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HomeMy WebLinkAbout071-440-012` Q'7( `.J40 -01 PO SUS INC. ROBERT & SANDRA (Jon D'elisser) BARSBY Permit#20-84A(A�ricultural Buildine h F End pri rd; W/S Rockerfeller Rd, Exempt�_on for farm implements) . app 300yds before end of blackto. - Berry Creek Contr: Fisci Bros, Pa'°radise Permit#4216-80B,P,E N Zw contr-, Fisci Bros'., Paradise Permi-t#6249.80B,E(new pri.det. �. rage ) Contr: Valley Vie onst Permit#2182- " =M» install wood`stove/SF) e ' 1 4216-80B,P,Eti.M PERMIT NO. PERMIT EXPIRES k OWNER , Pu u= 1 us, Tns owner CONTR. 71-02-9: port. 87 ASSESSOR PARCEL 7iO4,/3' SP " S � LOCATION End of pri.rd., W/S Rockerfeller ';. Rd., app.300 yds before end of black top, Berry Creek t j ;kms•` fi e' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 7� Called PG&E JOB FINAL D (Date) Signature Iii c V = OK O = Not OK - = Not Applicable * = Not Ready 1 RESIDENTJAI (Single and Duplex) Date UNDE OOR Plans OK except #'s Date FRAMING Continued o requirements -Setbacks -Easements 48, P ings ZoOf'tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 9. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers alls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer temwal Steel-Blockouts-Wrapped-Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 'JL -i 7. Fireplace Ftg teel 54. lazing Area -Glass Protection -Skylights -Plastic t/- - D.W.V.: a - t ings-Test-2 way C/O -Sewer Test - hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors OAAr r Water Pipe; Test -Anchors -Regulator -Service Test Cc « �• 11. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date - Card -BI Date �(Q p LLMC- Card -BI Date Card BI Date Card -BI Date Card -BI Date Card -BI Date/710-Card-BI Date - Date FINAL (Plans) OK except N's Card -BI D - Card -B ate Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 56 xt. Steps -Door & Sidelight Protection -Landings GS;,.�ke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection .W.V.; 4aee-Ftp & A ors- Protection e m Exiting 17. Shower Pan; Test, First Floor -Tub Access G & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 6 Elec. Trim & Subp el; Breaker Size -La air r e or Stove; Clearances -Hearth I Outlets at Wood Panel; Int. & Ext. Card -BI Date - Card -BI Date Kit. F' . & A fiance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 ec. Outlets &Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's igeol5arage Fire Door; Swing -Landing -Closer C ct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 7 Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 7 „ ec. Receptacles in Garage; (G.F.I.)-Rome rotec. 23. Romex Installed Close to Edge of Studs & C.J. 7 anon -Foam -Looked in Attic s 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size & Crawl Hole D -Drainage & Wood -Earth Clearance Looked under Floor es _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Aldents 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 11 Insulated Neutral ❑Yes [3 No 75. Following instld.: Drive es No; Walks es ❑ No; Planters ❑Yes o $8. Service -Riser Conductors & Ground -Main Disconnect 7 . Stuc Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip.- C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Out et4 30. Clothes Closet Light- Shower Light en Bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opn_ -.- -- --- _._--. - Card B-1 Date �S % Card -BI Date _3_ g / Card 6-I Date Card -BI Date disconnect, Electrical, Plumbing or Elec. Trim; G.F.I. Receptacle -Underground Vtiro thloughout House Gla rotection Date MEC ICAL (Permit) OK except q's orrecIions from Previous Inspections Tagged; Gas -Electric A.C. Ducts; Insulation & Support �1� / 3 a 1, Sewer Connected -C/0 to Grade -HD Approval nergy Compliance Certificate -Other Certificates 4E� Vent Fan; Exhaust above Insulation -48—Ge de sate _ain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -B Card -BI .Date • - Card -BI Date to Card -BI Date Card -BI Date Card -BI Date Date F AMING(Plans) OK except q's Comments at Final: 5gjkl3 . Sills; Proper Material & Anchors �////���7�77. Walls: Studs -Nailing, Spacing _& Bracing -Plates_ -Sound v . Bearing Walls over Girders & Floor Nailing i 39. Draft Stop in Walls (rat proof) _ 40 Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing _ _Jkost Caps -Anchors -Connectors_ Cing. Joist Rftr. Ties-Purlin-Roof Brac.-Truss-Shtpf, -Rfnp. 44. trep ace Ties or Type A Flue -Fireplace Throat �� Attic Access; Size &_Rom_ex Protection- raft Stop -Ins. Baffles 0•d 6 Bdrm. Windows or Exiting Doors-Sil pt. & Dimb Bions r 77. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) 53 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE `,YiJILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or/need additional explanation, please contact this office immediately. Inspector l i �`.�,� / /� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE t` frau z r-� /wcic. BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a'Y':aa COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A'mr/i/J1-- 4R6&4A0 LISM-0 D W i tee Pte- -W4,IW4, 80C15-20 47j c`� NO e4 Pi j�� 1 i i Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phorie 534-4541 Skyway and Elliott Road, Paradise —. Phone 877=3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspectorl � Date /�-& i i rar, mums M tl eM 1 � Inspectorl � Date /�-& J = OK O = Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANtOUS Date MOBILEHOME UTILITIES (Plans).OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -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./ /"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 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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining j 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 j 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 I 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT r--I-L (-, l� (location) BU ILD ING PERMIT NO. G-2 4/ 5j —L (Z) A`6 -P. NO . -71-0 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge h A Fdn. Walls . 4 Floors Walls Ceiling/ oof //� Ducts Circula ing Pipes APPROVED HEATER'✓ APPROVED WTR.HTR. T GLAZING: Single Glazed �� l/ Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DtVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name (please print) Signature of Insulation Applicator i State Contractors License No. General Contractor/Owner Name 1,, Signature of ( lease print) General Contractor/Owner Date St to ontractors License No. t THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. RES IDENl' IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTi Y THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAI.I.ED IN CONFOI?A\M10E WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Clark Ave Paradise (location) BUTI.DINC; .PF:RmiT NO. A.P. NO. THE FOI.LLOWTNC (LAVE BEEN INSTALLED AS .PER APPROVED PLANS: (Chock each item or write N/A if not applicable) TNSIfI.AT ION: Slab Edge_ NA Fdn. Walls NA FloorsNA Wa1.1S R-11 4500 0 Ceiling/Roof R 19 Ducts Circulating Pipes NA APPROVED 11EA'CER NA AHI:OVED 1JTR. HTR. NA GLA Z. ING Single Glazed NA Special (Insulated) NA CERT. & L.ABEL,ED WDS. NA & SLIDING DRS. WEATHERSTRIPPED DRS. NA BACK DAMPI RED FANS NA. INTERMITTENT IGNITION DEVICES NA CE'RT. APPLIANCES NA I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION RF.QU IRL'MENTS AND .ACREE TO THE C0HP1J?TENESS OF THIS CERTIF ICATI AS SUBMITTED. Insulation Applicator Name Hawkins Insulation Co., Inc. Signature of (please print) Insulation Applicato Qom( State Contractors License No. Central Contractor/(,.mer Name (plense print) Signature of .. C.r.u, Contractor/(1\-mer Date State Contractors 1,icoils : No. TH TS CERT IF TCATF. 1•111ST 13E ON FILE W ITII THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING, 1. -FINAL. 1:NSPECTION AND SHALL. BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWI:IJJNIC. 1 COUNTY OF BUTTE q DEPARTME,,NT OF' PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 '71 0� APPLICATION ,AND PERMIT ASS SIP R PARCE MBER ZO ING —�1� BUILDING P Tn o ER ® r C t/i TELEPHONE SQ. FT. OCC. BUILDING VALUATION / WN R'S MAI LIN ADDRESS CIA I CONTRA OR'S NAME, sem TELEPHONE S/77_11/47 CONTRA OR'S MAILING ADDRESS ,t�)c q 27 -1-1-7/- CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ A CHIT ECT O ENGIN LICENSE NO. Z Plan Checking Fee $ & Penalty $ RCHITECT OR E INEEE.FLS MAI ING ADDRESS K Aw & Permit fee $ BUILDING YDRES 1 PLUMBING PERMIT Filing Fee &00 Each Trap 2.00 Repair drainage or vent piping 2.00 �T— Water piping KOP p� LOT O./ SUBDIVISION NAME ARCEL MAP i9 Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 00 : -0 TYPE OF WORK New[] Addition [J Remodel❑ Utilities❑ InstallationC Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 /600 Main service V OR LE 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLIN OR ADDNS. (ACC. BL 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a my license is in full force and effect. icense No © Classification /r.4 / 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea S NEW CONSTR (POWER APPARATUS .&) NON•RESI . D• SINGLE OUTLET CIR - Ex. Occup(o TS OR FIXTURES gqL �s tDQ BAL@1 FIXED EX. Occu FIXED APPLES, OR p•(OUTLETS (RESIDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 e. Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Q - &21l�vt Cooling U "� �'- Hood 2.00 , 011 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 en er upon the above-mentioned property for inspection purposes. I also agr a to save, indemnify and keep harmless the County of Butte against all liabi ies, 'udg nts, costs, and expenses which may in any way accrue against C un i nsequence of the granting of this p I. X Z Date Si caner Nf ContEee*or Agent ❑ An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP _Z �J TYPE OF CONST, Tarr V PARCE PD SSU vv This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. '' PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. iHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I AGRICULTURAL BUILDING Exemption from Permits I, 'Jon DeLisser owner of the property located at (please print). Bald Rock area (near Berry Creek) - off Rockerfeller Rd. Assessor Parcel # 71-02-09 , intend to construct an agricultural building on -this property that is not subject to permits. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. `This structure shall not be a place of human habitation.or a place of employment where agricultural products'are processed, treated, or packaged, nor shall it be a.place used by the public. I understand that if I change the use or occupancy of this building in the 1 future, that I will be subject to the necessary permits, inspections, and approvals from the Butte County Building Department Signature of Property Owner ( / Date Sept. 25, 1930 p COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 0;E Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed', treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING AP 71-02-89 A-2 OWNER PHONE N0. ROBERT S. AND SANDRA S. BARSBY 213— 775-4165 OWNER'S ADDRESS 3011 LOMITA BLVD. TORRANCE, CALIFORNIA 90505 LOCATION OF BUILDING APPRO'X. 400' FROM MAIN HOUSE DUE EAST AND APPROX. 200' DUE EAST OF BARN USE OF BUILDING TO HOUSE.FARM IMPLEMENTS SIZE OF STRUCTURE nom' X loo, �' _ ng�_ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify). TYPE OF SIDING ROOF COVERING FLOOR TYPE STE EL STEEL CEMENT ESTIMATED COST OF CONSTRUCTION $3500.00. $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:, LL —< S FRONT SIDES . REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any nece permits, inspections, and approvals to comply with the requirements in effect at that time and before cu ncy. �n Date 3-27-84 Signature of Own Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. /�`f �� Director of Public Works , By. Date White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant IV �o a Ao o�c� 6249-80B,E PERMIT NO., PERMIT EXPIRES— OWNER Populus,lnc. CONTR. Fisci Bros., Paradise - ASSESSOR PARCEL M 71-02-87 port. LOCATION End of pri.rd.,off-,WJS Rocker - feller Rd., app.300 yds before End of black top, Berry Creek Temp. Power Pole Called PG&E Temp. Elec. Service VV Called PG&E Temp. Gas Serv/ice— CalledPG E JOB F Cal (Date) Signature S_ J = OK O = Not OK - = Noi Applicable MQBILEHOMES * = Not Ready ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s K 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 Jbists-Decking-Bracing-Stairs-Rails r, 4. Water; Location -Test -Easement Needed (Sketch) I 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity;-Location-Clearances-Grnd.-/ / Amp -Concrete �I 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 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 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. Health Department Approval 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date - Card B -I Date -Card-B1 Date Card -BI Date Card -BI Date l r, r I �I V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL -(Sing Le and Duplex) , Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) jao,rjjag requirements -Setbacks -Easements 4 ' wall & Openings Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. - -- ec arage- r s ory, ext tg., Garage; Soils -Steel- / /" Ftg. Depth 50. Landing -Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth -6r-6-temwalls, Main; Steel-Blockouts-Wrapped-Slab 5 5 ood on Roof Overhang -Attic Vents -Rafter Outriggers tng- ailing -Veneer -d,-3temwalls, Garage; Steel-Blockouts-Wrapped-Slab .-W.-PFers-Fireplace Ftg.-Steel , a.._.;W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 53. 54. 55. -Drip Screed-Fdn. Vents-Underflr. Access ea- ass Protection -Skylights -Plastic C&4@ei Walls, NMI .P bas Pipe; Size -Anchors 4e: --Water Pipe; Test -Anchors -Regulator -Service Test t-'EMctric; Underground 42 'Plenums & Ducts; Clearance -Material -Support -Ins. -S Girdersills-Anchor Bolts -Joists -Vents -Cripples Card- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -B ��l Datq,2- Card -BI Date Date FINAL P ) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s xtrSteps-Door & Sidelight Protection -Landings 14. Water Ht.; Vent -Access -Combustion Air 58. Furn In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59 17. Shower Pan; Test, First Floor -Tub Access 60, tx ures & u c 18. Test Tub & Shower, 2nd Floor -Tub Access 62• ec. Trim & Subpanel; Breaker Sizes -Labels Sta&%=B4f4att6- 19. Gas Pipe; Size & Anchors 63. F' - 64. - oo ane ; n -x . Card -BI Date Card -BI Date 65. K T�B1i_ance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67, at_Ki_t. ounter �Gaxa a Fic nnnr- Swing -I ^ndinn Inse• Date ELECT AL Permit OK except q's 68. A - ixtur Transformer Clearance -Ins. Protection 69. Wt ctor-P.R.V.- In Garage; Above Floor-Mech. Protection 2 ec. eptacles Spacing -Lights &Switches at Doors 2 tz s & No. of Conductors -Stapled 70. i3_-Ei Pth Fre^ X n"or•h Fq,,ip t tQrefi fnr' gcation eeceptacles in Garage; (G.F.I.)-Ramex Protec. 2 o stalled Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. - oo a to tttc es 73. G ruc ton- os s 25. 2 r tze 26. Snhto +'"'' �'-- -- - AI-A.C. Wire Size / / ga. Cu or Al 74. s& Crawl Hole Door -Drainage & Wood -Earth Clearance 9 Looked under Floor es 27. Ran a Circ Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 2 vic�Conductors & Ground -Main Disconnect 2 quip. Clearances; Panels-Motors-Mech. Equip. 75, 76. Following instld.: Drive No; Walks ElYes ❑ No; PTmffrs Yes No S 77, nt isconnect-Clrnces-Brkr. & Con . Size -115V Outlet 30. tg - owe t 78,g,- iance-Firepl.-Clearance to Opngs. 79, gator Wott• nicr•n noEr Florrrical, Plumbing 80. _ im G.F.I. Recept cIe-Underground Card B- „ ,8 Card -BI Date 11 81 Card B -I Date r Card -BI Date 82, glass Protection Date MECHANICAL (Permit) OK except q's 83. 84 31. A.C. Ducts; Insulation & Support 85. W er onnecte - to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. CRxIiLicates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMI Plans) OK except q's ills, Proper Material & Anchors 3 all ds -Nailing, Spacing & Bracing -Plates -Sound 3 earing Walls over Girders & Floor Nailing _ 39. na Is (rat proof) Comments at Final: 40. urred Ceilings -Stairs -Chases -Tub _ 42: • - os aps-Anchors-Connectors 4 ' ng. Joist-Rftr. Ties-Purlin-Roof Brat.-Truss-shthnq.-Ring 44. Fireplace Ties or Type AFlue-Fireplace Throat _ ection- Draft Stop -Ins. Baffles - --- 46.. oors-Sill Hgt. & Dimensions _ 4747. _ ,-- ---- ramtng - - -- -11 (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM T 0. T 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 _ APPLICATION AND PERMIT M1� ASSE SZ PARCEL NU ;, zo _Z r BUILDING PERMIP( 70P .SQ.�FT. O ER TELEPH NE S� OCC. BUILDING VALUATION O N 'S MAI ING DRESS rr CO ACTOR'S ME S I rDS— TELEPHONE NTR OR'S MAILING ADDRESS e.()*77 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ lybyp ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ � Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESSS Permit fee $ r BUILDING DRESS ( PLUMBING PERMIT Filin Fee 10.00 Filing Fee r Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT N .SUBDIVISION NAME r PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other `, SPECIFY Building sewer Lawn sprinkler system 5.00 ,--, � TYPE OF WORK New (� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. �DWELLIQ7D'O�C •B1 OR ADDNS. ACC. BL®C'SIL 21CsgftD CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): lily�b I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fu f rce and effect.FIXED License NoO,6 ,IPClassification-'. 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET) 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR \ POWER APPARATUS 61 NON.RESID. SINGLE OUTLET CIR. I 80@290 Ex. Occup OUTLETS OR FIXTURES BAL�1 ALN5 EX. OCCup.(OUTLETSP(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. l� I have placed on file with the County of Butte Building Department 1� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating - Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all y'abilities, judgments, costs, and expenses which may in any way accrue ag ' said Cou .y.i nsequence of the granting of this permit. / , Date Signature of Applicant — Owner ❑ Contractor M Agent F1 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF C NST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date --� Receipt No. �-7,291s, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �J N6 4&Q3 -7 f-62 7 r7 M i two/Ilool �. t &.. -SUBJECT: CLIENTS NAME JOB NO. COOSSOCIATES fiNo1NEEAMVO JOB DESCRIPTION CON9UITANT9 DATE 2080 0ARK AV:N. ORO—LIB . CAI1GOgN1A 98985 - SHEETOF SHF4 N64883 Gla'fy i.�✓ e l`; � tl 2-.e- 7_ .G; �t3e�%hjJ Lo T, 2v �. '�'•J ,-��•.. rv/Z !���•-` 4., `� �' - 34J.'i-. Vv .I�'i•?S�3G -� G. �p/C� % "5t CT s.��� . SUBJECT :�,�sS�✓ ����/�c� CLIENTS NAME JOB NO.. ssoc,COO TEs. VLTAftTG JOB DESCRIPTION zo OOHAP"A.. . AVENUH DATE OAOV ILLG , CALIFOPNIA 859MO SHEET OF 7 SHEETS N64883 Ll (",z 12 573 7-z /rj a�3 C t.,'- i I 7 4 F V's -to, A.Dt k.j: T E7141 '17 s _7_7 !.Aj -OF. C.F'. /-.2?//5 5v SUBJECT CLIENTS NAME JOB NO. COOs;OCIATES JOB DESCRIPTION PA 060 K AVEPYU DATE 2 000VILL93 CALIFOAMA 95965 SHEET OF. SHEETS. 130132 -OF. C.F'. /-.2?//5 5v SUBJECT CLIENTS NAME JOB NO. COOs;OCIATES JOB DESCRIPTION PA 060 K AVEPYU DATE 2 000VILL93 CALIFOAMA 95965 SHEET OF. SHEETS. I � N64883 K z all i—�------ - 1 CJs- . • � �a ��r�:,� � � �. ��; � _ U. � �, °�:� _41 471 41 2 .......... 4' ec- SUBJECT: CLIENTS NAME JOB NO. COOK_ ASSOCIATES :--8IERPARK . CoNSU--T: --6-ATE JOB DESCRIPTION 080 PA K AVE�U 0Q0V1LLG.CALIFORNIA 85966 SHEET' OF SHEETS N64883 CLIENTS NAME COO SSOCIATES ENONVEERMYG CONSULTANT: JOB DESCRIPTION 9000 V... AV6NUH OAOVILL9.CALIFO�M 96900 JOB NO. DATE y SHEET `� OF SHEETS N64883. f i e r,. �,k � , j z L: SUBJECT: CLIENTS NAME JOB NO. 0 K ��SSOCIATES- JOB DESCRIPTION EtvoWC PESRCONLTA"TS -DATE 2 DOWJAG RM ASUV:NU OROVIL�G,CALIF.ORNIA 8908 SHEET OF SHEETS N64883 f . to 1/433) Zc) 3 e3 1 3o c..Y3 r ;gin c .5 rz-ILI + �• . � 4133 F-7 - PJ ," - t� J .__.� �� 4 - i:p' �l-�..�•'-tdf (,x,07) 1,77 ljo No. -,or, V�`` �Yr: SUBJECT: io 726,-5:7 CLIENTS NAME COO JOB NO. SSOCIATES %�rF 3lCi ENOINEERINO- CON9ULTANT9. DATE 2050 RAR- AVENUE OROVILLE , CALIFORIWA 95905 JOB DESCRIPTION SHEET OF SHEETS:. " Permit#2182-83 .� P Populus Inc. /Z//T is 4 j?" s,6y V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME l//i( i ( I- / ('„� rl f( 1 TELEPHONE i CONTRACTOR'S MAILING ADDRESS _ Fireplace r CONSTRUCTION LENDER 1.r- UNKNOWN Total Valuation” $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . I ARCHITECT OR ENGINEER • If �-� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,r ,- BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Q Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G I W1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: r / — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADONS. ACCLBLDGS.CCUP.&) 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. / Classification i - ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS 8" NON-RESID, %SINGLE OUTLET CIR, Occu Ts OR FIXTURES Ex. P� OUTLETS Xx. 20a50e SALO 300 EFIXED APPLNS. OR OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X rf•%- Date Signature of Applicant's �. Owne u Contractor 11Agent F1 f An OSHA permit is required4or excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HDJ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By .. - •- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date' � Receipt No.l WHITE-D.P.W., YELLOW-ASSQSSO R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIEATIt'N AND PERMIT ASSESSOR PARCELN ER /-e - ZONING A-2,BUILDING PERMIT OWNEpOnuLUS /. r C TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE//R''S MAILING ADDRESS COtv�C,T R'S NAME ' n _ / TELE�P H%n a(^J S•� CO TTRA TORS MAILING ADDRESS ri?j y'& 4(/ s 22/201//u.LC, C4 Fireplace l0®®, ezi CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ / .G0 ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 251 BUILDING ADDRESS4LI S��G�� PLUMBING PERMIT Filing Filin Fee 10.00 Fee 2 �P- 00 YDS rJ�� �D DF l� �J Each Trap 2.00 Solar Water Heater 20.00 ,67VP, !JG` �Y Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 2' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewerF5.00 Mobile Home S G W TYPE OF WORK New (Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: /'JS-1;Xf_ wayz) Bag/4) s✓o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21hQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. — G � � � �„ Classification F-1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEw CONSTR POWER APPARATUS &') NON.RESID. ( SINGLE OUTLET CIR. Ex. Occup(o FIXTURES 20Q50C BAL®30 IXED A POR LN Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot 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, jud ents, costs and expenses which may in any way accrue against said Cou �in co e ce of a gr nting of this permit. X , Date _ Signature Of Applica — Contractor ❑ Agent ❑ An OSHA permit is required or excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ZSrO-V OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD 1550E Thisermit is hereby issued under sion f the Butte County Code and/or wor ' dicated a ove for which fees IR CTO�R OF PUBLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Z�^ 03 / Wr ��^� Receipt No. ©a%3� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �;p ��,°� �' �`"r ',h 1� ' ft ala �' � ,e� � ' '��� (1'�j u r la � 1, : � � i �� r,7 z l � f a E i -. 1 r11ty � ' f mT�� �, �i� ��, ' ' �. > �' i rx ,� !1 a 11 ti � f�? 1 i - �� y: a a � � y � n! i ...1 � 1� � ..� �,.. e . _ I I .. �?�:� �_ _. r. "'tlu. a � �.� t,t _ �.d lug .. �� t 1 �i'. 1t I �A �. 4 .. V '.LY I �� ��1';S -V i:? - 4 l ,_� i_i. s ..�, r 3 e.. m, �. s."-r-� '-i�� ' s'�� r b r`I ��kl 'Y; : a a �' 1 ,4fS" I r y 1 f ry,, 7y1 I Y 1 I i i+ r 1> i ,I 1 I n , I r 1 t l 1 _ U M • r r,k 1 a� Is, . a' i, r7 t r Ct 1 d 1. I u r: r , ,r 1 4 1 ri