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065-030-008
AP 65-03-8 Elmer Ray7% 1800' off e/s outolen Rd. app. 3/4 mi. N. of Hupp Coutolenc Rd.,Magalia Permit 2165-77B (private garage) Gary Ray, 65-W-8�P/�3/4'y 00'off E 9 Coutolenc Rd.a .3 mi. :18 / PP N.of Hupp Coutolenc Rd., Magalia Permit #2592-79B,P,Epi(new single family) 065-03-0-084 oo �5 01-0059 RAY,GARY 6601 RAY FAMILY LANE, MAGALIA i CONTR: OWNER 11 DETACHED GARAGE ,/1;I i, +D 1� 06 f x k� . 1i - .I NOTES i f "RESIDENTIAL 065-03-0-889 ooq '01-0059 RAY,GARY 6601 RAY FAMILY LANE, MAGALIA CONTR: OWNER DETACHED GARAGE l 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ✓ = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped T FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff 6rac.-Truss -Shting.-Ring. 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 Ht. & 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 -Ceilings 62. Infiltration -Walls -Windows 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Ext. Steps -Door & Sidelight Protection -Landings 8. Piers -Fireplace Ftg.-Steel 65. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Bedroom Exiting 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 68. 11. Water Pipe; Test -Anchors -Regulator -Service Test Stairs & Rails 12. Electric Underground 71. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 74. 15. Access & Ventilation A.C. Duct in Garage -Damper 16. Insulation 77. Plb., Elec. & Mech. Equip. Listed for Location 76. Date 79. Card B-1 Date Card B-1 Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 82. 17. Water Htr.; Vent -Access -Combustion Air Baffle Stucco Brown -Finish 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 Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 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. Furnace -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 (Permit) OK except #'s 40. Sills 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 T FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff 6rac.-Truss -Shting.-Ring. 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 Ht. & 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 -Ceilings 62. Infiltration -Walls -Windows 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspect'ons 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 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 -Connector - In Garage; Above Floor-Ducts-Mech. Orotection 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 & Receptacles 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 76. Elec. Receptacles in Garage (F.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 Q Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspect'ons 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: = OK 0 = Not OK - = Not Applicable MOBILE HOMES • = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. MISCELLANEOUS Date DECKS, COVE S; CARPORTS GARAGES (Plans) OK except #'s Zo.*g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 8. g.; Sills-Anchors-Studs-Rttrs-Trusses �.-,Wing; Nailing -Veneer -Stucco -Mesh Wall Panels Dat Card B-1 Date Card B-1 Date/ Card B- Date Card B-1 Date FWL (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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in -Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 Disconnect 8. Utility 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE S; CARPORTS GARAGES (Plans) OK except #'s Zo.*g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 8. g.; Sills-Anchors-Studs-Rttrs-Trusses �.-,Wing; Nailing -Veneer -Stucco -Mesh Wall Panels Dat Card B-1 Date Card B-1 Date/ Card B- Date Card B-1 Date FWL (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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in -Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT* Al- ASSESSOR /- ASSESSORPARCELNUMBrii 065-03-0--t 9 CU � ZONING - t.m20/wp BUILDING PERMIT OWNER GARY RAY TELEPHONE 873-0626 SO. FT. OCC. BUILDING VALUATION , uhn 11 9 9,Q90_00 .OWNERS MAILING ADDRESS 6601 RAY FAMILY LANE, MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ + ARCHITECT OR ENGINEER LICENSE NO. Alin Fee $ 20.00 Permit Fee $ 25,9-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6601 RAY FAMILY LANE, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 446.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition PX Remodel ❑ Utilities O Installation ❑ Other O Describe Work: DETACHED GARAGE 24 X 60 Gas piping system 1 - 5 outlets 15.00 sewer 15.00 —Building Mobile Home s G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo n oa ,ss 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. License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 3K 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: 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 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.) Ij 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, a agree that f I should become subject to the work rs' compensation provisions section 3700 of the Labor Code, I shall fort ith comply with those provisionp. X Date © Signature of plicant - Ow Contractor ❑ A • e t An OSHA permit is required for excavq ions over 5'0" deep aW demolition or construction of structures over 3 stories in height. Main Service �� TO +DSA 46.00 NEW CONST. DWW OCCUP. SO OR ADDNs. 8 ACC. BLDS. 3.50 FT. 50.40 rNiOµA°ESIo.' MULTI.OUTLEr @7,50 RANCH OWER APPARATUS 8 PSINGLE ourLET C". 20• OUTLET OR e00 Ex. OCCU ®'eo Ex. Occup. ouT EiS E�SID.OEA 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 70.40 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ TT CONST. TYPE NIN TOTAL FEE $ 516.90 HA2. D. FE IMP FLOOD CDF PARCEL PO t� HD ISSUE X 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 / /2,.rk' T ReceiptNo. 314417 $516.90 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEUT OF DEVELOPMENT SERVICES -.BUILDING DIVISION 7%. , 7 �ounty Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. , f APPLICATION AND PERMIT In/ -.11, '` (Rev.12/96) 0,_0 AiiW011►AIICdMllee>t J G 7100/w e BUILDING PERMIT owrea SO. FT. OCC. BUILDING VALUATION i 041 a446 Op„rMCTOR, WAM ADOREfi CONSTIVXrON UNDO w oon mam AWF=2 Fireplace Total Valuation = ARCWMCTON6=N E11 uCENeENo —Sling Fee S 20.00 AaMrECT an VOWEin, MUM ADOM" Permit Fee Z7 Plan Checkin Fee 5 00 sUX0ir0A00 Energy Plan Checking Fee = i PERMIT FEE _ "!`-o LOT No. iUaONIiION,/Ni! ` PAKEL YiA► PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 ' USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex O Mobilshome O Other Water piping 15.00 910=110y Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 -5 outlets 15.00 Building sewer O Addition (3 Remodel O Utilities O h O 15.00 Mobile Home S G W @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT Filing Fee 0 Main Service aoa own t�Ess ,•79.0 ice 2o*A To woe► 48.00 .owEunaoccuv. a Acc. e�Os LTFOUTtET @7.50 U . OUT ET OR MUM7 eAL a1.eo r U . ovnt�s ESLDFA 5.00 Service 23.00 ome Facilities 20.00 irin 23.00 PERMIT FEE : — MECHANICAL PERMIT Filing 20.00 *PERMIT (� FEE PAID -s� � Heating SRA Cooling Hood e.so SHERIFF $ Ventilation OTHER $ $ PERMIT FEE f Mobile Home Installation Fee = $ _ Energy Inspection Fee i TOTAL FEE $ AMOUNT RECQVED $ ""Z °PEE= '" ZO `° ° `° (M4ASIA This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutlone to do work I � Indicated above for which fees have been paid. *RECEIPT NUMBER l * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARM NUMBER: O(OrT C�JOg� Proposed Building Use: Building hsspec r: Date: At time of permit application, I was advise he following data m hst 4bsubmitte_dDlior to permit processing and/or issuance: Date Received By F All items have been submitted .--------------------------- �lot plans, 3/4 sets, signed by the preparer of plans. ------ Complete plans, 3/4 sets, signed by the preparer of plans. plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. p 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. 1110. Fees of $------------------------------------------------------------------- ❑ 11, Impact fees as shown on the attached schedule. ----------------------------------------------------------------- . California Department of Forestry plan approval/fees. 4QtCL_ f - // -v i 1--7 - -------------------------- 0 3. Flood elevation certificate. ------------------- - - ----------------------------------------------------------- U 14. Sanitation and plot plan approval, Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑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: ---------------- -- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on E32 1. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. ----------------------- C-123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑24. Letter of signature authorization. -------------------------------------------- 5 Recorded copy of Agricultural j �M-1 �; nt�S to t. - - - -- - �%Ci�iJwaaj Letter of intent on building use. - -- - - - -- - - - ______________ El 27. Manufactured Home utility clearance. ------------------------------------------- ------------------------------ 1128. ----------------------------- ❑28. Existing violations and/or expired permits. --------------------- 029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: en you is: elephone as follows ❑ Mail to owner, and hold for pickup at Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire De , Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: y _ (Date) 1. Index pemut application for the above items numbered: �.. _ ❑ Plan Check List 2. Additional items required: 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, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above requireddata r ❑ phone, 11 mail, ❑ Building Divisio ounter, by Date: Plans reviewed by: VhW Date: f_1 l Plans approved by: MAX) Date: • 6! Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: f TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ei. u f ONLY Rot Plan Aszodtod Roar Plan Atue4►od-a"/ v Sa►t to 8.0. Irl �, Rem a GOA F 1%17- 030 - 00,05 Owner'Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for----dwe4ling the 421m4 e,, 4m&42ef- oQlAmx Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist Date COIJ& OF BUTTE - DEPARTMENT OF DEVELOP T SERVICES OWNER'S STA ENT OF USE - DETACHED ACWSSORY BUILDING PN: 1,, , ONE: BUILDING PMT. # OWNER: PHONE: 3 " Q MAIL ADDRESS: ( q&OL q Fa m; Ili Lc i e A 11 1 a 7 n —. I „ _ e SITE ADDRESS: Co & Q PROPOSED USE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property?. Yes: No: Yes: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: No: 3. Will items produced in this building be offered for sale? Yes: No: �X L- 4. Will the public have access to this building? Yes: No: x 5. Will any advertising, on or off site, be associated with the use of this building? Yes:. No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: a/_ /� 7. Will this building be occupied at any time as an eating area? Yes: No: x 8. Will this building be occupied at any time as a cooking area? Yes: No: K 9. Will this building be occupied at any time as a living area? Yes: No: x— SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: _ C/ 13. Will the proposed structure encroach within any recorded easement? Yes: No: %\ CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? 15. Will this building be heated or cooled? 16. Will this building have a water closetitoilet? 17. Will this building have a sink? 18. Will this building have a water heater? 19. What type of floor. covering will the building have? 20. What type of wall covering will the building have? Yes: No Yes: No: Yes: No: x Yes: No: Yes: No: 0 ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permit from the permitting autherstand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIGN URE DATE'OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: n=TerM woT 0 717 711998 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. personally plan to provide the major labor and materials for construction of the, roposed property improvement- : YES] NO[ 2. HAVE HAVE ] sigte an application' for a building permit for. the.,,, - proposed *6rk. 3. 1 have contracted with the following person (firm) to provide..the '�'R.-"'sed" M. construction: QXV-1-9 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO.' 4. 1 plan to provide portions of this work, - but I have hired the ' following pditdft'to coordinate, supervise, and provide the major work: �C,:; NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the fbllovn*.m&4WW . ns to provide the work indicated: NAME ADDRESS PHONE TYPE OFV 6Ak' PROPERTY OWNER I DATE: NOTE: This o"er-Builder Verification is required by Section 19831 and 19832 of the California Heilthand Safety Code.' This verification must be completed and returned to our office'before we are permitted to issue the permit. 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 party 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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, federafsocial security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation, "l utions. 0 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. ` 0 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 contractow are ;allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. , s• �� , +. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 1020 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. C. Vifira, C.B.O. . Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. r A PERMIT NO. .2 92-79Rgp_F._M PERMIT EXPIRES ' (OWNER Gary Ray / owner CONTR. -LOCATION (A.P. 65-03-8 ) i 1800'off E/S Coublenc Rd., app.3/4 mi.N.of i Hupp Coutolenc Rd. Magalia Y �1 it 1N,, �•I lw �• jj"Sr g C • 1'• L ' Temp. Pow Pole y Calle PG&E Temp. lea Serv. I i7 Ca led PG&E i Tem . Gas Serv. VB alled PG&ELED (Date) (Signature r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION •RIECORD BUILDING BUILDING (Cont'd) f UMBING BUILDING BUILDING (Cont'd) P UMBING Setback Firewalls,,_ Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom nish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathin ater Piping ,,. Piers Roofing Sewer Garage Fdn. Vents ixtures Footings Garage Vents ater Htr. Stemwa l l nsuiation eaters JApp Slab Carport Footings Prov. for ph scall handica ed �-"' on ormanc of ex. structure liances as PI in & T Tem . Gas t Slab Final Sanitation Patio FIREPLACE Final f 3 c? G Footings Footing EL CTRICAL Masonry Walls Throat R.w Rough i L Reinf. Steel Final Fixtures Bond Beard i FIRE SPRINKLERS Motors Framingl Test Water Htr. Stucco If Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. -PM (f f L Finish r f, Ducts CA Under roup Interior Lat Ventilation • Permanent Door Close Final `O Final MOBILEHOME UTILITIES ------ - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping I E OME INSTALLATION ---- Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMA S OR CORRECTIONS 6 r9/1y,�, � per-4.NOtA (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION'REQUIREMENTS HAVE BEEN INSTAL D IN CONfORMANCE WITH CURRENT ENERGY CONSERVATIO REGULATIONS AT O (location) BUILDING PERMIT NO. A;P: N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS': (Check each. item or write N/A if not applicable) INSULATION: Slab Edge. ✓ Fdn. Walls ✓ Floors Walls Ceiling/Roof v/ Ducts ✓✓ Circulating Pipes v"' APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. ✓ WEATHERSTRIPPED DRS. ✓ BACK DAMPERED FANS t/ INTERMITTENT IGNITION DEVICES CERT . APPLIANCES ✓ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.. Insulation Applicator Name J Signature of (please pri Insulation Applicator State Contractors License No. General Contractor/Owner Name Signature of (please print) � v0General Contractor/Owner Date a Pt Contractoils License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. I ,a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 .{ ' Telephwe:534-4541 _ APPLICATION AND PERMIT License No. Classification I am exempt from the Contractors License Laws of the State of California. 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. JI 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. q V� 7 X4Date $ignatur of Permitee or A4.nt Receipt No. �J a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,a Heating ,L1EL,s7' �d/.LIO / !s.c� c�' m Cooling Ventilation Hood / 2.00 1 -2, Permit Fee $ Land Development Fee $ 1.S,60 TOTAL PERMIT FEE ?D This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date si IF-7�L wilding permit expires Date ����D BUILDING Owner 41 /4 SQ. FT. OCC. BUILDING VALUION 73L%0 Mailing Address C 2 Telephone No. Contractor � Mailing Address Fireplace G � � c Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee 1-76-, / v3 " P11 PLUMBING No.1 @ FEE �` / I' 7- PP ZV PERMIT FILING FEE $3.00 -5,00 Each TraD 1.50 00 R pair drainage or vent piping 1.50 A. P. No."- C`i _r/1AZ010)►M Zoning & Planning ater piping 1.50 Each gas water heater or vent 1.50 Fes W. t' n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration S �L P'3rcel 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI'ons Recd 4.TParc A roval Plans pproval Lawn sprinkler system 2.00 NEW M ADDITIQMdK UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE ' PERMIT FILING FEE $3.00 3pe> 800V OR LESS Main service 100 AMP OR LESS 5.00 t°"'/e v 00 Single Family IZ�jl, Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMP eoovOR LESS 25.00 L Main service EA. ADD'L 100 AMP 1,00 NEW CONST. DWELLING OCCUP 22S ft OR ADDNS. ACC. BLDGS. q �7 230 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI -OUTLET NON-RESID `BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5B25" FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina ,.. 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of California. 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. JI 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. q V� 7 X4Date $ignatur of Permitee or A4.nt Receipt No. �J a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,a Heating ,L1EL,s7' �d/.LIO / !s.c� c�' m Cooling Ventilation Hood / 2.00 1 -2, Permit Fee $ Land Development Fee $ 1.S,60 TOTAL PERMIT FEE ?D This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date si IF-7�L wilding permit expires Date ����D RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) ..�A Bldg. Y A.P. A. GENERAL ,Y Zoning requirements.(sideyards and parking). .k: Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN k1. Complete parcel size and dimensions. 260.' Setbackq, sideyards, easements, etc. Other buildings or structures. 4-- Grading, fills, drainage. Permit # .25 T —7$ 11 # /S 03 -- :w N a C. FLOOR PLAN 4 -.-Complete to scale plan with dimensions. Z"' -Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). A/ Allowable glazing for energy requirements (20% max. per.State law). 5-.1 Human impact glass (Sec. 5406). b!IRequired room sizes, ceiling heights (Sec. 1407). �" G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8! Light fixtures, switches, receptacles, and exterior receptacles mechanical equipment. \0. 141 for maintenance of W! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1&-."'l - 3'0" exterior exit door (Sec. 3303d). 4-K.'Fireplace location. W_Smoke detectors (Sec. 1413) . D. STRUCTURAL DETAILS .""Foundation plan complete enough to construct building. .2— Floor construction details complete enough to construct building. -Elevations and wall construction details complete enough to construct 41" --Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR building. (State law). X: CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). o3'._ Guardrail details (Sec. 1716). .4.1 Brick or stone veneer (Chapter 30): Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or.bearing ridge beam'. Garage door or porch header sizes. Adequate bracing. 44:f Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). i PERMIT N0. 2165-77B ! t I PERMIT EXPIRES ti a OWNER Kent Ray 1 •CON 1 owner j LOC TION (A.P. 65-03=y t. ) 1800'off E/S Coutolenc Rd. app.1.6 mi.N.of Hup) Coutolenc Rd., Magalia n� 9 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E OB' FINALED (Date) (Signature) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTfON RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Car' rt Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas - Slab Final •Z—` i Sanitation Patio FIREP Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EWOME INSTALLATI N - - - - - - - • .. - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) , " COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephon534-4 41 e; APPLICATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above-mproperty for inspec )on purposes. X CSG' •Date 5` Signotf Permitee or Age io(o Receipt No. / () 5-0' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAB'dBLIC WORKS By Date --f— L7 B ding permit expires Date �I — 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 7 Z. T Mai I i ng Address -riftLl A Telephone No. Fireplace Contractor LLj2 , Total Valuation Mai I i ng Address Permit Fee o2 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address C 8 V 0 /Z0ell • 60 ELI PLUMBING No. @ FEE IT FILING FEE $3.00 u7,(-,#6/7 ach Trap 1.50 h Repair drainage or vent piping 1.50 Water piping 1.50 of w-`/ 19 Each gas water heater or vent 1.50 A. P. No. S— Q —(81*ZoningGas F W - Cl ) Fire ept. F'reZone & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration rcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plhri�Rec'dF�A cel Approval Pla • pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS1005.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMP eoovOR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others 0- Main service EA. ADD'L 100 AMP 1 1.00 • NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 2¢Sq It NEWCONSTR MULTI.OUTLET NON .RESID. (BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 50 Ex. Occup(OUTLETS OR FIXTURES) BAL2jOo FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) -2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. jj I certify that in the performance of the work for which this y� 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to bui Idinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of t3utte to enter upon the above-mproperty for inspec )on purposes. X CSG' •Date 5` Signotf Permitee or Age io(o Receipt No. / () 5-0' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAB'dBLIC WORKS By Date --f— L7 B ding permit expires Date �I — 7