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HomeMy WebLinkAbout042-320-01642-32-16- MILTON MORTON AP/ 4 Arbor Dr., Chico �( contr: Holiday Pools, Chco Permit# 16.68-71i.R _ P_ W .- AP 42 Y pc Permit# 1942-75P,E(service c}aar4 gas line for pool heater) �rmit #2524-75E (add a ec. �rmit #k1468 -75 -private swim X01 ) rip" GRUENDENAM, Harold & 2781Bxr >r. WOODS, Leonard 2299P - - - -- • & I Lot 15, Glenwood Sub., Chico ,r (new, single family) n CONTR: Haro d Gruendenam, 976 E. 9th St.,�wh' _ /D -� -G SL AY 42-32-16 MILTON MORTON --new owner Permit# 3281-75B,P,E,M(addition) contr: Joe Mello, Durham t Permit #3744-76.B(lst renewal for permit #3281-75) 42-32-16 —� contr: oe Mel@o urh m t Permit B( e open d o TIP 42-32-16 Permit #2050-79B(2nd & 3rd. renez y332.8.1/-7 5 ) 42-32-16 � n EL GA�� n C�k4 'Arbor r, Chico Contr: Richfield Roofing, Orland Permt #18-86B(reroof /SF) 1/19 IF6 1 _) o ia2-32V-_U I6" MISCELLANEOUS Re -Roof REROOF 20 SQ.'S COMP 4 ARBOR DR GEORGE E. RICH I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4 ARBOR DR Owner: Permit No: B08-1567 APN: 042-320-016 GEORGE E. RICH Issued Date: 08/08/2008 By KCG Permit type: MISCELLANEOUS 4 ARBOR DR Subtype: Re -Roof CHICO, CA 95926 Expiration Date: 08/08/2009 Description: REROOF 20 SQ.'S COMP (408) 500-6916 Occupancy: Zoning: RI Contractor Applicant: Square Footage: CHRISTINA FLORES Building Garage Remdl/Addn 4 ARBOR DRIVE CHICO, CA 95926 Other Porch/Patio Total (408)500-6916 FEE INFORMATION DBMSC Re -Roofing $119.00 Total Charged: $119.00 Fees Paid: $119.00 Balance Due: $0.00 Receipt No: B8200 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 violation of Section 7031.5 by any applicant for a permit subjects X 08/08/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; (Pleas eck one of the following: Contractor's Signature Date 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does K�'( ~"fi 1''WORKERS' COMPENSATION DECLARATION t I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: section need not a completed if the permit is or one un re otters ($100) or less❑I AM EXEMPT under Section B. & P.C. for this reason: dt,Cls ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS UED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 0$/0$/200$ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 0$/0$/200$ I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building _ Signature j Date WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property ownefs 4ehalf. r CONSTRUCTION LENDING AGENCY Ckr/ 6 ,n ,/ wens 08/08/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me of Permitte SIGN] j yPn t Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner 1-1ContractorOR; gent for Owner Agent for Contractor FILE COPY Lenders Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. :50(3-1E6 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name I First Name Mailing Address r �� City State p 9 v Phone S� Fax O -a E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION API —,32(o— olk Property Address City ti—AL- C.4- r� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. ,� / / ty. 4,0 rAUG-8-2008 11:19R FROM:CRRRVRN 408 995 5616 nug 00 08 11:53a Butte COul.ty Department ®f Development Services TIM SWELLINGS, WW -OR I PETE CALARCO, ASSISTANT DIRECTOR 7 Counter Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.butteeounty retldds TO:15305382140 P.1 P-ef OWNER -BUILDER INFORMATION An upplrcation for a building pertuit has bear subtnftted in your name listing yourself as the builder of the properly improvements specified. For your protection you should be aware that as °owner -builder' you tut; the responsible pony of record on such a pemmit. Ruilding pemribe are not inquired to he signed by property nwriees unless they ere p.-monolly perfarnfulb their aan wan;, if your work is being performed by comenne other than yourself yell may protect yourself fimm passible liability if that pwson applies for the pmper permit in his or her name, Contractors are required by law to he limsed and bonded by the Slane of California and to have a business license from the city or county. '11ley arc also inquired by lacy to put their tieetrdc number on all permits for which they apply. If you plan to do you, rrwn work, with the oxceptron of vorieus trades that you plan to subcontract. you should be aware of the following information for your heneiii end protection: If you employ or otherwise engage any Y Dersoru other than your immediate family, and the ut)rk (Including materials and other twsls) is $500 or mon for the ent`ue project and such peasons art: not licensed as comtracton at subcontractors, then you maybe to employer.' e If you are an cmployer. you must register with file state and federal government U an employer and you arc subject to several obligations including $late and fcdcrN o income trot withholding, federal srreial security taxon, workers/ Compiticsatiun insurance, disability insurance costs, and uternploymeet campemation contributions. n 'there may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respee;l to wnrkers' compersuilon insurance. For more specific infnrmarton about your obligations undo federal las•, contact the fntemal Rcvcnue Savice (and, if you wish, the U.S. Small business Administration). Fat more specific information about your Obligations under staIIe law, contact the Department of Benefit Payments and tho Division of Industrial Accidents If the simclum is intended for We, property owners who are not licensed contractors are allmved to perform their work persrmally of Through It;. own employeca, without a license contractor or subcontractor, only under limited conditions. A fruqucnt practice of unliunsed persons profeSliing 10 be contractor is to secure a "owner -builder" building pemtir, erroneously implying that the pro" owner is P viinemghis or her own labor and material personally. Building vetmit9 are not required to be signed by property nwncm unless they are performing their own work l. In(ormatwn about licensed contractors may be obtained by contacting the Contractors' State Liccnx board's automated telephone infumuniun system at I -pall -ill 1;LSB (2752) or by accessing threr website s.1 www CSLli.ea.gov PLEASE COMPLETE AND REPURNTliF ENCLOSED OWNER-RUILDER VEItIFICATION FORM SO ITIAT WE CAN CONFIRM THAT YOU ARE AWARF. OF THESE MATTERS, THIS BUILDING PERMrf WILL NOT DE ISSUED UNTIL J. THE V1 RiF1CA:TION L5 RETURNED. OWNER BUILDER VERIFI(XrJ04N PLEASE COMPLETE. THIS FORM AS REQUIRED BY TIME STATE OF CALIFORNIA (SENATE BILL NO. gal EFFECTIVE JULY 1, 198% NO SUILDfNG PFRMIT WILL BE ISSUED IJWftL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY PI 1D PROVIDE THE MAJOR LABOR AND MATF.RIALS FOR CONS7RUCilON OF THE PROPOSED PROPERTY 1MPkOVEMENT. r8 R NO) 2. 1(11A VENO IGNI XO AN APPLICAMON FOR A UU1LDING PERMIT FOR THE PROPOSED WORK 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS_____ PRONE CONTRACTORS LICENSE NO 4.1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT 1 HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND 11ROV1Dr-. THE MAJOR WORK: NAME_ ADDRIiSS_ _ C1TY PHONE_- CONTRACTORS LICENSI: NO S. 1 WILL. PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: ADSFAS PyH�ONN•T YPE.O W R - � .,k l e r Description: REROOF 20 SQ.'S COMP Reference Number. BW1567 Applicant Name: CHRISTINA FLORES Owner's Name: CEORGE E RICH AP k :042-324-016 Signature of Property Owner: . �ee� _ _Date: S " g�- o Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds INFORMATION An application for a building permit has been submitted our name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMMP—RO�VEMENT (YE it NO) I((HAV�/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REROOF 20 SQ.'S COMP Reference Number: B08-1567 Applicant Name: Owner's Name: VILLICAN ,FRANCISCO AP # : 04c2�-320-016 Signature of Property Owner: Date: Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-1567 Date: 08/08/2008 Location: 4 ARBOR DR By: TMP Parcel Number: 042-320-016 Sub Type: Re -Roof Owner Name: VILLICANA, FRANCISCO Phone: Description: REROOF 20 SQ.'S COMP PARKS & RECREATION DISTRICTS The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ 0 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 El ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER C] ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ Other: SjQnV,r4 `%01k1rer-1;U11 Pr rrh "When filed, this applicabbn and all supporting material becdmes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 08/08/2008 FILE SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ 0 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 8954675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 . Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER C] ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ Other: SjQnV,r4 `%01k1rer-1;U11 Pr rrh "When filed, this applicabbn and all supporting material becdmes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 08/08/2008 FILE 08,!08/2008 11:19 �F�AX 5 530 343 3 4410 41 .r • JtEORDING REQUESTED BY; Fidelity National Title Company of California Escruw No.a 08-222825-6tS Locate No., CAFNT0958.0958-0002.0000222825 Title No.. 08.232025 When Recorded Flail Document and 'Tax Statement To: Mr. George Rich 233•N. -5th Street San Jose, CA 95112 APN: 042-320-016 FIDELITY NATIONAL TITLE Z001/002 This d e it 8 e t1_11117 -111-1—W, y of lhli edgleat recorded ®Ince oathe Recorder lorthe County of Butte, Stem of Californle: FI T TITLE GRANT DEED SPACE The undersigned grantor(s) dedare(s) Documentary transfer tax is $286.1 x ] computed on fill value of property conveyed, or ] computed on full value less value of liens or encumbrances remaining at time of sale, x J Unincorporated Area City of - -, FOR A VALUABLE CONSIDERATION, receipt of which is hereby- acknowledged, Alexandra Hrdina, a married woman as her sole and separate property hereby GRANT(E) to George Rlch, an unmarried man the followring described real property In the City of Chico County of Butte, State of California: SEE EXHISIT"A" ATTACKED HERETO AND 14ADE A PART HEREOF DATED: July 28, 2008 State of S ) County of azigri0L ) On a0M before me, Notary Public (here insert name and title of the officer), personally appeared Alex ndra Hrdipa, who proved to me on the basis of satisfactory evidence to be -the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and o Seal Signature (Seal) MA. t. LEWIS •°' `0 Notary Publle, State of Texe6 s;�• ',� My commission Expires Moy 28, 2012 Alexandra Hrdina , IL v AT FiIE ®1i ABOVE GRANT FD -213 (Rev 12/07) GRANT DEED (9rant)(12.07) 08/08/2008 11:20 FAX 530 343 4410 FIDELITY NATIONAL TITLE 10002/002 ��strow No.: 08 -222$25 -BLS cocate No.: CAFNT095&0958-0002-0000222825 Title No.: 08-222825 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: Lot 15, as shown on that certain Map entitled, "Glenwood Subdivision", filed in the -Office of the County Recorder of Butte County, California, on October 27, 1959, in Book 24, of Maps, at Page(s) 13 and 14. APN: 042-320-016 � 2� i/p5 s r�, _ qtr � . — �L ,%^..�.-> 4r � � � .• ^ CeMw+f-� u�� AI PERMIT NO.� 1440-85B, P,E,M I)LPERMIT EXPIRES— OWNER XPIRES OWNER LARRY LANGLEY CONTR.. owner 1 SSESSOR PARCEL 42-32-16 LOCATION S/S Keefer Rd; 700' W Greenberry Ln, Chico 1� 1 p 11 c✓ I-uy� f + 5 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E \' Temp. Gas Service Called PG&E JOB FINALED (Date) y Signature 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE, SQA FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 So lar.Water- Heater T�20_- 0. -- Water piping 5.00 LOT NO. SUBDI VISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobi le Home S I G I W I 4:r -_0:0e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. 1 21/20sq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business200501 and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR ULT'-OUTLET2.50 ea NON-RESID BRANC CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SAL®30Q FIXED APPLNS. OR 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner❑ - Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ' $ - OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J 040? M E � LAN.•D OF NATURAL' W F.ALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD. D. McELROY May 7, 1986 Deputy Director Larry Langley 2 812 B Morse man Avenue RE: Building Permit No. 1440-85 Chico, CA 95926' Expiration Date 5-30-86 (A.P. No.,47-32—?6 ) Dear Mr. Langley: With reference to the above subject, our records indicate that your Building Permit e_iDire s on the.above date. Building permits are valid,for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued.. If your construction is completed or should you have -any questions concerning this matter, please contact the rhj nn office. For your convenience, we are enclosing a renewal application form and an owner - builder form to.be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, - William Cheff Director of Public Works Glander JFG:aj Chief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Ch ico Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57 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 OWNER / ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 / /l5�" 1 e, -7- -Iv 7—n vi Ilu l.J i 74 144 s 1i i Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS C'%,� 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 llr •uc/sem /(//6—�S 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. �V' 7 v v Ax Inspector 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 Z4, 2 ZZ - WNER / '7 o�orrT . 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 .,m /tter, or need additional explanation, please contact this office immediately. v Sew s�Ifl Inspector Date �- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE V(ld A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 4��/ Inspector �v ` % Dater Cf�d O 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 rection of work is completed. If you have any question pertaining to this ma r, or need additional explanation, please contact this office immediately. Inspector Date_ 7' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I/ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and E.liott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,need additional explanation, please contact this office immediately. j A IfS G�Jr3/ c �Z / R. J d !J G c /G kc, v 1,41 /_e/ 764 Fa/ , /Js s2oD W I Inspector 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 /�u /L1�'� )_ 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 mattered additional explanation, please contact this office immediately. Q�f7 /l kyx c✓ 41n r i,`� '0�s' i'r £ac/ S1//T d t. S, 7 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 196 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 R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Inspector /" Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS `r 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 correcti of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. �l 'cJ /7 � , l�l Inspector, �'�'eZ _/ Date_S_— 1 S O IK - = JotApplicable RESIDENTIAL (Single and Duplex) = Not Ready M Date UNDER COOR ?ans) OK exce t#'s Date F MING Continued o ing requirements- cks-Essemaats---,' Property Line Firewall & Openings tg., Main; Soils,Sieelr - / /" Ftg. Depth Ext. Do rs-One 3' -Check Garage -3rd story, 2 exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection Steel- / /" Ftg. Depth P ood Roo verhang-Attic Vents -Rafter Outriggers Qemwalls, Main; 3teek-BI s-Wrag2ed-Skajb _ idin N veneer Slab 10 -h -- rip Screed-Fdn. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 0. : F^'�in gs- w C/0 -Se r TDs2 S r Walls; Nailing -Bolts 9 69as Pipe; Size -Anchors r 4e"VffxU1 ripe -=Reegrtator- d ' nce-Material-Support-Ins. 1 or Bolts -Joists -Vents -Cripples Card -BI Date —Card -BI Datey, Card -BI Dat i Card -BI Date Card -BI Date? s Card -BI Date Card -BI Date Card -BI Date Date FINA (Plans) OK except q's Card -BI Date - - Card -BI Date Date MBING (Per ') P� exce 's Ext. Steps -Door & Sidel' otection-L-a4kigs -oke Detector '10 Wat Ht c o ustion r V,-Furnace;r- I is&Anchors 1 r 1 ater Pip • T nc rs- at r V. i i ShowerPW,, Test, First Floor -Tub Access m Exiting 6 F.I. &Bath ix & Tu ss ct 46 ToT,�t & Showerr-2nd Floor -Tub Access 1. lec. rim & Subpanel; Breaker Sizes La ULA 12 & Anchors . 69—Fireptaee-or"Stwe'�@learartces-Hear; h ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-A'-Cookin Clearance Card -BI Date yO and -BI Date lec. Outlets & Receptacles at Kit. Counter Date EL,4CTRICAL Permit OK except q's ^nd.^y•;,,Sdr e --Damper . F' ture & Transformer Clearance -Ins. Protection (e>Wtr. Htr. en C ce omb. A' Corg�eetor-P.j✓/ In Gara ove Floor -Med ection lec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled „ Elec. & Mech. Equip. Listed for Location - Romtec. 7j of tuds & C.J. • .Ground made u asteners-�ewd.6as W Appliance Ci s i n &Conductor Size 7 u ation-Foam-Looked in Attic • _Pss � ' " ' e=6oet�Drainag arch Clearance Lo4adander-4eer—E;4es z Subfeed Wire Size / / a. C or AI C. a Si e / / . Cu or AI ange Circ. / / g d"i-Ov Insulated Neutral es ❑No Z5/t'ollowing instld.: D,rive�❑ Yes (�lo,' Walks CD Yes No; Planters ❑Yes iso Service -Riser Conductors & Ground -M ect - h / Equip. Clearances; Pane ls-Motors-Mec . Equip. 7 A.C. Unit; Disconnect-Clr. ces-Brkr. & Cond. Size -115V Outlet 3b. Clothes Closet Light -Shower Light 7 t§_Above Roof; - fice4;6—Clearanc to gg.> ater Well; Disconnect, Electrical, Plumbing 8 xterior Elec. Trim; .F.I. Rece -U� Card B -I Date a Card -BI Date lntilation throughout House s Protection Card B -I Date 'Card -BI Date Date M CHANICAL (Permit) OK except q's erections from Previous Inspections 2 g Meters Tagged; as I qj_Wwer & SeWerE`onnected-C/0 t e -HD Approval A.C. Ducts; Insulation & Support haust above Insulation(186-,>Energy Compliance Certificate-OtfiePw&efN4iea4es 9/.—C ondensate Drain & Overflow; Size & Grade V. Furnac�; Access -Comb. Air -Return Air Vent -115V outlet is Access & Platform if Furnace in Attic Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date r/ Q„ S Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date A ING Plans OK except p's Si Proper Material n Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Stop in Walls (rat proof) 7i 4 Fire Stops; Furred Ceilin s -Stairs -Chase Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors . Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfn_g_. Ties or Type A Flue -Fireplace Throat i UZitic Access; Size & Romex Protection -Draft Sto Ins. e Q/ Bdrm. Windows or Exiting Doors -Sill Hgt. im n l/-46PF. Garage Fire Protection Framing ' . (NOTE: An entry must be made each time youvisit jobsite) V = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready F P , MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghig. 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date .Card -BI - Date Card -BI Date i Roar- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , 'ry a - �k -1 (a, ZONING BUILDING PERMIT OWNER r TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADS"DREss CONTRACTOR'S NAME- , TELEPHONE CONTRACTOR'S MAILING ADDRESS _4 Q '+' 4y< 1 rk-3 4. 0 r Ig, Fireplace CONSTRUCTION LENDER ` UNKNOWN Total Valuation $ �f v by 0r a Filing Fee g $ 10.00 LENDER'S MA LING ADDRESS — - - ' I Permit Fee $ ARCHITECT OR ENGINEER �, A1i LICENSE No. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT O OR ENGINEER'S MAI LING -ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q� Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 t Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: !a r t.• i 1�r r�.4 rd / __�{�, I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. "1 License No. Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR AODNS. ACC. BLDGS. /20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON -REBID BRANCH CIRC ITS /POWER APPARATUS .&) `SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 5AL@30 eALeao Ex. Occup. OUTLETS ED AP(RESID.)REA.) 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. Q 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 $.00 Ventilation Permit Fee $ Contractor .I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. .�_ X - = '� ` Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPEJ I I FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ��IR e OR'OF PUBLIC WORKS By /fes �Ai f Date-/ PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN@ PERMIT ASSESSOR PARCEL NUMBER 41 _ a —Ito I ZONING BUILDING PERMIT OWNER,r V ani � e, TELEPHONE .So. FT, DCC. BUILDING VALUATION it OWNER'S MAILING ADDRESS/ CV,, o CONTRAkORIS NAME, a R TELEPHONE ( 5 -azo CONTRACTOR'S MAILING ADDR5 —}� xi x d� I Fireplace CONSTRUCTION LENDER UN NOWN Total Valuation Is ,���y, r" Filing Fee $ 10.00 LENDER'S A LNG ADDRESS Permit Fee $ n ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 0 BUILDING ADDRESS �rbor lJ!'kv�. C �,,�� Permit fee $ oo PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 -%Solar r or heat pump water heater 20,00 LOT NO. SUBDIVISION NAME 1p PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 I IF U F ST YO h E SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑^^ Remodel ❑ Utilities ❑ Installation(] Other ❑ Describe work: 1G$ — Cs=,n _X -L 1, l,C, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 DR LESS 100 OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ` I declare u der penalty of perjury (check one): I rn licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Q /'+ q License No.-�r/ � � g p C_ Classification � Jap ❑ I, as the owner, or my employees with wages as their sole c mpe sation, will do the work,and the structure is not intended or red for sale:.(Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason' NEW CONST. DWELLING OCCUP.eI`` OR ADDNS. ( ACC. BLDGS. 1 , ftsgft NEW CON STR ULT' -OUTLET NON -WE S, BRANCH CIRCUITS) IRC ITS 2.50 ea /POWER APPARATUS e \ SINGLE OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES 20 � 3 BwL930, FIXED PRREA./ Ex. OCCUp. OUTLETS IESID.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate lel�of Consent to Self -Insure. l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 f Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. Date o2 — G d�G ry Signature Of Applic r — Owner F-1ContractorU Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over -3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCVP. CONST.TYPC IF.LOODIPARCELI Po I NO I 135UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees IR TO PUBLIC Imo' By PERMIT EXPIRES Date 6^ the applicable provi- resolutions to do have been paid. WORKS Date� k,'y Receipt No. S/ 7/6 WNIYC-D.P.W.. YELLOW-A58ti83001, PI Not `YOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT Nq. ASSESSOR PARCEL NUMBER 3L _1 (BUILDING ZONING PERMIT OWNER r C_'l CA TELEPHONE SQ.FT. OCC, BUILDING VALUA ON C3, Q OWNER'S MAILING ADDRESS 1 / .. o CONTR TOR'S NAME, ta c, C_ Q TELEPHONE C9 J -' / o CONTRACTOR'S MAILING ADDR S —}� U X f7r1faw Fireplace CONSTRUCTION LENDER UN NOWN Ne&RESS Total Valuation $ ,$gip, cry Filing Fee $ 10,00 LENDER'S Permit Fee $ �y ARCHITWL ECT OR ENGINEER LICENS E No. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ p BUILDING ADDRESS .f'.� r k1VAL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME" PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: t.. ► 4. < 1.ce {, py ����e'H-eo• ��,�c� _;Z^ t[� Permit Fee $ ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE;LAW I declare u der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions CCode and my license is in full force and effect. License No. 383 Classification C_ Jp ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR AODNS. ( ACC. BLDGS. , /20sgft NEW CONSTR ULT I.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. / EX. Occup\OUTLETS OR FIXTURES 20@50t BALD 30 FIXED ALNS. Ex. Occup. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department t a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. U shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of.this permit. X Date Q — G _ e6 Signature of Applic t — Owner ❑ Contractor [ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , S—p OCCUP. CONST*TYPEJ FLOOD PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees IR TO PUBLIC f BY Date a PERMIT EXPIRES Date__ �� {�— the applicable provi- resolutions to do have been paid. WORKS 2 Receipt No. s % 8��p WHITE-D.P.W.. YELLOW-ASe ESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT utte Countil LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WQRKS . 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 1 Telephone: (916) 534-4541 i WILLIAM (pill) CHEFF Director January 2, 1986 Richfield Roofing RE: Building Permit Rt. #5 Box 5601 A.P. # 42-32-16 Orland, CA 95963 Dear Sir: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits .and inspections from this office for the work you are doing.as follows: Reroofed a duelling on the Daniel Garcia property located at 4 Arbor Drive, Chico. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees, including penalty fees. All work must•stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:aj cc: Building Inspector • Chico Yours very truly, William Chiff Director of Public Works CF,glnel Ifigned by J. F. Glander J.F. Glander Chief Building Inspector File No. r9 BUTTE COUNTY U` Public Works Dept. (Fur Action 1, 2, 3). (For Information to ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. .1;4) � - Y 12/18/85 Mr. Henson: Per our conversation 12/18/85 concerning tfie re -roofing at my Home #4 Arbor Dri_ve_, C-h_ico-,_. H.e.r-e=i_s_a_co.p_y- of—o.u.r,co.ntr-a.ct-, - - - between Richfield Roofing, (I believe the owner is Mr. Maust) , Phone number 805-7570,Contractor's.State License No. 383200. 5601, Orland, CA' 95963. - -�-- ----------Ca-11=me-at�@895=6325—if you—have any more questions. @343-2511 Gloria Garcia - Y Y --� -' �- '�`' ., i i t i. �'N '� _ 5.t. R 1 �'N '� _ . 1 r � yT .. 7. r d � • ' � rte. �'N '� _ . 1 r � yT 7. d � • ' � rte. PROPOSAL. and CONTRACT Date e� — //> — pig TO v 1491 Dear Sir: propose to furnish all materials and perform all labor necessary to complete the following: �a i.. - _ ,. _ .. �/�'CiC�- � !i� f% � L-t✓uw.✓! � �� � r-/ Ct�r! � .r' . �1,-.�...i i/�� '' �� i % i � � .E v ^'� � / . • % ..rte � �-f' ri �13�+1_ Y - � -i! . r/'�... All of the above work to be completed in a substantial and workmanlike manner according to standard practices for the sum of -- f� 1::� ,% .�.x ti.� �L.,�-� -- < —Dollars !$ ! �'r� 0. ) Progress payments to be made as the work progresses to the value of of all work completed. The entire amount of contract to be paid within (% days after completion. Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned in this contract. All agreements must be made in writing. Name and Registration Number of any salesperson who solicited or negotiated this contract:. Name - ' - No:- -- - Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any questions concerning a contractor may be referred to the registrar of the board whose address is: Contractor's State License Board, 1020 N Street, Sacramento, California 95814 Respectfully submitted, By Address 7 Telephone Contractor's State License No. r O You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. ACCEPTANCE You are hereby authorized to furnish all (materials and labor required to complete the work mentioned in the above proposal, for which o agree to pay the amount mentioned in said proposal, and according to the terms thereof. . ACCEPTED.( Dat6l , 19 NOTICE TO OWNER Under the Mechanics' Lien . Law, any contractor, ment ora modification thereof, in the office of the county subcontractor, laborer, materialman or other person who. recorder of the county where the property is situated and helps to improve your property and is not paid for his labor, requiring that a contractor's payment bond be recorded in services or. material, has a right to enforce his claim such officer Said bond shall be in an amount not less than. ;;against your property. fifty percent (50%) of,the contract price and shall, in". addition to any conditions for the performance r of the Under the law, you may protect yourself against such contract, be conditioned 'for the, payment in full of the claims': by e. filing, before;,: commencing -such work of ' claims'of all persons furnishing labor, 'services,;,_equipment improvement, an original contract for the work of.improve- or materials for the work described in said contract.. . In Peds, RICO -UTILITY Line Form No: 55;037 -CALIF.- Rev.' 3/79 SolraLBound-Duelicate-Perm Nn SA 95[ rile No. . BUTTE COUNTYw(For Action 1, 2, 3, (Public Works Dept, (For Information / ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards IBldg. Insp. Admin. I t /I I Design Engr. Bridge Engr. Constr. Engr. Surveys Mopping Tronsp. Land Dev. ' Drng. /S.I. Sub. & Pcl. Maps Permits Addr. r. 'sus ut�e ®unt LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF,.Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 RONALD D. McELROY Deputy Director December 13, 1985 Daniel Garcia RE: Building Permit 4 Arbor Drive A.P. #42-32-16 Chico, CA 95926 Dear Mr. Garcia: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Reroofed a dwelling on your property located at 4 Arbor Drive, Chico. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees, INCLUDING PENALTY FEES. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. Zhis field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander JFG:ahb J.F. Glander Chief Building Inspector cc: Building Inspector - Chico Assessor 4� Owner: BUTTE COUNTY DEPARTMENT" OF PUBLIC WORKS SPECIAL INSPECTION REPORT trs,C v�Q,v ., �►'T°� lJ"i �/ / nom►.► _ ' _.� Address: A -s I) --%)t/— � fl.� LVI�LV Tenant: GkVV\. i....- y?Z% /L - A.P. Date of Inspection T/ �f- Inspector Building Location: �y Type of Inspection requested: 1. Housing / /.2. Financing / / 3. Change of Occupancy to " 4. Other (specify) w Present use of building: " A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or v' lation�give CO ple descripti n): A D, , wo�7..T11--A,_ L.'-/ ! Y)0n -. 2. Whitt ,action .tal en give copnplete description) : 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. / /.D. Other: k I 4W41.00 . t E°PERMIT NO. 't P E M tMH UTIL. F J1 PERMIT NO. ` PERMIT EXPIRES bWNER MiltonMorton -ONTR. w - � LOCATION (A.P. - 42-32-16 ) 4 Arbor Dr., Chico .0 t • 4 k yi I 4' T Temp. Power Pole Called PG&E n Temp. Elec. Serv. j Called PG&E%i Temp. Gas Serv. Called PG&E OB i — FIINALED (Date) � C���® • :z (Signa i y DATE REMARKS OR CORRECTIONS Cv /C L, 7e DK 729 Sa Fri 0v6Zi�� Fi P� �c 71,65S O/C - #6 .�c f✓= 5 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets �^� 1st Floor -;;7 ` Main Bldg. Restroom Finish' 2nd Floor ---� Footings 2v Windows 3rd Floor �---^ Stemwall Siding To out Slab Roof Sheathing Water Piping�7 Piers �- �-� Roofing Sewer Garage Fdn. Vents -^ Fixtures Footings r-1 Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footin s- Conformance of ex. s Gas Piping & Test :7—,),q- Temp. Gas OD Slab �� Final - tion Patio - - FIREPLACEjRou i al Footin s �� Footing(o )(1 aC/(f "�E� LECTRICAL MasonryWalls -�-� T - h -Reinf. Steel �� inal ixtures -� Bond Beam FIRE SPRINKLERSotors �- Framing -7-%- F Test Water Htr. "1-:3-7 Stucco '�— Final Subpanels C-- -� Mesh �1 MECHANICAL Grd. Fault Pr t. Scratch -rte Heating Service Brown Cooling Temp. Pole `"- Finish Ducts Underground Interior Lath l- Ve n an t Door Closer final J Fi -/ 57 DATE REMARKS OR CORRECTIONS Cv /C L, 7e DK 729 Sa Fri 0v6Zi�� Fi P� �c 71,65S O/C - #6 .�c f✓= 5 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ' Teleprione: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. X Date Sign- & of Permitee or Agent'' Receipt No. 492 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By L Date J Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Cleo 9 Telephone No. Z43l Contractor �� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan y�' Checking Fee&/or Penalty Permit Fee Q PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 4�jVIAXI Repair drainage or vent piping 1.50 A. P. N0. 2 — p /'1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sanitation Fire Dept. FireZone Use Pen -nit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .® permit Fee $ AW ELECTRICAL No. @ FEE + PERMIT FILING FEE $3.00 Main service 10000 AMP ORSLESS 5.00 Single Family 21 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. AOD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCcup- &) 2dsgft 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: NEW RESID,z /MU LTI.OU R T NON.ESI`BRANCH CIRCUITS/ 12.50ea NEWCONSTR. POWER APPARATUS B NON .RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) 5B Lam1 FIXED APPLNS. OR Ex. QCCUp.�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice se 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 W rkmen's Compensation Insurance. 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. X Date Sign- & of Permitee or Agent'' Receipt No. 492 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By L Date J Building permit expires Date I . i h COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 JJ [/"�/CEJ• APPLICATION AND PERMIT 9 Z® (� /10 BY Date -7— o - 7 Re eipt No. 6 ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bu' rng permit expires Date 7 7 BUILDING N Owner I L-M&Ak_ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor E_ LL.C3 Total Valuation Mailing Address, Permit Fee X(o®1QO Plan Checking Fee &/or Penalty ql:STelephone G N Permit Fee $ pQ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 IL Co Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 2 A. P. No. 2- r72� f Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F%p1rq,el8auitation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel ApprovalPlans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 �T Main service 600V OR LESS 100 AMP OR LESS 5.00 (( ) Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &� 20sgft NEW 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 California Business & Professions Code under the name style of: '� / AF110 Ex. Occup(OUTLETS OR FIXTURES) 50@25 EX. QCCU 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 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 p rposes. X Date - Ai...,of Pe Itee or A ent TOTAL PERMIT FEE $ � 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 p 'd. DIRECTOR OF BLIC WORKS 01 9 Z® (� /10 BY Date -7— o - 7 Re eipt No. 6 ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bu' rng permit expires Date 7 7 Owner Mailing Address COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT U e ro 'a/ BUILDING '1011% SQ.FT. OCC. I BUILDING VALUATION •-r- i n — 0 aJ Fireplace °7SC7 Od $ (� Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Q ` <Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00�,L-) Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 s� / A. P. No. r �- (� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Sa n Fire Dept. Fir Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration a I P 60' R/W Im rovem nts P Lawn sprinkler system 2.00 Bldg. PI�Rec'd Parcel pproval Plansoval Permit Fee $ 2.7 .00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OC7 a& Main service incl, 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) _ Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b p2 ;s swi s & fix tlets 11.6 CONTRACTORS LICENSE LAW *. I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: " Hood, Ex. F 96or F.A. Furn. Motor % 1.00 /100 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or.heat pump -3 • , Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 • License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $ $ /_tl 0 '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. ' I certify that, in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal ifornia. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating pQ Cooling Ventilation Hood 2.00 C7 - 7California. Permit Fee .$ /A.OD 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-mentio ed property for inspection purposes. X Date 7 Signature of PPermi�t/ee'oorr Agent Receipt No.7�" `y �J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE Is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid: DIRECTOR OF BLIC WORKS By Date �ilding permit expires Date 7"- il-2 b e"a* 4 ✓ utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: 7naitavah T • ADDRESS: nay CITY & STATE: budmili, W"a_ IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: jt -T $ 1914 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES 4"� DATE DESCRIPTION OF CLAIM. (DESCRIBE FULLY TO.'AVOID DELAY) AMOUNT (ftmft X. 39,1 +75 , wipe #149241,: AP 42-32-14) B0141M oeriml , fes► «« « $12.00 TOTAL $6 ca I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. 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- livered and that there is a Budget AppropPiationF_� or Specific Board Approvalyl♦+ (Checkone) for the same. Dated this .............19th........... day of ......... ATUJ4......, 19.76 at ....Oran lla... Calif.....:............................................................................... Department Head or Authorized Deputy D ept. Exp. Code ............................................ Code ................................................PAYABLE FROM ............................... :............................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROS• 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 OF BUTTE — DEPARTMENT OF PUBLIC WORKS " - •• 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT .. �ctncocniauvca U1 LIM %,UUIILY UI DULLU tU C11tC1 UPUn u1e above-mentioned property for inspection purpo es. ;eceipt �e Date Sign t e of Per itee �orr Agent j `� ?_4 l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING ^^ M I L,T�� / 1 ��-T-�• f Owner J4 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor u_o Total Valuation Mai I i ng Address J Permit Fee Plan Check ing Fee &/or Penal ty V`. Tele hon= Permit Fee $ 1 oC7 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 1 C0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 I A. P. No. 4'2,--7_-;,Z-Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W ; Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel'Lawn Declaration Parcel Map 60R/W Improve is sprinkler system 2.00 �,dg. Plans Recd 00, Parcel pprovol Plans pproval Permit Fee $ $ NEW ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE❑ PERMIT FILING FEE $3.00 Main service6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 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. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sq ft NEW CONSTR. MULTI -OUTLET NON•CONSRESIDT 2.50ea CIRCUAPPARATUIS (/ A.r �C cr 1� -:L �Cl I ,�,'�7 TZC. B 3 o ` POWERCH NEW &) R. NON -RES ID. 1 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: � ��i Ex. Occup(OUTLETS OR FIXTURES) BALM FIXED AIL - NT. Ex. Occup. (OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Qw��qe O!L Mobile Home Facilities 15.00 License No. 2 O6 Classification Misc. Wiring 6.25 FT ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PE PERMIT FEE $ r ©� .. �ctncocniauvca U1 LIM %,UUIILY UI DULLU tU C11tC1 UPUn u1e above-mentioned property for inspection purpo es. ;eceipt �e Date Sign t e of Per itee �orr Agent j `� ?_4 l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date 2 PERMIT NO. j/,68-75,P,E P E M '.MH UTIL. PERMIT NO. PERMIT EXPIRES—/ bWNER Hilton Morton f c CONTR. _ Holiday POOZS, Chico ,..LOCATION (A.P. 42-32-16 ) 4 Arbor Dr., Chico ., r Y f I � r. fi JI �1 I Temp. Power Pole Called PG&E I Temp. Elea Serv._�` Ez 1 Called PG&E —7.S�!' Temp. Gas Serv. Called PG&E —y`7 j OB NALED (Date) (Signature) y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS U BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS 5-5-76" �Lt/in/ CT 23V AJPIA / G� Fvl2 t, kk bZ�ZYZ 1�� 0 �412.Z� 000 1., Es u t O`,` TD CSD u CO3V LtRL '&*s /A/4E:"-)u}3 FOEb �4--e-3 oq-4,, �,-d t ,4 L- TD pbot-J COAt&U-ti' t,Ud To rn4i� rb o BUILDING (Cont'd) PLUMBING Setback S pis - ? 5 Firewall Soil Piping Forms ,, — 5` — Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures J Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final '� l Footings Footing ELECTRICAL Masonr" Walls Throat Rough Reinf. Steel -��" �J Final Fixtures Bond Beam — -% `J FIRE SPRIN -LERS Motors _ / T, , Framing Test Water Htr. Stucco Final Sub anels —� Mesh ECIJANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent —1 Z % j Door Closer Final Final — / 7 . — -7 DATE REMARKS OR CORRECTIONS 5-5-76" �Lt/in/ CT 23V AJPIA / G� Fvl2 t, kk bZ�ZYZ 1�� 0 �412.Z� 000 1., Es u t O`,` TD CSD u CO3V LtRL '&*s /A/4E:"-)u}3 FOEb �4--e-3 oq-4,, �,-d t ,4 L- TD pbot-J COAt&U-ti' t,Ud To rn4i� J Owner COUNTY OF BUTTE — DEPARTMENT "OF PUBLIC WORKS .0— �-- 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v, BUILDING T _ _ I SQ. FT. I OCC. BUILDING VALUATION Mailing Address Telephone No. 3 7.3.3 Fireplace Contractor -- Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address Ae PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P.•NO. Zoning & Planning Gas piping.system 1 - 5 outlets 1.50 Each additional outlet .30 Ft@ W. SatTort' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3. d WAO .- LerG 2 ��/� '/ Main service incl. 1 meter Additional meters, each 1.00 . Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others, Range, Cook -top or Oven 1.00 51,o 7 /77 /Z/ O / !" Water Heater or Space Heater Light fixtures 20100 bal a 10 Receps., switches & fix outlets 2U 25 baffin CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor. 1.00, Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water puma- um -Mobil MobilHome Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL N0.1 @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this \permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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-mentio ed property for inspection purposes. x L Date Signature of Permitee or Agent Receipt No. 7/ , 3Zr7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 0 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. DI CTOF� 0 UBLIC WORKS By Date Building permit ewes Date COUNTY OF BUTTE — DEPARTME�NTS PUBLIC WORKS 7 County Center Drive — Oroville, Cali. rnia 95965 v Telephone: 534-4541 APPLICATION -AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7 6>$4 Date P_19 Signature of, Permitee or Agent Receipt No. 1.110706 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IREC 0F PUBLIC WORKS By Date Building permit expires Date BUILDING Owner �� ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address Q C`- t'(S-6 Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A 6 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. `ve r ` / / c� 3 !c Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Frees A-E'' aiioa FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 -1 1Permit ec Parcel Approval I Plans Approval Fee $ el,6 ,$ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5.00 Ce- 7721 V4 14- S° P --,el �� Main service incl. 1 meter V� 3,60 a1600:tAdditional meters, each 1.00 Sub -panel (12 o ss) (moreAwK12) n1 .11 D6 Single Family 5d Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures60 %210 Receps.., switches & fix outlets 120 5hMtin CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5,00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 2<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. �I—certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2,00 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws .relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7 6>$4 Date P_19 Signature of, Permitee or Agent Receipt No. 1.110706 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IREC 0F PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE —•' DEPARTMENT• OF PUBLIC K- 117�e✓ 176 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATIOWAND PERMIT ✓ BUILDING Owner Q �2 --� SQ. FT. OCC. BUILDING VALUATION 567©. d© Mailing Address Telephone No. Fireplace Contractor Q /®� Q Total Valuation 3Q Q, C9 C) Mai Iing Address / 7 � S 4 C Permit Fee Plan Checking Fee &/or Penalty (+ 3l`ph a Permit Fee $ pp $ Building Address' _ PLUMBING No.1 @ I FEE PERMIT FILING FEE 3 p0 C 0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas watqWeater or vent 1.50 �/ ! A. P. No. �- (o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 $' Each additional outlet .30 FW. WIT . Sa n ire Dept. FireZone Use Permit Building sewer 5.00 0 EQA Parking Plans arcel Parcel Ma P 60' R/W Imp P r vements Lawn sprinkler system 2.00 /Declaration f Parle�pproval PI Approval Permit Fee $,S"D $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3. 6 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others %� Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 O © Water Heater or Space Heater 1.00 Light fixtures bal 610 Receps., switches & fix outlets Id . 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: / %` fDd C. /�UeJ/s Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.2U�S'`�32 2 Classification � '�� Misc. wiring p�(/,p/^� $"; o0 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ C 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. �YI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE Y auinurice represenraiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date L �y i urea of P rmiteee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code And/or resolutions to do work indicated above for which fees have been paid. 1 DIRECTOR OF BLIC WORKS By Date uilding permit expires Date ................... - 7 .. ICYui� M1 • �JCe� G� ,� � � .�/ _ _ � ��'�/ i ���{/�