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072-250-043
i 72-26-43 i W/endo ri.dirt rd. ,off W/S Ponderosa Way, app. i.N.of Lumpkin Rd., Forbest. ; a Permit #1002 B,P(new pri. et.garage & ro i storage/) I - 72-26-43 �IS . G Permitlk3474--B,P;E(convert portion o: garage t iv area) owner built dwell' ) v^- 72-26-43 _ P #85-85B(convert K-Code SF to code A o -^--f—dwelling) g-.. • • rI� I ni 1 , 72-26-43 R Permit#2130-85E(ele ser for saw mill) ^fi 72-26-43 Permit#29-86B(lst renewal/85-85),17sol � 0 I ■��' � �� • �l 1 i • OFFICE COPY. f Address�N�ecasCc f GAS Meter By Date ' ELECTRIC f Meter By Date 3� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C�Iifornia.95965 - Telephone 916/534-4541 xy APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 9� -- �� Lel' ZONING BUILDING PERMIT OWNER. 1.J": r1U) V e►� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING -ADDRESS •. / y�� f�►%�Fc�,r�}vl sir CON LRACTOR'S NAME - (/�/ft G•):-� y TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Cal 4 r- UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER .,,Vc t! LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING' ADDRESS r ( ft?/P i1�{ ►'J �rr1 ��l e� 1 �I��� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 JJ r Each Trap 2.00 _f M+r� /'r , r, �'�� , r, r iJ� C �; Y1 Solar or heat pump water heater 20.00 LOT NO. $UBDI VISION NAMEPARCEL 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 I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ emodel ❑ UtiI'0es ❑ Installatio. ❑ Other ❑ Describe work: c' v t ( _�"V V t (`(`I~I t% �U �) %�/?, �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 0,�0 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , OR ADDNS. ACC. BLDGS. 2hQSgft NEW CONSTR. ULT' -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS tr OUTLET CIR. Ex. Occu z0ea0e p OUTLETS OR FIXTURES eALO 30 Ex. OCCUp. OUTLETS P(RESID IR Ex. 41 2.00 q,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ 4.SIS Contractor WORKMEN'S COMPENSATION INSURANCE c&ppla u;mder penalty of perjury (check one): The permit is for $100.00 (valuation) or less. r J E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate /of. -Consent to Self -Insure. ; lYf ' 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs;-iand expenses which may in any way accrue against s td County in consegden/ce of the granting of this permit.;- X J( i ill-� ti �; '! G-tiz?�li.-� Date t%+-7 . _ _ Signature of Applicant — Owner❑ ,�Ontrccto, ❑ Agent•❑ An OSHA permit is requep ired for excavations over 5'0" deand demo ition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ '[—FLOOD PARCEL PD I ND I 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. -D tR ORKS ECT� OF - BLI J / c •' ����� B - ate y / PERMIT EXPIRES i Receipt NO. �� � �..- � WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • ` 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 RRECTION NOTICE A routine inspection indicaWthat 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 immediateiv. Inspector Date1 T 7 — 2,, A kvA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillez Cali•foraia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. C?� 9 o_ s -- ASSESSOR PAfJL M ER fffff��iJiiiU ZONING BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUA OW R'S MAI LI DD SS 1 AbalorA edowklg CTOR'AME TELEP O E , CON R CTOR'S MAILING ADDRESS Fireplace TION CONSTj:;TION LENDER UNKNOWN Total Valuation $ Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER O LICENSE No. Plan Checking Fee $ Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN ADDRE S in r I^ l<Itq Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / PP7_ Each Trap 2.00 14 W,0 A5 °I VA _ r O Solar or heat pump water heater 20.00 LOT NO. JCUSDIVISION NAME PARCEL MAP Water piping 5.00 Each gas 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 10.00 ea TYPE OF WORK ies [:J Installatio ❑ Other ❑ New ❑ Addition ❑ em del ❑ Uti �C* Describe work: in' V \ _ o,u)A), Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 1 OR LEAMP ORSLESS 10.00 10.0o Main service EA. ADD'L 100 AMP 2.50 d CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON:RESID 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. cense No. Classification el, 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 cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , �z¢sgft A New CONsrR( ULTB OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS SINGLE OUTLET CIR.e I Ex. Occup(OUTLETS OR FIXTURES 2AL Sat e030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Home Mobile. HHome Facilities 15.00 Miso g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE IgI SrAer 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 onsent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 cost and expenses which may in any way accrue all liabilities, judgmenC�seq against i County in ena of the granting of this permit. / X C Date `� Signature of Applicant — Owner oneraetor ❑ Age ❑ An OSHA permit is required for excavations over 5'f1" deep and de ition or construct- ion of structures over 3 stories in height.Receipt�By Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYP[ �FLOODIPARCELI PD ND 590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D EC;ate MBL PERMIT EXPIRES the applicable provi- resolutions to do fees have been paid. RKS e d ` WNITC-D.P.W., YELLOW-A9e CS9OR, PINK -INSPECTOR, GOLDENROD -APPLICANT 140 A �7 60 /50 O U!�/,������� /i ✓ _ �� ��� � � _ , ����� �R� ��v t/U��S I _� �-- lZ�z6r� � Q.a.l1 ria � ,vim 0- / PERMIT NO. 3474-82R)B,P,E) j PERMIT EXPIRES V4 � OWNER DON DWYER CONTR. _(owner built dwel_l_iz? ASSESSOR PARCEL 7226-43 LOCATION W/end ri dirt d off W S Ponderosa Way, a 2 4 N Lum k n Rd F rbestown r_ Temp. Power Pole Called PG&E 1 Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) �� x Signature s 1 t t� i ,J =OK O = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1, Zoning Requirements -Setbacks -Easements 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.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI , „ Date Card -BI Date Card -BI Date Card -BI Date Card -BI , Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's : 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. *Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances. _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed" - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch t 10. Cert. of Occupancy t 9. Health Department Approval " 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date C J = OK , 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING Continued 1. Zoning requirements -Setbacks -Ease ntsthe firewall & Openings 2. Fig., Main: Soils-Steel-Elec. Gr d - / /" Fig. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel, / " Ftg. Depth firs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Delcks -Steel- / /" Fig. Depth wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Ste' - lockouts rapped -Slab i ing-Nailing-Veneer 6. Stemwalls, garage; Steel- uts-Wrapped-Slab 5 - Screed-Fdn. Vents-Underflr. Access ____7. Piers- a Ft .-Ste zing Area -Glass Protection -Skylights -Plastic _ 8. D. .V. II-Fitti - est -2 way C/O -Sewer Test 5 ling -Bolts 9. Gas P'pe; Size ors 10. Water Pi e; Anchors -Regulator -Service Test 11. Electric; rUdrground 12. Plenums Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date C Iate. Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Date FINA lans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's _ 14. Water Ht.; Vent -Access -Combustion Air 15. aler Pipe; Test & Anchors -Nail Protection xt. Steps -Door & Sidelight Protection -Landings (1M 01 Amoke- Detector F ace; Vents -Clearance -Comb. Air -Connector- In_Garage; Above Floor -Ducts -Meeh. Protection _ 16 W.V.; Test-Fttngs & Anchors -Nail Protection a room Exiting ___ 17. Shower Pan; Test, First Floor -Tub Access I. &Bath Fixtures &Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access I c. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors airs & Rails - - Fireplace or Stove; Clearan s- earth Card -BI Date Card -BI Date I lets at Wood Panel; Ext. ; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date E,.6r Elec. Outlets & Receptacles at Kit. Counter - Date ELECTRICAL Permit OK except N's - rano Ei DAwr; Swing -Landing -Closer 68 rage -Damper 20. Fixt �& Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection itt_rle _ eptacles Spacing -Lights & Switches at Doors 70. quip. Listed for Location iz s No. of Conductors -Stapled 1. �.wc. Receptacles in Garage; (G.F.I.)-Romex Protec. ns Iled Close to Edge of Studs & C.J. - -_ 2+f`1E_qyjw.1Tround made up w/Meth. Fasteners -Bond Gas & Water - - S u lat ion- Foam- Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps Appliance Circuit ' Kitchen & nductor Size S _._Subfeed Wire Size h ga. Cu N A.C. Wire Size / / ga. Cu or At 74 Fdn vAo1�_s_c.a.,i u iA n �.-e &Wood -Earth Clearance Looked under Floor E3 Yes 27 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, r, -_ -In- ed Neutral , _Yes �No - _Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive Yes alks ❑Yes No; Planters []Yes o 76. h _____29. Equip. Clearances: Pane ls-Motors-M_ech. Equip. Clrnces-Brkr. & Cond. Size -115V Outlet - _3 _- --- tght-Shower Light o Plbg.-Appliance-Firepl.-Clearance to Opngs. --------------------------.--- ___-- -_- Ca I �QyD_atez{--i ard-BI - Date C --- Card B-1 J' Card -BI Date -__ Date W ter Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground 1 Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections glagged; Gas -Electric - 31. A.C. Ducts: Insuieion &Support -- 32. Vent Fan_ Ex -ust above Insulationnergy 33. _Condensat rain_& Overf low; Size & Grade _ _ 34. Furnac Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Atli ccess & Platform if Furnace in Attic -- - -- - ---- -------------- --- -. - Gard -BI - Date _Gard -BI Date Card -BI Date Card -BI Date er & ewer Connected -C/O to Grade -HD Approval Compliance Certificate -Other Certificates Card -BI Date-(, and -BI Date Card -B Date Card -BI Date _ Card -BI Date Card -BI Date Vomments at Final: Date FRA (Plans) OK except N's _ Sills oper Material & Anchors__ 3 all Studs -Nailing, Spacing -& Bracing -_Plates -Sound e 'ng Walls over Girders & Floor Nailing- _- _ raft Stop in Walls (rat proof) 90. _reed-6eilings-Stairs-Chases-Tub &_ Beam -Size & Bearing ���((( an Caps -Anchors -Connectors �] Joist-Rfir. Ties-Purlin-Roof Brac. r �Mhn�Rfnq. / ireplace-Ties or Type A Flue -Fireplace Throat At ' ccess: Size &Romex Protection -Draft Stop -Ins. Baffles dr .Windows or Exiting Doors -Sill Hg L_& Dimensions _ arage Fire Protection Framing__ _ - - - -- --_- - - - (NOTE:Anentrymust be made each time youvisit jobsite) 1002-s2B,P PERMIT NO. PERMIT EXPIRES OWNER Don Dwyer tCONTR. owner ASSESSOR PARCEL 72-26-43 LOCATION W/end of pri.dirt rd.,xppx off W/S Ponderosa Way, app.k mi.N.of L mpkin Rd., Forbestown Temp. Power Pole i Called PG&E k t. Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J = OK 0 = Not OK ` - =Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) Cit, ,xcept it 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/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shing.-Rfg. -bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.is res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date. Card -BI Date Card -BI Date Card -BI _ Date a - Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 Not OK NotRealicable Not Ready RESIDENTIAL' (Sing'le and Duplex) � = Date UNDE LOOK Plans OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings - - . epth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic . D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples k- ( Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date C Date6_ S Date Date FINAL (Plans) OK except N's CaK-BI&J Date kj -/,t3.-rand-BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ _ _19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -81 Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except H's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32._ Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates ___33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI --- _ - ---- Date _- - - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: 36. Sills; Proper Material & Anchors ��-( B -g Z. , 37. 38. 39. - _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) I _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors - �// Cing. Joist-Rftr. Ties-Purlin-Roof erac.-Truss-sf�r4z:::Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 RRECTION NOTICE r OW ER PERMI A routine Inspection IndlcasEs 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 exalanatic Date f "- ' I ��/ 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 corr ion of work is completed. If you have any question pertaining to this matte or need additional explanation, 'please contact this office immediately. � 4 �r f Inspectorij f. wig �J.' . s i.-► 1..�! Date 'r- � �=' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-275 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. r �l ,r •.� s-:r_.i%. •1 /ice ``11/; +_�L�-�`� .. 1 Inspector f•' / / �' - '� Date % Owner: -.7:)0/Ll/ / , Permit No. ENERGY C ,,E R T, I F ICAT ION /sem X 4r47- hT� 7.;- LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL / Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED /,/ Material /���`�` Thickness(inches) y FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) / •tom Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name j�fX-d Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FZ 7/OWNE STATE CONTRACTORS LICEN'SE NO. / SIGNAtUR OF INSTALLATION LICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as - required by the State of California Energy Requirements. 1 All equipment, devices and materials are of the quality prescribed or specifically approved by the State of California. FIRM are STATE CONTRACTOR'S LICENSE NO. / ;7— 1? 7 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 ti_ �.J'N'Zi';"'aj �.. r.,"=,y . �' . J%- t` R c'�t f .•,..� �.. �,,. : N: F + �: � %4� ��-_ . r . 'S 3 • �. LAKE OR0V:LLE -� f -33( 34; � � • � . J / (-r\ \ 5a R 0 A Qco e96/9 a� >c. 13.64c I ' "Id (O --'o�`� to N 1 '= 643 ?Ac I.NG ka5. «ER VW. OP.. 40.Ac. �8 20 Ac .\6 . O 107. Ac. C I G 9 NOTE—ASSESSOR'S PARCEL BLOCK & LOT NUMBERS SHOWN 15 89.5 Ac X68 \ / 64 66 37.7,•C 20ac , 68 �/ 204clI 19.95 AGE 52 ss 7 Ac. r� 40 Ac. T 10.42.4 ; r -f n_ 1 --6 • ' j � J Q 2s 1299.8 ' 1110Af 1) e; 192AC.© � r/ �2. — 93 T 19.2 AC, l0 pM86-I 1 y� A- 20 7/ , i i /o 40.Ac. �8 20 Ac .\6 . O 107. Ac. C I G 9 NOTE—ASSESSOR'S PARCEL BLOCK & LOT NUMBERS SHOWN 15 89.5 Ac X68 \ / 64 66 37.7,•C 20ac , 68 �/ 204clI 8.5-4" VJ 65 Assess r`s Map.p `�/72-•2 v 15 �v •1 G,o�5�nty�53;f 'Butte, Calif 19.95 AGE 52 ss 5�1 r� � O rr . V Iii• j � J Q 10 AC 1110Af C 8.5-4" VJ 65 Assess r`s Map.p `�/72-•2 v 15 �v •1 G,o�5�nty�53;f 'Butte, Calif COUNTY OF BUTTE - DEPe,RTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, C'alifornla 95965 - Telephone 916/534-4541 �%_ APPLICATION AND PERMIT w'1 ASSESSOR= ARC L`Uy1IBI ER ZONINGOL I B I NG PERMIT Ow R r TELEPHONE SQ. FT. OCC. BUILDING VALUATION /600 O,W1�ER'S � E LING ADDRS �. / ��o0 � �/&®� CONTRACTOR'SN.M. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 206-O Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ s.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 17, o Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADD ssA. I ' �i 1 PLUMBING PERMIT Filing Fee 10.00 W p 1-1 Each Trap 2.00 x,00 Repair drainage or vent piping 5.00 Water piping '5;00 T NO. SUBDIVISION N E PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUC URE SF ❑ Duplex❑ Mobilehome❑ Other SPECT Building sewer too Lawn sprinkler system 5.00 TYPE OF WORK V New[YAddition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: Permit Fee $ 11.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 5.00 2,50 OR ADDNS. ACCLBLDGS.111 NEW CONST DWELINGCCUP. M1 / 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUeffe t. and Professions Code and my license is in full force and effect. License No. Classification R?rI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST F1 I_Ou LET NON-RESID BRANCH CIRCUITS2.50 ea NEW CONSTR. (POWER APPARATUS SJ NON-RESID, `SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES BA11 L@1 FIXED APPLNS, OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor ,p 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 pf Consent to Self -Insure. UQ 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, c s, and expenses which may in any way accrue agains sad County i on eq nce of the granting of this permit %� Date •2� Signature of Applicant — Owner r,Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP 'jZ.-� TYPE OF CONST. �,�� PARC PD ---- H SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,L`� I Receipt No. y�83 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,,CALIFORNIA 95965 - TELEPHONE: 916/534541 PERMIT APPLICATION DATA SHEET Permit o. , OWNER � v �w / � / A. P. No. %7 / Z6 - ` -.3 Proposed Building Use %i4qelc����� Permit Fee Based o Complete Contract Price DPW Valuation Other (Explain) Building Inspector. Date -//-` l- g?__ - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . ` . . .�. 3. Complete plans in dmp` il`cat�tri ate. •��1�✓. Com tete en ineered�lans a� 2� P 9 P �• 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . A9. Letter of signature authorization. anitation approval from o� • Health Dept. • 4(-27-YZ ED &*1R4001 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . 1,3. Contractor's License Information (no., name style `classif.) J�;T4. Owner -Builder Verification (Given to ownerd� `Mail to owner ❑•) Z �Z 15. Improvements may be required. . . . . . . . . . . .1P. Mobilehome Installation Data. . . . . . . . . . 7. Pre-Inspect'on r % Required••gueldinp pectort (Date) 18. Other— +Glfc fie, -' When you issue the permit, process as forrows: Mail to owner. Mail to contractor. Telephone X73---701'7 and old f r pickup at office. Deliver w/inspector. n+ko copy of plans sent Healtn wept., —F -ire uept., Other Date (Cont During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above timl- on circle item.) 1. Index permit for above Items No. 2. 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BUILDING VALUATION OW RR's MMA G INADD 55 .0 . ox iZ ,co en�sion/ (� 959 / o!A/rtli �u��r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50,0p ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ %I�. '/Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /60-70 B DCG REs/, UEach PLUMBING PERMIT Filing Fee 10.00 fVAIPC20S/9 A119r AP/0 �41 Rlr . Al 0F Trap 2.00 8,00 Solar Water Heater 20.00 ' I L-WI� P,E1A1 Fpp-D I1�v�tQIWIVI Water piping 5.00 500 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 500 Gas piping system 1 - 5 outlets 5.00 5,p0 USE OF STRUCTURE SF ❑ Duplex F-1 Mobilehome❑ Other y,10le41CIC SPECIFY Building sewer 5.00 .00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Install ion ❑ Other ❑ Describe work: /— '� O� '�� u tll,(1A� �� ��%� Permit Fee $ Srlp(j Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 10.00 /0,00 Main service EA. ADD'L 100 2.50NEW OR ADDNST (DWELLINGgqAMP ` I '7c 21/20sgit 28'✓i� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20es0C and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &� NON •RESID. \SINGLE OUTLET CIR. Ex. Occup(o XTs OR FIXTURES 6AL®a0c FIXEEDDAPPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 0007> /f E47 - 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 Countyof 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 County in onse ce of the granting of this permit. X Datesions Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i/nheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ZJ7. 0 OCCUP. GROUP Q_ 3 I TYPE OF CO ST.PARCEL �_ i/ PD H ssu / This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC B — P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date\, — — — _ Receipt No. !7 03(0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .�.:�'�..R"�'!'i;:r.;.1+c►►=.a+rr✓wr�.r. ^.� .,..,.r;�"�^"'�.' v "`+.-.."-'W't�i«:y=X-r*„'tSc.a- w1.'^:-fi►^,rt l..A.T.. i, c .�. J ' r COUNTY OF BUTTE- DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION X - 7 COUNTY CENTER DRIVE OROVILLO� bALIIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �,/, ��re A. P. No.�'-(k3 Proposed Building Use �D/t/(� "-T jO,e,7-7,e,7gA6�4-,�-E Permit Fee Based Upo•: Complete Contract Price DPW Valuation / Other (Explain) . Building Inspector Date //- Z� Z_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �9.Letter of signature authorization. 0. Sanitation approval')from Health Dept. • . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . .'. . Pre-Inspec. request to 7. Pre -Inspection for Required. Building Inspector (Date) (. Other C' /6. K- — - Z D_ CAO When you issue the permit, process as follows: Mail to owner. _ Telephone an hc�old: r pickup at &Cd office. Other Mail to contractor. _Deliver, w/inspector. Copy of plans sent Health Dept., Fire Dept., Other IDate During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: 1-97i64F20AW FOkESTi& SMVOJIA) (Contractor, Desig Plans checked by Plans approved b, Other Copy—DPW was advised of above requir By dat Telephone Date _ Date S, ' Mail ? _ Date IZ C COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope.provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be'issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Asigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Address / Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following -person to coordinate, supervise, and provide the major work: Name %7 /J /%I F - .. -Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work AZO it/4-� Signed: Property Owner. Social Security number — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NOl ASSESSOR PARCEL NUMBER _BUILDING ` ZONfNG PERMIT O WNE TELEPHONE SQ. FT. OCC;. BUILDING VALUATION O R' MA d AD RESS ar 1 CO TRACTO NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 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 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New Addition Remggel❑ Utilitiesp Install❑�Other❑ Describe work: 1 a SM — YOR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;001V OR 1 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. \ ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ((l, 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) El 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 NEWCONSTR. ULT' -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@50C P�o XTs OR FIXTURES BAL®30 FIXEEDD APP LNS. OR Ex. Occup. OUTLETS (RESID.I 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liab' ;ties, judgments, cos and expenses which may in any way accrue again s id County in nseq en a of the granting of this perm; XDate / �S Signature of Applicant — Owner ❑ ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ I OCCuP. GROUP I TYPE OF CONST. PARCEL PD I HD I 1550E 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. IR F PUBLIC WORKS BY Date PERMIT EXPIRES Dat _ I ` r Receipt No. -I -r --a \ 7 WHITE-D.P.W., YELLOW-Av SSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a -Y7 d 2 -�7L�7f --?- v--eCV S-ZL 1 -��� o c. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your -build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 4M02 signed an applic Lon for a building, permit for the prop ed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name t Address. City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S ign NOTE: This Owner -Builder Verification is sent to -you as required by Sections 19831 and 19832 of'the California -Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - Departmerit of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An ".owner -builder" building permit has been -applied for in your name and bearing your signature. N . Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement.(yes or no) / 2. I (have/have not) x 1/ �' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: N / L 04EF�c -r Address G A '5- 1-r•P_ e-4- City. 0k 0 / LL L Phone { Z Z —70-2-7 Contractors License No. -4 % e7> s I'LL .4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise' and provide the major work:. Name Z O /Y► S �_ L Address City. Phone Contractors'License No. 5. I will provide some.of the work but I have contracted (hired) the following persons to provide the work indicated: . r Name Address Phone Type of Work S igned : _ Property Owner Social Security numb er Date NOTE: This Owner -Builder Verification is sent to'you as required by Sections 19831 . and 19832 of the California Health and Safety -Code. , This verification must be completed and returned to our office before we are permitted to issue the permit. — ��/�e i2ao4 - 70 9 z F use .�s- s;v,��, '-' LOGdC:2 �GC;olz- 7`0 Z/SCD �o A- P,��7 oz Received from The Sum of For _ Received: CASH CHECK E] COUNTY OF BUTTE OFFICIAL iECE1PT Received By Title By ING RECEIPT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT S2-35412 FOR RESIDENTIAL DEVELOPMENT ' OFFIc,AL �iL ai7Ei Section 26-8.1 of the Butte County Code requires this acknowledgement BU"'TE cpUPITY- be record prior to issuance of a building permit. t.":�-:u • `a 7 � (0 The property described herein is adjacent to land or included aV within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising ELEAHORMBECKER from the use of agricultural chemicals, including, but not limited to herb�ffisACORpER pesticides, and fertilizers; and from the pursuit of agricultural operations 'including C but not limited to cultivation, plowing, spraying, pruning, and harvesting which occas sionally generate dust, smoke, noise, and odor. Butte County has established. agricul_� tural.zones which have as a priority use for productive agricultural purposes, and o residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: / Z' / Ale was oT "�q e .e? 2 �a1- 2 Date : O PROPE OWNERS: ��-- State of � ) On this the 30 4119 day of , , SS. before me, the undersigned Notary Public, personally County of B appeared Dox.) ,, . ))W y,, 4` 7-lt&- 9A5/S r .5, 71,c;0'eT0.ei CP 0 to be the person(s) whose name(s) /S subscribed to the within instrument and acknowledged �IIIIttItltlltlHllllt11111°°°°°°t1°°°°°IIIIIIIt11111111°® that executed the * same for the purposes .►„3 OFFICIAL SEAL MELISSA M. therein contained. C ° NOTARY PUBLIC _ CALIFORNIA IN WITNESS WHEREOF, I hereunto set my hand and official COUNTY OF BUTTE r'T'1 r' My Commission Expires April 12, 1985 Seal' 1♦At11111111111t11111111111t111t111t11t11t11111tt11tt111t1! . .rram^^ls �-I Notary Public Present A.P. NO. END OF DOCUMENT A 010 3; :Q - a co C.D ca COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANIJ PERMIT P R IT NO� ASSESSOR PO_RCEL NUMBER 72-26-43 ZONING BUILDING PERMIT OWNER Don Dwyer TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 712);XXffiVIR P.O. Box 212, Forbestown CONTRACTOR'S NAME owner TELEPHONE $t renewa permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ z FEE $ 5 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Wend of BUILDING ADDRESS dirt rd., off W/S Ponderosa Way, app Permit permit fee $ 75.70 PLUMBING PERMIT Filing Fee 10.00 2 mi N Lumpkin Rd. Each Trap 2.00 Forbestown 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 SFO Duplex❑ Mobilehome❑ Other conv K-codeto fcgdg_con SPEC IFY "11F,— Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1st renewal permit #85-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 OR LE 1000 AMP ORSLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under peva t of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. cerise No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) am exempt under Sec. , Business and Professions Code 64I.for this reason NEW CONST. DWELLING OCCUP.N , OR ADDNS. ( ACG. SLOGS. �2dSgft NEW CONSTR. ULTI.OUTLET NO N.RES,. BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex.Occup(OUTLETSOR FIXTURES BAL0320@50C eALvo FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile Ho Misc. g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare and enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application "ail, state that the above information is correct. I agree to comply to afr•County OrtI inces and State Laws relating to building construction, and herebyiaufhorize reprs�ntatives of the Countyot Butte to enter upon the above-mentionetl_pl --,rty for F spection purposes. I also agree to save, indemnify and keep hartn'.te:. -the County of Butte against all liabilft'es, judgments, costs nd expenses' . icfa,may in any way accrue against s ( County in co equ c of the grantirig of`this perm',t. %� -- Date oZ �/ ignature of Applicant-- Owner L� ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 required in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 75.70 OCCUP. CONST.TYP! FLOOD PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BY "�J RECT PUB PE T PIKES Date 1-11- the applicable provi- resolutions to do fees have been paid. C ORKS Date 114 /P 7 Receipt No. Tc� WNIT!-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - b COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovill.e, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property.improvement (yes or no) 2. I.(have/have not) signed an application for a building permit for the proposed work., 3. I have contracted with the -following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone `, Type of Work Signed: Property Owner Social,Security Number Date / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. O 4-4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION® AND PERMIT ERMINO. K.L•SESSOR PARCEL NUMBER 72-26-43 ZONING BUILDING PERMIT C'1VNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS DCA 95941 AA&E CO_99AC TO R'S TELEPHONE 2nd renewal pprmir CnN CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1� LEND R'S MAILING ADDRESS Permit Fee $ t�i2CHITECT OR ENGINEER LICENSE NO. Plan CheckingFee- $ Energy Plan Checking Fee $ -n HI ECT OR ENGINEER'S MAILING ADDRESS Penalty $ OJILDING ADDRESS W%Pnd of pri - dirt rd-_ off Wf S of Permit fee $ PLUMBING PERMIT Filing Fee 10.00 —?�aderosa Way, App Y—mi K Lumpkin Rd Each Trap 2.00 Forbestown Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ OtherrGAM S I F Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W 5.00 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[3 Describe work: _ 2nd renewal of permit #85-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee -0.00 (1st re a -86 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 = CONTRACTORS LICENSE LAW I declare under penal y of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is, in full force and effect. License No. Classification E: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 CONST. DWELLING OCCUP.& , OR ADDNS. ( ACC. SLOGS. 2¢sgft NEW CONSTRI.OUTLET NON.RESID BRA C CIRC 5 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 200300 SALO30 FIXED Ex. OCCUp. OUTLETS PIRESID. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ KMEN'S COMPENSATION INSURANCE declare unde p natty 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 i of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. E.htice to Applicant: If after making this statement, should you become subject t:.) the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. s Contractor MECHANICAL PERMIT Filing Fee 110.00 Heating Coolin 9 Hood 3.00 Ventilation Permit Fee $ Contractor ! 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 l to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ! 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 ���. ainst said County in consequence of the granting of this permit. , Date -.5;gnature of Applicant — Owner ❑ Contractor ❑ Agent ❑ A;; OSHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 75.70 OCCUP. CONST.TYPc I IFLOCOIPARCELI PD I NO 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 1__31_88 the applicable orovi- resolutions to do fees have been paid. WORKS Date Roceipt No. l�!NlM IT E-D.P.W., TELLOW-A38E3300. PINK • IN SPEC '09. GOLDENROD -APPLICANT