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63 -20 -fit. Go� don Greenbank !O W/S F'tzgerald Rd., app.1500'NE of Hwy 32, orest Ranch contr: West rn Sierra Const., Durham Permit �k2116- OB,P,E,M(n ew single family) 63-20-10 contr: estern Sierra Const., Durham P� it 414368-81B(lst renewal/2116-80) KIM CUPPS - 63-20-10 15741 Fitzgerald Dr, Forest anch Permit#3308-88B(new garage) i M y 63 -20 -fit. Go� don Greenbank !O W/S F'tzgerald Rd., app.1500'NE of Hwy 32, orest Ranch contr: West rn Sierra Const., Durham Permit �k2116- OB,P,E,M(n ew single family) 63-20-10 contr: estern Sierra Const., Durham P� it 414368-81B(lst renewal/2116-80) KIM CUPPS - 63-20-10 15741 Fitzgerald Dr, Forest anch Permit#3308-88B(new garage) cel c� � O �� r-� �� +l t .y .y PERMIT NO. 1. PERMIT EXPIRES KIM CUPPS OWNER i �' CONTR. owner If ASSESSOR PARCEL 63-20-10 15741 Fitzgerald Dr, Forest Ranch ,LOCATION .t ��.r� .�(OC J .'4 9 r i� . L G e �Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ij Temp. Gas Service" 1 ! Called PG&E ' JOB FINALED (Date) Signature = OK 0 = Not.OK Not ` = Not Readyable MOBILE HOMES MISCELLANEOUS, Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements VZo g Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch ootings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / PV ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Window -Doors 7. Utility Clearance 7. EIec. g; Si -Anchors-S -Rf -Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-131 Date Card-61 Date 1 , Shthg-Roofing Card-61 Date Card-131 Datext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s NO otje , • ZETTME 1. Zoning Requirements-Setbacks-Easements Card-131 jGA Date I Card-B1 Date % 2 / Z 2. Footings; Size-Spacing-Marriage Line Card-131 j1W Date ,S1-.ca Card-61 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances , Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enc losures-Panel boards- Ins. to Main in Conduit Card-81 Date Card-131 Date Card-61 Date Card-61 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-131 Date Card-131 Date Card-81 Date = OK 0 = Not Ap b4 RESIDENTIAL (Single and Duplex) - =Not Applica e - = Not Ready Date UNDERFLOOR (Plans) OK except #'s Hate FRAMING (Continued) 1. Zoning-Setbacks;-Easements-Flood-Slope 45. Hangers-Post Caps-Anchots-Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue-Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel-Wrapped 51. Property Line Firewall & Openings 8. Piers-Fireplace Ftg.-Steel 52. Ext. Doors-One 3'-Check Garage-3rd story, 2 exits 9. D.W.V.; Fall-Fittings-Test-2 way C/O-Sewer Test 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size-Anchors 54. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers 11. Water Pipe; Test-Anchors-Regulator-Service Test 55. Siding-Nailing Veneer 12. Electric; Underground 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area-Glass Protection-Skylights-Plastic 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 58. Shear Walls; Nailing-Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card-131 Date Card-131 Date Card-131 Date Card-B1 Date Card-131 Date Card-131 Date Card-131 Date Card-131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test-Fttngs & Anchors-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Meeh. Protection 20. Test Tub & Shower, 2nd Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa 66. Elec. Trim & Subpanel; Breaker Sizes-Labels Card-131 Date Card-B1 Date 67. Stairs &Rails Card-B1 Date Card-61 Date 68. Fireplace or Stove; Clearances-Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance-Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap-Cooking Clearance 71, Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing-Lights & Switches at Doors 72. Garage Fire Door; Swing-Landing-Closer73. 24. Size Boxes & No. of Conductors-Stapled A.C. Duct in Garage-Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners-Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation-Foam-Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction-Post Caps 30. Service-Riser Conductors & Ground-Main Disconnect 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light-Shower Light-Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters 13 Yes ❑ No 33. Smoke Detector 81. Stucco; Brown-Finish Card-61 Date Card-61 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card-B1 Date Card-131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace-Vent; Access-Comb. Air-Return Air Vent-115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval 91. Energy Compliance Certificate-Other Certificates Card-61 Date Card-B1 Date 92. Roofing Certificate Card-81 Date Card-Bi Date Card-131 Date Card-131 Date Card-B1 Date Card-131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card-61 Date Card-81 Date Comments at Final: 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Header & Beam-Size & Bearing (NOTE: An entry must be made each time you visit job site) t ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,Zhico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE OWNER PERMIT NO. 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 matt r, or need additional explanation, please contact this office immediately. r--, f — S- � yvd5A-c,. I ( WCLC"rS --j d (/ a wGLw� n wood. NO kV C) 41, r atiro .�w.wJ ✓ II Te ) N 5 /i Inspector / Date �J 2 3/gy . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE d &' —S)g' 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. Inspector Date 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 3310e -8c OWNER PERMIT NO. 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. r0 0—L lel' 4 �� A Iz— a- A-t'V • / l2 'r Inspector Date / 6 9 S Q d ■■fitifi-EME■ti SEEMS ti■MEM ■mopq fiOSEN NEEL AMMM ��� \�Y�-Ion li..d►JML/\..A Materials Engineering ,,;•�rTesting and �+!s Inspection Crane Certification 5050 Cohasset Road Chico, CA 95926 r (916) 891-6625 File No. 88550 19 November 1988 Butte County Building Dept. 196 Memorial Way Chico, CA 95965 Attn: Mr. Scott Rutherford Gentlemen: On 18 November 1988 we�were ~requested to provide soil density testing in a garage building pad at the Martha Morrison residence in Forest Ranch (15741 Fitzgerald Drive). Footing trenches had been excavated to a depth of twelve inches and concrete forms were in place prior to our arrival at the work site. After investigating the pad, it was apparent that.the back, or north, side contained between 1.5 and 2.0 feet of'fi'll soil which had been placed at least five years ago. The front, or south, side of the pad was cut into native undisturbed soil.. Since there was no evidence that the pad had been constructed as -an engineered fill, it was not probable that the degree of relative compaction would exceed 85%. We therefore recommended to the owner that building funds should be used to modify the footing depth and not on compaction testing and removal/reconstruction of the pad. In the interest of overall economy, it is our judgement that the rear (north) footing should be extended.to a depth of 2.5 feet below finished pad elevation (FPE). The sidewall footings should be extended to a depth which varies uniformly from 2.5 feet below FPE at the rear, to the present depth of 1.0 feet below FPE at the front. If this is done.the base of all footings will extend approximately 1.0•'feet into undisturbed native soil. Such construction will provide compliance with the Uniform Building Code and it is our professional judgement that both differential and total settlement will be within acceptable limits. Very truly yours, APPLIED TESTING CONSULTANTS, INC. o n G. Sears, PE �sSEARS i 23199 CIVIL cc. Martha Morrison COUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATi�N AD PERMIT _—PERMITIgO 1AA OC% ASSESSS'OR PARCEL NUMBER Z NI _ BUILDING PERMIT OWNER-`!/\ TELEPHONE SOS FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD O. E �6rG Ac4t S Y CONTRACTORS NAME TELEPHONE, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 7_1UNKNOWN Total Valuation I $ V Fliing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ]LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 1 r:aJ-e- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 vre -f �a .�C, Solar or heat pump water heater 20.00 LOT NO •, (�/!J// SUBDIVISION NAMEPAR — `(ry1} � L4�P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 61.7 0-AP15- CPC/'r SPECIFY- 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 Newrm Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �6 �C Z�'(� �o.rC.�,P Curt Coo I - 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 2.5 CONTRACTORS LICENSE LAW 1 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 1, as the owner, or my employees with wages as their sole compen- �- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCuP.a OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR. U TI -OUTLET NO BRANCH CIRC ITS 2.SOea POWER APPARATUS e SINGLE OUTLET CIR . ) / OUTLETS OR FIXTURES EO200500 x. ccup\eAL03o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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 FiIingFee 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 als agree to save, indemnify and keep harmless the County of Butte against all I bi ' las, judgments, costs, and expenses which may in any way accrue again t d ounty in consequence of the granting of this per it. X ((' �. Date Signet re of AppliCO 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 / D uP. coN YPE scHooL F PARC PD ND 39U E' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ei=LIC BYDate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 1 _ '`- yReceipt *21 No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT � "; g• `r -,Z. -i...' i'�• :.'� ,1 �n.. ' . (1� .,,- rvi •'.':.1-'r.-. .. c �. i .- , "t} -� . _ . .. lF' COUNTY OF BUTTE - DEPARIEN',QF,FPUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 I PERMIT APPLICATION DATA SHEET Permit No. OWNER i w. (� C.� S A. P. No. U Proposed Building Use 90Xdl X Building 1lnspector 1 �� Date �011 10 At time of permit application, I was advised the following'data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. ... . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization .• . . . . . • _ Sanitation approval from C i�.t (_JHealth 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.) . 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). CUA FEES RECEIPT !. 22. When you issue the permit, process as follows: Mail to owner, -Mai l to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. 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---nail—counter by Contractor, designer, owner, was advised of above required data by_phone_mail_counterby Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder date — date Date TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance �� Ls� Owner LOCA ion AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for:. Final clearance O.R. for: Clearance for _ bedroom mobile home. Water Supply Water Supply Other 1 D 62(wrc.�,k NOTE *** ID Sanitarian Date EhMIT NO. > > ,M ` fit➢ O `���,. PERMIT EXPIRES 5 /I; 81J�! 'OWNER Gordon Greenbank CONTR. Western Sierra Const., Durham {LOCATION (A.P. 63-20-3 port. W/S Fitzgerald Rd., app.1500'NE of Hwy 32, Forest Ranch l� f, • G, } 1 f !' Jemp. Power Pole Called PG& Temp. Elec. S rv. �Q--VQ Called P '&E Temp. Gas Serv. Calle PG&E JOB •� FIN LED (Date) (Signature) 4' s EhMIT NO. > > ,M ` fit➢ O `���,. PERMIT EXPIRES 5 /I; 81J�! 'OWNER Gordon Greenbank CONTR. Western Sierra Const., Durham {LOCATION (A.P. 63-20-3 port. W/S Fitzgerald Rd., app.1500'NE of Hwy 32, Forest Ranch l� f, • G, } 1 f !' Jemp. Power Pole Called PG& Temp. Elec. S rv. �Q--VQ Called P '&E Temp. Gas Serv. Calle PG&E JOB •� FIN LED (Date) (Signature) 4' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING'INSPECTI 00EC'ORD o BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets . 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding. To out Slab Roof Sheathing -Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r. (NOTE: An entry must be made on this form each time you visit the job site.) Q_J' CJ X = T;ot Applicable a I'6ENTIAL (Singh" and F3upit—,;� (blar,K) Not deiaP.: with het ie U�tJERFLOOR Plies) ON ex_pt J"s — �'D; a FARMING (Contrrn:ed _ _ ,-- _ F!lcnhrlreyu wt; -SatEr _ a -encs —_ — _-¢ 43._Pro pert r:5wari -. �Ft t!airt; 6 ;`Steal-Eiec rn�(J—F' -ptti - 49. Ext Do -`:3'-Cha-cI: Gera�;ye•-; i/- "cry 2 exits n -La rite Pr- n b 'tg., Porches & Decks; Sods -Steel- ❑" Ftg. Depth---- Cord 81 Data d-81 Data -- Card-81 Date Car.'. -81 Data Gate ELECTIRICAL it OK e—�.'s,t• L - — -- 20. F_kawfl"_ i Trans - Clearance- T s �Prot.:ticn _ lec. Race es Spacing -Lights & witc. at_Oc�oo_rs A'�01,_ 22. Size Boxes & No. of CotaPI71- 23.3. Ro^ex lnstall a to Ed^o of, St. ds & c� - --- 24. Equip. Grout, iadu up w/aech. Fast aners-- - -- 25. 2 i e Circuits In Kitchen & Crnductor Size _ 26. Subteed Wire Size / / ga. Cu or AI-A.C.:'rire Size / ! ga. Cu or F.I 27. Rana Circ. / / ga. Cu o; El 1I-Oven Circ. 1 i ga. Cu or Al. -- Insula;=_d Nautr (.]Yes L lNo _ 20. Service-R19ar Conductor; & Gro ^tn Di:con t _ 29. Equip. Cle ra mats-Motorsyi:,ach. --- 30. Clothes CI Sha, --- Card 7-I Date and -SI Date Cerd B-1 Date Card -31 Date Date MECHANICAL (Permit) OK except #'s r.. a s; -I n s u I ation 7777-75-5-577' upper Gard -BI Date Card -BI Data Card -91 Data ----- Card -51 Data Date FRAMING(Plans) OK'except is �� d --- 36- -a;] .,nal & F. .'s _ i.�l ud -Naili g, Spacing & Erasing ?' ?es -sound Gir"-- & Flo ring _ ra`ri Stop in Walls (rat- rr_ S?ops, _ urred .. -Stairs-Chases-TuS- -- -- 1-eadi!r & Beam -Size & Bea riig —�--/- -- 42. H:t�_a j .. o -Ane. onnl. - -r v-_ ----_ 45. 8,tr , ows or Exiti a` ors-StI14±gtT[)i..:ee^i�f2' WE -irep;ace Gr Sto-ra; C'i?Asci s-Heuttri __ ____ t 6< cc. Outlets at Fro;ai Panal;Nr-Pe-----_+ ���--i &�r�!mace-�ry.�:1iC1,ter•-Ca�;4.w'.p.G!=_<rran:-e _____••--. 93�Elec. netters t F, :ceptacl.3s -,I Kit. Grunter- 67,"GM�-9 r rr_Doc,; S. ing-Lznu:ng- n I Ev�--- --- +' r ; Gar._ne-Campper�— �Hir,; ller:F.:r-C.i3�3+'�a-C�:+rr'a-�'rTT-CaAa�tc-!d.•iT'?.=- -- ! _° - '• a Floor-\!ech. ?ro;:�ciion __ ' E1=c. _F. Mech. Equip. Lis'ed fur t_ocatio.. - - -_ _,t9sters�rt,araga; (G. F.I.!-?omec Prutsc. _ 7 GGu rC_`Rails & Uect, CensUuctian-fI&v-f's-as- 74!Fdn. Vents & Cra•.vI Hnia r3oor- ninage & 7,ocd-Earth Clearance . Lo _ Undo, Floor O-r5t;- 7beFollowing instld.- Driya-C.s o- Wa:4ts 0 Yes Planters Oyes o; Creatine D L . Prob)rams 0 Yes vee - n --Finish _ G. Id3 sc_orr, ct-C'rnc2s-F.7r4r, S Cond. Si-1t5V Outlet -- 7 Vents Above Root; P,149111 .4 --Firr.:--leararce npngs.-- ;7$,.�Yl� r_Jelt; Dis acct, Elarl-P mo -- _ —-xt�rior clic. Trim; G.:.I. R:>ct:Pt"=t UrCtlC,mrffd -- nlilaticn throuc_nout ---- ��- 83 -Corrections tram Previous In_p. aim cgy - -- '84. G — '.atRf i T_ - !a '& S-!w?r Ccnnec?ed-C/O to Grad_ -HD Approval_ _ :r.argy Compliance Certiticzta-G;^ar C^rtificate: �+r[ 54. Gtrzin,--' las: Protect;en• itryi';hts-I'iasiie. _--- 55. Snear l°alts: Na;lir.•�-3olt; --" ---- tl. ' r'•all=F _Test c "'r 1 . �awc -- - v_- 0 ater Pips; Test tar ervica -- — -- - -- �rd-81 12. lenums ur,ts; Clearance-)Jaterial-Suppor Ins. -Data,- t— t Comments a-? Fir.al: 13. - s- �',-'-�-- ;Car -i31 Date Vaie—---- — -- — _ C:.rc.31 Data Card -ul Data Gizru• 3I Uate Card -BI •- Date - - —� _ -Ian Gard -91 Data Card -SI - Date are -81 - Data tl ,'. to _ FINA _ Cr; opt P's �c.-�% C5f�3- te)s- o_cr ?. rtdali .,gcticn-�L artdixys� . �_— nto'<a Daiecto_r (�_ — I c.---Clearn:nca-Comb. Air-Cunr.ector-- In Gar . -A r erre Ftocr-t;ucts-i.isch, Prottion Date PLUMBING (Permit) OK axce s 14. 1'J ter Ht.; yant-A s -Go Mustio dl .ii'J''ar P' rus &Anchors Nait P .=cticn D F • 8. � s-. —17. SLC��ant_E:c;;:ng _ Sqan; Test, First Fic-or-Tub Access t• _ 6'6-'G.F.t _ath Fixtures ies_i Tub & Showae, , Floor u lee im Suhoanel; Bre i>r Siza--Labais -- --`^ ----- - __TM)'I?r—__ 19. Gas Pipe; Size &Anchors 11...__..._x 6 pairs & fiaiis / Cord 81 Data d-81 Data -- Card-81 Date Car.'. -81 Data Gate ELECTIRICAL it OK e—�.'s,t• L - — -- 20. F_kawfl"_ i Trans - Clearance- T s �Prot.:ticn _ lec. Race es Spacing -Lights & witc. at_Oc�oo_rs A'�01,_ 22. Size Boxes & No. of CotaPI71- 23.3. Ro^ex lnstall a to Ed^o of, St. ds & c� - --- 24. Equip. Grout, iadu up w/aech. Fast aners-- - -- 25. 2 i e Circuits In Kitchen & Crnductor Size _ 26. Subteed Wire Size / / ga. Cu or AI-A.C.:'rire Size / ! ga. Cu or F.I 27. Rana Circ. / / ga. Cu o; El 1I-Oven Circ. 1 i ga. Cu or Al. -- Insula;=_d Nautr (.]Yes L lNo _ 20. Service-R19ar Conductor; & Gro ^tn Di:con t _ 29. Equip. Cle ra mats-Motorsyi:,ach. --- 30. Clothes CI Sha, --- Card 7-I Date and -SI Date Cerd B-1 Date Card -31 Date Date MECHANICAL (Permit) OK except #'s r.. a s; -I n s u I ation 7777-75-5-577' upper Gard -BI Date Card -BI Data Card -91 Data ----- Card -51 Data Date FRAMING(Plans) OK'except is �� d --- 36- -a;] .,nal & F. .'s _ i.�l ud -Naili g, Spacing & Erasing ?' ?es -sound Gir"-- & Flo ring _ ra`ri Stop in Walls (rat- rr_ S?ops, _ urred .. -Stairs-Chases-TuS- -- -- 1-eadi!r & Beam -Size & Bea riig —�--/- -- 42. H:t�_a j .. o -Ane. onnl. - -r v-_ ----_ 45. 8,tr , ows or Exiti a` ors-StI14±gtT[)i..:ee^i�f2' WE -irep;ace Gr Sto-ra; C'i?Asci s-Heuttri __ ____ t 6< cc. Outlets at Fro;ai Panal;Nr-Pe-----_+ ���--i &�r�!mace-�ry.�:1iC1,ter•-Ca�;4.w'.p.G!=_<rran:-e _____••--. 93�Elec. netters t F, :ceptacl.3s -,I Kit. Grunter- 67,"GM�-9 r rr_Doc,; S. ing-Lznu:ng- n I Ev�--- --- +' r ; Gar._ne-Campper�— �Hir,; ller:F.:r-C.i3�3+'�a-C�:+rr'a-�'rTT-CaAa�tc-!d.•iT'?.=- -- ! _° - '• a Floor-\!ech. ?ro;:�ciion __ ' E1=c. _F. Mech. Equip. Lis'ed fur t_ocatio.. - - -_ _,t9sters�rt,araga; (G. F.I.!-?omec Prutsc. _ 7 GGu rC_`Rails & Uect, CensUuctian-fI&v-f's-as- 74!Fdn. Vents & Cra•.vI Hnia r3oor- ninage & 7,ocd-Earth Clearance . Lo _ Undo, Floor O-r5t;- 7beFollowing instld.- Driya-C.s o- Wa:4ts 0 Yes Planters Oyes o; Creatine D L . Prob)rams 0 Yes vee - n --Finish _ G. Id3 sc_orr, ct-C'rnc2s-F.7r4r, S Cond. Si-1t5V Outlet -- 7 Vents Above Root; P,149111 .4 --Firr.:--leararce npngs.-- ;7$,.�Yl� r_Jelt; Dis acct, Elarl-P mo -- _ —-xt�rior clic. Trim; G.:.I. R:>ct:Pt"=t UrCtlC,mrffd -- nlilaticn throuc_nout ---- ��- 83 -Corrections tram Previous In_p. aim cgy - -- '84. G — '.atRf i T_ - !a '& S-!w?r Ccnnec?ed-C/O to Grad_ -HD Approval_ _ :r.argy Compliance Certiticzta-G;^ar C^rtificate: —.-.- — ~Card -9I Date —Card -Bi Carl -BI Dat' _Z card-bt 1Cnrj-51 Garo Cari-Bt ;Jy -Data,- t— t Comments a-? Fir.al: _ _ r -- G �r p„•.tx l'irf ,u `S 4.r,Y� 'r 1 iIF >c` r ,. R®RE RT}"R. HEtoTON •ry�;f Y A } ..! .r'k+. %t �'� x t.• >. ' :.. ' .: +•L . a r C. i t e C " L fd / T®� °Butte Count Building :In a �t y sp ctory DATE: 2 July 1980 1 ' Y7 County Center Drive `. Crovi l le 9 'CA 95965 r,% ,6 .. ; _j t 77 '` ; 1 F t� SKr,# S E .'f, `"•' .• 14J:. • '• �, ` i. .. Y �* Ret Gordon Greenbank residence -''Forest Ranch' CA iartfw ` F atr,r'M+ •'_•4i Sir Western Construction Coo (BQltch Deadmoncil - Contractor. c 41 l .,,:1'Yease be advised ' that' I have approved 2x4 muds ills in lieu of the a ' }a 2x6 sills shown on thea ' pproved drawings - , '*� .�®' ` 1 .tri � 1 K,,_ :i. .r'lt ••�;. • ~ # V •• J. . ',' t1 ',� _ a'n.r. k rM.- i:i -r're 1a Pft' 7+, y ? . q t-•.` y. a..`s'uv:. s�k) rination Approved• dor your review and approval. o Approved with notations For your files s, o Rejected ;i ;.. �`;❑ As you requested vyt'y�_• ,r,, A a # F:S --woo �� CHICO, CALIFORNIA 95926 - (916) 343-8038 4 r m k I --'S I DF-f-il-11 All" CONSTMICTION' ";'HP) 'i,'() CERTIFY 'fHAT. ENERGY CONSERVAT10N REQUTREMENTS IL-\Vl:,. BI:I-:N l•,' 1'1'11 ENERGY CO S --R M.'[014 REGULAT'luNIS' oc at ioll) 'I -IIF F0110,,.ITNG HAVE BEEN AS PER APPROVED PLANS: ((:Ii,( -(.k ench icem or write N/A if not applicable) f4:11"10 C1 11 Special (ristila c c F I . & I -j" C�4)-4m S SIJDING DRS. ACK DAHITI-J'D FANS e),A PPLIUCF.5; �/ee--s THAT AIJ, HFOUTRED 1TI'MS AS t-im'i:r) ABOVE HAVE TI-1.13TALITI) Wri'll TIII-" I-'N]-:I((;Y C01-ISERVATION kl-:(1UTRI-TIEHTS AND TO 01" THIS CLWHTICATE AS ", ffa—Hkir at� Lc. (pic.l.,;e )r' it:) t"ll:c Contractors Lict'lise. No. 378407 (4-ncu.0 Contraccor/Owiier sii"ll.-allrc of print) Contractor/Ovivicr Dat 12 Stal:c 6olltrac orf: J.iccw�c No. 3ZIZY:�y N ('l*r'i,:1 1cAT:-: '1;:".T TF ON 1' TLE WITH THE BI(1-1,f) TNG I)ITAR-1111:NT 111,108 TO F k I,(/(: 1 1;.,": AND SlIALI, jil: IN A CONSPIC11011,'t I ()(:A,i'[()t4 I:: THE, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS J 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 ORIPROPERTY 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. i s itAf /9i,/ :-,- d f v rn �d�u s oar 6,j Inspector Date_ t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS v� < 695.Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7•County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 ;COR,1t�CTIC�N NOTISr 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 correctio � ,work is completed. If you have any question pertaining to this ter, o � vI_ iar)ov,, Please contact this office immediat i I 4: I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 RRECTION 1_V®TIC 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 Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 C RRECTI®"®T1�-" 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 h e any question pertaining to this matter,^,"eed additi�el explanation�opVct this off! Wimmedja' et?ly. Inspector i Date�.�f" } COUNTY OF BUTTE O�O��✓� DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION /14OTICE/,� 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 wo is competed. If you have any question pertaining to this matter, or ne a ovalp tion, ple se contact this office immediately. C-) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CRECTIOIV N#TICS 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 Inspector Date ROBERT B. HEATON a r c h i t e c t TO: G. W. Deadmond DATE: 30 June 1980 Western Sierra Construction Re: Residence for Gordon Greenbank Reinforcing steel shown in footings may be omitted at your option. For your use / information ❑ Approved ❑ For your review and approval ❑ Approved with notations ❑ For your files ❑ Rejected I _ 563 EAST LINDO AVENUE - CHICO, CALIFORNIA 95926 - (916) 343-8038 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �PEMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 .0"r. APPLICAf ION AND PERMIT ASSESSIR P RCEL NUMB ca 0 r ZO I G BUILDING PERMIT OW E TELEPHONE SQ. FT. OCC. BUILDIJG VALUATION OWNER'S MAILING ADD: ESS P : C NT CTOR'S NAME � TEL ONyE J C TRAC OR'S (LING ADDRESS x 45,f'01 I Fireplace _ _ C905STRUC11 ION LENDER _ UNKNOWN I Total Valuation $ Flling Fee $ 0.00 LENDER'S MAILING ADDRE Dw' Permit Fee vapgd $ QO A CHI ECT R _EE R L CENSE NO. ' L Plan Checking Fee $ Penalty $ ARCH TEC/ OR S GI EER'MAILING ADDRESS Permit fee 0.400 BUIL IN DDRE OO / PLUMBING PERMIT Filing Fee 10.00 ll , Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUB ISION 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 ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: VVV 4 Permit Fee $ Contractor ELECTRICAL ELECTRICAL PERMIT Filing Fee 10.00 101 OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI\ OR ADDNS. ACC. BLDGS. 2� Sq ft gr CONTRACTORS LICENSE LAW I declare under penal y 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. `-r License No. Z5 Classification T ❑ 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. TI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTFL / POWER APPARATUS 6 NON-RESID. \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL010t (FIXED APPLNS. OR j EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 // WORKMEN'S COMPENSATION INSURANCE I declare uhder penalty of perjury (check one): he permit is for $100.00 (valuation) or less. El 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that 1 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, jy,dgjnents, costs, and expenses which may in any way accrue nst saitl County' in consequen `s of the granting of this permit. f j Date Z ` Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ d, QO OCCUP, GROUP TYPE OF CONST. 1PAIRCELI PD ND ssuE This permit is hereby. issued under sions of the Butte County Code and!or work indicated above for which Df9E9TOR OF PUBLIC B _ PERMIT E at _ :S the applicable provi- resolutions to do fEes have been paid. WORKS Receipt No. ��c7 G�O lc�' WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNT `�OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT 0.AP ' 7 County Cen t.�r Drive - Orovi: e,. Cal iAornia 95965 -Telephone 916/534-4541 � zj APPLICATION AND PERMIT .. �y j A55E 50R PA.R Cv�L NUMBER �_- . �?� 03 (119012-1 �' Z LNG /1, BUILDING PERMIT OWNER GOP,—Oo0 W—.z -_A) Uk TELEPHONE S0. FT. OCC. BUILDING ATION 9900 OWNER'S MAILING ADDRESS 7.40 - Op 2,0 TOGM E CC,T5(aMTCMST HONE �6 ` C CSLI��RES5Ll19L)R CON 6RUCTrNgNDER N.e' .'S �' UNKNOWN Fireplace Total Valuation $ 0 Y012,10 ESSV LENDER'S MAILING ADDRES C t+1 Co ARC EC�j OR NGINE�lE�1R�'�!- • , L/b�ENSnE NO. - `� r 4(("ATIDN `�IqZ Permit Fee Plan Checking Fee Penalty $ , 400 $ ®.00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 95 63 4 0A)U0 .4#6 Permit fee $ 40.00 BUILDING ADDRESS1- �� ^� /t�v�� Lvis 'v /�✓J ��71• v t�r 1-W IO A)r .v. , Y 3 2 F Fold ,.,T P"UC( LOT NO. SUBDIVISION NAME PARCEL MAP 7. PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Filing Fee 3.00 2.00 �1� 2.00 2.0.Il 2.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 61-60 Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. / DWEL I CUP.& OR ADDNS. ( ACC. L 5 20sq ft CONTRACTORS LICENSE LAW_NEW I declare nder 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. ,IJV License No. 3121 � J 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 CO R. ULTI-OUTLET 2.50 ea NO N.RESID BRANCH CIRCUIT S NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES BAL@1 BAL@tUt FIXED APPLES. OR \ Ex. Occup.(ouTLETs (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 &t�CTICUJN U Permit Fee $ gloo Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑e 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. Heating (, ML W -14 -ice" 2 q.I00 9.00 - Cooling Hood 2.00 2,�v 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, ju ens, es, costs, and expenses which may in any way accrue against s id Co t in consequen of the granting of this permit. X Date Y �l� Signature of Applicant — Owner [I Contractor J Agent ❑ An OSHA permit is required for excavat' ns over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ 06 TOTAL PERMIT FEE OccUP. GROUP I TYPE OF CONST, I PARCEL PD ND SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2-�P7- pp� ��Zd�O� r— Receipt No. 7 Z -- !� d WRITE-D.P. 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