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ell'James Hughes 120 Edgemont Dr., Oroville Permit #3171-79B(add garage/SF) i 9g 1951 j HTJGRES, CHARLOTTE j 120 EdRemond' Drive, R:F, N ilburger ; I Add Bathroom/ex'tend'-bedroom I i z a i 1 i� � . � �' ��� P 036-45-023 #981951 RESIDENTIAL j HUGHES, CHARLOTTE l 120 EDGEMOND DR. OROVILLE R.E. DAHLBURGER ! ADDyBATHR00M/EXTEND BEDROOM PERMIT NO. NO. { PERMIT EXPIRES OWNER ' XONTR. ;.ASSESSOR PARCEL LOCATIONC-ffi ; } q CHECKED ;. BY SRA FLOOD CERTIFICATE REQ. of FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS 6,= VERIFY iTemp. Power Pole .Called PG&E Temp: Elec: Service Called -PG&E jemp.-Gas Service r Called -PG&E JOB FINALED (Date) #'>^ Signature _ V=OK O = Not OK Not Applicable t Ready NoMOBILE HOMES.' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements , Setbacks : Easements 2. Soils; Special MH Support Sketch 3. Sewer, LocationTest-Fall-C/O-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / IVIt. / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s' 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demancl4ahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test-RegulatorConnector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy . 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 ' a , MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh t 10. Roof; Shthg-Roofing ,. 11. Ext.; Steps -Doors -Landings 12. Braced Walt Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI` . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtlq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Nkhe Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =No O = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable = Not Ready FRAMING (Continued) Date 46. ANDERFLOOR (Plans) OK except #'s 1 ningSetbacks-Easments-FloodSlope 2 Main; Soils-Elec. Gmd.- Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ * Ftg. Depth. 4. Ftg. Porches & Decks; SoilsSteel-/ i' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. LIE Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MaterialFSupport-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Cdppies 15. Access & Ventilation 16. InsulEtion Date Card B-1 Date Card B-1 Date Date %0 �� Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle - oor & Sidelight Protection -Landings Water Pipe; Test & Anchor -Nail Protection Smoke Detector D.W.V..; Test Fittings & Anchor -Nail Protection �y5 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors G.F.I. & Bath Fixtures & Tub Access -Spa 68.ane Date` erd B-1 Date Card B-1 Dates � Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 23. F' e & Transformer Clearance -Ins. Protection 1 �� . y 25. lec. Receptacles Spacing -Lights & Switches at Doors Size Bo es & No. of Conductors Stapled s at Kit. Counter Closure 26. ex stalled Close to Edge of Studs & C.J. omb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection quip. Ground made up w/Mech Fastners-Bond Gas & Water 8. 2 Appliance Circuis' in Kitchen &>Cond cu for Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Ra ige Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No dn. VBents & Crawl Hole Door Drainage & Wood -Earth ;, Clearance Looked under Floor &VLe� 31. Service -Riser Conductors & Ground -Main Disconect F ng ns d. rive 0 es alks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light A. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ss Protection 3 . A C. Ducts Insulation & Support Corrections from Previous Inspections Vent Fan, Exhaust above insulation - e ers Tagg , Gas -Electric . Condensate Drain & Overflow, Size & Grade 13 92. er Connected -C/O to Grade -HD Approval F.imance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Date Date Date Card B-1Date Card B-1 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. 'halls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 6Q. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s - oor & Sidelight Protection -Landings Smoke Detector �y5 Fug ma p' J�Comb, Air-Conector- In G ;'Above Floor -Ducts -Meth. Protection room Exiting W. G.F.I. & Bath Fixtures & Tub Access -Spa 68.ane , Breaker Sizes & Labels 69._irs-� 70 F' Iearance-Hearth Elec. Outlets at Wood Panel, Int. & Ext. Kit. Fixund.-Air Gap Cooking Clearance 73. 7 .Landing s at Kit. Counter Closure 7 omb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection Elec. & Mech. Equip. Listed for Location 7 c es in Gara (G.F.I.)-Romex Protection 79.-Insulatiorookedin Attic truction-Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth ;, Clearance Looked under Floor &VLe� 82. F ng ns d. rive 0 es alks 0 Yes 0 No/Planters 0 Yes 0 No 83. A. Unit Disconnect, Electrical -Plumbing eAT-Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings isconnect,ec I, Plumbing 8,7. nm, ... eceptacle-Underground Ve n-Throught House ss Protection Corrections from Previous Inspections 91. - e ers Tagg , Gas -Electric 92. er Connected -C/O to Grade -HD Approval nergy Compliance Certificate -other Certificates Date Date Date Card B-1Date Card B-1 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Comments at Final: �4.54'!a`"iP!: r.,4• -M 'R wA�q.� � �!^!i.�:.ds.7�1��!�*.;.:.- �....;.o.�.. '_r^!..r�c� �v.�.�q��¢�N'P +",S'.�",_a"i+"F._ .._ .. COUNT�F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PE MIT NO. (Reev.12/96) `- APPLICATION AND PERMIT ��'� �� 1 ASSESSORPARC ELt ` ...;� NUMBER 3fr45�-1323 ZONING BUILDING PERMIT OWNER LgrT(�T�/ S` /n,T 10`M TELEPHONE SO. FT. OCC. BUILDING VALUATION 186 R 10.044 .OWNER'S 19.0Gl/'IYLWND RD. OROVIIJE, CONTRACTOR'S AME .IN *E. DAI11MGER T 5H�4761 CGfp1 9 J / ' VYC`ii$ T'.tI"E OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 10.044 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ _t) BUILDINGADDRESS 120 EDGEMOND MD. Energy Plan Checking Fee $ 23 .00$ OROVILLB PERMIT FEE $ 250.90 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY J1 Each Trap 31 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK 11 New ❑ Addition 0 Remodel ❑ Ublities ❑ Installation ❑ Other ❑ � � Describe Work: ADD jATROIXS/EXT DING $EDROOp(k RUL•ACE HVAC " - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS G W ' 920.00 PERMIT FEE S f ' ELECTRICAL PERMIT Fling Fee 20.00 A. r •00V OR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisio of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class )�' Lic. No. �w 9 1 i Y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: vt ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S4 A -r-,,-- •- u ,,� -_iN Main Service 200A TO IOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACc. BLD.. 3.5¢FT. 6.51 NEW CONS MULTI -OUTLET NoµRES10. UITS97.50 POWER APPARATUS b SINGLE OUTLET C'R. 20 @ , W Ex. Occup. OUTLET OR FIXTURES BAL @ .50 FlXED APPLNS. OR Ex. Occup. ouTLETs RE.ID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 26.51 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.M Coolingnil Hood 6.50 Ventilation PERMIT FEE $ r,S _ M Policy Number ;D _) 1) j ^ r/ n I _ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which'this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Date r -7- � rs Signature of Applicant - ❑ Ow 919r Cl,"COntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ _ Energy Inspection Fee $ �iK7 • occ oc CONST -.,TYPE Of ,T TOTAL FEE $ 4441.41 HAZ. � D. FEES IMP .•�° FLOOD � CDF r PARCEL �. pp �,. HD j ISSUE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. - - By ,.�/t d•'.•�`�' "i' Date PERMIT EXPIRES ON Date work ° Receipt No 6•41 2clS'9't. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 a ?' CORRECTION NOTICE 6 O ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date/Z- Inspector �ti f REV i'0/92 3 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE WNER PERMIT NT O. - -A Aroutine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. T t i� t R 'i yt r L5 4'4 1 1i fR i YS A 's3 Date Inspector REV 10/9Y L COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 4- 7 -County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION "NOTICE L-.. OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you. have any questions pertaining to this matter, or need additional explanation, please contact this office immediat 114v. } too 'ace i Fs. S 9 Date Inspector REV 10A2 F! re'. _ COUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 4T NO (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-45-023 ZONING - BUILDING PERMIT OWNER HUGHES, CHARLOTTE TELEPHONE SO. FT. OCC. BUILDING vAL 186 R 10,044 OWNERS IM ALMOND RD. OROVILLE CONTRACTORS Nr!E. DAHLBURGER T !E4761 GO"T""c10?3fi"VT6"VTTE OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 10.044 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.06 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81-90 BUILDINGADDRESS 120 EDGEMOND DR. Energy Plan Checking Fee $ 23.00 $ OROVILLE PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 3 7.00 21.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD BATHROOM/EXTENDING BEDROOM REPLACE HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS1G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800V 0Main Service .AORueSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ' 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a J , 8 1 7 License Class _� Lic. No. V v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW EwNG UP. OR ADDNS. ( a Acc. BLD S. SD 3.5¢FT: NONaGEsINOT MULTI-OUTLETCU, @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES @ 1.00UREs SAL @ .50 Ex. Occup. ouTiFrs RE=.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation usurance carrier and policy number are: Carrier S+AT't7-7 r u WD MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 15 00 Hood 6.50 Ventilation PERMIT FEE , SQQ Policy Number 22913 t)f' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. p p — 6.tr- X -..�. __ Date •O �Z / Q Signature of Applicant - ❑ Ow er [RoContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction(L of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46..00 coNs� TYPE U IV TOTAL F $ 44q. 41 HAAZZ. D. FEES IMP FLO CDF ARC PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. 7 D ByA?�P��Dat, %Q C PERMIT EXPIRES ON `r /o / Da a ReceiptNo. 250408//398.41//'2 arm l( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECT GOLDENROD -APPLICANT OF (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER S.ZONING BUILDINGPERMIT OWNER/]) `,^ �� g 1•w`="./�`\J TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERSS MAr N_B.�1D SS L/� rd RDl L ke CONTRACTOR'S E TELEPFI9NE� co'NO NO ADDSRfj S• b 1`�`!t CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1-00 ARCHMECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 12-0S6 Energy Plan Checking Fee $ rQi13 D D D oo u i $ PERMIT FEE $ s LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF*Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 j!5,O OEach as water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Qther ❑ Describe Work: �(JL led roe) ry— Gas p 1ping system 1 - 5 outlets 15.00 Building sewer 15.00 , Mobile Home S G W @20.00 0l PERMIT FEE $ (,p , Q C) ELECTRICAL PERMIT Fling" Fee 20.00 Main Service oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation _ provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service 200A TO 1000A 46.00 NEW CONST. OWELLNCi OCCUP. 3.5QSO & I S OR ADONS. a Acc. Ooc NS =R61D. MULT}011TLET 97.50 POWER URET APPARATUS 8 SNOLE OCIR. .00 EX. Occu . OUTLET OR FORURES SAL x.50 Ex. Occup. ounEDTs��10°ERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S ` MECHANICAL PERMIT Filing Fee 20.00 Heating js,� Cooling .p– Hood 6.50 Ventilation tis co PERMIT FEI= $ 100 Mobile Home Installation Fee $ Energy Inspection Fee IfUb 4 O0 occ CONST. TYPE TOTAL FEE ,,,,� D FEES IMP FLooD CDF PARCEL PD HD 6SUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been �I .4 By Date PERMIT EXPIRES ON provisions to do work paid. r is Receipt No. WHITE-D.D.S.-B.D. CANARY- SSESSOR INK -INSPECTOR GOLDENROD -APPLICANT �'rl�•ifh.=f'�►' �'""ti'F`�.:'F11idy1'/�7'_��►..�•..r+�+'v.,Yr,���ti:+L�,,''w��w+7�'�F'i�d►fitSR.$��x'4�}F� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: ~45 O 1 Proposed Building Us6-.J ( Building Inspector: -rJl t Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ----------------------------------------------------------------------------- Aeplot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ex, omplete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- BeEnergy Design Compliance and supporting documentation.------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ❑ . Hazardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installatio instructions including Tie Down Specifications.------------------ Feesof $ . �Y1 1-r15- n---------------------------------------------------------------- Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 13. Flood -------------------------------------------------------- 1 .Flood elevation certificate. -------------------t-i------------------------------------------------------------------- 4. Sanitation and plot plan approval �%1� t + health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. ---------------- ------------------------------------------------------------------ ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to co gactor. Telephone 53 a X300 and hold for pickup at ® M U 1 5-e$'ice. ❑ Deliver with inspector. Applicant: ��" �c��R-» �-� Date: 9-2-7-(90 Copy of Haz-Mat form sent ❑ Health Department, ❑ FDepwjMent, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departm Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 2— Sets Sets of plans on hold in ❑ Plan Cabinet, 11 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE. Plot Plan Attached r Floor Plan Atta ed Sent to B.D. ✓ / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supp y: Public Private Well Clearance for dwelling. Other Hold final for: f Final clearance O.K. for: NOTE: Environmental Health Specialist 0 Date 1Y ��,->rt� �• "�i-:rr1 :f:r.�i�j�Yl,pc.,,;.r,,,-�,(•.-.�r.•�'►.••1�,.•.•...,kat,.:.-��,rvu;;,�.,..-�:_,;:.{_�.,, COUNTY OF BUTTE . . DEPARTMENT. OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE :(916) 538-7541 SCHEDULE OF"FEES DUE ,(. . OWN -ER A.P. # CO JtO—" 4c� _Qa' T 1 YIJ�J ' Q �r PROPOSED- BUILDING USE' DATE RECEIPT# DATE REC 1. BUILDING PERMIT FEES -- Balance Due .................. $ Additional Fees .Due :.. $ -- Additional Fees Due...-.,. $ - Revised Plan. Checking .Fee $ ' 2. SCHOOL DISTRICT FEES (paid at District Office) �d 3. SHERIFF'FEES (paid at'Building Division) Residential...... x $360.00 = $ Units Commercial (sq.ft.)..; . x $0.03 = Sq.Ft:.' 4. URBAN AREA FEES. (paid at Building. Division) Residential(per unit)7.- x., =$ #Units Amt. Commercial (sq.ft.) x =$ . :S'q.Ft: Amt. 5. RECREATION DISTRICT .FEES (paid at District -"Office) 6. THERMALITO DRAINAGE` DISTRICT FEES $5.10.00 (paid at "Building Division) 7. SRA TIRE INSPECTIONS_ :AND' PLAN CHECK $89.00 (paid at. Building Division) 8. WATER TENDER FEES (Battalion # ) ;$200.00•{paid at Building Division) . .• . 9. CSA 87 TRAFFIC FEE $2500.00, (paid at Building Division) . 10. OTHER. :. At time of permit application, I was advised,the above fees are required to be -paid prior to issuance of the building permit. These fees may be changed during "the plan checking process: APPLICANT / DATE'9 g Pursuant to Government Code Section 66020, you are hereby notified that.items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You.have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you -may protest. The requirements. for a protest are specified in Government Code Section 66020(a). . Original -Building Div. 2nd Copy - Applicant 3rd Copy -'Owner (Rev. 2/971 4 w °* COUNTY<AF BUTTE ::. DEPARTMENT OF DEVELOPMENT SERVICES .- BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 959,65 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ` . �'tJ�� A.P: # � �0-4(3 4( PROPOSED BUILDING USE A60 DATE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ t -- Additional Fees Due ........... $ 1 -- Revised Plan Checking Fee ....... $ i 2. SCHOOL DISTRICT FEES x`?'� `�✓` t/l r�� i� ! j (paid at District- Office) ' i 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0:03 = $ ' Sq. Ft. 1 RECEIPT # , DATE REC { 4. -URBAN AREA FEES (paid at Building° Division) Residential (per unit) . x _ $ #Units Amt. Commercial (sq.ft.) .. x =$ f-. Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 4, 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) • t, 8. WATER TENDER FEES (Battalion # ) $200.00 (paid.at Building Division) 9. CSA 87 TRAFFIC.FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.' These fees may be changed during the plan checking process. APPLICANT r 4 -rfp DATE '7` � Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). k. Original -Building Div. 2nd Copy -Applicant .3rd Copy -Owner 6x- 7" c'���(,Rev/ 2%97? NOTE! 11 Materials �< �NorkmansFiip Shall' Be' iri ' — G �- Q` .3 G Accordance with Rccoerriz?d Go6d rac ices a;icl of a quality presCjil e t for'. t[t£:G Lis"C !n the Uniform GuildlriCg*�,Plu rlr'_)':�:i't"c.i.'�v'•�h iCal.Cod�s and' ;�►": the Nafional Electrt..ua C06j., ty; 90 �':•(� _. S®ptic system" and ItiF�,:of i. ing •.drain stub -out. to be as per 1 ,% Coenty Health Dept: Re — 1 i quirements >vn s '�i rfiicir�s:l Al1ST be :. , on tl a iob at'6{ i'im'�; c -n it' is unlawful to ' ' ;{ 1 anj�'chamqqs or olfc mons on sarop without y` ' .; Or F:...r 1 the'. _ ' � � � • h\ Setbacl shall be 5•ft;.�rom The .Bldg. the e .'cin:i SP3 ft. from ,.� c�� _._.__.�• -� v:. o ert f lin lhG of•°'iia... �: � r., �.�:.`' •'.'zi. •_,,,,, � `tire . f.'e:: crcr„ck7iC3 but en ��{..._.._... ..... �... .._ +.l 7 % ._.....'.1....._....... '84 RTTE COUNTY _ _......:_. ,'}.. t” _ . _ ___ _ t • -- :�� :� 8Ult D,I 1G DPARTMENT APPROVED. yy�, ...,::. � �a' : is :�•:.:.. .:� $�"��.,c..twi�ti:��� Z��'-T'j'"J��..t�+: ��•u�.•-•t•,.,,.e�i.1i .. . , Ii�r.N'.'^+-�.ml�.r'F.'t.+.,W'.,�,,.,,n,{7r'rtili4+rn!✓yw�'�'.....n+�,I:ry,.M't`��-',.4=Rl��y'�.r�^(t'ICN.1�-ca..,:-%•--•'Y"..4�;i..�t-�•n�YY-Arv794.r�^+Y..ii`t7�'...`"� .--..^.pan w r ...��+f. .. . ., _, 09) _00 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District . aO U' t S r 1 Building Department. No. A.P. Number ;,XJ^ `('J J Jurisdiction: City r7>7< County Property Owner Property Location/Address Subdivision Lot No. l Residential Development Sq. Footage No of Living Mobile Home Adition (Group R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior 7--}RoojAreas) A Building Department Representative Date moor rians reviewea Dy acnooi uistnci rersonneq District Identification No. 990025 LJ ► 0o, -a) 41.,q School District certifies that r' � e S (Applic t) l�D (Street Address) (Phone Number) (�Yyv1,Ile C� (City) (State) (Zip Code) has complied with the requirements of Resolution No representing /L62 square feet. :;�Irunl Id A School District Representative Paid by Check # Remarks: by payment of $ Ye M Qt B 2926 $ ULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any.court action. If,, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE . Owner h Climate Zone Permit if / Floor Area Al? The following dela showing mandatory and required features shall be insglUed for additions to dwtHhw. Additions to dweuings Include room eddidorte, converting ganger end patios to living areas, house moves that add footage and attic eonversioos,aod any space that is atbting im-conditioned space that is converted to conditioned spans. Remodeling of existing conditioned space is not indudad. Climate Zones 1 l and 169 Component ti100 Kft`101 991 300 <1000 sqR Cef81nL R-19 -R=38- R-38 Wall hiss. R-13� � �R 15� R-13 Flo" In. 'R-19 R-19 R-19 Slab Edge hos. NR NR. R-7 NR, R-7 Glass (U) .73 65.60 Max. Glass 30 sgft [6H'ice7m,ed } 16•/. + Remmd Shading Coeff(S� NR 6 .66 Shading Coeff (W&E) NR A0,66 .40, .66 Thermal Mau NR S% Raised 5% Raised 20•/6 Slab 201/6 Slab Heat, Elect Resistance Not Allowed Not Allowed Not Allowed Heat, Gas AFUE 78% AFUE 7944 AFUE 780/a Heap Pump Split Sys. HSPF 6.8 HSPF 6.8 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling Split Sys. SEER 10.0 :SEER.10.0 + SEER 10.0 Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 Increased # of Wtr Htrs Allowed w/ talcs. Allowed w/ tales. *One entry/cohunn = req both zoaes. 2nd _ ? r� r Special Festures/kemartcs Um Fen lrtrubrlaa (Daaiq) m tQr'WWW Coserol (wg&Mtrip dom.eerti6ed wbwam. anadng) Duro Per U fon" 16>rleehattleal Code - CIL 10 t.+sluint Xitehm and Bads "ot lass den 40 tumcna/Watt Desitin Complinne Statement: ?he above buadin` design noels the requirements of tide 2+. Parts 1 and 6 of the Califomnl Code of itcaalations. (Property owner/contmetor) T 0 ' a Z T 898680£8 o1z 1 47— 4 %1 naH ^U3 log: L nHl 86—£Z—inr �, J Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ; BUILDING INSPECTION RECORD UI DING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms 6 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows — 3rd Floor Stemwall Siding To out Slab Ro LShe thin 2 7 % — Water Piping Piers Roof inp2 Cl Sewer Garage n. Vents Fixtures Footings Stemwall Garage Vents ^/! - Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. e Appliances !< Gas Piping & Test Temp. Gas Slab Final Sanitation Patio', FIREPLACE Final Footing Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam r FIReSP KLERS Motors t Framing Test Water Htr. I Stucco Final Subpanels i Mesh MECHAN CAL ' Grd. Fault Prot. Scratch Heating i i Service Brown Cooling Temp. Pole Finish Ducts M Underground Interior Lath Ventilation I Permanent Door Closer Final Final MOBILEHOME UTILITIES --- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 12�L� Ap- (NOTE: An entry must be made on this form each time you vist the job site.) County ov Butte DEPARTMENT O -F PUBLIC WORKS 606 91 --de. A—, Chico — .048 4244, limil 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 6?;F 8486 CORRECPON NOTICE 4' ... . . .... .......... .. . ........ 0. B.ildi. or Pmfe,,y 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. . .. ..... ...................... ...................... ............ .................... .... . ....... ...... ................................................ .... .................................................... 4 -00-- t ..................................... -1 . ...... ... s. r Date./';:.?7'2-:... V...;(Inspecto .................................. Do Not Remove This Tog (400-4) COUNTY OF BUTTE — DEPAIRTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 43/W-79 nutnonce represen[atives of the L;ounty of butte to enter upon the above-mentioned property for ins ection urposes. x Date© Signature of Permitee or ge Receipt No. C v/ White-D.P.W. — Yellow sb or Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicagle provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORQF_P_UBLIC WORKS By DateK— 6�?� Bui I Ing permit expires Date — b BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ��Q A #0S]6 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. _--_2 kloning & Planning Water piping 1.50 Each gas water heater or vent 1.50 S I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Plans Recd Parcel Approval Plan pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - 600V OR LESS Main service 100 AMP OR LESS 5.00 p� Single Family IK Duplex ❑ Mobil Home ❑ Others•❑ Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 ' )� Main service EA. ADD'L 100 AMP 1.00 NEW CONST. /DWELLING OCCUP. Y� 22 sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON -REBID ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES a @L@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ F_EE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ nutnonce represen[atives of the L;ounty of butte to enter upon the above-mentioned property for ins ection urposes. x Date© Signature of Permitee or ge Receipt No. C v/ White-D.P.W. — Yellow sb or Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicagle provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORQF_P_UBLIC WORKS By DateK— 6�?� Bui I Ing permit expires Date — b PERM 31:%1-79B PERMIT EXPIRES �/( / �✓•/O b t OWNER James Hughes 4 CONTR. owner x" 36-45-23 LOCATION (A.P. ) 120 Edgemonf..Dr., Oroville - Temp. Power Pole +' 'Called PG&E " Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E ( JOB FINALED (Date) (Signature) s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings `.; . Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test ; Water Htr. Stucco Final Subpanels Mesh MECHANICAL I Grd. Fault Prot. Scratch Heatina "'y Service Brown Cooling ; Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final • MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.)