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042-580-013
-- �� � 42-58-13. .VTE1730-CArdi. Chico . ' ` .ont, Webb-Bros,. . `(fw SF) ---.� ` 42758-1.3� | � � ` . � . . ` .`~` ^ / � � � ^ /^ | ~ � . � { � ^ ^ . . � . � ' 13 � ` ` .`~` � CZ) CD RES DENTIAL 042-580-013 PERMIT#96-1107` ' IMORAVEC„ Jim & Laura 1730 Cardinal Ct., Chico Cont; Sunshine Pools r Nei. Pri :Swimming Pool fl • 1 1 „ T, r t. JOB FINALED (Date s Signature i. F V=OK O =Not OK f '=Nott Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete , 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ /"Lt./ /LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ' 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings f Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PO lans OK except #'s tb s -Easements ; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness ead Men -Linin lec.; Receptacles and Lighting, Distance-GFI Pool Lighting; 15 Volts-GFI . % ec.; Enclo es; Conduit Entries -Terminals -Listed 7. Elec.; 8 ing; Metal w/6 -Circulating Equip. Heater Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit -I.-Fiealth Department Approval 1 umb.• Cir. Test -Water Supply Test L � � i Date Card B-1 (5 Date Card B-1 Date (p Card B-1 Date Card B-1 J=OK O = Not OK Not = Not Readyable RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection -------- ------------------------------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ------------------------------------------------------ - 19. Shower Pan; Test. First Floor -Tub Access ---- ------------------------------------------------------------------- 20. -- Test- -&-Shower.- & -Shower.-Second-floor-Tub Access ----------------------------------------- ----- -- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection -------------- -- ----------------- ---- -- ----------------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------ ----------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------- ---- ------ --------- .._._...-- 25. Romex Installed Close to Edge of Studs & C.J. ------ -------------------------------------------------- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ----------------------- ---------- -- .... - . --- ....... _. 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ------------------------------------------------- --- .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sze r ga. Cu or At -------------------------------------- -------------------------------------- .. 29. Range Circ. r ' ga. Cu or AI -Oven Circ. / r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- --- --------------------------- ----------. .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------- ---.. ....... ....... 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------ ....... .............. .. 32. Clothes Closet Light -Shower Light -Spa Light ------ ------------ ----------- -------- ............. 33. Smoke Detector --------------------------------------- - --------...... . . Date Card B-1Date Card B-1 -------------- ------------ -- ----- ---- --- ... ... ...------... ... ... Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except rr's 34. A.C. Ducts Insulation & Support ... ................ 35. Vent Fan: Exhaust above insulation ---------- - ------ --- .... ............_........ .. ______ _ 36._ Condensate Drain & Overflow: Size ,&. Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - -- ---- ... ... ..._.. ... ... --- _. ... .. 38 Attic Access & Platform if Furnance in Attic ------ ------ --- . _ ---- . . _. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P's 39, Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ....... ... ... .. . .......... ...... 41. Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) ....... ... ._ .... ..... .... 43. Fire Stops. Furred Ced ngs-Stairs-Chases-Tub ---------- ....... ......_ .. 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ------------------ ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 43. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------------------ -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ _ 52. Ext. Doors -One -3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- 55. -Siding-Nailing Veneer ------------------ ------------- 56. -Stucco 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ____ 58. Shear WalIs:-Nail inBolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- -------------------------------------- Date ----------------------------------Date Card B-1 Date Card B-1 -------------- - --- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except n's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------------------------------------------- ----------- 64._ Bedroom Exiting ----- - - - - -------- -------------------- 65 G.F.I. & Bath Fixtures & Tub Access -Spa .. _. _. _--------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..--- ----- ---------------------------- 67. Stags & Rails --- --------------- ----------------------- 68. Fireplace or Stove: Clearances -Hearth . --- .._..------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. . - - - ------------------ - ------- --- --------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance .....------------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter .... _. ...------------------------------------ 72. Garage Fire Door: Swing -Landing -Closer ...... - - - ... ......................... ---- ----- 73. A.C. Duct in Garage -Damper ...... ..----------------------------------- ---- 74. Wir Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ..... ----------------------------------------- --------------------------- --- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- - ---------------------------------- 76. -------------------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - - -- ------------------------------- 7 Insulation -Foam -looked in Attic ❑ Yes ---------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps . ------------------------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .......... --------------------------------- -- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . . ...... ------------------------------------------ - 81. Stucco. Brown -Finish .. .. ....... --- ----------- -------------------------------- 82 A C Unit. Disconnect. Electrical, Plumbing . ... ... ... ... .. _ ----. --- ------------------------- --- ---- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings ....... .. . .. . . . . . -------------------------- ----------- 84 ...--------------------------------84 Water Well. Disconnect. Electrical, Plumbing . . ------------------------ ---------- ----- 85 Exterior Elec Trim: G.F.I. Receptacle -Underground _. ------------------------------------- 86 Ventilation Throughout House ... .. _--- --- ------------------------------------- 87 Glass Protection - - ---------------------- 88 Corrections from Previous Inspections ... .. ... ... .. ... .-- ---`----- ----------------------- d9 Gas Test -Meters Tagged: Gas -Electric -------------------------------------- 90 Water & Sewer Connected-CrO to Grade -HD Approval -_..._.._...------------------------------ 91 Energy Compliance Certificate -Other Certificates ------------------ - -- ------------------- - --------------- Date Card B-1 Date Card B-1 . . ..._ . -------------------------------- --------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538 1 PERMIT NO. APPLICATION AND PERMIT 26`" � X0"1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JIM TELEPHONE 898-1239 SO. FT. OCC. BUILDING VALUATION CONT./ oo� o OWNERS MAILING ADDRESS 1730 CARDINAL ICT, CHICO CONTRACTOR'S NAME SUNSHINE POOLS TELEPHONE 345-8816 CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 171-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2300 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1730 CARDINAL CT CHICO PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap J 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 y TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 6 Describe work: POOL MASTER 94-500 — Mobile Home S G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IsA full force and effect. ` S� 1p License Clas =.� �. `-� Lic. No. "' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FSTD.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FXTURES) 20 @ 1.00 SAL 50 Ex. Occup. (ouTLEEDrs IAEs o.j OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 30.00 PERMITFEE $ 50-00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. PI, I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ompensatioriinsurance carrier and policy number are: Carrier ifETE f4iAl b Policy Number Z/ZQ4p i- `%5- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo ers' compensation provisions of section 3700 of the Labor Code, I shall f h ith c ply with those provisions. G X ��Date _��� /' / Signature f Applicant - ❑ lOwner R Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 299.00 L PD Ho JIngfw This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 54/Ai6 PERMITEXPIRESON S (Date) Receipt No. Q�7 �7" WHITE-D.D.S.-B.D. CAN RY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;ia. ''1x'i�E..•S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA 1FF ' NIA 95965 -TELEPHONE (916) 538-7541 k, 4 PERMIT APPLICATION DATA SHEET OWNER Z�MLAKZC-- A. P. No. � Proposed Building se %Building Inspector ,0%/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ..... a . 14. Sanitation and plot plan approval Health Department. ... 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 1 19. Driveway permit (construction approval required prior to occupancy).....re.an...... on r . Pspediequest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed - and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation _a _7 Acreage Applicant Date (o 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone_ mail Co nter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 7 F L C-. �> p :1Q 4 r rl CD Ocx� X Z © 00 tt1 C p m iC r" m Co I•� 0 r / * , Ll U ;m r _ CD W X �- Io (3 0 r / * , o tn c rx t1J 1 A t p L4 . lU �-;► p rt r a {1 1� C� (1M�1\r l ! U ;m r _ CD W O Io c�7 0 r / * , o tn c W Cri 1 A lU �-;► p rt r a {1 1� wn� ;m r _ CD W O c�7 0 tn r ;m (J.l z _ r.-• c W Cri 1 A lU �-;► p rt r a {1 1� `1✓ ,111'""""" PERMIT NO. A 1920-86B P E M PERMIT EXPIRES ` -2/ v OWNER WEBB OS, CONTR. WEBB BROS. ASSESSOR PARCEL 42-58-13 LOCATION 1730 Cardinal Ct, ,. Chico OFFICE COPY Address I • GAS Meter By �' Dat `. ELECTRIC " Meter By Date Temp. Power Pole Called PG&E Temp-. Elec. Service C ` :Called PG&E Temp. Gas Service Called PG JOB FINALE[ Signature Owner: Permit No. ENERGY CERT IF ICAT ION Lot#13 Cardinal Ct., Chico LOCATION A.P. No. ROOF Material Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Batts Brand Name Manville Thickness(inches) 3 5/8" Thermal Resistance(R Value) R13 CEILING Batt or Blanket Type Fiberglass Batts Brand Name Manville Thickness(inches) 11" Thermal Resistance(R Value) R30 Loose Fill Type Fiberglass Brand Name Manville Minimum Thickness(Inches) 104" Number of Bags 28 Wt. per bag 40 lb. Area covered(ft.2) 1,398 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) 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. LOERKE INSULATION CO., INC. #499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. October 23, 1986 SIdNkUff OF INSTALLATION 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. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWVER 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 = OK - = Not OK rr� = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It'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./ /"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 Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'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 V = OK _ 0 = 6t Ok~� - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UND LOOK Plans OK except #'s Date FR!MING Continued - _ --: Zop+ng requirements -Setbacks -Ease is Property Line Firewall & Openings Ft Main; Soils-Steel-Elec. G - / 4-Y" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / 1" Ftg. Depth Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" FtgooDepth JKPlywood _ on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped X52. _ 'ding -Nailing -Veneer 6y,.83emwalls, Garage; Steel-Blockouts-Wrappe Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Ftg.-Steel P._ V .V.' -Fall -Fittings: -Test -2 way C/O -Sewer Test I _,54. -Glazing Area -Glass Protection -Skylights -Plastic .6B" Shear Walls; Nailing -Bolts G_ Pipe: Size -Anchors 1_ es atePipe: Anchors -Regulator -Service Test 1. Electric; Un erground 71112. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 4,i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-BIfid/ Date Card -BI Date Card -BI Date %(r^ Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext.. Steps -Door & Sidelight Protection -Landings Date @INUMBING (Permit) OK except #'s 57. Smoke Detector UR, Water Ht.: Vent- Access -Combust ion Air 1 er__Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting W.V.: Test-Fttngs & Anchors -Nail Protection 60. G.F.I. & Bath Fixtures & Tub Access ryr Shower Pan: Test, First Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels --+e--Test Tub & Shower, 2nd Floor -Tub Access 62. Stairs -& Rails %/Gas Pipe: Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI V Date 'i `�Q 1 Card -BI Date 65. Kit. Fixt. & Appliance- Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer Date E EC RICAL Permit OK except #'s 68. A.C. Duct in Garage -Damper Fixture &Transformer Clearance -Ins. Protection �`` � Z11 ec. Receptacles Spacing -Lights & Switches at Doors L -kr Size Boxes & No. of Conductors -Stapled 2 mex Installed Close. to Edge of Studs & C.J. 4VEquip. Ground made up w/Mech. Fasteners -Bond Gas & Water �2 Appliance Circuits in Kitchen & Conductor Size �Subfeed Wire Size i- / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes �No -_ ?i9lAervice-Riser Conductors & Ground -Main Disconnect A/cgwp. Clearances: Panels-Motors-Mech. Equip.A-11 Clothes Closet Light -Shower Light _ 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes E] No: Walks [t Yes E] No; Planters ❑ s IJ No 76. Stucco; BrOG-Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I Card B -I --------_._-_ /i Date 1A Card -BI _ Date --_ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except #'s 3. ��xec"ons from Previous Inspections as ;est -Meters Tagged; Gas -Electric - 31. A.C. Ducts. Insu ati & Support - _ 32. Vent Fan: Exhaust above Insulation _ j2!Condensate Drain & Overflow: Size Grade -� 5. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _& Furnace- Vent: Access -Comb. Air -Return Air Vent -115V outlet --- -- - - 61 Attic Access & Platform if Furnace in Attic -' - Cartl-BI Card -Bt -- r1 Card -BI Date ^� Date ` 1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI - 7 ;e Card -BI Date Card -BI C to Card -BI Date j� Date Date F d! I ) Rl exce#'s F0 &I Com tents at Final: 3 ills; Prooer Material & Anchors AAe-walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) - Fire Stops: Furred Ceilings -Stairs -Chases -Tub_ Ae J?Header & Beam -Size & Bearing J?./Hangers-Post Caps -Anchors -Connectors - - I2!Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. *4. Fireplace Fireplace Ties or Type AFlue-Fireplace Throat -- 15_1�411c Access: Size & Romex Protection -D- raft Stop -Ins. Ba es bo-adrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisil jobsite) COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-454.1 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 aqdjlhoVid be corrected. Please notify this office when correction of w r s otppl d. If you have any question pertaining to this ltion I xplanation, please contact this office immediately. Inspector Date V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541D.41_3 APPLICATION ANDPERMIT ASS SSOR PARCEL,NUMBS _BUILDING ZON N PERMIT owR r TE H SQ. FT. OCf,. BUILDING VALUATION OWNER'S ING AD S f�H LQ V7 kir - O RA TOR'S NAME F TELEPHONE �i ONTRACTOR'S MAILING ADDRESS Fireplace t Q CONST CTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ rj ARCHI E T OR ENGINEER ©Energy LICENSE NO. Plan Checking Fee $ 00 Plan Checking Fee $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD s (JL1 Permit fee $ 4,190,14, PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 t G Solar or heat pump water heater 20.00 LOT NO. SUBDI 10NAME 1 Y r ( PARCEL MAP v Water piping 5.00 cO� Each qas water heater or vent 5.00 Q USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 J', Building sewer 5.00 Mobile Home JSFG W 10.00 ea TYPE OF WORK Newx Addition ❑ Re el ❑] Utilities ❑ It Ilati(Qn Other ❑ Describe work: A�S /� �_ L`n_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 --ram licensed under provisions of Chapt. 9, Div. 3 of the Business license Is In full ce and effect. and Professions �Codde and III`- License No. T � ( Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC I/ZOsgft OR ADONS. ACC. BLDGS. NEW CONSTR.MULTI-OUTLET 2.SOea NON.RESID BRANCH CIRC ITS (POWER APPARATUS e\ (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES SAL@30 eALeao \ Ex. Occup. OUTLETS (RESID )FIXED APPLNS. KEA./ 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. have placed on file with the County of Butte Building Department P__1_ 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 ,on Ventilation 31 Q permit Fee $ �N Contractor 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 Countyof 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 ty in cgnsegue f the granting of this permit. L� X Date � Signature of Appiic — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCuP. CONST.TYPE FLOOD �� ARc PDWX s uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTPR OF PUBLIC By �f PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — 1— Receipt No. 16-959 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT VAI :7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINGjbIVISION / 7 COUNTY CENTER DRIVE - OROVILLE,TAL+F6RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET L Permit No.— OWNER A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other(Exp in j Building Inspector Date lJ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . ... . . . 3. Complete plans in duplicate/triplicate. /5Xtement . Plans with Energy Design Compliance . . . . . . 10 KZ -6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . % :0<Statement of Inten for N�neated and AC Buildings. 8.Fees of $ SY, - c/ . . . . . •. __10kLetter of signature authoriz ions Sanitation approval from Health Dept.. 1. Planning approval for (A) Use: (B) Parking: a3. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Date) (� q Building Inspector Recordof ,�Ltox I Acknowledgment State ent . Other WMAY WP `Construction approval requires prior to occupancy Whe you issue the permit,roces as follows: Mai o owner. Mail to contractor. Telephone 9 S and hold for pickup at office. Deliver w/inspector. 0 her V Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by 'Date Other: Copy—DPW ( --R-e-rurn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. uJR1`ED til OFFICIAL EEC OROS `F BUTTE COUNTY. CALIFORNIA . T THE REQUEST OF MID VALLEY TITLE 86- 5592 1986 FEB 20 AM II: 4 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR 4.BECfiER property may be subject to inconveniences or discomfort arising from C..LERK-RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of Lots 23 and 24 of the Second Subdivision of the John Bidwell Rancho, according to the Official Map thereof on file in the Office of the Recorder of the County of Butte, State of California, in Book 5 of Maps at page 27, and more particularly described as follows: Lots 1 through 27 inclusive, of Silver Tree Subdivision which was Recorded on , 1986 in the Office of the Recorder of the County of Butte, State of California in Book of Maps at page SEE ATTACHED LEGAL DESCRIPTION NOT COMPARED WITH ORIGINAL DOCUMENT Date: Fahi^I,sF, , 1 ARF PROPERTY OWNERS: Webb Brothers Construction, a Partnership Stanley A. Webb, President of Stanley G, L. Webb, President of Gregory L. Webb, ebb-- ---imc--as a Partner of Webb Brother s Construction State oiBrothers Constru tion On this the day of 19 before SS. me, the undersigned Notary Public, personally appeared STATE OF CALI ORNIA Iss. COUNTY OF t.t_e _- 1 O, February J, 1986 before me, the undersigned, a Notary Public in and for said State, personally appeared_GI L • Webb and known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within instrument as_...__ President and_-_ _—_ _socsosary, on behalf of_ Gregory L _ Webb, Inc the corporation therein named, and acknowledged to me that said corporation executed the within instrument pursuant to its by- laws or a resolution of its board of directors, said corporation being known to me to be one of the partners of Webb Brothers Construction the partnership that executed the within instrument, and ack- nowledged to me that such corporation executed the same as such partner and that such partnership executed the same. WITNESS my hand ffi ' I seal Signature - tell I stools I I it I I I ignature t16111t1111111111/ I II I III IIIIIIIII Rem OFFICIAL SEAL •V�''' RANDY COY NOTARY PUBLIC .�, — CALIFORNIA . COUNTY Of BUTTE �srtlulll.;9.Iurnitllnn1a111tIP11t19;11,,,ITnentel� Comm. Exp- hlor 5, 1989 ; (This area for official notarial seal) ,ie on the basis :tory evidence. subscribed to ontained. ,nd official seal. Public i DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: A portion of Lots 23 and 24 and of the Second Subdivision of the John Bidwell Rancho, according to the Official Map thereof on file in the Office of the Recorder of the County of Butte, State of California, in Book 5 of claps at page 27, and more particularly described as follows: BEGINNING at an iron pipe monument on the North-South center line of said Lot 23 from which the Northeast corner of the West one-half of said Lot bears North 200.00 feet, said corner being in the center line of Sacramento Avenue (50 feet wide); thence South 460.0 feet along said North-South center line of said Lot 23 to the Southeast corner of the West one-half of said Lot 23; thence West 330.7 feet to the Southwest corner of said Lot 23; thence West 232.2 feet to an iron pipe monument, East 98.50 feet from the Southwest corner of the East one-half of said Lot 24; thence North 660.0 feet parallel to and 98.50 feet Easterly from the North-South center line of said Lot 24; thence East 232.2 feet to the Nlortheast corner of said Lot 24; thence East 170.7 feet to a point West 160.0 feet from, the.Northeast corner of the West one-half of said Lot 23; thence South 200.00 flet to an iron pipe monument; thence East 160.0 feet to the point;of beginning. PARCEL II: An easement for drainage purposes and incidentals thereto over the following described property: The North 12 feet of Lot 25 and the North 12 feet of the best 1/2 of Lot 22, as said Lot is shown on the Map entitled, "IMao of the 2nd Subdivision of the John Bidwell Rancho," which"Map a:as filed in the 0 «ice of the Recorder of the County of Eutte, State of California, on September 17, 1900 in Map'Book 5'at page 27. j 228 A Ito It' « 22loiA w , 12► \?? IARA Thi set of ands ons M 4T be .. o. 'Rept .twgs iii L- 'J,6,76- .:L SI.IT��• j ��� ./ make a y Chan s or alterations on some hoot / written jssi 4r -em tfte-De ' L=15. ` =6,1 _See tvtaster Pian on fife for bud i s..1 ' plant. cwEP.4. &LOS .91 a �G -8 Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and w''F. the National Electrical Code,- ��cc C 6� U EZ T 224 A o o A setback. of 5 f, from the ' — Property Iines and a setback GA}tA6+E of '50ft. from .the road , centerline Aall be dear -o# ; .. 113' `10.00' 2883' stryctures rS•K. eguipmertt excel L� a -e$ve overhang; �• '� " q6 ,F T: iT _ t� b 12� It 228- P 19.240 UTTE COU TY .. ;:. '\5U1LDING DEP P P R O V E D I • rL Q � r�\Y� _ ` •. Ij � C i K _ h 1 a r Q � _ ` •. Ij � C i s P. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorltia.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT /PO -6212 d- Z / &/ ASS S OR PA CEL N ER f - — % ZO N BUILDING PERMIT OWE t�Q TELE HON – SO. FT. OCC. BUILDING VAL ATION OWNIjetNG�/t,DDR ESS /tel' f /his' Cif1�• f CON AC OR'S NAME T LEPHONE CO TRACTO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ►� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUB VISION 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 ❑ Uti lities ❑ Installation❑ Other Vy Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 o ^/ iJ r. X (J Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 f the Business and Profess; ss %Code nd/my license is in full o ce and effect. License No.y-O 1 � Ci Classification Fl 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 OCCUPM , OR ADONS. ( ACC. BLDGS. / /20sgft NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20050t e ALO 30 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. U�__have placed on file with the County of Butte Building Department 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 F;IingFee 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 said C y in c9nsSqu of the granting of this permit. l/�� X Date —� Signature of Applic Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 s ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPEJ I IFLOODIPARCELI PD ND 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OF PU Z" P EXPIRES Date the applicable provi- resolutions to do fees have been paid. I WORKS Date Receipt No. 16B WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT