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040-214-004
1, -- — ---AP 40-2U4-04 Mrs. V. Fry _ 235 Durham -Dayton Hwy,, Durham '�• , Permit 4741-75B (rer of &install Franklin fireplace) x 40-214-4 u �� Permit #5335,-76B,P(replac windows, porch posts,gas pipe to fireplace/SF) 40-214-4 - dike Harris � 0„� 2413 Durham -Dayton Rd., Durham � Permit #6019-80B(install nne _fourdation/SF) P7?v o �; 40-214-4IrO Permit #318-81B,P, MIremode /SF+•" I,' r-' t X40-2 4-04 ermit#992-81B fistall s ,cco)SF 40-2-14-4 Permit #679-alB,E(add deck storage room/SF) Permit 1988-91E 40-214-04 (underground electric/5f) s -y-9 2- 4;� 640-21-4-004 92-0780 HARRIS, M.J KE CONTR: HOLIDAY POOLS 2413 DURHAM DAYTON HWY, SWIMMING POOL 040-214-004 04 - HARRIS, MIKE i LE 2413 DURHAM -DAYTON, D Cont: GREENE ROOFING Z REROOF 4 � d BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecciunty.net\dds PERMIT NO. BP041378 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 05/14/2004 APN: 040-214-004-000 effect. �� x_39 License Number: License Class: 2 750 Date:.�f 0 Contractor: S ON Site Address: 2413 DURHAM DAYTON HWY DUR 41"' Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: TEAR OFF & REROOF W/ COMP Contractors' State License Law for the following reason (Sec. 7031.5 SHINGLES(28 SQS) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of Owner: HARRIS MICHAEL &KATHY the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 312 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95938 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GREENE & SON ROOFING such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 2467 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of PARADISE, CA 95967-2467 sale.). 530-873-3940 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: GREENS &SON ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code PO BOX 2467 Date: Owner:Or PARADISE, CA 95967-2467 530-873-3940 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 275057 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: - artier:_Policy#: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #:/ 19 L ❑ 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date: _ r% Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor I code, interest, and attorney's fees. a CONSTRUCTION LENDING AGENCY This permit' ereby issue under the applicable provisions of the Butte County Coda ?nrUer I hereby affirm that there is a construction lending agency for the Resolutiop�to do work j71r to above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: `y t v PERMIT EXPIRE ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Q Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection purposes. �O Print Name: Signature:o�_' Date: ❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041378 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/14/2004 APN: 040-214-004-000 the Business and Professions Code, and my license is in full force and effect. 2 750�� License Class: �-3 License Number: Site Address: 2413 DURHAM DAYTON HWY DUR � �? Date: 1 -D contractor: ee{/Pi9/✓ �/J Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: TEAR OFF & REROOF W/ COMP Contractors' State License Law for the following reason (Sec. 7031.5 SHINGLES(28 SQS) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: HARRIS MICHAEL &KATHY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 312 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GREENE & SON ROOFING such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 2467 year of completion, the owner -builder will have the burden of PARADISE CA 95967-2467 proving that he or she did not build or improve for the purpose of . sale.). 530-873-3940 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: GREENE & SON ROOFING pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code PO BOX 2467 PARADISE, CA 95967-2467 Date: Owner: 530-873-3940 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 275057 131 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 Architect: tA!T required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. ` Policy#: / / �� �� ❑ I certify that in the performance of the work for which this permit is Valuation- $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: i Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor ' J code, interest, and attorney's fees. 1 ���I(�✓1 �` V CONSTRUCTION LENDING AGENCY This permit' ereby issuA under the applicable provisions of the Butte County Coda antt/or I hereby affirm that there is a construction lending agency for the Resolution to do work ' di to above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY r Date: r D'� Address: PERMIT EXPIRE ON: % Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte to enter upon the above mentioned property for inspection purposes. /County f� Print Name: ` � CEJ �e�(%� Signature:of ` Date: , 7 — O 0 Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP V r-) 37� DATE: APN: (� OD ZONING: OWNER'S LAST NAME: AIA70y-;S OWNER'S FIRST NAME: ?));,k 0- / kil fkq PHONE: Sq I- d32 8 STREET AI]NS: FAX: E-MAIL: CITY, 21P: 5 SITE ADDRESS: CITY. zIP: 2413 A to/v V NEAREST C13OSS STREET i TRACT/LOT it APPLICANT NAM5 PHONE: 3 9 41.0 STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: /-Sax-, PHOD71-3 I o STREET ADDRESS FAX, CITY, ZIP: I d, sv E -MAIL: LICENSE NUMBER: I 17 6067^ LICENSES PE. C� ARCHITECT/ENGINEER NAME: PHONE STREETADDRESS: FAX - CITY, ZIP: SE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: P�Ybo� 2 9 ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: C Application Received by: � Date:�J fc ( '0 / Receipt number: (✓� (�5� (� Amount Received: Master application 34.04 4�01E IAL �Q - , 040-21-4-004 ' 92-0780 r HARRIS, MIKE CONTR: HOLIDAY POOLS 2413 DURHAM DAYTON HWY, DURHAM SWIMMING POOL i JOB FINALE Signature -J OK O=Not OK = Not Applicable Not Ready RESIDENTIAL = Date, UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- --- - ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- ----- - ----------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------------- - ---------------- 19. Shower Pan: Test, First Floor -Tub Access ----------- - ------ ------------- 20. Test Tub & Shower, Second Floor -Tub Access -- -- 21. Gas Pipe: Size & Anchors Date -----------Card B-1---------Date------------Card B-1----------- -------------------=-------- ----------- -- ------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's --- - - 22. Fixture & Transformer Clearance --Ins- Protection ----------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------- ------------------------------------- - 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------ ---- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------- --------- ------------------ ------------- --- 26. Equip. Ground made'up w/Mech. Fastners-Bond Gas & Water ----- --- -- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - -----------------'------------------------ 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------ - Range Circ./ r ----------------------------- 29. g ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. -------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - - - - -- --------------------------- --- - 33. Smoke Detector -------------------------------------------- --------------------------------- Date Card B-1 Date Card -B- 1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except n's 34. -A. -C. -Ducts Insulation & Support ------------------------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation --------- - ---------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----- --- - -- ----------------------------------------------------------- ----- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - --- --- --------------------------------------------- 38. Attic -Access -& Platform if Furnance in Attic ------------------ --- ------- - ------------------------------------------------ --------------------- .Date Card B-1 Date Card B-1 -----------------------13- --------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors 40.- Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ----- - -------------------------------------------- - 42. Draft Stop in Walls (rat proof) ----- - ---.-- --------------------------- ----------------------- 43. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub - --------------- 44. Headers & Beam -Size & Bearing Single & Duplex) Date' FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. --- 47 Fireplace Ties or Type A Flue -Fireplace Throat clearance - 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing - - --- 51. -Property -Line Firewall & Openings 52. Ext_Doors_One 3' -Check Garage -3rd Story, 2 Exits - --- - 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _______ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------- 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------^ _Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Date FINAL (Plans) OK except a's -------61.-Ext. Steps -Door & Sidelight Protection -Landings --------------- -- 62. Smoke Detector -------------------------�-- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------ ------------- 64.- Bedroom ------ --------64.-Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa - 66.-Elec_ Trim & Sub_panel: Breaker Sizes & Labels 67. Stairs & Rails ----------------- - ------------- - 68. Fireplace or Stove: CIearance_s-Hearth ---------------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ------ -70.Kit Fixt_ -------------& Appliance; Grnd_-Air Gap -Cooking Clearance 71.--Elec.-Outlets -& -Receptacles at Kit.--- Counter ------------------- ------ 72. Garage -Fire Door Swing -Landing-Closer 73. A.C. Duct in Garage -Damper --------------------------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location ------------ 76.Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;.- Insulation -Foam -Looked in -Attic ❑ Yes --------------------------- - 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------ -- _ 81. Stucco Brown -Finish --- - 82 A.C_Unit: Disconnect_ Electrical, Plumbing -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -- - - - -- --- -- --------------------------- -- 84 Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - 86. Ventilation Throughout House .------ ---------- ------------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections ----- - ------ ----------- 89. Gas -Test -Meters -Tagged: Gas -Electric _ 90. Water & Sewer Connected -C/0 -to Grade -HD Approval 91. Energy -Compliance -Certificate. -Other Certificates - ------------------------- Date .............. Card -B:1 -Date-- __--.-------Card B-1 Date Card B-1 Comments at Final: Date _ Card B-1 Date Card B-1 Date Card B-1 J•= OK O : Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8, Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Setbacks -Easements 2/Sc'oils; Compaction -Structure Stability I3. ooI Structure; Steel -Connections -Thickness Pead Men-Lining Pec.; Receptacles and Lighting, Distances-GFIReceptacles and Lighting, Distances-GFI EI .; Pool Lighting; 15 volts-GFI C Iec.;Enclosures; Conduit Entries -Terminals -Listed 7,,"Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8>. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 1 b.; Cir. Test -Water Supply Test t_kc_uu r jj ?c4 w, Date !Kjj�� Card B-1 �9 Date ((_ �. �Z Card B-1 GG Dae � -67 -61?Pard B-1 Date Card B-1 �13vl5 rl 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /-Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8, Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Setbacks -Easements 2/Sc'oils; Compaction -Structure Stability I3. ooI Structure; Steel -Connections -Thickness Pead Men-Lining Pec.; Receptacles and Lighting, Distances-GFIReceptacles and Lighting, Distances-GFI EI .; Pool Lighting; 15 volts-GFI C Iec.;Enclosures; Conduit Entries -Terminals -Listed 7,,"Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8>. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 1 b.; Cir. Test -Water Supply Test t_kc_uu r jj ?c4 w, Date !Kjj�� Card B-1 �9 Date ((_ �. �Z Card B-1 GG Dae � -67 -61?Pard B-1 Date Card B-1 �13vl5 rl COUNTY OF BUTTE v DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE V- NN20,15 01 a -7-Po 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. NL \1 Ig'j N - IT 1iJtNL- \t-%ZrMll il7z)'n� W/In/ I (72 C C),h i= � �.I ��iLC c• M\t� i � • Date G _ 7- Inspector v REV 11!81 fti't s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. `0 � [lyd i ASSESSOR PARCEL NUMBER 040-214-004 ZON NG1 P- .- ' BUILDING PERMIT OWNER MRi NG TELEPHONE 891-0328 SQ. FT. OCC. BUILDING VALUATION Est. 15 000.00 OW MAILING ADDRESS 2413 Durham Dayton Hwy CONTRACTOR'S N AME Holi343-8245 TELEPHONE CONTRACTO 'S MAILING ADDRESS 1170 E. Lassen Ave., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$15,000.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $135.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $1 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other Pnnl SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities [:J Installation❑ Other X❑ Describe work: New Pool Inside Existing Pool _ Permit Fee $22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 ProfessionsCodeand my license is in full/fQrce andeffect. License No. �-3 ��a7 Classification C./ _— 5:+ 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 Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADONS• 1 ACC. BLDGS. NEW CONSTR ULT' -OUTLET NO N -RE SID BRANCH CIRCUITS @ 5•00 ( POWER APPARATUS &) SINGLE OUTLET C'R. Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED APLNS.❑ EX. OCCUp. OUTLETS P(RESID )REA.1 I 3.00 Temporary service 15.00 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. Z I have placed on file with the County of Butte Building Department I 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of e g anting of this permit. X Date Signa r of Applicant — Ow ntractory Agent An A Pte is required exca ons over 5't1" deep and demolition or construct- io structures over 3 stori in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE 5190 HAz OFEES IMP FLOOD CDF PARCEL PD HD Is E This permit is hereby issued under the applicable provi- cions of the Butte County Code and/or resolutions to do work in icated a e fo . - fees have been paid. I R OR PU IC WORKS BY D to PER IT EXPIRES Date Receipt No. ,� f WHITE-D.P.W., YELLOW-AS.4..... PINK- PECT , GOLDEHR D -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION y 7 COUNTY CENTER DRIVE - OROVftLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AF�RLItA 10N`DATA SHEET Permit No. OWNERA G / �i✓ Of- Proposedc� . P. Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form ......................................... . 6:, Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation eructions....................................................... ees of $ 'imo Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. Sanitation approval from �/ G O Health Department ity of Chico plumbing permit ..................................... 16. Plo I in and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) , , , , 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process s follows: Mail t owner. Mail to contractor. Telephone 2- and hold for pickup atCoffice. Deliver w./inspector. Other �,., p Applicant Date -3 Copy of Haz-Mat form sent Health Dept. Ire Dept. - �r'011utjO5`n Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted pqor to per ' issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: o 6 Contractor, designer, owner, was advised of above required data by_phone_inall_counter/by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_counteyby date Plans checked by Date Al2,Slg2 Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-75di APPLICATION AND PERMIT PERMIT NO 9.1, -0�78"p ASSESSORP RCEL NUMBER Q - Z - QO ZONING • BUILDING PERMIT O WN� �� T LEPHONE SO. FT. OCC. BUILDING VALUATION O ER'S MAI ING AQORE CONTRACTOR'S NA3E T LEP ONE CONTRACTOR'S MAILING ADDRESS / ioO Fireplace CONSTRUCTION LENEI�_ _ UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ z06) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME • PARCEL MAP Water piping 7.00 ,L7 Each qas water heater or vent 7.00 USE OF STRUCTURE FSFO Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Duplex❑ Mobilehome❑ Other Mobile Home S G W 615.00 SPECIFY TYPE OF WORK New❑ Addition❑r,.R,emodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Vl W ���L ���/OG X57— Permit Fee Contractor $ Q ELECTRICAL PERMIT Fil' Fee 15.00 V OR LESS Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code d my license is in full forc1ee a d effect. License '40.�� Classification —_ ��✓ ElI, as the owner, or my employees with wages as their sole compen- Main service 20CATO IOOOAI NEW CONST. / DWELLING OC P.&) OR ADONS. \ ACC. BLDGS. NE" w CONSTR. .ULTI.OUE NON.R ESI D. BRANCH IC ITS RT POWER PARATUS e1 SINGL OUTLET CIR. Ex. Occup OUTL TS OR FIXTURES EX. OCCUp. OI t ETP PRESI D.)RE A.I 37.50 3.5Csq.ft. @ 5.00 AO 75d 1 3.00 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) Temporary 96rvice Mobile HIme Facilities Misc. irin 9 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. 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. Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and a penses which may in any way accrue against said County in co equence o he granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ I o� O0 I HAz 0FEES IMP FL000 CDF PARCEL PD HO ISSUE X Date This permit is hereby issued under the applicable provi- Signor If Applicant —0 Contractor ❑ Agent F-1sions ion st uc ermiurestover rep sstora In he yhr'.ions over 5'0" deep and demolition or construct - '.n of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R OF PUBLIC WORKS Receipt No. Q I -D By PERMIT EXPIRES Date Date WNITE•O.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �75 PERMIT NO. 4741-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Mrs. V. Fry .CONTR. owner jLOCATION (A.P. 40-214-04 I 235 Durham -Dayton Hwy., Durham 'FI&EP1,A.cc � n Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E JOB FINALED_ (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t 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 Sidinci To out Slab Roof Sheathing—�_Vater Piping Piers Roofing a -Sew er Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov: for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas 1 I FootingI ELECTaICAL FIRE SPRINKLERS Stucco Final Subpanels Mesh M CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS /v7,?D /` Kufs°1r/-' cogs d s-� t/etiT d ty ? E,ri'sT,Ki Gr�l�/l �"/ve ter.•' 74 4w j%! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT s� auuwnc re resentauves or the county or twtte to enter upon the above- enti ned property for inspection purposes. �%� Date r Signature of Permitee or ge Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date_<' eildingzpermit expires Date BUILDING OwnerSQ FT. OCC. BUILDING VALUATION o UO O Mai I i ng Address / _T elephone o Fireplace Contractor ('_ Total Valuation ®,40 ecy Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address U O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 lit% (' . r /C} Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _, _ © <7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es W. _-_m eti6li Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ;R ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family EZ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ballii1r, Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. X\ I certify that in the performance of the work for which this ,\ permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State�aws relating to building construction, and hereby TOTAL PERMIT FEE $ t auuwnc re resentauves or the county or twtte to enter upon the above- enti ned property for inspection purposes. �%� Date r Signature of Permitee or ge Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date_<' eildingzpermit expires Date �3 ,53 _ 5,335-76B P. 17 Val r - q PERMIT NO. � PERMIT EXPIRES OWNER Jim Fry CONTR. owner LOCATION (A.P. 40-214-4 235 Durham Dayton Rd., Durham o x30 /Olt Temp. Power Pole Called PG&E Temp. Elea, Serv. Called PG&E Temp. Gas Serv. Called PG&E ' JOB FINALED4 (Date) t� (Signature) rn Framing Test Water Htr. 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 DATE REMARKS OR CORRECTIONS 07-/- 71 4/o � /'%�osLi�� � rT �r/,'l/ CG // �� ��v�/ �•cr ���3 o%�s (NOTE: An entry must be made on this form each time you visit the job site.) • i 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 Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer 'Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat _ Rough Relnf. Steel Final Fixtures Bond Beam_ FIRE SPRINKLERS Motors rn Framing Test Water Htr. 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 DATE REMARKS OR CORRECTIONS 07-/- 71 4/o � /'%�osLi�� � rT �r/,'l/ CG // �� ��v�/ �•cr ���3 o%�s (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPA-RTMI NT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuivncc representallves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. HtNDate Per itee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF OBLIC WORKS Bye Date m �� ( -2 is Bui tng permit expires Date -` �7 / BUILDING Owner !�1 Y SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address P. O Z30 V, "Z 9 •� Telephone No. 3 0 Fireplace Contractor Total Valuation �Dc• �0 Mailing Address V e� Permit Fee p Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ S ®Z Building Addressr— PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 51.00 Each Trap 1.50 Repair drainage or vent piping 1.50 U_ v M Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. a / �,/ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Serttle FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Declar tion I Parcel Map 1 60' R/W Improvements Lawn sprinkler system 2.00 BldgE21 =R-&c'd Parcel Approval Plans Approval Permit Fee $ j0 02 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (� .� C 1 V vuJ S Il �LaA G G. Man servce 600V OR LESS ii100 AMP OR LESS 5.00 7--�L FJVCh P&$7s - i',_,9 :5 P1 Y3 e- TO FIre 1l -AG- Main service EA. ADD•L 100 AMP 2.50 Single Family 14 Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NO N.R ESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� Ex. Occup.FIXED A00 PP LNS. OR (OUT LETS (R ESI D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring +6L.5 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 No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE auuivncc representallves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. HtNDate Per itee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF OBLIC WORKS Bye Date m �� ( -2 is Bui tng permit expires Date -` �7 / FILE IM40 'j, OWNER �A,1 �' / AP NO. At time of permit application, the applicant was advised the following data or information must be submittedprior to permit processing and/or issuance: 41/1. 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 $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for " 18. Other Date 5R- Zz'-`?� —Bldg. Inspector aaaaaaammaaamammamoammamaaamaammmaamaaaamaaaaaaamamaaoaaamaooaaaaoaoaamemmaaaaaamaaaaavmmsmaam�ma When permit is issued, process as follows: Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other aaaaaaaaaaaaaaaaaaaaaaaaaasaaaaaaaaaaaaaaaaaaaaaaaaaaa-aaaaaaa-aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to'applicant. We need 4. Pre -inspection for 5. Other NOT verified. (Index) 6. Plans checked and/or approved by Date zeooea.aaaaca=aaeacoa==eeoea�acoaao=oaaeooao-aasaaaaaaaaaaaaaaaoaaaaamamaaaommaaaaamavamoaavaama: Additional Processing or Notes: /mal//l s iso v e. �►V � r .� -4'-cD —00`/ C`ouyo�Y�� Ly G OFFICE OF THE DISTRICT ATTORNEY FAMILY SUPPORT DIVISION inty Center Drive - P. O. Box 1108 - Oroville, Ca 95965 Telephone (916) 538-7221 Sa ite Count OF NATURAL WEALTH AND BEAUTY RAMSEY ttorney HOWARD W. ABBOTT Chief Deputy District Attorney Civil =_garding the father of your child(ren). pr's Declaration and a Mother's iter into a Stipulation for Child and complete them as accurately as 3 sign the documents and return them to F, fvt�-� c7w �� fj�2Cu� r W oft pv� L PERMIT NO. 679-81B,E PERMIT EXPIRES- OWNER XPIRES OWNER Mike Harris CONTR. owner ASSESSOR PARCEL 40-214-4 LOCATION 2413 Durham Dayton Rd., Durhaa Temp. Power Pole 4 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E / JOB FINALE[ Signature = OK = Not OK = Not Applicable RESIDENTIAL )Si6gle dnd Duplex) = Not Ready Date UNDE OOR Plans OK exce tk's Date FRAM I Continued oni 'g requirements -Setbacks -Easements 4p--PropqLjy Line Firewall & Openings g., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits ge; Soils -Steel- / /" Ftg. Depth S Headroom -Rise -Run -Landing -Fire Protection tg. orches & Decks; Soils -Steel- / /" Ftg. Depth o on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab Veneer w arage; Steel-Blockouts-Wrapped-Slab -Drip Screed-Fdn. Vents-Underflr. Access i, -Fireplace Ftg.-Steel zing Area -Glass Protection -Skylights -Plastic Sa:4-Fittings-Test-2 way C/O -Sewer Test 2�-chPar Walls; Nailing -Bolts 9. jaac..Ripe-Bite-Anchors est-Anchors-Regulator-Seryice Test tl-r Electric, rground ucts; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date ` Card -BI Date Date PLUMBI G (Permit) OK except q's 57. Smoke Detector 14. Water)(t.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water P e; Test & Anchors -Nail Protection 16. D.W.V.; st-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Nower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size*Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 207. FIXTure-3-1 ransformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection e eceptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 24---9_1zV1eres & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2&-11&T.nstal led Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 Insulation-Foam-Looked in Attic ❑ Yes 733.. Guard Rails &Deck Construction -Post Caps 25. 2 Qtpp0@o9& 66 in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ubfeed Wire Size IkZt-ga Cu r AI -A. ga. Cu or Al ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No Stucco; Brown -Finish Riser-eonductors & Ground -Main Disconnect quip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 right -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79, 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B- Date Card -BI Date Card B -I Date Card -BI Date 82. Glass Protection Date M HANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. .C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. V6Qt Fan; Exhaust above Insulation _ 33. Con ensate Drain & Overflow; Size & Grade 34. Furna a -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic A ess &Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMIN Plans) OK except p's Comments at Final: Proper Material & Anchors _ill 3 aStuds-Nailing, Spacing & Bracing -Plates -Sound _ 3 ea_ring Walls over Girders & Floor Nailing op in ails (rat proof) urred Ceilings -Stairs -Chases -Tub 4e r & Beam -Size & Bearing - Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. '�"'Fhep�ies or Type A Flue -Fireplace Throat 45 ��Size & Romex Protection -Draft Stop -Ins. Baffles _ or Exiling Doors -Sill Hgt. & Dimensions _mss �re Framing (NOTE:Anentrymust be made each time youvisit jobsite) = OK = Not OK Not Applicable MOBILEHOMES Not;Ready MISCELLANEOUS Date MOBILEHOME UTILFTIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plant) OK except N'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"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 k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI 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 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. 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 A. COUNTY OF BUTTE - REPARTMENT OF PUBLIC WORKS PER IT 7 County Center Drive ,Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOA AND PERMIT AIR 14 L AS,WOR PAR EL NUMBER Q ZONING BUILDING PERM( OWI`1 E, �� ����� TE_yES�P,He� [(T�L- v7 SQ. FT. BUILDING VALUATION `tO�tCC. � • • ( �` D OWNER'S MAILING ADDRESS 3 rod.. C . S �i . C F! COtG4 �IZC� �c�. 3 zo .ov CONTRACTOR'S NAME W 0 C 12� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS DRESS Permit Fee $ 13S.00 ARCHITECT OR ENGINELICENSE NO. Plan Checking Fee $ oQ Penalty $ ARCHITECT OR ENGINBEER'S MAILING ADDRESS Permit fee $ ,0C) BUILgI GIADRESS D 0 P—H A -M D AY -10 ' � - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 V 2 4A" Water piping LOT NO. I© POST su B�DivisION TNAME —t— PARCEL MAP JI"t (�� Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system Lawn sprinkler system J5_00SF -- TYPE OF WORK New ❑ [g Addition ' Remodel Qj Utilities ❑ Installation[] Other ❑ Describe work: Dom - Si�'PA C P-00" - Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOv OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCC OR ACDNS. ACC. BLDGS. 22S ft 3 �O q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): O Business I am licensed under provisions of Chapt. 9, Div. 3 of the and Professions Code and my license is in full foece,and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW coNSTR -OUTLET 2,50 ea NON.R ESID BRANCH CIRC TS NEW CONST R. RESID, / ( SINGLE OUTLET CIR. / POWER APPARATUS e1 NON - eO 0250 Ex. OCCUp OUTLETS OR FIXTURES BAL@100 (.FIXED APP LNS, OR Ex. Occup. UTLETS (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�f 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Penult Fee S Contractor I certify that I have read this application and state that the above information 1s 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 abov mentioned property for inspection purposes. em fy and keep harmless the County of Butte against all liabilities, stsand expenses which may in any way accrue again id Going of this per it. 1 also agree to 1��3 3 8 X Date Signature of Applicant— Owner Contractor ElAgentwork 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 $ 7�,oa oCCUP. GROUP '' TYPE OF CONST. PARCEL PO XSSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIREC OF PUBLIC By PEgWT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date �I QQ Receipt No. O Qo WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FGiVAL,.-- CS) ,-a—Pat �c r F PERMIT NO. 6019-80B PERMIT EXPIRES //67/Y/ OWNER Mike Harris CONTR. owner ASSESSOR PARCEL 40-214-4 LOCATION 2413 Durham -Dayton Rd.,Durham Temp. Power Pole Called PG&E Temp. Elec. Servii Called PG&E Temp. las Service led PG&E _ JO FINALED (Date) Signatur I - J = OK O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) SIE = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) onto requirements -Setbacks -Easements 48. Property Line Firewall & Openings Main; Soils -Steel -Flet. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 6 e; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection hes &Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers i mwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer TWN90eTmV&ITs, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access L7 -6 ters 6446M" P'all-Fittings-Test-2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts e; Size -Anchors 32=;jjierPipe; Test -Anchors -Regulator -Service Test .Lir-E-feelr� Underground & Ducts; Clearance -Material -Sup t -Ins. Sills -Anchor Bolts -Joists -V -Cri Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date % f Card -BI Date Date FINAL (Plans) OK except N's Card -BI DateCard-BI Date Date PLUMBING (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64, Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except p's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. 21. 22. 23. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A[, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive El Yes E] No; Walks E) Yes E) No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except H's 81. 82. Ventilation throughout House Glass Protection 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. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub -41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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"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 Date Card -BI Date POOLS (Plans) OK except N's 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/0 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 -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A I / ASSESSOR PARCEL NUMBER 10 NG. 0— _ : BUILDING PERM( OWNER JTELEPHONE .SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DRESS S C� CONTRACTOR'S NAME TELEPHONE C ONTR ACTO FORKAILING ADDRESS Fireplace CONSTRUCTION LENDER ..'Vo dL t- UNKNOWN Total Valuation Is &6'60 !0 Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ES ...► / �� 33 PLUMBING PERMIT Filing Fee 10.00 D � N j,Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. /0 SUBDI ISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Install tion ❑ Other Describe work:, 1'!� i1/EG✓ ��i�l/G �D�/ Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.81 OR ADDNS. \ ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessDO and Professions Code and m license is in full force and effect. Y License No: Classification 5i. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea No N•RESID BRA CH CIRC TS NEW CONSTR ( POWER APPARATUS 61 NON-RESID. (SINGLE OUTLET CIR. I @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL@1 APPLNS, OR OUTLETS (RESID,) EA. 2.00 EX. Occup.(OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. 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. 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. wa aacc accrue ainst which may in anof Butte allso a I abiglit to ud ments, costs, and expensesharmless 1 9 P Y Y Y agai t said ount in c .sequence of the granting of this permit. X Date �� _ —8O Signature of Applicant — OwneryJ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress rr 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP (�- 3 TYPE of CONST. V A r PARCEL ✓ ✓ -ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC E IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /Z.—I Z-4 I fD� Receipt No.j� _T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �"';`*'z�++`t�j�i;"•�'"yfa'',� ,�'�"I" ;•srw .r�'r . ,tj COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 r, APPLICATION' AND_PERMIT. ASSESSOR PARCEL NUMBER -. 040-21-4-004 ZONING BUILDING PERMIT OWNER MIRE HARRIS ,.- TELEPHONE 891-0328. SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A.DDRE'SS 2 P.O. Box 312 Durham CA 95938 0 CONTRACTOR'S NAME- Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ANNROC••nH••ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2413 Durham Dayton fty, Durham 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 SFX; Duplex❑ Mobilehome❑ Other I SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities (n Installation ❑ Other ❑ Describe work: Move 100 Amp Service Undergmundl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service 100V OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. yz2sgft NEW CON5TR U TI.OUTLET N ON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20030t eALeao Ex. Occup. out LEPR (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' Y I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud tints, costs, and expenses which may in any way accrue against aid.Co y in co equence of the granting of this permit. X / _ f ! ddd Date (`7 Signature of Applicant — Owner,16 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 25'00 HAL I CUA I PARI( SCHL I FLD I CDF I PAR PD I HD. Issu This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work i dicated above for which fees have been paid. DIR F PUB C ORKS By _ Date r T PERMIT EXPIRES Date Receipt No. 2 WHITE-D.P.W.. YELLOW-ASSE330R. PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ; ASSESSOR PARCEL NUMBER 040-21-4-004 ZONING BUILDING PERMIT OWNER MIKE HARRIS ' TELEPHONE 891-0328 ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 312 Durham CA 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee Filing $ 10.00 LE 'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NOne LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2413 Durham Dayton Hwy, Durham 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 EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [� Installation❑ Other ❑ Describe work: Move 100 Amp Sg-ryirp Undergroiind Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 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 BuslnesS and Professions Code and my license is in full force and effect. cense No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s` OR ADDNS. ACC. SLOGS. / , /20sgft NEW CONSTRU TI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES z0 ® DOS eALO 30 Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 115.00 Permit Fee $ 25.00 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 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 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, jud nts, costs, and expenses which may in any way accrue against id Co o in cequence of the granting of this permit. X t / Date 9 Signature of Applicant — Owner �Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HALcuA PARK SCHL I FLD I coF I PAR PD I HD. ISSU This permit is hereby issued under the applicable provi- sions of the Butte County -Code and/or resolutions to do work i c ted above for which fees have been paid. BY 64;R=FUB DaORKS te Q PERMIT EXPIRES Date //3 Receipt No. Y WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT a)! 4 COUNTY OF BUTTE - DEPAR TMEJj_0F PUBLIC WORKS'- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,`. CA 95965 - TELEPHONE: 916/538-7541 .. PERMIT APPLI TION DATA SHEET / Permit No. OWNERA. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted . .................................... DATE RECEIVED APPROVED 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 126. 27. ,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 y .4 J . � A licant � / / r� Pp � .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sentHealth Dept. Fire Dept. Other Date By The following data must I 1. Index permit for abovd 2. Additional items requi I submitte prior to permit issuance: (Circle new item not checked above). items No. f 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 —ma ll—counter by date I Plans checked by ` Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orov;ll'e, California 95965 - Telephone: 916/538-7541 APPLICATION ANEr PERMIT ASSESSOR PARCEL NUMBER —�Q OWNER G ZONING BUILDING PERMIT TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER' MAILING AOORESS x v� CONT CTOR' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENOER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee S ARCHITECT OR ENGINEER LICENSE No• Plan Checking Fee .S ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 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 STRUCTURE SFk Duplex[]Mobilehome❑ Other / \ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW 0.00 ea TYPE OF WORK New Addition ❑ Remodel[] Utilities �Cl Installation[]ther❑ Describe work �� E� D Permit Fee g Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service°Doo AMP V OR LESS 10.00 O Q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole camper- 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 Main service EA. AOO'L too AMP 2.50 NEW CONST. DWELLING OC cu P.ai OR AOONS• ( ACC. BLOCS. , h¢sgft ZI..C.ONSTR, UL (.OUTLET t TiE'St.O BRANCH CIRC ITS 2.50ea � POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURESZOe30e e AL330t Ex. Occup. FIXED APPLNS. OUTLETS (RESIO.OR ) 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 5100.00 (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 dY 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 g 00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant – OWner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST TYPE '— TOTAL FEE S HAL. I CUA 1 PARK I scHL I FiD I CU I PAR I Po II H . I5SUC This permit is hereby issued unser sions or the Butte Ccunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By FFRIJIT FYDIQ=cZ ni the applicable provl- resolutions to do have been paid. WORKS Date I ,,3 Receipt No. a! �T WMITC•O.P.W.. YELLOW- X33 C 3308. P14—INSPECTOR, GOL ...... COUNTY OF BUTTE --Department' of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) / 2. I (have/have not) tLCW e_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person .to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner - Social Secu ity Number - Date � — �-' -74 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I� PERMIT N0. 318-81ByP,E,M r PERMIT EXPIRES - 5,0u ~ ` OWNER Mike Harris I' CONTR. owner ASSESSOR PARCEL 40-214-4 { LOCATION 2413 Durham -Dayton Rd., Durham a � I INS ��ct'lo�✓ Rf-Q4,6Sr r iS Temp. Power Pole Called PG&E Temp. Elec. Service Iy� I I Called PG&E Temp. s Servi ce i l Called PG&E JOB FINALED (Date) — IZ ` 1 Signature I I J = OK O = Not OK - = Not Applicable * = Not Ready J RESIDENTIAL (Single and Duplex) Date WNOEEaFL OR Plans OK except N's Date FRAMI Continued Hing require men -Setbacks-Easements4 o rty Line Firewall & Openings ^9-- Ftg., Main; So s 4 tee -Elec. Grnd.- / /" Ftg. Depth xt. Doors- ne 3' -Check Garage -3rd story, 2 exits -3--Ftg a4e4s-Steel- / /" Ftg. Depth - eadroom-Rise-Run-Landing-Fire Protection & ecks; Soils -Steel- / /" Ftg. Depth 51, nj.0keof Overhang -Attic Vents -Rafter Outriggers X55-Stemwalls, Main; Steel-Blockouts-Wrapped-Slab ,6 1s Garage; Steel-Blockouts-Wrapped-Slab 52. Sluing -Nailing -Veneer ccoMash-Drip Screed-Fdn. Vents-Underflr. Access ce Ftg.-Steel , azi Area -Glass Protection -Skylights -Plastic V. 'll -Fittings -Test -2 way C/O -Sewer Test Nailing -Bolts Pi e; Size -Anchors 1 er Pipe; Test -Anchors -Regulator -Service Test 1 ec rtc; nderground 1 n Ducts; Clearance -Material -Support -Ins. 1 trd rs-Sills-Anchor olts-Joists-Vents-Cripples Card -BI Date. Card -BI Date Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date// Card -BI Date Date FINA (Plans) OK except N's Card -BI Date Card -BI Date Date PLU NG (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector O 1 ater .; Vent -Access -Combustion Air -59+ Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor-Ducts-Mech. Protection -Bedroom 1 Pipe; Test & Anchors -Nail Protection -in 1 .; Test-Fttngs & Anchors -Nail Protection 45 W -1 Exiting oI UbL, First Floor -Tub Access 6,6/t".F.I. & Bath Fixtures & Tub Access 1 est & Shower, 2nd Floor -Tub ss 6UfElec. Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size & Anchors -6Er1 Stairs & Rails v 30e,117 63. Fireplace or Stove; Clear ces eart , 0 lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELEC AL Permit OK except q's *i&t Garage Fire Door; Swing -Landing -Closer .64k A.C. Duct in Garage -Damper 2 i re & Transformer Clearance -Ins. Protection t�Vtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection . I Receptacles Spacing -Lights &Switches at Doors i oxes & No. of Conductors -Stapled v;Q, .Plb., Elec. & Mech. Equip. Listed for Location �'t^Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. • Ro x Installed Close to Edge of Studs & C.J. . Ground made up w/Mech. Fasteners -Bond Gas & Water nsulation-Foam-Looked in Attic ❑Yes � Guard Rails & Deck Construction -Post Caps Appliance,Circ is in Kitchen &Conductor Size 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Ne tral ❑Yes ❑No Following instld.: Drive ❑ Yes ❑oW6, Walks es ❑ No; Planters ❑Yeso 2 er Conductors & Ground -Main Disconnect 76. Stucco; Brown-Fi h GD � V. uip. Clearances; Panels-Motors-Mech. Equip. . Unit; Disconnect-Clrnces-Brkr. LQNd. Size 115V Outlet set Light -Shower Light . Vents Above Roof; Plbg.-Appliance ire Clearanc to Opn s. Water Well; Disconnect, Electrical, Plumbing a$, -Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date 7 Card -BI Date ntilation throughout House Card B -I Date Card -BI DateAAf:tn- Date MECHANICA (Perrrdt) OK except H's q�lass Protection �8" Corrections from Previous Inspections as Test -Meters Tagged; Gas -Electric !' 31. A.C. DuctN; Insulation & Supportater &Sewer Connected -C/O to Grade, D Approval 32. Vent Fan; xhaust above Insulation Energy Compliance Certificate -Other Certificates 33. Condensate rain & Overflow; Size & Grade 34. urnace-Ve ; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access VPlatform if Furnace in Attic Card- Date Card -BI Date Card -BI Date Card -BI Date Card -BI &a Date Z Z Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAM Plans) OK except q's gomments at Final: 3 . Sill ,Proper Materianchors / a ; Studs -Nailing, Spacing & Bracing -Plates -Sound e ing Walls over Girders & Floor Nailing , Z = �'�_ e r ra Stop in Walls (rat proof) it to s; Furred Ceilings -Stairs -Chases -Tub JL_��der & Beam -Size & Bearing gers-Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring. _ 44. ireplace Ties or Type A Flue -Fireplace Throat i cess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions �6. ge'Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements. Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except W,` ` 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"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's ' 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Q� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 CounWcertmr Drive, OroviIle— Phone: 534-4541 9� Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE s BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. J I 'r r Inspector Date ;fa4`+i. y3!i *+},� ' x <._ Mii�'e"'` 'S'P.?^S„'�"•"'r,:`y:C: _ _ - - " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS tia 196 Memorial Way, Chico — Phone: 891-2751 7 County,Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE RA 83-qf CWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. S�ttvteti. ENr(Z- 'iC(E Cd'/hC.cra&L /n1 Hoo MVj,CALLI C- cvyr — mi,v. S c 14 rr- huLq. 80 . t3a�):�' 9LCC.7-2(CAc- -%IL2UtCif— -Fo WArE2 f ^/D GAs Pi /0//VG As Pg -IL t%!lg-e 250 f.o�L(ZQPt�a.JS �12or� ri (Lft\\T" M'3 T e e rn P�c€.rr��, € ' an i.) - I C. " I4-/LA(Zr-4-_ a, Date_ '� �� al Inspector i1 i.�• �—d—r� ENERGY INSTALLATION CERTIFICATZ Building Owner /� C. G.2. /, �p (C , S Building Permit Building Location / DESCRIPTION ROOF � c lee1 Ccs S hater' -a1 ,£1 r Thickess(inche ) - ==PRIOR WALL Material �'�e�Thickness(inches) py CEILPiG Batt or Blanket Type Thicl=ess(inches) Loose FL11 Type Minima- Thickness(Inches) Area covered(ft.2) FLOOR, ELIEVATED Material 1V0Ar- � Thickness(inches) FLOOR, SLAB I�*.aterial Thic?Qess(inches) Width(inches) FOUNDATION -WALL Material Thickness(inches) OF INSULATION Brand Name A' v 0101015 Thermal Resistance (R Value)_ Brand Name O/d -5 Thermal Resistan e(R Value) Brand Name(�e.s,,y� olC/c'___ The --=al Ressstaan e(R Value) Brand Name . Number of Bags Wt. per bag 1b. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value)___ I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans --and attachments -and conl_•... forms with requirements of Chapter 2-53 of State of California Energy Requirement F MPS NAZI / 014-NER SIGNATURE OF INST-kLLA-TION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE i hereby certify the required features, devices, and equipment, .ab shown on the aDoroved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy ,.equirements. BUILDING CONTRACTOR/OW`MER (Please Print) (Kaf NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER STATE CONTRACTOR'S LICE14SE NO. DATE HVAC FIRM NAL-11;lOWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILL WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKSP RMIT NO. 7 County Center'brive - broville, California 95965 - Telephone 916/534-4541 . APPLICATION AND PERMIT ASSErpSPRJ CE UMBER ZONI BUILDING P 0 TELEPHONE S OCC. BUILDING..VALUATION W R'S MAILING A DRESS O� �•f (� �� L/• V 1../ CONTRACTOR'S NAME QTTEA TELEPHONE ' CON C 1 ESS Fireplace CONSTRUCTION ENDER_ O /, UNKNOWN Total Valuation $ c FilingFee 10.00 LENDER' MAILING ADDRESS Permit Fee $ .6 0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ b Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUILDING ADDRESS �� U�� �/Y PLUMBING PERMIT Filing Fee 10.00 Cel�� Each Trap 1 2.00 1q, 00 Repair drainage or vent piping 5.00 Water piping Sey 5--00 LOT NO. BDIVISION NAME, to SU51_0V//_10;5;1%-- PARCEL MAP Each qas water heater or vent 5.00 �t0 C% Gas piping system 1 - 5 outlets , (3© c) USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer �&C) Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ RemodeiXL Utilities ❑ Installation ❑ Other P< Describe work: CAQIIZZIZ2�� /_110110CIVELECTRICAL 9ZA Permit Fee $ ,(90 Contractor PERMIT FilinglFee 10.00 Main service 1300V oR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST I DWEACCLLIN G0 22 sq ft 1 ® CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS I& NON-RESID, %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ BALI IXED APPLNS. OR Ex. OCCup.(0UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT FiIirig 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. ,EZL 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. Heating 0 (91 S-60 Cooling Hood 3.00 Ventilation Permit Fee S eU 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 liabilities, judgments co ts, and expenses which may in any way accrue_)? against said County in c ns uence of the granting of this permit. Xp ( Signature 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 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t ocCUP. GROUP I TYPE OF co T. "�� JPARC1:LJZ�7H__D_r�all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE TEXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date L - s-. P1 �� ?� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I--,' COUNTY OF BUTTE --Department of Public Works 7 County.Center Drive,' Oroville, CA: 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building perRiit will be issued'until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the prop sed work. 3. I have contracted with the following person (firm) to provide the proposed construction: �/ Name Address City Phone Contractors License No. 4. I plan to provide portions o this work, but I have hired the following person to coordinate, superoIse,;and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date NOTE:'This Owner -Builder Verification is sent to you as required by Sections 19831 #, and 19832 of the California Health and Safety Code.' This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ©� Permit No. OWNERZ�— �S_42. A. P. No. j�'-'�� Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Othe4Explain) Building Inspector Date i At time oflpermit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED Z. 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.) Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date) 18. Other When you issue the permit, process as follows: v Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ti i Applicant/ 4" r /� Date 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 By Plans checked by_ Plans approved by Other: Copy—DPW Telephone Mail Other Date Date Date a This et of plans and specifications MUST be kept, on the jo a all times and it i unia rrae on ch qes or tions on a to uwritten permissi romn"the Depa ent oM Works, County of Butte. o ° s c. e, j " Ilfw 4xb GIRDS° yiER ��LoCx . Z , 111p� �itG i-(,'OC� iy„yr6 :O-!R[Tt PAOS IRA;. . it 30 iF)" y _. CRADC 1. M,UD .Srcc e.g zx6 T. oR WOOO .t /o" Z ,. lQvly?<1'ro 8c�,rs �v��Y • 6 �. � ' � /z FRO! -1. ENu^S . JOIN 7S. I \may IgM SINGLE LSTORY BUTT /OUNTY BUILDING E RTMEN -APPROVED `KAc''' 3�r�r IF .T .� � 11 '. CD � � . 'I . — • r 17— F CP16 C — , 1I '. 1; 11 !--1-2 I 90 � CD`,. 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T - T- 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLIGATIOW AND PERMIT ASSESS .R PARCEL NUMBER ZG G O INf BUILDING PERMIT ow R r TELEPHONE 3= 9 o S0. FT. OCC. BUILDING VALUATION pa OWNER'S AILING27 ADDRESS 0 C Go CONTRACTOR'SNAME TELEPHONE CONTRACTOR'SA LING ADDRESS Fireplace CONSTRUCTION LENDER w y UNKNOWN Total Valuation $ d,760, e2 Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS` Permit Fee $ ARCHITECT OR ENGINEER AL LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS/ lz�j kLazt Ate PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. �,{ SUBDIVISION NAMEPARCEL MAP S Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [y Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ ti lities ❑ Instal lation ❑ Other Describe work: !/GGa tS%/vt/ Sz Ef �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 001 OR LESS 1 100 AMP OR LESS 5•00 `��d Main Service EA. ADD'L 100 AMP 2.50 NEW CONST./DWELLING OCCUP.8i) OR ADDNS. t ACC. BLDGS. _ 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. / POWER APPARATUS NON-RESID. %SINGLE OUTLET CIR. eI EX. OCCUp OUTLETS OR FIXTURES gA@�j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. I1;d I shall not employ any person in any manner so as to become subject o 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 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. 1 also agree to s ve, indemnify and keep harmless the County of Butte against all liabilities, I dgmen , costs, and expenses which may in any way accrue again t said Co ty in onsequence of the granting of this permit. X Date ?> —�5_ � � Signature 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 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD MD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIELECTOR OF PUBLIC By )Aa�T PERMIT e_ ✓��J the applicable provi- resolutions to do fees have been paid. WORKS —(D-ate/j� JS 7, Receipt No. 115-400,79 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT