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064-250-003
64-2573 Har,orr14Yd L. Welborn `0(D� i35�9� ��ompton, lot 29, PP#15, Magalia' t Hermit #589-79B,P,E,M(new single �^ fa''mily)/ �. T' A 64-25-03-, L1099 -91B TAWNS,Thomas , 13896 Compton Dr, Magalia v (open deck/sf) 064-250-003 02-2408 KLINGER, FRED +13896 cbMpTON DR., MAGALIA CONT: MILLER GLASS REMODEL = C/O WINDOWS 0 D� 4- Zso --003 e L2➢lE. EVENT NUMBE31 LOGGED BY IJAMC REPORT TIME 15:07 LOCAL FIRE NUMBER RO PORTER STATE FIRE NUMBER 229 I Acf C}a}a FIrR! /lifirnrc BI CASE NUMBER 44, ' rA<erAQaa. ' MEDICS LOCATION 13896 COMPTON DR PINES ELEMENTARY SCHOOL ' PRA V2 ECC ❑ RP TAMMY PHONE NUMBER 873-1411 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES0! - FIRE INFORMATION STRUCTURE FIRE SCHOOL/COLLEGE FIRE INFO SENT HOW E-MAIL BY JAMC TO STA33 OTHER FIRE I 7 -DAY LOGGED 6111 INITIALS TMJ 4 MEDICAL AIDS INCIDENT NAME PINES SCHOOL PSA/OTHER START DATE 6N7/2005f START TIME 15:03 HAZ MAT ! DIAMOND # 1.1-1.8 Billable Incident ❑ CAUSE ARSON COMMENTS LAND USE JOTHER COMM. INDUSTRIES ATTACHED MAINT ACRES TYPE OF ACRES BUILDING �0 DIAMOND 5 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 2000.00 SAVE 450000.00' INJURIES/FATALITIES ❑ # CIVILIAN INJURIES �o # CIVILIAN FATALITIES 0, EMD ❑ DES ❑ Interesting Event © # FF INJURIES OI # FF FATALITIES OI New Incident FC -40 INFORMATION FC -40 ❑ DATE OF FC -40 INC AGENCY INC # ! INC P# FC -40 COMP DATE FC -40 COMP BY U J County Notifications © EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ Name JKLINGER FRED R & TAMMY S Addr1 113896 COMPTON DR Addr2 I MAGALIA CA 95954 Addr3 Addr4 Comments 16425000300 CONVERTED 09/08/88 Creaking D oc#1 1979R 2396394 Dake Current D oc# 20008 0043705 Dake 111 /14/2000 Killing D ac# Dake Asmk D esc 13896 CO M PT O N DR Zoning I R T 1 D welIF1 — Acres/S q Ft 10.24 N /C 064 S uplCnt F— Asmt # 1064-250-003-000 Fee # 1064-250-003-000 Status ACTIVE Status Date Tax [00-0 INORMAL OWNERSHIP TRA 093-014 Situs F13896 CO M PT O N DR MAGALIA Base D k 111 /14/2000 1-051 gill 16 Timber Preserve AgPres Etal F N otes B ands multi Situs F Flag1 Flagg 910 MH Asmk PP Pen Tax PP Pen Appeal Pending T Split -Pending Land S kructure Fixtures G rowing Total L&I Fix. RP MH PP PPI 25,500 58,650 0 0 84.150 0 0 0 E xemptl 7,000 Net I 77,150 R/C# T/R Dt R /C S tale PHY I OWN EXP TAX HON ATT I SIT ,SPR PRL '�J'Find , _ .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Ir It7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 '��yy (Rev. 12/96) APPLICATION AND PERMIT (2,�Z"LU ASSESSOR PARCEL NUMBER �5 b-0 03ZONING BUILDING PERMIT OWNER"3°N�t t' �f `i SO. FT. OCC. BUILDING VALUATION , DO - OWNERS IU fjQO ESS � • �� CONTRACTOR'S 1•A TELEPHONE CONTRA& ORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 100 FY) ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ QQ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Q (0 Energy Plan Checking Fee $ I e l Q PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF )( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation, ❑ Other ❑ Describe Worr`k:Mobile 1 6OO • U Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foythe following reason: l I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 0/of one hundred dollars ($100) or less.) 1certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X _ to Sig ture of Ap i a t - ❑Owner ❑ ontractor ❑ ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh Main Service 46.00 Y; W- CCU000A NEW CONST. DWEILNG OCCUP. SO OR ADDNS. ( DY; ACC. sLnS. 3.5¢FT. r,oµpESID. MULTI.OU CIRCUITS@7.50 POWER APPARATUS a SINGLE OtfTLET &IR. .00 EX. OCCu OUTLET OR FIXTURES BAL @ I. 0 Ex. Occup. oFinLEEDTSA RES D.LNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ oc TYPE ImTOTAL FEE $ HAZ. I QL>WIMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. B Date��3 �a- Y PERMIT EXPIRES ON Date Receipt No. ,Oa WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification'is received. 1. I personally plant oxide the dor labor and materials for construction of the proposed property im ement :YES NO O 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: x,DATE: — fl NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification mast be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and .bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +[rely, &kl Vi ira, C.B.O.,uilding Inspection NOTE: This Owner -Builder Information is required by Section 19930 of the Californla Health and Safety Code. OVER RESIDENTIAL 64-25-03 — 1099-91B TAWNS,Thomas 13896 Compton Dr, Magalia (open deck/sf) JOB FINALE Signature Ulu J=OK d = Ngt OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except irs _ 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support Sketch 3. Sewer: Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector _ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water: MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp-Sketch _ 10. Cert. of Occupancy Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECXS: COVERS, CARPORTS, GARAGES, Piang'OK except #'s Zoning Requirements -Setbacks -Easements %, IZI*footings; Soils -Size -Depth -Spacing -Connectors -Steel ecks: Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 1 Ext.; Steps -Doors -Landings Date f /V ard B-1 Date Card B-1 Dat Tl/gCard B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. 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-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK r O = Not OK -= Not Applicable =Not Ready RESIDENTIAL '(Single • & Duplex) Date UNDERFLOOR (Plans) OK except # s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 Slop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exitinq Doors -Sill Hqt. & Dimensions Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 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. Headers & Beam -Size & Bearing 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit iob site) 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped t) 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors _ 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. _ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 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. Headers & Beam -Size & Bearing 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit iob site) ! COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS "z 196 MemoriaJ.•Way. Chico — Phone: 891-2751 sy 7 County Center Drive, Orovi Ile — Phone: 538-7541' • 747 Elliott Road, Paradise — Phone: 872-6307 ; CORRECTION NOTICE_ OWNER r PERMIT N0' 'a 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. PL C o,"i reev o Fr, c 1,,) � o 4' %� 3 � d Date 3 2- Inspector i ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Orovllle, Cellfornla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT ASI ASSESSOR PARCIEL NUMBER 64-25-003 ZONING RT -1 ,c r BUILDING PERMIT OWNER Thomas Tawns T LEPHONE 873=3935 SQ. FT. OCC. BUILDING VALUATION 12 8 ol2en 640 OWNER'S MAILING ADDRES r 13985 Jarvis fit, Ma alfa 95954 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 640 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13.00 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS 13896 Com ton Drive Magalia Permit fee !$ V 8.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 29 SUBDIVISION NAME PPCC Unit 15 PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: rlark Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a)/zQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS tr OUTLET CIR. Ex. Occup( OR FIXTURES 20050t eAL030 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. 1 shall not employ any person in any manner so as to become subjectLHood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectit to the W. C. provisions of the Labor Code, you must forthwith comply with suchprovisions or this permit shall be deemedrevoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 3.00 ilation Fee S ractor 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 against sai my i conse ce of the granting of this perm/X,6 X Date Sig cure of Applicant - Owner, Contractor ElAgent1:1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct-QTOFI;rO�BLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 0^ TOT F E $ 8.0/ HA 1.c,4;,41K I SCH FLD c P P i HD. ISSUE. T01 his permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid. WORKS ��//__tt B Datev� P MIT EXPIRE Date Receipt No. L WHITC-�. �. W., •EL LOW-ASSE35 , PINK-INspec TOR, GeL�EN R��-APPLICANT l;�.d _ v✓-•.'..�r}...�i�....,--�a--.--•�..*L.::,-•�... _s- �..•'�`1'•k...^ f�y„ `1,�-%,�'' 111' �r i 1-nysJ..�`v•}- .. _,.1r\ � v COUNTY OF BUTTE - DEPARTMENT -OF PUBL`ICIWORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,-CALIFOFRNIA 95965 -TELEPHONE: 916/538-7541 PERMIT AP LFCiATION� DATA SHEET M Permit No. OWNER �lfD✓i-,✓9.S � �,�/S A. P. No. `6, P ?-3-- 3C Proposed Building Use C, % - 3 Building'Ins'.ector C s'"� Date 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, signed by preparer of plansr........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered°plans and calcs, with wet signature on plans .. 5. Hazardous Material Fo'rm....................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ..............-! 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ X11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... School District fees paid .............. Sanitation approval from ����5-` Health Department 11y. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... i 22. Certificate of Workmans Compensation Insurance .................. - - 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ��_ and hold for pickup at office. Deliver w/inspector. Other Appl icantAz Date ,_Z� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issua e: (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 byphone_—mall_cou/nter by �,v& ..date Contractor, designer, owner, was advised of above required data by_phone_mall c linter by date Plans checked by Date Pans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _ /��111e, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the.following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. To ! Buildinv Department 1 . �• FROM: Environmental Health SUBJECT: Sanitation Clearance 1s 1 �wytS �r�c�� owner Location APS Approved for: Sewage Disposal Water Supply Plan pA Hold final for: Water Supply Final clearance O.R. for: Water Supply X Clearance for _bedroom mobile home. other W Saniar'an Date d�do9 Q, n ado, a o Gd�dd� IV • 9 1 _ _ I � I I i .L �I I I I I I � I .I Je T Vf;Fr'L- 36" IJ11IV. r C0 " T X v 1 f O rJ X Q rn C ^T-1 7Q c' N MAX. U x u' N 3 -4? C7 C r7 CD I G _ poi \��\ / �m II II `�i / 0 C13 ,-- CD 34" m, .. HWAZI41L HEIGHT 00 t rn m ..0 �•, , 8.. -r, Z C4 to"'MIN. STAIR MAX, W IDTH 00 ; 6' �' x' y in - 7q. p. Ln co i Ln _ c ga6,8 !xt.F , 9r 1 ,02 PanN�f ?adav,9 z�T 8100Q,4:�"-1Nel .S osi .,�das l% cz / aarl a'l'e 1,s ' JbIs s of plans anti spe �iceti°nU � ulbc kept on the job at all times and it . make any changes or alterations on same with- out written permission from the�;Department of Public Works, County of Butte. s A s�b�k °f ar< a Seti�ck ell 1ine� 0 Prop from the rdd . Z 50 ft 111je c1e8r t rtgtline IN nt eXc�p.., ce or e4u'Pm erig'iW� sttkidu . overh •. 1 . . it. ey .b tot � • . Shap Nora . I � • , 0 tk�pa5a� a}e�,C% ,*\Ie the Sp �rieao� Pp M �tb -e ea kor pec vi rib N l*r� '66nce �esc mb�r9 e• P c4 qpo\Xt�da`ag` {i Gds c� cR` 6 d'da�a�OJ° C� Ci d dc� Q 41 k j� n C! k � � • c y `LS oo-,� > COUNTY OF BUTTE - DEPAVTMENT OF PUBLIC WORKS 7 7 County Center Drive - OroviHe; Calidornia 95965 - Telephone: 916/538-7541 APPLICATION AND IPERMIT PERMIT NO. Qqc� r ASSESS�RgRC L NUMBER 3 /C_7l`./t� ZONIN BUILDING PERMIT NE o�,/1-s 4 t,J nts TELEPHONE X73-353 SO. FT. OCC. BUILDING VALUATION 6 t�� NER'S MAILING ADDRESS 5 C� lir �L� 69 LC NTRACTOR('AS /NAME n W /V �i_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ 4§ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 3ARCHPermit Fee $ /-31— ITECT OR ENGINEER ARCHITECT LICENSE NO. Plan Checking Fee $ e -f— Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ARCHITECT Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 G 3 G / 4 D�+�c do" ,�Z Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SU BDIVhSION NAME f _ - C • C — U� ` PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF E�f Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.008 TYPE OF WORK New Addition Re odel❑ Utilities ❑ Installation❑ Other ❑ Describe wok �C _ , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ 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 CONST. DWELLING oCCUP.& OR ACDNS. ACC. BLDGS. V2Q$gft NEW CONSTR. ULTI.OUTLET NDN.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20e30a SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.t EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, • dgments, costs, and expenses which may in any way. accrue against sai unty in ns a of the granting of this perrpit X Date Gf/ Si a re of Applicant — OwnerX 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 $ occ CONST TYPE TOTAL AL FEE $ ,3 HAz CUA PARK FLD PAR PD HD ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date v 512,/ . 1 2 / Receipt NoJ WNITE-D.r.W.. YELLOW-ASSE330R. PINK -INSPECTOR, .OLDENROD-APPLICANT • `,PERMIT NO. 589-79B,P,E,M PERMIT EXPIRES OWNER Harold L. Welborn j 1 �CONTR. owner lam— 64-25-3 LOCATION (A.P. ) 5 Compton, lot "29, PP#15, Magalia t:V t7J' LII p L . (, Temp. Pow Pole �a �77 O. C Calle PG&E Temp. Iec. Serv: ' ' •• •-� - C Iled PG&E _5336 f79f�!�� Temp. Gas Serv. /Called PG&E FINALED— (Date) (Signatur ) 1 — —COUNTY Of' BUTTE — DEPARTMENTOF-PUBLIC WORKS HILDING INSPECTION RECORD BUILDING $ LD NG (Cont'd) PLUMBING Setback Firewall W2 -Y I X Soil Piping, Forms Parapets 1st Floor Main Bldg. X 44 42 Restroom Flnlqb 2nd Floor Footings/ Windows .r 3rd Floor Stemwall Siding To out Q ' Slab Roof Sheath Water •PI in iL Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation `1 Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of —e structure e Appliances Gas PI in Temp. Gas U 7 Slab Final%ZL v L -111 ' Sanitation /C Patio FIRE LACE Final ti V1 Footings Footing EL CTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam 4 FIRE SPRINKLERS Motors Framing d 'Test Water Htr. 1. ) w StuccoFfnal Subpanel Mesh I iE NICAL Grd. Fault Prot. CGS Scratch Heating -Z -I-1X Service , Brown Cooli Temp. Po Finish I^ Duct Underground Interior Lath Ventilation I Permanent Door Closer v Final Final- • MOBILEHOME UTILITIES ---------------- Elec. Service Elec. Pe estal Water Piping Jf -Sewer Gas Pipi g MRSILEHOME INSTALLATION - - - - - - - - - - - - Support , Elec.' ntinuity 5p Water Piping Drainage Gas DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA AOIIINISTRATIVE�ODE. TITLE 2S. Si -ATE OF CALIFORNIA. IN -THE BUILDING LOCATED AT: i' -__�'''`'Streeto um er Tract EXTERIOR WALLS Manufacturer X(/ Thickness/Type _�>1f2-- R Value 'A'( CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer W `Thickness r__No. Bags Wt./BaA SQ. Ft. Cov ed R value_ d FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R value GENERAL CONTRACTOR LICENSE NUMBER BY TITLE DATE IJSTI�2CTORNM'14j I N SU LAT ION LICENSE NUMBER 2 12 4i6 1 _ TITLE�Mri�t.�GC.Lzi�. DATE �° ay RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE 'CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT co rnp`r©o,j - m 66-4)-I9 (location) BU DING PERMIT NO. A -6-P. NO. 6, - 2S -'03 Ec-cl-PT A-�b , / 09 2 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls P Floors4> NtJM Walls E --` Ceiling/Roof - z Ducts ,not o A Circulating PiPes N APPROVED HEATER YES S �aAS APPROVED WTR.HTR. YF -5 6#5 GLAZING: Single Glazed Special (Insulated) 4LL CERT. & LABELED WDS. & SLIDING DRS. �Z WEATHERSTRIPPED DRS. y S BACK DAMPEREDr-FANS Y �S 'INTERMITTENT IGNITION DEVICES_ CERT. APPLIANCES �r 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. N,1 jCµ� LYSd tii I a�5J1-�T �� Insulation Applicator Name S EG- ��� A j % ,---4F Signature of' (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name % , L p n o-. Signature of rin ) General Contractor/Owner_�U�.,(Dlease '6v ate '412-317'7 State Contractors License No. ,B`' 39z�>,5"36.9 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. -s v f ! Y i 1 t t i 1 � t t 1 ! Y i t t i 1 � t t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT Owner /��L� ` ���n Mailing (Address CZ- 72 Telephone No. 7 D Contractor Ll'F—L FL- L,1)q >&,1, p Mailing Address v —Telephone No. Building Address -Building Address-���-r�,cJ� A -P, 00I:r Z- 7' z9 A. P. No. 6¢- 2-5- ---63-5 1" �oni lg & PI ning F W.4ellS ion Fire Dept. Fire Zone Use Permit EQA Parking arcel Parcel 60' R/W Im r Plans Declaration p p ov ments s61— / Pla Id Bldg. Plans Recd Parcel pproval n Approval NEW Z ADDITION ❑ UTILITIES ❑ OTHER ❑ ( Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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 f: License No. 2�r.309 Classification C� In, Sf"IT/4 _ BUILDING /V ( SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping ,Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA, ADD'L 100 AMP Main service OVER60oV 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. It DWELLING OC•C-LJP,,,6 0 /O6 @ FEE $3.00 3,W 1.50 D,SQ 1.50 1.50 1.50 Q 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE 're Ex. Occup(OUTLETS OR FIXTURES) BAL@101 1 Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.I EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � X112'1'7'? � Date Signature of Permitee or Agent Receipt No. Z 9-1/10 0i 2— White-D.P.W. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating 15�3 A4. Cooling Ventilation Hood $ 3/15L5 $ 13 @ FEE $3.001 3, 00 'j0 G,06 2.00 1 2,. 00 RM Permit Fee $ ,(gyp Z� / Qui pp Z-5-. co TOTAL PERMIT ftE $/9� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date 2—t S-- uilding permit expires Date Z—L) % This set of plans ands ' kept on the job at all times and if snun awful too make any changes or olterations on same without O written permission from the Department of Public Septic sy=}eand location of build - Works, County of Butte. m J 0 ing drein stub -out to be as F Buf•te County Health Dept. I ..quirerrtents.- NOTE: All Materials & Workmanship Shall Be fn , Accordance with Recognized Good Practices and 20` 5Eri3 Ns of a quality rescribad for Ca Specified use in th© Uniform Building, Plumbing & Mechanical Codes -and FOOD ���� ���� �� -��� � ' the Natrona) Electrical Code. ,+ a �5 ATE 3� C \D: z' 125,00 gk: &air 99.576P ap '�. - Mr. rAL WkrEg Tlw 11 PAD 4 s F~i�aoa :to7;7' i, q •i4t 5 �• 0 ;, r, Loan t ' = `","-":,;:;: Mo 100,.` •, r 717 /4� J.F.*3I's �. •t ,,-�. r ���• he 6!dg. Setback shall be 5 ft. from t ide property line and 50 ft. from the `"�- Pik.dI .:enterlins of ilhe rood, permitting a maxi- '" , - u zi/iFT", u7-1-0 11 a mum of a 2 ft. eave overhang but entirely • � N out of all easements. b we - AM L S See Master Plan on -file. k building plans. �P 5-77. BUTTE COUNTY BUILDING DEPARTMENT APPROVED - - ON IT i 9_ 147 Q -BY- H.L.WELDOPW�QF-516 ER -BUILDER 8-20S30� s24 -'z.5. 03,iir©1d.Lie o 79 iZIPI_EY Lel- p/�OtSE. CALF: Qgm I' I—QhLDR- . wvs«# �i * ec IL5 - •ZO V.N. RaVISIONS ev DATE oAT7 14 -78 c#A$JCs" TU PL401 '/oAa '1 t1V I`/ -wt 79 � OR N GKD. o1 Woki veL G A IkA MASTEP PLAN 06�5- 111LZ . POT ' PLAN FOR t MAV? I Ly tit No ! f� Z-.M.�:EjS R ATS 4� i -l! '4 �4.i EX• PER StA_TE PORIA 2 N_�1L - ( lJb Sca o� $ v r -U IAS oao f�-"� A SN�1 i ki -� 144 ail �� L�3_ � f _GF 3 mo ov u ►tit r , 6 �1ti F