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Home My WebLink About079-090-0143208-82 3 �! Frieda .Hart Martin Nlyf ��G� FRIEDA HART MARTIN 42 Hunter .Ln, Orovilie LJs�/' W Hunter Lane, lot#;11 Oroville F• (news ) t Permit#3209-82B(mew_S/F) i - 2518-90E,M,.` t HEMMAN y James- t , .•- :. , ,.. 42 Hunter Ln; Or"oville ` Contr : "Arfic'�Aire.. .s(dual ak/, u91-3796 ..GIL`B, DARIN a CONTR.: ,OWNER ' 42`HUNTERsLN,' OROVILLE " GAS !L I NE,' WTR' HTR/SFS ,. it e� l' I Q i _`� � - - , Yr--= -- �� - o ,®. _ '036-76-0 014 y GILB, DARIN '; 91-3T96`= CONTR.:,,., ,OWNER a 42 HUNTER LN„ OROVILLE r GAS LINE, •WTR HTR/SF - i ; OFFICE COPY;, t j AddressT�-Jy a GAS` t - MeterB,Dat- EL'ECT.RI� ` M r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT' PERMIT NO. --TZ% ASSESSOR 16CLf Cly V-' (� NUM ZONIN Y BUILDING PERMIT OWNE))ARDII GIM TE��PMt3. SQ. FT. OCC. BUILDING VALUATION q �+(��p OWNER MtlVl1 IW DXSS ORRO 11 X 95%6 CONTPX(1S�,PR'S NAME r�V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace T$_ CONSTP}ts., ON LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHI TINEORENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDIfJ •61 s ' OROVILLE (4� I Y Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP It Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Eft Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities P4 Installation❑ ther ❑ Describe work: NATIJUL GAS LINE & WATER HEATER e Permit Fee $ 27.00 Contractor A - ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prcfessions Code and my license is in full force and effect. License No. Classification � I, as the owner, or my employees with wages as their soloI'r compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) i ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. �) 3.6Q sq.ft. OR ADONS. \ ACC. BLDGS. NEW CONSTRMULTI-OUTLET /� NON•RESID BRANCH CIRCUITS) ` 5.00 POWER APPARATUS e SINGLE OUTLET CIR. ) Occu. zo @ 7s ExOccup(OUTLETS OR FIXTURES OR FIXED APPLNS.D.) EA.) 3.00 Ex. Occup. OUTLETS (RESI I Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring " 9 15.00 ' Permit Fee -C—' $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. /Contractor MECHANICAL PERMIT Fi_lingFee 15.00 Heating - j Cool in 9 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-ment{fed p ertyfor inspection purposes. I also agree to save, indemnify an hhmle�ss the County of Butte against all liabilities, judgments, costs, ande�x'�e�i�e�.J�vhJ h rry In any Way accrue against said County in cohseglie ce of the granting o1 1S.permit. X / r -1.2 ,, • „/� � - Date (" IIGI Gy / Signature of Applicant — O r ner t ( ❑ Contractor ❑~ Agent ❑ An OSHA permit is fpqui -164,Fgr excavatio over 5'`0;' deep and demolition Dr construct- ion of structuresove,(3 Mrye's�irrt-Fje ht. :, _1. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 27 ' 00 AZ DFEES IMP FLOOD CDF PARCEL PD HD IS E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or, resolutions to do work if►di ated ab `?for whic ,fet3rs�have been paid. DI F PU I ORKS BY ( i Da e PERMIT EXPIRES Date ! hJ , . I --r Receipt No. y.O1460 ��'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 01 IR5- 92 ---� 7�,4) 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please rontact this office immediately. Date �' Inspector REV 11!81 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 PERMIT NO. A routine 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. Y6,-, 1 2�? n,:i / % Date �?—/'7' c;o— Inspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 4 l 7�32 4 A SESSOPARCE NUMBER 39-76-14 ZONING AR BUILDING PERMIT DINE— If 'DARIN GILB 533-8333 so. FT. occ. BUILDING VALUATION OWNER_TAHI.ULNTLA1RDCOSS OROVILLE 95966 V CONTF�((`T6TORR''SS`lNA�ME NE 7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTP6EON LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD42 AHUNTER LN OROVILLE Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each pas water heater or vent 7.001 7.00 USE OF STRUCTURE SF CSX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5,00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation[] Other ❑ Describe work: NATURAL GAS LINE & WATER HEATER Permit Fee $ 27.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&) OR ADONS. l ACC. SLOGS. // _37.50 3.64 sq.ft. NEW RESID, RANCH TLETCIRCUITS) NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS f1 OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 T6 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): M The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ce of the granting of this permit. against said County iz7v )( ��,rf Date _ l G5� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion OP structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 27.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD IS E This permit is hereby issued under the sions of the Butte County Code a d/ work i i ated or whic a DI P By PE IMI EXPIR S Date applicable provi resolutions to do have been paid. ORKS Da e I Receipt No. 101460 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL MBER� D/ . (//((// ZONIN BUILDING PERMIT OWN—t 5�3~O FT. OCC. BUILDING VALUATION ASO. OWNER'S MAILY ADORESS / e I CONTRACTOR S E TEL7EFHONE C/ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITE T VR E�GINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS $ OPenalty BUILDIN RESSG D IC -Al QJ 0 9S Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 1@ 15.00 TYPE OF WORK New ❑ Addition❑ emodel Utilities,l Installation[] Other ❑ Describe work:a- Q _ Permit Fee $'31700, ZGEW-0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 6200A Ooov OR LESS R LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.111 OR ADDNS, ( ACC. BLDGS. 3.64sq.ft. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20 76d 4AL 454 FIXED APPLNS. EX. Occup. OUTLETS IRESID .)OR EA.) 1 3.00 Temporary service 15.00 Home Facilities Mobile Home 15.00 Misc. H 9 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 01 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ Cr0 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date / � Receipt No. �e> 176 e2 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive., Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property.improvement (yes or no) 2. I (have/have not) WA./t signed an application for a building permit for'the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name�� Address City �/ia>;,�/� Phone Contractors License No. 4.. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner /A& Social Security Number ' Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. '"r'j.E..�a'�*7��TC'"�t;?j^"i+iti:r'r>ai�{t:►NT��7++^s..�'4^+f'i:.�^.§.1.t'�, �,�-: r,. �q ti �;F;,�y..��, y.� _ ..ai.. �r,r..�-v-t.."i��'�'�►'�i..,.-,�._'Yr.,r',-�i!.•+,..ttirL-1"h.i.s ..>�,,,,.: t r 36-76-14 _ ' ."y `2518 *E<M'... COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. . A ASSESSOR PARCEL NUMBER 36-76-14 ZONJNG I BUILDING PERMIT OWNER James Hemmen TELEPHONE,, SQ. FT. . OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 42 Bunter Lane, Oroville 95966 CONTRACTOR'S NAME Arctic Aire TELEPHONE CONTRACTOR'S MAI'_ING ADDRESS Chico Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 42 Hunter Lane, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF FXI Duplex❑ Mobilehome❑ Other t SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [3 Describe work: Install Dual Pack'' t t„ Permit Fee $ 15.00 Contractor ELECTRICAL PERM111J Filing Fee 10.00 I Main service soov OR LESS 100 AMP OR LES 10.00 Main service EA, ADD'L 100 A 2.50 CONTRACTORS LICENSE LAW 1 I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �� r Classification V ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC OR ACDNS. ( ACC. BLDGS. , TAOsgft NEW CONSTR ULTI-OUTLE2.50 NON.RESID BRANCH CIRC ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES BAL&30 Ex. Occup. OUTLETS (RESID )REA.� 2.00 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 19,00 WORKMEN'S COMPENSATION INSURANCE I declare under pena ty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [g. -I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 70K 6.00 Dual Pack Cooling 3T 9 6.00 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Countylprdinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XT RN KN 'G 6,11) Date _7_-X—(; i Signature of Applicant — Owner ❑ Contractor ❑ Agent u— An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE 0 TOTAL FEE $ 49•� AL E AZ H1PD1HDI CUA PARK FED PAR s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DRETOR F PUBLIC BY12 PERMIT EXPIRES Date 717 the applicable provi- resolutions to do have been paid. WORKS C�,7 Date ? `v Receipt No. 70175 WHITE-D.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-76-14 ZONING z BUILDING PERMIT OWNER cTELEPHONE James Herrman SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 42 Hunter Lane, Oroville 95966 CONTRACTOR'S NAME Arctic Aire TELEPHONE CONTRACTOR'S MAILING ADDRESS Chico Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - 42 Hunter Lane, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[3 Describe work: Install Dual Pack Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000V OR 0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 9--1"am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force �and effect. License No. R� 91 t, - Classification C_ -J /_/J ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 ORADONST DDWEACCLLIN GOCCUP.&) S. 21h2sgft NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & SINGLE OUTLET CIR. Ex, OCCUp( OUTLETS OR FIXTURES 3 C 90@030 Ex. Occup: OUTLETS ED APP(RE SID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring . 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Eq,I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or'this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 70K 6,00 Dual Pack Cooling 3T 6.00 Hood 3,00 Ventilation permit Fee $ 22.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liab lines, judgments, costs, and expenses which may in any way accrue against said County in c nsequence of the granting of this permit. , X Date �"�� Signature of Applicant — Owner ❑ Contractor ❑ Agent �— An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 49.00 HAZ CUA PARK SCHL FLD PAR PO HD s This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees D E OR F PUBLIC By ! PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS p, Date 6� Receipt No. 70175 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT VOMIT DnST bscic x #3 H4UCOL I-UU64 OLOATTTO CVTCO VLCCTC VTLG IS HaurGL rJUG' OZOATTTO Mee M WOO 33,00 e'00 9*00 13,00 Ploo 2*00 Contractor's License # 234913 AM AM d�RBARE ..." Z1. HE, Gw.* ;AIR_CONDIT/ONING ® REFRIGERATION RESIDENTIAL-�G;...«COMMERCIAL ® INDUSTRIAL SERVING THE NORTH VALLEY SINCE 1960 ♦. N �F cue C P,(J � tncii Y2 - q-,t,1p44j f , , Fres, 4 r4 r c_ A � rC _2838, HIGHWAY., 32. _.. _, t G j 1AOii AA � �A 3R O o"I' rj i IQV%0'0 -3H URS RiY'M1 0 ,,'BVI V IlW, C GSE+ i;; a v -t ►.,n, 1 SNC" 0, V" �V a o:. -ate.] OctcwtncO erOcso JI` I` • JIN'y Jr i Uf ' BeB (ate) C 8sSB3 f IMPOI'!A^ .001H3 C S8 YAW001H U83 m COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT _BER�6 J/ ASSESSOR PARC NUM((// ZONING BUILDING PERMIT " OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' A 1 ADDR SS CO CONTRACTOR'S MAILING ADORES " Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _O Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF(Z Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: L2& 0>/e;L P.I- Permit Fee $ " Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl a under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and ffect.SINGLE License No. Classification / �— F-11, as the Owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is. not intended or offered for sale. (Sec. 7044) • ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.&) OR ADONS. ACC. SLOGS. I '/z¢sgft NEW CONSTR. ULT' -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES SAL@30 0LA 30qt FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F /4he permit is for $100.00 (valuation) or less. LtiVJ( I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating -� AC Cooling �- Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of.the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ HAZ CUA_ PARK FLD PAR o Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �� WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Called PC - JOB FINALE( Signature PERMIT NO. 3209-82B PERMIT EXPIRES OWNER FRIEDA HART MARTIN CONTR. owner ASSESSOR PARCEL 36-54-20 & 21 ort 4t LOCATIONHunter Lane. lot�t. Oroville 4 '4 to Temp. Power Pole Called PG&E Temp., Elec. Service • Called PG&E Temp. Gas Service Called PC - JOB FINALE( Signature ry=OK` , 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1, Zoning Requirements -Setbacks -Easements - 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__ 5. Electricity; Local ion-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1, Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except q's r 1. Setbacks -Easements - s 2. Footings; Size -Spacing -Marriage Line 2. Soils: Compaction -Structure Stability ' 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining___ 4. Electricity; MH Test-Crossovers-Breakers-Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval, 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged - 8. Elec.: Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane Iboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch. `- - 10, Cert. of Occupancy _ y 9. Health Department Approval - 10. Plumb; Cir. Test -Water Supply Test. ., Card B -I Date. Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI ---Date - Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR PkKs) OK except#'s Date FRAMING (Continued) ' Zoning requirements -Setbacks- asements 48. rP-'ropeTCine Firewall & Openings g., Main; Soils -Steel -E - / 'Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits -Steel.- / /" Ftg. Depth 50. - eadroom-Rise-Run-Landing-Fire Protection 4. Ftp., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 yw on Roof Overhang -Attic Vents -Rafter Outriggers Yemwalls, Main; Steel-Blockouts-Wrapped-Slab ing-Na iling-veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab -Q . Stuc sh-Drip Screed-,Fdn. Vantc_-Uade fhu Ames - 7. Piers -Fireplace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic 55. ing-Bolts - .V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 1 ater Pipe; Test-Anchors-Regulator-Servi Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girde -Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date 1 jy GCJu'�� Card-BIC?,u�- Date Card -BI Date Card -BI Date Card -BI Date cmirgI Date ,i �fl'?,�Card-BI Date Date FINAL Plans) OK except #'s C ardBIDate 1 BI Date Date _ �• PLUMBING (Permit) OK except #'s 14. W ter Ht.; Vent -Access -Combustion Air xis -Door &Sidelight Protection -Landings 5Z/1moke Detector 58. Furnace-,.Y.arance-Comb. Air -Connector - I ; Above Floor-Ducts-Mech. Protection Pipe; Test & Anchors -Nail Protection ta�- .W.V.; Test-Fttngs & Anchors -Nail Protection edroom E&LLng 17. Shower Pan; Test, First Floor -Tub Access 6@,.�&"Ftxtures & Tub Access _ ----18-.---Test Tub -& Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 6 -c. Trim & Subpanel; Breaker Sizes -Labels 62.x6leir-j-&-RzTts---P _ 63. FIrnlnrP nr StnvP r`isa4wes-Hearth 64. E aWood PaneP,' Int. & Ext. Date Card -BI Date it. Fix liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date eq, Outlets & Receptacles at Kit. C ter Date ELECT AL Permit OK except #'s68' ire Door; Swing-Landin CI - rye & Transformer Clearance -Ins. Protection/�r 2ilQ !Ele eceptacles Spacing -Lights & Switches at Doors tr. Htr.; Vents -Clearance -Comb. Air-Connecto I a'„ Elec. &Mech. Equip. Listed for Location _ ize es & No. of Conductors -Stapled ome .nstalled Close to Edge of Studs & C.J. 71 Z2, 73 ppliance Circuits in Kitchen &Conductor Size 74. nt Fdn. Ves & Crawl H - learance Looked under Floor, -- 26 RuhfPP�wirPSize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI -_ -tucco; 27. Range Circ. 1&;,d, ga r Al-0yen 6OFS Gu or At, InsNeutral ,Z!W ST ONO e _ e -Riser Conductors & Grp Main Disconnect 75. Following ins Id. _,aYes j�No; Walks es ❑ No; PIa ly �IVo B -Finish -_ . Equip. Clearances; Panels-Motors-Mech. Equip. U ' Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - 30. Gle,14iee-- r Light - -- -- --- -- ---- --_-.__- _ ate-fCard-BI Date 7 x ec. Trim; G.F.I. Receptacle -Underground Ven ' n throughout House Card B -I Date Card -BI Date jg,lass Protection Date MECHANICAL (Permit) OK except #'s _ 83. G r' c f P ay,'p I qpecU,nn4- 84. - Gas -Electric A._, Ducts; Insulation & Support & Sewer Connected -C/O to Grade -HD Approval -_. Vent Fan_Exhaust above Insulation 33. Condensate Drain _& Overflow; Size & Grade 6, rgy Compliance Certificate -Other Certificates 34.__Furnace-Vent;_Access-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic C r I to Card -BI Date Da_�_/.y - �___ _ Card -BI Date Card -BI Date Card -BI Date C Dat Card BI Date Card -BI Date Card -BI Date Date FRAMI (Plans) OK except #'s Comments at Final: - . Sills; Proper Material & Anchors �WSI tuds-Nailing, Spacing & Bracing -Plates -Sound _. earing Walls over Girders & Floor Nailing .39.-. Q,24 Stop im WvHsrTrM-ptoof) 40. _ d Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing - - angers -Post Caps -Anchors -Connectors 3 ng, J t ar r o--_- -�ac.-T -S g. -Ring. 44. or Type A Flue -Fireplace Throat %ti ��cess: Size & Rom_ex Protection -Draft Stop -Ins. Baffles 481-fdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions_-_- (NOTE:Anentrymust be made each time you visit jobsite) ^,„ •;ra ,..K �r `.. r � — ��t T , ..,r,,.,.4 ` v' - , . , . � .7 - '. 4+ -.A • .� ra:sT w-wrw L�[�+.,..... .-.S T • �t Telephone i, 533-2000 F.. North Burbank Public Utility District' 1960 Elgin Street OROVILLE, CALIFORNIA 95965 68-82 DISTRICT APPROVAL AND 1} , VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County .Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. r Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North. Burbank Public Utility'District, must be submitted to Butte County. Applicant: FRIEDA E. HART MARTIN �" Applicant Address: 91 Canyon Drive, Oroville, CA 95965 Applicant Phone No.: 589-3759 Property Location (s): `t,P Hunter Lane Copley Acres Unit 2 PThase 1 - Lot 14 t 36 +-% A. P. No. (s): 22 Fees Paid: $250.00 N.B.P,U.D. connection fee and. 5900•.00 SC -OR -facility charge unpaid as of 11/16/82.... ` Application for service approved: NOVEMBER 16, 1982 • ' . North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: �i Date: - M North Burbank Public Utility District relea's'e -to close permit: Date: �— �i-, By: , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1L/ -�L / .4nIA - BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector4yi.16A�Z Date 3—/56� y RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITHsCURRENT ENERGY CONSERVATION REGULATIONS AT Lot # 14 Copley Acres (location) , BUILDING PERMIT NO. A.P. NO. w �` THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge n/a ✓ Single Glazed n/a Fdn. Walls n/a Na- Special (Insulated) n/a Floors n/a CERT. & LABELED WDS. Walls -R -19 R -11 & SLIDING DRS. n / a Ceiling/Roof R-30 WEATHERSTRIPPED DRS. n/a ✓ Ducts n/a Na, BACK DAMPERED FANS n/a .Circulating Pipesn/a .nom . INTERMITTENT IGNITION DEVICES n/a n� APPROVED HEATER n / a -"CERT. APPPLIANCES . n / a APPROVED WATER HEATER n/a t,- I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS -OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NI'CH.0LS'QN I'NSULATI'ON, INC (please print) Signature of Insulation Applicator State Contractors License No. .39.85.51 General Contractor/Owner Name (please'print) Signature of General Contractor/Owner �. Date �� State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT 'PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPAftTMEjNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I L ASS =5S0 �A CEL NUMBER r ZING BUILDING PERMIT OWNSMal TELEP NE SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILIN ADDRESS 3 b . O CONTRACT'S NAME ;-i TELEPHONE 2a2_32KR C NTR 'S MAILIN ADD ESS . Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation $ • ^2 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ 0,0 BUILDING ADDRESS � Q � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 D4%D Water piping 5.00 L T NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �-, USE OF STRUCTURE SF l�/ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 c Mobile Home S I G I W 1 110-00 e TYPE OF WORK New [Addition ❑ Remoo-d�ell❑ Uti 'ties ❑ instailatiortOOth Describe work:►C�S—.�C n 32 a< Pte— MAsT�2- 32--'79 Permit Fee $ S-4, Contractor ELECTRICAL PERMIT -Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING O \ OR ADDNS. C ACC. BLDGS / I �1 2�20sgft oR CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full force and effect. License No. Classification �",J[ ] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered ' for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI.OUTLET 2,50 ea NON.R ESI D. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, 20e50a OR FIXTURES 9AL®3oe Ex. OCCup(oUTED A FIXED PPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ f p Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating $O , IWO- Cooling Hood 3.00 Ventilation Permit Fee $ ' Do Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost , and expenses which may -in any way accrue agXnsaid County in nse ence of t e granting of this permit. X Date 5iof Applicant — owner❑ COnrracror Agent ❑ An OSHA permit is required for ex ovations over 5' deeprVPdemolition or construct- ion of structures over 3 stories in ight. Mobile Home Installation Fee $ ATDr - TI -C.. p TOTAL PERMIT FEE $ 0 occu P. GROUP �TYIPE OF CONST, V -. N PARCEL S51 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT OF PUBLIC By -- 1 � PERMIT EXPIRES Date thea @Qr�i- resolutions to do fees have been paid. WORKS to 17-5 0 37 «�'o�a5 3 �_----"' yn. v / 'T W IT-DT�7Yr'YE L S� PIN ►� Ri ENR.D-APPLICANT ' 1PLN0 L RESIDENTIAL PLEK -CHILR KING GUIDE. ' (S.F., DUPLEX, &'MISC. ONLY) OWNER A.. GENERAL Zoning requirements (sideyards and parking). �R Valuation. ® by R.C.E. or Arc 'tect (if required). B. T PLAN Complete parcel size and dimensions. • Setbacks, sideyards, easements,, etc. Other buildings or structures. .400'Grading, fills, drainage.' Bldg. Permit �k a C'- A. P.-- er mar 32 - 7 9 C. FLOOR PLAN \ Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1405). equired windows for second exit (Sec. 1404). — llowable glazing for energy requirements (20% max. per State law). : luman impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1407). ., 7, G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures,.switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing 'fixtures. '} Garage firewall, door size, and closer (Sec.:503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Seca 1413). ' D RUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. :j Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. Stairway details (Sec. 3305). 3/ 0 uardrail details (Sec. 1716). ! $rick or stone veneer (Chapter 30). io.K xterior plaster - weep screeds (Sec-. 4706 & 4708). oper roof pitch for roof covering KChapter 32). 7• :after ties or bearing ridge beam. Garage'door or porch header sizes. equate bracing. ' building. (State law). Diving area over garage.- complete 1=hour separation required including supporting _,,..walls and posts; etc. 1Two (2) exits on three-story dwellings (Sec. 3302). Telephone i' 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 68-82 DISTRICT APPROVAL AND VERIFICATION SOF INSPECTION BUILDIN.G SEWERS This verification form -must be submitted to the Butte County Department'of Public Works - Building Department .prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): FRIEDA E. HART MARTIN 91 Canyon Drive, Oroville,.CA 95965 589-3759 Hunter Lane Copley Acres Unit 2 Phase 1 - Lot 14 36-54-20 Fees Paid: $250.00 N.B.P.U.D. connection fee and $900.00 SC -OR facility charge unpaid as of 11/16/82. Application for service approved: NOVEMBER 16, 1982 A , North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: 0 Date: North Burbank Public Utility District, release to close permit: Dater By: 0 IIq - Co . S4A64 A setback of 5 ft. from the property lines and:a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. See Master Plan on file for buildin_ • plans.. jrkUMrffA- LA -WE NOTEr—fill Materials « Workmanship Shall Be iii Accordance wli-h Recognized Good Practices and of a quc!iiy prescril.ej for the Specified use in the Uniforn, Bui:ding, PlumA—ir,g a Mechanical Codes and. the National Gectrical Code. ' This set of plans and specifications MUST be kept on Me in.'s at cll times and it is unlawful to nvjk9 any ch~r,cFs cr alters; i.vrs on some without written permission from the Department of Public. Works, County of Butte. s BUTTE COUNTY tIALDFtdC� DEPARTMENT U�T1�TE C TY A��F/ �TMENT APPROVED �i Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 32^'34336 FOR RESIDENTIAL DEVELOPMENT D^ lG,4`%.lig:. Section 26-8.1of the Butte County Code requires this acknowledgemen;tGGaO; n';IS_.'::'� be recorded prior to issuance of a building permit. • ^;:'007 The property described herein is adjacent to land or included Nov I) I ► zP f�I : . within an area zoned for.agricultural purposes, and residents of :ELE0ORM.5=C this property may be subject to inconveniences or discomfort arisin§LERK-RECORDER L_,,J from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort.from normal, necessary farm -operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 1 thru 17 as "shotzz on that . certain Mao entitled,, "COPLEY ACRES, UNIT NO. 2, PHASE 1", ,which Map was recorded in the Office'of the Recorder of 'the County of .Butte-, :Stale of California, on %doveinber 10, 1932, in 3ook 35 of _daps, at Pages 89,, 90, and 91. Date: "Jovember 1115, 1932 NOT OR/G/ COMpq Nq1 CVM /TH T P;Fp RTY OWNERS: F RI EDA E. HART State of Calif. ) On this the. 1 5th day of November _, . 19--82_1 'SS. before me, the undersigned Notary Public,. personally Wuncy of niltt) appeared Frieda E. Hart Present A_P_ NO known to me to be the person(s).whose name(s) is subscribed to the wig1-2n instrument and acknowledged that she executed t e same for the purposes therein contained. f IN WITNESS WHEREOF, I he eu tosmy arand official seal. Notar�'Phbric OFFICIAL SEAL DANIEL F. HUNT (..) NOTARY PUBLIC -" CALIFORNIA PRINCIPAL OFFICE IN - -BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1, 1986 Present A_P_ NO known to me to be the person(s).whose name(s) is subscribed to the wig1-2n instrument and acknowledged that she executed t e same for the purposes therein contained. f IN WITNESS WHEREOF, I he eu tosmy arand official seal. Notar�'Phbric COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NP. ' ASSESSOR PARCEL NUMBER 6— a. ZONING BUILDING PERMIT OWNE$_-IleJ.TELEP NE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS kki;O V CONTRA171 CT R'S NA ,TELEPH NE i COT ACT 'S MAIL( G DDRESS �_,� �r ` Fireplace CO STR UC TION LEND r�T' , UNKNOWNTOtaI Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,OD ARCHITECT OR ENGINEER LICENSE NO. .Plan Checking Fee $ 1 . Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 oe Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent - 5.00 Gas piping system 1 - 5 outlets 5.00 k4 USE OF STRUCTURE SF LTJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 110.00e TYPE OF WORK New Addition ❑ Remodel ❑ U liii ibes ❑ Installation ❑ Othe El Describe work: a� ` t `79 Permit Fee $ contractor ,ELECTRICAL PERMIT Filing Fee 10.00 Main service a00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 . NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code andmy license is in full force and effect. License No. /911/ Classification ❑ I, as the owner, or my employees with wages as their sole compen- cation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET SIR. Ex. Occup(OUTLETS O FIXTURES 6aL®g oc FIXED APP EX. QCCUp. OUTLETS (R IDTEA.) 2.00 TerrpoXaryAerviceAAP 10.00 Mobil4lfipj(4 Fa4,11M 15.00 sc. rin 15.00 P rmi •ee A $ a t r A FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Buildi partme a Certificate of Workmen's Compensation Insurance or a e of of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to bec bject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. He _ UoIin Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in conseque ce of the granting of this permit. X T4.9 ��, 4� Date h �G Signature of Applicant — Owner ❑ Contractor / Agent ❑ An OSHA permit is required for excavations over 5'0 deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GRODP i7 _ 3 TYPE of CONST. "V -, A PARCEL PD, �/ ND ISSUE This permit is hereby issued under sions of the Butte County Code•and/or work_ indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Ri Flo. WNI E (ua,rYE L� - R, PINK -INSPECTOR, GOLDENROD -APPLICANT AS dr Sal. PU... PL44 bot-I -=....:+vw-e�ivbr.�•,+s 'Y'w ^�aww2n�y2.�.�.••�. r..._,7.i.s:u..- ,...-nra.,;,.,r .•eu.f .aw ti+i+nWN`r Y�FSLin.t.!•�i.n+.aw..uuuJlOiw,•.•-Y:Y'V.a 1lM•V/V.Fe�wR ...�..t. r.w.. 75'=7 (04• c 69.175' Se asfer Plan on file for building - PI n -AURr vr%=03 . * 3t - %Iq or /7 atback of�5 ft. from�the o perty lines and a setback ;oft. from the road terline shall be clear of lctures or equipment except i - f a 2 ft. eave overhang. I i 0% f JTE COUNTY IALDtNG DEPARTMENT APPROVED ! I� �..�.rq�-...-^�'-.+s...ov.��n.+y++ _ .-.,.--rr--•--+ -'- �cvs_'l� ^s'ra'.�..-..ter .�-r-wr+-. � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA'SHEET 32a�� 8� co Permit No.. OWNER 1� vull � � �+ p�� i A. P. No. I` -ft A 04 Proposed Building Use ". Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in'duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . ... 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent foro Heated and AC Buildings. 4 X -a Fees of $ 134. . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. ,Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other (Date) Mail to contractor. _Deliver w/inspector. Date Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items,No._ 2. Additional items required: (Contractor, Designer ner as advised of above required da Telephone Mail Other By Date f t` Plans checked by. Plans approved by Other: Copy—DPW Date Date W %yVz O z RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLFK,;;s&.MISC. ONLY) Wag 81.. Bldg. Permit OWNER A.P. # A. GENERAL -000�oning requirements (sideyards and parking). 49. Valuation. by R. E. or -Architect (if required). B.'. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. G. FLOOR PLAN YA4MQ_ 31-79 4. Complete to scale plan with dimensions. 20 Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). -4/ 1lowable glazing for energy requirements (20% -max. per State law). 5/ Human impact glass (Sec. 5406). ,Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). -4� Light fixtures, switches, receptacles; and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas eequipment, and plumbing 'fixtures. ' Garage firewall, door size, and closer (Sec.'503(d)(4)). lel ` 1 - 3'0" exterior exit door (Sec. 3303d). / Fireplace location. T• Smoke detectors (Sec. 1413). `D. S RUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). 'E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. Stairway details (Sec. 3305). 8� Guardrail details (Sec. 1716). fe/Arick or stone veneer (Chapter 30). Y. Exterior plaster - weep screeds (Sec,. 4706 & 4708). 6�Proper roof pitch for roof covering (Chapter 32). 7*. -10' Rafter ties or bearing ridge beam. Garage door or porch header sizes. O!/ Adequate bracing. 1p/ viving area over garage..- complete 1=hour separation walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302). required including supporting Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT s2-34336 FOR RESIDENTIAL DEVELOPMENT OFFICp;At• .p?'C-%auViEtl`' s.. ,,...r• - •� Section 26-8.1 of the Butte County Code requires'this acknowledgement;r OR' RE be recorded prior to issuance of a building permit. Nov 7 l The property described herein is adjacent to land or included � within an area zoned for a ricultural"" ur oses and residents of EL6NORM.6ECKEN this property may be subject to inconveniences or discomfort arising�LERK-RECORDER VE P P Y Y J from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and .harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established. agricul- tural.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 1 thru 17 as shown on that certain Map entitled, "COPLEY ACRES; UNIT NO. 2, PHASE 1", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on November 10, 1982, in Book 85 of Maps, at Pages 89, 90, and 91. Date: November 16- .► 1982 f. PROP RTY OWNERS: r FRIEDA E. HART State of Calif. ) On this the 16th day of November , 19__a2_, ) SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Frieda E. Hart OFKICIAL SEAL DANIEL F: HUNT Q. NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1, 1986 0 O known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that she executed t e same for the purposes therein contained. IN WITNESS WHEREOF, I he eu toy a nd official m seal. lT Notar}'Prub Present A.P. NO. END OF DOCUMENT 4 ri, ,4 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, Cali.fornia 9965 - Telephone 916/534-4541 -APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER `CONING O WN'r°�_ / TELEP :)NE BUILDING PERMIT SO. FT. O. I BUILDING VALUATION 017NER'S AtA1L-DDRESS �� .�__ -- •a'� (0 L ----- ----- lace CONTRACT R'S NAM TELEPHONE CJt T. ACT 'S M41i_I1DDR ESS C OZ.S'.' R U C T IO N L.E..N D' 'VNfC r:OYVN Tota_ V al',tation I J • —.— —_—___—_. _ — �'— Filin.; ee — — 7� 10.00 Perrnit tee._ Plan Crr�cking Fee _ $ L.ENDER'S t/. All.!NG ADDRESS ARCHITECT OR ENGINEER LICENSE NO• —�--- Per.��Ety $ ---------------------•---- --- 32g Permit fee ARCHITECT OR ENGINEER'S MAILING ADDRESS ----- 'BUILDING ADDRESS -- _ PLI»fMISiN PERr:�IT Pilin Fee 10.00 _ ---r Each I tau _ -- ---- ------ 2.00 0 j , CC ---- I Soler f.:r i r Heater 20 -OC ZO.tW - _ --- LOT NO. SUBDIVISION NAME PARCEL MAP Each QaS tvat-,-r heater or vent _ Gas wiping System 1 - 5 outlets 5.00_ 5.00 Buiidin<a sewer Mob:Ie^i011ir'--�_G ) _ 5.00 - $.QQ •• 1C.OGe — �,�/ - USE OF STRUCTURE SF )✓I Du exi ! Mobilehome❑ Other -- �� "� SPECI FY - - e iri.tl'•. tae $ — TYPE OF WORK ❑ Instal,ation❑ 01he,-( NewAddltlon❑ P.emodel❑ U 'lilies I Describe work:T/�_�E1..ECTR)C�'.L _ Cun_ra_,..or--- - -- PERMIT Fl!ingFae 10.00 f �!"s tAf\M`V` _C (`^l f��iV / f�:ai —. OR LESS — n sery i,� 00 AMP OR LES 10.00 1 .N -- — —V— - ---_ -- CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): sinss ❑ I am licensed under provisions or Chapt. 9, Div. 3 of the 8u�. and Profession, Code and m license is in full force and effect. Y License No. — Classification ) [, I, as the owner, or my employees with wages as their sole cornpen- sation, wi:l do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- _ DA:�In ��erviue EA. ADD'L too AM1:P 2.50 NEW CONST. (( DWELLING O OR ADDrlb. S ACC. SLOGSf� /a f'r: c- NS P. IIA 1.1 L.I 1 -OUT L. ET t:O Nin [r.__O_ BRANCH C!RCU:IT r•:EW CGtrTR. ao'.;CR APPARATUS S. N:7'.. r, ES:G. S;h:,' OUTLET CIR. c -- - ----------- �_x_OCcup(ou TL ETs o4 FI Y,TURES---gpt{t FIXED'APPLNS. OR 1 C'`•• CCCUP- OUTLETS IRc:S;D.) EA.)-- `---_- 1, em7,orary Service - 1• 2.50 ea 20 Ir 5Gt 10.00 --- --- i _ - -----. -- - - klobile home Facilities — 15.00 ^,lisc. U!irinc_— 41 15.00 -_ -� ors. (Sec. 7044) I am exempt under Sec. -, Business and Professions Code --- -i Permit Fez $ Contractor for this reason MECHANICAL i�cRi47iT FilingF 10.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. Heating (o •-D-0 HFZAT P(AMP - ieo!ing t- -- Hood - 3.Q0 b.etp n I have placed on file with the County of Butte Building Departmer:i a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. _-- V;mtilatiorito -- ❑ I shall not employ any person in any manner so as to become subject the W. C. laws of California. —T-. should h become subject Notice W. Applicant: If after making this ,statement,you to the NJ. C. provisions of the Labor Code, you must forthwith comply with such C. provisions or this permit shall be deemed revoked. permit Fee $ 22 -_.-_--_—_.___--_--. Contractor I certify that l have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Mobile Home Installation Fee $ TOTAL PERMIT FEE s 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 OCCUP. GROUP TYPE OF CO!15T. PARCELI PO RO 55L'E against said County in consequence of the granting of this permit. This pert -nit is hereby issued under the applicable provi- sions of the Butte Gcun y Code and/or resolutions to do work indicated above for which fees have been paid. D'IR'ECTOR OF PUBLIC WORKS By- --ry- r --- Date --------- PERMIT Ei�!-Il�f=J-----^^.--- 1 —_ X ___. Date r- Signature of Applicant — Owner EJContractor [IAgentL_� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structLreS r+er 3 Stories in height. - -- — Fle --- -----' L,,y. � 3 J ' '.t'M,1 E .Y - YE.' ._� �j�'�O �R, � INx-11:5PLCTOR, GOLDENROD -APPLICANT _Y ----- 328 •00+ 56.00+ ..49.45+ 22.00+ 455.450 116.00- 339.45