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Home My WebLink About078-380-0561 TYPE OF PERMIT i l t ' G j STR� BLOCK SUBt�IV• n PERMIT NO. I PLAN NO. ' � I r PERMIT DESIGNATION: `i t DEPARTMENT OF (4 IBUILDING AND SAFETY DAM t B -BUILDING P- PLUMBING T -TRAILER Q.LIBAB3,.jRP.et.e.r_F............... ................... MOO : 5128 V -E Avenue, Oroville O7' . ermit -##-2543-74B,-E 1 0"r8 ( storeroom and shop) , '- "` Y B . `HIGGENS ` 1128 V -E- ,T-'�'.. Ave 'Orovifre�f ontr'.: -Tri-Valle- - ,� i y• Contr..•-Orovill lermit.'*5'69'9=75B (repair`earthquakes _age ASF )' � r-$-3fr=ttr=9 'PERMIT#?4-2061 HIGGINS, FLOYD 5128 VE'AVE.,.OROVILLE f~ ' CONT: NIELSEN BLDG` CO,',' REROOF/SF _ T 'PERMIT#96,-,1272 HIGGINS;° Floyd I?r. q 5128A.VE{Ave.-,; Orov lle-tr //a IQj�J- .Cont - Cook; & ,Son "Add 2 ' Bdrms' &;'C6 iivA.Ex to -Ba-' 701-2418 �"i`01-2418 HIGGENS, FLOYD 5128 VE AVE, OROVILLE _ r .CONT: LAGRONE HVAC REPLACE HVAC SYSTEM i F12 797,E ; ; ,, i, .� 078-380-'056,,,.' ELLANEOUS.` {-• • M ' Re -Roof OF 31 SQ- -E'AVEk ENS FLOYD'P &.RO,' 'HE E — ELECTRICAL U —USE PERMIT TV —RADIO -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT U } REMARKS HM -HOUSE MOVING, EP -ENCROACHMENT D -DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS ~w mj az Z OC6 V OZ py o "t LL ?w U-1 OF 2y W 4 z a a O= ILIIx1-K1Q F„1 Z Ir O= FJ _Ow tCy W Zg Ow I wy WQ a tCU ZO um WJ D< U 0- W K 4, A Z z a SIG. DATE SIG. DATE SIG. DATE SIG. r DATE SIG. DATE SIG. DATE SIG. DATE SIG.' DATE SIG. DATE SIG. DATE f SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES 3 VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES @ APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT,, 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5128 V -E AVE Owner: Permit NO: B07-1797 APN: 078-380-056 HIGGENS FLOYD P & RO, Permit type: MISCELLANEOUS 5128 VE RD Issued Date: 8/22/2007 By MAK Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 8/21/2008 Description: REFOOF 31 SQ (530) 533-4449 Occupancy: Zoning: AR Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage Remdl/Addn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 (530)533-6393 (530)533-6393 Other Porch/Patio Total •- � TION FEE'MORMA DBMSC Re -Roofing $201.50 Total Charged: $201.50 Fees Paid: $201.50 Balance Due: $0.00 Receipt No: B4341 .• ' LICENSED CONTRACTOR'S DECLARATION.:,,` ' OWNER /BUILDER DECLARATION ;` ""t Contractor (Name) State Contractors License No. / Class / Expires GEORGE ROOFING 452266 / C39 B C43 / 2/28/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fu fo and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to :1l 8/22/2007 a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ontractor's Sign re Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License :. y . a WORKERS,', COMPENSATION DECLARATIONy .,-; I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this is issued. year of completion, the owner -builder will have the burden of proof that he or she did not build or permit improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the properly who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 272-0000596 Carrier: Policy Number: Exp. Date:1/1/2008 Contractors License Law.). (This section need not be completed if the permit is for one hundred dollars ($100) ores—I s.) — IAM EXEMPT under Section B. 8 P.C. for this reason: �l CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 8/22/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date pro Islons. X 8/22/2007 r I hereby certify that I have read this application and state that theabove information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAIL RE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP FU ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND injury, inducting death, and property damage caused t is arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the ATTORNEY'S FEES. or suge use or occupancy of any sidewalk, street, or subsidewalk. I ereby authorize representatives of Butte County to enter the above mentioned property for inspecti purposes. I hereby certify that I am the property x011 r o m aurSoriz to act on lh ortp4ers behalf. t s:; :;CONSTRUCTION LENDING AGENCY °_ I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for007 Na a of Permittee [SIGN] I Date the performance of the work for which this permit is issued. (3097 civ. code) Ownerfor OwnerilXlAgent for Contractor Owner Contractor OR: 1:1 FILE COPY !�� Lender's Address City State Zip BUTTE COUNTY w' DEPARTMENT OF DEVELOPMENT SERVICE'%U.T,.TE BUILDING PERMIT APPLICATION COUNTY AND SUBMITTAL REQUIREMENTS AUG' 2 2 2007 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-28N J K&MENT OFFICE #: (530) 538-7541 L SERVICES A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X For office use only: OWNER Name Floyd P. Higgens Address 5128 VE Ave. City Oroville State CA ZIP 95966 Phone 533-4449 Fax E-mail Lic.# APPLICANT SIGNATURE X For office use only: CONTRACTOR Name GEORGE ROOFING - Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone. (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No -Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. '00-7-17,111 BP BIN # WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof.- House - Com Sq. Footage 31 sq. ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy . (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: Date: f. Bldg SRA Sheriff SMIP Other Total REV: George Roofing LOCATION AP# 0-7e-- Property Address 5128 VE Ave. Oroville, Ca. 95966 Cross Street WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof.- House - Com Sq. Footage 31 sq. ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy . (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: Date: f. Bldg SRA Sheriff SMIP Other Total REV: George Roofing is] U TTTME COUNTY* AUG 2 2 2W ,,,r,VF-LOPMENT SERVICES -... ' .. p -2418 0316 ,, �, �„ s • "� HWGENS, FLOOYR r `°•y t + VE AVE, VILLE'r ,; b r r.. 5128 VAC CONT: LAGRONE H . REPLACE•HVAC`SYSTEM . J . y J 4 IIA r •� ori (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. {i -•1'' ' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ��ADDRESS / 1 r �- CA V i i7+-• G-_Z� J.�Xr CA v15!355 CONTRACTORS NAME I ' TELEPHONE CONTRACTORS MAILING ADDRESS !L vj J,L. ] ' 4 '. .�: • C -0'vTf ..!.'1' C-% 95("55 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS . ,. T rte. ,t T - • 1 �, -i,� . �.-2., .AVE. C3_..dIL�� C% .��35 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i�.r 11-01 i, + Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LE:: 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 - an Lic. No. a�-1 Q 117-1 OWN WILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier (Aril .•,. P±rx O'c r� _ n A, r irI06 J (' f> . Policy Number F I,'l 9 Ll clt3-Ac� Ip -7 J (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X - !/ r� t�� %.'rte ✓fir.. Date r* 101r,161 Signature of Applicant - ❑ Owner ❑ Contractor (K Agent 41An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Main Service YooA To I000A 46.00 NEW CONST. DWELLMxi OCCUP. 3.5¢Fr. OR AODNs. a ACC. BLDS. NON-RESID. MULTI.OUTLET @7,50 POWEPUS a SINGLER AOUTLETPARATCIR. .00 Ex. Occup. OUTLET OR FIXTURES BA�L@'.50 Ex. Occup. ouTED APP °FR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating�•�� Cooling,'}vJ Hood 6.50 Ventilation PERMIT FEP_ $ ��• J Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3%(.:J HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. k '� � X1, .Date ' `��of By h PERMIT EXPIRES ON ala ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (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 Gam - l. P PIT T NO. ASSESSOR PARCEL NUMBER 036-111 L ZONING BUILDING PERMIT OWNER YD P. KC -GENS TELEPHONE 533-4449 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS S ZS V L AVE. OROVILLE CA 95955 CONTRACTOR'S NAME LA Q :, NE T! - TELEPHONE CONTRACTORS MAILING ADDRESS 0' 1 STLFRRA AVE. OROVILLE CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Pian Checking Fee $ BUILDING ADDRESS �7 528 V— AVE. GOYiLLE CF; 95960 Energy Plan Checking Fee $ - PERMIT FEE $ LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACEMENT OF HLfa,` TNG PIM AIR CONDITIONING SYSTEM Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 C -�� Lic. No. �3i Q a 1 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: Carriers s�-pnr , CA • Policy Number 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. /� / q X Dale421,2 Q f Si ature of Applicant - Owner ❑ Contractor IR Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00 WEE200A NEW CONST. DWELLING OCCUP. SO OR ADONS. a ACC. BLDs. 3.5¢FT: NON}galD. MUL H_C%R r @7.50 POWER APPARATUS a SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR Fixrums SAL @ I.50 FIXED Ex. Occu . PUT gR9 °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling 20.00 Hood 6.50 Ventilation PERMIT FEt $ 60.00 Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. p. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby Issued under the applicable of the Butte unty Code and/or Resolutions indicated ove for which fees h been By .Vate PERMIT EXPIRES ON 0-2r-202 provisions to do work paid. 9 -?-2001. - to ReceiptNo. 332237 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j :\��!�ESID�NTIAL " 036-111-040 PERMIT#96-1272 HIGGINS, Floyd + 5128 VE Ave., Oroville Cont; Cook & Son r I iAdd 2 Bdrms &'Conv.Ex to Bath/SF , t 1, J 1, d tppr 1� 1 OFFICE COPY- Address OPY-Ad ess GAS I ? e er By a ELECTRIC My Da eter Bte%��%; r GAS Date' ! ri Meter By ELECTRIC — Date tj = - Meter By ,JOB FINALED (Date) - Signature ' 'J OK O=Not OK = Not Applicable Not Ready RESIDENVIAL' ( = Date UNDERFLOOR (Plans) OK except k's . i Main;'Soils-Elec. Grnd.-/ /" 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft,g., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's _ d -6 -VV - Htr.: Vent-Access-C_om_bustion Air -Baffle Wat r Pipe; Test & Anchor -Nail Protection ---=-- - — - - - - - - — - .W.V.: Test -Fittings _& Anchor -Nail Protection - - ,.9TSttower Pan: Test. First Floor -Tub Access 2_ -Q -Test --Tub & Shower. Second Floor -Tub Access ------------ ------------------------------------------------------------ 2],-6es'Pipe: Size & Anchors ------------------------------------------------------------------------------- Date ------- ---- Card -- - -------------Date ----- ---- -Card-B---- ---- - -- - Date Card B-1 Date Card B-1 Date ELEC L (Permit) OK except a's Fixtur .& Transformer Clearance -Ins. Protection ----------- - receptacles Spacing -Lights & Switches at Doors - -- - ----------- ----------------------------------------- iz oxes & No. of Conductors -Stapled -------------------- __RomexInstalled Close to Edge of Studs & C.J. quip_ Ground made-up wrMech. Fastners-Bond Gas &- Water X24--l-Appliance Circuts in Kitchen & Conductor S,ze,GFI ---------------------- -------------------------------------- eed Wire Size r r ga. Cu or AI-A.C. Wire Size! 'ga. Cu or Al ange Circ r ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ---- -- ervi a=Riser Conductors & Ground -Main Disconnect __ Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light oke Detector ------------- -------------------------------.. ... ... --...._-----...... ........................ .. -Date--.----. Card B-1 Date Card B-1 - -- .. ...._..... - ......----- Date Card 1 Date Card B-1 Date MEC ICAL.(Permit) OK except o's A.C. Ducts Insulation & Support - - ----...-- ------------ -_.........----..................... 35. Vent Fan; Exhaust above insulation ---------------- --------._.... ............... ... ... ....... ... .. 36. Condensate Drain & Overflow: Size & Grade ------------ - - ........... ................. ..... ....... . 37. Furnance-vent: Access -Comb. Air -Return Air Vent -115 outlet -- -- ----- ..... . ...... ... ...---.._. ... ... .. 38 Attic Access & Platform if Furnance in Attic Date � Card B-1 J A Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN fans) OK except rr's Sits,_Bxerdr. Material & Anchors 4alts ds -Nailing. Spacing & Bracing -Plates -Sound .... ...... . ea . 41 r ells over Girders & Floor Nailing raft in Walls (rat proof) ........... ....._.... ........... .......__..... . .... . .. .... .. 4 ire St -.-Furred Ceilings -Stairs -Chases -Tub ---- .. ------ ---__ _. .............. ..... .. ....... .. ... ._. .. 44. aders & Beam -Size & Bearing Single & Duplex) Date F ING (Continued); ---- --- Han 'Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. e�Ties.or Type A Flue -Fireplace Throat clearance -------- ------ ------- -= ttic cess: Size & Romex Protection -Draft Stop -Ins. Baffles 4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions - Fire Protection Framing — __� Firewall & Openings -- - 42-fx Doors -One 3' -Check Garage -3rd Story. 2 Exits - S--tairs th-Headroom-Rise-Run-Landing-Fire Protection i ywo on Roof Overhang -Attic Vents -Rafter Outriggers ------------ =-=------------------ -------- - ding_Nailing Veneer - -- ------ o esh-Drip Screed -Fd. Vents-Underflr. Access a '.ng Area-Glas rotection -Skyli his -Plastic Shear Walls: i Bolts - -- - 9. Insulation-gs 0. Infiltration- s-Wi orifi" ws -- - -------------------- Date Ca_d B _ _Date_- Card B-1 Dai - Card B-1 Date Card B-1 :-Dai FINAL (Plans) OK except a's xt--StepsDoor & Sidelight Protection -Landings — 2. Sqrtoke Det:ector Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection - - . --- Be om Exiting --------------- & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..-- ------------------------------------ 67-51airs. & Rails ------- ----------------------- 68 replace or Stove: Clearances -Hearth ------------------- — ---€0 Efec."Outlets at Wood Panel: Int. & Ext. 7 Kit`F xt & Appliance Grnd.-Air Gap -Cooking Clearance ----------------------- ------ 71. Elec. Outlets_ & araReceptacles at Kit. Counter ge Fire Door_Swing-Landing-Closer ---- ----------- ---- 7 A -C: -Duct in Garage -Damper '......_... -------------- - ------- 74. ,--Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --- ----- - -- --- ----------------- ---- 75. Ib..Elec. & Mech. Equip. Listed for Location _ _ 76. EI Receptacles in Garage: (G.F.I.)-Rome rotection - -- --- nsulation-Foam-Looked in Attic Yes --------------------------------------------- _ eard-Rails & Deck Construction -Post Caps Fd n. Vents & Crawl Hole Door- Drainag ood-Earth Clearance Looked under Floor Yes -------------- 80. Following instld.;, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: garters ' ❑ Yes ❑ No - .....----------------------------------------------- at. Geo -`Brown -Finish .... ------------------ ---- -------- - ------- 82. n,t Disconnect. Electrical. Plumbing .....-_ ....----------- -------------- -- ------ Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . . . ....... ............ . .. _ .._ . . - --- ------------------------------- �d_4 Ver -Well: Disconnect. Electrical. Plumbing -,.. .. ....- --------------------------------------- enor Elec. Trim: G.F.I. Receptacle -Underground - ------------------------------------ \ a6 Vent ilabo Throughout House -- - - - - -------------- 7 Glass Protection aa. Corre eons ;rom Previous Inspections A�as Test -Meters Tagged; Gas -Electric water & Sewer Connected -C/O to Grade -HD Approval .. .------------------------------------------ nergy Compliance Certificate -Other Certificates 7 .. Date f i� r f3-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 Comments. at Final V=OK O = Not OK Not `=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or/ ) L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size•DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-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 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 j Isu(ation-Certificate Numbeeand Street city f4 County Subdivision ' Lot Numbcr Description of instal Iatio.n ROOF . Material Thickness (inches) Brand Name Thermal Resistant;e (R-Valuc) CEILING Batt or Blank=et Type _ Brand Name 4 , _ Thickness (inches) Thermal Resistance (R -Value.).. Loose Fill Type. Brand Name Contractor's minimum installed weighO lb Minimum thickness inches Man ufacttuer's-installed weight per square foot to ncheive Thermal Resistance (R -Value) EXTERIOR WALL Material 5 &WV—, Brand Name Thickness (inches) Thermal Resistance (R -Value) S' " RAISED FLOOR 'Material' Brand Name L °Thickness (inches) ro r Thermal Resistance (R -Value) ." SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value.). Width (inches) t FOUNDATION WALL Material Brand Name Thickness (inches) - Thermal Resistance (R.'Value). Declaration 1 hereby certify that the above insulation etas installed in die building at the above location`in confoimancr with the current Building Energy Efficiency Standards -for new residential buildings contained in Title 24 of Vic California Administrative Code. P=50 Contractor(Builder) License Number ,/ice 0 •— oto Signature andTiilc Date ' SulrContractor (f;mlation butallcr) License Numbei 'Signature and Title Date ncvlsed December 1992 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 538-7541q6_1 PERMIT c-,?- ASSESSOR PARCEL NUMBER 036-11-1-040 ZONING AR BUILDINGPERMIT ' OWNER FLOYD HIGGINS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 676 R 36,504 OWNERS MAIUNG ADDRESS 512 VE AYE., OROVILLE CA 99966 REMODEL CONTRACTOR'S NAME COOK & SON `Ke533-0302 TELEPHONE CONTRACTOR'S MAILING ADDRESS 147 LOMA VISTA DR -I OROVIT.I.E. CA 95966 Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is 37,004 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 336.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2 18 . 70 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5198 VE AVE- OROVILLE PERMITFEE $ 598.20 , PLUMBINGPERMIT Filing Fee 20.00 Each Trap 41 7.00 8.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 1 23.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition IS Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2BR & CONV EXISTING BEDROOM TO BATH Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 000v OR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 f force and effect. sj_ ^'Z / / License Class Lic. No. tC7 / �/ Y! OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP.50. OR ( 8 ACC. BLDS. ) 3.5Q FT. 23.65 CNS. NEW CONST. MULTI.OUTLET NONFESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES 20 Q 1.00 64L .SO Ex, Occup. (OUFIXED A PUNS. TLETS (RESID.�EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 66.65 Contractor 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 MECHANICAL PER IT Filing Fee 20.00 9 Heating Cooling 19 Hood 6.50 Ventilation 4.50 PERMITFEE $ 4�4-5— Contractor (70 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws California, and agree that if I should become subject to the workers' c pensa fipn provisions of section 3700 of the Labor Code, I shall forthwith mp(y those provisions. X _ __ Date (PjZ_ na' re o Applicant - ❑Owner ontractor ❑Agent An OSHA permit is required for excavations over 5'0" dee demolition or construction of structures over 3 stories in height. 11 Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $��,�. HAZ. �. D. FEES IMP FLOOD CDF PARCEL PD HD _ _ ISS This permit is hereby issued under the of the Butte County ode and/or indic ove for ich fees have ` ,{,[^ By / " — r PERMITEXPIRESON % applicable provisions Resolutions to do work been paid. Date %�9 / !� �g 117 (Date) Receipt No. 2 �] �,. WHITE-D.D.S.-B.D. CANAR -ASSESSOR P -INSPECTOR GOLDENROD -APPLICANT x COUNTYOF BUTTE-DEPARTME NT OFAKELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA. SHEET OWNER 4-1 P No. Ci 3b Proposed Building Use S Building Inspector qW Date 49 /O 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 . ........................ . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . ............ ........... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5..Hazardous Material Form.................... ........................ 6. Energy Design Compliance and supporting documentation . .................. /� 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0. Fees of $ 10,50 . ..........Ongineer ................ 11. Impact fees as shown on attached schedule.�`�'f_ .......... 12. California Department of Forestry plan approval/fl.CJ j,/........ . 13. Flood elevation letter (100 year flood) by Californi................. . 14. Sanitation and plot plan approval �2�� Health Department. 15. City of Chico plumbing permit . ........................................ . -16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. oA . . 20. Pre -inspection for required. .. oe ila�9 nspedo�- (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When,you issue thet, rocess as follows: Mail o owner Mail to contractor. Telephone nr ' and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit ' suance: (Circle new item not checked above). 1. Index permit for above items o. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date Contractor, designer owner, advised of above required data by _phone _mail Counter by _Date Plans checked b Date %�p J y '��I '9 Plans approved by Date Sets of plans on hold in File cabinet /I'- folder Copy - Department of Public Works �vi COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT -SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 Q's APPLICATION AND PERMIT PERMIT ASSESSOR PARCEL NUMBERO� _ ZONINGAJI� CC BUILDING PERMIT OWNER T°FPMON E I /A r i h SO. FT. ! OCC. BUILDING VALUATION I I 4 OWNERS MAW'I )t ADO CONTRACTORS E C. TELEPHONE 3ON - o I . CONTRACTOR'S MAILING ADORESS P > 1+:7�%\TK, Fireplace CONSTRUCnON LENDER UNKNOWN Total Valuation $ —7 0 O k4s Filing Fee $ 20.00 I LENDER'S MAILING ADDRESS Permit Fee $ 3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ •70 ; Energy Plan Checking Fee $ ARCHrTECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS S °�Q j / T' U0 �/ L- PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIsioNS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 54, Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 j TYPE OF WORK � / New ❑ Addition ❑j( Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I` ,,f I Mobile Home ISI GI W1 920.00 I PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20.00 , ` () fVA` �V4LI 2Main Service ( 00OR LESS 200AA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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. ❑ 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 P reason _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ( a ACC.BLOs. ) 3.5Q MULTI- NEW C / TI�OUTLET C NON.RESIO. (BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR.) I Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 �` Se Ex. OCCU OUTLETS (RESS.OR p (OUTLETS (REBID.) EA 5.00 Temporary Service 23.00 I Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMITFEE Contractor � MECHANICAL PERMIT Filing Fee 20.00 i 9 i Heating Cooling I j Hood 6.50 Ventilation y.SZ7 PERMITFEE $ Contractor i Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA Z. I D. FEES IMP FLOOD COF PARCEL PO HO ISSL= I I I I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date _ (Date) ReceiptNo. 00 124 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ✓�V�l 1 I� Building Department No. A.P. Number Jurisdiction: 0 City County Property Owner, (— O ! ",0,G f hS Property Location/Address Subdivison Residential Development No. of Living Units Commercial/Industrial 0 Lot No. / 0 [,�i � Sq. Footage 40 MHI Addition (Group R) (Floor Plans reviewed by School District Personnel) a District Identification No. 960147 1 School District certifies that (Street Address) Sq. Footage (Including Exterior Roo)ed Areas) ho 11-17- (�7 Date ,:IT I Number) (City) (City) " (State) (Zip Code) 2 has complied with the requirements of Resolution No. D ` 76 by payment of $/A �-�" representing square feet. AB 2926 $ FULL MITIGATION $ /0- 9� Sc oolt resentative Date Paid by Check # (13,31 Remarks: Bank Number Paid by Cash ---- 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 fullv mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf („isa)dmm '�` ll ttPi G'Du . �,. nt BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 6/19/96 FAX: (916) 538-2140 ! MIKE COOK 147 LOMA VISTA DR OROVILLE, CA 95966 - Re: 036-111-040 FLOYD HIGGINS A.P.# B.P.#96-1272 With reference to the above subject, attached is: [X] Plan Check List Red Marked Calculations Red Marked Plans Other Action Required: [X] Comply With Plan Check List [ ] Resubmit Plans with Revisions As Required Return All Original Materials and Revised Plans to the Building Department Other Should you have any questions, please contact this office at the a phone number listed above. address or l Sincerely, MARTHA WHITNEY - PLAN CHECKER Permit Appfimiqt MIKE COOK permit Number 96-1272 AmasorPmcei Number: 036-111-0406/19/96 ?he above rVive ced buzZ:&W . plans were reviewed by this o f m Provide ad tion a ormatlat and/or make revisions to plain%sperificadcl a and cak7rlata'oRs = bam= WINDOWS TOO SMALL -FOR .REQUIRED.-LIGH 29 SQUARE PEET OF .WINDOW AREA, QNE HALFDOPENABLETIOEACHPBEDROOMROVIDE A MINIMUM OF PROVIDE ENERGY C`ALCS AND CHANGE REQUIRED WINDOW SIZES. PROVIDE FOUNDATION -TIE -BETWEEN EXISTING/NEW FOUNDATION. ' 3/8" CDX PLYWOOD TO EXTEND FROM SOLE PLATE TO TOP PLATE MIN. SHEET SIZE 41X81. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and a: 00 P.M., Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER - 036-111-040 PERMIT#94-2061,` t HIGGINS, FLOYD `�,• '�� ;1 ' *• U 5128 VE AVE., OROVILLE *.CONT: NIELSEN BLDG CO •REROOF/SF r r - 1 • Y 1 • r ti t , NJ w - -- , - - COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES 7 County Center Drive - 66ville, Califaroja 95965 - Telephone APPLICATION ANS PERMIT - BUILDING DIVISION (916) 538-75 �j— 1:2 T N0. ASSESSOR PARCEL NUMBER 036--111-040 ZONING AR BUILDING PERMIT OWNER FLOYD HIGGINS TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5128 VR RD., OROVILLE 25 0 v 15 00 CONTRACTOR'S NAME NIELSEN BLDG COUP TELEPHONE 534-1319 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5128 VE AVE., OROVIME PERMIT FEE $ 55.00 l PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP I Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK ,, New ❑ Addition ❑ Remodel El Utilities ❑ Installation ❑ Ott; Kp j Describe Work: REROOF W.1 CAME PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 210 00V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a, ACC. BLDS. ) g 3.50 ST". CONTRACTORS LICENSE LAW i I dre under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an my license is in full forceeffect. License No Classification ❑ I, as the owner, o .'n mployees with wages as Ir sole compensatign, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. 1 BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occu FIXED APPWS. OR Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. r0M shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in onseque a of he%nting of this permit. X Date Sign ure of App (cant ' Own r Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEES 55.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL I PD I HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. A167235 a -=-Date 7/19/94 7/19/95 PERMIT EXPIRES ON lDetel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF IpEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,R, California 95965 - Telephone (916)��_ PERMIT NO. APPLICATION AND PERMIT C)aDl�,�- ASSESSOR PARCEL NUMBER 036-111-040 ZONING AR BUILDING PERMIT OWNER FLOYD HIGGINS TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5128 VE RD., OROVILLE 25 X60 15 00 CONTRACTOR'S NAME NIELSEN BLDG COMP TELEPHONE 534-1319 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5128 VE AVE., OROVILLE PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF EX Duplex ❑ Mobilehome ElOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 1:1rs Addition ❑ Remodel O Utilities ❑ Installation ❑ Othe Describe Work: RER00F W1 CME PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceOOOV OR LESS ( 20OA OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. g, OR ADDNS. ( & ACC. OLDS. ) 3.501 FT0, CONTRACTORS LICENSE LAW I dre under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an my license is in full force effect.FIxED License No. Classification ❑ I, as the owner, Eir—MVPefriployees with wages as tffir sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 50 APPLNS. OR Ex. Occup. ( OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. _Q*1shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing FeeJ20O0 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in nseque a of e g ting of this permit. X Date Sign tur of Appl can - Own Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEES 55 HAZ- D. FEES IMP FLOOD COF PARCEL Po This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. B ate 7/19/94 /�"Receipt If PERMIT EXPIRES ON 7/19/95 (Date) No. 167235 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (PERMIT NO. 2543-74B,E P E M MH UTIL. PERMIT NO. 7400' PERMIT EXPIRES OWNER Peter E. Kolibab CONTR. LOCATION (A.P. 36-111-6 ) a ' 5128 V-E Ave., Oroville i 13 - 2— 0 -C 7 6 i p Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E " Temp. Gas Serv. Called PG&E a JOB FINALED (Date) (Signature) DATE REMARKS OR CORRECTIONS 77 �' owNr� 14 elo- Ot CQSat-"a j�� r5 c -an 5% �G �o✓� 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 Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure 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 Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 77 �' owNr� 14 elo- Ot CQSat-"a j�� r5 c -an 5% �G �o✓� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive _— Qrovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT W�a�� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r - Date ��`� Signature of ermitee or Agent Receipt No. /2 If1`7/j' I-3_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU C WORKS BY ate:2 ding permit expires Date .................. BUILDING It Owner E E— /�. / �� SQ. FT. OCC. BUILDING VALUATION . Z!— Mailing Address 5/Z AVS Q O�lf LLE Tele hone o. 33 ^ Fireplace Contractor 0UJ'o Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No./ 3l0 / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Wim'i-re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PCec'd Parc provaI P122s Apaxoed Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER DQ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 PICT V-7 d _DET/,z TC NiGD . 00 Main service incl. 1 meter �G�OP Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 51 610 -boll20 Rec ., swTches & fix outlet 9baI(@10L2: 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W., 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring — r❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑' 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r - Date ��`� Signature of ermitee or Agent Receipt No. /2 If1`7/j' I-3_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU C WORKS BY ate:2 ding permit expires Date .................. a .4 . T, PERMIT NO. 5699-75B v P E M _ .. MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER F. B. Higgens c,'ONTR. Tri -Valley Contr., Oroville LOCATION (A.P. 36-111-6 ) '5128—'V=E Ave., Oroville I ,F A� !F 1�. I ^4 %.x F k' Temp. Power Pole Called PG&E Temp. Elec. erv. ( Call PG&E rM. Tem Gas Serv. Called• PG&E JOB �ci `�. J' FINALED (Date) / C- ($ignatu ) a ' �E • 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 Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing —/ — ELECTRICAL Masonry Walls Throat — Z-- Rough Reinf. Steel Final — Fixtures Bond Beam FIRE SPRINKLERS Motors Framino Test Water Htr_ Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interioi Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS { � n ewe �46«1c✓ i� tcJ47P yeas /�io%res� i� -76 f eoX COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 1 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter, upon the above-mentioned property for inspection purposes. X -%!l mew -E Date / Signature of P�ermitee or Agent Receipt No. ).' r a1~ White-D.P.W. . Yellow -Asses or — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF %EYLIC WORKS r BY 1 ---DateJ 4L_— ' f B ing permit expires Date BUILDING Owner" Q• hFr+. �-�f� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Firepl c Contractor NL 0d17—!Z �.7s. Total Valuation — Mailing Address jl 0Lfm Permit Fee , Plan Checki ng Fee &/or Penalty /R) (J .7 Telephone No. c7 Permit Fee x dP+,L /�/ Building Address �� %� /7uis- ' PLUMBING No.1 @ FE PERMIT FILING FEE $3.00 (- Each Trap 1.50 Repair drainage or vent piping' 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ' A. P. No. 36 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 +FSO Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelLawn I Declaration Parcel Map 60' R/W Improvements sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [k] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures , re2o (d2 gl Receps., switches & fix outlets 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 st le of: �`1'LC Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. d i sp. or D.W. 1.00 Air conditioner_or heat pump + Water pump • ' Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.ag// 31 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $, $ 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 YF� 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. MECHANICAL No. @ FEE 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter, upon the above-mentioned property for inspection purposes. X -%!l mew -E Date / Signature of P�ermitee or Agent Receipt No. ).' r a1~ White-D.P.W. . Yellow -Asses or — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF %EYLIC WORKS r BY 1 ---DateJ 4L_— ' f B ing permit expires Date nuT E U.0[rnTX PUBLIC WORKS DEPT. ! REQUEST FOR -EARTH UAKE IN .-ICTION Date (� Name /ci/-cc1QL'2 Tele hone (las tt e)G (first name) Address Directions ITalS OF CONCERN: INSPECTION Date -==-=_=�=-_--____________-_ NATURE OF DAMAGE: Danger: " Action: Inspector