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Home My WebLink About040-215-0180 . i i y i 1 { F + 0 . i i y i 1 { � I i M I t 40-215-18 .JERRY WAITERS _ 2015 Midway, Durham Itn Contr: Detco Steel 'L PErmit#3203-87B(reroof/comm) 040-21-5-.018 91-3467 W.ALTERS, -JERRY CONTR: DURHAM ELECTRIC 8385 MIDWAY, DURHAM UNDRGRND ELEC/STORE 3' ■ 3 � N ,.R"-:•.-.r'pt+,,:.•tr-,i,,•r'"N��;N•Ft�,�"'��"'�Y�^�.�^"`��1i�4��.i'irRr?�;r.�J,� ,^`A&4 i.'?:"'� '*.i1�.+ _$'°!•h`b�. a'fi/�.�R�",'•i::�< .Gtin'. ^'�v`: 'r^`�" ' C -5-0185 1-3467 040=21 LWqALTERS, JERRY ONTR: DURHAM' ELECTRIC 385 MLDWAY, DURHAMNDRGRND ELEC/STORE { r 3 1, .9,z t I `"""''"°'R'«'ti+'!VK'�1�w5*f�0�+�'�it'r>7�Ry'� ++.�?'�":'�'Z'.,.+�'°�r� !'1�'.Y""-.1c''r. '. "."C"+�F:-.:'^"�,i►°yt"t,.,v�e. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlve - Orovllle, Callfornla'95965 - Telephone: 916/538.7541 V4:7— 9y APPLICATION AND PERMIT -'� t ASSESSOR NUMBER 40--)1 r,—i A ZONING r BUILDING PERMIT 'T&Y,WALTERS T3_} �2P403 7 80. FT. OCC. BUILDING VALUATION � OM�, S A�A LIR 5 gni 7 AI kW L, DURIiAM 95938 895-1885 CMOR SNAME m.r. miC TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ CiJlJW B4AA Q� r�vaS �4 Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑'Vobilehome❑ Other SMR ' 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 Ttg New❑ Addition[]Remodel[]Utilities l4 Installation❑ Other ❑ Describe work: DM MM SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.&) NEW CONST.OR ADDNS. / ( ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR ULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS 6 ( SINGLE OUTLET CIS. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 dAL_ 464 EX. Occup. OUTLETS PIRESID .)OR EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 33,50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 1 15.00 Heating Cooling 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 the granting of this permit. X Date �r L)' — ❑ 5r nature of Ap.p icant Owner�, Contractor E] Agent An. O5HA 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 FEES 33.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR616TOR;0F P BLIC WORKS BY �-,��r� � ��,4; !ti`s Date /CJ PERMIT EXPIRES,-; Date ---- Receipt No. 10106 WHITE-D.►.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 40– `ZONING BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWNER JERRY WALTERS TELEP E 342-9337 OWNER'S MAILING ADDRESS 8747 STANFORD LN, DURHAM 95938 895-1885 CONTRACTOR'S NAME DURHAM ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2�8�-�'IIDWAY DURHAM Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBCIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex F-1 Mobilehome❑ Other STORE 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 Installation❑ Other[:] Describe work: DUUD ELEC SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 8.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.6� OR ADDNS. ACC. BLDGS. / 3.6Qsq.ft. NEW CON5TRMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS Ex. OCCUp. OUTLETS IIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 33.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 the granting of this permit. X Date 9 -3 t)- n/ '� gnat of A icant — Owner [X 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 33.50 HAz I DFEEs I IMP I FLOOD I CDF PARCEL PD I HD ISSUE j This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated a ove for which fees have been paid. TO F BLIC WORKS By Date �� PER IT EXPIR S Date O — Receipt No. 101067 WN)TE-D.P.W., I'll OW-A58C930R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET n //� Permit No. OWNER �� I i �YL A. o. _ Proposed Building Use r� Irt Building Inspector Date v C 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 o, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 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 i Applicant��% 7i Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone-grail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL N B �� IS ZONING BUILDING PERMIT •SO. OWNER TELEPHONE'" FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGLNEER 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 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other S ECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK,\} New F, Addition❑ Remodel❑ UtilitiesYCl Installation❑ Other Describe work: ��/�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LESS Main service 2DOA OR LESS 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 Professions Code and my license is in full force and effect. License .Jo. 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 Main service 200A TO 1000AI 37.50 NEW CONST. DWELLING OCCUP.&\ 3.64 sq.ft. OR ADDNS. ACC. BLOGS. lI NEW CONSTR. MULTI -OUTLET @ S.00 NO N.RESID BRANCH CIRC ITS /POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCI1p�OUTLETS OR FIXTURES 20 7641 A FIXED APLNS.❑ Ex. OCCup. OUTLETS (RESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Appllcanl: 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 Contractor MECHANICAL PERMIT FiIIng Fee 15.00 Heating Cooling g LHood 6.50 I Ventilation permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Si nature of Applicant - Owner 9 pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ I HAz 1 DFEES I IMP FLOOD COP I PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 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 PAR - CEL, 'UMBER I r w ZONING . .♦ BUILDING PERMIT OWNER r TELEPHO m,.`J SO. FT. OCC. BUILDING VALUATION ✓ -7 OWNER'S MAILING ADDRESS— CONTRACTOR'S NAME _TELEPHONE CONTRACTOR'S MAILING A DRESS J j -j Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 C r Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA,P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ�D Duplex❑ Mobilehome❑ Other ►• - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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) 2 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.a) '/zQsgft OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050 ALO 300 FIXED PR Ex. Occup. OUTLETS (RESID 1EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W.•C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �� 7�,,f X �t�? ~ Date - Signature of Applicant — Owner a 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 $ ' l TOTAL PERMIT FEE $ ` (j Occup. CONST.TYPEJ JSCIIOOLJ FLOOD PARCEL I PD I ND 1z9r, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC i i' J By� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' Receipt No. r� WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSES OR PARCE NU BER — I ER ZONING BUILDING PERMIT OWNER��fr ^ TELEPH0 SO. FT. OCC. BUILDINGVATION ao O ER'S MAILINGDDRESS �! 5 . ONTR CTOR•S NA TELEPHONE NTRAC 'S MAILING A D ESS n.3 Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 6_5� ARCHITECT OR ENGINEER LICENSE NO. .Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult fee $ :30.870 PLUMBING PERMIT Filing Fee 10.00 s, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME + PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other 0-67"►'� - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Sid • -�-,I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P I Y( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81) , OR ACDNS. ACC. BLDGS. f /Z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Occup(OUTLETS OR FIXTURES .200030 Ex. Occu zALO30 Ex. OCCup. OUTLETS P(RESIO )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. NAI 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date �j — ��/—� Si ure Applicant — OwnerM Contractor ElAgent1:1work of An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ , TOTAL PERMIT FEE $ 3D, S- occ"' CONST.TYP[ JSCN0oIJ1*L1000JPA1ICIE1J PD 11 Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR F BLIC WORKS BY Date PERMIT EXPI late /9 ^2 Receipt No. �t WHITE-D.P.W.. YELLOW-ADe CS30R, INR -INSPECTOR, GOLDENROD -APPLICANT ❑ Complaint -Date ❑ Otlie -Date " BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: -Teem l)CLG1 %�i�Z-7—��s A. P. # 7y`?�6 /a _9A Address: 57 z T 15 167A �� -Date of Inspection Tenant: Inspector Building Location: Type of Inspection requested: Housing ".2. 2. Financing / / 3. Change of Occupancy to M4. Work W/O Permit / / 5. Other (specify} Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: J. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance$,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1., Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: r 4 Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:: 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to prop J. Physically handiudpYCu. _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What agtign taken (give complete description): 3. What action recommended: / / A. Information only - file. / / B. Hold for ten days, then write letter. %% C. Write letter. / / D. Other: i ZX�s� t4 �14 0 66 ro co -I D3 N 0, C) 5 X. 79 -35 4@ (24)1 2 CZ) lk to D. 14 4C 111) 14 30 t- 0.1 _ A c 6 PM'79-90 10. in 4 �124 % m. 4 14 gi.0 .1, 23 Q.) Q9 c 40 tA 0, p'69 013,5, 8505;) E ti iErT Assessor'� P0flalAldA ill 1'r �i'%*_ ri k Z' IN 4