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021-270-017
A.F. 21-27-17 rASHIFFLET just no. Sheldon Av.. �. ` �'' e.,Gridley i r 17-73B ' -% 1 ck scale & scale hoen_) y =17 2178-91BjE . `° � , Earlw y 99', Gridley ramp, '& elec fo c` mobi02127=0-017 - 93-919 B, E _ ;.,• , T SHIFFLEBROS y, 1267 HWY 99, GRID RAMP, DECK, ELEC/COMM MH OFFICE 4 1 . - t f , 1� 1 ,I i MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift. 4th Lift 5th Lift 6th Lift FIRE WALLS 0 cupancy, Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilings COMMERCIAL 021-27-0-017 93,919 B, E SHIFFLET BROS 1267 HWY 99, GRIDLEY t RAMP, DECK, ELEC/COMM MH OFFICE i I OFFICE COPY Address GAS Meter J3 ELECTRIC Meter By ;�- JOB FINALED (Date Signature _ CERTIFICA E OF OCCUPANCY ISSUED (Date) Signature. V=OK O = Not OK = Not Applicable = Not Ready COMMERCIAL Date,' FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp: Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -Lam cert. -Placement -Support 51. Steel Buildings-Purlin-Girders 52. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope -Soil Report 2. Ftg., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22: Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 •Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. Fi.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearina-Su000rt Fix. (NOTE: An entry must be made each ti me you visit the job site) 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mach. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor -Meth. Protection 73. Plb., Elec. & Mach. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic ❑ Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of OccuDancv me you visit the job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC S 7 County Center Drive - Orovillp, Califc4nia 95965 - Telephone: 6/ 8-75 1 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 021-270-017 ZONING M-2 BUILDING PERMIT OWNER Shifflet Bros., Inc. TELEPHONE 846-3657 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 758, Gridley 95948 707— u 753.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation J$763.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $19.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $54.50 1267 Hwy ridle 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 SF ❑ Duplex❑ Mobilehome❑ Other Comm. MH Office 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❑ Utilities [:1 Installation❑ Other F] Describe work: Replaces B.P. #2178-91 _ deck if e -e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW declare under penalty of perlury (check one): ElNON.RES'D 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- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONSTDWELLING OCCUP6 OR ADDNS. (ACC. BLOGS. 3.64 sq.ft.I NEW CONSTR MUTI-OUTLET BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) I SINGLEOUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 75, Ex. Occup. OUTLETS (RESID,)REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 33.50 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. `Q 1 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 Countyof 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 i onsequence of the granting of this permit. c X Date .,4/- �/ — (-3 signor re 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 88,00 HAz F MP FLO D CDF PARCEL PD HD IS U �— This permit is hereby issued under the sions of the Butte ou ty Code and/or Work in to bo for which fees E OR OF PUBLIC By ' PERMIT EXPIRES Date f l applicable provi- resolutions to do have been paid. WORKS Date •S'�7 - Receipt No. 135985 WNITC-D.P.W., YELLOW-A58E$80R, PINK -INSPECTOR. GOLDENROD -APPLICANT Im COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE CeI^liTr47 /17 . PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above a ress and should be corrected. Please notify this office when correction of work is complet d. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. n Dateof Inspector REV 10/92 COUNTYOF BUTTE - DEPARTMENTOF`pE LOPMENTSERV - UILDING DIVISION +rte a '"+�F 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 - TELE (HONE ( 16) 538-7541 / PERMIT APPLICAT,ION.DATA SHEET .,.le . OWNER �� ��%.( �� A. PAlo. 02,,R '-2% 0 m s Proposed Building Use G12 ?M AqM Building Inspector Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY All items have been submitted . ......................................... Plot plans, 38 sets signed by preparer of plans. ........... . Complete plans;, sets, signetl1tiy-prepardr ofplans. b'i!1°. .....'....... . Engineered plans, d calcs, 3/4 sets, with wet'signature on plans . ............. 5. Hazardous Material Form. ......• .......... ' ........................... . 6.Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... t 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ........................................... Impact fees as shown on attached schedule ....... . California Department of Forestry plan approval/fees. ....................... . s 13 Flood elevation letter (100 year flood by , lifornia Engineer . ................. . �4. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17- Planning approval for (A) Use:-�)Parking: 18 Contact Land Development aboutA) Improvements (B) Drainage. o?Q S(, "* 4/2 5?� 19. Driveway permit (construction approva req or to occupancy). .. ... . uest 20: Pre -inspection for I. Building ins re for required. .. to Buf�diny,nspector (Date) =21 .�`Contractor's license information., (No., -Na 'me Style'; 1assification). ....: . 22. Certificate of Workmans Compensation Insurance. I ......................... 23. Owner -Builder Verification (Given to owner , M it to owner _). ........... ; 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ................... ........................ 26. Copy of recorded deed -of parcel creation and 60 rigptllof way to a public road. ..... 27. Letter of intent on building use . ................. t........................ 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning'area and frontage requirements . ............... "31. Existing violations/expired permits. ...................................... P an check list. .. .. ,,` D dI°Gl//YI f3 /� f� i� G .�'�STil aas iUSi' ►� a e¢m'uq I,r' When you issue the permit, process as follows: !O" Mail to owner. Mail to contractor. Telephone r' and hold for pickup at 21j, office. Deliver with inspe tor. Other Parcel Creation Acreage Applican Bate We? Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _J,-' Fire Dept. Other Date(Zy The following data must be submitted prio o permi i sua e: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works , J ted TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance On )-t I - Omer Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^inal clearance Clearance for O.K. for: bedroom mobile home. Others Ala - W ` , .-., 0 4'-✓/C/I Water Supply NOTE * * * Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �S A.P. NO. Q �— --_2 7 0 % PROPOSED BUILDING USE CDyn d7/I DATE REC . # DATE REC School District Fees C� ��5: / (paid. at. District Office) Z31 2. Sheriff.Fees (paid.at.Building Department) Residential.......... X unit amt. Commercial(per- sq . f t . ) X =$ sq.ft. amt. . Urban -:Area Fees (paid at.Building Department - Residential -(per-unit) X- =$ #- units - amt.. Commerical(per-'sq.ft.) X =$ sq.ft. amt. 4. Recreation -District -Fees (paid at District -Office) ........................... 5. Drainage District Fees (Contact Land Development) „ 6. Other 7'. Other At time of. permit application, I was advised the.above fees are required to be paid prior to issuance of the permit. APPLIC DATE 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. 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) �a41/1�_AF 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 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 0s 14 E T 13fe-o S iNL 1 Social Security Nu er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1.9832 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. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER �3- / APN g::2 �1 `2 7rd _6-9/7 Firm NameN Address \ Nature of Business __ leur t< Tim �S✓,a� LelyA.J Contact Person ���21�,--�v els /ZS' Phone # q/(, 1. Does your business or that of your tennants handle, store, or transport hazardous materials? /V NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or.potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? X NO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. Is the business/facility/operation �scrhool site? J� NO ❑ YES IF YES, name of school. to be located within 1000 feet or the outer boundry of a school or 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? X NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative (Signature) (Date) BCEHD BCAPCD WHITE -Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE -Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. F. BUTTE COUNTY SCHO®LS.;WPACT FEE CERTIFICATION FORM (One,,Form Per`Building) School District ' (�y S� Building Department No. A.P. Number 0-2/ `9%0"G/71urisdiction City >91 County Property Owner Sal I � G C 77' 14 � Property Location/Address Subdivison Residential Development 0 0 No. of Living MHI Units Commercial/Industrial New Lot No. Sq. Footage Addition 0 Addition (Floor Plans reviewed by School District Personnel) (Group R) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. School District certifies that (Applicant) (Street Address) AJ (City) has complied with the requirements of Resolution No. representing square feet. Sc %41 k5141. 365 - '(Phone Number) (Zip Code) by payment of $ Date Paid by Check Number /,(�� Remarks: ✓1�L'i ikon Bank Number Paid by Cash If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) . feeform-mkf (4/92) STATE OF CA,LIFO� - �EPAR�TME�N�T�O�F�IHO��US��MUNITY DEVELOPMENT CERTIFDECALNO.�cnr„cc.o- MANUFACTURER NAME/10 OSI/ 1RADE NAKi OSI L MODEDOM 00/00/00 DOT DFS 00/00/80 SPC ACB EXPIRATION'��� 08/31/89 RY-80 ll I' f OSI762 SERIAL NUM NUMBER0000010 6989 000684 000144 ISSUED 12/15/38 O1WIL)TH C EXEMPT B2 USE TY ILT 2 3 q 5 6 TOTAL FEES PAID: $3.00 I B T COMM CORP _ 133 PEACHTREE ST HE STE 3600 RELEASE OF DEALER ATLANTA GA 30303 aH NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 R PORTA HOUSE INC E G M I A PO BX 888267 s I T L E ATLlei TA 1 D •RE EAS 0 s W I N T E u R S L E G A L 0 W N P. J U F N I I R 0 S R T TH AVE `3342 4.A �,�1�4 I c �� 1 1 rJ Q hl, I f ..L I/ G AND r x t 1 0R 3 az Mr'FNAME - PLEASE PRINT � n ' CQRRE M ZLINV! ADDRESS B) nri ALL* "r CITY CNTY ST ZIP /J :.bAr30356-0267 6. m jar FUTUF.E MAILING ADDRESS PvEGISTEREO OWNER 7.A) _ _LOCATION ACORESS CITY CNTY ST ZIP CA 94621=3582 i PURCHASE PRICE DATE � B T COMM CORP u s [ f f NEW REGISTERED OWNER SIGNATURE 133 PEACHTREE ST NE STS;{3600 1. +*> new DECAL OWNER, PILL IN ITEMS to - Ii a� ATLANT DA 2.A)L B) — C) L r E N J H E O C L 0 D N E D P 10.A) G . 30 03 �.7--', 0.0 B 1 •� NAME - PLEASE PRINT OF LEGAL OWNER, 11. ADDRESS 12. _ CITY CNTY ST ZIP _ aa+ NEW 1ST JR. LIENHOLDER, FILL IN ITEMS 13 - 15 xxw .ASSIGNMENT OF LEGAL OWNER 13. NAME - PLEASE PRINT 14. ACORESS 15. CITY CNTY ST ZIP NEW 2ND JR. LIENHOLDER. FILL IN ITEMS 16 - 18 rYx 16. NAME - PLEASE PRINT 17. ADDRESS i8. C=TENTTON OF LEG4,1. OWNER CITY CNTY ST ZIP IMPORTANT 02-347-00497 THIS CERTIFICATE OF TITLE MAY RIOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COi1P1UNITY DEVELOPHENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0200104 Shifflet Brothers, Inc. P.O. Box 758 . Gridley, CA 95948 Dear Sirs: ,butte Co BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: 1916) 538-2140 DATE: April 16, 1993 RE: Commercial Mobile. Deck & Ramp A -P: 021-270-017 B.P.# 93-91A With reference to the above subject, attached is: [ ] Plan check list [ ] Red marked calculations r Red marked plans v ACTION REQUIRED: [ ] Comply with plan check list [ ] Resubmit plans with revisions as required [ ] Resubmit calculations with revisions as required. Remarks: If you should have any questions, please call (916) 538-7541, between 3:00 & 5:00. Very truly yours, Barbara Wilding Permit Applicant: Shifflet Brothers Permit No. 93-919 A «n • .ko . 021-270-017 J - Date: April 16, 1993 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications, and calculations as follows: 1 ie of plot plan indicating location of mobile and ramp. e sets of construction plans for deck and ramp. -from Land Developmemt.Office for improvements required. -4-.-- copy of registration of mobile to verify that it was constructed as a commercia coat . e receipt showing payment of fees. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 3:00 PM and 5:00 PM, Monday through Friday. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM BER / OG!� zONM BUILDING PERMIT OWNER n/ S - , 1 --(,J TES SQ. FT. OCC. BUILDING VALUATION OWNERS G ESS S CONTRACT TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LIC ENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS ` PERMIT FEE $ S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT No. SUBOIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUUCT�U)RE,� SF ❑ Duplex O Mobilehome ❑ Other M H SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel Cl Utilities ❑ Installation ❑ Other Describe Work: /V C/� �/ % 91 PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( OOOV OR LESS ) 2WA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. I 6 ACC. OLDS. ) g0, 3.50 FT. CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) (31 am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON-REslo. ( BRANCH CIRCUITS ) @7.50 ( POW ERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BL.Ia1Ia .550 Ex. Occup' I FIXED APPLNS.OR OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities Y0 00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said 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 construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ S HAz• I D. FEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dere/ Receipt No. WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION 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 labor and materials for construction of the proposed property improvement (yes or 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. 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 c ..SesW-Seenrity 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ElInstallation 1:1Other ❑ Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.50 PSTO.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification t� I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.OS00 D OR Ex. Occup.UT ETS (RES ( OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. J�J I shall not employ any person in any manner so as to become subject to the Worker's ` Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost nd expenses which may in any way accrue against said Cou in co e c f th gra ng of this permit. X Date ,' `-[' Signature of Applicant -X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /Date/ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING - BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities 1:1Installation ❑ Other 1:1Contractor Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occu FIXED AP"S. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs„and expenses which may in any way accrue against said Count�in conseque ce of the gra Png of this permit. X Date`T - f''y Signature of Applicant Owner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California" 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN ER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 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 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ElRemodel CIUtilities 1:1Installation 1:1Other IDContractor Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( & ACC. BLOS. ) 3.50 S0. FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.SO ( POWERAPPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) Temporary Service Mobile Home Facilities Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 said County. in consequence of the granting of this permit. / X�t .-"° i.,a.�`t-•s,•'�•a Date F f Signature of'ApplicantOwner IJContractor ❑ Agent Al An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON lDetel Receipt No. WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovillg, California 95965 - Telephone -(916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER S TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 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 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition 1:1Remodel ❑ Utilities 1:1Installation 1:1Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( & ACC. BLDS. ) S 3.50 FTO.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) B, SINGLE OUTLET MR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.500 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a �1 Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t e - X, f'-� > •...�!~2 r.:^' Date 'i t f "if Signature of Applicant 'El" Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES I IMP I FLOOD I CDF PARCEL PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON lDerel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 19161 538-7541 FAX: 19161 538-2140 April 19, 1994 Shifflet Bros. Inc P 0 Box 758 Gridley,. CA 95948 RE: Building Permit # 93-919 Expiration Date: 5/17/94 Gentlemen: p''P' # 021-27-0-017 With reference to the above subject, our. records indicate that your building permit expires on the above date and your.permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the.original building permit fee (plus a $20.00 filing fee). The renewal permit will. extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new. building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with .the fee shown. Please return all copies of the application form. JXXTXX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for your prompt attention concerning this matter. Yours very truly, Michael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 O N 19—i�' rJzo O 66y ,x.. L4 O N 19—i�' rJzo �3 N 0 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 NUMBER 021-270-017 ZONING BUILDING PERMIT OWNER Earl Anders TELEPHONE 846-3657 SO. FT. OCC. BUILDING VALUATION 763 10 0 OWNER'S MAILING ADDRESS P.O. Box�713 Gridley CA CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 76 Filing Fee $ 10.00 10,00 LENDER'S MAILING .ADDRESS Permit Fee $ 14.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1267 Hwy Gridl6y C9 Permit fee $ 39.90 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP o Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Office— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [3 Instaation6)ther ❑ Describe work: Com—Office and EnUry R Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9iv. 3 of the Business a and Professions Code and my lice Is In ll force and effect. )cense No. lassi ''call I, as the owner, or my employe ,with agas their sole compen- sation, will do the work,and the ctur is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively co tra ng with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , usiness and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) oR ADDNS. \ACC. BLDGS. I , �ZCSQft NEW • U .ON -RES... BRANCH CIRCU ITS 2,50 ea /POWER APPARATUS IN (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20030t t SALO 30 EX. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 _ Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 15.00 Permit Fee $ 37.50 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 Consent to Self -Insure. 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 Cooling g 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, ju ments, c s, and expenses which may in any way accrue agai t id Co i on qu ce of t 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 $ 77 HAz. CUA- PARK scHL FLD coF PAR o• , o IssuE This permit is hereby issued under the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. 94418-77-00 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT r 'COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, dALIFOANIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER !`7 1 �OE�S - - A. P. No. U_ I —0770-0/7 Proposed Building Use 11 Al'-- 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 ' I\itehav�be submitted. . ....... . 2 0 l sin 0i to/tri li ate n�byreparer of plans ........ ' ns In u lans .. �%o4Jf_f'( �IS,/93 4. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Design Compliance and supporting documentation ........ . 7. Statement of Intent for Non -Heated and AC Buildings .............. _v— 8. Engineered truss, details and layout in duplicate (required prior to plan check) A Mobilehome,i'nstallation data including manufacturer's installation instructions....................................>................. 10. Fees of $ :. t ................ . > 11. Chico Urban Area fees paid ........................................ 12. Park fees paid................................ 13. LSchool D1strict fees paid ............. . f t� Sanitation approval from ��� Health Department 17 15. City -of Chico plumbing permit.. 16. Plot plan and business license approval from City of (see City for other requirement 17. Planningapproval for A Use "t PP ( ) (B) Parking: ... . � 88 Imprp ents ma be�e,,,quired CQ tact�L nd Development Section DPW 19. Drivbw" ay erm9t fc�on§ A afp 1p'required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (DFVe) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Work mans,Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑)..."... 24. Recorded copy of AgricultLiral,Acknowledgment Stateme t ......... 25, Lette f signature authorization ... ... , . 47116 ICU When you issue the permit, process as follows: Mail to owner. r. Mail to contractor. _iz Telephone l��%%`3�_�'i7 and hold for pickup at office. Deliver w/inspector. Other Applicant Date tpl G Copy of ! laz-Mat form sentealth Dept. ire Dept. Ir Pollution Date �E, Copy of plans sent .Hea.Lth-Dept.---Fi-re.D-Qpt. Other Date By. ,The following data must be submitted prior to permit issuance: (Circle new item not checked'above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer owner as advised of above required data by—phone---mai l_counter by date Contractor, designer, o ner, was advised of above required data by —phone _maII—counter by date— Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet APlolder Copy—DPW /6- I BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER 7 APN Firm Name . - e, YO S - C/ Address B © go f" `d % Nature of'Business Contact Person L Y l /-F Y1 C� ►'� Phone # 1.Q,o�your business or that of your tennants handle, store, or transport hazardous materials? I1NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity,.concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at �!NO d temperature 4 pressure), or formulation containing hazardous material? ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the - usiness/facility/operation to be located within 1000 feet or the outer boundry of a school or s ,cP6of site? NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fu vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Con rol District (916-891- 882) for permit requirements. Owner or Authorized Company Representative —�z ignature) (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. DThe Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE -Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'MO PERMIT PERMIT NO. -7 �9✓/ ASSESSOR PARCEL NUMBERZONING (3 (rU BUILDING PERMIT OWNERAA`���o�+i�� Jig SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LING/DOR-��S � t�r�l CONTRACTOR'S NAME�� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN d Total Valuation $ Lim G/ Filing Fee LENDER'S MAILING ADDRESS Permit Fee $ S.V. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ,.(- • dQ $ }� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ _ BUILDING ADDRESS /k7m( q 4/ P,_rJd&V n �,(fw L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 71 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1 Duplex FJ Mobilehome❑ Other VrrL I�� SPECIFY Gas piping system 1 - 5 outlets Gas 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00Pn TYPE OF WORK New Addition�o❑ Remodel❑ Utilities9 Installation[]Other ❑ Describe work: i!° O M " Q roCli .e 25 "W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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. ❑ 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 contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPAN) OR ADDNS. ACG. BLDGS. I , /20sgft NEW CONSTR. U TI -OUTLET NON.R ON•R ESID BRANCH CIRC ITS 2.50ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu OR FIXTURES 0050ti eZAL.30 FIXED APLNS.pOUTLETS Ex. Occup. OUTLETS PRESID IREA.I 2.00 Temporary service 10.00 Home Facilities Mobile Hot- 15.00 • rJt� Misc. g 15.00 Permit Fee $ 5� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. ❑ Ishall 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 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 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. 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 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ scHL FLD CDF Pn rU=` j'fID. ISSUE HALcuA PARK This permit is hereby issued unoer 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 —height. Receipt No.�1 WHITE-D.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. 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 thisaverification is received. 1. I personally plan to provide the ma' labor and materials for construction of the proposed property improvement yes ori 6 I (have/) for the proposed work. signed an application for a building permit 3. I have contracted with the following person (firm) construction: Name Address to provide the proposed Phone Contractors License No. City 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: v Property Owner Social ecurity /Number — Date (2-s'�� 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 EARL ANDERS- P.O. BOX 713 GRIDLEY CA 95948 With reference to the above subject: / / Attached is: OTHER DATE 7-11-91 RE: COMMERCIAL OFFICE AND RAMP A.P. # 21-270-17 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced - We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information 6r check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in TRIPLICATE by registered engineer or architect. Energy design including X Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER PROVIDE COMPLETE PLANS IN TRIPLICATE FOR MOBILE HOME TO BF TNSTAT.T.FT)_ CONTACT LAND DEVELOPMENT SECTION REGARDING IMPROVMFNTS ON HTGHWAY A4 Should you have any questions concerning the above, please contact JOHN HENRY of this office. BETWEEN 3 & 5 P.M. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector MOBILEHOME SUPPORT DATA �' �A Ce J dc2 If other than single wide., Mobilehome Mfr. p .TNc furnish Setup Model No. Year —r Width (ft.) Box Length &0 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsettuup,sheets (if not on file with the County of Butte). FOOTINGS (check one) ls�jj"1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)uf 1. Concrete block.7 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE s Main Beams Line —.--� -- -- — — ---- .i Line 2 _ — — — — — Main Beams C— _ —Tag or Triple — — — — Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size -Min. ------------------ ,k Spacing -Max- --------- „ Each Side of Openings From Ends -Max. ------- With Width Over -"___"-- " Line 2 Piers: Size -Min .------------ „ x Spacing -Max.-.-----___ From Ends -Max .------- _ Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- k u Spacing -Max. _______________ From Ends -Max .------------- ._ Line 4 Piers: Size -Min ------------- Spacing -Max.--------- , From Ends -Max .------- „ r Bear Size -Min .------------------ Spacing -Max.--------------- ._ From Ends -Max .------------- Line S Roof Loads: Size -Min.------------ x „ „x „ ,�x „ „x „ ,k „ „x „ , X Location (From Front) _ , _ „ _ „ T� 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541_ MOBILEHOME INSTALLATION SHEET f140- f -Vros. I;i c )E-jr1 A 2. Installer's Name: E h IIL/ /- � ZYO S , - Yt c . 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? . . Yes No F] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No 71 (If no, clarify a What is the mobilehome electrical rating? --H,19-------- G4'4 Amps 6 What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the n mobilehome site service? -------------------------------- Yes No U (If yes, identify the load and size: (Load) (Amps) What is the mobilehome site gas pipe siz ? -- - - - ----- (in.) 10. What is the type of gas service? --1-= --------- Natural LPG What is the gas pipe length from meter or tank to the mobilehome? -- �--------------------------------- (ft.) * 1A. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) r E a i PERMIT EXPIRES s34 -7 L i OWNER Anders & Shifflet CONTR: , owner LOCATION (A.P. 21-2717 x w/s 99E just no. Sheldon Ave., Gridley i, a Y r pl. ' COUNTY OF BUTTE' S Department of Public Works BUILDING INOPECT,&ON RECORD Zoning Setback e — �%9 Forms ZZ Foundation Piers & Girders Fireplace Rgh. Plumbing _,50 — Bond Beam Lath & Plaster Rein. Steel I1-S. Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Tempo .�• Temporar Cert. of 0� i�af--- F i ' i, _ i ' . F i nn� J_ ♦ — /7 --7 DATE REMARKS OR CORRECTIONS .< COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Orovi Ile, California 95965 Tel epho72:. &34541 r APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- Toned p perty ori ction purposes. X Date -9 72 Signature of Permiitteee o4�32 Receipt No. / y _ 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 Datel— 2? `7 filding permit expires ate 2f =i BUILDING Ownerk� SQ. FT. OCC. BUILDING VALUATION Ov Mai I i ng Address _ o , �rG ec Telephone No. Fireplace Contractor Total Valuation '' Oo Mailing Address �—Z� `� Permit Fee00 PlanCheckuW ee &/or Penalty d Telephone No. Permit Fee $ 0 is Building AddressPLUMBING ' a No. @ FEE PERMIT FILING FEE $2.00 ` �i �c (J 174 -5-Repair Each Trap 1.50 IA10� drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. t [ �Zogr - Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sani tation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 ' �d 1 'KLight Water Heater or Space Heater 1.00 fixtures 20 bal_ 010 Sp�,l� Receps., switches & fix outlets 2lffd-25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar, lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Licens No. Classification Misc. wiring -_am exempt from the Contractors License Laws of the State of Cal ifomia. 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 Wo en's Compensation Insurance. 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 tht: Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above- Toned p perty ori ction purposes. 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