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HomeMy WebLinkAbout069-590-027ADOLPH JOHNSON 3265 Heritage Rd., Oroville'06t M gF GT' 9-59-0-027 Perffikt ##381 -77E (ele ser. ch & m' WEICARN FOR DETERMINATION e1e) SF �lZl�/�� 6/12/83 CERTIFICATE OF COMPLIANCE 7/15/85 �}w' �'069-59- '027 t , ' MICHAEL'WbO' CK x .3265 HER RD;".OROVILLE- / PERMIT.,`#422-90B(REROOF/GEORGE ROOFING) FINAL 1/30/91 069-590-027 01-0674 GLAZE, MIKE . ` 3265 HERITAGE DR O_ ROVILLE '� F CONT: TML INC . ". rPAIR AWNING' 06 Sat &6 0 %- 0260 G i G a ADOLPH JOHNSON 3265 Heritage Rd., Oroville'06t M gF GT' 9-59-0-027 Perffikt ##381 -77E (ele ser. ch & m' WEICARN FOR DETERMINATION e1e) SF �lZl�/�� 6/12/83 CERTIFICATE OF COMPLIANCE 7/15/85 �}w' �'069-59- '027 t , ' MICHAEL'WbO' CK x .3265 HER RD;".OROVILLE- / PERMIT.,`#422-90B(REROOF/GEORGE ROOFING) FINAL 1/30/91 069-590-027 01-0674 GLAZE, MIKE . ` 3265 HERITAGE DR O_ ROVILLE '� F CONT: TML INC . ". rPAIR AWNING' 06 Sat &6 0 %- 0260 '' A. U=j BUTTE COUNTY " DEPARTMENT OF DEVELOPMENT SERVICES INSPECTI FON CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2528 Issued: 10/25/2006 Address: 3265 HERITAGE RD OROVILLE APN: 069-590-027 Permit Subtype: Re -Roof Owner: GLAZE, ROSEANNA L & MICHAE Applicant: GEORGE ROOFING Description: REROOF 24 SQ COMP MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR FR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 1 11 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds .50 Balance Due: $0.00 Receipt No: B661 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GEORGE ROOFING 452266 / C39 B C43 / 02/28/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/25/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. State Fund Policy Number: 272-0000596 Exp. Date:01/01/2007 (This section need not be competed if the permit is or once hud dollars ($100) or less.) ❑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. Please check one of the following: ❑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 Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). , E1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 10/25/2006 Date X 10/25/2006 PROJECT INFORMATION Site Address: 3265 HERITAGE RD Signature Date Owner: Permit NO: B06-2528 APN: 069-590-027 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE GLAZE, ROSEANNA L & MICH HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) Issued Date: 10/25/2006 By AAM Permit type: MISCELLANEOUS 25 CASTLE CREEK DR Subtype: Re -Roof County to enter the above mentioned property for inspection purposes. I hereby certify that I am the' OROVILLE, CA 95966 Expiration Date: 10/25/2007 Description: REROOF 24 SQ COMP 10/25/2006 (530) 534-8778 Occupancy: Zoning: SRI Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage Remdl/Addn 6810 LINCOLN BLVD 6810 LINCOLN BLVD ' OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-6393 (530) 533-6393 FEE INFORMATION Re -Roofing $137.50 .50 Balance Due: $0.00 Receipt No: B661 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GEORGE ROOFING 452266 / C39 B C43 / 02/28/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/25/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. State Fund Policy Number: 272-0000596 Exp. Date:01/01/2007 (This section need not be competed if the permit is or once hud dollars ($100) or less.) ❑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. Please check one of the following: ❑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 Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). , E1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 10/25/2006 Date X 10/25/2006 - I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. I County to enter the above mentioned property for inspection purposes. I hereby certify that I am the' CONSTRUCTION LENDING AGENCY property owner or am authorized to act on the property owner's behalf. 10/25/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; DAgent for Owner DAgent for Contractor Lender's Address City State Zip INSPECTOR COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3265 HERITAGE RD Owner: Permit NO: B06-2528 APN: 069-590-027 GLAZE, ROSEANNA L & MICH Issued Date: 10/25/2006 By AAM Permit type: MISCELLANEOUS 25 CASTLE CREEK DR Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 10/25/2007 Description: REROOF 24 SQ COMP (530) 534-8778 Occupancy: Zoning: SRI Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage RemdUAddn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-6393 (530) 533-6393 FEE INFORMATION Re -Roofing $137.50 Total Charged: $137.50 Fees Paid: $137.50 Balance Due: $0.00 Receipt No: B661 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GEORGE ROOFING 452266 / C39 B C43 / 02/28/2008. Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for n e ec . of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X �o� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; 10/25/2006 Please check one of the following: Contractor's Signature It Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 272-0000596 01/01/2007 Policy olicy Number: Exp. Date: Contractors License Law.). (This section nee not be completed if the permit is or one hun re dollars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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' X 10/25/2006 compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those Owners Signature Date �provisio X ` _ 10/25/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature l� Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. countyjpeker4e above mentio rgperty for inspection purposes. I hereby certify that I am the Pro rt�eramauthor to act the property owners behalf. CONSTRUCTION LENDING AGENCY 10/25/2006 TName 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) � Owner �,Con tracior Agent for Owner L JAgent for Contractor F-� FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X For office use only: OWNER Name Michael C. / Roseanna L. Glaze Address 25 Castle Creek Cr. City Oroville State CA Zip 95966 Phone 534-8778 Fax E-mail Lic.# APPLICANT SIGNATURE X For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION AP# 5610—v _7 Property Address 3265 Heritage Rd. Oroville, Ca. 95966 Cross Street PERMIT NO. NO. BP a(p— cl� BIN # WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND 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 Description or Scope of Work Overlay - House - Com Sq. Footage 24 squares ❑ Structure Built Without Permits ❑ 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. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total REV: George Roofing NOTES RESIDENTIAL 069-590-027 01-0674 GLAZE, MIKE 3265 HERITAGE DR OROVILLE CONT: TML INC REPAIR AWNING 11 SPECIAL CONDITIONS II CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT %) 7 J-1 ASSESSOR PARCEL NUMBER 069— 9() O ZONING SR -1 BUILDING PERMIT OWNER �I 1. 1 I(F TELEPHONE FT. OCC. BUILDING VALUATION ►�S�Oy.� 1':7! 41200 OWNER'S MAILING ADDRESS 3265 MJTAGE DRI.. OROVTTJY- CA 959156 CONTRACTOR'S NAME T.M.L. INC. TELEPHONE 589-1529 CONTRACTORS MAILING ADDRESS 29114 N%1 MCE RD.. OROVILLE 95%fi CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 72.W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDINGADDRESS 3265 HERITAGE DR., 0MILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 138„80 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utllities ❑ Installation ❑ Other ❑ Describe Work: REPAIR &M'0 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service "'.A 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. InLIC. No. UILDER DECLARATION ER-B I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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. b' I 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.974, f,C' ,Ir'A"l7 ' Policy Number A,,.aT Z .14'7 Z!' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X A -l.- Date 64$f Signature of Applicant - ❑ Owner 113 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service YOGA To XIXaA 46.00 NEW CONST. DWELLINGoccuP. OR oNs. & ACCa 3.5Qso NEW NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @',50 OWN Ex. Occup. Dues pM D•oE1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ corsT. rvvE TOTAL FEE $ 138.80 HA2, D. FEES IMP FtOOD CDF PARCEL ; HD ISSUE; This permit is hereby Issued under of the Butte County Code and/or indicated above •for which fees have By LRUO� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date GGA tj�?/�%ls Date Receipt No. 315142/ I.38.E0f) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 8. 1. Zoning Requirements -Setbacks -Easements Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Elec.; Enclosures; Conduit Entries -Terminals -Listed 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete MOBILE HOME INSTALLATION (Plans) OK except #'s 6. Gas; location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG EOUS Date DECKS, COVEF36,_CARPORT�®'ARAGES (Plans) OK except #'s 26otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists- Decking- Bracing -Stairs -F 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-RNrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 7. Well Clearance & Disconnect Setbacks -Easements 8. Utility Clearance 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI Date Elec.; Enclosures; Conduit Entries -Terminals -Listed Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10. 1. Zoning Requirements -Setbacks -Easements Liaht Niche 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 EOUS Date DECKS, COVEF36,_CARPORT�®'ARAGES (Plans) OK except #'s 26otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists- Decking- Bracing -Stairs -F 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-RNrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not Or - = Not Aplic= Not Ready able RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s -7. Water Htr.; Vent -Access -Combustion Air Baffle AS. Water Pipe; Test & Anchor -Nail Protection 13 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22 Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date :ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. mixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Dec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Fomex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. SUbfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Rwge Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Seevice-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equp. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive j Yes D NoMalks D Yes D No/Planters J Yes J No 33. Clones Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card &1 Date Card B-1 Date Card B 1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Cucts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Ac:ess & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sills Proper Materials & Anchors 41. Walls Stuc.s-Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop n Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive j Yes D NoMalks D Yes D No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT J/_ 116 2 I ASSESSOR PARCEL NUMBER 069-990-027 ZONING SR -1 BUILDING PERMIT OWNER GLAZE, MIKE TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESSEST_4,200 3265 HERITA(;E DR., OROVTTIE (A 95966 CONTRACTOR'S NAME T.M.L. INC. TELEPHONE 589-1529 CONTRACTOR'S MAILING ADDRESS 2944 HERITAGE RD., OROVITIR 95966 CONSTRUCTION LENDER Fireplace LENDER'S MPJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS 3265 HERITAGE DR. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 138.80 LOT NO. SUBDNSIO SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 ❑ Installation ❑ Other ❑ Describe Work: REPAIR AWNING 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 Fee 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.POWER License Class 336 / 0 � Lic. No. A 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, 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. I 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' o�pensation insurance carrier and policy number are: Carrier% -7E J-tcNd Policy Number /.S,Z 3:7 ZI (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 withthose pro I Ions. �r X • �f Date 'Z ^ % O i nature of Applicant - ❑ Owner X Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionZ of structures over 3 stories in height. Main Service TO tOooA 46.00so NEIN CONST. DY, W E IJNG OCCUP. OR3.5¢F7. ADONS. ( MUUICOu�TL Er NON-RESID. 07.50 APPARATUS 8 SINGIE OUTLET CIR. 20 0'•OO ounzr oR mTuRES Ex, OCCU B 00 Occup...FIXEDE 5.00 —Ex. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 138.80 HAZ. p. FEES IMP I FLOOD I CDF I PARCEL I PO HO ISSU This permit is hereby issued under the applicable of the Bu County ode and/or Resolutions indicat ab for w ich f@es have been By Z PERMIT EXPIRES ON provisions to do work paid. 0 �/�7– to ReceiptNo. 315142/ 13fii1:1 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT -�" Al COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: G At time of permit applica 'on, I vas advised the following data must be submitted prior to permit processing and/or issuance: Date Received By terns have been submitted.-------------------------------------------- --------------------------------------- 2. Plot plans, 3/4 sets, signed by the preparer of plans.---------------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. -------------- ------------------------------------------ 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $---------------------------------------------------------------=-------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- 0 ------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. - ------------------------------------------ 0 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ------ 7r --------------------- E120. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). - ❑22. Workers' Compensation carrier and policy number. ------------------------ 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). --- 024. Letter of signature authorization. ---------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------- 026. Letter of intent on building use. ------------------------------------------------ 027. Manufactured Home utility clearance. ----------------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------- 1129. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 030. other: ------- Wh uu issue the permit, process as follows C3.co Mail to owner, ❑Ma' to.ntractor. "►=Telephone -' and hold for pickup aoffice. ❑ Deliver wiector. Applicant: �/ Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data'by ❑ phone, o mail, ❑ Division counter, byD e: Plans reviewed by: Date: Plans approved b} Date: d Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. %F%FW.... . 6 W_g ooloo I %l vW.Tl6Llwl 0 vc.nswc-a-LOW n.vrn%a ulvj�IVN 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PER NO. Ray.t?A�) APPLICATION AND PERMIT - al-LO�n?,•; 'BUILDING PERMIT OM1f" 'miDie SO. FT. OCC. BUILDING VALUATION ` oownKre++oN uDoaa uDOal'e UPAM AOOMI Fireplace Total Valuation is AACHITW OR OiODHM �Dil "o` Fiin FN S 20.00 A11GfT[Cl OR oanmM, U la A000e14 Permit Fee S '� Plan Chel Fee i L �'aOSJOA00�e Energy Plan Checking Fee i S PERMIT FEE S roT"a susowebfr,rwa '""ca �"" PLUMBING PERMIT Ring Fee 20.00 1 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SFO,,Eplex O Mobilehome O Other Water piping 15.00 sew Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 -5 outlets 15.00 Now O Addition O Remodel O UM" O instalatim O Other O Building sewer 15.00 Describe Work: Mobile Home I S I G I W QP20.00 PERMIT FEE S ELECTRICAL PERMIT FlUng Fee 20.00 Main Service soon oR frsf 23.00 Main Service sow TO iooew 44.00 on C016 . own.Pal Occur. fa Aooas. a AM eros. 3.56rT. Faw Good T. wwwio.al Yuuwv AT currIt @7.50 rOWE71 AMAWV& oyny cm EX. Occup. ovnv OR Wfumn ELL .fe Ex. Occup. D A"11a' ounET. oa.I ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Lisc. Wiring 23.00 PERMIT FEE _ *PERMIT FEE PAID MECHANICAL PERMIT Filing Fee 20.00 SRA $ —Heating Cooling SHERIFF Hood 6.50 OTHER $ —ventilation $ PERMIT FEL: S Moble Home Installation Fee S $ Energy Inspection Fee i ' occ CONST. TTrs TOTAL FEE _ AMOUNT RECEIVED $ "AL 1 O. ries I IMP, I ft=o COI ►Mca r0 I w I 4l This permit Is hereby Issued under the applicable provisions Of the Butte County Code and/or ReaoluNons to do work *RECEIPT --+ f C S indicated above for which fees have been paid. NUMBER 6 * TO BE PVT INTO COMPUTER By oat. PERMIT EXPIRES ON n ins -v�6',��f�,/,'T�d4?_ �,+'�i���ti"� TF9�,*�iK �"4�s's'^'-....Y�^ r.. -. . _Y �. f��_�e..'_. ....` .- '^!. F [ � � .. .l . •�. S ` }�� i r' � fl :�( �' � a r y 7 t r . � � 7 .. � � t _ � � F'...s . .. i . � v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI6i AND PERMIT ASSESSOR PARCEL,.,NUMBER ZONING BUILDING PERMIT OWNER MR. MICHAEL WOJCI&589-5523 TEL ONE SQ. FT. OCC. BUILDING VALUATION 221� comp. 1350.0f) OWNER'S MAILING ADDRESS 3265 HERITAGE LOAD OROVILLE CA. 95966 CONTRACTOR'S NAME TELEPHONE DON C. GEORGE INC. -6 93 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE. A, 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1950.0( Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 32.5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3265 HERITAGE ROAD OROVILLE CA. 95966,_ Permit fee $ 42.54 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME I. PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF EN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W .00.2 10 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 1� Describe work: _ RE—ROOF COMPOSITION SHINGLES & BUILT—UP 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 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p i y (check one): �--- Ek I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Prof essi 9nCC (`�Sn'rZ{e and my license is in full f�(slrc ({And effect. YJ2LV6 li`7 License No. Classification El 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. .7044) 1 ❑ I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. , 2/2¢sgft NEW CONSTR. M ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .20020 030 FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID,) EA.) 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. ❑ 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 FiIirig 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 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 againstsaid dCC�un y in consequence of the granting of this permit. X Date FEB . 6, 1990 t! Signature of Applicant — Owner❑Contractor ❑ Agent] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ 42 . 5 FEE ALSCHL E HAz CUA PARK PAR PO Ho 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. f DIRECT ft OF PUBLIC WORKS K f By.. +,!< i �•:✓/' Date PERMIT EXPIRES Date ' r1 -� � :,WNITE-D.P.W., Receipt No. 7�J YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLlc,ATION AND PERMIT ERMI NO t:9 W_ 3� e 0/7 ASSESSOR PARCEL NUMBER r ZONING BUILDING PERMIT OWNER MR. MICHAEL WOJCIK I LL-EV14ONg cR9-55?3__1 SO. FT. OCC. BUILDING VALUATION 22,:5 romp 1350-0 OWNER'S MAILING ADDRESS 3265 HERITAGE ROAD CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6 93 CONTRACTOR'S MAILING ADDRESS P.O. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I 950.0( Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 32.5 1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 32 I A. 95966 Permit fee $ 42.5 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 S G W 10.006 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U t i Iities ❑ Installation❑ Other [j] Describe work: _ RE–ROOF COMPOSITION SHINGLES & BUILT–UP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 (check one): r—� '� J I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professigns Code and my license is in full force and effect. License No. 452266 Classification C-39 EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ACDNS. ACC. BLDGS. /zQsgft NEW CONSTRES'O, BRANCH NON•R ESID BRANCH CRC,. 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu p�OUTLETS OR FIXTURES 200501 SALO 30 FIXED APPLNS. EX. Occup. OUTLETS (RESID )KEA.) 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. ❑ 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 FiIingFee 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. 1 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 liabilities gments, costs, and expenses which may in any way accrue against said' In consequence of the granting of this permit. X / Date FEB. 6.1990 Signature of Applicant — Owner ❑ Con ractor ❑ Agent KI An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 42.5@ E HAz CUA PARK SCHL PAR PD HD Issue This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIR)Z OF PU 1 PERMIT EXPIRES Date— the applicable provi- resolutions to do have been paid. WORKS Date 190 F677 inn Receipt No.��CJ WHITE-D.P.W., YELLOW-AS3E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Michael and Roseanna Glaze 3275 Heritage Road Oroville, CA 95965 Dear Mr. and Mrs. Glaze: L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 RONALD D. McELROY Deputy Director June 125 1985 RE: AP 69-59-27 Application for Determination At the regular meeting of the Butte County Subdivision Violation Committee held on June 12, 1985, the committee granted a Certificate of Compliance to the above -referenced property. There are no conditions. There is a fifteen -day appeal period before this Certificate can be recorded, however since you have signed the waiver waiving your right to appeal .the committee's decision, we will go-ahead and record the Certificate of Compliance If you have any questions.regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works �✓ John Mendonsa Assistant Director JM/ d s cc Planning Health Buildi C� F . I � y LAND OF NATURAL W E A L T H ANDBEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4681 RONALD D. McELROY Deputy Director July 15, 1985 Michael and Roseanna Glaze RE: AP 69-59-27 3275 Heritage Road Certificate of Oroville,,CA 95965 Compliance . Dear Mr. and Mrs. Glaze: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on June 26, 1985 under document number 85-19090. If you should have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works Original signed by JOHN MENDONSA John Mendonsa Assistant Director JM/ns Attachment cc: E RYironmental Health Building Department 95-19090 J OF BU f i t CUUI�TYXALIFORNIA' RETURN T0: ATTNc RE"QUFST OF ':- Public Works PUBLIC WOPI(S Land Development Section 1 1885 JUN 26 P14 12: 24 CERTIFICATE OF COMPLIANCE ELEANOR`l. BE-Cil��-�R�,,.�,,� CLERK -RECORDER FEE Issued to: Michael and Roseanna Glaze 3275 Heritage Road 85-19090 Oroville, CA 95965 This Certificate of Compliance is'hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision -Map Act and of Chapter 20 of the Butte County Code-. 1. Property location: on the west side of Heritage Road, approx. 600 ft. south of its intersection with Hillcrest Avenue. Oroville area. 2. Assessor's Parcel Number: 69-59-27 Description: All that certain property located in the County of Butte, State of California, more particularly -described as follows: A portion of Section 18, Township 19 North, Range 5 East, M.D.B. & M., Butte County, California; being more particularly described as follows, to wit: Beginning at a point in the center line of the Oroville-Quincy Road, from which point the Section corner common to Sections 12 and 13, Township•19 North, Range 4 East, and Sections 7 and'18, Township 19 North, Range 5 East, bears North 360 1`' West, 782.06 feet; thence North 650 19' West, 144.63 feet to an iron pin; thence South 240 41' West, 110.00 feet; thence South 650 19' East, 144.63 feet to the centerline of the Oroville Quincy Road; thence North 240 41' East, - 110.00 feet to the point of beginning of this description. Issuance of this Ce-rtificate is conditional upon the following, conditions which have been imposed pursuant to the Butte County Code Chapter 20-166-andGovernment Code, Section 66499.35 (b), to protect the public health and public safety; NONE County of Butte Subdivision Violation Commitee LD 1400 jof� END OF.D000 END OF DOCUMENT /��®�. � �Dh�nG.SO/✓ 2;70_fg,occ - v r 1 V114 1 P. 1 I - ry COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 ` Telephonk 534-4141 ` APPLICATION AND PERMIT autnonze representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signcrture of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By --Date Building permit expires Date BUILDING Owner / ._. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No, Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 4 Fees W. C. Sanitation,.: FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg-Plans•Rec;d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES Q OTHER ❑3f ELECTRICAL No. @ FEE f, + PERMIT FILING FEE $3.0000V { ,r I OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 4 Main service OVER 6 O 25 00 100 AMP OR LESS Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGS.LING 0 CCUP. &� 22syft NEW CONSTR. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS .&) NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licergsed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: �zsc Ex. Occup(ouTLETs OR FIXTURES) 50 BAL.@1 FIXED ALNS. OR Ex. Occup. (OUTLETS (PPRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 t, _;S' 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ J . , %'jam $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code whicl- requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ /.- ,', autnonze representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signcrture of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By --Date Building permit expires Date O'�7 cso /a-" g/�/77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drjve — I. Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,3 p1l - 7 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Qwk Date '1 Signat re of Pe I e or Agent Receipt No. ZW 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 PJB IC WORKS Byate B ding permit expires Date BUILDING f FJ OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 bed-srW-11Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bid,. Plan,-R,..�d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE 3.00 Gv fe p.QtZ4 Main service 100°o AMP ORV OR LESS5.00 Do f� / P' Main service EA. ADD'L 100 AMP .50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACCBDGOCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW C ON ST R. ( 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: o@ 25 Ex. Occup(OUTLETS OR FIXTURES) sBAL@ 109 Ex. Occup.(OUTLETS IIRESID.)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 .$ 14 1r $ 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. 'gy� I certify that in the performance of the work for which this �d 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Qwk Date '1 Signat re of Pe I e or Agent Receipt No. ZW 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 PJB IC WORKS Byate B ding permit expires Date