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Home My WebLink About061-030-016I 61-03=16 ' WALIASTON & SVLLINGTON # SIS Oro' Quincy Hwy, . 1.200�' , E Bald Rock J Rd, Brush, Creek Permit#3031-83B(4dd screen-porc /SF) 060O -Q16 981238B;� y TAYLOR,` Steven' ' 12880 Oro'Qui'ncy Hwy, Berry Cre'eV, ('reroof)metal_'G'eorg Roofing •f^'.. 4 . i i .. f 1 — I a i 'j 1 i r t f , 61-03=16 ' WALIASTON & SVLLINGTON # SIS Oro' Quincy Hwy, . 1.200�' , E Bald Rock J Rd, Brush, Creek Permit#3031-83B(4dd screen-porc /SF) 060O -Q16 981238B;� y TAYLOR,` Steven' ' 12880 Oro'Qui'ncy Hwy, Berry Cre'eV, ('reroof)metal_'G'eorg Roofing •f^'.. 4 . i i .. f 1 Ctrl r O ! M 4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PMIT NO. (RevJ2/96) APPLICATION AND PERMIT g�' _Jy,/ A SESSORPgfiCEEL MBER, / `) _- /VV��ll// I/I ZONING BUILDING PERMIT OWNER :,seven Taylor TELEPHONE 589-4088 SQ. FT. OCC. BUILDING VALUATION 1100 - OWN S IUNG ADDRESS 1 its �i Uro Quincy Hwy, Brush Creek, CA 95916 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 6'61'oT TG8W9' F3lvd, Oroville, CA 95966 CONSTRUCTION LENDER f LENDER'S MAILING ADDRESS nation ti•UU ARCHITECT OR ENGINEER •-` CENSEO `v c--o- Ftlrc—lFee Permit Fee $ 20.00 $19.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12880 Oro Quiac Hw Brush Creek CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $39.00 LOT No. SUBDNISION'SNAME - ` " PARCEL MAP - PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF If Duplex ❑ Mobilehome ❑ Other � SPECIFY r Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORKGas New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation?❑ Other ❑ Describe Work: Metal Roofing Material piping system 1 - 5 outlets —Building 15.00 sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code, ,,and my license i. f I f r e ggnd ffect. L1cense Class A- 9��fCf1�+$ic. No.0-39 C-14 i#452266 DECLARATION .x I hereby affirm under penalty of perjury that I am exempt from the Contractkrs 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 Ito construct the project. ❑ lam :exempt under Sec. Business and Professions Code for. this' .reasoQi Main Service 200A TO 1000A 46.00 NEW CONST, DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOB. SO 3.5¢FT. N CONST. MULTI -OUTLET NON-RESID. , , @7.50 8 SOWER APPARATUS Ex. Occup. OUTLET OR FIXTURES @ 1.00OWNER-BUILDER a:a 20 .50 FIXED APPLNS. OR Ex. Occup. OUTLETS REslo. EA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION hereby affirgn 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 perfornTance of the work for which this permit is issued. 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. _4 My My workers' compensation insurance carrier and policyy numrr�ber are: Carrier Ueglo�; _n v q Q(,f�18r1Can Pt�triot Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort/ ith cc ly with t s ovisions. X / t _ ate h Signature f�Applicant - ❑ "ne r43 ontract rr Z Agent An OSHA permit is required for exca�atiVs ver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 39.00 TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Gi t By Date S PERMIT EXPIRES" ON 0818 Receipt No. :% % ! i j 5 WHITE-D.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1MIT NO / (Rev.12/96) - APPLICATION AND PERMIT 1--�� ASSESSOR;C LN rMBER _ _d_b ZONING BUILDING PERMIT efNER eri Taylor 58TEL9ONE SO. FT. OCC. BUILDING VALUATION Me a 660.00 OWNER'S MAILING ADDRESS 12880 Oro Quincy Hwy, Brush Creek, CA 95916 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd, Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation - 411560 . 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 19.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12880 Oro QuincyHwy,Brush Creek CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $39.00 LOT NO.SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation $] Other ❑ Describe Work: Metal Roof ing Material Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600v OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class / / / / / / / / / / Lic. No.C_'3 9 C-1 4 #452266 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5tFT; NEW CONST. MULTI -OUTLET NON-RESID. AN C,'ITS@7.50 APPARATUS 8 SINGLE OUTLET CXR. Ex. Occup. OUTLET OR FIXTURES 210 1.00 BAL 50 Ex. Occup. ouTLEEDTs Aewslo.oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' compensation insurance carrier and policy number are: CarrierLegion_IriS_ Q/A erican Patriot Policy Number W��T (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortith cc ly ith t 5ne;, ovisi ns. X __ _ �a1e S ur pplicant ❑ ctor l�.Agent An OS it is required for exca A�svar5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 39.00 HA2. D. FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ! PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 3 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Th a' PERMIT NO. 3037-83B PERMIT EXPIRES OWNER :WALLASTON-& BULLINGTON CONTR. owner ASSESSOR PARCEL 61-03-16 LOCATION S/S Oro, Quincy Hwy, 1200.E Bald Rock Rd, Brush Creek w 4 t r . i. 4 Temp. Power Pole Called PG&E Temp. Elec. Service a Called PG&E / Temp. Gas Service Cal led PG&E JOB FINALED (Date) " Signature u J ;= OK 0 = Not OK. – = Not Applicable MOBILEHOMES * = Not Ready M ELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DE C ERS, C RPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements i eq ' ements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. F tin ; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3 ; D s; 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 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures — 6. Carports; Windows—Doors _ 7. Elec. — Card -BI Date Card -BI Date Card -BI D to and -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 r 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/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater S. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg. Boxes—Enc losures— Pane [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-1 Date Card -BI Date Card -BI Date Card -BI Date Card 8-1 Date Card -BI Date Card -BI Date Card -BI Date J=OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except N . s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. "Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Fig. -Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels - 19. - - Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. _ A.C. Duct in Garage -Damper --- 20. 21. Fixture & Transformer -Clearance -Ins. Protection Stec. Receptacles Spacing -Lights &Switches at Doors 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 _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. --- -- ,23. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al. 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -__ - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ./ / ga. Cu or Al, Insulated Neutral F_"Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----- Card B-1 Card B-1 Date ------------- ------ -- ------.-- _ _Date_ --- _ Card -BI - Date -_ Date Card -BI Date MECHANICAL (Permit) OK except N's 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. 83. Ventilation throughout House Glass Protection _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -- 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent, Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI ---- ----- - -- -- - - - ---- -- _ ----------.____- - Date_-- -_Card-B I__ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _ 36. 37. 38. 39. 40. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Gir_de_rs & Flo o_r_Nailing-- Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm_Windows or Exiting Doors -Sill Hg L_& Dimensions-- - Garage Fire Protection Framing (NOTE:Anentrymust be -made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIO AND PERMIT PERMIT NO. �cis �7 0� ASSESSO PARCEL NUMBER O ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNE 'S MAI N. ADDR T CONTR`ACTOR'S NAWE ELEPHO CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER LINK C/ Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S� ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ "Do BUILDING DDRESS S PLUMBING PERMIT FiIingFee 10.00 / Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PA CEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 ,�-, USE OF STRUCTURE SF [3' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Ut' • 'es ❑ nstallation ❑ Other ❑ Describe work: �� 1"� 1�(' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20SQft CONTRACTORS LICENSE LAW I declare under penaltyCIRCUITS) of perjury y (Check One). El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y ,-� (cense No. Classification L7 (r as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON.RESID BRANCH NEW CONSTR /POWER APPARATUSS &�\ NON -R ESID. SINGLE OUTLET CIR. / ( D Ex. Occup(o TS OR FIXTURES BAL@L030 FIXED APP LHS, OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 C Ificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling 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 Cou y in consequgnce of the granting of this permit. l �� 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 $ TOTAL PERMIT FEE $ Q, Oc'�,UAP, GR uP /''_/r of C ST. /r, PAR L PD ND /t Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —� ^� Receipt No. 7 o �L 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Owner: w Address: Tenant: Building Location: Type of Inspection requested: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS o SPECIAL INSPECTION REPORT A. P. # 71. Housing Financing 4. Other (specify) - 3. specify) Date of Inspection Inspector 3. Change of Occupancy to 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 sewagedisposal: 12. Connection to watet-.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 'z 1d ground: - 2. Recept;zc. As 3. Fusing: 4. Comment: s : D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: c 4. Comments l..nntimtpA nn hackie E. Other l.- Maintenance and repair: 2. Fire hazards:. 3. Safety hazards:, 4. Weather protection: 5. Tinderfloor and attic ventilation: 6. Coinnents: .' . F. Contmercial Buildings 1. Rcof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4. Rest-OCT11 floors and walls: 5. Exits: . 6. improvements: 7. Zorung:-. 8. Comment -Z Z G. Field Problems or Violations 1. Problem o. " -olatix)r give complete description) -J5 17,OA�SRC-rC771t,,e, lin') FIMV-�I- �W'Az-' ftvi�17< 2. WI --at action ta'KC?,I'( i've complete --Jes ription): 3. What ac{Jon recm.eended: 7-7 A. -Infonmation only B. Hold for' tcn (10.) W -I. -e letter, 7-7D. Other: 7744 7— u) 0 a (-,b a- rt> ax— s days, then write litter. TAillr UM -S, P0. ��L- 14v Cowl-1/ocie 'r*/4-7- DID x)o7—' t;,WZAZ 4 4h ihw Ih