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HomeMy WebLinkAbout040-290-0709 D 40-29-70 eil Morgan E tanford Lane, app.4/10 mi.S.of S 'camo e,'ane, Durham Permit #2'8.26-80B,P,E,M(addition & remodel/SF) 40-29- Permit #2267-81P(s - ar add n' to Iter heater/SF)� ] 40-29-70 Contr: 'Al�Morgan , Perm' ��1130-83B,E(lst & .2nd renewaljser 2-i-80 & wood burning stove)& ele pp�/ 'a o 2826 -8 . PERMIT NO. PERMIT EXPIRES OWNER Neil Morgan 'CONTR. owner 40-29-70 ,LOCATION (A.P. ) S E/S Stanford Ln.,app.4/10 mi.S.of Sycamore Lane, Durham Y foo � ?j �j ,r ft y 9. • J�l • f v� a Temp. Power Pole` i Called PG&E A/ Temp. Elec. Serv. Called PG&Elei Temp. Gas Serv. r . Called PG&E :. JOB FINALED (Date) (Signature) y v` Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Bond Beam BUILDING INSPECTION RECORD Motors Framing BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list 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 Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physically Appliances Carport handicapped Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors 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 MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping- Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 196 Cour+,�� of Butte frlemorla1 DEPARTMENT OF PUBLIC WORKS 89/-a74Tf ljay 696 19leande ., Chico — , EAl. 710 7'County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 87-7-848& "-aqw- EXt S7 CORRECTION NOTICE ....................................................................................................................... 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 j 1 explanation, ple contact this office ely. ............................................................................. Date.............................. Inspector.......................................................... Do Not Remove This Tag ( 400-4) v COUNTY OF BUTTE AEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211 , Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE A�la - Z� -01- 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. / ..j1%4 -z. /0"' is /j t Z' .1 nlll u Date Inspector `' [ p D e `RESIDENTIAL (Singly and Dvplle,;t) CaU UND FLODA (Plans) OK eAept N's _ Gate FRAMs �r:nntir,uej) Zoning requirerr. -Setbacks-Easements ro^prty Line Firewall & Openings - Ftg., Main; 5 Steal-Eleor6rrfiJ.- ' Fig. Depth --� ns 3' -Chick Garsg;-3rd stay, 2 exits Wrage; Soils -Steal- 'D" Ftg. Depth Protection IS.^...P.tj"G 4Ft; Qt _ -9!h-Ysadroom-Rise-Ran-Landiig-Firs _-- iyw od on Roof Overhang -Attic Access -Rafter 6/� emwalls, Main; 5-eat-81®ckeuts-WrappedFC 1F g -Nailing -Veneer Garage; Steel-B:ockoi-ts-Wrapped-S a _ r tucco Mesh -Drip Scre i-Fda. Vents-Und :01r. Accesa revs -Pira zing Area. -Glass Protection--Sxylights-Plastic SII -Fittings -Test -2 was C/O-5awer TP.st _ 55. ShnjrV-57-s•-Nailing-aolts �- @.-Gee-Pig46izs-Anchors , i �l 49: Test-Anchors-Regulator-Seryice Test 4+ F!orrrir• Ilnd erg round �. 1ev-P4efn""& Ducts; Clearance--Material-Support-ins. - - 1Q--Q_-_-mer --Sites-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -31 Date Card -31I Date Card -BI Date Card -BI Date -/2,5j>j Card -BI Date BI Oate �Q Card -BI Data Gate FINAL (Plans) OK except #'s Card -BI ,y Oat Card -BI Date Date PLUMBING (Permit) OK except #'s 56. Fart Steps -Door & Sidelight Protection -Landings t7v.o'Sn�.2a Detector t.; Vent -Access -Combustion Air Furnace: Vents -CIearancs-Comb, Air -Connector - I arage; Above Floor -Ousts -Mach. Protection _ Pipe; Test & Anchors -Nail Proezction i t D.YLV.; Test-Fttngs &Anchors -Nail Protection Broom Exiting 1 est, First Floor -Tub Access .I. & Bath Fixtures & Tub Access ,- b & Shower, 2nd Floor -Tub Access 4brr Elec. Trim & Subpansl; Breaker Sizes-Lahels _- 1.4vreplace as Pipe; Size & Anchars _ & Rails or Stova; Clearances-ilearth f _ - -- ac. Outlets at Wood Panel; Int. & Ext. Card -BI Data Card -BI Data 65• Kit. Fiat. & Appliance: Grnd.-Air Ga Cooking Clearance Card -BI Date Card -Bl Data Elec. Outlets & Receptacles at Kit. Counter Date C ELEC .ICAC Permit OK exc of 's %lJl(/xGG{, ��. --90e-Garage Fire Door; Swing -Landing -Closer _-19-A.C. Duct in Garage --Damper _.- F ure & Trar,sfomer Clearance -Ins. Protectio -�- rpa las--Clearance-Comb. Air-Connector-P.R.V.- - arage: Above Floor -Mach. Protection c. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location Boxes & No. of Cerrductors- S -e Stapled #f.--Elec. Receptaclas in Garaga; (G.F.I.)-Romex Protec. ex Installed.•^lose to Edge of Studs & C.J. uip. Ground mads up wf,ler /ch. Fastener -Bond Gas & Water .7i--4nsulvIon-Foam-Looked in Attic C] Yes - ppiiance Circuits In Kit hen &Conductor Size s73 --Guard Rails & Deck Construction -Post Caps _ . S � aed'fire Si r AI-A.C. Wire Size / / ga. Cu or Ai 1+.--F-dn. Vents & CraWl Hole Door -Drainage & flood -Earth Ciaaranco . Looked under Floor --9-Yes - JiW.-Rango Circ. ! / ga. Cu or Oven Circ. / / ga. Cu or Al. ated Neutral Yes No I d ❑ 75. Following instid.: Drive ❑ Yes E] No; rialks ❑ Yes ❑ No; Planters Planters ❑1L¢Sr ❑No; Creating Drug. Problems ❑Yes [�t10 -- 2 S 'vice -Riser Conductors & Ground -slain Disconnect - Br n -Finish - 2 ip. Clearances; Parals-Molars-fdech. Equip. A r- Ilett• n r-.1 cn-++cv n,ar9r 3&y Clothes Closet Liqht-Shower Liqht Card 3-1Data Z Card -BI D Card B -I Date Card -BI Data Gats MECHANICAL (Permit) OK except #'s ;-Insuiation & Support Vent Fan; Exhaust above Insulation 31--G4R4--rts3te Drain & Overflow: Size & Grade a e -Vent; Access -Comb. Air -Return Air Vent -115V outlat 3' ttic-6ccess & Platform U Furnish in Attic Card -B1 `f - Date 6Z7i Card -BI Date C=ard -BI Date Card -BI Date Date FRA.MyfG(Plans) OK except is Si s; Proper Materiai & Anchors Zl /1113: Studs -Nailing, Spacing & Bracing -Plates -Sound 3�� srir,g 17311s over Girders & Floor Nailing 39' Ora.t Siop in Walls (rat proof) — - jg,"ZFiie Stops: Furred Ceilings-Siairs-Chases-Tub 41111 -11' - der & Beam -Size & Bearing �.4 -- Ha _rs-Post Caps -Anchors _Crinrectors Qr In,- Joist-Rltr. Ties-P_uAing-Roof 8rac.-Truss`S;� " -Rfr 4 r ,I_cu Ties or Type A Five -Fireplace Throat -- Attic Access; Size & RomoA Protection -Draft Scop -ins. B Ifals BJrrn. windows or Exitini Door; -Sill Hgt. & Dimensions - 5ge Fire Protection Framing Ll Uv -,Vents Above Roof; Pibg.-Appliance-Firepl.-Claarance to Opngs. nater Well; Disconnect, Electrical, Plumbing Exterior Elac. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protect -ion orrecIions from Previous Inspections -84r6as Test-Metsrs Tagged; Gas -Electric 4&-W, ater & Sewer Ccnnacted-C/O to Grade -HD Approval -B3-Energy Compliance Certificate -Other Certificates a_rd-BI Dated _Card -BI -,- Date pt, Card -BI Date Comments at Final: Card -BI Data i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR P RCEL NUMBER ZONING ' BUILDING PERMIT o/ e e TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION . Offl MAILING ADDRESS i :9� 1 4 f6 �C_* /W) 5 C�pl(/�J(713 A/�(f/C T O R' NAM Thy HOjM���/I C NTRACTOR'S MAI IN ,ADD SS � tW Z �� Zk.. �/y� (/7 Fireplace � Too 40,00 CONSTRUCTION LE UNKNOWN Total Valuation $ /000'.-.0 Filing Fee I $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 $ 11,Z,ev ARCHITECT OR ENGINE LICENSE NO. $ 1co Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ trJ(J BUI NG ADDRESS. (/�I)Z PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e J TYPE OF WORK,Permit New ❑ Addition 4 R o I ❑ Utt• (ties/❑ W Ion Other Describe work: (,� "�^� �� Ago 16tl 11,1 vm�E Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 pV t Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.&\ OR ADDNS. \ ACC. BLDGS. / 21/4sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): � ;;.1 l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s C de and m license is in f force and effect. y 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 RATI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea r00 NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR . TS OR FIXTURES Ex. OcCUP. 20@50C SAL®30Q FIXED APPLNS, OR FIXED EX. OcCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $zS,OQ 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. Evhave 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ' s, Jud s, costs, and expenses which may in any way accrue against d Co my ' c sequence of the granting of this permit. Y�I�_ �3 X ' Date J Sig oture of Applicant — Ow r�eontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures cver 3 stores in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD I HD I ISSUE This perm' is hereby issued under the applicable provi- sions of • Butte my Code and/or resolutions to do work i di ted Cobov -for which fees have been paid. • T R OF PUBLIC WORKS By Date Qy'2 PERMIT EXPIRES Date—/��Yv Receipt No. Z 2�_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 CQ — a'-7�/ APPLICATION AND PERMIT cx ASSESSOR P,9,RCEL NUMBER v_ _ %b ZONING B ILDING PERMIT OWNER � 06, IVOp� �y /W1N�ER'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION O MAILING ADDRESS TRACTO CO E/&_ s • IME A4 V ^ � / Gs �H�i j0D�TOR'_%AILI y,.A QpgES/S�� ��—� /J� ���� /✓U•/(LNKNOWN (CONSTRUCTION Fireplace LENDER Total Valuation $ Filing Fee $ 10.00 LENDER'S MAI LIN A DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGIN R'S MAILING ADDRESS Permit fee $ BUILo��ytaD Ess �/ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 R�} Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets rte,// USE OF STRUCTURE SF B Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 COCA-Af_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iitjes ❑ Installation ❑ Other Describe work: 50LwN tyr Permit Fee $ 30-0o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUR.&) OR ADDNS. ACC, BLDGS. 2�Sgft CONTRACTORS LICENSE LAW I de la nder penalty of perjury (check one): i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co e a my license is in f force and effect. License No. Classification C ❑ 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 CO ID R BRANCH TLETITS 2.50 ea NEw CONSTR. ( POWER APPARATUS DI REST NON -R ESID. SINGLE OUTLET CIR. EX. OUTLETS OR FIXTURES 50@25 IXED APPLNS. OR \ Ex. Occup.(ouT LETS (REBID.) 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. 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 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, 'udg osts, and expenses which may in any way accrue against id my cons ence of the granting of this permit. Y r/L�_ j� / X Date O [� I 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 $ �j0� Q(j OCCOP. GROUP I TYPE OF CONST, I PARCEL .7HD ISSUE This permit is hereby issued under sions the Butte County Code and/or work i dIcated above for which RE TO)t OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ ate Receipt No. �l � � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPI\R'TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 7 /) APPLICATION AND PERMIT v .a.SgES PARCEL N�U.goBt5 R - `� - ZONI 11 j BUILDING PERMIT W E/LOR�����p/ TTE EEPHONE 3q-ZA13�73* SQ.FT. OCC. BUILDING VALUA O OEL OZ RfuJe . L-A). CONTRACTOR'S NAME T l F -PHONE Z /33 R S MAILING W402— 'V ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation is ZC- p p LENDER'S MAILING ADDRESS , Permit Fee $ / Z, o0 ARCHITECT OR GINEER LICENSE NO. Plan Checking Fee $ (.90 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �� vd BU N ADDRESS40 A PLUMBING PERMIT Filing Fee 3.00 Si1CA'1LfCEZ &4 E, Each Trap 2.00 2-� Repair drainage or vent piping 2.00 �t Water piping z . Do LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Z• 00 Gas piping system 1 - 5 outlets Z,OO USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remodel R? Uti lilies ❑ Installation ❑ Other ,j�'( Describe work: /A -DD. /3ED�; D/ii//��, L/ VII , (�h(/I/• �v, �/ —�_� . - ry ✓T &-WyDPy oi?w 'ro BA/ /T� /��L �(/M'�G+ - i Permit Fee $ ��,QO• Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 d /A/STAGL ' !RI•% -?;GP- pl��nd1Js A1C&J ��� ' Main service EA. AD too AMP 2.50 NEW CONST. % DWELLING &` / IN OR ADDNS. (ACC, BLDG / 120 sq ft •7O CONTRACTORS LICENSE LAW I declare nder 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 f II force and effect. �� �� ��-� License No. 9 d f—��t- Classification ❑ I, as the oyvner, 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 f MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS . I - &) NONRESID, SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 50@ 254 BALM @1 FIXE \\ EX. QCCUp.( OUTLETS P(RESID )RE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring �ZEMO(� />! 6.25 Permit Fee $ 23, Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I Vhave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating 90 ,000 .00 4 4.5- ' Cooling 3 % X00 Hood 2.00 �,®O Ventilation permit Fee $ 3•00 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, judgme costs, and expenses which may in any way accrue against sai ou ty in ons ence of the granting of this permit. X D to Signal re of Applicant — Owner ontractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stoAes in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 5;. 95, OCCUP, GROUP 3 TYPE OF CO ST. >�^ PARC L PD HD ISSUE t� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date (o"/ Z 40 / 7 �p/� A—( Z—O Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE— DEPARTMENT OF`PUBLIC WORKS — BUILDING DIVISION 1 County Center Drive — 0roville, Califo-„tnia 95965 — Telephone 534-4541 f PERMIT APPLICATION DATA SHEET Permit No. _ OWNER f A.P. No. Proposed Building Use A010 -'A, 7- Permit fee based upon: Complete Contract Price e/DPW Valuation loth )a i 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorizaxion.......................................................:..... 10 Sanitation approval fromol” Health Dept.... Alzi, 2.1. Planning approval for ............. _ Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg. inspector (date) When you issue the' permit, process as follows: Mail to owner Mail to contractor. Telephone d2- --/3 3 �t andhc0Tfbr pickup at �� office. Deliver w/inspection. Other r-- Applicant / \� . _ _ 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 7items not checked above at timeof atio -rcle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, 06�) was By, Plans checked by Plans approved by OT above required data by Telephone Other �1 Date 4, 3 Date Date / OTHER:/J,17��, " /�� ­ Copy/DPW d -1v To: Building Department From: Environmental Health Subject: Sanitation Clearance Ok•raler� Location � AP i �/" / Flan approved for: Sewage Disposal ✓ rdater Supply �! r + Hold final. for., Wa.ter Supply Final Clearance O.K. .for: Water Supply ^Ieateance for bedroom mobile home.'. Other Clearance for addition of Notei'* Sa.�ita.xian. {-dd k— CC, ZS U Date a.w,ecl V, To: ► Building Department From: '! Environmental Health Subject: Sanitation Clearance r Location AP r Plans approved for: Sewage Disposal Water Supply Hold final ''for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Clearance for addition of /dim 8 d �1 e � clrt4 .� i� a� d�©ems s . , a- Note an . ar an vate 57 tho it 18 t4l 4-i i