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069-310-011
_ t Glenn M. Gates 6384 South For c t. lot 4 Permit 0 KR#4c, _ 0rov4 a ��/l A"AA4��9 Pert #6353x` 9P,E(util.,ZH) �= �- E j'C . — _ 7f 9l717 /f az d° GAS SUPPORT STRUTURE REQ. COMPACTION TEST REQ. CV%0pn1tr : Car00%o Mobile Trans,NaP a Pelmit#7023-79MHI / ssued 6 i ' Q 3/�� n it I592-80B(new pri.det.garag Permit##3370-80E (ele/592-80) F n contr: Acro-Lume, Oroville Permit,,14046-80B(new.pat•o cover/MH). fi'72c1 / � _ -- • 69-31-11 Butch Armel�60� S -IAA i2 6384 South Eork Ct, Oroville Permit ## 1310-82S (addn o/deck)MH contr: J.W. Lancaster Const, Orov - 69-31-11 Contr: Fred's Awnings, Paradise Permit#2494 •3$(ne deck coverMH) i -12-8 69-31-11 ermit a 96..86B( w..open.-deck)MH_ 69-31-11 �ern 2490-86B(new 'shade structure/MH) 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 s_ ~ CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California dministrative Code, Title 25, Cha�Pter 5 under permit number for the following location: l 3'�/ 44'.?- fes' A!�VC, 6/Mil/LL Owner �/iW /i!/l Owner's Address%1%_ Mobilehome Mfg. lkk—� --! ` Model ���i Year�� Insignia NoCZA /G.:Sbk. — /�3�Gi Sr—Serial No. It is hereb�cer�fieH for occupancy at the above described location and may be occupied. — Director Public �,Wo�vr'k D ate By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS�RELOCATED r s PERMIT NO. 6353-79PTF. PERMIT EXPIRES OWNER Glenn M. GAtes r CONTR. owner 34-89-11 LOCATION (A.P. ) 6384 So.Fork Ct., lot 330, KRYNC, Oroville r 1 I Temp. Power Pole Called PG&E Temp. Elec. Serv. oe Called PG&E r Temp. as Serv. -ailed PG&E JOB FINALED (Date G (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD (NOTE: An entry must be made on this form each time you visit "the job site.) BUILDING X BUIL'DING'(Cont'd) PLUMBING S back F wall So Piping Fo ` s Par ets 1 Floor Ma Bldg. Restro Finish 2n loor F tins Windows 3rd or Ste wall Siding To out Slab \ Roof SheathXg Water Pi i Piers \ Roofing Sewer Garage Fdn. Vents X Fixtures Footin s Stemwa I I ', Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Slab V A Prov. for ph sically handica ed Conformance of ex.Gas structure A Final Appliances Piping & Test Temp. Gas Sanitation Patio )(IREPLACE Final Footin s X Footing LECTRIC l Masonry Walls \ Throat Rough Reinf. Steel \ Final Fixtures Bond Bea \ FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco \ Final Sub ane Mesh MECHANICAL Grd. F461t Prot. Heatl Servi \ Co ng T p. Pole tBn \ Dis nder roundath entilation ermanenter Final inal MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping —Sewer a Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping —7 Drainage Gas Piping DATE ,L/` / C Z5� REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit "the job site.) 9. Electrical A. Is service large enough to provide, adequate amperage -to mobilehome (must equal rat:kag.tif• mobilehome with a minimum of 10 amp) and'other•facilities bn lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? YesL o ` C. Is power supply cord or feeder assembly properly fused? Yes z_w o D. Is.continuity test satisfactory as per the following procedure? Yes No De -energize electrical wiring system of the mobilehome at the pedestal. ?l Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3 'Switch all breakers.and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. j All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon.completion of the above procedure, the power -supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the .mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 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 k a'F".4 j--, Length �D L Widt X � �" Vehicle Serial No. State Identification No.L Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST. 1. Is the mobilehome located itequired.,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) Ye 3. Are footings and supports properly sized, spaced and braced as approved plans? (Note possible variation at spring shackles.) (Sec 082 & 5083) Yes_ No 4. Is the mobi ome level? (Sec.'5088) Yes_ No 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No. 6. Water A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No ackflow - If coach is not State of Galifornia approved, does station have backflow device 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? Y s— No_ B. Does it have minimum per foot slope and is it properly supported? Yes; No � P P P P Y_ C. Are any leaks detected in drainage system after running 3- lons of water through each fixture including washing machine standpipe? Yes_ No *V%e achis not State of Californiaapproved, does station have requi trap and vent? No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply wi an approved 3/4" minimum mobilehome conn for not more than 6 ft. long? Note: 11 piping is to be at least as large as the mobi ehome gas line inlet without redu ions other than the mobilehome connector. Yes o B. Test OK as per followin procedure? Yes _ 1. Open all appliance co ector valves. 2. Shut off appliance burner d pil valves. 3. Air test with manometer to 10'- " water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibra ed in nth pound increments. Test for 10 min. without drop. 4. Connect gas meter to soapy water. C. Are all appliance ven s ilehome with conneb tor, turn on gas, test connections, with properly installed? Yes_ s COUNTY OF BUTTE' - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 // Telephone: 534-4541 /9t56_% APPLICATION AND PERMIT (/!J/Jlex " VI 1116 l/UU11ty 1.11 OUttG LU W11LUI UPUII 111C above-mentioned roperty for inspection purp ses. X �0_te nature of Permitee or Agent Receipt No. V& 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 BV Date_�� Buf Kding"permit expires Date BUILDING Owner Glenn M. Gates SQ. FT. OCC. BUILDING VALUATION Mailing Address 20554,Carniel Avenue Saratoga, CA. 95070 Telephone No. Contractor Owner Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 6384 South Fork Court Plan Checking Fee&/or Penalty Permit Fee Oroville California 95965 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 q. 00 Each TraD 1.50 Lot 430 Unit 4C Repair drainage or vent piping 1.50 A. P. No. 34 - 89 - 11/ onin & PI Hing Water piping 1.50 D D Each gas water heater or vent 1.50 F s Sa n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach -Declaration cel 60' R/W L Improv is additional outlet .30 Building sewer 5.00 00 Bldg. Pla s Recd Parc roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESM OTHER ❑ Permit Fee $ ,OU $ D ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 op Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Famil Du lex Mobil Home Others 9 Y ❑ P ❑ ❑ 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 CONST. ( DWELINGOR ADONS. ACCLBL GS.CCUP 5i) 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 st le of: y TL NEW RESID, BRANCH CIR T NEW CO ID � BRANCH CIRCUITS 2.50ea NEW CONSTR./POWER APPARATUS t1 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. QCCU / FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ Z p $ 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 Cal i forni a. @ 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 $ s',00 TOTAL PERMIT FEE $ VI 1116 l/UU11ty 1.11 OUttG LU W11LUI UPUII 111C above-mentioned roperty for inspection purp ses. X �0_te nature of Permitee or Agent Receipt No. V& 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 BV Date_�� Buf Kding"permit expires Date COUNT`f-&F, BUTTE = DEPARTMENT OF PUBLIC WORK: 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �V,W& -7 9 authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date a re o mite or Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated abov fo which fees have been paid. IRTc, 3DR OF , UBLIC WORKS `% D1 ate ' -A7- Building permit expires Dat _ `�� �% il� BUILDING Owner Glen M. Gat -Os SQ. FT. OCC.1 BUILDING ATION Mai I i ng Address Telephone No. Contractor Carneros Mobile Transport Mailing Address 1290 E1 Capitan Fireplace Total Valuation Napa, CA. 94558 T��epaPF�lc. Permit Fee Building Address 6384 South Fork Court 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 430, Unit 4C Repair drainage or vent piping 1.50 A. P. No. 34-89-11 Zonirng & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es lil✓C. SafrttRion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improve is Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A oval Plan Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESOTHER Permit Fee $ $ pp❑ Installation 01-- T7 j�5�=1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Homex❑ Others ❑ Main service EA. ADD -L'100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING Occup- Y) 20 Sq ft 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: Carneros Mobile Transport TLET NEW RESID. BRANCH CIRCUITS) NON-RESID, ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON -RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES B LM; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158Classification C-61 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. ® 1 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 1 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 Installati TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date a re o mite or Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated abov fo which fees have been paid. IRTc, 3DR OF , UBLIC WORKS `% D1 ate ' -A7- Building permit expires Dat _ `�� �% il� MOBILEHOME SUPPOkT DATA /i / I If other than single wide, ngo Mobilehome Mfr, (904DEN WEST furnish Setpp Model No. K I� 'a �0 Year 7 Width ( (ft.) Box Length c� � (ft.) Tagalong or Expando Size a ' ft. x,.302 , 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 on Single _ l 1, Wood either pressure treated ' d _ T V'D" (ft.)(in.) (in.) (in.) qx 3 (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) (in.) (ft.)(in.) (in.) (in.) _ T V'D" (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. foundation gra e 2. Other (specify) Supports (check on. Concrete block. 2. Other (specify) F _ 1 1 •� . <—-Tagalong or Expando show support detail: IITX_ -- Typical Support in.) (in.) Footing Size �� -- Max. Pier Spacing (f t-. in. ) 1 -- Max.: Overhang . BUT P- COUNTY -10ILDING DEPARTMENT APPROVED. � IL 3,o 3V9'' (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. foundation gra e 2. Other (specify) Supports (check on. Concrete block. 2. Other (specify) F _ 1 1 •� . <—-Tagalong or Expando show support detail: IITX_ -- Typical Support in.) (in.) Footing Size �� -- Max. Pier Spacing (f t-. in. ) 1 -- Max.: Overhang . BUT P- COUNTY -10ILDING DEPARTMENT APPROVED. � BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA._ PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 0 1. Owner's name: Glen M..,Gates 2. Installer's name: Carneros Mobile Transport 3. Is the.site currently under permit? Yes 777 No (If yes, furnish permit number ) OR Is the site an existing site? i Yes / / No % (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 ( 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 ur Amps 8. Is there any other electric load to be served by the mobilehome- obilehomesite site service? --------------------------------------------------- Yes / / No A / (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-- PG11. 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) -0 (BTU) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) P. U_,_cAScM.nlT I / I perraii will be,require r i tallatiol$ of the mobi MLO; so .CJI 500 SQ. FT. MINIM EOR MOBW 4, FZZQ%✓-T_. V2a O All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home, The. Setback shoo be S ft- roto a side property line and ro a /FS dOED centerline of the road p ermi ;ng rnaxi- R-klm of a 2 ft, Gave overha g b entirely out of all easements. ,, yo • 'C�' � ' • . I Z This set of plans ands e< kept on the job at all time make any changes or alteratl wriiten permission from the lic Works, County of Butte. Sg 70 S _. rr = S9' L =57, oS it —1= O r� K cations MUST be d it is unlawful tv s on same withou�' partment of Pub- C+SSM BUTTE COUNT -T $UIIDING DEPARTMEN APPROVeD C O U R -I— A-7 OZ? IZ- .6- MOZ?IZ-.6 i1A Or 10 9-G�r -T,9 i . COOK ASSOCIATES ENGINEERING CONSULTANTS ' - 2060 PARK AVENUE ' ' OROVILLE, CALIFORNIA - 95965 . :...•..........._.:........... ..-. PHONE (916) 533.6457'. . November 27, 1979 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 . ' Re: 79551 :. Dear Jim: We are pleased to submit the enclosed Report on Controlled Compacted Fill for: Gages KRE Unit 4C Lot 430 Anderson KRE Unit .4B Lot 200 If you have any questions, please do not hesitate to . contact us. Very truly yours, COOK ASSOCIATES Lew Hiatt Civil Engineer LH/cab Enclosures cc: Doyle Carter PROJECT: Kelly Ridge Estates Unit 4C Lot 430 Gates Re: 79551 GENERAL Compacted fill was placed to provide support fora mobile home. The maximum depth of compacted fill is about 3 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 Density 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". .t . TESTING Field density tests were taken at frequent intervals near the fill surface. Representative samples of the soil 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 of 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 SUMMARY OF TESTS PROJECT: Kelly Ridge Estates Unit 4C ,Lot 430 Gates Re: 79551 FIELD DENSITY TESTS: Field Test Density Percent Maximum Degree of No. Date Elev. pcf Moisture Density Compaction Remarks 1 11-5-79 Surface 117 15 .127 92 2 11-5-79 l'BFG% 125 12 1127 98 3 '11-5-79 2'BFG 121 12 127 95 Below Finished Grade t COMPACTION TEST: Maximum dry density, pcf: 127 Maximum size tested: 3/4" Optimum moisture, percent: 11 � BUILDING SETBACK LINE P_lhIIntI MAP1C URAL '4 c:r1w SSOCIATES . .NOWlERWO CON6IJLTANT9 9000 PARK AVlNUE OROVILLG , CALIFORNIA 90906 PLATE- I ,a . , L.UL;A1 1UN Ur uLN.")I l T LOT 430 y. DOYLE. CARTER R� -ra55t UNIT 4C s GO G 10_ � ' 2¢ ;r � sz'v✓/Tam y / \ r u1 � a _ <3 '02 • N N / / P T �"- Ati ry P. ri "•' t S =T- fad. C Ile LEGEND. D Urnit of Te5t2-d Fill. Locdtion of R_59, V Density Test. =57. oS iv Q Depth of Fill in ft'. �. Fill Slope' =Y= Cut Slope S O U N --- 0 2 K C O U R T 7-/0-78 D..D. COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS ii 695 Oleander Avenue, Chico — Phone 343-4211,- Lxt. 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. . 592-80B PO I "8 PERMIT EXPIRES- tt// Glen Gates OWNER "JONTR. owner M1 �OCATION (A.P. 34-89-11 ) t 6384 So.Fork Ct., lot 430, KRINC,Oroville �1 t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date ( gna ure) j - ♦ r �1 t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date ( gna ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Temp. Pole PLUMBING Setback 223—F6 C----/ Firewall Soil Piping Ventilation Forms Parapets list Floor Final Main Bldg. Restroom Finish 2nd Floor Water Piping Footings j Windows 3rd Floor StemwaII I Siding To out Gas Piping Slab zzT Roof Sheathing Water Piping Piers Roofing j Sewer Garage Fdn. Vents Fixtures Footin sGarage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. forph sically handlca ed Conformance of ex. structure Appliances Gas Piping Temp. Gas & Test Slab Final _ Sanitation Patio FIR PLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough ?— / a ' Reinf. Steel Final Fixtures Qr- / Vi INKLERS Test Final Motors Grd. Fault Prot. Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - -Support Elec. Continuity Water Piping Drainage Gas Piping DATE�'f REMARKS OR CORRECTIONS � (NOTE: An entry must be made on this form each time you visit the job site.) J I `COUNTY QF BUTTE — „DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive : — Oroville, California 95965 • Telephone: 534-4541 r�� APPLICATION AND PERMIT �'J) (� AA ouuwnc.e IeNreseninuves or ale uounty of tsutie to enter upon ine above-mentioned property for inspection purposes. te � v 0,1 X G Da Signature of Perm'•te`e or Agent Receipt No. Y7 White-D.P.W. — Yellow -Assessor— Pink -Inspector — Goldenrod -Applicant IS .. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo�r which fees have been paid. ADIRECIOR OF PUBLIC WORKS Building Date BUILDING Owner SO. FT. OCC. BUILDING VALU TION O Mailing Address i Tele hone No. Contractor l Mailing Address Fireplace Total Valuation .®C7 Telephone No. Permit Fee Z -00 i � —F eIC G� Building Address Sol) (D �J r(� an Checki n Fee /or Penalty/2.,* 29 . Permit Fee 3 6.00 &j Ca PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 4 J �� G z%� Jd q Repair drainage or vent piping 1.50 A. P. No. P—TY Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F,&esf W +�it__ULICIn FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel "eclaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI Recd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others tJ Main service EA. ADD•L too AMP 2.50 PR/ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. S� 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� NEW CONSTR (MULTIBRANCHCIR-OUTLET NON-RESID BRANCH CIRCUITS/ 12.50ea NEW C ON ST R POWER APPARATUS & NON.RESID. ANGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B Lam;104 Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N Classification Misc. Wiring 6.25 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 W rkmen'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 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 Land Development Fee $ TOTAL PERMIT FEE $��p Oc ouuwnc.e IeNreseninuves or ale uounty of tsutie to enter upon ine above-mentioned property for inspection purposes. te � v 0,1 X G Da Signature of Perm'•te`e or Agent Receipt No. Y7 White-D.P.W. — Yellow -Assessor— Pink -Inspector — Goldenrod -Applicant IS .. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo�r which fees have been paid. ADIRECIOR OF PUBLIC WORKS Building Date h � �N=w_sd_•nd _ O U �' cificati• ns MUS ('7 '�' { of plans and spe A setback of 0 ft. from the •�- s job at all ttrrev. nd it i wful to property lines and a setback tn�he j s me without es or a,13G��CtEo �.�,J v Chang .� ,� a artrn@ t of Pub of SQfr. from the road erenis. * �T� centerline shall be clear of o 0 z_ in �C,tp®rn, e u e• / Ito structures or equipment except � � �y N ,J � \ for a 2 ft.. eave over�ang. U ,� 0 -311. 71 v 4 LY Q a� .. v► - �\ N II Materials & Worlcmanshtp Shall Be n €'— need Good Practices and 0 q 3 Accor an' e, w�pscr hed for the Specified use in th® _ \ N of a ,Plumbing &Mechanics! Codes and Uniform ectr a4 Code. vi �� • ° !7( ;(1 jo;"�=• 't'jr.�e".jam_-- r-% I E ��17,�1TY V1 \ �� ��1 BUILDING Dr -.P RTIvIENi �,. • • \.--'� '�� APPR ®VY E D Z'S6 17 n' ICK D.0 S%or ra lr_. 4- �Skop ' SIX 1 a Ntfi:E � t�1(l'J. f•1t �i;lt `i1 j Atj !, IAOL 511 Fvt.wCdh170A1.1.�01'�5 P�ouideY2" x -1Q" anchor bolts @ 6'- O.C. -max. and within �oo�r No%.S12"— of joints.. . Ila. e.CX- txPoSECLop G z r . 4r 'a I � V i -S 1,4 `X. I?S .gib AAJ I Ifo A permif will be"required w h�H U ort 9•`"y 70. BUTTE COUNTY BUILDING DEPARTMENT A P P R O V E 1. 'De w in1�l -PetipA.er�, b.� J. ,J, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE/R�MIT N0. 1,,,5f ASSESSOR PA E NUMBER ZONING BUILDING PERJr OW TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION O NER MA LING DDRE ��y�7.0 r o r� V ~ V r V it Com. CONTRACTOR'S NAME y- 1 TELE H E CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU J,4 DD RESS Yk c PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT // NO. 03o SUBDIVISION NAM G PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OFUCT lr _'P SF❑ Duplex❑ Mobilehome Oiher �rL7��ic�'r� ' SPECIFY— 3 Building sewer Lawn sprinkler stem s P y [E2.00 TYPE OF WORK New R' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work:(, - ©,C —QiD Y ��� � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 LESS AMP OR 5.00 Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC P OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID NEW R BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. Occu 50 @ 25a P(ouTLETS OR FIXTURES BAL@10S FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 10, Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �( 1 shall not employ any person in any manner so as to become subject Yom, 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 FiIingFee 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 aid County in consequ n ee o h ranting of /thisrmit. �Da Signature of Applicant — Owner❑ Contractor ❑ A An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.`3© Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE , OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which T OF PUBLIC By PERMIT EXPIRES Olfie the applicable provi- resolutions to do fees have been paid. WORK Dat I �[f Receipt No._T .'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT j ,t '`" 4046-80B .,�PERM16 NO. PERMIT, EXPIRES`_( OWNER Glenn Gates Acro-Lume, Oroville ICONTR. 34-89-11 LOCATION (A.P. ) 6384 So fork Ct., lot 439, KRIM, Oroville tc f a a : .4 f t t i Temp. Power Pole j Called PG&E 11 Temp. Elec. Serv. . Call/ /PG&E Temp.,Gas Serv. ailed PG&E OB Q FINALED (Date) (Signature) iti t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS tsond eaM FIRE SPRINKLERS Motors Framing C Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping r OBILEHOME INSTALLAI,ION - - - - - - - - - - - - - - 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.) 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 f Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. *Kturon 9 z Appliances Gas PI in &Test Temp. Gas Slab in Sanitation Patio C,0 ' --0 (REPLACE Final F o o t i n g s Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fiuhirac tsond eaM FIRE SPRINKLERS Motors Framing C Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping r OBILEHOME INSTALLAI,ION - - - - - - - - - - - - - - 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 - DEPARTMENT OF PUBLIC WORKS PERMI . NO. a µ -fCounty Center Drive - Oroville, California 95965 - Telephone 916/534-45 O APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERING BUILDING PERMIT OWNER e/`'C� �e� _Ilov e;OWNER'S E EPHONE SQ FT. OCC. BUILD ALUATION tl MAILING ADDRESS fo ti -W FG'Z,r 1157 aeaU-14,4_ L CONTRACT NAME ELEPHONE • C�� �— iC NMG CONTRACTOR'S MAILING ADDRESS / 7 -3 7 GuY .v :: -cu� ®12au,;c.� CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ /Z r V G ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ fa (? Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ `Z Z, C9 G BUILDING ADDRESS ®y PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex E] Mobilehomee Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities El Installation Other E] Describe work: EeZC7- //' 2 K `L% P0O0/1 P9 iiD ffo Lice- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUR.&) OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p i y (Check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professionps., [C%odde, and my license is in full force and effect. License No.� ` T©y 7 �-'��7 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 ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTRNON-RESID. SINGLE OUTLET CIR. POWER APPARATUS & ( EX. OCCUp(OUTLETS OR FIXTURES �@� BAL@12{ LNS Ex. Occup.( OUTLETS FIXED APP(RESID.)R 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. 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. 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, jud ents, costs, and ex a ses which may in any way accrue_ against s ' C in c e granting of this permit. X Dates— �r1 Signature of Applican — Owner Contractor✓t'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 $ Land Development Fee $ TOTAL PERMIT FEE $ ZZ •ao occ P. GROUP GGGVVVLLL TYPE OF CONST. PARC PD ND 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS DateY� �] ' �^ ) / Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 PERMIT NO. _1310-82B. PERMIT EXPIRES f' - OWNER Butch . Armell 1 CONTR. J.W. Lancaster Const, Oroville ASSESSOR PARCEL 69-31-11 LOCATION 6384 South Fork Ct, Oroville t �f {I Temp. Power Pole Called PG&E Nf t Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG, E A JOB FI LED (Date) c Signature ' OKr - b 0 = Not OK ` 3 — = Not Applicable MOBILEHOMES MISCELLANEOU.' * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS. ETC.'(Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 19—orootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concretecks; _ Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test=Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Q--Wood-*wn.; Posts—Beams—R(trs.-Connec.—Shthg.-Rtg.—Bracing 5-'IiT�4wn.; Columns—Connections—Splice—Decal-Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat. or/ L"ft./ /"LPG 61�$arpOTis; Windows—Doors [ 7. Utility Clearance 7.' E` lec. Card -BI Date Card -BI Date Card -B —Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test=Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK O = Not OK = Not Applicable RESID * = Not Ready ENTIAL (fingle and Duplex) ' Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements=Setbacks-Easements 2. Ftg., Main; Soils-Steel-Elec. Gr d.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings 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; Steell-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-S%ab 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-Anc Rors 10. Water Pipe; Test -Authors -Regulator -Service Test 11. Electric; Undergrounb 12. Plenums & Ducts; Clelrance-Material-Support-Ins. 13. Girders -Sills -Anchor Bblts-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 N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth 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 H's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 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 C] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails & Deck Construction -Post Caps 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 AI -Oven Circ. / / ga. Cu or A[, Insulated Neutral ❑Yes [:1 No 75, Following instld.: Drive E3 Yes EJ No: Walks ❑Yes E] No; Planters ❑Yes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card BI Date Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates __33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; -Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ .-..Date___ _- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except p's 36. _Sills; Proper Material & Anchors 37. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -_Connectors Cing. Joist-Rftr. Ties-Purlin-Roof erac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ 4_6. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oro%ille,,CaIlifornia 95965 - Telephone 916/534-4541 ~ ia APPLICATIOi:`'ANCRERMIT ASSESSOR PAR E NUMBER ,_ ING T BUILDING PERMIT OWNEq8 TELEPHONE SQ. FT. OCC. BUILDING VA ATION OWNER'S M ILI AD RESS TTCO RA TO 'S NAME TELEPHONE e CONTRACTO 'S M ILIN DR S� Fireplace CONSTRUCTION LEN ER LINK N,Wy t/ Total Valuation $ Filing Fee $, 10,00 LENDER'S MAILING ADDRESS Permit Fee $1. Oro ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , 0 BUILDING ADDRESS D 1- 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❑ MobilehomevOther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition L? Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10v OR LESS 1000 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.EI) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess. ns Code and my license is in full force and effect. /'� % / License No.0 Q `� ` Classification �� l�I ❑ 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 CONSTR. BRA cH CIRCLET TITS 2.50 ea NEW CONSTR. (POWER APPARATUS S1 NO SINGLE OUTLET CIR. I 50 50 @ 250 Ex. OCCUp(OUTLETS OR FIXTURES BAL@1CC LITL APPLES, OR EX. Occup -(OUTLETS (RESIDJ 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 Ce icate of Workmen's Compensation Insurance or a Certificate onsent 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 compiy 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemni eep harmless the County of Butte against all liabilities, judgmen c ts, and a es which may in any way accrue agai st said Coun in onsequ f th gra 'ng of this permit. %� Date .- �� Q �¢ Sig t re of Appy Owner ❑ Contractor [el--A—gent ❑ An OS A permit is required for excavations over 5'0" deep and demolition or construct- io of s ructures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE k oo OCCUP. GROUP H�` TYPE of co ST. IPARCEL :/ P/ a/ "D ISSDP This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Dat, —,-2 i '1)124 _J>3 Receipt No. �p 9/ l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ` see 592-80 & 3370-80 under. Glenn Gates PERMIT NO. 2494-83B PERMIT EXPIRES OWNER ROUND ARNELL j CONTR. Fred's Awnings, Par. ASSESSOR PARCEL 69-31-11 LOCATION 6384 South Fork Ct, Oroville F i' I 1 {X t t i Temp. Power Pole Called PG&E Temp. Elec. Service c F Called PG&E Temp. Gas Service _. Cal led PG& E JOB FINALE[ Signature J = OK 0 = Not OK - - = NQtApplicatlle MOBILEHOMES - MISCELLANEOUS * = Not Ready I Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, CORS, CARPORTS, ETC. (Plarr<051< except N's 1. Zoning Requirements—Setbacks—Easements �_ g'ge-quirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3—VUERTi,irders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5—ItIUM—Awn,; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6.--&JrPUrM; Windows -Doors 7. Utility Clearance 7_G►ee-- Card -BI' Date Card -BI Date rd -B ,tTDate Card -BI Date Card -BI Date Card -BI Date I ate Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability v 3. Gas; MH Test-Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI 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) 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. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 Card -BI Date Date PLUMBING (Permit) OK except #'s _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails _ __19_._ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. 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. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Fib., 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 E3 Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size - 26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----Insulated - - 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, r Neutral �_ Yes E] No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. Following instld.: Drive Yes No; Walks g ' ❑ ❑ ❑Yes ❑ No; Planters ❑Yes ❑No 76. 77, 78. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ----- Card B -I Card B-1 Date - 30. Clothes Closet Light -Shower Light - -------------------- ---.- _ _Date- -- -_ Card -BI - Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31: A.C. Ducts; Insulation &Support 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. 83. Ventilation throughout House Glass Protection _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain _& Overilow; Size & Grade _ ------34.--Furnace-Vent;-Access-Comb. Air -Return Air Vent -115V outlet --35.-Attic Access -&-Platform if Furnace in Attic Card -BI Card -BI - _ Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls_ over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ - 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows_o_r_Exiting Doors-Sill_Hgt. &_Dimensions__ Garage Fire Protection Framing _ (NOTE: Anentrymust be made each time you visit jobsite) • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER G ?r.- 3/ —// ZONING BUILDING PERMIT OWNER JA/Vb1149 qqV) TELEPHONE S0. FT. OCC. BUILDING VALUATVON OWNER'S MAILING ADDRESS QV CONTRACTO 'S,NAME f LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1546 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ L 6;0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ f/C'd> Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ i BUILDING ADDRESS e-7-. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 414D Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL 1kn MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE .SF ❑ Duplex[] Mobilehome-0 Other 4W//.0 c SPECIFY Building sewer 5.00 Mobile Home I S I G JW 1 1 110-00e TYPE OF WORK New10 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/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. J/7!%6� - Classification 41f "A f ❑ 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 ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS 9 NON•RESID. SINGLE OUTLET CIR. / 20®soe Ts OR FIXTURES eALeao Ex. OCCUP. FIXED APP LNS. OR FIXED EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in c nseque a of the granting of this permit. X ti�_ Date Signature of Applicant — Owner❑ Contractor ❑ A94ZE7 A9 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33ss'tories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Qr OCCUP. GROUPTYPE pi -I OF oNeT. "Z 1PIrLI PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �_/—v Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION w 7 COUNTY CENTER DRIVE - OROVILLE_,•CALIFORNIA 95965 - TELEPHONE: 916/534-4541 .-.. PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use 19�ei�Nois-U Permit Fee Based Upon: Complete Contract Price __DPW Valuation Other -(Explain) Building Inspector Date -'7—'7_S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED V1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. ... .. . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) --yam""'""` 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .,. 17. Pre -Inspection for •Pre-Inspec. request to Required- Building Inspector 18. Other Dote) When you issue the permit, process as follows: Mail to owner. _Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant -9—M A Dat Copy of plans sent Health Dept., Fire Dept., Other Date During the plan- checking process, the fol lowing data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: I (Contractor, Desi n O n was advised of above required data by Telephone Mail Other / I By Date li Plans checked !y / : - Date Plans approved Date Other: Copy -DPW t3 T.J 'v .-.. . , UNI i 4C • �� GD L IJ.� /1/.GS/6si 5CAL- Z X35•" 5v// `�� r, tit 111 A setback IT, t. from tie property lin - and a setback 200 of 50ft. from he road x SMP centerline sha ' be clear of I structures or e uipment excep 1 for a 2 ft. eave verhanq, gain , a �' Via` � - � •� - .fir, Z �:�• � •tea _7 •z V- LIN • -� U! l�1G DEPARTMEN' by E�0� /. R OVED too ` ,b 1 ': � `�•y / � S -T- L3s4. Cts m e of plans and specifications tvlU `8 O on the job at all times and it is unlawful t P a V .ake any changes or alterations on same withou �' �c,,m•� ; written permission from the Department of Pub. '24,15 Works, County of oa m �o m o ol Ua.r -o �.0 gy n� 3� of i ��a° ao o . - 0 u O 1 H O A setback of 5 ff. from the property lines and a setback of 50ft, from the road i r centerline shall be clear of structures r equipment ; �,P q pment except MO.oic. c • W000' foo t� Co 1�,� - ��.�� -T-,e CS 'G Iv TZ, 15 Ir PTS P��G✓DG O �/ �OD 7 —r—- (— - i` �va3e ad sie bIRPWy 4 x +osT w�7-, i cCK mETA — Lf'/Si i v6 77� Jm F 7BUTTFCOUNV- L r' a r N 6aa6U*d AAARTMENf, /3 - i l ;6H7- Il/O OuF,e t;''�wc- /o' PSE, n Pgo6OC— Poser' cx, WET 1�1ct�or�s i P,O ; �X b mr9x • SPAS �7 ax6P.=t 7l�J�G 1oTiN6 POIAP/R(av E So r-.e2e K C T i` �va3e ad sie bIRPWy srJ �XiSI`. cCK mETA — 77� Jm F 7BUTTFCOUNV- L r' a r N 6aa6U*d AAARTMENf, 7l�J�G 1oTiN6 POIAP/R(av E So r-.e2e K C T 11 1 PERMIT NO. 2196-86B PERMIT EXPIRES O OWNER R. P. ARMEL• CONTR. owner ASSESSOR PARCEL 69-31-11 LOCATION 6384 South Fork Ct, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service �✓' Called PG&E +✓ Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature ____ r J=OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, VERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1 j o g 9equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ o ngs; 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. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ P'L"ft./ _ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Card -BI Date Card -BI Date Nr Date Card -BI Date 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 (Plans) OK except k's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3, Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test, Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI 'Date .4' V OK r 0 = Not OK = Not Applicable �: = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s _ 1. Zoning requirements -Setbacks -Easements _ 2. Fig., Main; Soils-Steel-Elec. Grrid.- / /" Ftg. Depth 3_Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks: Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped -Slab 6. Ste_mwalls, Garage; Steel-B.lockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe: Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 1. 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Ea -rd -61 Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub --& Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Date Card B -I Card B -I Dare Card -BI Caid-61 Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes ;No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. _Equip. 30. Clothes Closet Light -Shower Light Date Card -Bi Date Date Card -BI Date MECHANICAL (Pern•it) OK except #'s 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protectio_n__ 51. 52. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 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. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. _ Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -_- 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters El Yes 1] No 76. Stucco; Brown -Finish _77. A.C. Unit; Disconnect-Clrnces-Brkr. &'Gond. Size -115V Outlet - 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 _ 81. Ventilation throughout House _ 82. Glass Protection 83. Corrections from Previous Inspections _ 84. Gas -est-Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Date Card -BI DateCard-P; Oate Card -BI Date Date Card -BI DaiE I Card -BI Date Card -BI Date FRAMING(Plans) OK except #'s II Com tents at Final: 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing-Plates-Snt,nd 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings-Stair_s_-Cha_se_s-T_ub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Rfnq. 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 Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 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, r need additional explanation, pleaseontact this office immediately. X., Date_K ro__?4O Nal �► COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESS RP RCE U BER ` ZONI BUILDING PERMIT OWNE TEL P ONE — SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIt4C. ADDRESS CO T R'S NAME TELEPHONE C"ON'TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �j D ARC ITECT OR E NGINEERR LICENSE No. Plan Checking Fee $ v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ d PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome2-'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilit'es ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ADONS. AGC. BLDGS. , /20sgft NEW RESI., BRANCH2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 5AL030 ALe FIXED APLINIS \\ Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Eq --1'. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 liabilitie 'udgments, costs, and expenses which may in any way accrue against s "tons ons a of the granting of this permit. �, Date a Signature of Applicant — OwnerNO 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE 5�. OCCup, CONST.TYPC I F o PAPrl I PD I ND r ISSUE, This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date PERMIT EXPIRES Date ��"T� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER T �,. , r r y COUNTY OF BUTTE - DEPARTMON'4-917'PUBLIC WORKS - BUILDING DFV'1SION / 7 COUNTY CENTER DRIVE - OROVILLE', 'C-�T 61\II,A 95965 - TELEPHONE: 916534-4541 , {I V PERMIT APPLICATION DATA SHEET „ Permit No. — �, A. P. No. Proposed Building Use Permit Fee Based Upon Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date 8� At time of permit application, I was advised the following data must be submitted prior to permit processing and. Yi. suance: DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Date) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. _ 19. Other ' When ou issue the peer it, rocess as follows: Mail o caner. Mail to contractor. Telephoneb �` Iand hold for pickup at - office. Deliver w/inspector. Other i► 9 ate Z' 3 Z -�e Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail r• Plans checked by_ Plans annroved by Other Copy—DPW By Date .r' Date Date ' t t.: i Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (havv�e/h� not)signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign Social Security Numb r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. P. U. SCAL=- ZO' LOT 43.0 UNIT V) A setback of 5 ft. f rom te / property lines and se of 50ft. from the :� centerline shall be tear structures or equipm %xcept tnr VP . a 1 ft. em),9. /( ovk- 11 \ A14. oo W OF plans isspecificaffonss ST be (eton the job of all, I es and is awful to make any chonges or rotio on' e without written permossionfrorr; irlie D no ent of P11611'. .. 1. Works, C4un of Bt*fo. SUM CCKN" BUILDING DEPARTMEN. L =5 7. a -r APPROVED 31 31 041 C, CD U R 7— S C) U F— 0 F-2-'- K =),=E -A0 .9-,`G 7-10-78 eD.D- A ry - f4D 11+ tA 19% . tA 11 LOT 43.0 UNIT V) A setback of 5 ft. f rom te / property lines and se of 50ft. from the :� centerline shall be tear structures or equipm %xcept tnr VP . a 1 ft. em),9. /( ovk- 11 \ A14. oo W OF plans isspecificaffonss ST be (eton the job of all, I es and is awful to make any chonges or rotio on' e without written permossionfrorr; irlie D no ent of P11611'. .. 1. Works, C4un of Bt*fo. SUM CCKN" BUILDING DEPARTMEN. L =5 7. a -r APPROVED 31 31 041 C, CD U R 7— S C) U F— 0 F-2-'- K =),=E -A0 .9-,`G 7-10-78 eD.D- 0 R e yctt mwir A io r. A. -z ttoe f, bnri e?'_ ni; vrtic?,(v 'f)�1 �'!'ii iilaii .t�r,'•�,• iC7. o:: �� Et wtY "s►f 2i b� �uht� Pnffti# IiU to do{ grli to foA, ivnn Hiw $frto: so �3;ytt•�.n.r}!ry Ic 2-)')PL)'P43 ^.i, Fttd �h f!ioR73 i%7G�f3 g+iS ;i4ci: t!t}i:;t�CS1g�y flJ� fYw r ii A N r ii 2196,86 PERMIT NO. 2490786B_ PERMIT EXPIRES- OWNER XPIRES OWNER R.P. ARMELL j CONTR. owner ASSESSOR PARCEL 69-31-11 LOCATION 6384 S Fork Ct, Oroville .y • i -i t • ( Temp. Power Pole f I Called PG&E / %1• Temp. Elec. Service / Called PG&E Temp. Gas Service I Called PG&E JOB FINALED (Date) Signature ___._ J = OK 0 = Not OK = Not Applicable MOBILEHOMES *,= Not Ready MI ELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS S, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements jqoe`opKg Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2 ootin s'Size—Depih—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. D s; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date w/ and -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's o 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip:w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10• Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s t - - --I. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.-Dept 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg.'Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V. Fall -Fittings -Test -2 way C/0 -Sewer Test _ 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 DateCard-BI Date Card -BI Date Card -Bl. Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19: Gas Pipe: Size & Anchors Card -BI Card -BI Date --Card-Bl- ____ Date Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance - Ins. Protection 21. Elec. Receptacles Spacing -Lights & S_witches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 1 Insulated Neutral Yes ---i No 28. Service -Riser Conductors & Ground -Main Disconnect_ 29. _ Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date FRAMING (Continued) 48. Property Line Firewall & Openings _& _ Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 35. 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ; _ _ ---- - 51. Plywood on Root Overhang -Attic Vents -Rafter Outriggers -- 52. Siding -Nailing -Veneer ;3 Card -BI Date Card -BI Date 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 1 - 54. _ Glazing Area -Glass Protection -Skylights -Plastic Date Card -BI Date 55. Shear Walls; Nailing -Bolts Date FRAMING(Plans) OK except #'s Com tents at Final: 36. Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Bearing Walls over Girders & Floor Nailing 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 39. 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Header & Beam -Size & Bearing 62. Stairs & Rails 42. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Fireplace Ties or Type A Flue -Fireplace Throat 66. Elec. Outlets & Receptacles at Kit. Counter 45. 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Garage Fire Protection Framing 70. Plb., Elec. & Mech. Equip. Listed for Location i 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. 76. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes ❑No Stucco; Brown -Finish _ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet I 78. 79 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Wat W II D' EI I PI - ----- -- ---- - er e , lsconnect, ectr ca , um. ng ----- -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Gard B I Date Card -Bi Date - _ -- 81. Ventilation throughout House Card B-1 - Date Card -BI Date f 82, Glass Protection _ 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except #'s 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support - _ _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation - 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow: Size Grade 34. _& _ Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet -- -"- -- - 35. Attic Access & Platform if Furnace in Attic _ _ ---- - _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Com tents at Final: 36. Sills; Proper Material & Anchors 37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilin s -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shihng.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Ba_ff_les 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,// 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-45 APPLICATION AND PERMIT ASS R P,. U BER `,/` ZO"' BUILDING PERMIT OWN T H N SO. FT. OCC. BUILDING VALUATION O MAILIN DDRE W E��,, 7c� TT C N ACTOR'S NA III LEPHONE CONTR CTOR'S MAILING ADDRESS Fireplace CONI RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ C I ARC TECT OR ENGINEER T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .� �7� V( C V^$ Permit fee 94f, PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME [PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New '% Addition ❑ Redo el ❑ Uti litie� Instal ation ❑ Other E] Describe work: c 1� �l l l/ r k e, l k VT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1v OR LESS 10 000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ADDNS. ACC. BLDGS. 2,/20sgft NEW CONSTR. ULTI:OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t RAL030 FIXED ALNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. u shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie udgments, co ts. and expenses which may in any way accrue ty ico q ce o the granting of this permit. p aga10s�r Date Q _ Z2 " O Signature of Applicant — Owner ❑ Contractor\0 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP.J cONST.TYPE F oD R L PD No 1 s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE06 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �ZJ Receipt No. WNITE-D.P.W., YELLOW-ASSC9 OR, PINK -INSPECTOR. GOLDENROD -APPLICANT n COUNTY OF BUTTE - DERARTMENT-0F-,j? 1BLIC WORKS - BUILDIN/IG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 9�9'34-4541 PERMIT APPLICATION DATA SHEET - Permit No. OWNER �, kmdl A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract=P.rid6' ` DPW Valuation Othe (Ex in) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/ori uance: DATE RECEIVED APPROVED —� . All items. have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement.. . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .•. Pre-Inspec. request to (pole) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. . . _ 19. Other Wh n you issue the per It, process as follows: Mail/�o_o�wner. Mail to contractor. Telephone "%a3 and hold for pickup at -office. Deliver w/inspector. Other Appl i ate "o-2 ,- - Copy of plans sent Health Dept., Fire Dept., . Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other Copy—DPW + Telephone Mail Other Date )ate )ate -y - COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an app ication for a building permit for tte proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate., supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. `-� LOT 4 3 0 P. U.rt_►�-r - UNIT. 4C (f--7A Tr-.'.S- I SCAL= 1"=20' / 5' �LPg' �q ack of 5 ft. P orrm the pro lines and ksetbac.. i � N / of 50ft. from the roa . centerline shall be cle of �u structures or equipmen except - ti --for-a-Vt. eave overhancr� \a l n) (it� Pa / E _. :N`vr\ s ans and sp "ifica ons pI n ry to kept on the job at all es and if , unlaw 6 h P. U. make any changed " alterrtions onme.wi hoot s =T- MA cid rttten pe iys?�n from_the Depart knt of Publ' arks, Cc of Butte. . SUTTE COUNTY 8U1LDING' D-1_RARTMEN1 - •z�'sP P �4ED L A 1- rrl S C) U 11\� I- I -4- O F K C O U f� T �/ nx 7-i0-76 oD.D. �� "�thnr '; , i.� i:; v.,.je` rt.}te Y\l, I cc LOT 4 3 0 UNIT. 4C s 2y't xlv g�'v✓%''�• S. J n60�:—All terials /&Wo+mns hi / p Shall M �d Accordance with Recognized Good Practic of a quality prescribed for the Specified us in 4.jii� 5'S Uniform Building, Plumbing & Machanical Com' Na ' al ectri I Cod®, . n I 0 5 =T- ria c► -e SUTTE COUNTi 31JILDING DEPARTMENT APPROVED O U rZ2 T ►�roo�� .9rt�c o -V-ya- • 7P %-/O-%$ edD.17. J. 168-80B PERMIT NO. PERMIT EXPIRES �f TOWNER Glenn Gates S Lancaster & Son Const., Oroville CONTR. LOCATION (A.P. 34-89-11 ) fi8x 6384 So.Fork Ct., lot 430, KR#4C, Oro. - r r t t �• • a Temp. Power Pole Called PG&E Temp. Elec. Serv. i Called PG&E/ Temp. Gas Ser f 1 Called P &E • JOB FIA� D �/ (Date � r (Signature) (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 RMORD B U!,L42 I N G BUILDING (Cont'd) PLUMBING Setback _ jj /- Firewall Soil Piping Forms Parapets- 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing A Sewer— ewerGara Garage a Fdn. Vents Fixtures Footings Stemwa I I A Garage Vents Insulation Water Htr. Heaters Slab` Carport Footings Slab handica r ehdysic y d Conformance o ex. structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREPLACE Final Footings ii$ ka Ce Footing ELECT Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing / _ 5 Test ' Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final ` MOBILEHOME UTILITIES . • ... • .... • • • . • - - • Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping 149B16EHOME 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 — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT Outullce sFVIUT!nlul ve ounry ui tsutte to enter upon the above-mentioned pro rt for inspec _ A purposes. X ate l-1 gnat te o mitee or Agents Rec pt X;/a White- - Yellow -Assessor - Pink -Inspector - Goldenrod-Applicont 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. DIREO'MR OF PUBLIC WORKS By Date / /J—; a Z1��� � B Ilding permit expires Date �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATKN Mai l i ng Addresst��Ia r-1, TelephonVNo. Contractor Mailing Address 1 Irl I � 1_1 Fireplace Total Valuation c.2a 11141 Toone No� .-© Permit Fee _2 SOO Building Address Plan Checking Fee&/or Penalty J Permit Fee Z115! Q� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Q A. P. No. Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration d-i� Parce Ma 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A rova4ls 0 Plans A� royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ p,� �, •� C` o ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5•00 100 AMP OR LESS 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 CONST DWELIN. OR ACDNS. ACC. BLOGS.CCUP. I 2¢sq ft 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 f: �p 1: 1����-- �i✓ ,� ` �g NEW RESIC.CONSTBRANCHMULTI-OCIRCUITS) NON.RESI D. (BRANCH CIRCUITS 2.5Oea NEW CONSTR ( POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTIIRES gAL� Ex. FIXED APPLNS. OR OCCUp( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -'7A® St 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 Wor men'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 N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ G Outullce sFVIUT!nlul ve ounry ui tsutte to enter upon the above-mentioned pro rt for inspec _ A purposes. X ate l-1 gnat te o mitee or Agents Rec pt X;/a White- - Yellow -Assessor - Pink -Inspector - Goldenrod-Applicont 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. DIREO'MR OF PUBLIC WORKS By Date / /J—; a Z1��� � B Ilding permit expires Date ��