HomeMy WebLinkAbout058-220-028a
58-22-28
+ FREDA S IMNIONS
8
eI 8ol
13341 Concow Rd, Oroville
�-
Dermit#69-&7P, E (replace - exi�s ino--e'.e }
ser & sewer & water line)MH '
2
l�'li� , 58-22-28
t Permits jb6-OB(new ramada & deck)
4
F
106-17
cwq
69-87
l PERMIT NO. 366-87B
PERMIT EXPIRES
OWNER FREDA S I MONS
CONTR. unknown
ASSESSOR PARCEL
LOCATION 58-22-28 13341 Concow Rd, Orovillt
i
Y
Y
Temp. Power Pole_
Called. PG&E _
Temp. Elec. Service
Called I
t Temp. Gas S
Called F
JOB FINALI
-� Signatui
V ='OK
0 = Not OK
— = Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DEC •, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
�� �
ootings; Size—Depth—S ci -Connectors
pecks; GiQ.i rs and/ o J s— ecking—Bracing—Stairs—Rails
3: Sewer; Location—Test—Fall-C/0—Concrete
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. AWxn-:-Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"fl./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Carports; Windows—Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Dater — Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easements
Date
LS (Plans) OK except N's
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
J = OK
0 = Not OK
- = Not.Applicatse RESIDENTIAL, (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except#'s
48.
Zoning requirements -Setbacks -Easements
-
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4.
Ftg., Porches& Decks; Soils -Steel- / /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6.Ste_mwalls,
Garage: Steel-Blockouts-Wrapped-Slab
7.
Piers -Fireplace Ftg.-Steel
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9.
Gas Pipe; Size -Anchors
10,
Water Pipe: Test -Anchors -Regulator -Service Test
Card -BI
11.
Electric: Underground
Card -BI
12.
Plenums &_Ducts; Clearance -Material -Support -Ins.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
DateCard-BI Date
Card -BI
Smoke Detector
Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14.
Water Ht.: Vent -Access -Combustion Air
"
15.
Water Pipe: Test & Anchors -Nail Protection
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan: Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe: Size & Anchors
Card -BI
Date _ ___ Card -BI Date
Card -BI
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except #'s
20.
Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
23.
_
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Conductor Size
26.
_
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A
27.
Range Circ. / / ga. Cu or AI -Oven Circ. ; / ga. Cu or At,
Insulated Neutral Yes �_No
28.
_
Service -Riser Conductors & Ground -Main Disconnect_
29.
_
Equip. Clearances: Panels-Motors-Mech. Equip.
30.
_
Clothes Closet Light -Shower Light
Card B -I
Date Card -Bi Date
Card B -I
Date Card -BI Date
Date
MECHANICAL (Perrntl) OK except #'s
31.
A.C. Ducts. Insulation & Support
32.
Vent Fan: Exhaust above Insulation
33.
Condensate Drain & Overflow: Size Grade
34.
_&
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet_
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -81 Date
Date
FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops: Furred Ceilings -Stairs_ Chases -Tub
41
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purtin-Root Bray.-Truss-Shlhng.-Rfng.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51.
52.
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
fib. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. 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 !sole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instid.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters Dyes ❑No
76. Stucco; Brown -Finish
77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Oate Card -BI Date
Card -BI Date Card -BI Date
Com tents at Final
45. Attic Access: Size & Romex Protection -Draft Slop -Ins. Baffles
------]I-
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
47. Garage Fire Protection Framing - -
(NOTE An entry must be made each lime you vis iI job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico —`Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office ippediately.
Inspector \� �� Date
Na ,.
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CalifOnia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER T NO.�
ASSESSOR PARCEL NUMB R
ZONING
/V�
BUILDING PERMIT
O WNE
�
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
d
ad
OWR'S M ILING RESS
tjF
f�rh
CO TRA TORSNA E
h in I,
TELEPHONE
CONTRACTOR'S NTAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /A
I N 1
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 STRUCTURP D
SF [IDuplex❑ Mobilehome0 Other l�'IG3G�a _r ebI��
SPIfCFFY
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 19 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR0V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON•RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d+ CC.BLDGS. , h¢sgft
New CONSTR.� A
MULTI -OUTLET
BRANCH CIRC ITS 2.50 ea
APPARATUS &)
\SINGLE OUTLET CIR.
(-SINGLE
Ex. OCcu 20050S
p OUTLETS OR FIXTURES eALO 30
FIXED APPLINIS
Ex. Occup. OUTLETS ((RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 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
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.
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 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 said County in consequence of the granting of this permit.
� ®
X _ Date Z-- l —�
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures o er 3 stories i height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ /
CONST,TYPIJ
I
F o
PARC
PD
ND s9oP,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By.
PE EXPIRES Date _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7-1&42
� Z- a
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
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COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-41541
PERMIT APPLICATION DATA SHEET I -
Permit No. _
S;
OWNER l`►^eC a Sih+/r? rl$ A. I: o. �O _a ��
Proposed Building Use C Q 0/' G Building Inspector Date / g
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
111 items have been sub fitted.
Plot plans in d icate./ plicate, signed by preparer-of-plans. .
Complete lans i duplicate./triplicateigned by preparer of plans_
4. Complete engineered plans and calcs, wi`h wet signature on plans. =
5. Plans with Energy Design Compliance Statement. . . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
Statement of Intent f r Non -Heated and AC Buildings.
8. _ ees of_ $ ��
Letter of signature author 1zati .n
Sanitation approval from ✓C�V i./!e- Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13' Contractor's License Information (no., name style, classif.)
_-MOwner-Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . . , ,
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for
Pre-Inspec. request to (Date)
Required. Building inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner,. Mril to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked abpve).
1. Index permit for above items No.
Y 2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by Date Plans approved by Date I�
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
TO Buildina Departme r ,
FROM: Environmental Health
SUBJECT: Sanitation.Clearance
- �,��,��� S. ►� ,� d � .� _ Com. e � � '�
Owner Location
AP#
Plan Approved for: Sewage Disposal _ Water Supply
Hold final for: \
Water Supply
Final clearance O.R. for: Water Supply
Clearance for _ bedroom mobile home. Other
NOTE * * *
Sanitarian
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
i
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1.. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) f� 5
2. I (have/have not) lv 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 Z_
Address .,e
City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
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
Signed: ,
Property Owner �iz uta. �r/��1�1ir�-rte
Social Security Number '
Date
z
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
4
ilk
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
5 --?309-7>-1
0
A setback of V ft. from the
property lines and a setback'
of 50ft. from the road
.centerline shall be clear of
structures or equipment excepi
Fa 2 ft. cave overhang.
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
58-22-28
ZONING
BUILDING PERMIT
OWNER
FREDA SIMMONS
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
_5_13-0974
OWNER'S MAILING ADDRESS
13341 Concow Rd. Oroville
CONTRACTOR'S NAME
UNKNOW
TELEPHONE
st renewal perms
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fiiing Fee
$ 10.00
Permit Fee L03 z FEE
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS 13341 CONCOW RD.
Permit fee
$ 44.25
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
OROVILLE
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
55,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other ramada & deck/MH
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
1st renewal of permit #366-87
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP 1 OR ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under pen ty of perjury (check one):
❑I am licensed under provisions of Chapt. 9, Div. 3 of the BUS IneSS
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for thi ason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.EI ,/zQSQ
OR ADONS. ACC. BLDGS. ft
NEW CONSTR U 1.OUTLET
NON.RESID BRANCH CIRC s 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 8AL030
p 20@990
FIXED APP LNS. OR
Ex. OCCUp. OUTLETS IRESID.1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare undel
permIty 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.
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 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.
Date
nature of Applicant — Owner ElContractor ElAgonr ❑work
Tn 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 $ 44.25
OCCUP.
CONST.TYPIEJ
SCHOOL
FLOOD
PARCEL
I 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
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS '
By Datte(�
PERMIT EXPIRES Date 2-12-89
Receipt No.
WHIT[-D.P.W., YELLOW-ASeCSeOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
0&'t'(A SWALL At Of .,I Ip,11,.I r.nAOt A SP[C,IS VUR InpSj SPA*r'. •S /Rhin
1'1-1 Uw lO. u.l+11•r .•. r b,
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1f
15• A. f3' A'
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oot lou C110
J 1 Y tA' N• t5' I • 'P_._I 111.' "" {II' S.
2.,sl..Iv.fepOnsluOen.OLl,cu nn.:.7.:.,vu rulons•..,IfnnNrnslrr
SI A.•f1A YU nY 111111 G17AUf. mt..F ]W fU ^V, ♦j ,'/, .•rf Yi
SO' �•
7 n•
»lew..n/As
270
PI Ali JL'IN1 UETAIL A• F.
776 "4•Y16,n,IaA Tim' n• 2•u 4,0, u
Ire R4.111Y,S.150 So' U• 2,n Y,O, u
jrY YY, 61 Q. 5, r04 3A' '1. 2.0 141.0, 4
OFF PANEL POINT SPLICE (T2)
?TS, 174.(IT4.5,T44 TO )6' s -
291 u2.A14.5,12.,/o TI) s6' 8•
PANIL POINT SPLICE (1J2)
21A o4.A7h.n,75. in 1A' is.
211 0a.014,51,15YT11 3h• R .
NO SPLICE
"I.hr3.n,131 TO 36' A•
RO,Pr3,0,T31 TO 3n' 0•
TJ2
In -1 f' hSn F (i5n i 201, f uru•Nrort+l.,•••..gr.•rrwr..,u
w1'r •r, ti .•tu.•1••Y r N rr•..cM w.ttr
h ' � • : A;p. •7 :r�...w1'q.. wr .wu-Irrr'ra.t Y r r.�•y'W /w•M• 1i r1...
S h' A" r.rr...1 ..r.r.,.
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�•/r+� w�•t•/.t•rwp.„.[tory f..�i/..tp.-•nt[o�•r1
1
C_ ..` r I, IA r -•..r Want
1 rpt. ►J •• r 'r. r b r+V .aa.r.rry� d.►p fir. ..
to I r• w ✓ s.•. ..•1+•.•onr r tre.
SVA.v SU 3h A SP11) 70.0n.C.
1.0:17 PITCH o/3 CWOFI6u0A71nN
LL011L ON RnnF s ?3•n PSS,
nL nn CE IL Itl6 : 10,0 PSF .
TOTAL f)FSlrtI LOSS s 33.0 Psi .
• S PSF (E ILINr, REOOCTION IAPEN,
1114L STRESS ONLY
LOAI) nURATIoN I.NCRESSE o 1.25
11.A T 1'11)!1 1yOS.1 ,II NdFO FnoCE3 Ilu kcI ION= Ione
T I -T. 'S 7.5 d 1 22116 A I •4{4 r 2 625 I
T 2 -2n22 R 7
CIO
aim rho. C3045
11;{
3 EOUAL PANELS DOTTOIA CIIOfID J1
�L I'All In {
PAhfL POINT SPLICE (RJ2) V Onll-fir 61` y' We E
P4.816. 0, 156 Tn 36' h• G -f Iw *Wd, SP U I)CE •P INE - FIR C , •�� «P
aY,816.0,150 TO 3n' 0•0?.416.0 TO 36' 6• Q3.71A.n TO 3b' 8
UY0S, TY4 f0 ?4 • r�vuL•`'� �•� rw�•
R2, 414,5 TO 2A' q• R2, 011,5 Tn 34• o• ►Ir•
I 174. , ' 0•
1/n SPL ICI W2.4y6.0 TO ?I'In•
12.474.5,T2.5/o TO 36" e• We.4T1.5 TO 21'
R2,0r3.0,T2.5/4 TO 30
y� ! nnilc - FIR SPWUCE-PINE-FIR A `
TTP, TO 36' 41 TSA TO 36' n' .r
et 9 C8 �"NIT�S/Y O t3, b• T7.S/b TO 31• 2•
OFF PANEL POINT SPLICE (A'?)T
F` 022' A• T7,5/4 to 21• I•
Syrlv*)a utcal 2.A16.0,T.5/6 10 36' 0•
R
w;,O„1 2,014.5,T?.5/4 TO 30' 0• � �
Cr�IrrvK ��/`I � II•� � r
Ort . A 1,� r. O W •..... 70 .M 11 p• .l p•r.nlq .rwl ,.r.r ,ro rt .»"Y+W t. l.np..
T -36.4. 3!• (201 0/3 cL:.l.•.,N•b r, r... r, 1l.r-.r .1 ». II ..I w1rr. ,,.waw'••..r r..Lr lo'. rs.a •w... .,.».^. Dons ll.ric•Ii wla.uttwl.crn. )Q •L
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3 -?5-78 Ot f r. Ix CK. y: rot+r o.. -o ► )oco .r....t ..••r w.... r •rw .ro w.• ...,.o r•.ro..l l+tu-t /
r.►t..r•.aw...ro vr.o eP. a.•n••I..t eo•m.w s•••• G -..< 11 vt .✓•.w uq,r. r. 741a i����r��ii9 MJi EMS
i 7 rr. r. r«a• pwr.nrl..r,. vtw ghrr.r M.0 ,.I..,1. 0•rq^• ,-CIO IIA1141ltro AA,r,11
s sl91004 runpany
69-87P,E
Freda Simmons
_13341 Concow Rd.
Oroville
y •
e
OFFICE COPY
Address
GAS
Meter B
y Date
ELECTRIC j
Meter By Date
a�
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_
ZONINGf
BUILDING PERMIT
OWNER + r
TELEPHONE
,SQA FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
r lei l r'T p 01 ., ��':-' �-rr�,r/ r
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
$
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
r
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME 7-7L MAP
'
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome0 Other
- SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00ea -
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation ❑ Other
Describe work: lr ' t' th In, 0 X , G�
4 P � { Y I � �� 1 �� �,�,, � � �
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD'L too 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 BU$IneS$
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 CONST. DWELLING OCCUP.s ,/zQsg
OR ACDNS. ACC. BLDGS.
NEW CONSTR. ULTI.OUTLET 2,50 ea
N ON.RESID BRANCH CIRC ITS a
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. Occ Up(OUTLETS OR FIXTURES 20050t
IsAL&30
FIXED APPLNS. R
EX. Occup. OUTLETS (RESID )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 14
Misc. Wiring
g 15.00
140, ) H
Permit Fee $ TP 471)
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 said County in consequence of the granting of this permit.
%� Date j
Signature of Applicant — Owner Q 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 $
I
TOTAL PERMIT FEE $
CONST*TYPIJ
I
IFLOODIPARCrLI
PD
ND`
ISSUE
r
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-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
9
M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville.yCalifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSF$ Pj perRC.L tJ UM R
`J�- //./i�
ZONING
BUILDING PERMIT '
OWNER8�
EL HON
SO. FT. OCC. BUILDING VALUATION
OW ER'S MAILING AD ESS LPHONE
SNAM
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
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.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [IDuplex[]Mobilehome(� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
^
10.00 ea c;
TYPE OF WORK
New ❑ Addition R odel ❑ Utilities Installation❑ Other X
Describe work: T1V1 If
Cc hI S
Permit Fee
$ - O.
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
ell `
Main service 10Ov OR LESS
100 AMP OR LESS
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 BusinesS
and Professions Code and my license is in full force and effect.
License No. Classification
0;KI, 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)
contract-Mobile
❑ I, as the owner, am exclusively contracting with licensed con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
New CONSTR.(A ) S. �z2sgft
ou
ULTI LET
ESID BRANCH CIRC ITS 2.50 ea
NO ..RES',
/POWER APPARATUS e1
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 20®50S
DALO 30t.
FIXED APNS
Ex. Occup. OUTLETS (PRESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 'S)O
Wiring
g 15.00
rC hG /
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
of Consent to Self -Insure.
21'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.
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
1s 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 said County in consequence of the granting of this permit.
%�b��J t
�� /��/n�r� Date �� .J�� �/
Signature of Applicant — Owner [v]/ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -I
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE ,5e�
occuP.
CONST.TYPe
FLOOD
PARCEL
I PD
I ND
I ISSu
This permit is hereby issued under
Bions of the Butte County Code and/or
work icated above for which
_ QTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/�,,/�
Date `���('6lV
// •I,Y
Receipt No. 7S5�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1tj,F ..; t .V' Wj"l t.t. r. 1'f`•►. t 2'. '� ^a ,.��ti.a �.:C� o'V�"'..ui. - ."�. .
COUNTY OF BUTTE -DEPARTMENTS OF,,PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEf CAL:,IF9RNIA 95965 - TELEPHONE: 916/53-41 414
PERMIT APPLICATION DATA -SHEET
Permit No. �!
OWNER l ry11bY PL75,1. A. P. No.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. I. . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. /
'3. Complete plans in duplicate. /triplicate, signed by preparer of plans. f f
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . .
of Intent for Non -Heated and AC Buildings.
4,7Statement
Fees of $...moi i7 . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
rr�//*.11. Planning approval for (A),Use: (B) Parking:
-SLA 2. Certificate of Workmen's Compensation Insurance. . . . . .
. Contractor's License Information (no., name�stt Ae, classif.)
_4,4. Owner -Builder Verification (Given to ownerLJ, Mail to owner 0�
_15. Improvements may be required. . . . . . . . . . . .
1 Mobi lehome Installation Data. / g
--- Pre-Inspec. request to
Pre -Inspection for e f C' G+Y' i Q ) Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, aii to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
Applicant .%'cuJ�%2�: rpa.te / L 37
Copy of plans sent Health Dept., Fire Dept., Other Date
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---jnail_counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date
Plans checked by Date Plans approved by' Date
Sets of plans on hold in File cabinet AP folder
I
—Hours: 10:00 a.m. - 3:00 P.M.
t
I
? i
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (haveAhavite--rtat) 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 this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name -sP 1,4*?
Address City
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
Signed: _
Property Owner _/�tXxzc� a�� _
Social Security Number
Date / - S" - ?7
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT PUBLIC WORKS
7 County Center Drive - Orovillp. California 95965 - Telephone 916/534-4541
APPLICATION'AND PERMIT
PERMIT NO.
ASSE SO R PARC L NUMBER
, a -a
ZONING
=
BUILDING PERMIT
OWNER �) `L
HON
SQ. FT. OCC. BUILDING VALUATION
OW ER'S MAILING AD ESS ..
3- r
CONTRACT RSNAM _ TELEPHONE
rr
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
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
.
Penult fee
a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
!^
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
3 rVI
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCURt/ .
SF❑ Duplex[] MobilehomeN Other uo V&Qr
- SPECIFY C,
Gas piping system 1 - 5 outlets
5.00
Building sewer00% 44
5.00
Mob Ie Home S G W
O.00ea pi • �d
TYPE OF WORK
New ❑ Addition R del[—] Utilities Installation❑ Other
Describe work: 1 t _
Penult Fee
$ O
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
LESS
Main service 10OOV OR0 AMP
10.00 . C
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p I y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
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 contra
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.EI ,
OR AODNS. ACC. BLDGS. /2itsgft
NEW CONSTR I.OU LET
NO N.R ESID BRANCH CIRCUITS) 2.50 ea
APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup( zDesos
p OUTLETS OR FIXTURES PALO 30
FIXED ANS
Ex. QCCUp. OUTLETS PP
Ex.)REA.1 2.00
Temporary service 10.00
' to
Mobile Home Facilities 15.00ct-
M'sc. Wiring
g 15.00
Py'e, - hro / 6117)
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
of Consent to Self -Insure.
I shal I 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 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.
IThis
X d���, i�GC�Zy 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 $ , SU
Occup.
CONST.TTPE
I
1PLOODIPARCELI
PD
I ND
I IeeuE
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. 7S ,27
WNITE-D.P.W.. TELLOW-A7eE,5aR. PINK -INSPECTOR, GOLD ENROD-AP►LI CANT t