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040-330-011
4 -33-11 1 Don hrer i Lot 13 a eo Co Heros anc os R ble dos Su" Per t 77, ji _,...•,M(new _s i g. e,,_ , (` Ire f ily) 40 3-11, +' Jim Serrao N/S Paseo Companeros, ap 0 S.of , Centerville Rd., Chico P M: contr: Serrao Const., Chico.' Permit #75 78B,P,E,M(new singl ! t family)' - 40-33-11 "'^ • ~ • P ul Forberg N/S Paseo Companeros, app.900 S.of x. Centerville. Rd., lot 13, Chico Permit .#1389-79B,E(new pri.detachedA. ' garage/SF) "' /;*A . ;. 40=33-11 j 11a•i I,, '+73 r Paseo.• Campanei-os ,.,.Chico o Contr: Lail ConstVy -Y' Permit#1904=84B,P,E(new private swimming pool & spa) " 04.0-330=01-T-- -99=2-847 1 1 -, BOWMAN, FRANK 1 473 PASO COMPANEROS, CHIC••• ._CONTR:-BAIRD RANROOFING,s�GJs " TILE ROOF " <06 - 0025 '046-330-014 s` la.t 130�UMAI� ��FCIS"& GLE D� M `. 73 PASEdcbMPANEROS,',C_ ►IlCO y 1LA {RS'h1T 1R ~•f G Elh Cont-t:Gt� -w`c3r� �L� r ifS�'SILM t ,,� COUNTY OF BUTTE• — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIIe, California 95965.', Tel ephofle: 534-3541 APPLICATION AND PERMIT •••r- •••••••�••••�••,,, a vvunay ui c7uaac W CIRCI UPUII 1110 above-mentio ed property for i spection purposes. X7J,,X � � � gnature of Permitee or Agent Date �' Receipt No. �- 4 742/D 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 bee aid. DIRECTOR ASF FIUBLIC WORKS BY Date Building permit expires Date -z- — 7 BUILDING Owner t SQ. FT. OCC. BUILDING VALUATION /L d 00 Mailing Address 0 Telephone No. OU FireplaceAm, 0 Contractor 2 z!/ Total Valuation Z, a0 Mailing Address zwPlan Permit Fee O Checking Fee&/or Penalty Telephone No. Permit Fee $ D 04 Building Address S, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 00 Each Trap2 1,50 QO _ r Only: Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent J. 1.50 3'.00 A. P. o. QGas dc piping system 1 - 5 outlets 1.50 v Each additional outlet .30 es SapttUfon Fire Dept. Fire Zone -0 Use, Permit V, Iding sewer 5.00 EQA arking tans Parcel DeclarationEA el 60' R/W Improvementsawn sprinkler system 2.00 Idg. Plans Rec'd Parcel pproval Plans Approva Permit Fee $ Q() _T_ $ 77 0if NEW rVt ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 > Single Family 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 OR ADDNS. ( ACC. BLD67 ) 2¢Sq ft O(! ' 1' ` NEW CONSTMULTI-OUTLET NON-RESID R. ( 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 alifornia Business & P fessions Code the name style 0 Y Ex. Occup(OUTLETS OR FIXTURES) BAL@1 04 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 /l � e,� �,8 Mobile Home Facilities 15.00 License No. v�r�%Z(a-firclassification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ 0 $ 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. El 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 an y p p y y person in an manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE $3.00 Heatin Od Cooling 0, as d Ventilation Hood 2.00 Permit Fee $ s�� $ .! .S G 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 PE MIT FEE Is •••r- •••••••�••••�••,,, a vvunay ui c7uaac W CIRCI UPUII 1110 above-mentio ed property for i spection purposes. X7J,,X � � � gnature of Permitee or Agent Date �' Receipt No. �- 4 742/D 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 bee aid. DIRECTOR ASF FIUBLIC WORKS BY Date Building permit expires Date -z- — 7 PERMIT NO. PERMIT EXPIRES if OWNER Jim Serrao a� CONTR. Serrao Const., Chico LOCATION (A.P. 40-33-11 NIS Paseo Companeros, app.900'S.of Centerville g. Rd., Chico - 751=78B,P,E,M Temp. Power Pole Called PG&E Temp. Elec. Serv._ 7— 20 C led PG&E Te p. Gas Serv. `r Called PG&E JOB FINALED (Date) (S' nature) - �:sk+:tV ��i•� +'. yr dJt\ .-g<i!: .<:v "f c•4:'..J::; �'�� '�SG.titir:...::hxa.. �„•r•,f'.K ;�\ 'T,.: � �- ___.� Jai(. •: 1• •r" +:N t :�t.. .<:... ....... .. ... •..... _ .};b•r. ..... ��..- .,.. ..... ... .... .,... ......�.. .s. S.t•:• •:,fit: Y:'�: ,:•:•:�+:!�... irl+ 1 IIID .6•'i .I'11 . r�Y (' 11.. jj��✓ l 1•l 11.1'•' I il:l•. lilts' 1 .'II / I l J✓'. 7�: 1t � ,In •Ir" ,fig' '•Y;' ��r• -rlV r y •F , l 1 �s .v • y,(Vr. r I'•' •�'1' 1 - 'r "ttti, ♦a t{: a 1. 0 t. s. 6. � �%:1: :5 Y4a�.a: 4n $. 'stL.Q .�•: ,s. is%aaSS�;:>?:,• ���¢�•a`3t�'�o, ,` Cf„�))3 - .•iiV•, •�i4� :'iiii', .•iil'•,• .•'iii•. 1�. S'/i'• .Irl•,•• hz .. .,'1•:.R, .�f.; I ' J4"..Y4�;:., w♦ •,'��'�^�.� �., 4111 o.�! �.. .;111111 li = - -J 41111M1 _` •h lr Il llr�.+/— - •.II 11'1,• .. •II Yf 1 r• - ':II /1 f . •,II ILI1. .,q11/ _ 1�1 � ,•. :\ l•w�:.Wi .l Ili!', �5...� .y ..111 1r ✓:1 ;f, .1 I `�`:�1.11 IIr Yom:%1:'. 11 /1+i/�\',II 1, •f ,:ii:�� ..11 /��• -,1/ If I. mob.5.� .,I 1 Y •'{ Irx-_ _ llfl•Ilr � � I •11, _ -.+. 4\� - 1111 ¢}:. 1111 pq�-.,. 11111 . IIYI .1111 I f x . 111 f - . 1 �) G+a ;•� � t � � \ .- -Jftoulatton Certif irate sj,�1� 1 h• ,. \,�\� Com f ort Insulation o� Chico SMI.;$. , " • hereby certifies the home of.• �• �i 'iiM 1 % , ��AAuu'G �� _•�=y�1t'� @t 1�iy; / [ ffi' � / F/°' � �' r V �i /� ®/<•'ISv�:` �, �;.•+ ;lad: ��99 HAS BEEN RE -INSULATED AS FOLLOWS: S M / Date rte' �' �►': COMFORT INSULATION OF CHICO ijilgi hic alifora 926 m t ; u-• ff •' T�.!i i 1 � � A _ �-Y'�(' . "` .f / � � �/L � qtr 9 ���� ��•_I:6-.L.,...a�..i n.l r"Y �.�:i (�..�..ru-�� �{ 1',1'i-Ir•-�- .:4 11 j 1 -rte 11p1 X11 .` f +:.,.` 1 ,j 111••0. �.i S 18. 30 �II�C`I.b��1�'Illb .f. J' 3}'I��Ibyt i 11�1�46A �l �►7sEv{+: y > ! �t'a t 5~i� ' u �'"::. `�'i`azi�r s (..i �i �.,. ons u.h..l, • P,�i►q°r txa�ioy�as•� � n:���� <. y +;t.. S�Fs�i akin. � ���� r •{ {) � 'fir S',.. .;;; •a'�•. n •t:1:4 1,+: i•,� 2 .A-.. Ci f r .,A, 7, i�f - ::A •.'V;;i•:^" b'. ...�A .. .rn, ..-VV (;..A 'r.Y. t.. -A ,,. ,•A, ,�" � 1 .: ......' r 'i. ,} .q.•:- ARP it' ,i iv ^V'f' •Vi\ 7a'l '�,Ej�•��:,< �::>r" a �':s:.. k•; " ` i +.. r % k!. �x + u`Yh {1.4 a, +x�„ry .bi ,t,,;r { S7i :Jur H Dt•,,1,� ee7h,V �:;;G/'1 ��tlV�^ ..l;;f ' •b"�S'(7aL. ,r I•tl :14. b-{ ew � r{rI' y�21";;:% •,. nth,. s .''�r1 v'`4A”. A,. .;S,ip •� oAF; :ir'�r lx"�„e' to - ,. •G,•fi t�'- %al��s� :��'-: .� 11 r� n�i'. R'... ,�1, lllrnb .j� w'a ,J�I'111.4 !��( �C/•11Y„4 � nF. ,r'rf111/ST '�r11'1•4YT v"+,, �� rT�bS`i •. S, d'.1•YIf�4S•�'\' .. 1�l4`•_, :. i�41S6�• . .�:< 4 :.. •.t•SA41• ,:� n�.. •.�},b r .,:1 ;r V , i.T d J b j i l 4. y 1 � / �yy 1 µa 17 � 'r'. v \6 ?`,�,� •� r:�_ - R � ar; �i it'':r::., ,.� �,.. tf, fi �:sni:'. ,_;� - + •+. � n1 i.Y,:: �d"Y - t t 1,% iy�� �J - of r. x •!V •a � s v. J • t :..;: •..:••:..:� ` . a n�;:::...,. tT`-v:<., `�'�c'.t::+:. � �:/ a i t . ;'••`' .: �,� {t;, s �'+ .gr,:: �,,.,�.�� r;r• � •C: {;�- . .{{u :Z.. ..�,�-!tt + }� :-.tiLti •. �..✓�,.., 1;.' �\•,::.�-'-''a-h:''•tt;y �v.•'!, .P.��.4.I V � �V /:;�,Y . "�-:��' `''S} ! 'rV } :t+ ,�st.,.t.t)�.V Lfir `�R\.�15ur�,,,,��({•�v.. yt. 'l. tY y.•. ti,;+. •13!ryii•r ,.:,: - _.� 1St x:,:?,'�,i: �,-� ss.\.-l�v�ktis':.:Ltii!� tt 4frf: ul++i .r ... j - � tcgJ�-+ �: t„��p{rf'S � . t.inyw. yry•t/�ys: �.vw.. 56>,7R'x' �i�t^'::�,�C. ' ytrtti 4r,G 2. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Footi Slab Patio BUILDING (Cont'd) Firewall Parapets ` Restroom Finish Windows Roof Sheathin Fdn. Vents Garage Vents Insulation Prov. for physically handicaoaed Conformance of ex. .,-:b FIREPLACE 13UILDfNG Setback ;Z�% -2 1 Forms Permanent Main Bldg. Final ' Footings Stemwall 2..11_7 Slab. Water Piping Piers 3— 7 Garage Fixtures fA Footings Water Piping Stemwa I I a Slab �'-4 Footi Slab Patio BUILDING (Cont'd) Firewall Parapets ` Restroom Finish Windows Roof Sheathin Fdn. Vents Garage Vents Insulation Prov. for physically handicaoaed Conformance of ex. .,-:b FIREPLACE valor "U. / 7S Heaters -i Appliances _-2 Gas Piping & Test z; Temp. Gas Sanitation�� Final -r / ELECTRICAL isona Beam FIRE SPRINKLERS ' Motors Framing Test Water Htr.. Stucco Final Subpanels Mesh MECH NICAL Gird. Fault Prot. Scratch Heating Service Brown 7—.2 7 Cooling Temp. Pole Finish -- .3 19 PLUMBING Soil Piping Interior Lath 7 g' 1st Floor Permanent 2nd Floor Final 3rd Floor MOBILEHOME UTILITIES ------------ ------ Topout Elec" Pedestal Water Piping Sewer Sewer MOBS L�E INSTALLATION - - - - - - - - - - - - - - Fixtures fA valor "U. / 7S Heaters -i Appliances _-2 Gas Piping & Test z; Temp. Gas Sanitation�� Final -r / ELECTRICAL isona Beam FIRE SPRINKLERS ' Motors Framing Test Water Htr.. Stucco Final Subpanels Mesh MECH NICAL Gird. Fault Prot. Scratch Heating Service Brown 7—.2 7 Cooling Temp. Pole Finish -- .3 19 Ducts _3 J Underground Interior Lath 7 g' Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------ ------ Elec. Service Elec" Pedestal Water Piping Sewer Gas Piping MOBS L�E 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.) To: BUILDING DcPARi'•iEVT i ron: E N V i ONTIN: N71 AL REALYH `ate: Sewage and/or Water and/or Addition Clearance(s) - S Semon ao 0i�;rR LOC AT ON AP# Plans are -approved for: Sewage Disposal Nater Supply:_ Hold up final for: Water Supply Fin2l Clearance ok for: water Supply i< Clearance is fora 3 bedroom (home or mobile home). Other 'Me addition(s) will be © _7f —_ _ a -J. 16a. : iz Date A. GEWRAL RES IDENT IAL- IAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # %fZ %!T A. P. # g2 -// /X- '2.6 jl. Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. 023 C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405)..J/?._ 295' 3 Required windows for second exit (Sec. 1404). No�e� Hllowable glazing for energy requirements (20% max. per State law). uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). _ G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of .,Mechanical equipment. ocations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit -door (Sec. 3303d). O Fireplace location. Smoke -detectors (Sec. 1413). P D. STAitTURAL DETAILS /I. Foundation plan complete enough to construct building. F9�uv construction details complete enough to construct building. levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Sfireplace construction details and calcs if over one-story in height. ufficient data and details to satisfy energy insulation requirements (State law). E. MISI:ELLANEOUS ITEMS TO LOOK OUT FOR al! CCX plywood on exposed locations and overhangs.' Stairway details (Sec. 3305). 3C Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster --weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). / Rafter ties or bearing ridge beam. Garage door or porch header sizes. • Adequate bracing. ; • Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. �. Two (2) exits on three-story dwellings 9(Sec. 3302). -4N, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (5313) 538-7541 PERMIT NO. BP060025 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/05/2006 APN: 040-330-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. —'0_ /�� License Class / 3_3 License NumberCl,;0 Cyt Site Address: 473 PASEO COMPANEROS CHI n/^ tom`,J 1(5 OG H Map Index: Date: Contractor: r Description: FLEX DUCT SYSTEM- IN FLOOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or. county which requires a Owner: BOWMAN FRANCIS P & GLENDA S 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 473 PASEO COMPANEROS the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95928-8853 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 ($500).): - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure' is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GALLAGHER'S HEATING & AIR owner of property who builds or improves'thereon, and who does PO BOX 35 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one LOS MOLINAS, CA 96055 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 800-892-3556 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: GALLAGHER'S HEATING & AIR and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). PO BOX 35 ❑ I am Exempt under Article 3 of the Business and Professions Code LOS MOLINA$, CA 96055 . Date: owner: 800-892-3556 License #: 777334 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ®/ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: �_! LU CL Carrier: Total Square Ft: 0 S. F. ' �� �o ('1 Policy 'f' Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner s° as to become subject to the workers' compensation laws of Califomia, 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: 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 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per is er y sued rider the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti rk indicat d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name:- By: Date: Address: PERMIT EXPIRES 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 1 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 doc m t of Butte County. I hereby authorize representatives of Butte Countytoenntteer upon the.abov�ejm�entiion�eedd property for inspection urp es. -<�-e1'1/ry 'v' r'"'"` Signature: Print Name: Date:11co kV ❑ Owner ❑ Contractor ❑ Agent for Owner WAgent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONtt: OROVILLE: (530) 536-7636 - CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE ;PILL RE REO UIRED AT TIME 0FAPPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY— OWNER Last Na i Name 110 M_ Cl Address 14-7-3 Pct s ed Cam . r)e r-cs City 01h ( stateCA zip Phone 0.-7 Fax E-mail Far office on CONTRACTOR Name l' Giallaclhers A Address'Po y-, 7j5 City US Zi U5 StateCA Phoneg Phone Fax E-mail E-mail Lic. # -1-1-7 3 lasOs Far office on ARCHITECT/ENGINEER Name S N,vlq6 Address S city 1 State Zip" Phone Phone Fax E-mail E-mail State License Number Far office on APPLICANT NAME Name G I l S N,vlq6 Address S City � 1 • . s State (A Zip mninc�cq Phone Planner Fax E-mail Far office on Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PER -Ml I'T' 0 5 �! BP BIN # I LOCATION AP# © 40-53o—o Property Address City L411 pose000MMAer Cross Street WORKER'S COMPENSATION Policy Number -1 l-3 Ub t 3 8 S S Carrier S+G. +e If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time olpermit lssuance. LENDING AGENCY Name Address Description or Scope of Work: h�r. ".::r- -d w P_-5 -171 (�d uc�1- S s-�tm Sq, Footage - ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check: fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt k. Sheriff SIVIIP Other Date: r .— ,.•.+yc.S;rrs.t[,r+s^•r �:r„• �•--�v,'; r^w^:+trt "-�- !\w•.C•w••p••tAT f off. , ""'" ll t�. r 040-33 011 f ,;, "99-2841. .. f BUWNIAN 473 PASO COMPAIlZNERO' CHICO'= ~ CONTR: BAD ROOFING '. TILE ROOF i i 1 . I - r • r ' rr 1 } • - _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,' California 95965 • Telephone (530) 538-7541 w PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBEP L ^ (lJl_ (` r /l\) 1 ZONING BUILDING PERMIT OWNER Z a.AJC TELEPHONE SO. FT. OCC. BUILDING VALUATION 5 OWNERS MAILING ADDRESS �I f CONTRACTOR'S NAME • 1 7,'r ' . 1 ire TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ / O V ° • ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ Z G ' --o ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS L Energy Plan Checking Fee $ PERMIT FEE $ IYLI M LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF If Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TY New ❑ Add oPE OF WORK . el ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ce and effect.�� ? /� License ClassL�r Lic. No. )/ WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for 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 I have and will maintain workers' compensation Insurance, as required by Section J" 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number r �f ,2 _ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X A , / /: Date / v� t/ /� Signature of Applicant - ❑ OwneYZC6ntractor ❑ Agent An OSHAIpJrmit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST.DwEllxao OCCUP. s0 OR ADDNS. ( a Acc. O S. 3.5¢FT: NON gEslo. MULTI -OUTLET 97.50 OWER APPARATUS a PSINGLE OUTLET CIR. j 20 .00 EX. Occup. OUTLET OR FIXTURES BAL ®1. 0 Ex. Occup. OFIx�E' R6 OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood. 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ /Z/G- • 0 HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (� By 1 li`� Date PERMIT EXPIRES ON Date ReceiptNo. asC)(Opgf, WHITE-D.D.S.-B.D' CANARY -ASSESSOR PINK -INSPECTOR GOLDENRO)-APPLICANT i� COUNTY OF BUTTE BUILDING DIVISION +` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Q K i OWNER PERMIT NO. -. A routine inspection indicates that the following violations of butte county Ordinances exist at the s above address and should be corrected. Please notice this office when correction of work is r^ completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I_/ - 1 �oy��Q e_y��d Qenf aA►yAJa 1�� r �J.v QN aSN:iv or roof ri�,(' '-�". c✓ 1i u 0 y 7 O/ pno u '50-1.4,0 a 41 vec s A J V i. ii 1'a ^l' Y 6 :r- l a vl )eyoe /13- y Date Inspector REV 1 /92 `:1 -J 'COUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT.SERVICES 411 Main Street • Chico, CA • (530) $91-2751 7 County Center Drive • Oroville CA • (530) 538-7541 CORRECTION NOTICE All, 17XI OWNENPERMIT NO. A routine inspection indicates that the following violations of butte:county Ordinances exist at the r above address and should be corrected. Please notice 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. ' r�G����p 'ice -% x - 4 n 'n i' nJ Z2' Inspector' - i Date z REV 10/92 r -ti y� z '-'''• .;`Lx...-- r/��'�.''.�u'?5/ -al '�'i�'�` r";_,f.,�_ y,,,,. s . . . . . . . . . . . . . . . . ...... , .ty, COUNTY OF BUTTE • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE /3 owG,,,4,tz '71-.z 25,7 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected: Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE T` BUILDINW DIVISION DEPARTMENT OF DEVELOPMENT SERVICES_ 411 Main Street • Chico, CA • (530) 891-2751' 7 County Center Drive • Oroville, CA • (530) 538-7541 �- r CORRECTION NOTICE OWNER PERMIT NO. ;y A routine inspection indicates that the following violations of butte county Ordinances exist at the '' above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,. please contact this office immediately. st ,Ks^ i� �i J �7 Date / 67 v Inspectory% �� �� '✓ REV 10 2 � r .a. , .. ? �`e"�.`• ; t's. � � 'ice : — r••. ,,. . • 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 b CORRECTION NOTICE P)o w -wq&A/ OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions. pertaining to this matter, or need additional explanation, please contact this office immediately. 2�2e I-Oe7 /— S J e -e- ,-e t e5z-' 11J -f cl; w. DateX02 I� OO Inspector - REV 10/ 2 12/2742006 "'04:22 04:22 1-209-464-1272 EAGLE STOCKTON PAGE 01 I ; AIR CONDITIONER PAD SOLID SHEATHING METHOD Pan Flashing NOTE:`: ` I. The V return must not be deformed or damaged,", 2. No nails are to �~ Penetrate pan DETAILUnderla mnt flashing. yeAsphalt shing DETAIL Barrel ridge tile, (V Ridge tiles may be used) Fon flashing.. 54 Asphalt shingles NOTE: The Pon flashing under the fife is optional, dependent on local roofing prac- tice and building deportment requirements. Nail eoCh cop the between the two fleshings. DIMENSIONS ` 6" ----�` Feb -21-01 09:47A rr P.O1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT N0. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL Nu V � �0- ZONING iELEPACPNC - BUILDING PERMIT °N"ER 7n ^ IC SO, Fr. OCC. + ' BUILDING VALUATION OWNERS MAIUN ADORED-/►�-� ... _.. 42A$(p CONTMC70 NAIAD TEL HONE 11s. — CONTRACTORS MAILING ADDRESS '-- CONSTRUCTION LENDER —•-- -" LENDER'S MAILING ADDRESS Fire lace Total Valuation Is / d 0-0 - --- ARCNRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS -- - -- -- BUILDING ADDRESS 1 Permit Fee ---. $ J 1 • L �'"O Plan Checking Fee Energy Plan Checking Fee $ --- �- PERMIT FEE 5/G - � LOT NO. -S SUBDNK DNS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome 13 Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water elping •- j 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel [3UdGties ❑ hO Other ❑ Describe Work: CZ'�On n Each gas water heater or vent _ __ 15.00 Gas piping stem 1 - 5 outlets 15.00atelletion Building sewer Mobile Home S GT W 15.00 @20.00•- PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license Is in ul o e and effect. License Class Lic. No. WNER-BUILDER 0 CLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 sato. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main .Service OOOV OR LESS 200A OR LEss __) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONS •_-_ �a SUDS.EWNG °P' 3.5¢F° OR AD DNS. °ONS • MULTI.OUTLET ---- NDNR�iO @7.50 APPARATUS (32S. a. Ex. Occu , ouTLETORFaruREs 20'.00- '-- BAL Q .w FIXED °R Ex. Occup. ouTLt�s REsiO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities _ 20.00 _ Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. I have and will maintain workers' compensation Insurance, as required by Section of the Labor Code, for the performance of work for which this permit i3 issued. My workers' compens tion insL/rence carrier and policy number art): Carrier ,/ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one' hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of s I 3700 0} the Labor Code, 1 shall //�� fc with comply with those pr visi S.Y., X Dete 1�.;FO- _ Signe"isOwner ontrtor ❑ Agent An OSr exca lions over SO" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating - — Cooling Hood i 6.50 - Ventilation3700 --- PERMIT FEI: S Mobile Home Installation Fee S Energy Inspection Fee — S Occ CONST. TYPE TOTAL FEE $ i 41 ro • 'K' Z• 37 D. FEES IMP FLOOD CDF PARCEL i PC HD KSUE This permit Is hereby Issued under of the Butte County Code and/or indicated above for which fees have j� By 1�- / PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 2 0/%% e1e eceiptNo. •r� HITE-O.O.S.-B. . CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT F 9 q - 0� g q-" 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION= 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB() - 30 - ZONING BUILDING PERMIT OWNER y TELEPHONE Sp. FT, OCC. BUILDING VALUATION .OWNERS MAID ADDRE © CONTRACTOR NAME TE HONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ cro ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ `-D LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 5(p 'J, l�l�C�, �! Q' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OOOVR LESS Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In I o e and effect. �/1 Tel License Class Lic. No. PP// [[[�GGi��, OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. OR ADDNS. ( DW: ACC. S. 3 5Qs0. FT. NON-REOSID. T. MULTI.RANCH OUTLET @7RQUITS,50 POWER APPARATUS a SINGLE OUTLET CIR. �(, Occup. OUTLET OR FIXTURES g20 @ 1.000 Ex. Occup. DFlxurLEtOrs aE�s '' DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor Code, for the performance of work for which this permitis issued. My workers' cop�ns�ption Ins rance carrier and policy number are: Carrier Z_ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of s I 3700 of the Labor Code, I shall fo with comply with those pr visi s. X Date �/� / Signa rU01Applicant - ❑ Owner ontractor ❑ Agent An OSHmit is required for exca tions over 60" deep and demolition or constructionQ� of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ % 41 (o • HAZ. I D. FEES IMP I FLOOD FFEFF;Z;C9 PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 1 ` / PERMIT EXPIRES ON ` Z10/Z-0—�+ the applicable provisions Resolutions to do work been paid. .2 Date 9 Date Receipt No. WHITE-D.O.S.-B. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT FAI Al tA) PERMIT NO. 1' 1904-84B9P,E i PERMIT -E' AS XPIRES S 'PAUL FORBERG OWNER �+ CONTR.. Lail'Const, Chico ASSESSOR PARCEL 40-33-11I Y. LOCATION 473 Paseo Campaneros, Chico Temp. Power Pole I' Called PG&E j., Temp. Elec. Service 4 ' Called PG&E I ;. Temp. Gas Service '~ y � t 34Called PG&E JOB FINALED (Date) ✓ '`� SignatureF I V. OK 0 = Not OK = Not Applicable * = Not Ready p MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—becking—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 Card -BI Date 'Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Date a0 POOLS (P ns) OK except #'s etbacks—Easements oils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector D' o I Structure; Steel—Connections—Thickness—Dead Men—Lining .; Receptacles and Lighting; Distances—GFI Wlec.; Pool Lighting; 15 volts—GFI 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5: Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector le Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval i` ec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged{ Q lec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. oxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy ealth Department Approval umb• Cir. Test— ater Supply Test izim don" Am - Card B -I Date Card -BI Date I,Card-BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date K � F 0L J = OK 0 = Act OK , - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -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 -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection 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 #'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. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic L] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. 76. 77, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. 34. 35. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 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 #'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. Header $ Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47.. Garage Fire Protection Framing -11 (NOTE: Anentry must be made each time you visit job site) r COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. TP, Inspector_ -- Date 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calitorn:a 95965- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT ASSESSOR PAR EL NUMBER — ZONING BUILDING PERMIT ow 4firri r TELEPHONE SO. FT. OCC. BUILDING VA LUATION OWNER'S MAI G ADDRES CO TRA OR'S AME TEL`E�HONE CONTRACOR' MAILIN ADD R�55 99 ..7-A-/, Fireplace CONSTRUCTION LENDER UNKNO,Cw / Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ITECT OR ENGIN R LICENSE NO. -S� Plan Checking Fee $ Penalty $ AR ITECT OR NGIN 'S MAILING ADDRESS Permit fee $ �S BUILDING ADDRESS 7 (`V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 lk� CD Water piping 5.00 91-00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUgRE SF ❑ Duplex❑ Mobilehome❑ Other ECI FY Building sewer 5.00 Mobile Home S G W 10.00 e ,,_,� TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2>/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �7 /17—V' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns Code and my license is in full f� rce and effect. License No. 2g� Classification t`a--- ❑ 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 U TI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS .&) NON RES D. (SINGLE OUTLET CIR. 20®sot Ex. Occup(ourLETs OR FIXTURES BAL®ao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 Permit Fee $ ^ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 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 s County in copse nce Xofgranting of this per t. %� Date yleV Signature of Applicant — Owner ❑ Contract Agent —7 An OSHA permit is require for excavations ova 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE J$ � PP. ,(ROUP _ TYPE OF CONST. F PAR EL P HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY P IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS l Date �S 9 C �"�A� U t� Receipt No. -- jam,.( L/� � �'^ WHITE-O.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT say �rvdd �vaJ E7 u _ "ERMIT NO. 1389-79B,E PERMIT EXPIRESl OWNER Paul Forberg owner _ . CONTR. 40-33-11 ,LOCATION (A.P. ) NIS Paseo Companeros, app.9OO'S.of Center - Ville Rd., lot 13, Chico t fo A,s��� No ave �o� e- t k Temp. PowPole Called/f�G&E Temp. Elk�lc. Serv. Cal end PG&E Temp Gas Serv. alled PG&E �0B FINALED ( a tK �ha) r . 4 -- 1. � Silis—=rro�er i'�:ate=i21• & ts•.chor.s _.- .. � .. ... ..� 2. Studs--. ai led ec Spaced rrozer-L 3. Braces 1 -.here Reoui Led 4. Bear;"tali s o-,er Girders Sc Floc-- I ailin? G. Draft Sto-p in !-.'ails (rat -proof) 6. Fire Sto^ at Furred .Ceilir_es & Stair Stringer 7. Header Size 3: C.J. Size a. Joist '!angers there Recuired b 9. Rafter Ties, Fulir_s c.: Roof Bracing =0. Trusses 11. zire:lace Tie= or Tyre A Flue 12. Crawl Hole to Attic &: Romex Protection 1;. Lxt. Door or rea. hit. size Window--Bzdr o 1 16" Framing in Garage Fi rural 1 ` 15. Ext. Doors--Or--e 3' — Ck Garage if req__ 16. Ck Stairs if 2—story 17. 'Post Cars & "anchors - 18. Type Pl�nrood on Roof OwerhanQ Attic Vents 19. Sidin?--Nailed Froj�erly 20.. Stucco Mesh, ^ri r Screed Foi;rdation 'dents W.H.'lent Ins v lied Py n .�,1•ly 2. ^eei :'ester riY`c? i (1 (j`^Q 3. Te son D. -air, Pi re 4. Test 4S"n rer "lar 1st rloo:. 5. Test "ub r;: Shower, 2nd Mloor 5. Gas Pi rte --Size & Ties 1.. Cleara_rce a_t r9 us:s Fixtures 2. Elec.eCt.-racles x. 'Size Boxes Z: '_1G. of C: nuctorS 4. 3:omex Installed Close to Edge oi' Studs & C.J. 5. Equin. Ground r-..ade up w/R-.ech.-asteners E, 2Circuits i^ Kitchen T. Sub =ceders--pro;.er size Conductors & Gr'o,r:nd rootmgs I Footing I k ELECTRICAL FIRE (SPRINKLERS T Mesh MECHA AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation zPermanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C Va (NOTE: An entry must be made on this form each time you visit the job site.) Mia N t-A�. �� ii :Ps-�>. = COUNTY OF BUTTE — DEPARTMENTOFPUBLIC WORKS 1 t BUILDING INSPECTIONAECORD BUILDING . BUILDING (Cont'd) _ PLUMBING Setback , % 40 Firewall Soil Piping Forms —I -Z_ 4% Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina 14&To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I - at Garage Vents Insulation Water Htr. Heaters Slab - Car ort p Footings o(- Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final - - Sanitation Patio FIREPLACE Final rootmgs I Footing I k ELECTRICAL FIRE (SPRINKLERS T Mesh MECHA AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation zPermanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C Va (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Orgville, California 95965 Tel eph6he: 934-45410, APPLICATION AND PERMIT Aft Receipt No. O a '� 1 `� 6 O►%1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner P" ��g� Sp. FT. OCC. BUILDING VALUATION Q QrOU Mailing Address 15 F Ni S,tv�eN-g4q�Cj�y�Q amS &H tCO tA. q,` ,1 co T71j1Ph't"f'7 1 Contractor ow 679 -- Mailing Address Fireplace Total Valuation /co Telephone No. Permit Fee r Building AddressS n aS d e_i,^ 19JA•3E2QS Cloo/ S. or- -rJ11 e"i1-1-es, ZD • Plan Checking Fee &/or Penalty Permit Fee .00 Oa PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 L,o r* rz, C 1+1 CID Repair drainage or vent piping 1.50 A. P. No. Q -33— i I Zoning S Planning Water piping 1.50 Each gas water heater or vent 1.50 FP*ss I VYC. I S� Fire Dept. I Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plan ec'd Parcel roval Plans pproval NEW [B-" ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ p(21 • V 6fT. 6 6- b . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 eQD Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELING OR ...NS.C ACCLBLDGS,qWl 22sgft / 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 st le of: y NEW CONSTR MULTI -OUTLET NON.R ESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS 8 NON-RESID. `SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES BAL Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , (� $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. permit is issued I shall not employ any person in any manner KsI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Dat - a ure of Permitee or Agent7 ►nc.T e i Land Development Fee $ TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the Butt ounty Code and/or resolutions to do work indicated abov or hich fees hav been paid. D JECTO UB)AC WORKS �� �1) Bho Dat Receipt No. O a '� 1 `� 6 O►%1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date CLAIMANT: &unf* af iVVtd& OROVILLE, CALIFORNIA GENERAL CLAIM Donald E, Rohrer ADDRESS: P.O. Box 3196 CITY & STATE: Chico, CA. 95927 IMPORTANT: Sept. 16, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY') AMOUNT Decided not to build. (Permit Appin. ;388647 B,P,E,M Receipt - AP 40-33-11) Buildin8,tpermit fee 4--•---$148.00 - Retain 1,13 of fee --------- 49.33 Amount of refund due --------- ---- $.98.67 Plumbing permit fee -------$19.50 - Retain filing fee -------- 3.00 Amount of refund due -------------- $ 16.50 Electrical permit fee -----$ 57.00 Retain fi #fig fee --------- K00 Amount of refund due -------------- $ 54.00 Mechanical permit fee -----$ 13.00 Retain filingfee ---------3.00 Amount of refund due -------------- 10.00 Total permit fees refund due ---=-- $179.17 Lan Deus opment ee refund ------- 25. 00 TOTAL REFUND DUE ------------------ $204.17 $204. 7 TOTAL $204. 7 I, theundersignad, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true end correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif........................:............................................................ Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- liyered and that there is a Budget Appropriation a or Specific Board Approval (_� (Check one) for the same. 16th Sept. 77 Oroville Dated this .................................... day of ............................. 19....... at .............................. , Callf..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................Code ................................................ PAYABLE FROM ................................... :......................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to -CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant_ and submitted to the -De- partment head for approval. Upon approval the .Department head will forward claim to County Auditor -for -payment procedure.. - Do not file with the County .Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every 'Tuesday; however, same must be approved by officials and in Auditor's office -before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY O: BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive CroviIle, California 95965 Tel epli6ne: 534-4541 APPLICATION AND PERMIT g V7 / 1 X Date Signature oof�f�Peermitee or Agent Receipt No. y�bZ/I Ag White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner 2 SQ. FT. OCC. BUILDING VALUATION o O00 Mailing Address Tele hone No. , 00 Fireplace rfQ 00 Contractor Total Valuation 2zo, a Q Mailing Address Permit Fee 00 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Ov Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Lon Each Trap 1.50 Loo C Repair drainage or vent piping 1.50 Water piping 1.50 �f Each gas water heater or vent 1.50 , (� A. P Wo. —3� -- �/ /S — Z°ni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Sanitation FireDepat'.l�FireZone Use Permit. Building sewer 5.00 EQA Parking Plans Parcel Declaration P 60' R/W Improvements P Lawn sprinkler system 2.00 Bld Plans Rec'd Parcel ApOol PL11pproval Permit Fee $ "f .Q $ L NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Y,,00 Main service io°°V OR o AMP ORLESS5.00 Main service EA. ADD'L loo AMP 2.50 Single Family 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. DWELING OR ADDNS. ( ACCLBLD P &) 20sq ft OO NEW CONSTR. MULTI.O L T NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS &) NON.R. 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: y Ex. Occup(OUTLETS OR FIXTURES) BAL@109 Ex. Occup. FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification . Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S7, 00 $ C 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. rI 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 Q Heating Cooling�Q Ventilation Hood 2.00 Permit Fee $ d� $ I certify that I have read this application and state that the aboveD166"C information is correct. I agree to comply to all County Ordinances and a Laws relating to building construction, and hereby au rize presentatives of the my of Butte to enter upon the abo a-ment oned property for In enion purposes. % %% // TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ahnva fnr which fPPQ hava haan nam / 1 X Date Signature oof�f�Peermitee or Agent Receipt No. y�bZ/I Ag White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date M tv, 'A', -OP, Q KAMM" —Iowa" lop Sm SAW THOMP 0 VOW t lots, i, WIN 14 .......... i� 41 4s,"Y J" I" No AW 1, to