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064-660-016
1 64-66-16 L. STEELE- 14389 Sk a MQ' Yw Y� galla i Permit#1304-82E(ele ser ch)SF t rSF) er Fox 1-86B,P,M(repair fi e damaged 064-660-016± PERMIT#98-0934 MOKLER; Don' ' 14389. Skyway,, �Magalia New..'Pri Det Garage LREROOF 6``=^ DON 06-1942 WAY, MAr,.ALI.A- - RDABLE JC ROOF h BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING. PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061942 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 08/11/2006 APN: 064-660-016-000 the Business and Professions Code, and my license is in full force and effect. C C 650 License Class : C ^3 License Number: 8 �J Site Address: 14389 SKYWAY MAG Date: �� Contractor: IP&J — 9 Map Index: Description: RE ROOF 9 SQ.'S COMP p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MOKLER DON C & DEBORAH K to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 14389 SKYWAY 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: AFFORDABLE JC ROOFING such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 28$ PANAMA AVENUE sale. If however, the building or improvements are sold within one CHICO CA year of completion, the owner -builder will have the burden of 95973 proving that he or she did not build or improve for the purpose of sale.). (530) 680-9471 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: AFFORDABLE JC ROOFING pursuant to the Contractors' State License Law.). 288 PANAMA AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO CA 95973 Date: Owner: (530) 680-9471 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 868569 ❑, 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carriieer and policy number are: S AC— ffy-r-�Q Carrier: r Policy#: 0265 "-C`)a0--5 -e�- Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. 1110(, Date: 91110(, Applicant: (^�'�" WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. an - -- - CONSTRUCTION LENDING AGENCY This permit is hereby issued u er he applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re "olutionylo do work indi ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)z2 BY\ Date: �./' 2 Name: PERMIT EXPIRES ON: PERMIT Address: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Countyto enter upon the above mentioned property for inspection purposes. L� ` ` Signature:/ Print Name: r/� �' `J Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. c. i3waing vermn ui-lb-u4 pg r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last NameOIC e e610 i Name Address 1, 39 V 1 City. Ci l e C� Zip Phone E-mail EFa E-mail Class� CONTRACTOR Name Name Address Address City ' � C'0 City State CA Zip 3-1?3 Phone 61?0 _ cTzt Z Phone Fax E-mail E-mail Lic. #6 g5$6 Class� APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE J X For office use only: Zoning _Property Address s k Flood Zone I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# — � —0/6 —DOD [� _Property Address s k it Cross Street WORKER'S COMPENSATION Policy Number© 3(— 9D` '-13 Carrier -5 -T&-("'-66 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: r Sq FT -'Living Gar ge _bpeh Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by` Amount: J , Bldg SRA Receipt #: r7 Sheriff 0,� /24t/ SMIP Page 1 of 2 Other Date: Q' ) % /j/ �, f %�� (� ()—l6 / /(1J �J1._L ) Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within .two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING FORMS\BldgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 RESIDEIVTIAL� 064-660-016 PERMIT#98-0934 MOKLER, Don PERMIT NO. 14389 Skyway, New Pri Det Garage__'.__> PERMIT EXP, OWNER / CONTR. ASSESSOR PARCEL, LOCATION CHECKED /SRA—�,-D BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ'. SPECIAL INSPECTIONJTEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK O = Not OK ' Not ' = t Applicable NoReady HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacng-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer, Location-Test-Fall-C/"oncrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'L'tt. / /Nat. or/ /°L°ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'a 3. Gas; MH Test-DemandValve-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pod Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Vater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date • 2• MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacng-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/8 -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 -Vater Supply Test 11. Ught Niche, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 Not OK - = Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 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/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size BAes & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32.Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) 71. Elec. Outlets at Wood Panel, Int. & Ext. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedmgs 62. Infiltration-WallsANindows 89. Glass Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, -1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT L/ ASSESSOR PARCEL NUMBER. 64-66-16 ZONING �• 1 1 1 BUILDING PERMIT OWNER DON 1, V= TELEPHONE' L i a--ri389 SO Fr. OCC. BUILDING VALUATION OWNERS '14190"SKYWAY MAGALIA 95954 4eo 8_640.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 8640. ou ARCHITECT OR ENGINEER LICENS'c NO. —Filing Fee $ 20.00 Permit Fee $ • ou— ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS 14389 SKYWAY Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE i198 • 20 LOT NO. S UBDrJISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 2 Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New WAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ PRIVATE GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 Main Service ` 'soon oa LE Main 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 for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. I I, as owner of the property, am exclusively contracting with licensed contractors ,r to construct the project. •� 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR. OR ADDNS. ( d ACC. BLDS. So 3.5¢FT. NEW CONST. MULTI -OUTLET —NON -.E I. I C", @7.50 POWER APPARATUS d SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES B20 1.00 EX. Occup.ouiLEEDrs RESID.LNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 forth 'th comply with those provisions. X �...., Date' i—�/ 4W Signature of Applicant -.oQ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONSJ. TYPE" ` TOTAL FEE $ 198.20 HAZ. .r D. FEES _.. IMP FLOOD CDF i PARCEL „_ Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By f(/"l; '. j PERMIT EXPIRES ON�� the applicable provisions Resolutions to do work been paid. Date �� o Receipt No. 236542 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE . -�'BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE, M okLE OWNER PERMIT `NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I lyc(E (z) /kelLT7A9y2L 0 �f (3 LC)cv mit1. %CJ IZII, Date / Inspector ()lam \l 6211 REV 10/92 R Date / Inspector ()lam \l 6211 REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUICDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-66-0-016 ZONING IRT -1 BUILDING PERMIT OWNER DON MOKIER TELEPHONE 873_63R9 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS i 141 IIAGALTA CA 95954 , CONTRACTOR'S NAME TEL CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1; ORIGINAL $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILD1r41WSKYWAY, MAGALIA Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee NT.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK NeWO Addition ❑ Remodel ❑ Udlifies ❑ Installation ❑ Other ❑ Describe Work: IST RENEWAL/98-0934 Gas piping stem 1 - 5 outlets 15.00 sewer 15.00 —Building Mobile Home F9 I G W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200. oR LESS 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 for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO I 46.00 WEE200A NEW CONST. DWELLING OCCUP. U OR ADDNS. ( a ACC. BIDS. SO 3.5¢FT. ONST NO -RESIID MULTI.OUTLETU. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'00 SAL O .so Ex. Occup. oFIXUT ED APP REESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 6/26/2000 ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COiJNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-66-16 ZD"I"BUILDING PERMIT OWNER DON MCKLER T873-6389 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIT45 9T SKYWAY MAGALIA 95954 420 864.000 CONTRACTOR'S NAME TELEPHONE CONrRACTOWS MAILING ACDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 8640.00 - ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ 70.20 BUILDING ADDRESS 14389 SKYWAY Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ 198.20 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New MXY( Addition O Remodel ❑ Utilities O Installation ❑ Other O Describe Work: PRIVATE GARAGE. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF—*_ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V' UE Main Service AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing wlih 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 for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended oroffered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR ACC. BUDS. ORR,oADONS.T. ( SO 3.50,.9 M NON-RESID. q C C 97.50 poWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1'00 BAL so Ex. Occup. Ou'rELETgPR'.Ip,DEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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. O 1 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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, 1 shall forth ith comply with those provisions. Date ——� Signature of Applicant -i� Owner O Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCCTVP CONS . TOTAL FEE $ HA2. -- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By bate EXPIRES ON provisions to do work paid. fi CJ e rReceiptNo. 236542PERMIT ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 54 . ..�-., r. , �.0 -r+- ^-'-'►�v�y �ztmX`r+`�►1.�W?"tJ1'+-v+r����1:�'c�'�S"i"�i�ilrfM`rr�,.�i,�+�ar^r,n3'r�r.....+sr7vY�t��'�;,F�'�(''Yt�+Ntf`s#�.r�w*�'ry► COUNTY & Pf*1E DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIONDATA SHEET OWNER: DO , I ( e , ASSESSOR PARCEL NUMBER: t� Proposed Building Use: Building Inspector: L Date: At time of permit applicatlon, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- Iq10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---- ----------^-A-,-,-,--�- - - . California Department of Forestry plan approv taX/ egs ��-="J-------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- _ Sanitation and plot plan approval G f-Iealth Department. ------------------------------------------- 5 Z7 ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number,'Name Style, Classification). --- 022. Workers' Compensation carrier and policy number. -------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----- 1124. Letter of signature authorization.------------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------------- 026. Letter of intent on building use. -------------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------------- 028. Existing violations and/or expired permits. --------------------------------' ---- 1129. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E330. Other: .11 When you issue the permit, process as follows ail to owner, []Mail to contractor. (Date) ❑ Telephone and hold for pickup at office. ❑ Deliver ywiiith ' ector. Applicant: U"�9111 /`�ate:�'/L 9 err �t Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: - an Check List 2. Additional items required: Contractor, designer?�was advised of the above required data by ❑ phone,Nmail, o Building Division counter, by Date: 5 2 �$ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Biii d�--446 ounter, by Date: Plans reviewed by: Date: ,$ &,!j Plans approved by: Date: y 3 Sets of plans on ho )Qlan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attache Floor Plan Attached V Sent to B.D.— TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Loca ion AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other raC _Q �(A Hold final for: Final clearance O.K. for: NOTE: L , ronmentM Health Specialist Ii Date COUNTY O OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ /` / ZONING » v1 BUILDING PERMIT OWNER M TE PHONE/ j3 -C G SO. FT. OCC. BUILDINGVALUATION DDRESS OWNERS MAI NG A11 1( 05 .� � � 1 S CONTRACTOR'S NAME / v�•r J TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS f t Energy Plan Checking Fee $ ` $ PERMIT FEE $ g, LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ®A, SPECIFY Each Trap 7.00 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 Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 1100V OR LESS Main Service zo.OR IFSS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ 1 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 Main Service YOGA TO 1000A 46.00 NEIN CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT. NON-RESID. MULTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. . Ex. Occu ourLEr OR FIXTURES Y0 sA0 EOALNS Ex. Occup. o� RESID.°FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X____________ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ yf3,Z� NAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dare Receipt No. I WHITED D.S -B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT May 26, 1998 Don Mokler 14389 Skyway Magalia, CA. 95954 Assessor Parcel Number: 064-660-016 Building Permit Number: 98-0934 butte L'ount LAND OF NATURAL WEALTH AND BEAUTY -11IRBIL 411TH- 01.1 DEPARTMENT OF DEVELOPMENT SERVICES . 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHOME: (530) 538-7541 FAX: t530) 538-2140 The above referenced building plans were reviewed by this office. Provice additional information and/or ake revisions to plans, specifications and calculations as follows: Indicate Braced Wall panel types and locations. Garage door header is inadequate in size. T'�' Obtain Sanitation and Plot plan approval from the Chico Environmental Health Department. If you wish to discuss any of the above items, I can be reached at (530) 5:38-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner -�Y? � P�' 1 , TOWNSHIP�N RANGEE�p tj' "• FIRE ❑ S and ❑ W FIRE NUI REPORT TIMBER 3/OR FC -18(1/80' n ORIGIN LOCATION YOUNG GROWTH ORDER NUMBER REG. R.U. INCIDENT NO. SEC. TOWNSHIP�N RANGEE�p tj' "• NATIONAL FOREST, FIRE DIST:; CITY 'a„STREET NO,,, ❑ S and ❑ W START ♦\DGR �a . I NO. - ��••� �� �3 thru— — — - MILES DIRECTION FROM IN. NATIONAL FOREST, FIRE DIST:; CITY 'a„STREET NO,,, Number a ” 'of a Nm a t ETC. TIMBER 3/OR fftfRE0 NT TYPE , 1`� d ��, V FALSE ALARM—GO TO BLOCK 10 �tf 71 QY 4A RESPONSIBILITY 4B4UTORJ�Z'� ©V STATE ZONE S AT+< 1 IIDLAND BURNED OR THREATENED RESPONSIBILITY O(CDF_ LOCAL GOVT. CONTRACT (O AT ORIGIN) ❑ :UNPROTECTED ❑, ASSIST OTHER AGENCY (Not City) �► ❑STATE ❑ U.S.F.S. V LOCAL ZONE O' CDF LOCAL GOVT. CONTRACT ❑ B.I.A. xsR 0 -Q ASSIST OTHER AGENCY (Not City) ; FEDERAL ZONE ❑' OTHER FEDERAL .","�• ❑,OTHER ❑ ASSIST, FED. AGENCY (Not Mil.) 0. Q ;GDF LOCAL GOVT. CONTRACT 'MISC. AND OTHER O❑ °ASSIST CITY, CONTRACT. CO.*MIL, OTHER r. $ CAUSE (STARTS IN . 2 5 1 OR 8 ON rj LIGHTNING n DEBRIS'', M PLAY W/FIRE w•: CAMPFIRE - ❑ ARSON � OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT eDOMESTIC Q RANCH -FARM ❑ DUMP ❑ ROAD ❑ UTILITY, RAILROAD ❑ UTIUTY, ELECTRIC IN kI%. (j) k5V OR %) ONLY) ❑ FOREST INDUSTRY ❑ RECREATION ❑ OTHER INDUSTRY-COMRCL ❑ WILDLAND ❑ NON-WILDLAND ❑ OTHER DAMAGE 1.61 �/ ��% OR 4C% C1NlY1 7 S DAMAGE Number a ” 'of a Nm a t TIMBER 3/OR YOUNG GROWTH WILDLAND VEGETATION Other than TA Y G AGRICULTURAL PROD Other *on T a Y G . �.' DWELLINGS ' ttoo a/OR CONTENTS OTHER STRUCTURES a OR CONTENTS VEHICLES 6 CONTENTS OTHER 16�-.TOTAL $ ��g rc ACRES OF VEGETATION BURNED- ON ARRIVAL (Q VEGETATION FIRES ONLY); 9 SIZE DISTANCE (Origin to head) ACRES FEET WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE , ff) - LOVER PLEASE - CCF,7840.13"118 . NZt 1ODNOe► , tORDIR NUMBER. R.U. INCIDENT NO. YEAR &FIRE R RD Mo. DATETIME OUTSIDE0 g GO TO 12 FIRE STARTED IQs 1ST. CD Dis etch INSIDE 1 2 ORS'`Q FIRE DISCOVERED s FIRST ATTACK BY CDF 0.7-7 FIRE CONTAINED N-ro s \,.RCvv VYCRr7Gf1H RGbVRV 12 CoFC-DF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATTIION PERSON HOURS IM FIRST REPORTI ORGAN- IZATION J / NA NAME: CDF CREW «.i�� SITE SECOND REPORT NAME: FIRST ATTACK BY CDF 0.7-7 FIRE CONTAINED N-ro s \,.RCvv VYCRr7Gf1H RGbVRV 12 CoFC-DF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATTIION PERSON HOURS AIRCRAFT FLT. HRS.N CDF STATE & LOCAL GOVT. doNTRAcT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF CREW «.i�� CDF OVERHEAD TOTAL ON 1 2 8 FIRES, ENTER TOTALS BELOW yn ' .q>,%g• ;.�' t'� U.S.F.S. (kid. OverMael) TOTAL OTHER FEDERAL (Ind. Ondmad) TOTAL FIRE DIST. & OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL C] ❑ FC -1811 (Additional crow activity) ATTACHED 1311 ..........�..... MAP IS: PobNE SECTION ❑ FOUR SECTIONS ❑, MAP ATTACHED Ile rl 4 �,f ♦onanVFn RY. VR�V���I'. �. n�.r vn■ v ■ . TITLE,c. INTL DATE " F14 SI .• f '��,►�1.�> 1,DATE «.i�� q ..y�_� + • � .yam � .. .� . w r .. .. e -.R � - r � j_ .. � � r . � _ . - r -... r - .. .. .. ., y •�Jt;,c ;�li�rrc�b,�r�r� � ITS Ap ,14 + OFFICE COPY z h / 7V Addres& D y 5�4- GAS Meter B D ELECTRIC Meter- y Date • r a t t f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6;'v— jo A , / t, ZONING BUILDING PERMIT OWNER S�tr/r TELEPHONE SO. FT. OCC. BUILDING VALUATION / + % �� G / f�("� r1 v OWNER'S MAILING -ADDRESS ow CONTRACTOR'S NAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS I V.20"l// r, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ % f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee /V $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �./ USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets/ 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New Addition[], Remodel❑/ UtilitiesUtilities[]Installation❑ Other Q' Describe work: A �-i%/ 1 4� /,�� r 4/, fw / I. (G I /%ir9�w a /.r,�i G/ �f i , y v W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ( 8001 OR LESS Main service 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): ❑ 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. /; A �', jic' ��; 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.d , OR ADDNS. ( ACC. BLOGS. ) /22sgft NEW CONSTR. ULTI.OUTLET2,50 ea NON-RESID BRANCH IRC ITS) POWER APPARATUS .&) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2oet30t eALe:ao FIXED APPLNS. Ex. OCCUp. R OUTLETS IIRESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. RI-1-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 4111,T— Cooling Hood 3.00 Ventilation Permit Fee $ '15-00 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ ContractorEl-` 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 $ " 6) V oCCUP. CONST.TYP! I FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which _DIRECTOR OF PUBLIC / / By G" ,-�-- Za7 PERMIT EXPIRES'yD_atel the applicable provi- resolutions to do fees have been paid. WORKS Date�L f - / 1? 7� / Receipt No. `'? WNITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER��O. 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 CEJ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (/in ZONING BUILDING PERMIT OWNER ZZ 0 SlilTELEPHONE SO. FT. OCC. BUILDING VALUATION V OWNER'S M ILING A DRESS CO NACT9 ' NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND RUNKNOWN Total Valuation $ S V Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT 'jOR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlet 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition Remodei❑ Utilities Installation❑ Other Describe work: ` G 1 t r!!�I I TO v Permit Fee $ W Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions C e and—my license is in full force and effect. License No. Classification rl ❑ 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 OCCUR.& OR ACDNS. ACC. BLDGS. , 24scift NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ( OUTLETS OR FIXTURES Ex. Occup\ 8AL030 eALeso Ex. OCCup. OUTLETS PP Ex. IFIXED ALINIS RE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The pe mit is for $100.00 (valuation) or less. ave 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. G. 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 ` r J Cooling Hood 3.00 Ventilation Permit Fee $ Contractor lz5iop 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, judgments, costs, and expenses which may in any way accrue agains I Coun in c se nce of the granting of this ermit. X Date ZS Signa a of Applicant — Owner ❑ Contractor Agent ❑ An 0 A 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 $ '�a v occu P, CONST,TYPEJ I I FLOOD PARCEL I PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE TOR OF PUBLIC BY PERMIT EXPIR the applicable provi- resolutions to do have been paid. WORKS Date/ Receipt No.���� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSOtCTION REPORT Address:-- Tenant:— Building ddress:- Tenant: Building Location: Date of Inspec Type of Inspection requested: /71. Housing, 2. Financing 3. Change of Occupancy to 4. Other (specify) Present use of building:_ A. Sanitation (Housing) 1. Water close t: :y 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities:' 7. Natural light and ventilation: ' 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior'-to sewage disposal: 12. Connection to water -supply: 13. Rubbish and garbage facilities: 14. C-1 ents B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: sl 4. Ceiling •and'roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptac es: ' 3. Fusing: 4. Cotmi ent s : D. Plumbing 1. FLitures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other 1. Maintenance and.repair: 2. Fire hazards: 3. Safety hazards: Weatl!er protection: 5. Underfloor and attic ventilation: 6.'' Carmsents F. Counercial Buildings 1. Roof covering: "'-2 Disrarce to property lines: 3. Physically handicapped: 4. Rest-room floors and walls: 5. Exits: . 6:._ Improvements: 7. Zoning:' _ 8. Comment G. Fief Problms or Violations 1. Pro, lm or iolation ( IVP complete description) : !�G ,, AC? A/4- a 14 action t en (g'i ;e c ►pK-te : escription) •What a�fi.:'n ranmended: 7"? A. znforna:tion only - fil.. / B. Hold for tcn (10) days, then writ-e letter. �" l " ! / C. Write letter. D. Other.• /VO �� a� f S / y dL �s Iq /n/f 16L al d CCC,5,1d -C . 2S god SG - J lUry��� j �� W , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No. D 7 County Center rive'- Oroville, California 95965 - Telephone 916/534-4541�' APPLICATI N AND PERMIT- I ASSESSOR PARCEL NUMBER („ t-/ - (, — /6 - ZONING /ZT-/. BUILDING PERMIT OWNER k L Lt TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS � �l C? ' �YN ' cv CONTRACTOR'S NAME // �y %'\ t/ TELEPHONE CONTRACTOR'S MAILINGADDRESSU Fireplace CONSTRUCTION LENDER IA Ate' UNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 ,VY\ � .• 0 i V V Each Trap 2.00 Repair drainage or vent piping 5.00 J Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets It USE OF STRUCTURE SFI Duplex E] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ED Remodel El Utilities❑ Installation❑ Other Describe work: r, • `�^ ^ T 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 100 AMP ORSLESS 5.00 /\ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.S'1 OR ADDNS. l ACC. BLDGS. I 2� Sq ft 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. 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 NNEW ON -RESIT R. BRANCH CIRCTITS 2.50 ea NEW CONSTR. I POWER APPARATUS e) NON-RESID, SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 50 BAL@100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 7.50 -�..• >& ,k I Z7 "- Permit Fee $ 7 3---x Contractor 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. 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 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 against said County in consequence of the granting of this permit. X �*" ; �/ - �- 1 Date tom— 1%- - _ 2 Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ S .. OCCUP. GROUP I TYPE OF CONST. I PARCEL PO HD 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF�PUBLIC BY—�' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS `Dat 1 Receipt No. ( / 7�, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NL 7 County Center Drive - Ofoville, California 95965 - Telephone 916/534-4541 D APPLICAT,ICN NI) PERMIT All ASSES OR PARCEL NUMBER — 6 (p .— NTNG. 'r/, 110 A L146ILDING PERMIT PI O TERu f.. � L. IEr TELEPHONE SQ. FT. OCC. BUILDING VALUA ION OWNER'S (LING ADD ESS P L'U CONTRNNAPAE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 3 � PLUMBING PERMIT Filing Fee 10.00 �. Each Trap 2.00 Repair drainage or vent piping 5.00 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�6 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other] Describe work: alLal Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OR ADDNSCONST. ACCLBLDGS.LING CCUP N) 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 29 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) ElI, 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 TTI-OUTLET2,50 ea NON.RESID BRANCH CIRC ITS NEW -CONSTR ( /POWER APPARATUS &I NON RESID. SINGLE OUTLET CIR, w @ z5¢ Ex. OCCUR(OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup.(DUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 7� '"' ermit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or i•ess. ❑ 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 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 FiIingFee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X t A ��-� Date L� �2- Signature of kp�plicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. CROUP I TYPE OF CONST. JPARCELJ PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �' r Receipt No. WHITE-D.P. W., YELLOW-A59E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT