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Home My WebLink About041-420-02241-42-22 aWRAZIL 3876 �t Branch Lane, Oroville Contr• Rob' rt Bromley Permit IF3228 8-3B,Pk�j- -2� EM(new single famil & detached gars e)/ �1 41-4G2� Contr: obert Bromley Per t #1242-84B (woo4 stove/SF) 41-42-22 Perm t�1115W(add open deck/SF) 1. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 X AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. O LA _ i�_ 6)�A _ (:m ZONING & OWNER ` PHONE NO. OWNER'S ADDRESS "01� ` �� v LOCATION OF BUILDING SA ^n USE OF BUILDING S,kcC e �� SIZE OF STRUCTURE X� =320 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows - -d fl FRONT � --' :!k _ SIDES REAR FRONT AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Z: �_ ZQ Z/ Permit Fee - $26-99. SO 0 Receipt No./ Q J-5 7S Signature of Owner YZ �� , � ��- � "!z' The above described AG BuilIng is exempt from a building permit. FLOOCy PARCELf P. ROOFING ISSUE Director of Public Works By Date 12- White 2 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ` PERMIT APPLICATION DATA SHEET OWNER %�/V `�- 4n Proposed Building UseZT-61 —1 XAZ_/ � Permit No. A P. No. _ Building Inspector -elI --I-/Z(-) OZz Date Z — At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 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 plari\and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 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 t office. Deliver w/inspector. Other Appli Date /2 - i 3-9/ 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---naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder I t PERMIT NO. 1255-85B A///PERMIT EXPIRES ! U OWNER LANE BRAZIL CONTR. owner ASSESSOR PARCEL 41-42-22 LOCATION 3876 West.Branch Ln, Par FE U I Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E f!f oK = Not OK ! = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) = • Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /•' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /'• Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /•' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10.Water Pipe; Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 11.Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 15.Water Pipe; Test & Anchors -Nail Protection 16. 17.Shower D.W.V.; Test-Fttngs & Anchors -Nail Protection Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Receptacles Spacing -Lights &Switches at Doors 22. Size Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ❑No 75. 76. Following instld.: Drive [3 Yes E] No; Walks El Yes []No; Planters ❑Yes 0 N Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. gg• Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. 35. 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 Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) 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.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) = OK .. = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS' RS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 1. g irements-Setbacks-.Easements 2. Soils; Special MH Support -Sketch 2. o gs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date ate Card -BI Date IV Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 �1 ®R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.�� 7 County Center Drive - Orovitle, California 95965 - Telephone 916/534-4541 APPLICATION ANS PERMIT ASSESSOR PARCEL NUMBER _ i ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ `� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1.5 �� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING .�ADDRESS PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 0 11L44L5__ 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 ❑ Mobi lehome ❑ Other Al �� SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: i� 0/°/s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. L ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered or 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 NON -RESIT R. BRANCH CIRCUITS) 2.50 ea NEw CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu zo@soa P�o OR FIXTURES SAL®900 FIXED APP LNS. OR FIXED A EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa' County n c nsequence of the granting of this permit. X ;W Date Signature of Ap l ant — Owner Contractor ElAgent ❑ 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 j-- occuP. GROUP TYPE of CONST. PARCEL PD HD SSUE This This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PU "M A BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS ate Receipt No. � ��% WHITE-D.P.W., YELLOW-ASSESSORIIPINK-INSPECTOR, GOLDENROD -APPLICANT K5-55 -z7- • _ r 4 PERMIT NO. 3228-83B2P,E31M PERMIT EXPIRES ` b? / lel' OWNER LANEBRAZIL CONTR. Robert Bromley, Par ASSESSOR PARCEL 41-42-22 LOCATION 3876 West Branch Lane, Oro �C A Temp. Power Pole Called PG&E Temp. Elec. I OFFICE COPY Called PII Ad ss _._. Temp. Gas Se' _ , GA Date_— , Met By Ca11edPG E ECTRIC Date Meter By— JOB FINALED -- - - Signature • � U J=OK O = Not OK ' r - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERF OR (Plans) OK except N's Date FRAMIN Continued 1. on' uirements-Setbacks-E encs 48 qty Line Firewall & Openings g., Main; Soils -Steel -Flet. rnd.- / " Ftg. Depth 4 oors-One 3' -Check Garage -3rd story, 2 exits tg., arage; Soils -Steel- / /" Ftg. Depth St idth-Headroom-Rise-Run-Landing-Fire Protection 4 Porches &Decks; Soils -Steel- / /" Ftg. Depth 5 Ply on Roof Overhang -Attic Vents -Rafter Outriggers walls, Main; Steel-Blockouts-Wrapped-Slab 52. iding-Nailing-Veneer Ils, Garage; Steel-Blockouts-Wrapped-AG53. 7 iers fireplace Ftg.-Steel 54. Stucco Mesh -Drip Screed-Fdn. Vents-Vnderflr. Access Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings- t-2•way O -Sewer Ml 55. Shear Walls; Nailing -Bolts pe; Size -Anchors a er Pipe; Test -Anchors -Regulator -Ser i ce Test �i 1X_ric; Underground _ ums & Ducts; Clearance -Material -Support -Ins. 3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 'r and -BI Date Card -BI Date and -BI Date Card -Bl- Date Card -BI Date Card -BI Date Card -BI Date �Q v Date FINAL Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's xt. Steps -Door & Sidelight Protection -Landings Smoke Detector 14. ter Ht.; Vent -Access -Combustion Air P,,room urnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor -Ducts -Meeh. Protection Exiting f�" 1 ater Pipe; Test & Anchors -Nail Protection 1— -� W.V.; Test-Fttngs & Anchors -Nail Protection 17.hower Pan; Test, First Floor -Tub Access .F.I. & Bath Fixtures & Tub Access _ 18.. 3e'st Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels -Gas Pipe; Size & Anchors air & Rails _ _16'. irepjace or Stove; Clearances -Hearth �//�_ lec. Outlets at Wood Panel; Int. & Ext. Card-BI�_f✓ Date inr3�-*Card-BI Date it. Fixt. & Appliance;.Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 21,:�utlets & Receptacles at ISU. Counter Date ELEC CAL Permit OK except N's §07,Gfrage Fire Door; Swing- tng-6}osLr-' in Garage -Damper _ 2 F' re & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air -Connector .V.- I aro e; Above Floor-Mech. Protection 2 EI . Receptacles Spacing -Lights & Switches at DoorsjPo'�Plo, Elec. & Mech. Equip. Listed for Location _ 2 Siz oxes & No. of Conductors -Stapled lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23 x Installed Close to Edge of Studs & C.J. - 24. . Ground made up w/Mech. Fasteners -Bond Gas & Water s Canon -Foam -Looked in Attic [_1 Yes 'rd -_ 2 lance Circuits in Kitchen & Conductor Size u Rails & Deck Construction -Post Caps _ --- 2 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI dn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑Yes — 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, ,-, Insulated Neutral ,_Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 7 ollowin instld.: Drive g ❑ Yes ❑ No; Walks es ❑ No; Planters []Yes ❑No �-grown-Finish - 29. Equip. Clearances; Pane ls=Motors-Mech. Equip. �Tr Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 30. Clothes Closet Light -Shower Light —_ -- Card B -I Card B -I J _Date/ Card -Bi Date Date Card -BI Date at .Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.J. ptacle-Underground eritilation throughout House V'elass Protection Date ME ICAL (Permit) OK except N's '�`' � / 84!GasTest-Meters �� Freetians from Previous Inspections Tagge-3 Gas Elee triC --31. . . Ducts; Insulation & Support — 32. Vent _Fan_E_xhaust above Insulation _ 33. Condensate Drain _& Overflow; Size &Grade ater & Sewer Connected - -o Grade -HD Approval u. ergy Compliance Certificate -Other Certificates ---34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access &Platform if Furnace in Attic qq Card -BI Date -S� Card -BI Date i - 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 FRA (Plans) OK except q's _-3 S' Proper Material &Anchors__ — _— 37e W ; Studs -Nailing, Spacing & Bracing -Plates_ -Sound_ 38. Qgtrft Walls over Girders & Floor Nailing - gjaft1�Stop in Walls (rat proof) 40.Stops; Furred Ceilings -Stairs -Chases -Tub U"�� C -3015 - r — 41 er & Beam -Size & Bearing 4 Han rs-Post Caps -Anchors -Co ectors 4 Ing. Joist-Rftr. Ties -Pur ' -Root Brac.-Truss-Shthng.-Ring. 44. F' lace Ties or Type • Flue -Fireplace Throat - At Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 4 drm_Win_dows or Exiting Doors -Sill Hgt. &_ Dimensions _ e7lection Framing ---- (NOTE: An entry must be made each time youvisit jobsite) OK, Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except n's .. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—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 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MDBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's V 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 3. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B-1 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date 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 cor/d-, n of wor is completed. If you have any question pertaining to this atter, oal explanation, please contact this office immediately. Inspector—f.,!� Date t o — 11, COUNTY OF' BUTTE• DEPARTMENT OF PUBLIC NORKS 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 BUIaING 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. Inspector x Date r Rin IDEN,rIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICAT' THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENT'S HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT r �r rr T ir,.,,, BUILDING PERMIT # A.P. THE FOLLOWING HAS BEEN INSTALLED AS PER APPROVED PLANS;. INSULATION: GLAZING: SLAB EDGE SINGLE GLAZED FDN. WALLS FLOORS SPECIAL(INSULATED) CERT.& LABELED WDS. WALLS_ % & SLIDING DRS. CEILING/ROOF WEATHERSTRIP DUCTS BACK DAMPERED FANS CIRCULATING PIPES INTERMITTENT IGNITION DEVICE APPROVED HEATER CERT. APPLIANCE APPROVED WTR. HTR. �-x-��-►c-�-x-�jc-��c-��-�-�-x-x-��-��-x-��-x-� �-x-��-�-x-��-;�-�-�c--x-x-�-x-x-�t �-x�-x-��-tic-��c-�--x I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED, INSULATION APPLICATOR NAME: HAWKINS INSULATZ N COMPANY INC. OWNERAPPLICATOR: 378407 S ATURE & TATE CO TRA ORS LICENSE # GENERAL CONTRACTOR/OWNE AME 01- SE `SE 1 - GENERAL CONTRACTOR/OWNER . SIGNATURE & STATE CONT C DATE TORS LICENSE #, - �� A g� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 1. , 11 1/84 COUNTY OF BUTTES DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californja 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASS S ORPARCEL NUMBER _Lt `�3 Z N G BUILDING PERMIT OWNER4. / LE H E SQ. FT. OCC. BUILDING VAL I N OWNER'S MAILING ADDRESS S C T ACTve O 'S NAMnnii QAJ TELEPHONE qn 01 V CO TRACTOR' MAILING ADDRESS t- 1 Fireplace rt 00V CONSTRUCTION LENDER UNKNO N Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ qS7 D0 " AR.'HITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS S4 Permit fee 1 1$ ~SrQ BUILDING ADDRESS �e PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Zbo Solar Water Heater 20.00 0 ro Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas vent 5.00 r Gas piping system 1 - 5 outlets 5.00 OD �, / USE OF STRUCTURE SF Ej Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New Additiona Remodel Utilities ❑ Installation❑ Other ❑ Describe work: �� r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 OR ADDNS. ( ACCLBLD C P & NEW CONST DWELING fr 21�20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): 0_1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my _ license is in full rce and effect. License No. �� 21 9 Classification I El 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 -22,90 NEW CONSTR ULTI-OUT 2.50 ea NON.R0NS BRANCH CIRCUITS) NEw CONSTR (POWER APPARATUS &•� NON.RESID, SINGLE OUTLET CIR. 20®50C Ex. Occup(o XETs OR FIXTURES BAL®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESI D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 rN — 1p 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�iy�s to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ranting of this permit. against sa' C unty in co seqX�= %� Date 21D 3 Signature of Applicant — Owner ❑ Contract r � 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 $ N-1 nvny- q=q TOTAL POR6T FEE $ r7r7 7, 96 OCCUP GROUP TYPE OF CONST.PAR / CEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 10 n Date 91-9-3 Receipt No. (� WHITE-D.P.W., YELLOW -ASR. PINK -INSPECTOR, GOLDENROD -APPLICANT 83-3138 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT DiPO!//t �F FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgementJS RE,;; .. ; be recorded prior to issuance of a building permit. fE ?124' 1 2 "4V 19 3. The property described -.herein is adjacent to land or included within an area zoned for agricultural•purposes, and residents of ELEANOR M. this property may be subject to inconveniences or discomfort arisiniLERK-RECORDER 9 from the use of agricultural chemicals, including, but not limited to herbicides, -FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County -has established, agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary.farm operations. All that real property situate in the County of Butte, State of California, described as follows: 11-2APs /9T AV E 9, Date:_��' State of 1/9.UffJ, 1(///D ) On this the �_ day of s;;�E T�'II FZAO_ , 19_y?_, �r ) SS. before me, the undersigned Notary Public, personally � County of J?Z11TF. ) appeared �OaE27- -T �/2G/yI.CEY , /°Pal/� 7-0 //7Z Oti THE �ipsis aF e�iDT�Sfi9�Ta�E'/ �'/�raE'iuC�,� •onuuminuuouuunwnomo�auunNeauau OFFICIAL SEAL MARION L. BECKER ke to be' the person(s) whose name(s) Al -® NOTARY PUBLIC • CALIFORNIA subscribed to the within instrument and acknowledged COUNTY O/ 6UTTO My Commission Expires February 1. 1000 that _Y!ye executed the * same for the purposes >a. seee.eeFllnNn►es�l l.wel•ases4ea 19 'c.r therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. NO. q1 - qZ " 22 - /95 .51leldN O/U 7W)Q 7 &9E1'7191A1 ^9,0 F/61 -"D //V ThIE Epl7'R pf riyE (�24ZI U7- / 9,c 3u7 -Tr S T/J re' 11-2APs /9T AV E 9, Date:_��' State of 1/9.UffJ, 1(///D ) On this the �_ day of s;;�E T�'II FZAO_ , 19_y?_, �r ) SS. before me, the undersigned Notary Public, personally � County of J?Z11TF. ) appeared �OaE27- -T �/2G/yI.CEY , /°Pal/� 7-0 //7Z Oti THE �ipsis aF e�iDT�Sfi9�Ta�E'/ �'/�raE'iuC�,� •onuuminuuouuunwnomo�auunNeauau OFFICIAL SEAL MARION L. BECKER ke to be' the person(s) whose name(s) Al -® NOTARY PUBLIC • CALIFORNIA subscribed to the within instrument and acknowledged COUNTY O/ 6UTTO My Commission Expires February 1. 1000 that _Y!ye executed the * same for the purposes >a. seee.eeFllnNn►es�l l.wel•ases4ea 19 'c.r therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. NO. q1 - qZ " 22 - Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83-31498 6)eo I- FE FOR ,RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement'•JS�,yil,,.;r be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included Ef 1 1 24 AU.!9� within an area zoned for agricultural purposes, and residents of ELEANGkH.BE:K this property may be subject to inconveniences or discomfort arisinJLERK-REC0R0j.t from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary.farm operations. All that real property situate in the County of Butte, State of California, described as follows: a, q 5 ,5,Y,4 GvN 04) 7;gA7- C?,,'l?71- 9/N DFF/L' OF 7-H /2F'CUEp1 LCR QF Tii(C 612&1,U7y' O/C 7-4 TE coF O/U 1VW&I7,FE,P �, i9-77 /.) Roel l3 ,02 A Ps A i 10,v e. E 9, e7 / 4 �-? �. STATE OF CALIFORNIA I )ss CO IN.TYY OF � , Q , 19�, O before me, the undersigned, a Notary Public in and for ►ersonal ly E said State, personally appeared-✓%�� Personally } v known to me (or proved to me on the basis of t4�e-ee4h-vf Si4T/ �L%?I%2 (%/��'�j[� LZ` 7D /% z m i= a crediblewitnesswhoispersonallyknowntome)tobethepersonwhosenameissubscribedtothewithininstrument,as iE'iUe�' C a witness thereto, who being by me duly sworn, deposed and said: E That he/she resides in �/�.�//�/p/ii//9 ; s) a y puunuannuunnuuunttauttutuottnnutuft , that he/she OFFICIAL SEAL. Mowledged iz �(AA/E Z t�.IeZ /,C �F _ , , MARION L. BECKER was present and saw _ NOTARY PUBLIC - CALIFORNIA ►urposes -mac/ �C/A&Az�'� Personally-~' COUNTY OP BUTTg C My Commission Expires February I, 19§§ and official known to him/her to be the same person(s) described in and who#6lssfaa.:caaan,ruuaaoauanuuutfiyptEUYriits i executed the within instrument, as a party(ies) thereto, sign, seal } R and deliver the same and that said party(ies) duly acknowledged )1 in the presence of said affiant, that he/she/they executed the { o same, and that said affiant, thereupon at the party's(ies') request, I o subscribed his/her name as a witness thereto. co WITNESS 1iy hand and oftu;ial seal. Signature _ (This area for official notarial seal) RESIDENTIAL PLAN CHECKING GUIDE (S.F j DUPLEX,-&.MISC. ONLY) Bldg. Permit # A.P. # y/ - 112 - o?F. A. GENERAL f/ Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. .a Grading, fills, drainage. C. FLO R PLAN Complete to scale plan with dimensions. ,2, Required windows for fight and ventilation (Sec. 1405). 1 -.Required windows for second exit (Sec. 1404). .�4— Allowable glazing for energy requirements (20% max. per.State law). ..� Human impact glass (Sec. 5406). �6,. 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. .,9':0' Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. -Kr Garage firewall, door size, and closer (Sec. 503(d)(4)). �1! 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. 134` Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS _1-!' Foundation plan complete enough to construct building. .?e' Floor construction details complete enough to construct building. ,3' Elevations and wall construction details complete enough to construct building. ,,4** Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,11- CCX plywood on exposed locations and overhangs. ,2!' Stairway details (Sec. 3305). ,3 Guardrail details (Sec. 1716). A—' Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). OW: Rafter ties or bearing ridge beam. ..80' 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 (Sec. 3302). Dekl7l-;� b.e C dkc- �7�7Ft �i]L/I2 �f cyuimo c6 _ Owner: 1.,gXA7 ' 1&k4Z/L Permit ENERGY CERTIF ICATION -z- LOCATION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material 04--i Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) el FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name -O ( Sr Al Thermal Resistance(R Value) / Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Loe7, 7/ /A- iT j O,0° J", hi Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. CA�r� �r�ZJ-L F RM /OWNER STATE CONTRACTOR'S LICENSE NO. GNAOF INS ALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 4_AAje- 45A9wZ/.L FIRM /0 (Please print) STATE CONTRACTOR'S LICENSE NO. IGNA (JUERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTI� - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, .California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PAR?.E NUMBER ZONING BUILDING PERMIT OWNER ' TELEPHONE SQ, FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS CON TRAC O NAM LEPI-JON€ CONTRVATOR'S MAILING ADDRESS F' epIace C NSTRUCTION LENDER UNKNOWN Total Valuation 1 $ lam t::_� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAI NG ADDRESS Permit fee $ BUILDING ADDRE� W^ , '-Aa��4y _ n 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 ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio ❑ Other Describe work:-�-x�p s� •� cam— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 r Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0a n and Profess' s Code and my license is in full forceand effect. License No. � � —' Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NON-RESID, (SINGLE OUTLET CIR. OUTLETS OR FIXTURES DAL@30 Ex. Occup(FIXEDPLNS R EX. OCCUp. OUTTS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare u1 der penalty of perjury (check one): [Q, -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. 1 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 id County in onse ence of t granting of this permit. X Date - 2X � Signature of Applicant — V Owner❑ Contractor ®Agent An OSHA permit is required xFa ion er 5'0" degp and demolition or construct- ion of structures over 3 stori �h�g t. Mobile Home Installation Fee $ �oC TOTAL PERMIT FEE $� OCCUP. GROUP I TYPE OF CONST. PARCEL I PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR CT O LIC By PERMIT EXPI ES Date the applicable provi- resolutions to do fees have been paid. WORKS Date pt � Receipt No. 2 WHITE-D.P.W., YELLOW-ASSFSSOR, NK -IN CTOR, GOLDENROD -APPLICANT Y q. Treasurer, Central Collections Department of Public Works r Returned Check - Robert Bromley (AP #41-42-22) June 12, 1984 With reference to the above subject, attached is a copy of a returned check for insufficient funds from_ Robert Bromley. Numerous contacts by phone have not produced the appropriate response. Would you please make arrangements for collection. Should you have any questions, please contact me. Original signed by J. F. Glander JFG:aj Attachment cc: Contractors State License Board 429 Redcliff Dr, Suite 140 Redding, CA 96002 J.F. Glander Chief Building Inspector BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin.. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Day. Drng. S.I. Sub. & Pcl. Maps Permits Addr. Lro� l y BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 196 MEMORIAL WAY 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 891-2727 534-4281 872-2961 Ext. 58 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name Applicant's Name Mailing Address 1. Construction site 2. Lot size feet x Assessor's Parcel No. Phone (Street and number or direction and distance to nearest crossroad) feet. acres 3. APPLICATION FOR: new system for new building ❑ Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities ❑ 4. Type of building to be served by proposed system: Mobile Home ❑ (size ) No. Bedrooms garbage disposal? House ❑ No. Bedrooms garbage disposal? Other ❑ (specify) 5. Water supply for premises: (Must be safe, potable water) Community ❑ Private wel l ❑ Other Water supply for adjoining properties: Community ❑ Private well ❑ Other WORKMEN'S COMPENSATION INSURANCE ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 6. 1 am aware of the provisions of Section 3700 of the California Labor Code Which requires every employer to be insured against liability for Workmen's ❑ I certify that in the performance of the work for which this permit is issued Compensation. 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California .7. SCALE PLOT PLAN TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of water. structures, driveways and parking areas. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements. d. Location of any well, spring, creek or other body of i. Proposed sewage disposal system and area water on the parcel and within 100 feet of property line. for replacement. I hereby state that the information above and on the reverse side hereof or attached, hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy can take place. Signed Owner ❑ Authorized agent ❑ Licensed contractor ❑ Date (An original letter of authorization must accompany this application in order for an authorized agent to sign.) FOR OFFICE USE ONLY Legal parcel? Zoning Use permitted? Access Rcpt. No. Amount Water plans cleared Potable water Comment - 579R a ..;h! yXi "art