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068-210-025
I 1f d f f f. CHARLES R. DAVIS CUB 2j, C) - 17 Buehler Ave., Oro Permit ##34-76B,E (e /rm. & bedroom & reloca a e}eC s til --. - SF) 063-210-025 7LE 0668 DOFF, TERRY 17•BUEHLER. AVE, O OVT '4 1, CONT: *Wiiiiiiilii .- '\J I v i h NOTES 71Z •� ���P.A RESIDENTIAL PERMIT NO. _ 068-210-02 05-0668 G0FF, TERRY 17 BUEHLEi? AVI:. OROVILLE CONT: UNKrd )VVNf 1 REMODEL c�o� •� p3 3 - �- ORFIPE COPY ` 1 Addre- j 7 � GAS k Date Lt— �/_ (4 i I Meter By ELECTRIC ' ) " t Meter By ` Date 3-Lo(o r SPECIAL CONDITIONS ,-c "SRA ' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS. VERIFY , a Y4 USE PERMIT CONDITIONS ., SUB -STANDARD HOUSING LETTER r. r Sy 0-cl "7• C7l�j w 4 t' } CHECKED BY 81 13o(,W',(,-,t Ale t JOB FINALED (Dat C��n Signature Jr - ' :4- ,-c "SRA ' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS. VERIFY , a Y4 USE PERMIT CONDITIONS ., SUB -STANDARD HOUSING LETTER r. r Sy 0-cl "7• C7l�j w 4 t' } CHECKED BY 81 13o(,W',(,-,t Ale t JOB FINALED (Dat C��n Signature Jr - J=OK 0 = Not OK . = NotReadyabte DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap; -/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GF] 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 w I; 10 J=OK 0 = NotOKRESIDENTIAL - =Not AAppplicable . = Not Ready Date UNDE OOR (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/J,,?,,/" Ftg. Depth/i? 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth to alts, Main; Steel -Blockouts-Wrapped 6. emwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Bfers-Fireolace Fto.-Steel 'D. .V; Fall -Fitting -Test -2 Way C/O -Sewer Test F, Gas Pipe; Size Anchors -Yard Gas Pip Size Test Water Pipe; Test -Anchors -Regulator -Service Test 16. Insulation Date ,.,, Card -1 Date iJ (O Card B-1 Dat - Car -1 Date Card B-1 Date PLU ING ( ermit) OK except #'s 1VApter Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection 1 V; Test Fittings & Anchor -Nail Protection Sh wer Pan; Test, First Floor -Tub Access 21. Vst Tub & Shower, Second Floor -Tub Access 22/Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Data, 14, 04 Card B-1 &, Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Switches at Doors e xes & No. of Conductors Stapled 1 fj1AC7,WWex Installed Close to Edge of Studs & C.J. 2 ip. Ground made up w/Mech Fasteners -Bond Gas & Water ppliance Circuits in Kitchen & Conductor Size GFI feed Wire Si /g A A.C. Wire Si z - or Al ange Circleor AI -Oven Circ. / /ga Cu or All Insulated Neutra O Yes O No 32. rvice-Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 34. C hes Closet Light -Shower Light -Spa Light Smoke Detector Date 2 • � -0 L, Card B-1 U Q _ Date Card B-1 Date -7. 1(' , 6 ward B-1 14- , (J . Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3w .C. Ducts Insulation & Support Vent Fan, Exhaust above insulation Z. ondensate Drain & Overflow, Size & Grade 3T Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet (Single & Duplex) 40. Attic Access & PI rm if Furnace in Attic zing Area Protection -Skylights -Plastic Dat, , A Card B-1 f Date Card B-1 D Card B-1 Date Card B-1 Shear Walls; Nailing -Bolts \j rLg1/1Q,r Date FRA ING (Permit) OK except #'s We Interior/Exterior Wall Panels . S' Rs Proper Materials & Anchors -Walls -Ceilings 4 alts Studs -Nailing Spacing & Braces -Plates -Sound I nfi ltration-Wal ls-Windows aring Walls over Girders & Floor Nailing and Date Card B-1 4 . Draft Stop in Walls (rat proof) Card 8-1 Date Card B-1 (Plans) OK except #'s y ire Stops, Furred Ceilings -Stairs -Chasers -Tubs .y Vt. Steps -Door & Sidelight Protection -Landings Headers & Beams -Size & Bearing F 66. Date FRA G (Continued) n ers-Post Caps -Anchors -Connectors ing. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. / ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. f3arage Fire Protection Framing -RC Channel V P opertv Line Firewall & Ooeninas 5G! xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits s; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers . Siding -Nailing Veneer 58. ucco-Mesh-Drip Screed -Fd. Vents-Underflr. Access 68. I. & Bath Fixtures & Tub Access -Spa EI . Trim & Subpanel, Breaker Sizes & Labels 7 Irs & Rails 74*.Fireplace or Stove, Clearance -Hearth 72. EJAC. Outlets at Wood Panel, Int. & Ext. 34,K,W. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance . Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. .C. Duct in Garage -Damper qY Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. �iriGarage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Baelgptacles in Garage (F.F.I.)-Romex Protection k0_jpe<ation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 83. zing Area Protection -Skylights -Plastic 84. Shear Walls; Nailing -Bolts \j rLg1/1Q,r _T 61. We Interior/Exterior Wall Panels 3/2ti_/6Y_ Q2, -Walls -Ceilings I 63. I nfi ltration-Wal ls-Windows Dat!j, and Date Card B-1 Date7 Date ° FIN Card 8-1 Date Card B-1 (Plans) OK except #'s W. Vt. Steps -Door & Sidelight Protection -Landings 6 Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- Wtarage; Above Floor-Ducts-Mech. Protection 68. I. & Bath Fixtures & Tub Access -Spa EI . Trim & Subpanel, Breaker Sizes & Labels 7 Irs & Rails 74*.Fireplace or Stove, Clearance -Hearth 72. EJAC. Outlets at Wood Panel, Int. & Ext. 34,K,W. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance . Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. .C. Duct in Garage -Damper qY Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. �iriGarage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Baelgptacles in Garage (F.F.I.)-Romex Protection k0_jpe<ation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 83. Following Instld./Drive O Yes O No/Walks Q Yes O No/Planters U Yes O No 84. Stucco Brown -Finish 85. . Unit Disconnect, Electrical -Plumbing 84Aents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. "ter Well, Disconnect, Electrical, Plumbing terior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 991."(' I;lqq Protection rrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 5 Address Posted Date. f e'er 4K -(e Card B-1 Date Card B-1 Dat a Card B-1 Date Card B-1 Dat ward B-1 U6 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE (-7'6 FF O 5-- t5 (D C' 1;7-� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. rt v Date `— J — -p Inspector �—� •a ; ;�, � REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work i completed. If you have any questions pertaining to this matter, or need additional expI ation, please contact the Building Inspector as indicated below. Date Inspector i REV 4/05 �� Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE ..... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE (�_D(o OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is cc I pleted. If you have any questions pertaining to this matter, or need additional a ' n explan, please contact the Building Inspector as indicated below. Date -7 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 M12 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER \ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explan tion, please contact the Building Inspector as indicated -below. 1 7��C7(� - Date _ � � Inspector C / REV 4/05 Phone # FOR RE -INSPECTION CALL: 538=7636 OR 891-2834 I& COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 0,-? /. v< . Date 1 ` Z U Inspector REV 4/05 Phone # O FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 1 f t _ _ t_ 'COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE A, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional dexplana " please cont a Building Inspector as indicated below. C %� UY rte• . ti, � �i��iar L" r//� L" �' %�Ll� /i//� i �i /117, 7JY� Date v 5 Inspector . `" C &'/�<Y REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 inn CertainTeed M iri [i InsulSafe°4 Builders Statement Fiber Glass Blowing Insulation Hom owner Name / Jobsite Name Inspected By (sign if required) M Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: Cin.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/. 38 22.8 44 0.615 143/, 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 77 0.353 1 9 19 11.1 90 0.301 -73/, 13 7.7 129 0.209 51/2 11 6.6 151 0.179 43/, THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 311 OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 ) BAGS USED BATTS/ROLLS (✓) CEILINGS e )-2- ZWALLS WALLS 1,3 % FLOORS 3z/7-0 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 311 OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT. 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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 : License Number: Dale: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). fD I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ Ixe ptunder Article 3 0 ;Tinpss and Professions Code Date: hS` Owner: WORKERS' COMPENSATION DECUARATION 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: W/ I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith om ly with those provisions. Date: 0 .� Applicant: WARNING: Failure to secure workers' co ensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO50668 Issued Date: 06/10/2005 APN: 068-210-025-000 Site Address: 17 BUEHLER AVE ORO Map Index: Description: ADD(1033)REMODEL(1215)COV(467) Owner: GOFF TERRY D 17 BUEHLER AVE OROVILLE, CA 95966 Applicant: GOFF TERRY D 17 BUEHLER AVE OROVILLE, CA 95966 Contractor: PRATER CONSTRUCTION INC PO BOX 336 PALERMO, CA 95968 530-534-9230 License #: Architect: Engineer: HUBLEY, MICHAEL D. Total Square Ft: 1500 S.F. Valuation: $74,617.00 Census Code: This permit is hereb issued under the applicable provisions of the Butte County Code and/or Resoluf rk Indicated above for which fees have been paid. 1 �, By: Date: "' ' o , G C PERMIT EXPIRES Z r ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. c I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represent - s of Bute Cou ty to enter upon the above mentioned property for inspection purposes. Print Name: Signa a - Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50668 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/10/2005 APN: 068-210-025-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 17 BUEHLER AVE ORO Date: Contractor: Map Index: Description: NSF(2248)COV(467) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GOFF TERRY D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 17 BUEHLER AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GOFF TERRY D pP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 17 BUEHLER AVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: PRATER CONSTRUCTION INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). PO BOX 336 ❑ I am Exempt under Article 3 of the Business and Professions Code PALERMO, CA 95968 Date: Owner: 530-534-9230 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: HUBLEY, MICHAEL D. the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1500 S.F. Policy#: Valuation: $74,617.00 ❑ 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Dale: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of / sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am xe pt under Article 3 Msin ss arid Professions Code Date: pUML Owner: WORKERS' COMPENSATION DEC RATION 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: 0/1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith om 711y with those provisions. Date: t� V Applicant: WARNING: Failure to secure workers' co ensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP050668 Issued Date: 06/10/2005 APN: 068-210-025-000 Site Address: 17 BUEHLER AVE ORO Map Index: Description: ADD(1033)REMODEL(1215)COV(467) Owner: GOFF TERRY D 17 BUEHLER AVE OROVILLE, CA 95966 Applicant: GOFF TERRY D 17 BUEHLER AVE OROVILLE, CA 95966 Contractor: PRATER CONSTRUCTION INC PO BOX 336 PALERMO, CA 95968 530-534-9230 License #: Architect: Engineer: HUBLEY, MICHAEL D. Total Square Ft: 1500 S.F. Valuation: $74,617.00 Census Code: ,,+-�0,9 L� I q I q (5 L� -�)9 42-5,", -�'! �8(-(-0-5<� This permit is hereb issued under the applicable provisions of the Butte County Code and/or Resoluf s1t rk indicated above for which fees have been paid. 1 By: Date: "' 0 , G Sj PERMIT EXPIRES 4 _?0 r ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representaLLxes of Bu to Cou ty to enter upon the above mentioned property for inspection purposes. Print Name: Signat62: V . Date: v a Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 001 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION -` 1. Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** c� PERMIT NO. BPd5-O46' BIN # ;e' _Z,4t�j I ARCHITECT/ENGINEER I Name 068-210-025 05-0668 Address GOFF, 7TRRY L7 BUEHLER AVE, 0ROVILLE City L, -)NT: UNKNOWN R-E,610DEL 2248 SQ FT Phone E-mail I State License Number APPLICANT NAME Name Address City State rp Phone Fax E-mail APPLICANT SIGNATURE X �- For office use only: I WORKER'S COMPENSATION I Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name On Address Zoning •-ff Flood Zone X ISRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Dale Approved: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS rine Pane 1 of 2 GuReceived �b Amount: v Bldg SRA Receipt #:: G Sherif{ SMIP DateOther • � � V Total P.EV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4,sets, signed by the preparer of the plans (No graph paper.!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed bV the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ , 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like( additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ \ ❑ 20. Erosion Control Plan Required........................................................................ ........ ee .as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ 23. California Department of Fores ry plan approval ❑ paid. Sent by: ............. -� 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... '--Q/, j 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... A�30. Worker's Compensation Carrier and Policy Number .......................................... ' 6 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup.��� I have been informed of the above items and requirements for obtaining a building permit. Applicant._ Date: 54, ()5 1. Index permit application for ttie above items numbered: Plan Check Letter 2. Additional items required f )?t Contractor, designer wner as advised of the above data by ❑ phone, ❑ mail, hunter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: ' Date: Note transfer by: Date: c7 Yellow: Building Division COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET --''FZ� �� `� � PARCEL NUMBER OWNER: ASSESSOR Proposed Building Use: &-r-2 Z -/6 Counter Technician: Date: - P-0 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. \ 0 / N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �1 r A, 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �N 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. n/ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ \ ❑ 20. Erosion Control Plan Required........................................................................ ........ ee .as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ 23. California Department of Fores ry plan approval ❑ paid. Sent by: ............. -� 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... '--Q/, j 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... A�30. Worker's Compensation Carrier and Policy Number .......................................... ' 6 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup.��� I have been informed of the above items and requirements for obtaining a building permit. Applicant._ Date: 54, ()5 1. Index permit application for ttie above items numbered: Plan Check Letter 2. Additional items required f )?t Contractor, designer wner as advised of the above data by ❑ phone, ❑ mail, hunter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: ' Date: Note transfer by: Date: c7 Yellow: Building Division E.H. USE ONLY Plot Plan Attzchad f/ Mas Elan Anadtad • Sant to S.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for °dwelling. Other �-? 12 Hold final for: Final clearance O.K. for: Environmental Health 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER %Z i 4 1 PROPROSED BUILDING USE %rZL—`�'s'10�L �2 2 y 12!' BUILDING PERMIT FEES - - Balance Due ..................... $ TI�•�3 --- Additional Fees Due........... --- Wised Plan Checking Fee.... $ 2. OOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) A.P. # DATE �� b RECEIPT # DATE REC. ell 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN HECK FEE $89 -.00 -(paid at Building Division) �� % 8. WATER TENDER FEES BATTALION #, $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Coercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt.72, /) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed duan* lan ch n rocess. APPLICANT - - DATE 3 "J ' Q Pursuant to Government Code Section 66020, yoS are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) A onina— 5 '4--L/c W°F(` Department C o u n t J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 9 ACRE1 Project Description: S Project Location and/or Parcel Number: 063^ 210-©2!;- /7/1 ;- /r7/1 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed:' Title: 0 �N Date: I t 0 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 A . WILLDAN Serving Public Agencies May 25, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1503-M Jurisdiction Job No: 05-0668 Assessor's Parcel No: 068-210-025 Description: Goff Remodel Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies sheets 1 through 6, SDI, SD2 dated 3/05 by L.K. ➢ Structural Calculations: Two (2) copies dated 2/15/05 by Vertical Technology Engineering with two (2) copies of supplemental calculations dated 5/06/05 ➢ Truss Calculations: Two (2) copies dated 2/28/05 by Longfellow Lumber Co., Inc ➢ Energy Calculations: Two (2) copies dated 3/10/05 by Max Ramirez The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. WILLDAN PublicServing Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans, however, the covered porch square footage is not listed on the permit application. Butte County may increase the building permit fee based on this new information. Specific Use Type of Occupancy Type of Construction Sprinklers V Floor Stories S Ft " Total S Ft fNA Dwelling R-3 V -N No 1 1417 2248 Porch R-3 V -N No 1 467 467 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. S;aacKuster , Ricardo Guzman, S.E. lans Examiner Plan Check Engineer Cc: Alice Mefford, E-mail: amefford@buttecounty.net Terry Goff, 17 Buehler Avenue, Oroville, CA 95966, Email: tdgoffl@juno.com Mike Hubley, S.E. Email: vertech@sbcglobal.net Page 2 oft County of Butte Permit Number 05-0668 Willdan Project Number 14353-1503 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR coM7 Goff, Te ry County Center Drive co 05-0668 Oroville, CA 95965 (530) 538.7601 Telephone Remodel (530) 538.7785 Facsimile 1 068-210-025 100% O TO: ' O FROM: y� SN $ 723.67 SUBJECT: O on DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford cDbuttecounty.net Plans Transmittal For Review Per Contract 6/3/2005 Applicant: Goff, Te ry Permit No: 05-0668 Project Type: Remodel APN: 1 068-210-025 100% 70% Plan Check Fees $ 1,033.81 $ 723.67 $ 1,033.81 $ 723.67 WILLDAN Fee $ 723.67 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) \ L School District ����/1 1'�a 1. a ih Building Department No. i A.P. Number ��(�>�j �� ((J (�T� Jurisdictlon: City Property Owner Property Location/Address I /� .I \ ( Vl br Ave - Subdivision Subdivision OCounty Lot No. rj<:� - 6&01' y Residential Development © :................................... .: Q ' € � ....................... :...................................... Q € /%� Sq -Footage / V' No of Living Mobile Home (Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # i ..................................................................................._............... (No foundation inspection)i Commercial/Industrial Q Q I --,New Addition Department Representative Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage Date (Including Exterior Roofed Areas) District Identification No. V-3 J Ilv \e_i'. School District certifies that�-�- (Applicant) -� 71 (Street Address) (Phone Number) qSa Lp(- (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ 3 representing 0 3 3 square feet. 2926 $ FULL MRIGATION $ b School District Representative Date Paid by Check # Remarks: t o 3 7 :2 - No : 2- Notloe: You may protest On Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Government Code Section 66020(a), within 90 days from the dab fees are paid. Failure to submit a timely written protest will'prohlbit you from challenging the Imposition of the fees In arty court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee CartiSatlon Form, the School Disbkt Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its Impact on the school dbtricrs schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm SITE PLAN REVIEW APPLICATION Date: / Q Permit Number (if applicable) C 5--066 d Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary. Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): AP# 0& Y -,2,10 -0,75 - Parcel 02'` 0-0,75 Parcel Size: av�16 CA - is Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY / Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) o Flood Zone: p Flood Panel No.: ToLt 7 C SC- Index Date: l r ❑ Sacramento River Reclamation District (Approval must be obtained from the ali ornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------- —-------- —--------- ----------------- --------- ------------ —---------- — ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A 2 ,L-10 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front "'� 1 '301 Side 5_1 0 Side Street Rear 0 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 •Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ----------------------------------------------------; ---------------- ------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with Cognty Sta dards for Deed Creati Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: No ❑ Yes �/— alyx C� /l rru SP IIN Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 rim ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4of5 vi ❑ x a Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrysSuilding Permit Site Plan Reviewl.doc Page 5 of 5 SHEET _OF NAME 6r F F i BUTTE COUNTY PROPERTY' RECORD Assessment Fee Number �• Book Page/Block Parcel NAME SITUS ''9'oF1! / : /i_ ZONING City ❑ County ❑ Assessment Year 19 19 19 19 19 19 UTILITIES -SITE IMPS. Date Electricity: Yes ❑ Telephone ❑ Appraiser. Gas: Public ❑ LPG None ❑ Use Code Sanitary Swr: Public Indiv. ❑ Dwelling Units Street: Conc. ❑Asph. ❑ Dirt ❑ Gravel ❑ Building Class Street Lights: Yes ❑ No ❑ Bedrooms C & G: Yes ❑ No . ❑ Baths Sidewalks: Yes ❑ No ❑ Effective Year SITE TOPOGRAPHY Area of Residence Level ❑ Rolling ❑ Other ❑ Car Shelter Yes No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Slopes: Up ❑ Down S -S ❑ Misc. Buildings At: ❑ Above Below E]Prade Pool Yes ❑ No Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ View: ❑ Of: Phy. Char. lChecked Ithecked ❑ Checked ❑ Checked Checked Checked ❑ WATER MARKET DATA GPM: Depth: Comparable 1 Public ❑ Well ❑ Ditch ❑ Comparable 2 Supplier Comparable 3 Aerial Photo Year Sale Date/Price Topo Map Year PRIMARY BASE SECTION Soil Name Index I Acres I Base Year F SECONDARY BASE SECTION LAND REMARKS: Land Type: Lot 'F Description: P,anc a-ito7,.! Fow Fair KiHhen Fan Lomlion: Room Fla.,, Wall, Ceiling, G'ncrale-taw C.—ale Slab Pleas Madill p Ara. /' Many ice„ Spcc. ,Arg. Good 210V Rha,,. Y Hood Ronae Oven Davble Oron, Metal Stan. Brick Morbl. R,i,.d Haarlh Wall Hgl. Story 1 1 All Entry living X 0 Col. Hw. Lino S.R. Pl. Pan. ----.— S.R. Pl. Acc __ E.. Bm. _ El.cl-MI, Oron Fr.o Standing Dining BONE STRUCT. HEATING D-4. R b o H..lil.tor F.mlly WJ. Fr Brick Steal C. BIM. Adab. Coni. Farted Cenlral Wall , G—ily Floor Perim. Slide -in R b O Garb.ge Df,..,.1 Di,hwa,h.r Flank Shelve, Dbl. Opening 7— Story KiHhen ✓, Br..kf.,l B.dr..nl, / Y X i x -- Radian X Ceiling R.frig... lot ----- EXTERIOR El.cB,bd. W.".. GARAGE S,.cc. panel Gar X 'Sial. L ll—kfa,l bar Attach.d will, \I slmag smnRle Engrd. P. P. V.ceum Co.— Dal.ch,d x KITCHEN DETAIL Sh.k. A,be,. Econ.. Wel So, D.W. X C.bin.l, H.W. O.P. Plywd. Metol Sp.c. t— Nal. Stained L B b B Alun. 710 V. Onllel Single T. 0d. b Cob. Ton The Mim Llno.i. Splmh R b C E G A F P Br. Ven 5.... COOLING Blends c-- BATH DETAIL Ad.bc I" bd,. C. BIk WINDOWS D. it. �. Wood '[ Rafrip. Evan. L Enprd. E—.. C.nlral Rant Wall Wind. tl BBO D.,k c—a-I El,,WcHy O. H. d—(,l R.male Control Dr. Fni,had --- Fir. No. 1 Fin Hh Floo WaIH NO.... 7.il. L.r. T.b y --- Showar S1. O.T. G.P.F;.;,11 — P.11 I M;— C-1. Stool V/Ic. Htr. Gah. Fini,nad suder, At... MISCELLANEOUS STRUCTURES ' lru. L..d.d APPRAISER & DATE: C,,,.k Op—l.d It.. Fdln. Fl,. E.l. Int. Roof Alia Sic. $,S.F. / Gd. RCLND S,S.F. % Gd. I RCLND S/S.F. Gd. RCLND o Sliding Gla„ Drl,l .i T, �� )y, "� 7 ji F ` (!11 l._„x•' �' i �'L 1� (c. f! ROOF .,,.,.,. ._.. _. H:� -a.. —!., ....-.__.. �. ... ..�a_I .a..:� •;•a G.bl. N10 Gobi. Hin TOTAL Shod REMARKS: CALCULATIONS: Nal Gi�6i/✓ .PE'/��i�U T.l� 7 .fir - r �+f=s 3a-rs�`_ .v ,-� ,cL� 3v M...rd ' .r Lr, Needs 17300 c -up /ny 7r7 G s nr. rn. T. .�v�. � .i� �lgn:n-Y•. �3'T>” r: GI Fin E,va SCe/nog/ Flvl •: �r. �.!'.G '::(�1.:/' _.�%r•.I(-.•.....;,�r�.x..iV... .. �/..;1�.... shingle ,]"6 C 11 Shake Camp.-Shingl. Campa-pelt ') • n•v` O i - Al To, and Grovel :7ND F"I boa. G,11— b Va. sots. I 1 • 31 1 • 31 411 j e - PERMIT NO. 34-76B,E P E M MH UTIL. !PERMIT NO. PERMIT EXPIRES C OWNER Charles R. Davis K 'CONTR. ovmer +LOCATION (A.P. 34-17-25 17 Buehler Ave., Oroville y i r J- f .1 ll{ i r Temp. Power Pole Called PG&E Temp. Elec. Serv. i Called PG&E / — 2 %— 2f� Temp. Gas Serv. Called PG&E JOB FINALED 5� �4 7 (Date) ;� (Sign ure) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS -/G 76 071 offs' c, 6 CAI, � �5 ro 2Gl �:tej L s ��ell, BUILDING BUILDING:(Cont'd) PLUMBING _ Setback -3-16— 76 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings 3 - /G • 76 Windows 2 3rd Floor Stemwall Siding To out Slab Roof Sheathing4— Water Piping Piers 3 lG `--7G Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h — 2.41— — Reinf. Steel Final Fixtures Bond Beam FIRE SPRINK RS Motors Framing — Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lathj�Ke:4',g-Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS -/G 76 071 offs' c, 6 CAI, � �5 ro 2Gl �:tej L s ��ell, COUNTY OF BUTTE — DEP.ARTWENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone; 534-4,541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X -f' o <�r"' Date r' -j7 c_ Signature of Permitee or Agent `� Receipt No. _/ -- Uq.5 /— T 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 p DIRECTOR OF F11UBLIC WORKS By Date. � B/ permit expires Date -, BUILDING Owner �' SQ. FT. OCC. BUILDING VALUATION 51 Mailing Address A2, Tell ep one No Fireplace Contractor Total Valuation U �— Mai ling Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ a' Building Address ' PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,3 Z Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 - San)tation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking-- Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg, Ions Recd r Parcel Appr vol � Plans A proval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 • { Main service V OR LE 10000 AMP ORSLESS 5.00 Gni Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ CIER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. /DWELLING OCCU& ✓�/�� OR ADDNS, % ACC. BLDGS. P. ,4) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESIO, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID• (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. OCcup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu FIXED APP LNS, OR P•(OUT LETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �S I am exempt from the Contractors License Laws of the State of California. Permit F e $ GS / WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j� I certify that in the performance of the work for which this LCA,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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 11 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X -f' o <�r"' Date r' -j7 c_ Signature of Permitee or Agent `� Receipt No. _/ -- Uq.5 /— T 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 p DIRECTOR OF F11UBLIC WORKS By Date. � B/ permit expires Date -,