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063-040-052
PERMIT NO. PERMIT EXPIRES��. OWNER Jeff McAdam CONTR. Owner ASSESSOR PARCEL 63-04-52 LOCATION NIS Summer Place Rd.,app.1800' E.of Doe Mill Rd., Forest Rnch 4277-81B,P,E 7 +Opt/, 9 Temp. Power Pole Called PG&E -lec. Service o Called PG&E Tem . Gas Serviee (7 01 CE { JOB FIVALED (Date) 6 Signature G V = OK 0 = Not OK + c = Not Applicable RESID15N,TIAL (Single and Duplex) * = Not Ready a 9P Date UNDERFLOOR Plans. OK exce tk's Date FRAMING (Continued)e Zoning requirements -Setbacks Easements 48. Pr p ty Line irew & Openings` tg., Main; Soils-Steel-Elec r .- / /" Ftg. Depth 49. Ex D rs-On -Check Garage -3rd story, 2 exits 3. - ee - / /" tg. Depth 50. St irs; 'dth- droom-Rise-Run-Landing-Fire Protection - - / ZJ" Ftg. Depth 51. P ywood n R Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. ding- ailin -V 6 ockouts-Wrapped-Slab 53. S ucc Mesh Drip Screed -NQ. Vents-Underflr. Access 7 - fireplace Ftg.-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. Electric; Underground 12. Ply ums & Ducts; Clearance -Material -Support -Ins. _ irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date ")--/ and -BI Date Date F A ans) OK except N's Card -BI Date Card -BI Date Date PLUMBIN ermit) OK sept q's IC xt. eps-Door & Sidelight Protection -Landings moke Detector i 14. Water t.; ent A cess -Combustion Air - ante -Comb. Air -Connector - InjGarage; Above Floor -Ducts -Meth. Protection 15. Wate Pipe; Tes Anchors -Nail Protection 16. D.W. .; T t -F to s & Anchors Nail Protection Be�nom Exiting 17. Sho r P ; Te t, F Floor -Tub Access �9� & Bath Fixtures & Tub Access 18. Test Tu & Sho er, 2nd Floor -Tub Access . Trim & Subpanel; Breaker Sizes -Labels 19. Gas ' e; Size & Anchors St Rails _ . F' lace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date T5. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date . Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit except q's ge tre oor; Swing -Landing -Closer 6 to arage- amper 20. Fixture & Tra sf mer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In G ge; Above Floor-Mech. Protection 21. Elec. Recept es Spacing -Lights &Switches at Doors 22. Site B es No. of Conductors -Stapled 7 71 Ib., Elec. & Mech. Equip. Listed for Location steel forLocation Protec. ns tion -Foam -Lo in is ❑Yes 23. Ro x I to ed Close to Edge of Studs & C.J. 24. EqLA. G u made up w/ . Fasteners -Bond Gas & Water 25. 2 A p is a in Kitchen & Conductor Size u rd Rail Deck rut ton- ost Caps dn. Vents & Crawl Hole oor-Drainage & Wood -Earth Clearance Looked nder Floor El Yes 26. Sub ee it Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al -- 27. Ran a rc. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insu Ne tral ❑Yes ❑No 7 F wing instld.: Drive Yes Walks ❑. Yeses Planters ❑Yes 28. Service -Riser Conductors & Ground -Main Disconnect 77, own- ants ni isconne - -Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light V s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _=� �` -- Wate I; Disconnect, Electrical, Plumbing x ' r Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date Venation throughout House amass ection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N'sorrections from Previous Inspect ions �� 4. Gas t -Meters T EI c G 31. A.C. Ducts; Insulation &Support er & Sewer Connected -C/O to Grade -HD 32. Vent Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ 33. Condensate Drain &Overflow; Size &Grade �-p rW�t 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date _- Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments Final: 36. _Sills; Proper Materia Anchors 4C _' 37. 38. 39. 40. Walls; Studs -Na Ili , Spacing & Bracing -Plates -Sound Bearing Walls o r Girders & Floor Nailing Draft_ p i W II (rat of) -- --- Fire S ps; F rre Ceilin s -Stairs -Chases -Tub - r L £ 41. 42. 43. 44, Header Be -,SXe & Bearing_ Hangers Pot Cap -Anchors-_Connectors Cing. Joi t-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access: Size &_ Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or' Exiting Doors -Sill Hgt. &Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) V = OK 0 = Not OK - - = Not Applicable MOBILEHOMES y MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, QTC. (Plans) -Acept '. 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 -Hails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig. -Bracing__ 5. Alum. Awn.; Columns-Connections-Splice-Decal-EnL.:,5..feS 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 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Egyip.-Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 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 B-1 Date Card -Bl Card -BI Date Card -BI Date RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT -ENERGY CONSERVATION REGULATIONS v (location) BUILDING PERMIT NO. d42--) 7 /k/Q /0 Lir A P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls Ceiling/Roof [/ Ducts 411,4 Circulating Pipes APPROVED HEATER APPROVED WTR.HTR.�� GLAZING: Single Glazed f/ Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES L/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name -2,e of Signature of (please print) Insulation Applicator < State Contractors License No. General Contractor/Owner Name�' � Signature of 6�t (Please' p—rin't� General Contractor/Owner Date tate Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING,FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. Jeff McAdam P.O. Box 1382 Chico, CA. 95927 Dear Sir: Se11 ptember 21, 1981 "RE: Special Inspection #35-81 (AP 63-04-52) With.reference to the above subject and your request for inspection of the dwelling you constructed on your property on.Summer Place Road in -Forest Ranch without the required permits, inspections, and approvals, the inspection revealed the following items which must be done or resolved: 012'. Verify the building construction conforms to code requirements and plans approved by the Building Department. 2. Verify all plumbing fixtures are vented and connected to the building sewer. 3..The horizontal plumbing vent must be vertical. 4. The,gas water heater must be installed per code requirements including proper combustion air to the compartment, vent to be five (5) feet above the unit and four (4) feet from the adjacent upstairs wall and installed with proper clearances, gas connector properly sized, and the temperature and pressure relief valve piped to the exterior of the building. .Verify "0" clearance fireplace and flue conform to code requirements. 6'. Provide two (2) smoke detectors,-- one (1) in the hall access to the two bedrooms and one (1) at the center of the ceiling above the stairway. 0 /<:.:_�7. Provide an additional 14 sq.ft. window area, 1/2 of which must be.openable, in the dining room area. oma' Provide emergency egress windows from the upstairs bedroom and the main floor bedroom (excluding the.master bedroom) with an area equal to 5.7 sq.ft., j� th a minimum opening width of.20" and a minimum opening height of 24". The sill height must be within 44" of the floor. Provide handrails for the stairway to the upstairs bedroom. Protect the storage area under the stairway for 1 -hour fire resistive con- struction. Provide landings and stairs for exterior doors. Obtain a septic tank permit from the Chico Health Department and verify that the tank and leach line systems are to their.satisfaction. Provide a sanitary seal at the well and have the water tested by the Health . Department to verify a potable water supply. b/Jhe electrical system must conform to code requirements including proper l__�pacing of receptacles, two (2) 20 -amp kitchen appliance circuits, clean- up of exposed wiring including at the well, proper installation of service panel, grounding system, and service entrance facilities. Jeff McAdam' RE:. Special Inspection #35-81 (AP 63-04-52) September 21, 1981 Page 2. 1 rift' the ground fault interruptor unit installed protects all receptacles in each bathroom. 1 . Verify insulation of at least R-11 in the walls and R-19 in the attic and other ceiling systems. 17. Remove the electric resistant heating systems in the ceiling of the two (2) main floor bedrooms and the system in the living room as they are not permitted under the State Residential Energy requirements. It is now in order for you'to submit two (2) complete sets of plans including floor plans, plot plans, and complete structural details, to this office, apply for the required permits, and pay the appropriate fees including penalties. Since this construction has been done without the required permits, inspections, and approvals, please make the permit application within ten (10) days of the date of this - letter. After the permit is' issued, I suggest you request an inspection at the earliest possible time so you can verify compliance of as many of the above items as.you can to determine the extent of the remodeling work which may be necessary. Should you have any questions concerning -this, please contact me. JFG • dd cc: Chico Office Eroment al Health, Chico Assessor Yours very truly, Clay Castleberry Director of Public Works 0 ginel :ignod by J. F. Clander J. -F. Glander Chief Building Inspector /lb/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chicb _ Fhone: $91-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway anis Elliott.Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE i BUILDING OR PROPERTY ADDRESS 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 m9tyer, orerreed additional explanation, please contact this office immediately. A rage a�� m Inspector �, / ',� Date -� t� -V • •dOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone:`534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY AD A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Inspector Date C*)UNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico-- Phone: 891-2751 7 County Center Drive, Oroville Phone. -534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4 aO i Inspector dJ Date COUNTY OF BUTTE - GERAR�HENT OF PUBLIC WORKS PER 10 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 7 / APPLICATION AND PERMIT' AN ASSES SO PARCEL NUMBER 0 j ZONIN �t ./U BUILDING PERMIT 711 OWNER G' til TELEPHONE -711913 SO. FT. OCC. BUILDING VALUATION L Z DO OWN 'S MAI NG ADDR SS Z /cp O C NTRAC R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace G�£�/f oa Qo CONSTRUCTION LENDER 0AIS UNKNOWN Total Valuation $/ 0p Filin g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ZAQ Penalty $ U ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL I ADDRES ADD PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 14&0 Q Repair drainage or vent piping 5.00 yG Water piping O LOT NAP-, SUBDIVISION NAME PARCEL MAIP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer wn sprinkler system 5.00 f' o TYPE OF WORK New Addition ❑ Remodel ❑ Ut' ities ❑ Installation[] Other ❑ Describe work: ff ���� f.A, �5"--/ Permit Fie $ i Contractor ELECTRICAL PERMIT Filing Fee 16.00 Main service 8001 OR LESS 100 AMP OR LESS -e Main service EA_ ADD'L 100 AMP 2,50 NEW CONST. DWELLING O U 011 OR ADDNS. ACGBLDG . �l►sgft ��'3 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 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 CONSTR -OUTLE NON .RES ID BRANCH CIRC TS 2,50 ea NEW CONSTR NON -R ESID. (( SINGLE OUTLET CIR, POWER APPARATUS 6I Ex. OCCUROUTLETS OR FIXTURES SO 0250 BAL@ioo (,,FIXED APPLNS. OR EX. Occup. UTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 D Permit F $ Contractor leAlkicAel MECHANICAL PERMIT FiIingFee 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 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. IQ I shall not employ any person in any manner so as to become subject WSJ 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 c 4l G Cooling Hood 3.00 Ventilation Permit Fee S 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 agains #saiounty in consequence of the granting of this permit. X Date��6J 13. g/ turplicant — Owner W Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overpp3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARC PD NO ISS This permit is hereby issued under of the Butte Count Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY P EXPIRES Date the applicable provi-sions resolutions to doSign have been paid. WORKS Date IX —/ / L— /—.P2._ Receipt No. J; n ,3 5 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V Return to DPW R 81-3683b AGRICULTURAL�'TSTATEMENT OF ACKNOWLEDGEMENT r FOR RESIDENT AL DEVELOPMENT OFFICIAL Section 26-8.1 of the Butte County Code requires this acknowledgemer;>;rz be recorded prior -to issuance of a building permit. The property described herein is adjacent to land or included 10514 within an area zoned for agricultural purposes, and residents of OLARK A. i'1.1.50N this property may be subject to inconveniences or discomfort arisirQI-ERK-RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: . leo o y- 5-a, j�eS C I?. i P 4 1 o tJ CA_ fi-f' C, c Date: 100L) State of On this the SS. before me, County of appeared PROPERTY OWNERS: day of Ol/1r%G��►.i�ir , 19 S1 , the undersigned Notary Public, personally `� Inc w o 0 eOFFICIAL SEAL known to me to be the person(s) whose name(s)w�is ENRICO J. ROSSINI subscribed to the within instrument and acknowledged NOTARY PUBLIC -CALIFORNIA that Principal office, in BUTTE County executed the same for the purposes .� My Commission Expires Apr. 30, 1982 therein contained: IN WITNESS WHEREOF, I hereunto set my hand and official seal. ►'^ No y Public Present A.P. N0. .6/'.3 — a DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: Lot 3, as shown on that certain Parcel Map of a portion of the Southwest quarter of the Southwest quarter of Section 9, Township 23 North, Range 3 East, II.D.B. & M., cahich Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, June 16, 1971, in Book 37 of Parcel Maps, at page 99. PARCEL '.R,,D: An easement for road and public utility purposes, to be used in common with the others herein, over the Northerly 60.0 feet of Lot 1 in Section 17, Township 23 North, Range 3 East, M.D.B. & M., and over the Northerly 60 feet of Lot 4, in Section 16, Township 23 North, Range 3 East, M.D.B..& M., and over the Northerly 60.0 feet of Lot 2 in Section 17, Township 23 North, Range 3 East, M.D.B. & M., lying East of Doe Mill Road, and also known as Schott Road. EXCEPTING FR0A%I all of the above-described land, all mineral rights and the right of ingress and egress, and the right to cut timber for use in mining, as reserved in that certain Deed from M. Schott to E. Gage and E.Jq. Gage; dated August'14, 1925, and recorded August 20, 1925, in Book 213 of Deeds, at page 193, records of Butte County, California. C" c� rn END OF DOCUMENT 0 5 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f 7 County Center Orke — oroville, California 95965 t Telephone: '1"34-4541 APPLICATION AND PERMIT ODUwrlLe reNresen(duveS or the uounty or outie io enter upon me above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address --.a',;=-" PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ferns W.C. Sanitation FireDept.1 Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORsLESS 5.00 Main service EA. ADD -1- too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service OVERS 25.00 AMPOR LESS O Main service EA. ADD'L too AMP 1.00 _ NEW OR ADDNST ( ACCLBLOGS.LING 0 CCUP. &) 22syft NEW CONST R. MULTI.OUTLET NON.RESID• . BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & N ON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ' Ex. Occup(OUTLETS OR FIXTURES) 25- 109 Ex. OCCUP•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from,the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 9 i; ODUwrlLe reNresen(duveS or the uounty or outie io enter upon me above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Ord`i.11e, California 95965 Tel ephoww. 534-4341 _ 6 APPLICATION AND PERMIT,�� D to Signature of Permiteeeo�oorr Agent Receipt No. Z�Q/ ,�!/C� White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant ine rsutte county coae anaior resownons to do work indicated above for which fees have bee aid. DIRECTOR 0 UBLIC WORKS By Date1J' l -'7 wilding permit expires Date ��1 BUILDIN Owner �DG, SO. FT. OCC. BUILDING VALUATION Mailing Addres2�Z.:2170 nn Dry S J 4e phone No. 7-0 ?iy Fireplace Contractor 0 CX-) A e0e, Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address Qom- �'G PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 vo"%% © /�0�� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1,50 _.O ..� A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe FireDept. Fire Zone Use Permit Building sewer 5,00 EOA PPIa sg Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Z ELECTRICAL No. @ FEE. PERMIT FILING FEE $3.00 .Oo =FeP,0,e,0qA!ZR0,0,—_,0e • O C Main service 100 AMP LOR ESSLESS 5.00 , d ' Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others LAY Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA, ADD'L 100 AMP 1.00 O/✓ ��� ItJI [%/Z �' O NEW CONST. DWELLING OCCUP. OR A.D.S. ACC, BLDGS. ) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID, ( BRANCH CIRCUITS) 2.50ea �) NEW CONSTR. POWER APPARATUS &) NON -R SID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup. (OUTLETS ((RESID )REA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 19 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee - $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the 9hnve-mantinn ori nrnnorhr fnr innHnn n �..� TOTAL PERMIT FEE i s This permit is hereby issued under the applicable provisions of D to Signature of Permiteeeo�oorr Agent Receipt No. Z�Q/ ,�!/C� White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant ine rsutte county coae anaior resownons to do work indicated above for which fees have bee aid. DIRECTOR 0 UBLIC WORKS By Date1J' l -'7 wilding permit expires Date ��1 File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. �Brr. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W r Mapping i Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Maps Permits V Jeff Ache= P.O. Box 1382 Chico, Cel. 95927 :tear Sir: 4�a 7 . y Septeniber 21, 1951 RE; Special inspection 035-81 .42 63-04.52) with rofere ace to the above subject and your request for inspection of the dwelling you constructed on your property on Suaaanar Place :load in Forest Unch withoat the required permits, inspections,. and approvals, the inspection revealed the following items which must be done or resolved: 1. Verify the building eonotruction conforms to code requirements and plans approved d by the Building Department. 2. Verify all plunA ng fixtures are vented and connected to the builditag smear. 3. The horizontal plumbing vent must be vertical.'. 4. The gas %niter heater m. at be. installed per code requirmentaa Including proper co6bustion air to the compartment, vent to be fives (5) feet above the unit and four (4) feet from the adjacent Upsteairs Wall and installed with proper clearances, s, Sas connector properly sized, and the temperature and pirossure relief valve piped to tl;ee exterior of the building. 5. terrify "0" clearance fireplaces and flue conform to code requirements. b. Provide two (2) :smoke detectors one (1) in the hall accuse to the two be:drow—a and one (1) at the center of the coiling aabovo the ot&airway. 7. Provide arca additional 14 sq.ft. window area, 1/2 of: which rest be opertablea, in the dining roon, area. Be Provide miergency egress windows from the upstairs bedroom, and theme matin floor be dr+oom (eaxclr ding the master bedroom) With ;an area equal to 5.7 aq.ft., with as minir uan opening; width of 20" And ai minimms opening !ieight of 24". The sill height must be within "I' of the floor. 9, Provide handrails for the ay'tAamrgy to the upstairs beadroam, 10. Protect the storage area under the stairway for 1 -hour To resistive con- struction. 11. Provide la ndLngs and stairs for exterior doors. 12.. Obtain a aseptic t4nk permit from the Chico Health Department and verify that the ,took and !each line systwe are to theix. satisfaction. 13. Provide a sanitary seal at the well and have the water tested by the Health Department to verify a .potable water supply. 14. The electrical oyat7te m must conform to code requirements including proper spacing of veceuptacles,. two (2) 20 -amp kitchen appliance cire ui<ts, clean- up of wVosed wiring including at the well. proper installation ation of services panel, grounding systems, and service entrance facilities. h. ! 1' r• f Jeff McAdam PX: Spacial Inspection #35-81 (AP 63-04.52) September 21, 1981 Page 2 15. Verify the ground fault intcrruptor emit installed protects all receptacles in each bathroom. 16. Verify insulation of at least R-11 in the valla and g-18 in the attic and other coiling systems. 17. gemeve the electric resistant heating systems in the ceiling of the two (2) main: floov bedroom and the system in the living room as they are not parmittod under the State Residential Energy requiroments. It is -now in order for you to submit two (2) complete sats of glans including floor playas, plot plans, and eoupleta structural details. to this office, apply for the required permit*, and pay the appropriate face incl.uding,penalties.' Since this construction has boon done without the required permits, inspections, and approvals, please make the permit application within ten (10) days of the date of this letter. After the permit is issued, I suggest you request as inspection at the earliest possible time so you can verify caWlfaance of as Many of t1w above items as you can to determine the extent of this remodeling stark which may be necessary. Should you have any questions concerning this, please contact tae. Fours vary truly, Clay Castleberry Director of Public Works J.P. Glander JFG:dd Chief Building Inspector cc: Chico Office Environmental Health, Chico Asseasor • 2 v� 3 - z Z -to , /? BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS �sJS SPECIAL INSPECTION REPORT y Own 1A c A -d 4 34Z— 3373 A.P. # r n• Address: G✓ cr / 3�Z— Date of Inspection Tenant: Inspector J S Building Location. /V/,S T' Type of Inspection requested: 1. Housing 11'2. Financing 4. Other ( specify) Present use of building_, 3. Change of Occupancy to C. Electrical �� D 1. Service ,s.id ground: �-�-�- �LA' w`v 3. Fusi.Ug:� 4 Comment a i� D. b 1 Fixtures connected nd vented : o---, 2. Gas water heater: t C )+- 3. Gas heating vents: 4.. Camiaents 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:,` 07Lu�-,c- `eX k� ��[ 7. Natural light and ventilation: 8 Room and space requirements: --- Bedroom window or door for second exit: 10 Infestation of insects, vermin, or rodents: onnectior.'to sewage disposal: ✓ ,;y Mi-we� onnection to water'.supply: k� 1 13. Rubbish and garbage facilities: 14. .Comments• B. Structural 1. Piers and footings: 2. Floor construction- 3. Wall construction: i 4 Ceiling and roof construction: Fireplaces: �� G�P.2��`�-c, ✓t v7 it 6. Co►mnents- C. Electrical �� D 1. Service ,s.id ground: �-�-�- �LA' w`v 3. Fusi.Ug:� 4 Comment a i� D. b 1 Fixtures connected nd vented : o---, 2. Gas water heater: t C )+- 3. Gas heating vents: 4.. Camiaents E. Other 1. Maintenance and repair: 2. Fire hazards:. 3. Safety haz,-Ar.ds:' 4. WeaV!er protection: 5. !Judexfloor and attic ventilation: 6. C011C.ents: F. Commercial Buildings 1. Roof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4. Inest"oom floors and walls: 5. Exits: 6. Improvements: 7. ZoV--).r.g:-. 8. Commexit G. Field Proble.-ms or Violafl- ions 1. Problem or -violation (give completa. description) - 2. What action taken (give complete-Jescription) :_ 3. What an-vJnn recmmiended: T7 A. '. n f orn-a a t i o n o n 1. y - f 11, 2 . B. Hold for ten (110.) days, then write letter. / /. f-. Write letter. �;. t -t - t+ '. , /-7D. other: • e e J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ' Telephone: 534-4541 APPLICATION FOR SPECIAL INSPECTION Owner rl y' �,C c 1>�/: r..� A. P. No. Mailing Address/:�,/�iJ�)' /S'�?,i �JYOjc� Telephone No, fyw— 3 y 3 Applicant 2r'o C 7w -c Telephone No.?4/,.i., Mailing Address /" �i, ,cif>)'y /-T,)? Tj �J�-//� c> Building Location N//r/s ,11/lel ��if J �/ �� /�d mj7, / %/7/I ' ze ,r r7' jjv/// Wd r I hereby request a special inspection of the following building: /_/,// 1. Dwelling (if only a portion, specify) / / 2. Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) / / 4. Other (specify) I am requesting a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) 3. Change of occupancy to / tf/ 4. Other ( specify)p� Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements, I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. -7 �..t / /L / / ✓ Date g, acture of Owner Fee paid $ _v,�--�, Receipt No. �j Gj 4-- 7 1st -DPW - 2nd -Inspector - 3rd -Applicant -F. PERMIT NO. 87-82B PERMIT EXPIRES.___ _ OWNER Jeff McAdam CONTR. Owner ASSESSOR PARCEL 63-04-52 LOCATION NIS Summerplace Rd.,app.1800'E.of Doe Mill Rd., Forest Ranch Temp. Powi Called Temp. Elec Called Temp. Gas Called JOB FINAL Signari V = OK 0 = Not OK — = Not Applicable MOB'ILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS, ETC. (Plans) G . except # . 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concretei9 y oning.Requirements—Setbacks-6esemen4T ootin ize—Depth—Spacing—Connectors ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch). 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _- Rftrs.—Connec.—Shthg.—Rfg. --Bracing nections—Splice—Decal—Enc,us;.res 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ L"ft./ /"LPG rs 7. Utility Clearance 7E;e, Card -BI Date Card- BI Date Card -BI evDate 3 - Card -B1- Date. Card -BI Date Card -BI Date _ Card -BI Date Card-BIu Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 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/O 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 Card B-1 Date Card -BI Date 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL,(SingJe and Duplex) Date UNDERFLOOR Plans • OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. 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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 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 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date 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 -81 Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 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. Stairs & Rails _ 63. 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. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 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 At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except M's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; 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 Date Card -BI Date Card -BI Card -BI - -_ -- -- --- Date _ _ Card -BI Date Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except q's Proper Material & Anchors _ 37. 38. 39. 40. _Sills; 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 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purli --Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) Vf COUNTY OF BUTTE - DE�PsARTMV,NT OF PUBLIC WORKS PERMIT NO. }. 7 County Center Drive - Oroville, California 959Q5 --Tele phone 916/534-4541 � 2 APPLICATION AND PERMIT ASSESSOR PAR EL NUMB"� Ort -SZ [ON ING T"—/a BUILDING PERMIT OWNER'E�}}EPHON EFF PI_ EG ; 33/3 SO. FT. OCC. BUILDING VA�LUATI N 5�� OW/BR'S MAILING OApDR %55 �� �/ / �W /�� lA] CONTRACTOR'S NAME/''/3� �W /V TELEPHONE CONTRACTOR'S MAILING ADDRE S Fireplace CONSTRUCTION L ER UNKNOWN Total Valuation Is 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ as ARCHITECT OR ENGI R LICENSE No. Plan Checking Fee .$ //, 60 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ v0 B,U I} ING ADDRESS N S 5aA108%P1,R66 P—D. qPo PLUMBING PERMIT Filing Fee 10.00 A$ / OF DoE 1111tL_ 22b Each Trap 2.00 Repair drainage or vent piping 5.00 �_ A%G`7 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition 9?—'Remodell Utilities ❑ Instal lation ❑ Other ❑ Describe work: K Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR10V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELINGOR ADDNS. ACCLBLDGS.CCUP.y1 / 20 sq ft 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 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) ❑ 1, 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.-OUTLET ON.RES,D BRANCH C 2.50 ea N IRC TS NNONEW .CONSTR RESID. ( SINGLE OUTLET CIR. POWER APPARATUS SI so � zsc Ex. Occup OUTLETS OR FIXTURES BALP1 LNS EX. OCcup.(OUT ETSFIXEDP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. GVI shall not employ any person in any manner so as to become subject to the W.' C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation _+ permit Fee S 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 again said County in consequence of the granting of this permit. %� Date /L/— �Z Sign rur o Applicant — OwnerC� Contractor ❑ Agent ❑ An SH 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 $t7L,51 pd OCCuP. GROUP I TYPE OF CONST. PARCEL PO HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ?-.- L� Receipt No. J�0OQ3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 e,,:,--o,gcsr qA VC11 SU -9 - Z- 1/1 1 1 Q: 4 PO 6�p - I (10�3j� 623.97 14 3 6.3 8 60 67' (D7 ----- - O. ? 211.86 3 _2 6 9 2. 10. " 'gyp I 1� 0.� 8K 64 30 40,79AC 0.5 O06 ov W) 5It 34.98 AC 4 a4 /7 %2 C) 34.98,,IC 1.5.84 A( PM 5 0 - 76 PM55- 114 01 ;l 94,161 83 2570.13 0, 30 L-. C2- 40 0 A 0 A C. .:2 �/— 07 /00-r 09. 10AC.2 -303 V I9 10AC I 4 0 /0 FOREST 6 .-70 (F) (t-9 KNOLLS 96 3.38 Ac 95 i 46 1 1 .120AC. SUB 1 37 'ou AC 8 7 22 20 418 o/A37-99 PlIM42-8, S 54-80 111 19 1 662.8 662.8 ,n 5C 65 i 39 107 106-i %0 0 51 f 66 10.1 AC 10.1dAc'o / l��i 7 4 3 067 MM 52 5.3 T 108 .@41 00 01' 33.65 4C. �0 /0 A � - 2 1 -4. 68 R'S 6v" 7' 101 . AC 667.98- Assessor's Mop No. County of Butte, JULY 1967 T,. fil "!�p wl; RAs", A:j T� "M M UT POW, 'PI'l, !: 3,64�WRRI oil i4 00, 61111 qf.),41=97 , 1 Y, � ? �", 7fT,��T_tT, J7;f 4 04 1 "too" JI'l ku lw� Dff Nl� 7= 1�o 11 71- 7!-7 77v, 1,r i7 vo 77 to N 41 p �PR Pt .Pray ACV A 1, 7�7 *g ;L - -P , . YS .......... . . ... z A Typo -A Pluo, profction and 0, Tjg 'Fd6l, r , 0 W JrC,4 .77 no ye Doott ;bolbd ............. NfApp i I a L13 'I. r . 6e In f6o"iffeui, �T -- ; *mf i T TIA fo , .