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HomeMy WebLinkAbout079-190-046FAILURE TO FINAL DECK 4/30/93 JOHN 0 ' QU INN �!' �► 3 16 Regene Loop, Oroville Permit#2385-84B(add open da`l-/c-PN .036 1-T s -PERMIT#96-2110 O'QUINN, John & Rose 16 Regent Loop, Oroville Reroof/SF • ' 6 1 i .f' i' t S 4 JOHN 0 ' QU INN �!' �► 3 16 Regene Loop, Oroville Permit#2385-84B(add open da`l-/c-PN .036 1-T s -PERMIT#96-2110 O'QUINN, John & Rose 16 Regent Loop, Oroville Reroof/SF • ' 6 1 M r--- 036-580-011. PERMIT#96-2110 O'QUINN, John & Rose -16 Regent Loop,' Orov lle Reroof/SF: . r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ISIViSF^C+N' 7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-7541;/f E RMIT NO. APPLICATION AND PERMIT r e ASSESSOR PARCEL NUMBER 035-58-0-011 ZONING BUTLDINGPERMIT OWNER JOHN AND ROSE 0'OU NN TELEPHONE 533-1-907 SO. FT. OCC. BUILDING VALUATION 29 DWNERf,rMAI iNQMD �e�s LOOP, OROVILLE . CONTRACTOR'S NAME 014WER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MPJUNG ADDRESS ) Permit Fee $ Ll ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ suILDli�'JDDIWGF , LOOP. OROVZLLE PERMITFEE $ 6i.nn PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF =Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ zX Describe Work: REROOF/COMP — Mobile Home I S I G W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 11 OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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.Ex. License Class No. OWNER -BUILDER DECLARATION ' 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ifor 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. OR ADONS. ( 8 ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 8 POWER APPARATUS ) SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .SO FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contactor 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 PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. !/_` 1 Date % // t✓_/_�!'J X��` � ` Signature of Applicant -v❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 61.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have BY V—/10 PERMITEXPIRESON the applicable provisions beentp i to do work been aid. - g( Date// (Date) ReceiptNo. 205318 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `COUN'IY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Cliforjia 95965 - Telephone 'Pl. APPLICATION`AND PERMIT BUILDING DIVISI (916) 538-75 PERMIT NO. ASSESSOR PARCEL NUMBER 036-58-0-011 ZONING BL ILDING PERMIT OWNER JOHN AND ROSE OIQUINN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN-TbLAILR' n" LOOP, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDII 6DOji,E�S$iENT LOOP, OROVILLE l� 1(L�17 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF EXXDuplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ XX Describe Work: REROOF/COMP Mobile Home I S I G W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 1 her affirm under penalty of perjury that I am exempt from the Coltractors License Y P tY p 1 rY P Law or 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. SD. OR ACDNS. ( MULTI-. ) 3.SQ FT. UTLEBUDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( M POWER APPARATUS ) SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup. FIXED APLNS. ) 5.00 Temporary Service23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) -ij 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 of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall o �withl.h—provisions. /nof __Date qlj(U —j6 Signature of Applicant - Owner ❑Contractor ❑ Agen An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 61.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /��� / BY Date/_ Jb PERMITEXPIRESON (7 16— I (Date) Receipt No. 206318 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return, this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the- major I. bor and materials for construction of the proposed_ roperty improvement: YESV NO[ ]. 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the .proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. S.- I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECVRITY NUMBER: ( DATE: y//6 /9/ NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER A 2385-84B PERMIT NO. PERMIT EXPIRES 3 A� T OWNER JOHN O'QUINN - ; f owner r CONTR.. 36-58-11 ASSESSOR PARCEL LOCATION 16 Regent Loop,. Oroville f a:� oN� 9 Temp. Power Pole Called PG&E Temp. Elec. Service 7 Called PG&E Temp. Gas Service f� ' Called PG&E JOB FINALE[ f do Signature J = OK 0 = Not OK •" ' = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS CARPORTS, ETC. (Plans) OK except N's onin glPirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch o ngs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—ConcreteSS ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Posts— Beams— Rftrs.—Connec.—Shthg.—Rfg.— Bra cing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG I Sr-6arports, Windows—Doors ,7. Utility Clearance Card -BI Date Card -BI Date B ep Card -BI Date Card -BI Date Card -BI Date C rdtBl ate Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's. 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg, Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r U J =OKo v 0 = Not OK - = Not Applicable * = Not Ready T, RESIDENTIAL (Single and Duplex) Date UNDIERFLOOR Plans OK except #'s Date FRAMING (Continued) ` 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. U.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• 73. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.:Drive ❑ Yes E3 No; Walks [:1 Yes E] No; Planters El YesEl No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING 36. Plans OK except q's Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38.Bearing Walls over Girders & Floor Nailing 39.Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-_Rfn_g._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) irl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calif'drnia 95965 - Telephone 916/534-4541 APPLICATION AND"PERMIT PERMIT ASSESSOR PgRCEL NUMBERP .,J •- — 3 ZONING �- BUILDING PERMIT OWNER I TELEPHONE SQ. FT. OCC, BUILDING ATION OWNER'S MAI AD RESS J r-�� � CON-RATOR'S AM ry TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ^r' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 'r BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ®� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP _,, Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 1 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e L TYPE OF WORK New Addition 2 -"'Remodel ❑ Utilities[–] Installation[] Other ❑ Describe work:f�i���s — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADONS. r ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. Occu / 20@50a P\o OR FIXTURES BAL®30 FIXED A FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temp Temporary service 10 . 00 t ' Mobile Home Facilities 15.00 Mises Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Jv/of Consent to Self -Insure. �Jf 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of, Butte toenter n the above-mentioned property for inspection purposes. 1 also agre o indemnify and ep harmless the County of Butte against all Iiabil' (es I " costs a expenses which may in any way accrue agains a' t In cS)nse a of the granting of this permit. Date ��Z�— ignarure of Applica Owne Conrracror ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ .-- OCCUP. GROUP TYPE OF CONST. JP1111LJ PD ND BSD This permit is hereby issued under sions of the Butte County Code and/or DIRLIC work indicated E:w By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. O � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN R O -APPLICANT • e� VIOLATION CHECK LIST A. P. # 3 -5g — / Address 16 Owner O .�% - o Owner's Ad4iress v 444KZ, Owner's Phone No. Alox Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. F'- 7 Specific Plot Plan.with C/V Notedyes no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination C//3 Disposition For Citation Citation Date (Date) Department Recommendation to Court Court'Action Notice of Violation Recorded (Date)