee-V n s — Water Htr. Heaters ----- Slab Carport Footin s Prov. for n cappe structure A lianees —~- Gas Piping &rte Temp. as --- Slab Final Sanitation Patio FI KEPLACEI Final Footings . Footing EL CTRI AL Masonry Walls Throat dq Rou h S -, Reinf. Steel Final Fixtures Bond BegM FIRE SPRINKLERS Motets-- Framin 2 Test Water+ttr. "-- Stucco Final Subpanels Mesh MECMANICAL Grd. Faa1}-•Prot Scratch Heating Service Brown Cool Ing Temp-.Pofe-- • Finish Ducts Underground - Interior Lath Ventilation Permanen!— Door Closer Final Final MOBILEHOMEUTILITIE------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping �i4� DATE REMARKS OR CORRECTIONS_ ✓� 0& 7' (NOTE: An entry must be made on this form each time you visit the job site.) Silis--rro^e; tate»ie1 & �.r:c'zoi s Atuds—Nailed Pc Traced Pro-aer L Braces llhere Reouired Beari- tali s e-rer Girders .!C F1.ocr IN-ailing Draft Stom in ':.alls 'rat .roof; Fire Sto^ at Farred.Ceilines 'Stair Stringer Header Size d C.J. Size Joist 'Tar_=srs ;'here Reeuired kafter pies, Pilins E' Roof bracing 1 -Ayre PlN-vtood on Rcof Overhane attic Vents 1 Sidin _--`.:ailed Frorerl W. Stucco Meso Drir, Screed ec 'Foundation Vents ^russes r Fireplace iHes or Tyre -tic A Flue Crawl Hole to At &- Romex Protecticn ird6w--B2 a rcor^idoo sizest. . 1 . 1.6" Framing in Garage Firewall _ liv. Ext. Doors--Cr_e 3' - Ck Gara e if reg._ Ck Stairs ice' 2 -story &4 ost Cars & "-ichors 1 -Ayre PlN-vtood on Rcof Overhane attic Vents 1 Sidin _--`.:ailed Frorerl W. Stucco Meso Drir, Screed ec 'Foundation Vents 1:117 PING nns -,, t!ater J- re?�rirC 31 `"es on __L'r: :ire r Test c e a 1st loo y tub r;. Sl ower, 2.•d Ploor _ Gas Ties — Clewrance at 'Flush Zig rt Fixtures �. ylec. i -aced .I�rorl-erl-y *S12e Boxes'e_ ''•To. of Conductors ?:omex 1 --stalled Close to Edge of Studs & C.J. Equi G --curd rade up' u,/M-ech.-t-eners 21--liarce Circuits in Xitchen Sub Feeders---rro7er size s. Ue--Vlce--?iser Conductors & Gro,,,,.rd - . . I C�& Idl 12,/ 2-� -'2585-79B,E PERMIT NO. f PERMIT EXPIRES OWNER Wayne Bird _,�CONTR. owner LOCATION (A.P. 40-15-55 ) NIS Tabby Ln., app.750'E.of Lott Rd., Durhh i i i e Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB F I N A L E D -O�Aolzz (Date) , (Sig ture) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 'BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor ' Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOMEINSTALLATION --------------Support Elec.Continuity Water Piping Drainage Gas Piping DATE �q REMARKS ORCORRECTIONS ��i •!/� J 9,e111-- 767 t (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS v w 7 Cc•junty Center Drive Oroville, California 95965 Telephone: 534-4541 2 �+ APPLICATION AND PERMIT Owner 001J07 91 a -r> Mailing Address _7 Z Telephone No. v2 3 -02 Contractor 69 W A fo( Mailing Address Telephone No. Building Address Ad< %4f.{/K\-/ /4ev£' 40me. A. P. No. Lk — /J '� ZoMing & 60- Planning W S na t FireDept. FireZone Use Permit EQA I Parking Parcel p rovements Parcel Ma 60' R/W Im Plans Declaration p Bldg. Plan Recd Parcel 4,PO4al P I a pproval NEW [K ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobi I Home 0 Lr (5-7 _ BUILDING �� SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. AOD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: — NEW RESTCONBRANULTCH CIRCUITS) NON.RESID BRANCH CIRCUITS) =J NEW CONSTR (POWER APPARATUS&J NON.RESID. (POWER OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS v w 7 Cc•junty Center Drive Oroville, California 95965 Telephone: 534-4541 2 �+ APPLICATION AND PERMIT Owner 001J07 91 a -r> Mailing Address _7 Z Telephone No. v2 3 -02 Contractor 69 W A fo( Mailing Address Telephone No. Building Address Ad< %4f.{/K\-/ /4ev£' 40me. A. P. No. Lk — /J '� ZoMing & 60- Planning W S na t FireDept. FireZone Use Permit EQA I Parking Parcel p rovements Parcel Ma 60' R/W Im Plans Declaration p Bldg. Plan Recd Parcel 4,PO4al P I a pproval NEW [K ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobi I Home 0 Lr (5-7 _ BUILDING �� SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. AOD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: — NEW RESTCONBRANULTCH CIRCUITS) NON.RESID BRANCH CIRCUITS) 2.50ee NEW CONSTR (POWER APPARATUS&J NON.RESID. (POWER OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES BAL@@10 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LF� , aW [YI am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor A h' h I t b' d ' t 1' b' I't PERMIT FILING FEE $3.00 Heating Co e w Ic requires every emp oyer o e Insure agalns la l l y for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X& 9"11-14 xx Date 7 - 7 Signatu 6-f Permitee or Agent Receipt No.�� a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE Is It?j 60 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abover which fees have been paid. CT R OF ELIC WORKS B Dates Building perm t expires D to To: EUILDING =mm: E'N1V--IRON'.'q–.-N7AL HEALTH Sewa,,e and/or Ilater and/or Addition Clearance(s) WP e- 0 W.N., E -R LOCAT tON cps L rleas are approved for: Sewage Disposal -Water Supply.4 IX— :1.:,Id up final for: Water SupplySupply - Final Clearance ok for:' Wat-er, clear=,:e is for a. earcom (home or mobile home). O'her Idi vi -I a:M'itio--(s) will b I`COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Cent%r�eD;r $ 0roville,,,Qahk;r`—Zia 95965 — 4_fephone` 534-4541 L PERMIT APPLICATION DATA SHEET Permit No. OWNER ""�C A.P. No. Proposed Building Use Permit fee based upon: Complete Contract Price DPW Valuation Applicant ��?/� A/_ G Date 7" " �', I Y , Copy of plans sent Health Dept., Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans approved by UINth: 13 Other (explain) a Building Inspector (i,AaA, 1 �' �- ",� Date Z��7 At time of permit application/ I`�was advised the following data mustbe submitted pri6eto permit processing and/or issuance: v lJ DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. SIO. Letter of signature authorization. e . ............................................... r Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land ,Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for ` required. Pre-inspec. request to (date) bldg. inspector ;_M,,,5 5 if 16. V7n -5 Other Whe -you issue the permit, process as follows: Mail to owner Mail to contractor. �' ®Z �y G'fi G b Telephone and hold for pickup at office. Deliver w/inspection. Other it 4 Applicant ��?/� A/_ G Date 7" " �', I Y , Copy of plans sent Health Dept., Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans approved by UINth: ti CCS �"-v �R—✓�_TE C�i�,�/ c • CQUNTY OF BUTTE — P_EPARTMENT OF PUBLIC WORKS -7>; ounty Center Drive-; � Oroville, Californi&95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner UJAYuc-7 9 Mailing Address eq-, 2 &,mac Z�� lone No. t-3 -2-VO Contractor (_AV" e(j_., Mailing Address Telephone No. Building AddressNlS r . ° 7,JSa ` o I- fz0 A. P. No. Zoning & Pldnning Permit Fee @ F s W. Fire Dept. FireZone Use Permit EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rov ents p 1.50 F 1.50 Each gas water heater or vent Bldg. Plans R 'd Parcel AEerovol 1.50 PI s Ap royal NEW ❑ ADDITION n UTILITIES ❑ OTHER ❑ Single Family❑r Duplex ❑ Mobil Home ❑ Others (6c 07- -It()(---71 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification _ BUILDING _ SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee @ P I an Checking Fee &/or Penalty PERMIT FILING Permit Fee $3.00 PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /3c 0V Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD -L too AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMPNEW 1.00 CONS. I OR ADDNST % DWELING ACCLBLDGS.0 V� 2P Sq ft Z. NEW CONSTR. NON.RESID. MULTI.OUTL T BRANCH CIRCUITS) 2.50ea Ex. OCCUD(OUTLETS OR FIXTURES I'' "' BAL@1 FIXED APPLNS. OR EX. OCCU p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned proper for inspection purposes. is( Date — ✓ -7 gnature.�'of Perm ee or Agent Receipt No. .Q 355�__112: �; White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coolin $3.00 FEE Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is 2a; This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date B ilding permit expires Date i t' COUNTY OF BUTTE — DEPARTMENTS.OPP.p13L'.IC WORKS-,— BUILDING DIVISION i 7 County C3ent, D -rive — orov ll.e, C•aIttornia 95965 — Te,lephone: 534-4541 + PERMIT APPLICATION DATA SHEET )n �C - / Permit No. OWNER (�✓ �� A.P. No. S -/d Proposed Building Use O i rre,,,.% . 7v t 47r„- A,-� & g 4,(( —7 9 Permit` fee based upon: Complete Contract Price S= --DPW Valuation .11 Other 1plti),_ Building Inspector CSC Date7`79 At time of permit application, 11 was ad• wised the following data must be submitted prior to permit processing and/or issuance: �,} l/ DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... : Fees of $.................................................. X9.. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg. -inspector (date) When you issue the.perml , process as follows: Mail to owner Mail to contractor. `'Telephone "" yU and hold for pickup at G�� C�j office. Deliver w/inspection. Other Applicant Date5— " -7' 7f - Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No.` 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: i POOL GENERAL hpf Pi -Ad APPROVED SPECIFICATIONS Butte County DIRECTION Environmental Health SIZE 15 X 30AREAWO❑DEPTH 310� -� _CTL — SHAPE ZEA Date LINER (WA)N ITE PL.IrSTep— POOL CAPACITY 1q,Ol) U GALS. Signature PUMP U rR.h FLvu-) MOTOR H.F. 12 H.F. � LOCT & poop CovE ¢J FILTER -fI� fV L. ZQ( SQ. FT. Q ) 1 VACUUM LINE i SKIMMER I- n RETURN LINE 3 1 Lr• • �-�.._,�ysr:•.-�::<Es_-,r,.. 1 , MAIN DRAIN Z. Y2- (00) rr _ 1 s SKIMMER MODEL ' 7 2 Z -^S 1 l � -� BACKWASH LINE O I --� • OF 1/2" FILL LINE s ANTI SIPHON VALVE HEATER Q SIZE BTU 71� AND EQUIPMENT INCLUDING1 1� ----� 1 �� GASLINE BY: N VENTED BY: t— h RES r ROP ALL EASEME •yr•, I' r� . ��?� GI -1 11^A , � PLUV2111 — — - MumRES CLEAR 0VERHAt4GS SHALL �� `r"''`- t .. 1 LIGHT 5h1ti'1 G4 "2 ..r: ' RUCT'V3I (PHOT PLAN GI -1 ��i�l�s� � s. 5 Fr, FROM TFi�..r0 WITH Gilr►.. A SF -T BACK OF _— pFtOa 1Z -SI A` L COWIPLY W, "'RENT EDITION CLOCK Q.! 1- Fr. Fs?or THE cEe rt R 4E- st�NIDP = NECt U14!!� Alm UPC Cr + ELECTRIC BY: 0 FT. p5 OM. THE RO I �UtQ►s»tT pS�P'1` r ELECTRICAL BONDING BY: FkFECTIl� �fiRt3CTURES AND t FOR A2Ff•-EAVEoVEI*W413- �S POOL CLEANER OLhQI$ U0s CHLORINATOR L)ro Vv -1 BOARD — SIZE N 1 BOARD SUPPORTS y: 1�• \ LADDER — MODEL j water SLIDE k _- Color _ N"kup GRADING STUB PLUMB ❑ YES NO•� DECK BY: , pl-oo t 1 e h13 L I NOTES • SCALE 1/111" = V079 ylow E ELLIS A&E SU �.arJCt2t� +��L►L way , } I IL �l tJ1�p i'Z 0 e ir.n4 aat 'rtli Ii !C a 1 yrs' til #a 1 i�.. • a G:.:��{ '�t 1wa� :';�'.r.M cr on Ca+''330 }.i{.iZ°, c ! mrrh!en penrlscion frc.m the oppatwilt o rJT �jb0�� Workmanship Sh�,lj(1� i NOTE—All Materials & c' Accordance with Recognized Good Practices an , r the Specified use in the, G Plumbing « Men anlcai Uniform Building, -ind the National Electrical Coda• ((ZECl-I o1iS VCUSTOMER Tpoc YMl Dw6� Tz) 69—o — C 4+1 c.� H 1 wtoq . (F1~r Ls-->T-r F}OAf 14ar"IF- , 7'u az ti BUTTE COUNT 13UILDING DEPARTME'RTi" .APPROVED RE DATE SPA GENERAL SPECIFICATIONS SPA TYPE: MDL M DIMENSION: DEPTH: COLOR TOTALGALLONS SPA JETS TILE HEATER: PUMP i MOTOR: AIR BLOWER: GAS LINE: PLUMBING FOR SPA: ELECTRICAL: CLOCK: EXCAVATION: DECKING MISCELLANEOUS: SOLAR GENERAL SPECIFICATIONS SQ. FT. POOL SO. FT. PANEL PANEL TYPE PANEL SIZE NUMBER PANELS PLUMB RUN AUTOMATIC MANUAL THERMOMETERS BOOSTER PUMP SINGLE ❑ DOUBLE ❑ ELECTRIC BY: JOB N0. MAP BOOK N0. LEGAL DESCRIPTION "011 LOT NO. TRACT NO. BOOK—PAGE—BLOCK ESCROW CLOSE TENTATIVE DIG DATE PERMIT OFFICE OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION POOL AREA TO BE FENCED, BY OWNER PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY POOL OR SPA NAME UE'Z4JPAI-R-(CIC ADDRESS 742- _rfT66Li LAtJc CROSS STREETS LOTT- 2DA-0 RES. PHONE 345 -C? LZZ. BUS. PHONE - 533 / PERFECTION 897 co, ca 5928 STREET (916) 895-0437 � License #566654 DWN BY. r' DATE CK'D BY. DATE I NOT TO SCALE DEEP OOO ENDSHALLOW END 3 z Y y �, UNLESS OTHERWISE SPECIFIED: POOL IS 3 SHALLOW TO % DEEP ECEIVED A COPY OF ��,19�5�-�9 ';oROVE 7HAVE LAN AND HEREBY POOL AND PMENT LOCATION ((ZECl-I o1iS VCUSTOMER Tpoc YMl Dw6� Tz) 69—o — C 4+1 c.� H 1 wtoq . (F1~r Ls-->T-r F}OAf 14ar"IF- , 7'u az ti BUTTE COUNT 13UILDING DEPARTME'RTi" .APPROVED RE DATE SPA GENERAL SPECIFICATIONS SPA TYPE: MDL M DIMENSION: DEPTH: COLOR TOTALGALLONS SPA JETS TILE HEATER: PUMP i MOTOR: AIR BLOWER: GAS LINE: PLUMBING FOR SPA: ELECTRICAL: CLOCK: EXCAVATION: DECKING MISCELLANEOUS: SOLAR GENERAL SPECIFICATIONS SQ. FT. POOL SO. FT. PANEL PANEL TYPE PANEL SIZE NUMBER PANELS PLUMB RUN AUTOMATIC MANUAL THERMOMETERS BOOSTER PUMP SINGLE ❑ DOUBLE ❑ ELECTRIC BY: JOB N0. MAP BOOK N0. LEGAL DESCRIPTION "011 LOT NO. TRACT NO. BOOK—PAGE—BLOCK ESCROW CLOSE TENTATIVE DIG DATE PERMIT OFFICE OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION POOL AREA TO BE FENCED, BY OWNER PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY POOL OR SPA NAME UE'Z4JPAI-R-(CIC ADDRESS 742- _rfT66Li LAtJc CROSS STREETS LOTT- 2DA-0 RES. PHONE 345 -C? LZZ. BUS. PHONE - 533 / PERFECTION 897 co, ca 5928 STREET (916) 895-0437 � License #566654