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066-290-026
` - ____--__----_----- --- ' 66-29-26 ald Savage is ronx Ct., lot 48, PPCC#4, Magalia contr. Phil Moore, Magalia SUPPORT STRUCTRE COMPACTION TIE REQ. ' 66 9-i Ga 111galia Contr imet t. - s s eA ZIMMERLY, Doug, 13/5/ Bronx Cc., oa8alia ' 0ewPci^Det Garage &-Deck/M8' U `- ' S RESIDENTIA C V 1066-296-026- 6 96 22�- 0-026 PERMIT #.97-2441 4 ZIMMERLY, Doug 13757 Bronx Ct.,rMagali �PERMITI New Pri Det Garage & Deck�MH i PERMIT L OWNER CONTR. ��ASSESSOR PARCEL LOCATION 3 t # Dcck NO V r Temp. Power Pole�� Called PG&E Temp. Elec. Service e Called PG&E t Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK O = NotOK Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Well Clearance 8 Disconnect 1. Zoning Requirements - Setbacks - Easements 8. Utility Clearance 2. Soils; Special MH Support Sketch 3. Sewer Location -Test -Fall -C/O -Concrete" 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas: Location-Test•Wrap; / / LfL MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES lana OK except #'s ng Requirements -Setbacks -Easements i Footings; Sails -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplkx-Decal-Encosures 6. Carports; Windows -Doors 7. Electric -AnchorsStuds-Rftrs-Trusses o81"ding; Nailing -Veneer -Stucco -Mesh � Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-146 Date Card B-1 Date Card B-1 N Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/B-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S 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 / /Nat. or/ A- It/ /LPG 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 DemarKlWalve•Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances .5. Drain; MH Test-Fallflex 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: Llcense Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES lana OK except #'s ng Requirements -Setbacks -Easements i Footings; Sails -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplkx-Decal-Encosures 6. Carports; Windows -Doors 7. Electric -AnchorsStuds-Rftrs-Trusses o81"ding; Nailing -Veneer -Stucco -Mesh � Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-146 Date Card B-1 Date Card B-1 N Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/B-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S 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 ✓ = OK O = Not OK - = Not Applicable x = Not Ready Date UNDERFLOOR (Plans) OK except #Is 1. ZoningSetbacks-Easments-FloodSlope RESIDENTIAL (Single & Duplex) 2. Ftg., Main; Soils-Elec. Gmd.-/ /` Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ p Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 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. Plenums & 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; Sore & 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 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 Al Insulated Neutral Q Yes p 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 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac: TrussShting: 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 -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tk'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. Elm 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 -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 p Yes 82. Following Insfld./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: --.K..S�+.an+..r, ...-•,-.--r r• -' "-. T-.--•.-..-...-�.e„r•�.�-- _.. „�,,,,-,K...i. ...-��--�.,..-•�.^-r-tiw V�"�''.�„'"'�-PrT^-�.1j,��.R�,....... a v' �.l"...r.,..� .. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION --y 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541qr7 PERMIT NO. (Rev.12/96);.,, APPLICATION AND PERMIT t ASSESSORPARCEL NUMBER Obb-290-025 �•� � ZONING Ri BUILDING PERMIT , OWNER DOUG ZIIMLY TELEPHONE • 11-7910 SO. FT. OCC. BUILDING VALUATION 480 11 8.640.M OWNERS MAILING ADDRESS 5884 G 3ERON LN PARADISE, 95969--. 0 0 1, 4M,W CONTRACTOR'S NAME INNER NER - TELEPHONE CONTRACTOR'S MAILING ADDRESS ,rt" CONSTRUCTION LENDER Fireplace LENDER'SMAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee Ri On BUILDING ADDRESS tt_._ r_ Energy Plan Checking Fee $ _ 511x_ M r- .T_ $ PERMIT FEE $ 297.qQ LAT NO. SUBDIVISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 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 ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE & 0P ` i DECK (20X24) $X25) DECK BUILT BY PREVIOUS OWNER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS GI W @20.00 PERMIT FEE 3 USE STANDARD DETAIL Filing Fee 20.00 ELECTRICAL PERMIToR - LESS 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: ; it 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. ❑ 1, 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 200A To I0?0A 46.00NEW CONST. DWELLING'OCCUP. SO OR ADDNS. ( 8 ACC. BLD.. 3.5QFT. NON-RESID.T �ANCI•CUTCUIT. 97.50 POWER APPARATUS 8 SINGLE OIfTLET CIR. 20 Ex. Occu OUTLET OR FUTURES RAL p I.50 Ex. Occup. ourEi RE.ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ a ' i WORKERS' COMPENSATION DECLARATION I 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 forthwith comply with those provisions. oe �/ X Date —1� Signature' ofiApplicanf - Q,C0wner ❑ Contractor ❑ Agent” r An OSHA permit iwre uired for excavations over 5'0" deep and demolition or construction of structures over 33 s stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CIPE occ # CONST. TY v nTOTAL FEE $,, 264.70 HAI. ,r D. FEES IMP -, r,. FLOOD X EDF f PARCEL �. PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ,%� / % By (;�/ ��ft" %Date r i `5�/ry PERMIT EXPIRES ON Date Receipt No. 231166 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 'V COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 JERMIT NO. (Rev.12/963' ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-290-026 , ZONING R1 BUILDING PERMIT OWNER DOUG ZIMMERLY o TE L1tS / 2 E 7910 SO. FT. OCC. BUILDING VALUATION 480 U 8,640.00 OWNERS MAILING ADDRESS 5T8��8T4 CAMERON LN PARADISE, 95969 200 0 1,400.00 CONTRACTOR'S NAME OWNER TELEPHONE' CONTRACTOR'S MAILING ADDRESS �. CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 10, 40.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Ri 9n BUILDING ADDRESS Energy Plan Checking Fee $ 1_3757 BRONX CT MAGATIA PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome & 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 ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE & OPEN DECK ( 20X24) ( 8X25) DECK BUILT BY PREVIOUS OWNER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ USE STANDARD DETAIL ELECTRICAL PERMIT Filing Fee 20.00 - 800V 0LESS Main Service 200AORLESS 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: "ice 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 200A TO 1000A 46.00NEW CONST. DWELLING OCCUPLOB. OR ADDNS. ( a Acc. B 3.5,so. SO 16-80 NON -R SNNEW COST.TD. q'cCuttET @7.50 POWPAR 8 SINGLERE OAPUTLEATUS T CIR. Ex. Occup. OUTLET OR FIXTURES p• 20 @ 1.00 BAL @ .50 Ex. Occu o.FTx s RESD.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 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 forthwith comply with those provisions. X___ Date ��� _ Signature of pplic - caner ❑ Contractor ❑ Age An OSHA permit' equired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspecti n Fee $ occco T. PE TOTAL FEE $ 264.70 HAZ. D. FEES IMP yr .i FLOOD X C PARCEL pp HD ISSU 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. �y /7y / e l / / Dat Receipt No. 231166 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY V44 Pbt PI= AttAW Plwr Pim AnachW Yds Smt to B.D. 11 —10 —97 i jt TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance DotAnlas 1-37S7 6ryn x Cf 6& - 1-90 - U ZG O vner Location AP# Plan Approved for: Sewage Disposal _ Water Supply: Public Private Well Clearance for bedmom mobile home. Other `ZO'. X 24' aA ru ®e. , Hold final for: Final clearance O.K. for: NOTE: Ab Q l a w &m a Ar aari4 e a /71.'--W l CHs It -10-97 Environmental Health Specialist Date 8/92 COUNTYOF BUTTE - DEPA►RTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER No Proposed Building Use PERMIT APPLICATION DATA SHEET (JI, Zhi nvr 1 No. Iq f� CI o6 4 -a90 -0a6 � Building Inspector Date At time of permit application, 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. .. .................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 `sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............ ..................... . • 11. Impact fees as shown on attached schedule. ...�./. 12. California Department of Forestry plan approva fees. CCiY�//13 .. . �/� 13. Flood elevation letter (100 year floo y,Californi gineer. �-- 14. Sanitation and plot plan approval C-0 Health Department. 15. City of Chico plumbing permit .......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . ti *^- 'Pre4nspe;; on request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... -4123:- Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24.' Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ............ _ ........................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ............................................ 29. Documentation of legal access. ........:• .............:.................. .` 30. Documentation of 50% subdivision developed or (A) Road improvements completed and B Parcel meets zoning area and frontage a re uirements. ............... () _ 9 9 q ' 31. Existing violations/expired permits. 32. Plan check list. `............................ 33. k . 34. N, When you issue theit,g[ocess as follows: Mail tpwrier. Mail.to contractor. Telephone j' %d' 99/0 and hold for pickup at '', (� �'O u r office. Deliver with inspector. Other e Parcel Creation `/ /ZLV7- Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. AI Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date ' �--� Plans checked by Date Plans approved by Date1% Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �. -7 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES"J� NO ❑ 2. 1 HAVE Ri HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following perso(firm provide the proposed construction - NAME: 442UQ 7 )L2 WArL�i ADDRESS: / CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. - I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: .. PROPF SOCIA DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER i I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs 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".0n 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. 4irely, l C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 198.0 of the California Health and Safety Code OVER 59A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPAij,CE:L M21A ^ _ CC//99�- ((//OO DD''��// Y ZONING BUILDING PERMIT OWNER tin /� - 1 Il r TELEPHONE 916 SO. FT, OCC. BUILDING VALUATION OWNFAS NG ADO Cameron r a ` s 96-969 t o CONTRACTOR'S NAME nc— TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ /Q ARCHITECT OR ENGINEER • LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 106. pp ARCHITECT OR ENGINEERS MARLING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS / n A �-. Energy Plan Checking Fee $ Ma $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome / ` 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 ❑ Addition Remodelties ❑ Installation ❑ Other ❑ Describe Work: �aL'7` 00,o4 Q e, PL' Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ V 1DC8VW&(S tc)1t(1 '— ELECTRICAL PERMIT Fling Fee 20.00 cl Main Service 2200A oa 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. OR AODNS. ( a Acc. BUDS, SO 3.5QFT: RE°,S oT.MULTI T . -ouRCIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES, SA%�'.s�o Ex. Occup. OuxT TAPP p,°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 FEt S 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ Cn TOTAL FEES :-L'..TYFS IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Data Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN -OD -APPLICANT 11 .. ". (' t PERMIT NO. 4061-80P9E PERMIT EXPIRES OWNER Ronald Savage I Phil Moore,'Magalia [CONTR. LOCATION (A.P 66-29-26 . 20 Bronx Ct., lot 48,PPCC#4, Magalia Temp. Power Pole Called PG&, ov. -- Temp. Elec Sbrv. Calle C /PG&E S, Temp. Gass Serv. alled PG&E VO B FINALED TJ (Gi *Date (S a natrel (S gnature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 1 BUILDING BUILDING (Cont'd) PLUMBING.--' Set ck ; FI wall r ,� II Piping � Form Para ets ,st Floor Main Bldg. Restro m Finish 2 � Floor r Foo in s Window 3rdNloor % Stem II Sidin a To out Slab Roof Sheat n Water PINn Piers / Roofing Sewer Gara aFdn. Vents Fixtures j Footings '' Garage Vents .Water Htr. \ // Stemwa I I Insulation Heaters Slab Prov. for physicall Appliances j handica ed CarportA, Conformance of ex. Gas P(ping & TestX\ Footings structure V Temp. Gas r Slab Final / Sanitation Patio FIREP ACE Final Footings Footing ELE'CTRllL Masonry Wall Throat Rough Reinf. Ste I Final d Fixtures Bond BeAn ,FIRE SPRINKLE Motors /r Framina Test xa Water Htr. y Stucco Final Jr Subpanels Mes MECHANICAL Grd. Fault" Prot. Scr tch Heatin 'r Service/ B,'wn Coolth Te41. Pole finish Ducts Under round ,1 terior Lath V nttlation ennanent oor Closer JInaI Anal MOBILEHOME UTILITIES lec. Service Elec. Pedestal?�AQ Water Piping III&; 5Tr � Sewer ZCv 5--0 Gas Piping E ME INSTALLATION - - - - - - - - - • - - - - Support _fD Q Elec. Continuity a Water Piping Drainage ��e�aziGas Piping DATE REMARKS OR CORRECTIONS 04 --d- - _ JC rowoc K (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, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Vby— -120 for the following location: IL Y ' /,,,-/,:, r G,e G? idrr c./ Owner/ It'i7dlr, Tri✓ �;; -i,-,� f Owner's Address )417-21 } Mobilehome Mfg. )• Model = %1 t l`� Year, Ffl Insignia No.Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �� - Byj��l THIS CERTIFICATE IS VOID WHEN MOBILE OM IS REL'rOCATED White - Owner, Yellow - Installer, Pink - D.P.W. It- "COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center. Drive, Orovi Ile — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 f BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. cz 4? v Inspec Date MOBILEHOME INSTALLATION° INSPECTION CHECK LIST 1 Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ o_ (-Does the mobilehome have required clearances above ground? (Sec.5085) Yes v No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes&,- No — Is the mobilehome level? (Sec. 5088) Yes_ o d)/L If mo�re/khan a single unit, are crossover connections properly installed? (Sec. 5088) . Yes � No L561L Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes �No i; Backfi If coach is not State of California approved, does station have backflow device �� \\ and pr.A re -relief valve? Yes_ No Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes 4` No_ C. Are any leaks detected in drainage system after running 3 -gal ons.of water through each fixture including washing machine standpipe? Yes_ No If Lo*is. not State of California approved, does station have required trap and vent? Yes Gas Piping and Gas Vain A. Connector - Is connect d to the gas .supply with an approved 3/4" mipimum mobilehome connmore t n 6 ft. long? Note: All piping is to be at least as large as the moas 1' e inlet without reductions other than the mobilehome connector. YesTest OKas perprocedure? Yes_ No1. Open all aponnector valves. 2. Shut off aprner and pilot valves. 3. Air test wit manom ter to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximu 8 l. OZ. --bratdd in tenth pound increments. Test for 10 min. without drop, 4. Connec t meter to mobilehome with connector, turn on gas, test connections with soa,�y C. Are all appliance vents properly installed? Yes_ No 0 i -,P"2 OjElectrical •� A. Is service large enough to provide adequate amperage- to mob ile'toTd.�,(mi}st equal rating of mobilehome with a minimum of 1f amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes Ll No_ `� No C. Is power supply cord or feeder assembly properly fused. Yes _ D. Is continuity test satisfactory as per the following procedure? Yes o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grouriding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and'the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 00 Is.job card signed by Health Department forlwater and sanitation? Njv 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Li/�Af ��✓ Length,_ Width �� Ox, z y Vehicle Serial No. State Identification No. Additional Information or Comments: 020 D A I� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT IND - 7 Couhty Center Drive - Oroville, Cal�fornira+95965 - Telephone 916/534-4541 APPLICATION AND PERMIT q ASSESS RC R PAL NUM ER �p(p— — ZO ING �f FlaAl BUILDIN ^� RMIT C,0 P{/ OW R,/ SAM QN ee4 ' TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO /` TSR UI� OR'S NAME�/ N/rITRAC DO 'S MAILING M Vf //T� R ] �• rK A cA CONSTRUCTION LENDER / UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER S AILING ADDRESS Permit fee $ BUILDINGADDR R-00( C/ �(I•(',/q- PLUMBING PERMIT Filing Fee 3.00 ���n Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUB VISIO NA�E� �JPC�-c, PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel U11Iities ❑ InstalIation Cher ❑ Describe work: U/,� / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP OROOV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I.declare under penalty of perjury (Check One): am licensed under provisions of Chapt.9, Div.3 of the Business and Professions Code d my license is in full rce _and effect. License No � Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRULTI-OUTLET 2,50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETSOR FIXTURES 50@25a BAL@10¢ Ex. Occup.(OUTLETS (FIXED APPRESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. �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 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ies, 'udgments, costs, d expen es which may in any way accrue agai s d un in conseque a of th ing of this permit. Q_'2� S� X Date �t E gnature Applicant — Owner❑ Contractor t! Ag t ❑ 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 $ „p Land Development Fee $ TOTAL PERMIT FEE $ 50. DO OCCUP. GROUP I TYPE OF CONST, PARCEL PD 1 HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTPUBLIC O F By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �yj ZcS—�Qo Receipt No. 7th / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS R. -... - 7 County Center Drive - Oroville.CaliJorhia 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT - -r PERM, NO�,� AA V i �Jyy ASSCOR PAUCEL NUMBERZO - G O. BUILDI R ow ER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION O NER'S MAILING ADDRESS ,i R4 O S AME L.EPHOO7 r IF C�T,jRA OR 5 MAILI �D�R ES� CONSTRUCTION LENDER UNKNOWN Fireplace Valuation $ LENDER'S MAILINGADDRESSTotal Permit Fee $ ARCHITECT OR ENGINEER -ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ A CHITECT OR 'S MAILING ADDRESS Permit fee $ BUILDING ADDRX, PLUMBING PERMIT Filing Fee 3.00 Leu_kk Each Trap 2.00 Repair drainage or vent piping 2.00 • Water piping LOT NO.SUBDIVISION NAME L+ I PARCEL MAP 1 Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other ' SPECIFY Building sewer Lawn sprinkler system 2.00 t 1 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: — Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP pz' 2,50NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP.&� 22 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. �Q I -e License No. 2- LF7' Classification ,.j ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS &� NON•RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� os BAL@iFIXED ALNS. Ex. Occup.(OUTLETS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ^ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I 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. MECHANICP& PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 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. �_ S ,� X I. .(/�T ( lA_/ �T7 �,. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0•' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Nome Installation Fee $ Land Development Fee $ ��— TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE g/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF ELIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. c����Z' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT :. � % '� N' i may' 'v .\ •• , \\ ' ,._�./_e4. "u�4....• °'.!;;.t. f,: .. -__. ??: ".'oltt � �` r,�cr-a^.•_.t''?,;1�,�.t��"t,,��ra _ ;. `�.. _\l--'--n�..«� . •`i_' .....i , .snu....•c_rS`."r;?' �. F'. _�.~ wry\ .�" �`\ � .....•r._ -..... .. NN 4t \. �. • �; �;. .�� • Lam,(, �� � ., � � N •`� � i h ( ,. , .., .. � _� R � , -� ," 1 V:. �..,. •�• :�v ���:-.�.� ..i+� t;i: �."�Gsk:'i7ox�:'v.+. {x rs ' ,:�a ,a; ;, ,. a�`,yM i!' 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CALIFORNW6 CHICO. CALIFORNIA 891-2727 534-4281 872-2961, Ext. 58 ti - BUTTE COUNTY DEPARTMENT, OF. PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH -SEPTIC TANK INSPECTION CERTIFICATE. G,�-�g-v� The Septic Tank System was Installed at A, FOR SEPTIC TANK LEACHING FIELD Length ft. Size Gallons Width in. Material No. of Lines Rock Under Tile in. The above dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date S2 -778R Sanitarian