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HomeMy WebLinkAbout069-250-028_ � , - �.,:•--•- -rte -r ;,�..� ,. � , Y„ w• .SFr✓.w.. r.r.i-.y. `r-,�. • • _ a 69- zs-2B O ChesterW. Anderson i 2,50 5367 Tr` easure •ill Dr., lot 200R�64B; _ Orovii4lle i V(Q w t Permit #6108-79P,E(uti1. ,MH) S, ELE— C.// 1 %'��• / GAS. % UPP RT STRUCTURE REQ COMPACTION TEST REQ. CQntr• Carneros Mobile Transport Pyr• it#7444-79MHI Issued contr: Holmes Mobile HomeServ., Oro. Permit ��14-80B,E(n ria. garage) f contr: Lancaster & Son, Oroville Permit #2438-80B(new open deck/MH) ; contr: AcromLume, Oroville Permit 713-81 (2aw i s MH) .r o a r .l N Y 61p8-79P,,E Y PERMIT NO. � PERMIT EXPIRES f Chester W. Anderson ,,OWNER CONTR. Owner LOCATION (A.P. 34-84-28 ) i °5367 Treasure Hill Dr., lot 299, KRIM , Oro s n y t Temp. Power Pole Called PG&E Temp. Elec. Serv. ter- Called PG&,E __ 'c Temp. Gas Serv. _Ca,led PG&E 4k JOB VF NALED- (Dat) (Signature) 4. 1 i! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back ewall S I Piping Fo s Pa ets TV Floor Ma Bldg. Rest om Finish 2n Floor Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Waallll Reinf. SteE WindowN Siding Roof Shea n Roofing Fdn. Vents Garage Vents Insulation Prov. for phsical1, handicaooed Conformance of ex. Footin nal CE 3rd Xioor To out Water Pip"vg Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Motors mesir MECHANICAL Grd. Faet Prot. Scr chHeati Servic B wn I Cooifna T p. Pole nish D is I erlor Lath ntllation oor Closer anal MOBILEHOME UTILITIES ------------------ Elec- Service Water Piping :%� �-� `'%dam' C, Sewer�i--' l BI E OME INSTALLATION - - - - - - - - - - - - - Support Water Piping C-2- Drainage DATE REMARKS OR CORRECTIONS Imo, 7�)����� ,04 149 oA�o moo, Afib 6AS Me sap C54&p eyt—l"i final Elec. Pedestal Gas Piping Elec. Continui Gas Piping L -1S/ O /VAJ (NOTE: An entry must be made on this form each time you visit the job site.) L 9. Electrical A. Is service larg® enough to•provide adequate amperage to'mobile,home •must equal rating of mobilehome with a minimum of 100•amp)•and-other facilities on lot, i.e., watar pups, garage, cabana, etc.? Yes_ B. Is there proper clearances around panels? Yes -,(--No C. Is power supply cord or feeder assembly properly fused? Yes -L-10 D. ontinuity•test satisfactory as per the following procedure? Yes l IsTDe-energize electrical wiring system of the mobilehome at the pedestal. C ' Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected.' ,,K_ -Switch all breakers and switches in the mobilehome to the "on" position. >----Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 1 non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. �pon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment.. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for',energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_ Width., Vehicle Serial No. s o553 e State Identification No.�J'% j /�S' C/A, 76.7_Z (v Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECY, LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes &,-"No 3. Are footings and supports properly sized, spaced,,and braced as pey, approved plane? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes ` No_ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No •6. Water A. Is flexe connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes °� No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yee No °C Backflow - If coach is not State of California approved, does station have backflov davits and pressure -relief valve? Yes No 7. Wastes -and Drains A. Is connection made with Schedule.40 DWV and have flex connectors at each end? Yep o B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected ,in drainage system after running 3-gXlIons of water through each fixture including washing machine standpipe? Yes No AL coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and GaVceburner A. Connector - Iome con eted to.the gas supply with an approved !/4" mitimpli mobilehome coot mo a than 6 ft, long? Note: All piping is to`".&t hilt as. large as the e g s line inlet without reductions other than the ieoiilsbaw connector. Y B. Test OK as peg procedure? Yes_ No� 1. Open all connector valves. 2. Shut off burner and pilot valves. 3. Air test wit manometVr to 10"-14" water column, or test with slope gauge (minimum' 6oz.-maximi 8 oz.) ca ibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect as meter to mobil home .with connector, turn on gas, test connections with soapy w ter. C. Are all a pliance vents properly installed? Yes No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext, 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. )e&Q<«PM-D 4.UlT-1f,(N 60 Z4 S a,/Y- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY. CENTEJq DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: i Owner a Owner's Address ci . Mobilehome Mfg. Model Year fir♦ Insignia No./ A) %- %i/21 i .7- /' /_ Serial No. " , r It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works r Date 2 P/ By/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Telephone: - 34-45 le, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x [ /mate Signature of Pe�niq qr Ag Receipt No. G 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.P_UBLIC WORKS By Date /C> Building permit expires Date BUILDING OwnerChester.W. Anderson SQ. FT. OCC. BUILDING VALUATI N Mailing Address 1824 Crater Lake Avenue Milpitas, California 95035 W�hY0-?3705 Contractor OWNER Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 5367 Treasure Hill Drive Plan Checking Fee &/or Penalty - Permit Fee Oroville California 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,00 Each Trap 1.50 Lot 200 Unit 4B - Kelly Ridge Estates Repair drainage or vent piping 1.50 A. P. No. 34,r-.,84.7 28 Zon Ian n Water piping 1.500, QCT Each gas water heater or 'vent 1.50 F Sa i n Fire Dept. Fire Zone Use Pe it Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W - Improvem Each additional outlet .30 Building sewer 5.00 (i, Qc7 a R Bldg. Plans eed Parce royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ O� ,00 $ a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 600V OR LE Main service 100 AMP ORSLS T-, ()0v ESS 5.00 . Single Family ❑ Duplex ❑ Mobil Home. Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELLING OR ADDNST ( ACC. BLDGS.CcuP. Y1 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CDNSTR MULTI.OUTL T NON-RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS a NON-RESID. (SINGLE OUTLET CIR. Ex. Occur) (OUTLETS OR FIXTI1RES1 5 L� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 s-.00 License No. Classification Misc. Wiring 6.25 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. 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 Land Development Fee $C34T,00 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x [ /mate Signature of Pe�niq qr Ag Receipt No. G 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.P_UBLIC WORKS By Date /C> Building permit expires Date — COONTY-,OF BUTTE — DEPARTMENT OF PUBLIC WORKS R 7 C(vnty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT TC r authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date no re of P iite or e t Rece o.' ✓ ��- White-D.P.W. - Yellow -Assessor "Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provision4of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R T OF PUB IC WORKsS�134 � B Date d''- Z— / — Building permit expires Date ��v BUILDING Owner Chester W. Anderson SQ. FT. OCC. BUILDING VWA11_09' Mailing Address Telephone No. Contractor Carneros Mobile Transport Mailing Address 1290 E1 Capitan Fireplace Total Valuation Napa, California 94558 IT - 2 P�La�+ To. 7 Permit Fee Building Address 5367 Treasure Hill Drive Plan Checking Fee&/or Penalty Permit Fee Oroville, CA. 95965 PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 200, Unit 4B - Kelly Ridge Estates Repair drainage or vent piping 1.50 A. No. 34 - 84 — 28 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 I'Vees ek. I- Sad*Wn I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA P ing sans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 Bldg. Plons Rec'd Parcel 140rovol Ja s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES❑ OTHER Permit Fee $ is Installation (l. & Pik- (010%--7q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 10000 AMP ORESLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVERov 100 AeoMP OR LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. LBLDGS,LING Ccup- S) 2¢sgft C 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 st le of: Y Carneros Mobile Transport NEW RESID. (MULTI -OUTLET 2.50ea NON-RESID, l BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &,, NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) o L Ex. FIXED APPLNS. OR Occu ( 2.00 p.(OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. 759158 Classification C-6.1 Mise. Wiring 6.25 ❑ 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. ❑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.1 @ FEE PERMIT FILING FEE J$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 Mble. Home Installat'c$n .O( TOTAL PERMIT FEE $ 0.0( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date no re of P iite or e t Rece o.' ✓ ��- White-D.P.W. - Yellow -Assessor "Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provision4of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R T OF PUB IC WORKsS�134 � B Date d''- Z— / — Building permit expires Date ��v BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. owner's name: Chester W. Anderson Lot 200; Unit 4B 2. Installer.:s.name• Carneros Mobile Transport i 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No 7T-7 (If yes, furnish two (2).plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes / / ,No 7-X % ( If no, clarify — ) 5. What is the mobilehome electrical rating. ------------------------ 200 Amps 6. What is the mobilehome site service rating? --------------=------ 200 Amps 7. What is the mobilehome site circuit breaker rating? --------=---- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No -/X / (If yes, identify the load and size: (Load) -0- (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- -0- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG,/ / 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ -0- (BTU) (This,information not required if pipe length 'less • thane --6:_ ft. on natural: gas or less than 50 ft, on LPG.) MOBILE,HOME SUPPORT DATA If other than single wide Mobilehome Mfr. Mountain Valley Homes NET ish Setup Model No. 2�DR,"CK U Year 1979 Width 24 (ft.) Box Length S 7'(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) 1 Single 1. Wood either pressure treated c foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support Center support .� Supports (check one) locations* footing sizes (in.) 1: Concrete block. /L O 3�x3� \ ❑ • 2. Other (specify) /. (ft.)(in.) (in.) (in.) <----Tagalong or Expando,' show support details. 3 TC " J 37 (ft.)(in.) (in.) (in.) Jr i o 11 LV261 (ft.)(in.) (in.) (in.) Ig x3 -- Typical Support in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) I' i , �j 11 j I s /_0 -- Max. Overhang v I "-)t\�l�-l) i n1 (ft.)(in.) *If c'e'nter piers are other than drawn above, draw in -locations, spacing, and dimensions. BUTTE COUNTY 3UILDING DEPARTMEN` APPROVED LOT 200 •�..� .:; ... - NOTE,—All Materials :& Workmanship Shall Be fn •. UNIT 413 Accordance with • Reco'gnized Good Practices and . A Alb e /?Sr /'/ of a quality prescribed for the Specified use in the M 7A/ A.�1/'h�f Uniform QuildinS Plumbing & Mechanical Codes and z /7/ X Sy the National Electrical Code. 1 This of Tans d specifications MUST ba This P kept on the lob at times and it is unlawful to S move any changes or lterations on 3vme � without written permission fro n the Department of Publi\\ Works, County of [i He / >'o• eo, 0. 00 ry NO off' OV� Setback all be I ft. from the - `� e• Setb lin and 50 ft. from the side proPe1 centerline,4of th road, permitting amaxi- 6 `' , ma• ® mum of a 2 ft eave overhang�but entiYetf out of/all a sements. All utility connection sh b® located within 4 ft. o . side " e rear , o� 0 5° third section of the bile e on the left (road) side of t mobile.\ home. 5=T-'3AC1G- ' �V BUTTE COUNTY BUILDING DEPARTMENT A P P R10 VED) REPORT OF CONTROLLED COMPACTED FILL PROJECT: Kelly Ridge Estates , Unit 4B Lot 200 Anderson Re: 79551 GENERAL Compacted fill was placed to provide support for.a.mobile home. The maximum depth of compacted fill is about l.5 feet. DESCRIPTION OF FILL Prior to placement of fill, the.area to receive structural fill. was cleared of weeds and debris. The material used for the fill was imported to site and consisted of clayey gravelly sand as shown -on the "Summary of Tests". .Fill was placed in loose layers about six inches in thickness and compacted by track rolling. Water was added to . the fill. prior to placement of additional fill. During construction of the mobile home pad, fill was placed outside the structural.fill. This fill was not tested during' grading and is considered to be a non-structural fill. A typical cross-section (Plate 1) depicting this condition is attached. The approximate extent.of the grading is shown on the attached drawing ."Location of Density Tests" . TESTING Field density tests were taken at frequent intervals near the fill surface. Representative samples of thesoil were taken to the laboratory for compaction tests. The compaction tests,: were performed in accordance with the laboratory standard ASTM 1557 Method B The relative density of.the fill was. determined from the compaction tests. Where tests indicate insufficient compaction the material was removed, recompacted and retested. The location of the field density.tests are shown on the attached drawing. The results of the tests .are given on the table "Summary of Tests". CONCLUSIONS Based on intermittent observation, it is concluded that the. structural fill was placed in an orderly.and efficient manner and that the field density tests are representative bf the structural fill placed., It is our opinion that all portions of the structural fill are compacted to at least 90% of the maximum density, in accordance.with the requirements of the County of Butte. COOK ASSOCIATES . BY G'.—GAJ z6e Lew Hiatt Civil Engineer RPL/cab SUMi ARY 'OF TESTS PROJECT: Kelly Ridge Estates" Unit 4B Lot 200 " 'Anderson Re: 79551 FIELD DENSITY TESTS: Field Test Density Percent Maximum .Degree of No. Date Elev.. pcf Moisture Density Compaction Remarks 1 11-8-79 1'Fill 112 15 127 88 Fail . - 2 11-9-79 -l'Fill 115 15 .127 91 Retest 1 3 11-9-79 1'Fill 120 15 127 94 COMPACTION TEST: Maximum dry density, pcf: 127 Maximum size tested: 3/4" Optimum moisture, percent:" 11.. VISUAL -CLASSIFICATION: Soil type: Clayey Gravelly'Sand t' J f PE9MIT NO. 2438-80B ai PERMIT EXPIRES OWNER CHester Anderson i Lancaster &-Son, Oroville CONTR. 'LOCATION (A.P. 34-84-28 ) 5367 Treasure Hill.Dr., lot 200, KRIM , Oro. yq ' t f , .2 e 1t o � f 1 I Temp. Power Pole Called PG&E Temp. Elea Sery/ . Called PGS�&fEp Temp. Gas S€rv. Cal l ed//PG& E f0B -1 ALED (Date G _ av . (Signature) f - � f ,1 - � ,� r ijv � ' � f � ` k� a ;, .. � ijv � ' r Y: r � f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI6114`RECORD BUILDING BUILDING •(Cont'd) PLUMBING Setback ee Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal1 Sidina To out Slab Roof Sheathing Water Piping Piers Roofing i Sewer Garage Fdn. Vents Fixtures Footin s A Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phd sicall handica e Conformance of e . structure Appliances Gas Piping & T st Temp. Gas Slab \ Final Sanitation Patio FIREPLACE Final Footings `l -a/ G`J FootingELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam5S FIRE SPRINKLE Motors Framing L" lj ��0 Test Water Htr_1 Mesh I M AL Grd. F 61t Pro . Scratch ' Heating Servic Brown % Cooling Te p. ole Finish / Ducts U r round Interior Lath i Ventilation Perrnanent Door Closer Final FJdal MOBILEHOME dTILITIES - -- --------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPAnT'MENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a = — ZONING -�-, BUILDING PER I OWNER HOME SQ. FT. OCC. BUILDING VALUATION XV O OWNER'S MAILING ADDRESS s c Iwvrl,2 CONTRACTOR'S NAME loor zei ® (� TELEPHONE CONTRACTOR'S MAI ING ADDRESS �r— CONSTRUCTION LENDER UNK oWN AJW Fireplace - Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ O Penalty $ �.�. ARCHITECT ORENGINEER'S MAILING ADDRESS Permit fee $ O BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 _ Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISIONN �Qi> NAME J li f PARCEL MAP — Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE [:1SF Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ©Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work:it� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR Main service 61°0000 AMP ORSLESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare u penalty of perjury (check one): Ea�I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.BAL@10a License No. �� J� O 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 NO R BRANCH CTRCTITS 2.50 ea NEW CONSTR POWER APPARATUS a NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50@25a FIXED APP LNS. R Ex. Occup.(OUTLETS (RESID,O) EA.) 2.00. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of nsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL *PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgme s, c0 s, a enses which may in any way accrue agai st said Co my i onseque of a nting of this permit. X ,,, f<�^ � Owner❑ Contractor Agentwork Signa u e oft�/,I. n SH Peisrequred for excavations over 5'0" deep and demolition or construct- ion f s ructures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $APX,�� OCCUP. GROUP TYPE oP CONST. /Y PARCEL PD MD ISSUE v This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR PUBLIC By PERh4rT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.272 �r �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t�+ ' ;PERMIT NO. r PERMIT EXPIRES_ OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called ZG&E JQU FINALE[ Signature 713-81B Chester Andeson Acro-Lume, Oroville 34-84-28 5367 Treasure Hill Dr., Oro. = OK = Not,OK- = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECK OVERS, CARPORTS, ETC. (Plans) OK except Lt's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/ -Concrete Zoning Requirements -Setbacks -Easements -g -Footings; Size -Depth -Spacing -Connectors ^-B--Becks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location TI est-Easeqn4t Needed (Sketch) -T.-WSpd Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Locate n -Cie antes-Grnd.-/ / Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -;Test- rap./ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG -6—Garports; Windows -Doors J 7. Utility Clearance A ^ T.—Flet. 1 Card -B Date Fl Card -BI Date Card -BI Date Card- Date Card -BI Date -Card-BI Date Card -BI Date Card -BI Date Date MOBILEHOME I STALLATION (Pla s) OK except N's Date POOLS (Plans) OK except N's 1. Zoning Requ irements-Setbacksi Easements 1. Setbacks -Easements 2. Footings; Size-Spacing-Marri ge Line 2. Soils; Compaction -Strut re Stability 3. Gas; MH Test -Demand -Val -Connector 3. Pool Structure; Steel- onnections-Thickness-Dead Men -Lining 4. Electricity; MH Test -Gros overs -Breakers -Clearances 4. Elec.'Re eptacles nd Lighting; Distances-GFI 5. Drain; MH T st-Fall-FI x Connector 5. Elec.; Poo igh ng; 15 volts-GFI 6. Water; MHT Regul or -Connector 6. Elec.; Enclos es; Conduit Entries -Terminals -Listed 7. Water and Se-wer ected-C/0 to Grade -HD Approval 7. Elec.; Bon g; etal w/5' -Circulating Equipment -Heater 8. Gas and EJectrici ed 8. Elec.; G unding; ip.w/5'-Circulating Equip. -Pool Lghtg. Boxe Enclosures -Pan oards-Ins. to Main in Conduit 9. Exits; Insp.-Sk ch 10. Cert. of Occu ancy 9. H th Department Approval 10. Plumb; Cir. Test -Water Supply Test Iz Card B -I DEKe Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL JSingJe and Duplex) Date UNDERFLOOR Plans OI( 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 -3r story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Ru Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang- Atti9/Vents- Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garag teeI-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed -F . Vents-Underflr. Access 7. Piers -Fireplace Ftg. Steel 54. Glazing Area -Glass Prote ion -Skylights -Plastic 8. D.W.V.: Fall -Fittings- st-2 way C/O -Sewer Test 55. Shear Walls; Nailing-Bo)(s 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Nu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Mat ial-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 Nte Date FINAL (P ns) K except #'s Card -BI Date Card -BI Dak Date PLUMBING (Permit) OK except #'s 56. Ext Steps -Door & Sidelight Protection -Landings 57. S oke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 5V Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access ob. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 4 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except #'s 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -cooking Clearance 66. 67. 68. 69. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. 22. 23. 24. 25. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu/or At Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes [-]No; Walks ❑ Yes ❑ No; lanters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. St cco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A, Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vent Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water II; Disconnect, Electrical, Plumbing 80. Exterior lec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. throughout House Card B -I Date Card -BI Date 82. GlasVents Glass Prote tion Date MECHANICAL (Perrr,it) OK except #'s 83. Corrections f m Previous Inspections 84. Gas Test -Met sTagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer C nected-C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation g6. Energy Compliant Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return A' Vent -115V outlet 35. Attic Access & Platform if Furnace in Atli - Card -BI Date CN -BI Date Card -BI _- _Date Card -BI Date Card -BI Date Car BI Date Card -BI Date Card -BI Date Card -BI Date Card- I Date Date FRAMING Plans OK except #'s Comments at Final: 36. Proper Material & Anchor 37. _Sills; Walls; Studs -Nailing, Spacin & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders/ Floor Nailing _ Draft Stop in Walls (rat p _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac -Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) r COUNTY OF BUTTE=- DEPARTMENT OF PUBLIC WORKS PERMIT�IQ. 7 County Center Drive - Orovifle, California 95965 - Telephone 916/534-4541 Q(/ f s APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER, - L1-- —, 6 r— 0 o1 ZONING BUILDING PER IT NE TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1J .570 OWNER'S MAI NG ADDRESS CONTRACTO 'S NAIME TELEPHONE CONTRACTO 'S MAILIyG ADDRESS due z5 -3 3"IVI CONSTRUCTION LENDER 1-16 '. C UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS x/0 f✓ .. Permit Fee $ ,Qa ARCHITECT OR ENGINEER LICENSE NO. Plan.Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ cl BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo' Other SPECIFY Building sewer Lawn sprinkler system 12-00 TYPE OF WORK New �dition ❑ Remodel ❑ Utilities ❑ InstallationC Other ❑ Describe work:k'�x•C i i/% �:� i /L:C�� �:1 Ix 017 ,—� /aanL If AJ 6r A( /� u!) Cl %�J �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 0v oR LESS 10 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING 0 OR ACDNS. ( ACCLBLDGS.CCVP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare r penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �/�'�'(� License Not_ � —7 Classification C^ 4 / ❑ 1, 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 U TI -OUTLET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON_RES,(SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50@Z5¢ BAL@10c EX. OCCU FIXED APP LHS, OR p•(OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. lave 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. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal C y in nse u ranting of this permit. X Date—� Signature of Applic — Owner ❑ Contractor E�_ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stor' s in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE �$ OccUP. GROUP j I TYPE OF CONST. PARCEL ` PD v HD v ISSUE e✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF BLIC m By PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date L Receipt No. z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT } PERMIT NO. "148-80B,E f PERMIT EXPIRES OWNER Chester W. Anderson Holmes Mobile Home Serv., Oroville CONTR. 34-84-28 ,,LOCATION (A.P. ) i 5367 Treasure Hill Dr., lot 200, KRAB, Oro <s Temp. Power Pole Called PG&E Temp. Elec. Serv. d� Called PG&E Temp. Gas Serv. x Called PG&E JOB FINALED Date) (SiNature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 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 - — 4— Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation I Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handicaped Conformance of structure Appliances Gas Piping & Test Temp. Gas Slab Final - Sanitation Patio FIREPLACE Final Footings Footing E ECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SRAINKLERS Motors Framing -257—F Test Water Htr. Stucco Final Subpanels Mesh MEC ICAL Grd. Fault Prot. Scratch Heating Service Brown x Cooling Temp. Pole Finish z Ducts Under ro d Interior Lath Ventilation Perman Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALlLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) .. Y . " r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W KS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 % y APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me tioned perty for i p ction purposes. Date /-,/,f�� $ nature of Per a or A nt Receipt No.�Z� U 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. DIRECTSIB OF -PUBLIC WORKS By Date luilding permit expires Date BUILDING Owner �EYZ �.lJ D� SQ. FT. OCC. BUILDING VALUATI N Mailing Address �3 (�7 -rA225 2 _ P// Telephone No. Contractor Oxd gr ;:aa Mailing Address jLj� 40E Fireplace Total Valuation 27 Telephone No. Permit Fee Building Address REA50 i • IanCheckin ee /or Penalty /Z Permit Fee 3� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 L/ Repair drainage or vent piping 1.50 A. P. No. / ( nning Z & Pla oning Water piping 1.50 Each gas water heater or vent 1.50 FWes I Wt5. SSerti•tetiorr Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvemen s Each additional outlet .30 Building sewer 5.00 � �� Bldg. Plarh-Rec'd Parcel A ro of Plans Approval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @r070 PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR L 5•00 ESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 — E4941 Main service OVER P O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 OR ADDNS. (ACCLBLOGS. h) 20sgft ,16 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 © % i>^//djj'' KES � % OtF 6 t` • NEW RESID.BRANCH CIR T NON I CONSTR. � BRANCH CIRCUITS) 2.50ea NEWCONSTR. /POWER APPARATUS 9 NON .RESID, `SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIIRES g L1C Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. &0/3�1� Classification ���� Misc. Wiring 6.25' ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2, lO $ /L /U 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. IfA I have placed on file with the County of Butte a certificate of t�J 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ G authorize representatives of the County of Butte to enter upon the above -me tioned perty for i p ction purposes. Date /-,/,f�� $ nature of Per a or A nt Receipt No.�Z� U 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. DIRECTSIB OF -PUBLIC WORKS By Date luilding permit expires Date