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068-100-043
Clay Castleberry 10 Serra Monte Dr., Oroville _ contr: Moseley` & Hill, Oroville + Permit #1033-78B,P,E,M(new single family) - XeQ��O Contri'Solar Comfort System,Chic(( a Permit ##6647-78P(plbg for solar hot water _system) SF 68-10-43, contr: Edgewate ustom.Pool,s, Para. Permit lk2450-81B,P,R(4eewsqimmin8 pool)..., Permit #2633-81B new ietaining wall & steps): ' a 68-10-43 Ft! M I I' ' t Permit#k2463=83B(fireplace inserS�F 1 , ' 1 U L i " v 1 , ....ate-- 0-0113 ` 2450-81B,Pg PERMIT NO. s 5' PERMIT EXPIRES 7/1 ZK? OWNER Clay Castleberry CONTR. Edgewater Custom Pools, Paradise ASSESSOR PARCEL 68-10-43 ` LOCATION ��% 10 Serra Monte *Dr., Oroville e / rr� d • w P Temp. Power Pole Called PG&E Temp. Elec. Service A - Called PG&E Temp. Gas Service Y �( Called PG&E i� JOB FINALED (Date) Signature = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Daee FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes 0 N 75, Following instld.: Drive ❑ Yes E] No; Walks ❑ Yes E) No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation gg, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI _- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub __41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams_Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date x COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. •7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 Zw1 APPLICATION AND PERMIT ASS 5 R PARCEL NUMBER — /13-V ITELE-PHONriSQ. ZONI G BUILDING PERMITQ_,_ OWNM FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS I, Gha8 C7 C TR CTOR'S NA 1 �� ELEPHONE -8905 '- CONTRA OR'S MAILING ADD E S S� CONSTRUCTION LEN R UNKNOWN- I Fireplace Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ` A ITE CT OR GINEER re S, a4l66 LIC� SE y10. {/� Plan Checking Fee $ Penalty $ AIRCHITECT 0 `NGINEW M LING AQPRESS 6� Permit fee $ BUILDING ADDRESS O r 6'►�t � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ro Water piping 4zz LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRU URE SF ❑ Duplex❑ Mobilehome❑ Otherl'�w I1M1 �� , SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewM-_-Addition ❑ Re�odel❑ Util�ijties Installation❑ Other ❑ Describe work: T` ��1/\S /VIS >�/r-@,a Permit Fee IF $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA_ ADD'L 100 AMP 2'.50 NEW CONST. (DWELLING OCCUP.5) OR ADDNS. \ ACC. BLDGS. I 20 sq ft - CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' C de and m license is in fullforce d effect. y ��� 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 CONSTR.I.OUTLE2,50 ea NON-RESID BRANCH CIRCT ITS NEW CONSTR ( POWER APPARATUS 6) NON-RESID, SINGLE OUTLET CIR. 50 @ 25C Ex. Occup(OUTLETS OR FIXTURES BAL�1 Ex. Occup.(OUTLETSFIXED P(RESID IREA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare and natty of perjury (check one): E],,To6e 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 and state that the above information I certify that I have read this applicatiFhoyize is correct. I agree to comply to all Cou Ordinances and State Laws relating to building construction, and hereby a representatives of the Countyot Butte to enter upon the above -mention d property for inspection purposes. I also agree to save, indemnify and eep harmless the County of Butte against all liabilities, judgments costs, a d expenses which may in any way accr against said ou sec�uenc of the granting of thi permit. �{ r X w Dat Signature of Applican wn Conrractoigenr ❑ 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. GROUP TYPE OF CONST. PARCEL PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above fo which DIRECT O PUBLIC BV PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7 ^�%3 �- Receipt No._7(-� I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT w � • L OWNER .COUNTY OF BUT,TE_� DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER=DRIV'E - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMMAPPLJCATION DATA SHEET Permit No. Proposed Building Use Permit Fee Based Upon Complete Contract Price A. P. No.�-/O -u'3 DPW Valuation O. h (Explain) 99 Building Inspector Date l4F—lo 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , . . . 9.: Letter of signature authorization. 00. Sanitation approval from nc/Yi\el Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . f 13. Contractor's License Information (no., name style, classif.) ' 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. ,. . . . . . . , , . . 16. Mobilehome Installation Data. . . . . . . . •. . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: to owner. /Mail to contractor. Telephone and hold for pickup at office. / Deliver w/inspector. Other Applicant IN ` I y v��Date 1 \ 1 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by l Date % Other: Copy—DPW k', 7 ' �. � F �,,�; { :,•; ,:p � � '' ��/'r�: 'S'r 111 Be in' .4F . ',ift!,p'. , C��►... f-iil fYici'is f (� or % • n rcEorciance �MI''�i fiec�,e, .i_; �•b ses O'rlrl' yqP '14 ' �' "'"i iL� use. . i of a •quality press ('' r�.1�[ j Go�1es rangy p -� ?�kyZ... �[iifOr"►il L1.i31 , IL:?-fi>:(P�a� tVIC'_.S7:Itiiv'Ul _y 7 'S 1 J a i • :i;;'� 3 +'{fie iV�rtiol,cl , rlca:: �,ocr�. , f �l- G .. 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X h!4• �t �r t. r •l .. 7t. /'. �y �/'� )tiiJ� ' �,�'iv . ,}}��,,;# . � •� i °'�,) T' : i 6�'' • r If�,(p p� 1/ . �1� � r'r,"' ' :n'" ,•�t � :'.�'�' •.` i +!1;'� �, ,:y P . tri,! a r "!p`6 Qi'�j,i�°�•r�`�`T'iJt:(�s ra�{�Sji(�• , :e„� ty�r :f,{: u. :1r �` ly .tn ,, 0a:rFI:T :(► r'�l` :f'�ro�, OUNT.Y r 1. K (I r. 1, r L 0 uf.e.'. l;' •y Y' F'I r.'! '''.. +r:>, 1✓ �L,D', .V .\ % '', G. DEPART IVB .► >,.. .r�� �. �; � •��, � '�. � �'''14r.•a�.' •.tk}�'•,1.,,•7r..rY: rt,,Z.i:it.' •!1' '�.,�. � �/d.r: 't•:i, `�•,p! '.�` t: ���`'.n •. i1b.f ,'."i:...r ;-�':.i`i• .'.l �i'•....' ,'�t ,Q. .� •.!. ,,1. ,.� la r. {..� t• , •� �%yy 1 • •'+ � �r '' 'err 1 , ,. r �' �1' �.!•• ������: rr�• ;Ir.:l ,i r. (, 'fl� ,'i 1'.... , •,. � , y 'A• .,}'Y': .p` a �•� I d Ri.,t�r'• ! '�. I' :�;: !1'1 'S'YJ ��. ,•1't. ?1 �,r�..l J�( � rr'� ,1�'.rH. t:(f 'i.' :1 � f. �,i, �`��� •' n r,( `1L; .:i :/S• .t Y ' :1'r. ,'' � .r' •:�.• ' �•,, t �+ � � Ir ra • �/,.. �r kr • Jr,.r,.., rtd' iN.:'• �1:; ':°,:. .'.A r. ,� ,(°71i�(}:':` k•, !/ .a�Il� � �'�..•.� { Ir: ;�,. �+ (. '' „ `Y>8� �' � •��{�� �1 "dd+d, T �.,jb�j)',, �j''n' , �t�i t:� +'��11.'✓.. ',( •i1 ,1�:.� t�p., {rl I S,, f j,l�. 1,1 ,..ti_, , k{.b � ,, �• %AASI: `{�s. � AA t,'; /. TI(t] r!�r} .��rf•, ii �,t' i,'{i''i i,•��,i 'it;f,°t. �'r�.•�'�, it's � 1,.,. h•Hl�,�tal'l.:p .�l+1. i,: ` , .,' •, 't '��� `F/1; -F,. '7' '7' nl�;P' .r n�•�,F. 'I!'I�t;�'1'irt.:r' :'t ,'1'J 1. e , ,ik p.f.� ,t , •,.' r"�i`:�••1 I •.`, .rr :A;�.L i"�n:(: . i, i. � 1 �,y y� j�/(4QJj.' �:,' a ..A�,�_� •I �t A /" 4 '1 11•� 'l � f fr�"N i �j/1 T ,.p � ..4, �.. .r_ _ ,, ..�, 0.•t"a. IC'ii " % '��. ��'t`rt.�.. ..•• t. :t'. �?: � ... �'IW jm°.u�''."w ��,,.,.� _ ' '/ �'�1 �j•F,1• r r.: ;'1. '''_ �,� � � �� Y:• y .. , � � �.': rC �/.�.'71n ...�•�r �f,.<t r�; '. •' t 4 rLl.}'(,_•. ,�! 0 PERMIT NO. 2633-81B PERMIT EXPIRES II rA4;z OWNER Clay Castleberry CONTR. owner ASSESSOR PARCEL 68-10-43 LOCATION 10 Serra Monte Dr.., Oroville Temp. Power Pole Called PG&E A Temp. Elec. Service_ t Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) _ Signature A . d = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes EJ No 75. Following instld.: Drive ❑ Yes E) No; Walks ED Yes p No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77., A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb, Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material.& Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) J = OK 0 =, Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health De0artment Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date -- _ L MGA_ Ll_G1Wq-S_ _W.Ira-A%1 3. ' -- c A l ; COUNTY OF BUTTE,- DEPARTMENT OF PUBLICW KS .TPERMIT NO. 7 County 4Center Drive - Wille, California 95965 -elephone 9 /534-4541 a / '"APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —��---�{� ZON BUILDING PERMIT Col OWNER d �dS 'e err TELEPHONE SQ. FT. OCC. BUILDING VALUATION { y OWNER'S M IL aG ADDRESS 4 JE 611 l CONTRACTOR'S NAME A TELEPHONE CONTRACTOR'S MAILING ADDRESS --- Fireplace CONSTRUCTION LENDER u UNKNOWN Total Valuation $ - 150 ��) Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,M.m ARCHITECT OR ENGINEER �/!/c- � h LICENSE NO. Plan Checking Fee $ LVC,Q � Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS -� 01C Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In tal lation ❑ Other E]Contractor Describe work:_ a Llchr<<cS WC,// f S ,DJ Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR L 00 AMP ORSLESS 5.00 Main service EA- ADD'L too AMP 2.50 NEW CONST. ODWELING R ADDNS. (ACCLBLDGS.CCUP.y) 20sgft 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I -OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &I NON.RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� IXED APPLNS, OR \ Ex. Occup. (our LETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �1 1 shall not employ any person in any manner so as to become subject fes' 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ' s, judgments, costs, and expenses which may in any way accrue against A&Coun in copue se nce of the granting of this permit. X Date��� "�� Signature of Ap icant - Owner P?) Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE Q o� occuP. CROUP TYPE OF CONST. PARCEL PD ND ISSu�. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-/. 7—/.- 7XZ- lover Receipt No. J Z c�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF+BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan,to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) e- L., signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted ,) the following persons to provide the work indicated: Name Address Phone Type of -Work Signed: Property Owner Social Security number J . ,� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections -19831 and 19832 of the California Health and Safety Code. . This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE, ORL;VILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER C y X/,Q 1"Iwy A. P.., No. Proposed Building Use �p r/ruie-< i r Permit Fee Based Upon: Complete Contract Price v DPW Valuation Other (Explain) 7 0/ 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 APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate.. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ - . - - - . - . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B,) Parking: 12. Certificate of Workmen's Compensatjion'Insurance . . . . . . 13. Contractor's License Information (no.�name style, classif.) 14. Owner -Builder Verification (Given to,owner❑, Mail to owner ❑ ) 15. Impro-v_ements may be required. . , , ... . , . . , 16. Mobilehome Installation Data. . . . ... . .. •Pre-Inspec. request to 17. Pre -Inspection for Required- Building Inspector (Dote) 18. Other When you issue the permit, process as follows: Ma70 to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A p p I icant Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: Copy—DPW Telephone Mail Other Date Date Date 7 / RESIDENTIAL PLAN CHECKING GUIDE (S.F.. DUPLEX,•& MISC. ONLY) Bldg. Permit # OWNER .A� `MJF C.� S�A. P. # A. 'GENERAL A Zoning requirements (sideyards and parking). •� Valuation. Signature by R.C.E. or Architect (if required). TIM B. PLOT PLAN Complete parcel size and dimensions. 2�Setbackq, sideyards, easements, etc. 3�Other buildings or structures. k" --Grading, fills, drainage. C. FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1405). 3. Required windows for second exit (Sec. 1404). 4. Allowable glazing for energy requirements (20% max. per.State law). 5. Human impact glass (Sec. 5406). .6. Required room sizes, ceiling heights (Sec. 1407). 7. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). . / 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of �/ mechanical equipment. 9. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. ' 10: Garage firewall, door size, and closer (Sec. 503(d)(4)). 11. '1 - 3'0" exterior exit door (Sec. 3303d). 12. Fireplace location. '13. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs if over one-story in height. 6. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1`.. CCX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). 3. Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). 6. Proper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes.. 9. Adequate bracing. 10. Living area over garage -- complete 1 -hour separation required including supporting walls and posts, etc. 11. Two (2) exits on three-story dwellings (Sec. 3302). UlA��v , ev Poo i y'Ta Pte( A setback of 5 ft. from the property lines and, a setback of 50ft. from the road centerline shall- be clear of . structures or equipment except for a 2 ft. eave overhang. 3 IZ zt `n J n _! �Q O 4 VV This set of plans and specificati s MUST be kept on .the iot, at ag times and it is unlawful to make aov ch: a cus or altearaf oft onsame wtthout vrritfen ps miss.'on from f6 Departm nt of Public Works, County of Butte. BUTTE COUNTY. BUILDING DEPARTMENT NOTE.—All Materials. & Workmanship Shall Be it Accordance with Recognized Good Practices and APPROVED of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the. National Electrical Code. GAP IF DESIRED 2 -'4 B A R S MASONRY DESIGN MANUAICV JC5UA ALO X170, •�-)1" : C�/'�.v �l/� � C".� . els l�•S RETAINQNG WALLS 3'6 LE EL 'GRADE a LEVEL j IGRA02 Mil X 8 A R S VERTICAL r4 BARS i nED -��;".5.1•�; Q i AT 2a'• 0 . G NRY CONCRETE MASONR77 Y ;� �:" LLS 1, . i 0 WALL- ALL CELLS FILLED i• 2" i'� 1 D :•SOLID WITH GROUT T , - ,� �. #2 TIES AT 16" QC. Ii • lI; �, it •5 - 2 - ^ 4 BARS jl".�_ • '1� - Iii I OY BARS - O M I T H E A 0 J-0. I NT IN IIi i FIRST COURSE AT 32 FOR WEEP 0.C.. z" HOLE •. / G RADE �1 'G RADE D . N z 6.: 3••*4 BA- CONIcli :..'2s4- ARS CONT.• .. :7 11� •- '.'`� POUR FOOTING - _ - POUR FOOTING ' AGAINST •� _ AGAICJST UNDISTURBED UNDISTURBED - 7- NATURAL SOIL NATURAL SOIL 1 l� G ✓� NA [�c�. / i lvj' 7 P CAL SECTION OVER 5'-0" TYPICAL SECTION 5'-0" MA %% ,, ` �: c �> c�Ezd�•% . cSTi4-r�2.f yi�c� rn G 1l</-%`-7 0",L/ L/ BARS OY BARS L1,4C� C. S l L 3' 6" 1'-9" 1*3 AT 32"O. C. 4' 8" 2'-2" 44 AT 48"O'C /-/^ � S' . 8" 2'-9'• x4 AT 24"0. C. I lf.�a 1 L,J/r-,�. • //�f PA J ' ,i �/ M t✓ 3'-3" #4 AT 24^ O.G. Li S 7-� 12" 3-10 #4 AT 16"O. C. .UC -716.4L. . As 12" 4� 8" #S AT 18'O. C. _ �Y ?,i DESIGN FOR. LEVEL GRADE ABOVE WALL ,,3:2��T�2 �'�cC, �l.!I BUTTE COUNTY ���fff ��y MAXI MU Ki STRRJUI' ING DEPARTMENT. ANO E- CO c fpOTI TO (GE�SY� f3 ? 20.000 P. S. 1. ..-.� .. V' / ORO SO. 1N. AT 28 DAYS ' �Ny(C�./RT7E BLOCK pKy��-7f/n ADE "A' UNITfln = 2. V P.1.1 •�.P P.R O� V.�.� ! l g 'vc i4ART CEQ41 3 ZR 174 , NDR U - 100 P. S:1. �f-/ GF.J 7s�1YARTS PEA GRAVLLSOIL .PRESSURE = 1,000 LBS.' PER SOFT. i MO�S�AR� PAZ�TT, CONCRETE TO SOIL :I 7T 2 I PU'ir/, 4'/2 PARTS SAND d/Q� FRICTION COEFFICIENT Cc r;� L E=- f.,•.;y,-.—. inv-nn,--"�.:,..,�..�,.,.r.:,--.�cr.,!�;,.- w_:v.^-.,..-.-,....,;, _ ..-., car,-,, , _,-... 24'50-81 2633-81 'W Permit#2463-83 Clay Castleberry COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT110N,kND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER„I r+I ,4 I ) i TELEPHONE $Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r ; CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 1 I UNKNOWN Total Valuation. $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I + = '¢ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ; ' l" { , r) BUILDING ADDRESS 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFE] ' Duplex ❑ Mobi lehome ❑ Other SPECI FY Building sewer 5.00 Mobile Home I S I GJWJ 1 110.00 e TYPE OF WORK New ❑ Addition [] Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: F �` = '' ` ► i" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/4sgft 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 m license is in full force and effect. y 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) R I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. z0ee0e Ex. Occup(o TS OR FIXTURES\ BAL030 FIXED Ex. Occup. our OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Horne Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 x-` 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. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ' 1 y B � �1'` - �'� � Date � • j I r/ , PERMIT EXPIRES Date 1 � Receipt No- 7 It WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT PERMIT NO. ASSESS R PARCEL NUMBER ,_ ZONING BUILDING PERMIT OWN. AJA 07-11 Sr TELEPHONE SQ. FT. OCC, BUILDING VACUA ION OWNER'S MAIL& ADDRESS CONT A OR TELEP ONE CONTRACTOR'S MAILING ADDRESS Fireplace 1r t" v CONSTRUCTION LENDERSVV� P 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 ADORES r r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ib Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 --/ USE OF STRUCTURE SF E9 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities ❑ Installation[] Other'ffr Describe work: a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADONS. C ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx 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) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW NON .RESID CONSTR BRANCH CTI RCTITS. 2.50 ea NEW CONSTR. POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. . Occu / 20®80C p\OUTLETS OR FIXTURES SAL®3o Ex. OCCUp. OUTLETS FIXED APP(RESID )REO,% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitJudgmqqs, costs, and expenses which may in any way accrue against s I County n o a uence of the granting of this permit. X Date76; 3 Signature of Applicant — Owner ontracror ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -OF ion of structures over 3 stories in height. Mobile Home Installation Fee $ A �^ TOTAL PERMIT FEE $ a OCCUP. GROUP I TYPE OF CONST. JPARCFLJ PD I NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC By r PERMIT EXPIRES D to 7 the applicable provi- resolutions to do fees have been paid. WORKS Date "� ^0 l q - 3 �� Receipt No.—D_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4' �'kRMIT NO. 1033-78B,P,E,M J L' r -PERMIT EXPIRES A° OWNER Clay Castleberry 1 i;CONTR. Moseley & Hill, Oroville LOCATION (A.P. 34-.05-15 port. 10 Serra Monte Dr., Oroville .y %9 i y t. • il� . S ' Y j .. Temp. Power Pole Called PG&E Temp. Elec. Serv. -7-1/9- 7R Called,PG&E jB- Tem�fGas Serv. Called PG&E /JOB FINALED (Da ) (Signature) r �. J i; 6 COUNTY OF BUTTE — DEPARTMENT dF PUBLIC WORKS„ BUILDING INSPECTION "RECORD Stucco Final Subpanels Mesh oeMECHANICAL Grd. Fault Prot. l C� Scratch Heating Service Brown X Cooling Temp. PoleOK j Finish Ducts itCOT- *' .al 2 �. underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec- Service Elec_ Pedestal Water Piping Sewer Gas Piping OME INSTALLAT�! ON - - - - - - - - • - - - - - Support Elec. Continuity BILEH� Water Piping Drainage Gas Piping DATE �! z JY REMARKS OR CORRECTIONS �u G7"W o /I/C 8K xe 'E�/ < y .2 ie co A-40--- A&IA - /NS r1w L v 6zp1`r- FOS U R5771<2S I) [/ Wl Al G'f 4 6Xk ii* �r— 4/KA® " 4' `CS U' G°f�ayiPL�T s�locv ir- CVC40 S CI Ae /n/ sU ~g' (ASS / -L7 -S'rVp ZV I /oc/nl P ,. AP12, 09 s (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall oeSoil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings V7� Windows -% X&I 3rd Floor StemwaI I - Siding _ / 7 To out 2 Slab Roof Sheathing-/ Water Pi In �� Piers �l. (,_ Roofing - / '- f Sewer Garage Fdn. Vents Fixtures % Footin g s Z/ StemwaII z z- Garage Vents Insulation / Water Htr. Heaters 7b Slab 4- Carport Footings );1-2--y QN--- Prov. for phys al y handica edd Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final ® Sanitation Patio f FIREPLACE Final �i Footings Footing .. ^- ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final !, Fixtures Bond Beam ri G am -mar, eoc 1.._.__ Stucco Final Subpanels Mesh oeMECHANICAL Grd. Fault Prot. l C� Scratch Heating Service Brown X Cooling Temp. PoleOK j Finish Ducts itCOT- *' .al 2 �. underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec- Service Elec_ Pedestal Water Piping Sewer Gas Piping OME INSTALLAT�! ON - - - - - - - - • - - - - - Support Elec. Continuity BILEH� Water Piping Drainage Gas Piping DATE �! z JY REMARKS OR CORRECTIONS �u G7"W o /I/C 8K xe 'E�/ < y .2 ie co A-40--- A&IA - /NS r1w L v 6zp1`r- FOS U R5771<2S I) [/ Wl Al G'f 4 6Xk ii* �r— 4/KA® " 4' `CS U' G°f�ayiPL�T s�locv ir- CVC40 S CI Ae /n/ sU ~g' (ASS / -L7 -S'rVp ZV I /oc/nl P ,. AP12, 09 s (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE -25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Old Quincy Hwy. Street Lot Number Tract No. EXTERIOR WALLS 1 ` Manufacturer — Thickness/Type 32 R Value -.__9 CEILINGS Batts: Manufacturer' 72 �C Thickness R Value L Blown: Manufacturer Certainteed Thickness 10k No. Bags 30 Wt./Bag Sq. Ft. Covered 745 R Value �3 FLOORS Manufacturer Certainteed Thickness/Typc 3*" R Value 11 SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS GENERAL rQAMR ACTOR; S�1 BY INSULATION CO CTOR: HAW hickness/Type_ R Value LICENSE No. ?5Y 1-07 TITLE DATE INSULATION CO., INC. LICENSE No. 215-925 Owner DATE . August 30, 1978 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '— Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT p _ . A�,Tj In ��� c��c nIaU VGJ vl U.V %1vullly vl OULLU W GIIIGI UJJvn uIC above -me operty for inspection purposes. Xa Date Sig ature o` ..i pe or Agent e Receipt No. 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 OF LIC WORKS BY Date.—/ 7-7P Bui ing permit expires Date 7— BUILDING Owner SQ. FT. OCC. BUILDING VALUATION d Mai I ing AddressJ,— S -a— Telephone No. 4 Contractor Mailing Address ,� � a1 ��-' Fireplace (j (00 Total Valuation 6L 4 Tele hone -3 . Permit Fee ` /�% Building Address Y &O Plan Checking Fee Vor Penalty -- Permit Fee g 5 PLUMBING No.1 @ FEE /� PERMIT FILING FEE $3.00 Each TraD 1.50 ,©C) 11 /o �ei—k n1 c tn9. laaffoa Otn y Repair drainage or vent piping 1.50 A. P. No. 414 — 5 — �S� Zoni Water piping 1.50 Is Q� s a Each gas water heater or vent 1.50 F 41TtSa ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking'Parcel Plans Declaration P 0Irvl 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd parcelrovol I Plansrovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER❑ Permit Fee $ 7 Z, 3 is ELECTRICAL No.1 @ I FEE_ PERMIT FILING FEE $3.00 311400 Main service 600V OR LESS 100 AMP OR LESS 5.00 SlnSingle Family Duplex g y p ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMPS 1.00 OR ADDNST NEW CONS. (ACCLBLNG DG �U�Q) 22sgft 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: / INd Sl �y4 TLET NEW CONSTR. BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. fPOWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES 6 L@; Ex. Occu / FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Q .7 License No. `�Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ e s2 $ ^C 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 WrWorkJ11'en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California MECHANICAL No @ FEE/1l PERMIT FILING FEE $3.00 106 Heating $ 5 Cooling / 7— Ventilation Z,to -7,.00permit Hood 2.00?_;Vo Permit Fee $ !sv $ � '45- I 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 Land Development Fee $ IS, .— TOTAL PERMIT FEE c��c nIaU VGJ vl U.V %1vullly vl OULLU W GIIIGI UJJvn uIC above -me operty for inspection purposes. Xa Date Sig ature o` ..i pe or Agent e Receipt No. 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 OF LIC WORKS BY Date.—/ 7-7P Bui ing permit expires Date 7— O a DU.LJ,a.LI-16 Ut:FJtii'L•LILGLl L• From:* Environmental�-,H•ealth Regarding: Sewage and/or dater and/or Addition Clearance(s) 9 0MiNE 10 LOCATI06A. P.. N0. Plans are approved for: Sewage Disposal. ✓®.a.; W ter Supply Fold up Final for,.,. Sewage Disposal _ db'ater Supply � �m Final Clearance 0K fors Sewage_] Disposal '.iter Supply Clearance is for a & _ � bodroo(Horn or Mobile fio�ric: . The additionesj will be S ani t ar i aga a e During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date i permit is issued, process as fo ows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. elephone and hold for pickup @��_"!5.n office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1., Zoning use 2. Legal parcel l 3. Envir.Health - Date Plans Sent P A. Sanitation B. Restaurant C. Other 4. Public Works --Date Notice Sent` A. Street Imp. B. Drainage C. Permits & Fees D. Other. 5. Planning. A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other -; PERMIT APPLICATION WORK SHEET Permit No. OWNER A. P. No. a Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. , 2. Partial contract price (explain). DPW Valuation (show): � s• At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs- -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- �!'� Sanitation approval.------------------------------------� mss/ ✓ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate - ----------- 10. Contractors license information.'--------------------- 11. Parcel declaration; recorded copy- ---------------------- 12. Access declaration- ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16.:: Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. provements - plans required & DPW approval - ----------- 19. t r ------ - ByL Date V 1 g. Inspector During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date i permit is issued, process as fo ows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. elephone and hold for pickup @��_"!5.n office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1., Zoning use 2. Legal parcel l 3. Envir.Health - Date Plans Sent P A. Sanitation B. Restaurant C. Other 4. Public Works --Date Notice Sent` A. Street Imp. B. Drainage C. Permits & Fees D. Other. 5. Planning. A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other e6 r L., Owner ✓ �� Mai l i ng Address ' �p 1... rL Contractor Mailing Address 5 Building Address COUNTY 0`F BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING / SO. FT. OCC. BUILDING VALUATION Telephone No. c.G.r 7 lephone No. r y �_ A. P. NO. in, Planning Fees W.C. Sanitation' Fire Dept. FireZone Use Permit EOA I Parking Parcel Parcel Ma 60' R/W Improvements �//Plans Declaration P P Bldg. P*` c'd Parcel A proval Plans Approval NEJW ❑ ADDITION ❑ U-PLITIES ❑ OTHER Single Family LrgVmjr Duple ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �OYIY� G wP�� ;2A.i�. 13y S�Stf�..c License No. 52g�Classiion Ciff ❑ 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. 19I 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. , I X SI Date N ' Slgnatu a of P//ermitee or Agent Receipt No. L 14/ White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER e00V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. RCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE I% y Is -a FEE Ex. OCCUD(OUTLETS OR FIXTIIPFS qL pQl EX. OCCUp.( IXED APPLNS. OR \ OUTLETS (RESID.) EAI 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No @ I FEE PERMIT FILING FEE J $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE I $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f i -which fees have been paid. DI ECTO f PUBLIC WORKS B Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ,�/ /�,— �%�, Telephone: 534 4541�(0 / APPLICATION AND PERMIT , ._..__. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. CX Date $ignotu of Perm(iiteee or Agent H Receipt No. / 3r4�� 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 f�'`,�''hich fees have been paid. /_ 0 D,,ECTOA,,F PUBLIC WORKS expiresBuilding permit Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address�'Sj'—�� ��t Fireplace Total Valuation JJ 1;elep�n�NA! ,'lo' G Permit Fee Building Address PlanChecking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 'l A. P. No. �z"�o 'i i PlanningWater piping 1.50 't S�(� Each gas water heater or vent 1.50 `S8T1Ti8TtDTf' Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 �_ �� _e. Bldg. 444 rRec'd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEA JQ ADDITION ❑I U ILITIES ❑ OTHER LApermit I Fee $ *IS _"$ i ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duple ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGS.LING CCUP. Y) 2¢Sgft 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: Y ., .JOW�� Wot �w�. NEW RESID,CONSTBRANCH IR T NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES 5 L25 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 k Mobile Home Facilities 15.00 License No. SZq Classification (--& Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 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 relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. CX Date $ignotu of Perm(iiteee or Agent H Receipt No. / 3r4�� 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 f�'`,�''hich fees have been paid. /_ 0 D,,ECTOA,,F PUBLIC WORKS expiresBuilding permit Date — __ , .�i___ U 1". __ — ____ ',��, _ -.F---," - . - , - , - 1 " i ,� ,."�11Z., ,� ,�, ';��Vvl', V1,111 .t',�T '. - �'It-, "' . .� , I I II - �'' 11 , I --I I , I 11 -1. I - . - -7,; , �� I __ _ . I 1_�, 1 7� 11 11. .11 I 1, I _1� �114.1-1 .11 1, -1 - 4� �, � ',,�; I .M,11�:, ,.,;. — -7; 1� "",L - - , "�, ...... . . I , I,! 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