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HomeMy WebLinkAbout079-210-011Y I 7?/i.2 noka Ho,���7 nc/2 /, � t " •f ger *;� Lo X11 Forestview Dr. , Vista Meadows STpRN[ y�. Uni Oroville ' REPORT c' ; + w + :ry DAMAGEr ,T x G's t permi 969-76B(new single family) F 070 �f(i u I' . ' t. a w ti BUTTE COUNTY BUILDING OFFICIALS 'QJURI SDI-CTION Block Parcel No. Rapid Evaluation Safety Assessment Fonn B=INCj DESCRI ON: Name: Address: No. of stories Basement: Yes ❑ No �& Unknown ❑ Primary Occupancy: Dwelling, . . Other Residential ❑ Comme.cial�❑ Office ❑ Industrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ T Historic ❑ Other OVERALL RATING: (Clceck One) INSPECTED (Green) ❑ Exterior only . LjMr9Exterior and Interior ENTRY (Yellow) ❑ UNSAFE (Red) ❑ LNSPECTOP ,> Inspector ID �K = �� Affiiiation - INSPECTION DATE:. Mo/day/year Time f /; 'SD r' pm Instructions: Review structure for the conditions listed below. A "yes" answer to'!, 2, 3, or 5 is grounds for posting entire structure UNSAFE. If more review is needed, post LIMIT:E-D ?.NTRY. A "yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the hazard. Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted aiid/or barricaded to indicate AREA. UNSAFE. Vlore Review Condition Yes No Needer'_ 1. Collapse, partial collapse, or building off foundation ❑ ❑ 2- Building or story noticeably leaning ❑ ❑ 3. Severe racking of walls, obvious severe damage and distress ❑ ❑ 4. Chimney,.parapet or other falling hazard ❑ ❑ 5. Severe ground or slope movement present ❑ ❑ 6. Other hazard present ❑ ❑ Recommendations: No further action required ❑ Detailed Evaluation required (circle one) ❑ Barricades needed in the following areas: ❑ 0,iher. Structural Geotechnical Other. Posted at this Assessment: �es C1 No Comments: 'So CD 6 5'b0�- 2 DATE PUBLIC INFORMATION OFFICER TIME 538-6953 ESTIMATE DAMAGE O BY DAMAGE REPORT FOR- INITIAL ASSESSMENT FLOOD JANUARY 1995 Name Reporting Party " "''r' ' Address/Location 2--& 3 7 -7-ut ' / Telephone Number A -j 5-3-3 - Zl 3 S City County Type of Damage (Note: Emergencies Refer to 911) Building Description [ ] Commercial/Usage [ 4-j-1re-s idential Type and # Units [ ] Currently ccupi /Use ( ] Abandoned/Vacant Electric Any electrical submerged Yes ( ] No [ oN( oma( Obvious damage (failure, downed wires; arcing) Gas atural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged), On [A Off [ ] Structure On/Off Foundation Flooding abov below floor f Obvious leaning, tilting Severe Damage/Collapse Debris Hazard Sanitation Plumbing working Running water ell Flooded V Obvious Sewage Problems Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage �vestock Lost Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) Involved Utilities (downed wires) Levees Public [ ] Private [ ] Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Overflow/freeboard Conies: ( J OES ( J Agriculture ( J Health ( i Fire ( ] Building ( ] Sheriff ,_,:... .�wyF .:- Ts��r.., .gyp �,.f,eSo..v-.r-.-S . .. jw�^�i17,7gr.A' ,Ry�a,i7�y�5.jri17�`9i?�,f�!�s; jr�tii-g-'•n'Rr il�'�^r*Y, ' ^ ��1� . �. :i. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Q 7J ... APPLICATION AND PERMIT ASSE`Sx,SjO F�jp A13 CtEL NUMBER / lf^ j 1 ZONING ARMH BUILDING PERMIT OWNER A�' ���}� JOAN Bi\4'1171J1 s TELEPHONE SO. FT. OCC, BUILDING VALUATION' 25 SO 01WE OWNER'S MAILING ADDRESS 2637 FDRESTVIEW DR OROVILLR 95b CONTRACTOR'S NAME BOB .0 ICH Cali. TELEPHONE CONTRACTOR'S MAILING ADDRESS 590 HAZEL ST GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER 110 LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2637 FORESTVIEW DR OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 r USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other 9f SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [I Installation❑ Other] Describe work: RFROOF (YER Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare underenalt of perjury '(check : P Y PerjY (econe): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fo ce and effect. License No.V "'' *4~!G "% 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 OCCUPM OR ACDNS. ACC. BLOGS. 3.64 sq.ft. NE NON-RESID R. BRANCH CIRCUITS @ 5.00 POWER APPARATUSe SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 76 20FIXED APLN Ex. Occup. OUTLETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. INirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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 Filing Fee 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 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 against said County in consequence of the granting of this permit. �' G ...'i% � ... ,�•-�`R.c-.� Date �/ 7/ Signcrurb o 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 S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 45.00 HAz I DFEES I IMP I FLOOD I COF PARCEL I PO HO ISSUE j This permit is hereby issued under the P Y � sions of the Butte County Code and/or work indicai£d abo�eor which fees / � /DIRECTO OF PUBLIC By/'T �' �i/ ►-- PERMIT EXPIRES Date applicable provi- PP � resolutions to do have been paid. WORKS Date /D— /-A% 103U2U Receipt No. WHITE-O.P.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 ASSIE1 OP70AEL NUMBER }a �J Jj ZONING AIRMH BUILDING PERMIT OWNER JOAN BRANDY TELEPHONE S0. FT. OCC. BUILDING VALUATIO 25 SQ ___C01MP 1500 OWNER'S MAILING ADDRESS 2637 FORESTVIEW DR 0'2 VI LE CONTRACTOR'S NAME BOB FICHTER TELEPHONE CONTRACTOR'S MAILING ADDRESS 590 HAZEL ST GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHONE ITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2637 FORESTVIEW DR --OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets h Building sewer Mobile Home S G W TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation❑ Other] Describe work: REROOF COMP _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000AI 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. �'7 2 Classification F-1 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 OCCUPM // OR ADDNS. ACC. BLDGS.NEW 3.64 sq.ft. CONST MULTI -OUT LE NO N•R ESID R BRANCH CIRCTITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FM FIXED APLNS EX. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 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. F_ -1`I have placed on file with the County of Butte Building Department l`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 penult 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 against said ounty in consequence of granting of this permit. CC X ate lb— 3�� T/ sig ature of Applicant — Owner n 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 Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 45.00 HAz I DFEES IMP FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or WOfk IndICWdor which fees F PUBLIC B P R IT EXPIRES Date /d applicable provi- resolutions to do have been paid. WORKS Date/a— 3/�y - gam Receipt No. ::I103020 WNITC-D.P.W., YELLOW-A53[$90R, PINK -INSPECTOR. GOLDENROD -APPLICANT f t x. yL ��, zisf� 4 .♦i. 't'M.�R �k:._yff ik��.au' *� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County `enter Drive �– Oroyille, 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. f X Date�— Signature of Permitee or Agent Receipt No. 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 PUBLIC WORKS BY Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE 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. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees wt-:, Sanitation Fire 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. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER'EJ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 i 7" ejf .f .-ar OR L Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 OR ADONS. ( ACCLBLOGS.OCCUP. &) 22sgft NEW CONSTR. (MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & NON_RESIR. D. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) OL BAL@z5c1 Ex. Occu (FIXED APP LNS. OR P. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Lai 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 $ $ 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. f X Date�— Signature of Permitee or Agent Receipt No. 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 PUBLIC WORKS BY Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -'7 Couniy Center Dri4!e = ,Oro'ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Signature of Permmiitee or Agent Y �( BY Date Receipt No. rsep, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont Wilding permit expires Date Z- " -7a BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r �D Tele hone No � 2 el Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 2 141-au ® PLUMBING No. @ FEE 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. .— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W nation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Pla sg Declaration I Parcel Map 1 60' R/W I Improvements Lawn sprinkler system 2.00 BI add g, Parcel Approval Plans Approval Permit Fee $ NEW'ADDITION ❑ ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP OR0V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR A.D.S. ( ACC. BLDGS. 2¢Sgft NEW CONSTR. MULTI -OUTLET NON-RESID,BRANCH CIRCUITS) 2.50ea NEWCONSTR POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BqL@; 00 FIXED APPLNS Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑'I am exempt from the Contractors License Laws of the State of 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. @ FEEPERMIT 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �YVL� AAAA� [late12-3j-7I TOTAL PERMIT FEE $ 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 PUBLIC WORKS Signature of Permmiitee or Agent Y �( BY Date Receipt No. rsep, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont Wilding permit expires Date Z- " -7a .-,.�...� .,.�_..-�.....-^--.+..._...-.•.....-.......�.� •.-...�..:rte-.,...v�----w..-.�.+u...e- T:.�.-y.......e��...,rw�.,. -i.:—..,.,,...-..<�r'vn;,/^'°`-'•'..•.,,_, tet:, v.. , +tAll\ 91�f A I COUNTY OF BUTTE - EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovifle, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. APCEL NUMBER ASSESS R R PAR _ ZON NG Y BUILDING PERMIT OWNER r -- TELEPH NE 9,33 SO. FT. OCC. BUILDING VALUATION WN MAILING ADDRESS ) Ip CONTRACTOR'S NAME A TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN f G Total Valuation $ 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 $ BUILDING ADDRESS r' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 r Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets — / USE OF STRUCTURE SF LJ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 ,5.� TYPE OF WORK New ❑ Addition ❑ Remo de ❑ UtilitiesE] Installation ❑ Other Describe work: ,_ /29& Permit Fee $ ) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N\ sq OR ADDNS. ACC, BLDGS. I 20 ft 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) ❑ I, as the owner, am exclusively contracting with licensed contract -I ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. /POWER APPARATUS e1 NON-RESID, %SINGLE OUTLET CIR. / Ex. OCCUp OUTLETS OR FIXTURES BAL 21 IXED APPLNS. OR Ex. Occup.(0 TLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 —�� fi V Permit Fee $ / �1 ) Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rvf I shall not employ any person in any manner so as to become subject 'P4 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 Cooling Hood 3.00 Ventilation permit Fee S 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. l /��(� {_ X � -r 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 $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST, PARCEL PD HD 3s1E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees VJRECTOR OF PUBLIC By S� — PERMIT EXPIRES Date Q I the applicable provi- resolutions to do have been paid. WORKS Date Y^�� )" Receipt No. a7-7 `7 Z— WHITE-D.P.W., YELLOW-ASS!350R, PINK -INSPECTOR, GOLDENROD -APPLICANT J. - A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NQ. 7 County Center Drive - Oroville, CaliTornia 96965 - Telephone 916/534-4541 �/ / APPLICATION AND PERMIT cv AS SS PARCEL NUMBER ZO �- —1 • BUILDING PERMIT OWNER TELE H N , SQ. FT. OCC. BUILDING VALUATION 0 ER'S MAILING RESP � I . CONTRACTOR'S NAME 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 $ ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 i Water piping LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 r TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities Installation ❑ Other Describe work: - / c'� u -S 4 • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUP.aJ) OR ADDNS. ACC. BLDGS. 22 Sq ft 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 isnot 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 -OU LET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS 6 'NON-RESID. %SINGLE OUTLET CIR. ccup Ex. OOUTLETS OR FIXTURES B L01 (FIXED APPLNS. OR Ex. Occup,OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 —�� Permit Fee $ Contractor, MECHANICAL PERMIT FilingFee 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 sR'+ 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 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 conse ence of the granting of this permi . XZ_s� �i X Date d o✓� Signotur of Applicant — Owner Contractor ElAgent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct -T ion of structures. over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CONST. PARCEL PD MD SSUE This permit is hereby issued under sions of the Butte County Code,and/or indicated above for which R OF PUBLIC By1, (2 PERMIT EXPIRES D e to —')Z the applicable provi- resolutions to do fees have been paid. WORKS Dat �� Receipt No.� Z� WHITE-D.P.W., YELLOW-A38ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i ki 11 1%69--76,B T NO. PERMIT EXPIRES T4)rnda Homes Inc. owner 2. > 0 ION (A.P. 36-194-10 port. Lot #11 Forestview Dr., Vi.sta Meadows Unit #2, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Ga's'serv. f f -4 -74- /'a ' led PG&E L ,los B Fol N AL E D (Da Ml (Signature) I � \ COUNTY OF—BUTTE — DEPARTME;,NT OF PUBLIC WORKS--. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall .' ` Soil Piping Forms Para ets 1st Floor Main Bldg. Restroom Finish ,°�"�"> 2nd Floor Footings _ Windows - 7 3rd Floor Stemwall Siding To out ' - ' Slab Z L Roof Sheathing Water Piers Roofing Sewer - `{ Gara a Fdn. Vents Fixtures G Footings Garage Vents Water Htr. G Stemwall Insulation - `- Cp Heaters _ Slab - y L Prov, for physically; A Ilances Carport handlca ed Gas Piping & Test Conformance of ex c: _ Footin s structure Temp. Gas Final - Sanitation FIREPLACE Finaln s VReInf. Footin ELECTRICAL alls Throat Rou h - 2- Z - 7G teel Final Fixtures p4 •and Beam FIR SPINK LE RS Motors —a Frmin )- Test Water Htr. Stu cco Final ' Sub anels esh Mo - I MECHA CAL Grd. Fault Prot. jcratch• Heating Service rols.11 Q �cS� Cooling/� / - - Temp. Pole _ _F finish �� Ducts- Under round 'Inte rior�il� j>` — Ventilation--- Permanent — ... Do r Closer - Final �% -` - ( inal {DA(►TE REMARKS OR CORRECTIONS .l t•i r, (NOTE: An entry must be.made on this form each time you visit the job site.) a (NOTE: An entry must be.made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- . TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS ��% Manufacturer Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness z/ R Value Blown: Manufacturer Thickness y� No. Bags. ---Z —S— ags ZS— Wt./Bag Sq. Ft. Covered f R Values % FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer ickness/Type R Value_ GENER ONTRA O �C LICENSE "No. BI' TITLE — DATE / Z - 3 '7 6 INSULATJO,N CONTRACTOR: HAWKINS INSULATION CO. LICENSE No.. 215-925 BY TITLE �`'L'— DATE ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. X " Date 7 Signature of Permitee/or Agent Receipt No. 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 PUBLIC WORKS By / Dated Building permit expires Date 7—/-S — J' BUILDING Ownert o(�,A— -Hc)mF, i xi C SQ. FT. I OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace n� Contractor P e.p t_ MtM L, we__5 Total Valuation pp���� Mailing Address Pe/7 /}/J GAJ, Permit Fee Plan Checking Fee &/orPenalty �L Telephone No. Permit Fee '•, Building Address �Q7 /may �T Gv PLUMBING No.1 @ FEE 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.,76 —! ,�/ —lJ%?�� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe ! Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 �^ �f Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. AOD•L 100 AMP 2,50 Sln Single Famil Duplex 9 y p ❑ Mobil Home ❑ Others ❑ Main service OVER eooV 100 AMP OR LESS 25,00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLBLDGOCCUP, &) 2¢Sgft NEWCONSTR. MULTI.OUTLET NON -RESID. (BRANCH CIRCUITS) 2.50ea ., NEW CONSTR. (POWER APPARATUS &) NON RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of lifornia Business & Professions Code under the name style, o �- J Ex. Occup(OUTLETS OR FIXTURES)BA@L � 109 (FIXED APPLNS, OR Ex. Occup. TLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 33-1 7� CV3— Cc J License No. J Classification 7 �.J 133-1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. 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 Workmen's Compensation Insurance. FJ 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 PERMIT FILING FEE $3.00 � FI G F o.p� Cooling _CID Ventilation Hood 2.00 Permit Fee $ 3 .-V $ 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 22 $ J above-mentioned property for inspection purposes. X " Date 7 Signature of Permitee/or Agent Receipt No. 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 PUBLIC WORKS By / Dated Building permit expires Date 7—/-S — J' I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 3976-76 APPLICATION AND PERMIT I/ -- "'Y•"""•••`-•••�•� ••�� Vvu, y V� uu llc av Gllacl upull Ulu above-mentioned property for inspectionnpurposes. Jl_/ GLi, �-lee-11&11 Date `02/ — %wo Signature of Permitee or Agent Receipt No. Jq13 n0 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 PUBLIC WORKS By � .f/ Date permit expires Date(__:. a--9 7 7 BUILDING Owner XJO e $.1,11DA, e SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Y1 d B.4T/✓ Total Valuation Mailing Address q449 T Permit Fee Plan Checking Fee&/or Penalty � l�l d I -e CIA(, ,C, Telephone No. (o ..tea /00 Permit Fee $ Building AddressPLUMBING eS� No. @ FEE PERMIT FILING FEE $3.00 3.00 Each Trap 1.50 9/� t (L Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �D A. P. No. — / 2 S/ — 10 P-4 1 O F Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W SaRi4a#ep Fire Dept. Fire Zone Use Permit Building sewer 5.00 OO EOA Plans DeParkinclaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 MAs7�✓ � � Parcel Approval Plans Approval Permit Fee 'r $ V Y• S6 $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ZELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 y1 AJ /�D{� @r•}tiaT 0�9� -�% Ie Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family JZ Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELINGOR ADDNST ( ACCLBLDGOCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. 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 ���. .(// n Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@1 EX. Occup. FIXED APPLNS. OR p'(OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 r� License No. 2J % 131 Classification 3t*/ Misc. Wiring 6.25 ❑ 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. pI certify that in the performance of the work for which this ermit is issued. I shall not emto an p y y 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 $ "'Y•"""•••`-•••�•� ••�� Vvu, y V� uu llc av Gllacl upull Ulu above-mentioned property for inspectionnpurposes. Jl_/ GLi, �-lee-11&11 Date `02/ — %wo Signature of Permitee or Agent Receipt No. Jq13 n0 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 PUBLIC WORKS By � .f/ Date permit expires Date(__:. a--9 7 7 479 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive e: 34-454 e, California 959�5� n, / yam// Telephone: 534-4541 •` c (Jy�/fi" / APPLICATION AND PERMIT 1 above-mentioned�property„foop} pectjpn v y ��v 1 L c purposes. r1l Re Whi 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. RECT OF PUBLIC WORKS By Date,,7— 2 - Building permit expires Date > -' 2, �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �GGGTj�/ Total Valuation Mailing Address 2-4 '� ,O(,/ Permit Fee Plan Checking Fee&/or Penalty Telephone No. 7 C> Permit Fee Building Address —'. �4— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 A. P. No. 3G —�9 �c72?' Zoning & Planning Each additional outlet .30 Fe Selritatft7T1 Ipt. Fire DeV Fire Zone Use Permit Building sewer 5.00 EQA Parkn 9 Pla6L9-4'hM%-R7&1t Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER --0 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 .OD /- y /GAL !—Ci(r % Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ OVR Main service 10 EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADONST (ACC LBLDGSO.CC. ) 2¢sgft NEW CONSTM R. NON-RESID. (ULTI-OUBRANCH CIRCUITS) 2.50ea NEW CON5TPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@ FIXED ALNS. Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �D Classification_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 466 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance'of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ 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 FEE PERMIT TOTAL a $ J above-mentioned�property„foop} pectjpn v y ��v 1 L c purposes. r1l Re Whi 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. RECT OF PUBLIC WORKS By Date,,7— 2 - Building permit expires Date > -' 2, �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephbne: 534-4541 I APPLICATION AND PERMIT .+uu���icc icNlcacn law vcs UI UIC UQUflly Of tSUtte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permitee or Ag t Receipt No. jJ&• 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 UBLIC WORKS 2filldin Date6—/.�- A g permit expires Date BUILDING OwnerSQ. FT. OCC. BUILDIN LUATION Mailing Address _ /. r.�, Tele hone No. c7 Fireplace Contractor Total Valuation p,6 Ll Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address P` PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,/ .. ei¢ Oe/JS U Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �to -�Si�_ s Zoning —& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F o FireDept. FireZone I Use Permit Building sewer 5.00 EQA Pplans De lavation Pa cel Map 60' R/W Improvements Lawn sprinkler system 2.00 g. PI Rec'd Approval Pla proval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service ','0000vORAMP 'ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER V Main service 00 AMPOOR LESS 25.00 Main service EA, ADD•L 100 AMP 1.00 NEW OR ADDNST ( ACCLLING CCUP. & BLDGS) 20sq ft NEWCONSTR MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 @25a 109 Ex. OCCU FIXED APP LNS. OR p.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 491Classification S'� - 55 G� Q Misc. Wiring 6.25 ❑ 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. f41 I have placed on file with the County of Butte a certificate of JV' -1 Workmen's Compensation Insurance. El I certify that in the performance of the work for which this permit is issued I shall not em an p employ y person in any manner so as to become subto subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$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 ii $ .+uu���icc icNlcacn law vcs UI UIC UQUflly Of tSUtte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permitee or Ag t Receipt No. jJ&• 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 UBLIC WORKS 2filldin Date6—/.�- A g permit expires Date r F,► /Lev 16 Irv* r 00 Se �asfer tar details, Pearn r The Bldg. Sefb shall be 5 the side ropert 1 ff. from Me centerline of the rand 50 ft.' from a maximum of a 2 ft. , ermitting eave ov I this set of plans MUST be k pt on the job at all times and it is unlawful to rr ke any changes or alterations on same without itten permisson from the Department of Public Works, County of Butte. NOM—All Materials & Workmanship Shall Be in Acccrdance with Rncogni7ed Good Practices anri_ \ �/ of a gUrJ1;+,, pre,CrihP,•I for the Specified use in the � Unif, rm Buildmq, Plumbing & Machanical Codes and the t lational Electrical Code. SUBDIVISION I CITY J COUNTY LOT NO. SEWER JOB NO. HOMES, INC. ' WATER Pip®, P.O. BOX IBM SCALE GAS Y.WK®ll��y,� OROVILLE, CAL. 969B5 ELECTRIC 915'533-2738 ,