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069-420-004
Albert E. Staton 6-7-4,Z-4 4960 Olive Hwy, Oroville Permit #672-77B,,E(add garage w/covdred > deck/SF) F 71Ham' 69-42-04 Lcqnt ' r,:.. . tenshAw-Const,..-. ermit# 07 ",P,M(replAce exist roof w/truss s/SF) 6 2-04 Contr: C & N Htg & AC Permit#2466-86E,M(r cpt/c oler &OP ele for cooler & rno.ce)SF --- ti 69-42-04 Contr.- B* enshAw Const, Palermo Perini nv porch to sun - 069=420 -004 PERMIT#95-1321 STATON, Al" 4996 Olive Hwy, OrovillP-' Cont; George Roofing Reroof/SF _2! Cfl��r�� v 2073-86 2466-86 PERMIT NO. Q 2634-86B, E PERMIT EXPIRES / �4 F OWNER AL STATON CONTR. Burtenshaw Const, Palermo ASSESSOR PARCEL 69-42-04 LOCATION -Olive Hwy, Oroville �4Zq 6 a Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servi c Cal led PG& E OFFICE COPY Address GAS Meter ELECTRIC Meter By Date JOB FINALED (Date) Signature A J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing _ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossover's -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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. 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 ft's Date FRAMING (Continued) - - 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2.exits 3. Ftg., Garage; Soils -Steel- / /" Ftg.'Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents' Rafter Outriggers 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdni• 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/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test _ 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI DateCard-BI Date Card -BI _ Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe: Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 60. G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 19. Gas Pipe: Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter _ Card -BI Date Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's - 68. A.C. Duct in Garage -Damper 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &_Conductor Size Subfeed Wire Size / / ga. Cu or At Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or_AI-Oven Circ. / / ga. Cu or At, Insulated Neutral Yes -No _._ .._-___ Service -Riser Conductors & Ground -Main Disconnect - - Equip. Clearances: Panels-Motors-Mech. Equip. - - Clothes Closet Light -Shower Light - 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Prote 72, - Insulation -Foam -Looked in Attic ❑ es 73. Guard Rails & Deck Co r tion -Po 74. - Fdn. Vents & 14 Drainage &Woo - th Clearance Looked under Flo Yes 75. [�eIks E: Yes ❑ Na; Following instl .: Drive Z _)) Planters ❑Yes ❑ `^� 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. 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 Card B -I Card B -I Date Card -Bi _ Date _ Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previcus Inspections Date MECHANICAL (Permit) OK except N's _ _ 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. insulation tion &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 Caid-Bi Date Card -BI Date _ Date Card -BI Date Card -BI Card -BI Date Card -BI Date Oate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com ients at Final: 36. Sills, Proper Material & Anchors _ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings -Stairs_ -Chases -Tub - 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfti. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ 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) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov le, Califor-nia*95965 - Telephone 916/534-4541 APPLY WdN AND PERMIT PERMIT NO. 4A ASSESSOPARCE NUMBER — ZONING BUILDING PERMIT OWN'S TELEPHONE SQ. FT. OCC. BUILDING VALUATIO �4 O NE MAILING D ESS Iq \ I� 0 V A" CO C OR S N E V^ o*ar TELEPHONE CON ACTOR'S M I G A E$jS S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee a 19, 1i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S AILING ADDRESS Penalty BUILDING ADDRESS \ i Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 en 9 1 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 S FK Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00 ea TYPE OF WORK New❑ Addition[ Remodel❑ tilities� Installation❑ Other Describe work: A1,7 Il ZVO r P- �I CS U h V1 1) VY*'*-- Permit Fee $ Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p 1 y (check one): 1 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.9 3f,-? Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING , OR ADDNS. ACC. SLOGS /zQsgft NEW CONST - ULTI.OUTL T NON•RESID BRANCH CIRC ITS 2.50 ea 1 POWER APPARATUS e %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 BAL@30 IFIXED APPLN5, RE A.) 2.00 Ex. Occup. OUTLETS (RE SID 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. ®- 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against nd expenses which may in any way accrue all liabilities, judgments, �ue. aga' st said Cou in of the granting of this permit. Signature of Applicant — Owner❑ Contractor,] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 00, �S occUP. CONST.rYPe I I FLODD ARCEL PD D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date9— Receipt No. WHITE-D.P.W.. YELLOW-A88C330R PIN.-INBPEcTOR. GOLDENROD -APPLICANT ' N, COUNTY OF BUTTE - DEPARTMEN,QF PUBLIC WORKS -BUILDING DIVISION 1'L' 7 COUNTY CENTER DRIVE - 'ORO'VL(r;'C;ALIFORNIA 95965 - TELEPHONE: 916/534-4541 t PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use. Permit Fee Based Upon Building Inspector sl1 Permit No. 0 Y-7 A. PsNo. Complete Contract Price Other (Exp+4in) a PW Valuation e Ki ermit application, I was advised the following data must be submitted prior to permit processing SSuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. 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. . . . . . . . . . 4. 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-Insp17. Pre -Inspection for Required- Building I . request to p q Building Inspector (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement . 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offi e. Deliver w/inspector. Other Applicant. Date 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 abSve 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 Telephone Mail Date Plans checked by Date Plans approved by i -rDate Other: Copy—DPW Other V This se'fi of plans and specifications MUST be� kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. 4 NOTE:—AI) Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and fhe National Electrical Code. Provide one-hour protection • on garage side of common wall to- gether with self-closing 1-3/8" thick solid -core door. t ^"s SON AW -1 00j'. y— e&Ao* i r . Re ous t "6 (TA ALdi A&A4 I 5(.5;( s 4 C, l yp . ✓ e l 4 Max. Rise Min. Run s Run measured toe to toe. - 3/s" max. tolerance between largest & smallest rise/run. t 1 A0 s7,414 G�� t o 64 5_- BE /WZJ i 2to 3y BUTTE COUNTY BUILDING DEPARTMENT APPROVED �uJy� f'tiP liGQr'/a a ®. 06y! I TI 41- r4 it, I f, a —4 PERMIT NO. 2073-86B, P,E,M PERMIT EXPIRES— OWNER XPIRES OWNER AL STATON CONTR. Burtenshaw Const ASSESSOR PARCEL 69-42-04 LOCATION 4690 Olive Hwy, Oroville k . 0 Q i ti Temp. Power Pole— Called ole_Called PG&E Temp. Elec. Service i 1 ! Called PC Temp. Gas Sei A Called PC JOB FINALE[ Signature f='OK' 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. 'Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1• Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1• Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10• Cert. of Occupancy 9. Health 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 J ., OK, #, 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) 71- = Not Read Date ELE ICAL Permit OK except q's Fixture & Transformer Clearance - Ins. Protection Ue�lec. Receptacles Spacing -Lights &_Switches at Doors $iza-eo%Ts-T-Ra-of Conductors -Stapled _ �Omex Installed Close to Edge of Studs _& C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. ? A20i its in Kitchen_ & Conductor Size 26. a -7e-*'/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. RvrgU-Cirt'7-- / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes No 28. Secwsa-R-iaes Conductors & Ground -Main Disconnect 29. Egerp-CT;1Wrances: Panels-Motors-Mech. Equip. 30. CWtpeS-eloset light -Shower Light Card 13-1° Date 9$_pCard-BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q'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 Card -BI Card -Bi 48.Ext. DoorI3I s-One-Chec' k 50.-FFeaAreem-P 1. yw d on Roof Ove rhanc ing-Nailing-Veneer 53. S eed- 54. 55. Card -BI Date Card -BI Date Date )penings Garage -3rd story, 2 exits ise-Run-Landing-Fire Protection_ -Attic Vents -Rafter Outriggers Fdn. Vents-Underflr. Access Protection -Skylights -Plastic -Bolts Card -BI Date Card -BI Date Card -BI Date Date FINA fans) OK except N's Ext. Steps -Door & Sidelight Protection-Land --67-Smake Detector 11 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection II -6. droom Exiting G.F.J. & Bath Fixtures & Tub Access II TWElec. Trim & Subpanel; Breaker Sizes -Labels airs & Rails II62--ftimpiace or Stove_ Clearances_Hearth -15&--Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Qrk.lec. y Date UNDER OR (Plans) OK except k's 6T.7 -A -C -D -Oct in Garage -Damper oning requirements -Setbacks -Easements V tr.'Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg." Dept 7 3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth _ 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth -TT.-F'dn. 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab ollowing instld.: Drive .Yes ❑ No; Walks Yes ❑ No; Planters ❑Yes 9440 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab grit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7. Piers -Fireplace Ftg.-Steel 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test Elec. Trim; G.F.I. Receptacle -Underground 9. Gas Pipe; Size -Anchors _ _ .82jGfa coon 10. Water Pipe: Test -Anchors -Regulator -Service Test _ _8 86. 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. _ Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date -e Card -BI Date Card -BI Date f Card -BI Date Date PLUMBING (Permit) OK except N'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 -Tutt 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 ELE ICAL Permit OK except q's Fixture & Transformer Clearance - Ins. Protection Ue�lec. Receptacles Spacing -Lights &_Switches at Doors $iza-eo%Ts-T-Ra-of Conductors -Stapled _ �Omex Installed Close to Edge of Studs _& C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. ? A20i its in Kitchen_ & Conductor Size 26. a -7e-*'/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. RvrgU-Cirt'7-- / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes No 28. Secwsa-R-iaes Conductors & Ground -Main Disconnect 29. Egerp-CT;1Wrances: Panels-Motors-Mech. Equip. 30. CWtpeS-eloset light -Shower Light Card 13-1° Date 9$_pCard-BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q'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 Card -BI Card -Bi 48.Ext. DoorI3I s-One-Chec' k 50.-FFeaAreem-P 1. yw d on Roof Ove rhanc ing-Nailing-Veneer 53. S eed- 54. 55. Card -BI Date Card -BI Date Date )penings Garage -3rd story, 2 exits ise-Run-Landing-Fire Protection_ -Attic Vents -Rafter Outriggers Fdn. Vents-Underflr. Access Protection -Skylights -Plastic -Bolts Card -BI Date Card -BI Date Card -BI Date Date FINA fans) OK except N's Ext. Steps -Door & Sidelight Protection-Land --67-Smake Detector 11 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection II -6. droom Exiting G.F.J. & Bath Fixtures & Tub Access II TWElec. Trim & Subpanel; Breaker Sizes -Labels airs & Rails II62--ftimpiace or Stove_ Clearances_Hearth -15&--Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Qrk.lec. Outlets & Receptacles at Kit. Counter 69' --forage Fire Door; Swing -Landing -Closer 6T.7 -A -C -D -Oct in Garage -Damper e9- V tr.'Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 lec. & Mech. Equip. Listed for Location 7 ec. Receptacles in Garage; (G.F.I.)-Rome Protec. 7 ion -Foam -Looked in Attic es 7 uard Rails & Deck Construction -Post ps -TT.-F'dn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Look under Floor ❑ Yes 1-11 ollowing instld.: Drive .Yes ❑ No; Walks Yes ❑ No; Planters ❑Yes 9440 f0. Stuico; Brown -Finish grit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 79 -'Ven bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ater Well; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground 8 entilation t oughout House _ .82jGfa coon �« f a --Vffrer-K _ coons from Previous Inspections _ as `est -Meters Tagged; Gas -Electric Sewer Connected -C/O to Grade -HD Approval _ _8 86. Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic ��ate �` Card_BI Date _ Date Card -BI Date Card -BI _ Oate Card -BI Date Date Card -BI Date _ Card -BI Date Card -BI Date Date FRA G(Plans) OK except p's Sil Proper Material & Anchors 37. all .Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing 3 raft Stop to Walls (rat proof) 4 Bilines -Stairs -Chases -Tub _ _ 41 ++uaUer-&'8skm-Size & Bearing 4,2�. Hangers -Post Caps -Anchors -Connectors � `'ng. Joist-Rftr. Ties - Purl in -Roof Brac.-Tr-Shlhnq.-Rfnq. 44.r ies or Type A Flue -Fireplace Throat Com tents at Final: �� �Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles �(%" Windows or Exiting Doors -Sill Hgl. &Dimensions 4 arage Fire Protection Framing (NOTE Anentry must be made each time youvisit jobsite) 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 /41- 5%4- -7Z) ' ��3y OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. TAY C<V, �acZ' Inspector_(- y` �i Inspector_(- y` a :.M Inspector_(- Iii ,J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California. 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO! ASS 5 PAR E NUM E - ZONING BUILDING PERMIT OWN b TELEPHONE SQ. FT. OCC. BUILDING VALUATION O E LIN A SS , t N7R OR'S N "E TELEPHONE C N RACTOR'S AILI G ADDRESS 6 l i- Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,Isio ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS © ,f Permit fee $14 Z 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G I W O.00ea TYPE OF WORK New ❑ Addition Remo el ❑ Util'.ties ❑ Installation 0 er c 1 Describe work: 1 + Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): rel 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. Gc+ License No. g73 `'1+19 Classification _eGt+eot la.� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ty OR ADDNS. ( ACC. BLDGS. , h2sq ft NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(ouT LETS OR FIXTURES 20050! Is ALO 30 EX. OCCUp. OUTLETS P(RESID )FIXED ALNS. 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. AL,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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ 0,12 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, cot and expenses which may in any way accrue again t said my i co equence of the granting of this permit. 7�e_ r// X Date I Co Signature of Applicant — Owner ❑ Contractor X 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. CONST.TYPEJ JF7RCELJ PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. �j PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date77 / 7 ( ? Receipt No. 0 I WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINGrDIVISION" 7 COUNTY CENTER DRIVE - OROVILLE;.gfALL,FQAi IA 95965 - TELEPHONE: 916/534-4541 3 V ,�. PERMIT APPLICATION DATA SHEET Permit No. OWNER �/ V fCI / D „ ��� �- A. P. No. -Proposed Building Use I vi Permit Fee Based Upon: Complete Contract Price DPW Valuation O r E in) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate/triplicate.�- Complete plans in plicate/triplicate. �.X YAS.SPS f 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. . . . . . . . . request to (Dote17. Pre -Inspection for Required. Building Inspector ) 18. Recorde�Rc�. �ic I.pr L Acknowledgment Statement . _ 19. Other Construction approval required prior to occupancy WWhou issue the Mit itpro/��es as follows: Mail owner. Mail to contractor. -S / Telephone j~rJand hold for pickup at office. Deliver w/inspector. Other Applicant ! ,S-�� GG.� s Date 7 aa- �� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By x- Date Plans checked by Date,/ Plans approved by t'e Other: Copy—DPW • �ew V V'e IJl This set of plans an I specifications MUST be �e� I A�°E w/ IM P,NU kept on the job at all Imes and it is.unlawful to. �usSeSl make any changes or terations on same without `� �_ w/ 0_0 VA written permission fro the Department of Public (eS �� 1 Works, County of Bu te. �02 C b? I /V CPC-xA' F–+V�C NOTE:—All Material & Workmanship Shoff Bei Tu G —t1 'Fvkyla(?c . Accordance with Recognized Good Practices an of a quality prescribe I for the Specified. use in Ae Uniform Building, Plum 6ing & Mechanical Codes am the National Electrics Code,%O dl 4 F/4-� 90 0ove- 1-47. zct ply-y�-o-ooh-d BUTTE COUNTY BUILDING DEPARTMENT APPROVED.' IB W SMALL OE OF MINIMUM GRAOE 1 SP I — f__— _ SPECIES FOR i4usc ene.,e ee .,..,en eel nw• �n.....e", s..-....,. w -I .,.�...r.....w ....�._ .._-�rw ... _.__...... _ TOP CORD 38 at 0 F 1O F dY a a$ 8" a2 11 34'11° 46.•'•.9.. ---%A2.,;ga-,:3b?.I1•• 24s11�..:;•,....`: '. Eu MEMSEF+S2a STANDARD QP. STUD OAADE M£M•FIR. 2.3 e2 NEM -FIA OR AS'NOTED'ON DESM-1-'>..c++• 'Y ar.� . " '•� . ` .. 4 An N R 2X4 R4.014.5o,T54TO 36' 8" Foil 1 • I LATERAL BRACING REQUIRED FOR SPAN:) 3' '' s {I �(1 (•) 2 LATERAL BRACIVGS REO'UIRED FOR SPAN 3, 48' �[ht£NSION "C" ccc s3ciuw ()r R2.4X3.0,T2.5/4 TO 30' 0- SPAN Z I 2x4 j S:zc (""3) TJ2 - OFF -PANEL POINT.SPLICE (T2) i nCll (Spl. ) 2X6 R0;OX6.0.746 TO 48' 81 1 1 • 5 PSF CEILING REDUCTION TAKEN, 2X6 R4.OX4,5,T44 TO 42' 0e PEAR JOINt DETAIL A" 8• 48'8"260'0" ga,8%7.5,T58 48. 8' 3.5 4,8, 5 2X4 R2.4X6.O,T2.5/6 TO 40' 6• 2X6 4Q.8fb.0,T56 42' 0" 2.0 4.6, 5 2X4 R2.4X4.5,T2,5/4 TO 36' 8° 215 R4.0:b,0,T46 3/+' 8" 2.0 4.0, a r..-.i,��_� IPV. : � V'. .•J- ela ja.014•5,T4b 40' b" 3.0 4.0, a PANEL PUINT SPLICE (TJ4) e" 36' d" 1.5 4.0, 4 2X6 R5. 6X7. 5,T58 TO 48' 8° PANEL 'POi►1+-SPLICE• (6J2)'•= �H 21a 1 1 =3.2+0.5,T34 2a' 0" 1.5 3.2, 3 2X6 Ra.$Xb.0,T56 TO 42. 0° Ra.eXb.0,T5b TO 36' F 1O F 1 12 48' A" 2X4 R4.8%6.0,T56 TO 40' 6- .ya. e.e A a4+s s' . vaw7 .. ,.Dw',ti +..ti°v.re.w.M.eeo.naw '1e—.be CA 29 E"I -� "+cL." y /.ed.,+.(i r"W.• 4 Arurn .oM0i-.°,.vW..,.. 2X4 R4.014.5o,T54TO 36' 8" R2.4X7.5 1 1 A- "r.O a.." . wa*—tl 0 4 NO SPLICE 27' 3" {I �(1 a .-"w e. wv r war sr.ryq acn.....ow ws .na•..a 7,2 R2,414.5.T2.5/4 TO 48' 8- N TO a6l so SPACED 24.0"• U,C. �[ht£NSION "C" ccc s3ciuw ()r R2.4X3.0,T2.5/4 TO 30' 0- SPAN Z I 2x4 j S:zc (""3) TJ2 - 242'0" 3.25" �+ i nCll (Spl. ) 4210"248'8" 3.25" 3.5" 1 1 • 5 PSF CEILING REDUCTION TAKEN, AXIAL STRESS ONLY 48'8"260'0" MATCH T.C.. LOAD DURATION INCREASE a 1.25 6010"Z 7010" 12 MEMBER FORCES kEACT(DN= 134u Z 1 3010 h 1 120 a 2 -105n T 2 -21lq B 2 3010 n 3 A0a V4 V.' r..-.i,��_� IPV. : � V'. .•J- PANEL POINT SPLICE (BJ3) PANEL 'POi►1+-SPLICE• (6J2)'•= R4.80.5,T58 TO 48' 8'(K3=2x4) R4.Bx7.5,T56 TO 48!•.8' Ra.eXb.0,T5b TO 36' 8"(0=2X4) R4'.$X6.0.756 TO 42' Oa R4.8X6.0,T54 TO:.300 0-- 110 SPLICE NO SPLICE ' R2.4Xq.u,T2.5/8 TO 48' 6°(t43E2X4) R0.8X3.O,T31,T,0•g8',Q-. f/ F 1O F *0741: OTE1: iu_. D'.. (O�N.(.'IA°yaA. +wpnrl'o• 1 p«carodnvnac- TO 48' A" _1450 4A' R.7 .ya. e.e A a4+s s' . vaw7 .. ,.Dw',ti +..ti°v.re.w.M.eeo.naw '1e—.be CA 29 E"I •34'1l" 32' 8° "+cL." y /.ed.,+.(i r"W.• 4 Arurn .oM0i-.°,.vW..,.. 38' 1° R2.4X7.5 7.7 4 '1 . 0"A. "r.O a.." . wa*—tl 0 4 tr 27' 3" a .-"w e. wv r war sr.ryq acn.....ow ws .na•..a - N TO a6l so SPACED 24.0"• U,C. �[ht£NSION "C" 4,0:12 PItCM 4/4 C()NFIGURATTOt- LL•DL UN ROOF.,_ 23,0 PSF SPAN Z I 2x4 2z6 DL ON CEILING a 10.0 PSF a 242'0" 3.25" 3.25" i TOTAL DESIGN LOAD = 33.0 PSF - 4210"248'8" 3.25" 3.5" 1 1 • 5 PSF CEILING REDUCTION TAKEN, AXIAL STRESS ONLY 48'8"260'0" LOAD DURATION INCREASE a 1.25 6010"Z 7010" MAXIMUM TRUSS MEMBER FORCES kEACT(DN= 134u T 1 -3172 B 1 3010 h 1 120 a 2 -105n T 2 -21lq B 2 3010 n 3 A0a $P/ -div St ` 7 Comp - fz*O F lu s BUTTE COUNTY BUILDING DEPARTMEN - APPROVED SPANTO 48' R2.Ok9.0 TO -481 6% R2'.4%7.i TO a5'11° R2.4X6.0 TO 37' 3• 82.4X4.5 TO 28' 2- OOUG-FIR T36 TO 48' 8- T2.3/9 T0, a3' b - T2 5/- TO 32'10" SPRUCE -PINE -FIR R3.2X9.0 TO 48' A" R3.217.5 TO 44'11° R2.4x9.0 TO 38' 1° R2.4X7.5 TO 33' T" P2.4Xb.O TO 27' 3" SPRUCE-PINE-Flk Tal TO a8' 8" 738 TO a6' 3" T S T OFF PANEL POINT SPLICE (02)T2.5/4 TO 22' 2" 72.5/6 TO 30' 6" SR* rc.rca: • R3.2X6.O. Tab 10 a8' A" 72.5/4 TO 2o' 7" a3.296.0,T36 TO 02' 0° A��7 R2. QTS. 0,Tlb TO 36' 8" i.V('NeL CONNECTOAA I tiy,Yra a -•.•s 00� pipeAT( WE Coay.a+r 20 e+W :Aga. 1. gWa+.sa Y.r .nf a. II.N� .. IrU...; rtATE «INCMEy. 3 3 - (2 a) a / a "'�9c291- eca•a b+P•7. rt: A wan a an ...It a r' t.an w 'SL iE t� L+"(- MCI• -a wo Da Ida a .Itl'.2y" aG Ids ra in 4r. 11 m"st: S"N as a, --4"Lm t>-oo (,o.o°a as .v.a (C".• F. ma, TRUSWAL c"r S_ '-V- 5 t 2 s f 7 9 SPF ..,pap I��"�m br v.m „Ig ' as ac n..I� •asz• Ione T." .n Muua wo oa Id..1i5.1.rs • o.e. mm. as r. we �. ti 2, ^ l F"'P" (-6GG. � e a ga.p,y R:."!".J Op..�4y �f aaa r,Ts 4! ,sC1 f,t. !� ^�. L.'A'Al.! I C 1 r.'1 l I• I; .....��--.._- ...._�_ ._� _. .... _.. .__.. :_. ... .... .•_ .. _ .. .w .._.-. .....,. .. .-.r-..-• .. .aa>�,...-_,rx,...•n ),>.>.•�r t�:••...`aF"-�. ._ , ,.y' ... .- .. ._... .. .. ..y 1 3 •l_-. • +•F'R 5••+•L BE O' �n•,in•U :r GRADE i SREC'ES FOR TRUSS S°A+rS .S NOTED BELOW. !Dou9i,, :,r may be aum!.nueo wn.,o H"m•Fi< i. ,o.ab.a.l DsrzE S L'> .( OF Ae OF `2' CON OF SS HF ell Hf 02 NF CON HF 2400 ^ 4A 8" �L�.0 •.LR7 48 8"461 ' �1., a 4tl' i° x6' I" Xu' 7• 30'li' 34'10" 33' 6" 31' 4' 27.11" 40' b 6:i••�V G•3 ! t, u _-1 r•I u2 !11 34'll° t 46 9" 1 42 0"1 Sb'II° 1 29'11" •i(••Vlvl•(n51214S1•DAR0OP STUOGR.,r',fwEV.FIR,T.].�7 MSE-u.F!R OR .y^ NOTED ON - 1/ u•f 110 v,er•c "rt �., lr� ,1JN nt SDESIGN rte•: )c N.. • 1 LA TFrAL BN ACI'sG WEQU1E0 FON SPAN > 31' (•3 2 LATF�aL aQACI`tG5 RtQUIRED FOR SPAN s 48' PEAX JOINT DETAIL A. 8• 21b N4,817.5,TS6 48' 8" 3.5 4,8, 5 216 Ru,8Xb.0,15b 42' 0" 2.0 4.6, 5 219 144.01b.0,T4b 30"' 8" 2.0 4.0. 4 2X0 Ru.0X4,5,T0b 40' b' 3.0 4.0. 4 214 au.014.5,140 36' 8. 1.5 4.0, 4 13�2X0 e3.2X0.5,T34 24' 0" 1.5 3.2, 3 12 ( A- i T2 Svc 13,A0W for Sizv (W3) ti OFF PANEL POINT SPLICE (T2) 2X6 R4.0X6.0.T46 TO 481 8' 2X6 R4,OX4.5.T44 TO 42' 0° 2x4 R2.4X6.0,T2e5/6 TO 401 6- 2X4 R2.4X4.S,T2.5/4 TO 36' 8" PANEL POINT SPLICE (TJ4) 2X6 R5.6X7.S,T58 TO 48P'89 2x6 84,8X6.0,756 TO 421.0° 2X4 R4.8x6.0,T56 T0'40/ 2x4 R4.OX4.5o,T54TO 361 8" NO SPLICE R2.4X4.5,T2,5/4 TO 481 8' R2.4X3.O,T2.5/4 TO 30' 0" TJ2 "C" (sgl.) ; MATCH T.C. 12 r U20= 82 CAMEL I`U!%l SPLICE (6.13) 2,4.8,7,5,T5t TO 48' 8"(a3=2X4) W'4,810,0,T5b TO 36' 8°("3:214) SPLICE =2.ud4.u,r2.5ii tD 48' 8'(H3=2x4) j OFF PANEL POINT SPLICE (82) ST—netTu:at 43.2X6.0,1`46 10 481 e' R3.216.0,T36 TO 421 0" AD0i1 R2.4x6.0,Tib TO 3b/ 0" Ce1:-el+ns - "LE .0.: WT'E: T -48-4• 336 (24) 4;4 5/24/79 3PF 4111': -" S-25-/8 DYB. By: TK Co. 91: r Ell 8,12 PANEL POINT SPLICE (BJ2) R4,8X7.5,T58 TO 48' 8° R4.8x6.0,T56 TO 42' O" R4.8x6.0,T54 TO 30' 0" NO SPLICE RO.8X3.0,T31 TO 481 8" 16SO t.rn F j;).00 t ..,�.,.:... ".-•.•.....«m"o.n y _ T b.ny •^v .•. °«- a .».. �>. v •b,.• r a o.. ,.." , � r. -•+-r o- 0 •v^ -... m m•.w� a :..... ••u�... w. 39' 2" 36111" 34'11' 32' A• a a. ..� e..•vn.a,v s. �_.a:.tr :` C. (28' A" 41 4' 02' I ^ 35' 10^ ' 'o«..o•.,.«.•>,oro•+•••.w."• N V 4 F SP AC t1) 24.0• t'.C. 4°0:12 PITCH 4/11 COr%FIGUr, aTlC' 111>tE:•5f0� "C" ! j LL.DL UN ROOF -z 23.0 PSc SPAS Z 12s4 2xP_) OL ON CEILING : 10.0 PSF TOTAL DESIGN LOAD : 33.0 PSF . =� • 5 PSF CEILING REDUCTION TAKEN, AXIAL STRESS ONLY 48'r"ze0'0" 3.5 k- LOAO DURATION INCREASE S 1.25 80'0"z 70'0" 3. MAXIMUM TRUSS MEMBER FORCES REACTION: 1344 T 1 -3172 B 1 3010 H 1 120 W 2 -105A T 2 -2I19 B 2 3010 'A 3 804 BUTTE COUNTY •L °",f BUILDING DEPARTMENT- APPROVED EPARTMENT APPROVED 7070: t_ '...� � •; SPAN TO 48' h • y�±� e } __' urs ' - 71 R SPRUCE - PINE - FIN i� f •� r R2.4Y9.0 10 48' A R3.?.x9.0• TO DA' A° R2.4Y7.5 TO 45111° 83.217.5 TO 44'Il° R2.416.0 TO 37' 3" R2.4X9.0 TO 381 1" —• R2.4X4.5 TO 28' 2' R2.4X7.5 TO 33' T• 82.4X6.0 TO 27' 3" d F the OOUv- IR SPRUCE -PINE •Flk T38 TO 481 8" 747 TO 48' 8° T2.9/8 TO 43• b" T38 TO Of' 3° T2.5/6 TO 32'10° T2.5/8 10 40. 5" T2.5/4 TO 22' 2• T2.5/6 TO 30' 61 T2,5/4 TO 201 7" T7/VawAi OONNaG.v.a . r...y aro d r•.+w m a.o to qa .. v ha..q alma aer .nT AF. !!ebepAabO a toga o: T! S= OF ►LA p (w*Wvd A !Feeu'T7t A uan C.r e4 0..1r•M!" T.M on paha" A.. W ^a,. a! O'd.2;P' m Hole we n.m. OIQ� A: Sh- be d .,r rt.." lZ t9lp.Ef. P•wW t°.ec.Fwa by trod'NT 10 w.n bee catn..!o•'A]r• X y Y..c! v" w+w+.a a•o "a toy al' �-`..Tx'• RG Ne" r. N try. he ut ?moi ap.x,.F ,•cw. (Da,p.. o. m., awi..w (rorawo b, voce fir. ,14 OL y � o ° o::sW 119:9) a7r*aa>t Wb wwT tN," ,ea a !..A .cra,y.a O.&b0. tt0uea b' roowo !A 0+: ,by .aad e6 wa+cTa..wo:ww>a.waastiemeesrao:aC�.iivMeFaenF�a w.eama�°sucxd aa�eaa+,vy�••9aceoearYe�akra. raa.ma rsr3'"'�+=xecao cRo!enF .v rn„Fy Ash>eb. a a•cnO r [nrn•t,vt, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT moz E ASSES O� PA7� L NU �EJ3 [-r(- ZONING BUILDING PERMIT OWNER l TELEPHONE S0. FT. OCC. BUILDING VALUATION OWN 'S M I NG ADD5 V . �. J TELEPHONE CONT CTOR•S AME r CONTRACTOR'S MAILING AD SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS l/-�'. 2 1 ` l UJ Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1/'® U 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 �d Duplex❑ Mobileho_me❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00ea TYPE OF WORK New ❑ Addition ❑ R del ❑ Utilities ❑ Installation❑ Other X Describe rk: C0 1/IS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 . r /� L 1. ✓ G V Main service s0Ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LA #' �� I declare under penalty p I y (check one): of perjury ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co/de and my license is in ful force and effect. License No. ��) W% 9 Classification . LSO ❑ 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 OrCUP.8d , OR ADDNS. ACC. BLDGS. / /20sq ft NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) 0050c - Ex. Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. R Ex. Occup. OUTLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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 Consent to Self -Insure. �f' 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 L 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 again said County in c ns ence of the granting of this permit. //�� ���� X U.' CAA Date 17��`a- a'�g Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ Ll 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 $ 7t occuP. CONST.TYPrJ I I FLOOD PARCEL I PO 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work in ' ated above for which DIRE F PUB PERMIT EXPIRES Date the applicable provi- resolutions to do' _ fee have been paid. ORKS �y��� D to lSJ( Receipt No. fO / WHITE-D.P.W., YELLOW-ASeE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT T • PERMIT NO. 672-77B,E PERMIT EXPIRES OWNER Albert E. Staton CONTR. owner LOCATION (A.P. 34-44-4 ti 4960 Olive Hwy, Oroville . 4 a t Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. as Serv. alled PG&E J 0 B FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . Interior Lath Ventilation Permanent Door Closer Final V Final'�yZG'G` MOBILEHOMEU ILITIES ------------•----- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping —7 Drainage Gas Piping ATE �/ REMARKS OR CORRECTIONS p TO P p d - s i X xv-/k , & o� ?,W,GT-- e'D ',i -/-W do P O^e kDO F �.v� �x Qd s>✓p (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall 4t Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows =-- 3rd Floor Stemwall Siding —/ -'% To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage V Fdn. Vents Fixtures Footings Stemwall — %-7 —% age Vents ulation Water Htr. Heaters Slab Foot in s ,,— v. for physlcally' rhandica edCarport nformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final 424— nZ Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Wails Throat NZ "/ — Rough 4/—/3— -7? aanw, ReInf. Relnf. Steel 3—�l'i,�—� Final Fixtures Bond Beam---'-- FIRE%PRINKLER Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHAN AL Grd. Fault Prot. Scratch z Heating Service Brown Cooling Temp. Pole Finish Ducts Underaround Interior Lath Ventilation Permanent Door Closer Final V Final'�yZG'G` MOBILEHOMEU ILITIES ------------•----- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping —7 Drainage Gas Piping ATE �/ REMARKS OR CORRECTIONS p TO P p d - s i X xv-/k , & o� ?,W,GT-- e'D ',i -/-W do P O^e kDO F �.v� �x Qd s>✓p (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - bEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Urovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ign lure of Permm or Agent IS�IoO �' By ateZ- yy �7 Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Buil ng permit expires Date O BUILDING Owner S 06 SQ. FT. OCC. BUILDING VALUATION ® cTrl Mai I i ng Address Dr, -� -49 �'3 Telephone No. Fireplace Contracto Total Valuation Mailing Address LAJ VL Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ® ve PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 0Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NO. 3 Zonin 8 Planning g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fed/.IW. elSa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Imp ro ements p Lawn sprinkler system 2.00 tl Parcel Apteoval PIns Approval Permit Fee $ $ ELECTRICAL No. @ FEE NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ PERMIT FILING FEE $3.00 , Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6001 25.00 100 AMP OR LESS Single Family IRL Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.0 U &)20sgft 12,36 NEW CONSTR. MULTI.OUT T NON-RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BA@L@�1 Ex. Occup. (OUT ETS((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ r $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 4t4I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateWu TOTAL PERMIT FEE 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 PU L WORKS ign lure of Permm or Agent IS�IoO �' By ateZ- yy �7 Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Buil ng permit expires Date O ` o e G Li f" I )T vs Te V67/4,e r F— 8 c- / �.-. � 3 �1- �//-v - ooh IY2) 7- 9T11i l� 0 T -N je % j� g L I fL / Al D%L/19 d9 7/c�cd �v j i -1,S iS 5u��tetE�e1'o� adv \J()g- ov CC I _.. .� + S � w r a COUNTY& BUTTE -DEPARTMENTOF DEVELOPMENTSERVICES- BUILDING DIVISION / 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER — ZONING BUI ING PERMIT OWNER/ IS, TELEPHONE r SQ. FT. OCC. BUILDING VALUATION {'� l Q� (j x y�. -� OWNER'S MAILING ADDRESS Htvp (nP-.V J1,L CA 9;-56 b CONTRACTOR'S NAME TELEPHONE CONTRACTOR'SMAILING ADDRESS , 1.7 75- LM I o -d o (" 1 .. �� �.< <. i Fireplace CONSTRUCTION LENDER -UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ V ,G ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE �srDuplex 11 Mobilehome ❑ Other SF LY SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping Y system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK Er--"' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Er / Describe Work: � y ' t' f ' `� - Mobile Home S G W 920.00 rr PERMITFEE 1 _ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 ' Main Service a OV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 2ooA TO Ioo.A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class -30 Lic. No. 9 "I" OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. BLDS. ) SO. 3.5¢ FT. CNS. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup.OUTLET OR FIXTURES ( 20 BAS so LNS. OR EX. Occup. ( OUTLEEDTS PES D) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION* 1 hereby affirm under penalty of perjury one of the following declarations: r ❑ 1 have and will maintain a certificate of consent to self-insdie for; workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S t4 f , Vw a1 d MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number -z : 7 - {'Qy (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shah not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ •P_i -" �'. -�_1-4 �_ Date (�'/f> Signature of Applicant -,,D Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE 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. f - BY f-- Date 7 (Date) Receipt No.PERMITEXPIRESON oANARY-ASSESSOR WHITE-D.D.S.. PINK -INSPECTOR GOLDENROD-APPLICANTCANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT mk;: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV SION 7 County Center Drive - Oroville, California- 95965 - Telephone (916) 538-7 41,- PERMIT NO. APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER ZONING BUI ING PERMIT OWNER A/ C�� 1�� STEL�HONE/O 9y SO. FT. OCC. BUILDING VALUATION 330 C'o 1`I p.00 y99r'LNGADJO(s;`E- Hw� 0rov►11� _/� IS -96r6 CO RACTOR'S NAME f� ;; eon e. Root;lh TELEPHONE s-s3-63ci4 CONTRACTORSMAILING ADDRESS t� I /� I � %S W 0 [rQ. � (0 V0 (A�, C: 91P5 C Fireplace CONSTRUCTION LENDER UNMOWN Total ValuationI $ Filing Fee $ 20.00 LENDERMAILING ADDRESS 'S Permit Fee $ S, ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ WLDMGADDRESSrI/ _ n ic. 16 PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF MA/Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets __15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61i6es ❑ Installation ❑ Other IB/ Describe Work: O veli q`/ Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filincii Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClassC=32 Lic. No. (15" 2Z .6 G OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, army employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. OUTLET OR FIXTURES ( ) 20 @ 1.00 BAL .So Ex. Occup. ( OUTLEEDTs RE ISUNSD.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'am�p�nsatior surar�ce carrier and policy number are: Carrier c MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number Z8S">r0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X i _ Date �9s—__ Signature of Applicant - Owner ❑ Con ctor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ pp HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B Date P ER M IT EXPIR ES ON (Date) provisions to do work paid. S /7� ''77 Receipt No. 7� �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ) 4 ;� �� " �1�2, �, �'� Vt P ir V J� V;, Rl W i