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uis Ia; 1/i a d of pri.rd.,app.275'S.of Feathe t Ri Way,app.i5ag%.of Ponderosa Way, lot 17, ther Ridge Est.,Bloomer M Permit 1852- uti1.,MH) ELEC. GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. �2 .� F J I.1 i7 ii I,h 0 0 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address: Tenant• Building LocationodJ 1✓,/iu ,e� �f�,�tB,l 3SO 'uJAdJ---1 0 Type of Inspection requested: L Housing Ll 2. Financing A. P. # Date of Inspection G. Inspector a— 6u&-,� l7 i " 3. Change of Occupancy to 4. Other (specify)Ay7Lfiri 'Present use of building: A. Sanitation (Housing) •1. Water closet::. 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and coldwater 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. Connectior-to,sewage disposal: 12.' Connection to water,.supply: 13. Rubbish and garbage facilities: 14. .Comments: B. Structural 1. Piers and footings: 2.- Floor construction: I Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces:'' 6. Comments= C. Electrical 1. Service 'and ground:_ 2. Receptacles: 3. Fusing. 4. Comments: . F D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments • . e (ennt inued nn hank).. ?_. What action taken (gime complete description) 3.Wh_i*t action recommended: -�� V,J _ Til, A. Y-nfor:uation only - fi1r,e / /, B. Hold for ten. (10) days,, then write letter. C. Write letter. .,� <• / /.D. Other: - .�; `t• c: E. Other . I..*,Maintenance and repair: 2. Fire hazards: 3: Safety hazards: 4. Weatber protection: 5. "TJxiddrfloor and attic ventilation: - - C ormaent s : F. Commercial Buildings 1. Roof covering: - 2. Distance to property lines: Physically handicapped:', 4. °Rest-oon floors and walls: .4 5. Exits: f - b.. Improvements 7. Zoning: - s, ; - 8., Comments° :• G. Field Problemis or Violations 1. Problem or violation (gi.ve c Ie_t-zedescription, ?_. What action taken (gime complete description) 3.Wh_i*t action recommended: -�� V,J _ Til, A. Y-nfor:uation only - fi1r,e / /, B. Hold for ten. (10) days,, then write letter. C. Write letter. .,� <• / /.D. Other: - .�; `t• c: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a auttluncc representauvas or the county or outte to enter upon me above -menti ed property f r inspection purposes. X o/ Vent Date Signature Perm;tee Receipt No. Obco White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the.Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ►0A BUILDING Owner L �146LIA SQ. FT. OCC. BUILDING VALUATION Mailing Address S 3S 0 ALUM R QC,je__ AV -E- SAO foSC� C, geji2 4u� 2�S�eN 44 - Contractor dW /) Ee-- Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Ar etjb- of: m vb.,.Plan �p �' Checking Fee&/or Penalty Permit Fee or r-EArTH v_ p-iDGE I\JAAK PLUMBING No. @ FEE 0P, So 1 , I f �G FOWD l/V PERMIT FILING FEE $3.00 p(% ach Trap 1.50 E.5Uti111 (VCffJ. Repair drainage or vent piping 1.50 A. P. No. `-1?j°' 1 Z Zoning PI g Water piping Each gas water heater or vent 1.50 F'451W.C. Sanitation Fire Dept. Fire Zone Use P it Gas piping system 1 - 5 outlets -0 /01 00 EQA IParking Plans Parcel Declaration P 60' R/W Improvements p Each additional outlet .30 Building sewer /0,00 Bldg. Pla Recd Parcel A roval Planspproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,470 Main service 600V OR LESS 100 AMP OR LESS 5.00 5,00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 *2 e9 -O • Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1,00 OR ADDNSNEW T // %ACCDWELBL GS.LING CCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW RESID.CONSTBRANCHMULTI-OCIRCUITS) NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .&, NON-RESID. (SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES 5 L01 Ex. OCCU FIXED APPLNS. OR p•`.OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 lS7.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. . 14 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL INo. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 04 is TOTAL PERMIT FEE 3 5( auttluncc representauvas or the county or outte to enter upon me above -menti ed property f r inspection purposes. X o/ Vent Date Signature Perm;tee Receipt No. Obco White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the.Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ►0A ..y. ^ w .r• ..� � , .. .. ,...- . --..-. •s r. t ..-. v� . � ..r^`.a w � � � •-.st...0.:'•�.+1!-•ir• . . :...c..11.+- .Y.... ..tn.,a" Krt' w .. ., _�-._ �w i -� �..+r . R3'y.:.Y'?,yam. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC.WORKS — BUILDING DIVISION ?F 7 County Center Drive—11Oro,ville, California 9596.5,.— Telephone: 534-4541 PERMIT APPLICATION DATA SHEET OWNER Louis CA61L)Ac Proposed Building Use Permit fee based upon: ,(ex Contract Price Permit No. A.P. No. ---��" L. Building Inspector Date _Z,11&1n DPW Valuation 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................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. /9. Letter of signature authorization............................................................. ©r4_,:Z, 10. Sanitation approval from Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ::...................... 13. Contractors License Information (no., name style, classification) ............................... 14. ,. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. r 15. Pre -inspection for required. Pre-inspec. request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: -1M-ail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other R 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 requ•red: r C`� (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by n „f, Date OTHER: Coov/DPW jigkThis set of plans end specificafions MUS€ be ept °n the iob at all times and it is unlawful to NOTE make asry chap es 9 or 81ferations on same withqut Of °cord� '4f/ � wti#tQn permission from � •o 9vp/nce w• atm the Department of Pub n for ty rth , Orks,- County of Butte, the Na BW/dA�escrlRooO9ni °�k /4 �Oj'a/ �� 9, P/vG�d f, ed GoOnshIp . ecyy� ' C d &tie ' ffOC/ Pr ct'ces ee vse and . /Codes and nd SYsten� and 9vire�elt tY 'fes t ti /on e a� opt. !Per i A pe W'� quir�ed for the "stallation'01he mobilehome. cc home a ett on of �i ovt s..sh . t s% a9 (r �adf side o °6 l the "eQ a ¢the /. �e y, O �// from the The Setback shall 50 fft' from the line an a Ma" - of property ermitting . . centerine of the road P but entirely mum of a 2 ft• epVe overhang J out of all easements. -' 10 47 7 ca LOP- �BV�E B(]ILDING CpuNTY DEpARTMEN� A PPRO VED /, (., �1 Y G . nE ' ',\ 1 •�� .. � � t' �` .. .'� �