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069-130-038
COMPLAINT TO INSPECTOR -'lBUILDING !CODE WIOVATION JEETTER'XI)AY 14'j - Q 31 BUILDING CODE VIOLATION rLETTER 10 DAY Ltv( _e �"CLO SENT TO C.E. FOR CITATION & - 13'*58 A.P. P LILLIE ZILCH' 14— 1)3 n .1 -1 a P TlY v T? Tn+ 70 r�vn Permit 3768-73P�.,E -(utilities for NH) (04 A.P LIA� ..Z -ILC -H- ---/P ./. 14174� 520 Silverleaf Dr., Lot 79, K.R. CONTR: North Valley Awn., Y.C. Permit aita%" . 69-13-38 A.W. mC-G�o.. C '� .�/�G/8 'Fe'rmit #3 awning & deck) '49-13-38 Contr: ,4Berson Awnings, Chico e - 4190-83B(new.carportft) ..>W 38 C�lI a"� I CA JOB WORK ORDER (ATEDDFORDER / - ��� USTOMER'S ORDER NO. PHONE. MECHANIC HELPER 7///s NG DATE i 3i�vv1 �'E�c� ZONTRACT DcfRA I hereby acknowledge the satisfactory c pletion 0 No one home ,Total amount clue U I oral pining 6u of the above described work i for above work; or be mailed when job finished. Signature LITHO IN U.S.A. TOPS " FORM 3467 0 0 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile January 7, 2004 David R. Moseley 5751 Calhoun Ave. Van Nuys, Ca. 91401 RE: Formal Warning Notice Building Code Violation Location: 520 Silverleaf Dr., Oroville AP #: 069-130-038 Dear: David R. Moseley This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated July 21, 2003, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of two enclosed porches. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). • 0 David R. Moseley January 7, 2004 Page 2 Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, e"�2B 2 �ro n Supervisor Building Inspector 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. # 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On January 8, 2004 a foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. David R. Moseley 5751 Calhoun Ave. Van Nuys, CA. 91401 I declare under penalty of perjury under the laws of the State of California on January 8, 2004 at Oroville, California. Myles J. Strand Office Assistant II Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile November 21, 2003 David R. Moseley 5751 Calhoun Ave. Van Nuys, Ca. 91401 RE: Building Code Violation Location: 520 Silverleaf Dr., Oroville AP# 069-130-038-000 Dear: David R. Moseley: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of two enclosed porches. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you.' Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, Supervisor Building Inspector SR: ms cc: Assessor BUTTE COUNTY 11 VELUrivM141 3z1--vJ Complainant:— Address:— Phone omplainant:Address:Phone Number: Other Comments: Inspector. must draw a plot plan with all building locations: Additional Comments from Inspector. 2 �- ..._ • .-- --"-------'-- _ A.P. n-2�3.8 LILLIE ZILCH 93 40 Silverleaf Dr., K R;Lot 79, Oro. Permit 3768-73P•,E (utilities •for.MH) h4- t 3- 3g A...P g. LILI z;w AN. ZILCH �! j �` - / s .�/G� / - • / �/y �.c; 520. 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COUNTY q&UTTE BUILDING ISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891=;2751 I 7 County Center Drive • Oroville, CA • (530)_538-7541 / CORRECTION NOTICE OWNER -� �s'� / (� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office When correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Q t Date /6 A/ Inspector ---z Uv ' REV 10.92 / P. 3<1 *� i ziill 111 cl-I .4 r� COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel e0hone: 554-4541 APPLICATION AND PERMIT autnorize representatives of the county of Lmte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent 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 PUBLIC WORKS By BUILDING Owner » SQ. FT. OCC. BUILDING VALUATION Mailing Address ; w. Telephone No. Fireplace Contractor Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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. ' �'t bzoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit - Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 1; Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b6�?o Receps., switches & fix outlets h.1 T10 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 <;" -- Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ '" autnorize representatives of the county of Lmte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent 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 PUBLIC WORKS By COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Telephone: -534-4!741 APPLICATION AND PERMIT 2 =73 authorize representatives of the County of Butte to enter upon the above-menty"gned property for inspection purposes. X ignature of Receipt No. // ./ White-D.P.W. - Yellow -Asses Date%�— %5 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 PUBLIC WORKS By Date building permit expires Date �d_i 7�. BUILDING Owner •SQ. FT. OCC. BUILDING VALUATION Mailing Address h*/ Telephone No. Fireplace Contractor y���� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 + Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 QF A. P. No. — %a2 - .3 Cj Zaning I ng Gas piping system 1 - 5 outlets 1.50 h Each additional outlet .30 F Sar n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 g. Plans Recd Parce pprovaI Plan%pproval Permit Fee $ /D =° NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .3 oe Main service incl. 1 meter V4?� Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 G G Water Heater or Space Heater 1.00 Light fixtures bal d10 Receps., switches & fix outlets b 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 s oL Temp. Power Pole 5.00 Lice pe No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of men's Compensation Insurance. ❑�W��! tify that in the performance of the work for which this pmis issued I shall not employ any person in any manner so as to become subject'to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 2� 00 — authorize representatives of the County of Butte to enter upon the above-menty"gned property for inspection purposes. X ignature of Receipt No. // ./ White-D.P.W. - Yellow -Asses Date%�— %5 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 PUBLIC WORKS By Date building permit expires Date �d_i 7�. r 3763-83 V PERMIT NO. 4190-83B PERMIT EXPIRES lab 21 OWNER ART Mt -GOWN CONTR. Anderson Awning ASSESSOR PARCEL 69-13-38 LOCATION 520 Silverleaf Drive, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALE[ Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except, #'s onin equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3.TlJvtirstiiI'ders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. wn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing__ 5. Electricity; Location—Clearances—Grnd.-/ / Amp—Concrete r Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ /" LPG 6. t^arp_._+ —Aindows—Doors 7. Utility Clearance 7. Ele�c-_ Card -BI Date Card -BI Date I ate Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date _ POOLS ( lans) OK ex ept #'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/0 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 Department 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 = OK = Not OK = Not Applicable RESIDENTIAL (Stin'g'I6'and Duplex) = Not Ready 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. Fig., 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-Blockouts-Wrapped-S'lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -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 #'s 56. Ext. Steps -Door &Sidelight Protection -Landings 57. Smoke Detector Card -BI Date _ PLUMBING 14. 15. Date Card -BI Date (Permit) OK except #'s Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ _ 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 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 #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. _ _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. InsulationFoamLooked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 01 No Service -Riser Conductors &Ground -Main Disconnect 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - Card B -I Card B -I 30. Clothes Closet Light -Shower Light _ - _ _Date_ -_ __ Card -BI Date Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr,it) OK except #'s 83. _ Corrections from Previous Inspections 84. 85. 86, Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 31. 32. 33. A.C. Ducts; Insulation &Support Vent Fail; above Insulation _ __ Condensate Drain _& Overilow; Size & Grade _ 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -81 _ Date - - Card -BI Date Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Date _ FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing Bracing -Plates -Sound _- 38. Bearing Walls _over _Girders & Floor Nailing_ 3_9. Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. 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 H_gt. & Dimensions 47. Garage Fire Protection Framing Comments at Final: _ (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS `7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICAf ION AND PERMIT PERMIT NO. ASSESSOR P C[� NUMBER ZONING! BUILDING PERMI OW ER TELEPHONE SQ. FT. OCC. BUILDING VAL ATION �a OWNER'S MAILN A RESS • NTACTOR'S NA TELEPHONE 34a - CON A OR'S MAILING ADDR X Fireplace CONSTRUCTION LENDER O UNKNOWN 4. 4 Total Valuation $ Filing Fee $ 10.()0 LENDER'S MAILING ADDRESS ,------ — Permit Fee $ v ARCHIT CT EN IrvEERLICENSE NO. Plan Checking Fee $ 15,00 Penalty $ ARCHITECT OR NGINEER'S MAILING A DRESS Permit fee $ t 0-10 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex F] MobilehomeER-_*`0&her SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ AdditionL�'J Remo I ❑ Utilities ❑ Instal la ion ❑ Other[:] Describe work: A v ✓l►+r �I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING OCCUP.& OR ADD NS.ACG. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessDO"23C and Professio Code and m license is in full force and effect. y w License No—V2121Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON-RESID BRA CH CIRC TS NEW CONSTR. ( POWER APPARATUS D) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SA 1 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 pl-Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 i onsequence of the granting of this per it. [DPTJ X �,GSQ d/�� Date �Z Signature of Applicant — Owner ❑ ,EgntryFtor ❑ Agenr An OSHA permit is required for exc vatio id .�eep and demolition or construct- ion of structures over 3 stories in he Mobile Home Installation Fee $ S TOTAL PERMIT FEE $ SFj, Occup. GROUP /(,/�� ' l I T OAF C�ONST. _ri PAR Pb HD 99 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE EXPIRES Date the p ca a provi- resolutions to do fees have been paid. WORKS Date /z - 7 -7 -AE 7 1z /'x'7� b' Receipt No. WHITE-D.P.W., TELLOW-ASSES90R, INK -I PECTOR, GOLDENROD -APPLICANT 3763-83B PERMIT NO. PERMIT EXPIRES OWNER — A.W. MCGOWN CONTR. OWNER ASSESSOR PARCEL 69-13-38 LOCATION 520 Silverleaf, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALE[ Signature = OK = Not OK, = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's onin -Requirements—Setbacks—Easements _ ootin ; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) _ 4. -We s—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracin_g__ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concreteum. 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance Awn.; Columns—Connections—Splice—Decal—Enclosures ^ 6.- Gappept s— ors 7. Elec. " Card -BI Date Card - BI Date OR -B a.2 Card -BI Date Card -BI Date Card -BI Date -BI _ ate,3—�o— Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's Date POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements ' 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability r 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—Enc losures— Pane [boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test 'Card B -I Date Card -BI Date Card _Bl Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) a Date UNDERFLOOR Plans OK exce t#'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 -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-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. 11. Water Pipe; Test -Anchors -Regulator -Service Test 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 Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 1.9. 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 Perrc.it OK except #'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 -Meth. Protection - 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps -_ 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At _ 27. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ 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 -I Date_ Card -BI Date 81. 82, Ventilation throughout House Glass Protection Card B -I Date -_- _ Date Card -BI Date MECHANICAL (Permit) OK except #'s 31_ A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. _ _33. Vent Fan_Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- -- -- - -- 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 #'s Comments at Final: 36. Sills; Proper Material & Anchors _ _37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_____ Draft Stop in Walls (rat proof) - _40. _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub Y _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access_: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hg_t. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196NMem6riat Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE ML /"sica)rk—/ q i9b-F3 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. i�j r Bio W PzAc.a Inspector +'���J�,!' (�+7t/i/� �l �r� Date COUNTY OF BUTTE DEIPARTMtNT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ;/ / r' /' rl _ fi . " . A ^ A ......_'n Inspector !• �-' ' ` Date , • f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial 1Iay, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 G CORRECTION NOTICE��6 ,e) OWNER `" PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �� �' Date ` / COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95969 - Telephone 916/534-4541 APPLICATI ON:AND-PERMIT PERMIT NO Q� ASSESSOR r PA CEL NUMBER ZONING --- S BUILDING PERMIT OWNER TELEPHONE SO. FT. BUILDING VALUA I �OO�CC, SOB OWNER'S MAILING ADDRESS 572.a 'sig-U� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILI ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S, ,�O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 57/ &Z> Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ !21 BUILDING ADDRESS 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 SF ❑ Duplex ❑ Mobi lehome ❑ Other 214,,& / V6 )bF,—a, SP CIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK Newt/ Addition❑ Remodel[] Utilities❑ Installation❑ Other❑ Describe work: 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 ADDNS. ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and 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) ❑ 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.(2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTRPOWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. Ex. Occup20®50C OR FIXTURES BAL®So FIXED OR FXED A PPLNS Ex. OCCUp.I OUTLETS (RESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 agains id County in sequenc of the granting of this permit G X Date �l Sq,.`.' of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ _50, OCCUP. GROUPTYPE of CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRETOR OF PUBLIC BY MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date d^� e3© /1-�—� Receipt No. ZIrip0 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I N 1 .sI PERMIT NO. 1762-74B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 4' `' i OWNER Lilian Zilch -'')CONTR. North Valley. Awning, Y.0 . aI • ^LOCATION (A.P. $RX 34-62-38 520 Silverleaf Dr., Lot 79, K.R. r -Temp. Power Pole Called PG&E Temp. Elec.' Serv. Calle PG&E Temp. as Serv. Yalled PG&E OB F.INALED (Da etT— (Signa)&)e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — — G. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers 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 Footin s Footing I ELECTRICAL Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ 7T /v Grd. Fault Prot. Service Temp. Pole Underground Permanent Final COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Tel eghone: 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` Date �^ 07 tl Signature of Permitee or A ent Receiat 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. r DIRECTOR OF.RUBLIC WORKS By Date`- Iding permit expires Date...............`f�Z`.d� BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Sq 7.©© O 8 Mai I i ng Address 33(.- >J 3 moi% 0 6 Telephone No. Fireplace Contractor Total Valuation Mailing AddressrIf O� Permit Fee Plan Checking Fee &/or Penalty VC) /6� - 9� Tje�phone �� w Permit Fee $ $ 3, 04 Buildi g AddressS /!/E E PLUMBING No. @ FEE PERMIT FILING FEE $2.00 t 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma 60' R/W P Improvements provements Lawn sprinkler system 2.00 Bldg. PIS IRecd Parcel Approval Plans Approval Permit Fee $ $ NEW E' ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q� Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2%25 d10 Receps., switches & fix outlets 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 styleof• _e WAIJ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 / License No`,q G Classification — Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Fj 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` Date �^ 07 tl Signature of Permitee or A ent Receiat 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. r DIRECTOR OF.RUBLIC WORKS By Date`- Iding permit expires Date...............`f�Z`.d� c6iRv OCj % 10 lywI)SS��