HomeMy WebLinkAbout069-510-006Village Oaks Inc.
f 5 Crazyhorse Ct., lot 48, Unit#2, Oro.
contr: North Sierra Const., Oroville _
Permit x¢4939 -77B P, E M(new-sin-g-le,- —
family) 9/x9/77.
069-510-006 02-1769 -
CHILDS, Robert
5 Crazyhorse Court, Oroville
Cont: George Roofing
t Reroof/SF
069-510-006 05-0828---
VIZZINI, JIM
5 CRAZY HORSE CT, OROVILLE
CONT: GALLAGHERS HEAT&AIR z-
C/O HVAC
7-2746 � � ` 069-510-006 •
MI
SC EOUS Room Add -First Stry f
ADD(6
5 CRA HE r
ANDERSON, AVID d
r
• t
jr '
I
• I
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BP050828
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
B. C. Building Permit 01-16-04 pq 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/01/2005 APN: 069-510-006-000
the Business and Professions Code, and my license is in full force and
effect.
License CAass 5�0C3B License Number:%1-7253
Site Address: 5 CRAZYHORSE CT ORO
Dale: I Contractor:
Map Index:
Description: REPLACEMENT -CHANGE OUT HVAC
'OWNER -BUILDER DECLARATWN
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for - Ole following reason. (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: JIM VIZZI N I
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to rile a
5 CRAZY HORSE CT
signed statement that he or she Is licensed pursuant to the provisions of
OROVILLE CA
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95966
she is exempt therefrom and the basis for the alleged exemption. Any
(530) 589-1977
violation of Section 7031.5 by any applicant for a. permit subjects the
applicant to a civil penally of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
Intended or offered for sale (Sec. 7044, Business and Professions
Applicant: GALLAGHER'S HEATING & AIR
Code: The Contractors' Slate License Law does not apply to an
JENNIFER GRUBER
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
E. HWY 99
provided that such Improvements are not Intended or offered for
LOS MOLINAS CA 96055
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
800-892-3556
proving that he or she did not build or Improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
Contractor: GALLAGHER'S HEATING & AIR
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
E. HM 99
❑ 1 am Exempt under Article 3 of the Business and Professions Code
LOS MOLINAS, CA
800-892-3556
Dale: Owner:
License #: 777334
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
Issued.
Engineer:
have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: �fzt �%
Total Square Ft: 0 S. F.
Policy rf: Q_:_�) S
Valuation: $0.00
Census Code:
❑ I certify that in the performance of the work for which this permit Is
issued, I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,
and agree that If I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
-
WARNING. Failure to cure workers' compensation coverage Is
unlawful, and shelf subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided • for In Section 3706 of the Labor
code, interest, and attorney's fees.
c U
CONSTRUCTION LENDING AGENCY
This permit Is reby Issued under a licable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
Resolullona do work inove f r v Koh fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
-�
Bv: & Date:
Name:
6
/(
PERMIT EXPIRES ON: V�
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form/bf document of Butte County. I hereby
authorize represen alIves of Butte County to enter upon the above mentioned property for inspection r es.
Print Name: i� Signature: Z.
J�
'
Date: - V
O ❑ Contractor ❑ Agent for Owner Agent for Contractor
Owner
B. C. Building Permit 01-16-04 pq 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY"*
OWNER
Last NameFirst
1Z -Li
Name
II
'j
Address C' C ra Z. L 4o Lk s & 1.,.`I I
City 0 Y'O VI [
State of
Zip 5q
J
Phone C� 2 7-7
o
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
Flood Zone
s 14VAC
Address
-P0
35
City
niv ,,,c
Phone
State 614
ZipR �S
Phone
38 L11Du
State License Number
Fax -
E-mail
Lic. #Class
�7 3
apC
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
O 4 '315
City
D ` _
State
Zip
Phone
�
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name t
1
Flood Zone
Address F
O 4 '315
City U-(;
D ` _
State fq
' 1
Zip
Phone 3 p 1 `Cr
O
�
Fax
E-mail
Planner
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property A
� T
Flood Zone
Cross Street
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
'K-67
BIN #
LOCATION
AP# 0 D/
(�ess
Property A
� T
Citi
U
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier (�� / d
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope of Work:
Sq. Footage
O Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
v
Received by: Amount:s. Bldg
SRA
Receipt #: Sheriff
Other
Date:
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9: Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑ 1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2.
Impact Fees.
❑ 3.
California Department of Forestry plan approval (if required).
❑ 4.
NPDES Form.
❑ 5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6.
Contractor's license information. (Number, Name Style, Classification).
❑ 7.
Worker's Compensation Carrier and Policy Number.
❑ 8.
Owner -Builder Verification (if required).
❑ 9.
Letter of Signature authorization (if required).
❑ 10.
Recorded copy of Agricultural Acknowledgment Statement.
❑ 11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
t
11auh
Monday, March 28, 2005
Building Permits
® Residential
❑ Commercial
Job Name: Jim VizZini
Job Street Address: 5 Crazy House Ct
Job City/State/Zip: Oroville, CA 95966
Job Phone Number: 530-589-1977
® Property Owner same as above
Owner's Name:
Owner's Street Address:
Owner's City/State/Zip:
Job Description:
Basic 3 ton package unit on the ground 11 Seer
❑ New Cut -in
Z Change out
Permit Type:
❑ Building
® Mechanical ❑ Electrical
Estimated Value:
3500
Contractor's Name:
Gallagher's HVAC
Phone:
(530) 384-2444
Mailing Address: -
P.O. Box 35, Los Molinos, CA 96055
Gallagher's Heating & Air Conditioning Inc. Form
Monday, March 28, 2005
❑ Plumbing
Rev: 11/2004
�la�nlei
d
�Mf Gt �76,
(I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT O.
(Rev. 12/96) APPLICATION AND PERMIT _
ASSESSOR PARCEL NUMBER q _., �^
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
1
SO. FT. OCC. BUILDING VALUATION
OWNERS LING ADD S l.W • ��/ CIf L!/
Co o p
5—Lv
CONTRACTOR'S
TELEPHONE
33-6393
CONTRACTORS ' NO ADDRESS
Law
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
Flin Fee
$ 20.00
ARCHITECT OR ENGINEER
LICENSE NO.
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING RESS
Energy Plan Checking FeeAd
$
6
$
PERMIT FEE
$
LOT NO.
SUED ISIOWSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations' Other ❑
Describe Work: �Q)L � —
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service 2o0A OR LESS
23.00
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 Cl -139 Lic. No.�a 2 6(�
OWN WILDER DECLARATION
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
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' c m ensatio suranc arrier and policy number are:
Carrier
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS.
s0
3.50 Fr.
r,GµgESID T.MULTI-0U.
U.
@7,50
POWER APPAR U
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
:0050
BAS @' 50
APPI
Ex. Occup.ouXTit ESLD°EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
t
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FELE
$
Policy Number o.�_SD D
(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.
�� S, (� Z
X _ Date _ _
Signature of Applicant - ❑ Owjrer ❑ 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 $
OCC
CONST. TYPE
TOTAL FEE $
HAz.
o PEES IMP
I FLOOD
I CDF
PARCEL
PD HD
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By �, &J;JD
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
.�
to �.
of
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
U!
P' RMhT NO.
4;939-7,,7B ,P;E,M
i
PERMIT EXPIRES
OWNER Village Oaks Inc.
CONTR. North Sierra Const., Oroville
LOCATION (A.P. 34-50-30 port.
r 5 Crazyhorse Ct., lot 48,Unit #2, Oroville
I
i
t
Temp. Power Pole
i Called PG&E
Temp. Elec. Serv.
Called PG&E
imp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Si a ure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BtAILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor 7O ;�L'p��
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows �7d'�_�`
3rd Floor
Stemwall
Siding —
To out `s —7
Slab
Roof Sheathing
Water Pi In _6-7S' Am,,
Piers
Roofing 41-6
Sewer -4,
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr:
Heaters
Slab
Carport
Footings
Prov. for physically
Conforms handicapliece of ex.
structure
Appliance �{
Gas Piping &Test
Temp. Gas
Slab
Final fid^
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry WallsThroat
Rough -7
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing -(v- C.—.
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch"
Heating iv -- _
Service
Brown `'7
Cooling Ls� ' �'7
Temp. Pole
Finish 40-'a
Ducts n G
Underground /
Interior Lath
Ventilation
Permanent JK
Door Closer �� "�%
Final j�g
Final -
MOBILEHOME UTILITIES ------------------ Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATI-ON . - - - - - - - - - - - - - - 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.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED. IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street
Lot Number Tract No.
EXTERIOR WALLS 3 //� l/
Manufacturer Thickness/Type R Value -
CEILINGS
Batts: Manufacturer / Thickness R Value
Blown: ManufactThickness No. Bagq Wt./Bag
Sq. Ft. Covered R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value_
Width of Insulation --inches
FOUNDATION WALLS
BY.
RV c
CENSE No.
DATE
INSULATIO CONTRACT AWKINS INSULATION CO. LICENSE To. 215-925
BY t TITLE DA G
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -7
t Telephone: 534-4541 �' 9/: 71
APPLICATION AND PERMIT 1/
BUILDING
OwnerSQ. FT. OCC. BUILDING VALUATION
L C.Mailing AddressZ � z
Telephone No.
Fireplace
Contractor Total Valuation Z
Permit Fee
Mailing Address -. G / 2. Q
Plan Checking Fee &/or Penalty
LL hone
® Z, Permit Fee $
Building Address QPLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Z `�G Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Z4A.V,7- �, �- Ionfng .V�rification On Each gas water heater or vent 1.50
A. P. No. _34 'Ce- '-'=> PXtfT �Za n Gas piping system 1 - 5 outlets 1.50
/ Each additional outlet 30
F Mlt t1Dn Fire Dept. Fire Zone Use Permit Building sewer 5.00
EQA Parking Parcel ar�el Ma 60' R/W Im nts Lawn sprinkler system 2.00
Plans Declaration'` P P
rove
I g. a s c At+ Pa cel ,oval Plant!!!pproval Permit Fee $ Z $
NEW 7A' DDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE
And PERMIT FILING FEE $3.00 .00
Main service e00v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 00 AMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00
NEW
OR ADDNST CAC . B G P &) 20Sgft
NEW CONSTR. ULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS) 12.50ea
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 Ex. OCCUP(OUTLETS OR FIXTURES) 50 BA@2i
style of: Ex. Occup ( FIXED APPLNS. OR
• OUTLETS (RESID.) EA) 2.00
Temporary
service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
License No:Z; _SF:Z !7—/ Classification
❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 42-7014
WORKMEN'S COMPENSATION INSURANCE MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 ,UU
I am aware of the provisions of Section3700 of the California Labor Heating 0
Code which requires every employer to be insured against liability
for Workmen's Compensation.
21 have placed on file with the County of Butte a certificate of Cooling .
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00 �.
California. Permit Fee $ 13,od $ J'
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 Date
ignature of PeKee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE $Z/�
This permit is hereby issued under the applicable provisions o'
the Butte County Code and/or resolutions to do work indicatec
above for which fees have been paid.
DIRECTOR OF,RLJBLIC WORKS
Byz7 Date '7— ys - 7;2
Building permit expires Date �1" —a 5 %X
Nis set of plans and specifications MUST U.
kept on the job at A times and it is unlawful to
make any chnnjes or alterations -on same without
wri*en permission from the Departmen# cf PuL
lic Works, County of Butte.
•
' r i
xa
IJOTE: All Materials & Workmanship Shall Be its —
Accordance with Recognized Good Practices and
of q quality prescribed for the Specified use in -the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
"c rjc'rse
10
all
The Bldg. Setback shall be 5 ft rom the
side property line and 0 from the
centers ae of the road, permitting a maxi-
mum o1 a 2 ft. eave overhang but entirely
out of all easements. /
C�AZYU,OR��
?LA
°=tel
1IN1 i Pd� '1' IOT 110.
See Master Plan ort?FtiQ, Er J-'��i
#397.7. •�i
..._ BUTTE CQ�l.'° ;
�r<
G c->ijfJ T I J
BUILDING DEPARTM K
APPROV
r
aK
' f