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078-380-068
RON SMITH ` 5291 LOWER WYNDOTTE RD. OROV 1 LLE PERMIT #5336_-75E(ELEC. ONLY) _ (ROBERTSONMK.T.._.GRO O N: Y T_ 0 U N G_ E L E C. UvOIBERTSONS MARKET 791 Lower Wyandotte, Oroville ntr: LaGrone Htg & AC' Permit #k5739-79P,E,M(duo pac) grocery store 40, 1;441 Contr: Don George, Permit#633 Oroville -80B (reroof More" ) grocery 3 Gerald Cook 5233 Lower W andotte Oroville Contr: The Fireplace Outlet, Paradise Permit # 532-82B (install freestanding stove)..SFi*_ Permit#868-85B(additron/market) Permit -#_1800 85E(ele/868 85)mkt ENID ROBERTSON�� 3329 Oro Bangor Hwy, Orovillel' Permit#3315-85B(reroof carport) Permit#1409-88B(reroof/SF) 9Z., - t j�aZ�j GU� 36—rn— r3 ContR: Strang Electric H�43 Permit#752-90B (walk-in box market) Y sir Robertson's Markket cL/ 5230 Lower Wyandof Oroville r (reroof-hot tar) ;'-/7.92 - y Q 93-36-1 -6 O ROBERTSON, ENIDFS , 5291 LOWER WYANDOTTE AVE �J/fix REROOF/MARKETP CONTR: GEORGE ROOFING - - PERMIT#96-1142~ ROBERTSONS'MKT 1 5291 Lower Wyandotte, Oroville ` Cont; Daniel Heal Plbg ' Relocate Gas Meter/Market 367TT7-0418 01-0715 ' !RYANT, ENID 323 ORO BANGOR HWY 'ONT: LUMAN ELECTRIC Y. 9 - 01 LECTRICAL SERVICE CHANGE V -J V-111-VTJ ' ROBERTSON,PEARL 5233 LWR WYANDOTTE, Cont: OWNER REHAB . 01S- -3g0-0(09 i i S -�x -1 gg' 13 Sys COMPLAINANT w, 1,1 u AA ADDRESS: Jr -3C) PHONE NUMBER: —'5',3 r OTHER COMMENTS: S t f Q W,,u e S /! % C� W s+/ � /-- .. � C. 7 r� l` e_ i N,f ,t� e c�i o i✓ � � !.c' c � � � /Yl � � -�„s�.er.,�,.,,.w.-"aa--..rr���.,.�'�`'``r-.fs�''71;y..r•!�'?1i.�S,a�ai,'�"�+t�s>� �:'5.."..;;yw-�+w, _, _ �, COUNTY OF BUTTE %�► DEPARTMENT OF PUBLIC WORKS 1 4 196 Memorial Way, Chico — Phone: 891-2751 -. 7 County Center Drive, Orovi Ile — Phone: 538Z541,—��� 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT Nd. - A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office} when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. y •iG • 'r'ti ^1 y Y +:Le .�5 7 �s 'J{ a Inspector /�^// Date R9. 20 530891 6720 PPT11 INE TNSTA I ATION PAGE 07/02 a aa�a-D4DATD' A 3Lb'ED A>m'1<`IVlS.'RI'e' Sl>ri` 2S.21Sl1tt�>ltet�,;e•1!T!�-�'�ttiilFi�TTI�T�'!'Y.t�F�IFi�:��►.�`F�l J A <A A. ?. �+1 4,/'rA.D.d vaalrA.te - l/Ri.. r.�� a, SALVAGE _C6watad17 1e6x.A aA!, lV102221I8fiUfE0 :t7UlAti .1JLa;111 1`1V. M vi VhH ter— --� fI Mnnu(iiclurer lnlName- Tdem Ner __ .. '_ MedeF_.._ �_ Dt3NE.._ rn f `+ IACRU + �i U0100M970 i 05/15/19T0 1870 Feb 28, 28� t I . I Serial Number - ..... 1 CRbeMfMgrrta Number ' -V igr'c 2�ipttgtlr._E.` k..- F- _.`—tygp I S147XX II 1 I so• IT I ADF j 04 t� +I SFO i ILT S -1Q -XX --... _ ` +�+ `JJ an E 17' r `. �. 1 I i I Isqued i~T�tRI Fees Paid ' Addy�h Art a .. . !n►ni tYE !VlMr- TPI 1ST .nnn ru r]rr]'T Akic .. I IJCL i 1 LULL \ 5 P9 v t_ , f-LJ1rn rn QR.n7C. VI IIVV, vf". ✓v✓f.v sOACOCOTAGCOAI� C"DDAfRmb�C� u. ! •/• •• •~ _. . flab. TRUJIGT • 4 IttlVU lG 11pp�J'f1.9t7 t RVd 1 rulrn r�i:ot;o�'� Lr'1VF FW►YiiJtlWM-tVbIT�F\iv�`L-_. . 1821 HOMEY AWN KD CH{Cg3. CA 95926 ,40 T Li 1 2011 SERVICES jN5j.' 1('-'T I0N OF UNIT AJ[4DL11�U.7.[Sl, J .Cd68VR T iJ Ab, ING OCCUPIED, .]OLP, OR OFFERED FOR SALE taiZZ. a''A D DE'/\aD Dll'D • TP9 r\n Ar. "nT V.d . Mfi\o.tr a %FRYI. V!' \ALV VLlf lllVlll TITLE' 251 DIVISH. ,W 1, 1-1.2 ."-.rf .V1vf♦ C A '�2 -f4'II1lJq.QGC/-.M1 .11-,l lrr �1g11J.J.lff •• .. ••••••••') 011'111111 - 114 036 11'1 04317 PERMIT#96 1142;, + •.. `�' � ROBEItTSONS;NIKTee � �'.�� .. c - 4Y ,• f• t r-^ ,'5291'1Lower 4Wyandotte`; Orovlle ,a+ ,Cont; Daniel•Heal'Plbg' '.` �►�,,��., Relocate'Gas Meter/Marketr`. 7 C i l� ' 11 tl _ J A rt _ 3.f - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT`'( ��!�1;� ASSESSOR PARCEL NUMBER 036-111-041 ZONING BUDDING PERMIT OWNER Fn 'HONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TC TELE -HONE CONTRACTORS 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 ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5291 la -M WOW= PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 p ` Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Mr SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities t) Installation ❑ Other ❑ Describe Work: RELOCATE GAS P ' . Mobile Home S I GI W @20.00 PERMITFEE $ 35.Q0 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 .+ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i n full force and effect. O 5 License Class ��. Lic. No. 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING 'cc". OR ADDNS. ( d, ACC. BIDS. '), SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS �)� @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTIFT OR FIXTURES) �L @ 15 Ex. Occup. ( OFIXED UTLETS(RESID.°ERA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the-. /performance of the work for which this permit is issued. • R]/ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pedprmance of work for which this permit is issued. My workers' m ansa n in r ce carri and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ • Contractor Policy Number �- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) •' ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not.employ any person in any manner so as to become subjectito workerst cc mper?ation laws of California, and agree that if I should become subject to the" workers compensation provisions of section 3700 of the Labor Code, I shall (rth e aoYsio s X __ ate _ �% Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructioniz, of structures over 3 stories in height. Mobile Home Installation FeeI $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HO ISUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ,�ALl t PERMITEXPIRESON I applicable provisios Resolutions to do wcc been paid. Date4� k YAr `/, _ (Date) Receipt No. 1956M WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT June 4„ 2004 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone 0 pvk (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Pearl E. Robertson c/o Pearl E. Bryant 126 Sycamore Parkway Oroville, CA 95966-6211 RE: Formal Warning Notice Substandard Housing 5233 Lower Wyandotte, Oroville ,A -P4 036-111=043 Dear Ms. Robertson: This department has received a complaint alleging health and/or safetyhazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On March 16, 2004, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (b) 8,9; (h)1; which pose health and safety hazards to the occupants and render the dwelling substandard. Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. Dampness of habitable rooms. (a) 11 2. Defective or deteriorated flooring or floor supports in bathroom. (b) 2 3_. Extensive dry rot to window sills and exterior siding. (g) 1, 2, 3 4. Roof leaks into bathroom (g) 2 At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. This is your final warnin :_ Unless you contact this office and make the proper arrangements to correct or abate r Pearl E. Robertson AP # 036-111-043 June 4, 2004 Page 2 the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary,to correct or abate the violation(s). Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non- compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h)1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive; Oroville, California. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:glb cc: Department of Development Services, Code Enforcement 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville,. California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On June 4, 2004, I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Pearl E. Robertson c/o Pearl E. Bryant 126 Sycamore Parkway Oroville, CA 95966-6211 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on June 4, 2004, at Oroville, California. Gwyn Benedict Office Assistant II BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041307 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 05/07/2004 APN'' 036-111-043-000 the Business and Professions Code, and my license is in full force and '5�5 --3 effect. License Class: License Number: Site Address: 6294 LOWER WYANDOTTE RD ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: rehab- elec panel, dry rot, floor repairs, Wiring Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROBERTSON PEARL E to its issuance, also requires the applicant for such permit to file a C/O BRYANT PEARL E signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section DBA ROBERTSONS MARKET EQUIPMENT 7000) of Division 3 of the Business and Professions Code) or that he or 126 SYCAMORE PKWY 95966-6211 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): f3l� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROBERTSON PEARL E owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project .(Sec. 7044, Business -and Professions Code. The Contractors' State License Law does - not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). OFFICE COPY ❑ I am Exempt under Article 3 of the Business and Professions Code I Address Date: Owner: OQ! i #' i GAS - Meter By WORKERS' COMPENSATION DECLARATIONLicense I the following declarations: hereby affirm under penalty of perjury one of Date— f ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the ELECTRIC Meter By Labor Code, for the of the work for which this permit Da;' performance Architect' is issued. ❑ I have and will maintain workers' compensation insurance, as w _ Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 !� 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall , } forthwith comply wi h those provisions. ifv\ Date: Applicant: 0 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one / hundred thousand dollars ($100,000), in addition to the cost of compensation, damages'as provided for`ir'Section -3706 of the Labor -' -•—'---- -t -. - - -- __. _ _ -. -_ _�. _ code, interest, and attorney's fees.6 _ _ 5' 76 _t� b CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Count Code ?nrt/or Resolutions to d in 'cated above for which fees have been paid. /6 performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By ate: -� PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes Print Name: Signature: Date: ❑ Owner 13 Contractor & Agent for Owner ❑ Agent for Contractor BUTTE COUNTY MAY 10 2nO4 I l / 1 DEQ LOPIVIENT RVI CF OWNER-.BUILDER VERIMCATION 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 jor labor and materials for construction of the proposed Property improvement: YES NO E3 I HkVk-e HAVE NOT 13 signed an application for a building permit for the proposed work. I have contracted with the following person (Pim.) to provide the proposed construction: t_ 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: , ... PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the the work indicated: following persons to provide NAME ADDRESS PHONE TYPE OF WORK NOTE: This Owner -Bewilder Verification is required by Section 19831 and 19532 of the California Health. and Safety Code. This verifuation must be completed and returned to our office before we are permitted to issue the permit: OVER OWNER BUILDER INFORMATION Dear Property Owner.- An wner: An application for a building permit has been submitted in your name listing' yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a Permit. Building permits are not required to be signed by property owners Mess they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300' or more for the entire project; and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your. obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a. licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner guilder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IY. Mic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. _ This Owner Builderlxf0nnation is required by Section.19830 ofthe California Health and Safety Code OVER BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530)'538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041307 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/07/2004 APN: 036-111-043-000 the Business and Professions Code, and my license is in full force and effect. -�'a 53 License Class: License Number: Site Address: a224 LOWN WYANDOTTE RD ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: rehab- elec panel, dry rot, floor repairs, wiring Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROBERTSON PEARL E to its issuance, also requires the applicant for such permit to file a C/O BRYANT PEARL E signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DBA ROBERTSONS MARKET EQUIPMENT 7000) of Division 3 of the Business and Professions Code) or that he or 126 SYCAMORE PKWY 95966-6211 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Lode: The Contractors' State License Law does not apply to an Applicant: ROBERTSON PEARL E owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 99S License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 L( 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi those provisions. Date: Applicant: '9-5 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one /DIY hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. t rj/� - CONSTRUCTION -LENDING AGENCY. - T .� This ppeermit.is hereby-issued,under.the applicable provisions.of.the.Butte,Count,Coda.eorl/or I hereby affirm that there is a construction lending agency for the Resolutions to d in 'cated above for which fees have been paid. `i performance of the work for which this permit is issued (Sec 3097 Civ.) /,, 5 D Name: By ate: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes Print Name: GSI/( Signature: Date: ❑ Owner ❑ Contractor 6 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 P W Lk /ZORR 4TgpN PERMIT NO. BP 6�-, /gid S o u OWN R' LAST NAME: OWNER'S FIRST NAIVE: PHONE 7-S 4D#4 STREET ADDRE!� i L FAX: 0A0 l//1 -(-C Gg SITE ADDRESS: CITY, ZIP: '1 / c C i '? ? / IWA-Idot /')AT7-X' %21i. NEAREST CROSS STREET: ' TRACT/LOT P. APPLICANT NAME: L U/,-, <v l L f crit rC PHONE: S 3.?- 13 7C� STREET ADDRESS: FAX: CITY, ZIP- E-MAIL: CONTRACTOR NAME: - PHONE: STREET ADDRESS: FAX: CRY, ZIP: E-MAIL LICENSE NUMBER: /, LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL, DESCRIPTION OR SCOPE OF WORK: o ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid, the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by. Date: Receipt number: Amount Received. -3,r)—q 1 Q 4 �J504ep� rc �, iJ PaRC� d�/tvi Q� FORQ El1yh !1 <SSUQ¢I l ;rylUST cffrLck W17v P COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 (� PERMIT APPLICATION DATA SHEET1,, OWNER:ASSESSOR PARCEL NUMBER Proposed Building Use: �� Counter Technician: Date: Items required in order to apply fora ermit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑j 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... El - 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other:__ O When issued Telephone and hold for pickup. I have been informed of the above it and requirements for obtaining a building permit. Applicant: Date: % D 1. Index perrf application a above s numbered: Plan Check etter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: T Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 7�j pAse t S Pearl E. Robertson cOrr c/o Pearl E. Bryant 126 Sycamore Pkwy. Oro -,-.111e, CA 959.5-6211 RE: Substandard Housing 5233 Lower Wyandotte, Oroville AP#036-111-043 Dear Ms. Robertson: L A N D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On March 16, 2004, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 11; (b) 2; (g)1, 2, 3; which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed wand hereby is declared to be a substandard building:. 1. Dampness of habitable rooms. (a).1 1 2. Defective or deteriorated flooring or floor supports in bathroom. (b) 2 3. Extensive dry rot to window sills and exterior siding. (g) 1, 2, 3 4. Roof leaks into bathroom (g) 2 At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Pearl E. Robertson c/o Pearl E. Bryant ,April 1, 2004 Page 2 Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non- compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest. expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and S.afety;Code, Section 17920.3 (a) 11; (b) 2; (g)1, 2, 3; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville,'California. You have thirty (30) days to voluntarycomply with the above-referenced directions. Should you have any questions concerning this ''matter, please contact-me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:pa cc: Occupant, 5233 Lower Wyandotte, Oroville, CA 95966 Department of Development Services, Code Enforcement, SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE DOWNTOWN OROVILLE COURTHOUSE 1931 ARLIN RHINE DRIVE' OROVILLE, CALIFORNIA 95965 FButte Count F UP: ou L MQR 2 3:.2004 L � - To: KELLY ALBRECHT E ® SharoI t� sand ��, D 1440 LINCOLN S�.tt,,,� Q. - E3 y � ' ,` i. ;1 OROV I LLE CA 95965 Deputy RE: BRYANT, ENID vs GIBSON, JOHN Case No: DC09354 NOTICE OF COURT TRIAL You are hereby notified that the Court:Trial for the above entitled case is hereby set for: Date: 4/14/04 Time: 8:30 AM Matter to be heard at the above named address Continuances are upon noticed motion only, except in an extreme emergency, the Court may permit continuances by stipulation (Rule 4.9). Dated: 3/23/04 [NTC7 Deputy Clerk of Butte County Courts --------------- - - -- Parties/Attorneys of Record: KELLY ALBRECHT (530), 534-9900 JOHN GIBSON LUCILLE CONTRERAS CLERK'S CERTIFICATE OF MAILING. I certify that I am not a party to this action. This notice was mailed first class, postage prepaid in a. sealed envelope to the parties shown above. The mailing and this certification occurred at.OroviRe, California on 3/23/04. SHAROL STRICKLAND, CLERK, by �6�—T �i�s. Deputy Clerk. TO: JOHN GIBSON, SR. LUCILLE CONTRERAS And all others in possession 5233 Lower Wyandotte Avenue Oroville, CA 95966 NOTICE TO PAY RENT OR QUIT NOTICE' IS HEREBY GIVEN that under the terms of your rental agreement with ENID BRYANT, owner and landlord of those premises occupied by you, commonly known as 5233 Lower Wyandotte Avenue, Oroville, California, there is now due and unpaid rent . for said premises in the following amounts for the following specified periods: PERIOD RENT PAID BALANCE 02/01/04-02/29/04 $ 500.00 300.00 $ 200.00 03/01/04-03/31/04 500.00 -0- 700.00 WITHIN THREE DAYS after service on you of this notice, you are required to pay said sum in full in cash or by money order or cashier's check or to deliver up possession of said premises to Kelly Albrecht, Attorney at Law, 1440 Lincoln Street, Oroville, California, authorized agent of the aforesaid owner. If you fail either to pay such sum or to surrender' up possession of the premises within said three (3) days, your landlord will institute legal proceedings against you to recover possession of the premises, rent and damages for your unlawful detention thereof. Your landlord hereby elects to.declare a forfeiture of the rental agreement under which you hold possession of the premises. Dated: March -5— , 2004. SERVED ON: BY: . 7� F-;lu-z �� ENID BRYANT, O ner 126 Sycamore Parkway Oroville, CA 95966 (53 0) 533-2265 TO: JOHN GIBSON, SR. LUCILLE CONTRERAS And all others in possession 5233 Lower Wyandotte Avenue Oroville, CA 95966 NOTICE OF TERMINATION OF TENANCY (Civil, Code Section 1946.1(b)) NOTICE IS GIVEN that your tenancy of the premises located at 5233 Lower Wyandotte Avenue, Oroville, California is terminated sixty (60) days after service on you of this notice in accordance with the provisions of California Code of Civil Procedure Section 1162, and you are required to deliver up possession of said premises to Kelly Albrecht, Attorney at Law, 1440 Lincoln Street, Oroville, California 95965, (530) 534-9900, on or before expiration of said sixty (60)'day period. If at the expiration of said sixty (60) day period you fail to quit said premises and deliver up possession of the same, the owner thereof will institute legal proceedings for unlawful detention against you to recover possession of the premises, rent and damages. THIS NOTICE is given pursuant to the provisions of Section 1946.1 of the California Civil Code for the purpose of terminating your tenancy of said premises. It does not affect your obligations under the three (3) day notice to pay rent or quit served on your concurrently herewith, and your landlords, acceptance of rentals demanded thereunder shall not constitute a waiver of rights pursuant to this sixty (60) day notice. Dated: March, 2004. ENID BRYANTV Owner 126 Sycamore Parkway Oroville, CA 95966 (530) 533-2265 SERVED ON: BY: ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): TELEPHONE NO: FOR COURT USE ONLY (530) 534-9900 Kelly Albrecht, Esq. (SBN 65019) 1440 Lincoln Street Oroville, CA 95965 ATTORNEY FOR (Name): Plaintiff SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE Butte CountyCourthouse Q Chico Courthouse Xr Butte County One Court treet 655 Oleander Courthouse Oroville, CA 95965 Chico, CA 95926 (530) 538-7002 (530) 532-7009 Downtown 0 Paradise Courthouse Gridley Courthouse 1931 Ar1in Rhyne 747 Elliott Road 239 Sycamore Oroville, CA Paradise, CA 95969 Gridley, CA 95948 95965 530 532-7018 530 532-7006 PLAINTIFF(S): ENID BRYANT ,. 'DEFENDANT(S): JOHN GIBSON, LUCILLE CONTRERAS x� MEMORANDUM TO SET CASE FOR TRIAL CASE NUMBER: COUNTER MEMORANDUM DC09354 1. Nature of Case: U Unlawful Detainer less than $25,000 I—I Extraordinary Writ = Asset Forfeiture = Other 2. Time Estimated for Trial: . 5 Hours Days " Civil Harassment 3. Requesting a Jury: 0 Yes XD No 4. Indicate parties: a. Plaintiff: ENID BRYANT b. Defendant: JOHN GIBSON, LUCILLE CONTRERAS Attorney: Kelly Albrecht, Esq. Attorney: In Pro Per Address & Tel. No.: 1440 Lincoln Street Address & Tel. No.: 5233 Lower Wyandotte Oroville, CA 95965 (530) 534-9900 (Attach an additional sheet if The above entitled ca is at issue as to all parties and I hereby r909 Dated: March 17 2004 G Oroville, CA 95966 Ir-In1 CIA-aAQA gnqure of: M Plaintiff 0 DefendantXD Counsel Kelly Albrecht, Esq. Any party not in agreement with the information or estimates given shall within ten days after the service of this Memorandum to Set " Case for Trial, or five days in an Unlawful Detainer proceeding, serve and file a Counter Memorandum. . PROOF OF SERVICE BY MAIL —1013a 2015.5 C.C.P. I am a citizen of the United States and a resident of the County of Butte I am over the age of eighteen years and not a Darty to the within above entitled action; my residence/business address is: 1440 Lincoln Street, Oroville, CA 95965 On March , 2004 , I served a copy of this document and on the (Check One) a] Defendant 0 Plaintiff, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid, in the United States Post Office mailbox at Oroville, CA to the address indicated in (Check One) 0 4a 0 4b above or = Parties listed on Attachment. I declare under penalty of perjury under the laws of the Statealifornia that the foregoing, including any attachment, is true and correct and that this declaration is executed on (date): March o C 004 at (place): Oroville,- CA Deborah K. Beth (Type or print name) (Signature of Declarant) RUL-1-GR.010 MEMORANDUM TO SET CASE FOR TRIAL (A.D. 7-1-2003) Optional Bu -06 A*ORN EY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: Lucille Contreras FOR COURT USE ONLY John Gibson (530) 534-8484 5233 Lower Wyandotte Road Oroville , CA 96080 ATTORNEY FOR (Name): In Pro Per Defendant D NAhAE OF COURT: SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE STREET ADDRESS: One Court Street - MAR 172004 MAILING ADDRESS: One Court Street CITY AND ZIP CODE: Oroville, CA 95965 BRANCH NAME: Superior LAW OFFICE OF KELLY ALBRECHT PLAINTIFF: Enid Bryant DEFENDANT: Lucille Contreras and Johnny Gibson CASE NUMBER: ANSWER—Unlawful Detainer DC 09354 1. Defendant (names):Lucille Contreras and Johnny Gibson answers the complaint as follows: Check ONLY ONE of the next two boxes: a. © Defendant generally denies each statement of the complaint. (Do not check this box if the complaint demands more than $1,000). b. 0 Defendant admits that all of the statements of the complaint are true EXCEPT (1) Defendant claims the following statements of the complaint are false (use paragraph numbers from the complaint or explain): 0 Continued on Attachment 2b(1). (2) Defendant has no information or belief that the following statements of the complaint are true, so defendant denies them (use paragraph numbers from the complaint or explain): 0 Continued on Attachment 2b(2). 3. AFFIRMATIVE DEFENSES (NOTE: For each box checked, you must state brief facts to support it in the space provided at the top of page two (item 3j).) a. ® (nonpayment of rent only) Plaintiff has breached the warranty to provide. habitable premises. b. 0 (nonpayment of rent only) Defendant made needed repairs and properly deducted the cost from the rent, and plaintiff did not give proper credit. c. 0 (nonpayment of rent only) On (date): , before the notice to pay or quit expired, defendant offered the rent due but plaintiff would not accept it. d. 0 Plaintiff waived, changed, or canceled the notice to quit. e. ®Plaintiff served defendant with the.notice to quit or filed the complaint to retaliate against defendant. . f. By serving defendant with the notice to quit or filing the complaint, plaintiff is arbitrarily discriminating against the defendant in violation of the Constitution or laws of the United States or Califomia. g. Plaintiffs demand for possession violates the local rent control or eviction control ordinance of (city or county; title of ordinance, and date of passage): (Also, briefly state the facts showing violation of the ordinance in item 3j.) i• U Plaintiff accepted rent from defendant to cover a period of time after the date the notice to quit expired. Other affirmative defenses are stated in item 3j. (Continued on reverse) Form Approved by the ANSWER—Unlawful Detainer Civil Cade, §1940 at seq.; Judicial Council of California 982 1(95) [Rev. January 1, 1997] Code of Civil Procedure, § 425.12 Optional Form Judicial Council Forms for XotDocsn" PLAINTIFF (Name): Enid Bryant CASE NUMBER: DEFENDANT (Name): Lucille Contreras and Johnny Gibson DC 09354 3. AFFIRMATIVE DEFENSES (cont'd) j. Facts supporting affirmative defenses checked above (identify each item separately by its letter from page (1) ® All the facts are stated in Attachment 3j. (2) = Facts are continued in Attachment 3j. 4. OTHER STATEMENTS a. [� Defendant vacated the premises on (date): b. ® The fair rental value of the premises alleged in the complaint is excessive (explain): See 3a above. c. Other (specify): 5. DEFENDANT REQUESTS a. that plaintiff take nothing requested in the complaint. b. costs incurred in this proceeding. c. 0 reasonable attorney fees. If attorney retained d. ® that plaintiff be.ordered to (1) make repairs and correct the conditions that constitute a breach of the warranty to provide habitable premises and (2) reduce the monthly rent to a reasonable rental value until the conditions are corrected. e. ® other (specify): Any and all such other relief that the court deems just and proper. 6. 0 Number of pages attached (specify): UNLAWFUL DETAINER ASSISTANT (Business and Professions Code sections 6400-6415) 7. (Must be completed in all cases) An unlawful detainer assistant ® did not = did for compensation give advice or assistance with this form. (If defendant has received any help or advice for pay from an unlawful detainer assistant, state): a. Assistant's name: c. Street address, city, and ZIP: b. Telephone No.: d. County of registration: e. Registration No.: f. Expires on Johnny Gibson (TYPE OR PRINT NAME) OF Lucille Contreras (TYPE OR PRINT NAME) (SIGNATURE OF DEFENDANT OR ATTORNEY) (Each defendant for whom this answer is filed must be named in item 1 and must sign this answer unless his or her attorney signs.) VERIFICATION (Use a different verification form if the venfrcation is by an attomey or for a corporation or partnership.) I am the defendant in this proceeding and have read this answer. I declare under penalty of perjury under the laws o e tate of California that the foregoing is true and correct. Date: March 15, 2004 r1 Johnny Gibson Lucille Contreras ....................................... (TYPE OR PRINT NAME) 982.1(95) [Rev. January 1, 19971 ANSWER—Unlawful Detainer Pagetwo Judicial Council Forms for HotDocs Attachments 1 Attachment 3j 2 3a) Plaintiff has breached her implied warranty of habitability in that the premises are impacted by significant amounts of mold, dry rot and water leakage problems. Plaintiff, 3 although alerted to the problems has refused to fix them. Defendants have suffered medical harm due to habitability problems existing in premises. 4 Defendants are presently holding rent in trust until problems are fixed. 5 3e) Plaintiff is illegally retaliating against defendants. because defendants have repeatedly 6 complained about the conditions of the premises to the plaintiff and defendants have contacted County Building Inspectors and requested an inspection of the premises 7 regarding habitability issues. 8 3i) The 3 -day notice is defective as it does not meet -the threshold requirement for evicting within 3 -days. It does not comply with the Civil Code Section 1162 in that the dates and 9 hours for rent to be paid is not stated in the notice. 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 PLAINTIFF/PETITIONER (Name):Enid Bryant CASE NUMBER: DEFENDANT/RESPONDENT (Name)johnn Gibson DC 09354 4b = Application is denied in whole or in part (specify reasons): s CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this cause and that a true copy of the foregoing was mailed first class, postage prepaid, in a sealed envelope addressed as shown below, and that the -.mailing of the foregoing. and execution of this certificate occurred at :.... (place): California, on (date): (SEAL) Clerk, by , Deputy CLERK'S CERTIFICATE I certify, that the foregoing is a true and correct copy of the original on file in my office. Date: Clerk, by , Deputy 992(a)(1 8) [Rev. January 1, 2003) ORDER ON APPLICATION FOR WAIVER OF Page 2 of 2 COURT FEES AND COSTS (In Forma Pauperis) LexisNexis Automated California Judicial Council Forms . 1 2 3 4 5 6 7 8. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 VERIFICATION BY PARTY (446.2015.5 C.C.P.) STATE OF CALIFORNIA, COUNTY OF BUTTE I am the in the above entitled action: I -have read the foregoing and know the contents thereof; and I certify that the same is true of my own knowledge, except as to those matters which are therein stated upon my information or belief, as to those matters I believe it to be true: I declare, under penalty of perjury,. that the foregoing is true and correct. Executed on at California (Date)(Place) Signature PROOF OF SERVICE BY MAIL (1013A, 2015.5 C.C.P.) { STATE OF CALIFORNIA, COUNTY OF BUTTE I am a citizen of the United States and a resident of the county aforesaid; I am over the age of eighteen years and not a party to the within entitled action; my business address is: P.O. BOX 3728/541 NORMAL AVENUE CHICO CA, 95927 On March' 15 , 20 04, I served the within ANSWER UNLAWFUL DETAINER on the PLAINTIFF in said action, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully .prepaid, in the United States mail at CHICO CALIFORNIA addressed as follows: KELLY ALBRECHT ' ATTORNEY AT LAW 1440 LINCOLN STREET OROVILLE CA 95965 I declare, under penalty of pe that the foregoing is true and correct. Executed on Harch 15, 2004 at CHICO California (Dam) (Place) Signature April 1, 2004 Pearl E. Robertson c/o Pearl E. Bryant 126 Sycamore Pkwy. Oroville, CA 95966-6211 RE: Substandard Housing 5233 Lower Wyandotte, Oroville AP#036-111-043 Dear Ms. Robertson: -_gatte, Count, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On March 16, 2004, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a)11; (b) 2; (g)1, 2, 3; which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit; guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: Dampness of habitable rooms. (a) 11 2. Defective or deteriorated flooring or floor supports in bathroom. (b) 2 3. Extensive dry rot to window sills and exterior siding. (g) 1, 2, 3 4. Roof leaks into bathroom (g) 2 At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. n� Pearl E. Robertson c/o Pearl E. Bryant April 1, 2004 Page 2 Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non- compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety. Code, Section 17920.3 (a) 11;'(b) 2; (g)1, 2,3; you must obtain all required permits. for repairs from the Butte County Department of Development Services, Building. Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 " p.m: Sincerely, Scot Johnson Code Enforcement Officer SJ:pa cc: `Occupant, 5233 Lower Wyandotte, Oroville, CA 95966 Department of Development Services, Code Enforcement �. . _. _ A. Y � . � _ .7:. ... ,w .. .. _. at`_a.:i#1 w'.�'. ����- ^V'i!'s!�•;wT'e s{ Y�[+Y� �j�y. �"'I+��i.��14'74 b�Y�iwY r:�1f'ry�.�r .:�.r.Y 4�C..v/� ✓ vsYliAa..,im.N i.hi ` �: . ...��..�.t..���-.�.r. �... . � , � - ` .. � � it .� . r f � � . .,, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION &Xr-071y /..,,,,)�'• 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541, PERMIT NO. (Rev.12/96) APPLICATION AND•PERM T 11 H h.Mll1f.�Jt N ASSESSOR PARCEL NUMBER *s(136-111-043 ZONING C-1 BUILDING PERMIT-------- OWNER FNV. RRY TELEPHONE 589-3482 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS 6348 JACK HILL DR., OROVILLE CA 95%6 CONTRACTOR'S NAME LLMN EL.B=C TELEPHONE 53-1-1370 CONTRACTORS MAILING ADDRESS 5W, T rWR WYAWYM , tint O T .T F CA 454" CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER • LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Pian Checking Fee $ BUILDINGADDREss 3323 ORO BANGOR HWY OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME • _ __ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00' USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ' SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater.or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 13 Utilities 13 Installation 11 Other ❑ �- Describe Work: 100 tM ELECTF.IC SEWCE CHANGE + Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS AICe 200A DO' Main ServiceR LESS 23.00 •0000 LICENSED CONTRACTOR'S DECLARATION N" I hereby affirm under penalty of perjury that I am licensed under provisions.of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 1 S� /^ License Class C /.I A Lic. No. T OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q� I certify that in the performance of the work for which this permit is issued, I shall not employ any person •in Jany, manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those' rovisions. I / X/ aE Date �" 4,— 0,/ 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. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. sD OR ADDNS. ( 6 ACC. BLD S. 3.5QFT: NO" N.REOSIIDD. OUTLETCIR97.50 POWER APPARATUS S SINGLE OUTLET CIR. Ex. OCCU GUTLET OR FIXTURES B20 @ 1: 0 Ex. Occup. ..FIXED 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PRE INSPECTION 416101 23.40 PERMIT FEE $ 66. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 1 Mobile Home Installation Fee Is Energy Inspection Fee Is occ 00 T. TYPE TOTAL FEE $ 56.00 1 HAZ. D. FEES IMP + FLAOD 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., ///[ i / 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 01-071 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 IT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-111-043 C-1 ZONING BUILDING PERM OWNER TELEPHONE 589-3482 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 6348 JACK HILL DR. OROVILLE 95 CONTRACTOR'S N LUMAN ELECTRIC TELEPHONE CONTRACTOR'S MAULING ADDRESS 5561 TOWER WY -ADM= IRD OROVILU CA- 95966 CONSTRUCTION LENDER Fireplace LENDER'S Ma UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3323 ORO BANGOR Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 100 AMP ELECTRIC SERVICE CHANGE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WT @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 20. OR tEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ` License Class /r, Lic. No. 4_A % % OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) )a I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that H I should become subject to the workers' compensatorprovisions of section 3700 of the Labor Code, I shall forthwith comply with os provisions. X Date ���_ �� Signature of Applicant- ❑ ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. OWEWNO OCCUP. SO EE CU OR ADONS. ( a ACC. BUDS. 3.5¢FT. NNK)N�HEOSID. MULTI .OUTLET @7,50 POW R APPARATus a SINGLE oVILET CIR. .00 EX. Occup. OUTLET OR FIXTURES aAL @ I.50 Ex. Occu . ouTLEEDrs RES D.DFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPEC110N 4/6/01 2-1.00 PERMIT FEE S 66,QQ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D FEES IMP I FLOODT7FrF;Z;;9 PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Cod d/or Resolutions to do work indicated a ve for w fee have been paid. s B 10M / Date PERMIT EXPIRES ONITE-D.D.S.-B.D. ��pef—B rReceiptNo. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . J - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Oe6 ! /a5 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 IT No. (Rev. 12196) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMB ' I L�� - — - - - -- -- - ZONING(/ -- ---- BUILDING PERMIT OWNER LL 11 (✓ IV -'� �. T E SO. FT. OCC. BUILDING VALUATION OWNERS IUNG O S CO RACTOR'S NAME Lumc—�An TRY CONTR/�1CT0 sU Ao SS (�34' (�) J 1 TELEPHONE 33— �~ _ CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS •`7 Permit Fee $ Plan Checkina Fee $ Energy Plan Checking Fee $ $ PERMIT FEE S IDT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Y,Duplex ❑ Mobilehome ❑ Other sPEclFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 De ribs Work: C)OW L C Each gas water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 — - - ---- ` 1 *PERMIT FEE PAID - - SRA SHERIFF OTHER AMOUNT RECEIVED .� / !/J1 I �� . r *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Main Service ORs S 23.00 Main Service 0A 46.00 NEWCONST. CUP. SO OR ADONS. S. 3.5QTNEW L ONS . ET NON•RESID. 97.50 POWER AP= APPARATUS 8 SINGLE OCIR. Ex. Occup. OUnET OR FDCTURES 0 1.00 BAL 0 .SO Ex. Occup. FIXED APPLNS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 t iscSlNii 23.00 now MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation on PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCc CONST FEE $ HAZ. jT-YPETOTAL DIMP FLOOD CDF PARCEL 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 re OWNER: DATE: --4- 5 r D LOCATION: unm A.P. CONTRACTOR: i ZONING: I PRE-INSPETION FOR:Ice &AV DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE AS FOLLOWS: Building Description: Commercial/Usage: Residential/# of Units:_ Currently Occupied AbandonedNacant Electric: Yes No Condition of Electric BUILDING IN6PECTOR'S REPORT Electric currently On Off Gas: Natural Propane None Currently On Obvious Problems: Sanitation - Plumbing / Plumbin Workin V g Well Working Potable Water Obvious SewageProblems Off Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR i Inspecto Date r" Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARC`EL,NUMB5L ( f J 2oNNG � j BUILDING PERMIT OWNER 1�V/lIV NO 3 D (� E SQ. Fr. OCC. BUILDING VALUATION OWNER9 �57\ _i / \ l..• ' A . ni' / 1 //t/ LEN)ER•S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGWEEA9 MASJNG ADDRESS BUILDwG ADOREss r �� LOT NO. I SUBONSIONSNAME J USEOFSTRUCTURE SF )7 Dunlex ❑ Mnhllwhnmw rl rUk— TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ De ribs Work: _ J *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVEb *RECEIPT NUMBER �f * TO BE PVT INTO COMPVTER PERMIT FEE S ELECTRICAL PERMIT Mein Service 200; OR LESS 000v OR LESS Main Service 200A TO 1000A NEW CONST. DWELLING OCCUP. OR ADDNS. 6 ACC. BLOS. NO MULTI -OUTLET NON-RESID. POWER APPARATUS I&SOLE OUn,ET CIR. E%. Occup. OUTLET OR FWTURES E%. OCCUOM=.,OR EA. Tem orar I Service Mbbile 'Home Facilities isc. Wiriag 4ERMIT4FE' i u MECHANICAL PERMIT 20.00 fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 C5?20.00 ng Fee 20.00 23.00 48.00 3.5¢FT. @7.50 5.00 23.00 20.00 23.00 Z i f Fee 20.00 8.50 PERMIT FEPMHD Mobile Home Installation FeeEnergy Inspection Feeocc cONST.TYPE TOTAL FEHAZ. D. FEES IMP FLOOD 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 PERMIT EXPIRES ON Date Fire P, lace Total Valuation S UCENSE NO. Filing Fee y Permit Fee S Plan Checking Fee S Energy Plan Checking Fee S S PARCEL MAY PERMIT FEE t PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping ❑ 0— Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home7 S I G W PERMIT FEE S ELECTRICAL PERMIT Mein Service 200; OR LESS 000v OR LESS Main Service 200A TO 1000A NEW CONST. DWELLING OCCUP. OR ADDNS. 6 ACC. BLOS. NO MULTI -OUTLET NON-RESID. POWER APPARATUS I&SOLE OUn,ET CIR. E%. Occup. OUTLET OR FWTURES E%. OCCUOM=.,OR EA. Tem orar I Service Mbbile 'Home Facilities isc. Wiriag 4ERMIT4FE' i u MECHANICAL PERMIT 20.00 fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 C5?20.00 ng Fee 20.00 23.00 48.00 3.5¢FT. @7.50 5.00 23.00 20.00 23.00 Z i f Fee 20.00 8.50 PERMIT FEPMHD Mobile Home Installation FeeEnergy Inspection Feeocc cONST.TYPE TOTAL FEHAZ. D. FEES IMP FLOOD 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 PERMIT EXPIRES ON Date 36-111 - Wf3 36-111-43 RGN Sti91 TH Permit#752-90B 5291 LOWER VVYNDOTTE RU. GROV I LLE (walk-in _'box/market) ' PERMIT /5336-75E(ELEC. ONLY) - ROBERTSON MKT. GRO RY ' ,• / 036=111-043 2 -87 ; :C.0.N-T YnUNG-- -ELEC. �.1� // I Robertson's Market 36-111-O 5230 Lower Wyandot Oroville , 90BERTSONS MARKET �, (reroof-hot tar) / i' .5291 Lower Wyandotte, Oroville 1 036-11-1-043 93-3016 B Contr: LaGrone Htg & AC'F6 ' ROBERTSON, ENID hyPermit #5739-79P,E,M(duo pac) ( 5291 LOWER WYANDOTTE AVE f i grocery store i. �'.? �;��•'o',' REROOF/MARKET �- --- — -- _-- - - CONTR : GEORGE ROOFING s PERMIT#96-1142 i Contr : Don George, Oroville ; ROBERTSONS MKT i • i5291 Lower Wyandotte, Oroville Permit#633-80B(reroof) grocery 'Cont; Daniel Heal Plbg i :Relocate Gas Meter/Market ` < 36-111-13 Gerald Cook ` 5233 Lower W andotte, Oroville °4 Contr: The Fireplace Outlet, Paradise Permit ##- 532-82B (install freestanding stove) SF r 36-111-13 Permit#868-85B(addition/market) 36-111-13 j` Permit#1800=85E(ele/868-85)mkt 36-111-13 f �; ENID ROBERTSON 3329 Oro Bangor Hwy, Oroville Permit#3315-85B(reroof carport) , l .. •� ...1,x`.4 3,433 �j 36-111-43 - Permit#1409-88B(reroof/SF). 5 36-111-43% ; j ContR: Strang Electric � PErmit#29-89E(ceiling fans & elec ser) store i :¢ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 E MIT NO. APPLICATION A' ND PERMIT �- ASSESSOR PARCEL NUMBER 036-111-043 ZONING BU ING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 5291 LOWER WYANDOTTE PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDN510NS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MKT SPECIFY .Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities & Installation ❑ Other ❑ Describe Work: RELOCATE GAS METER Mobile Home SG W @20.00 PERMITFEE 1g 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Mein Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 1 .j'n full force and effect. G License Class `" 3 e- Lic. No. - ! O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 S ( POWER APPARATUS ) 8 SINGLE OUTLET UCIR EX. Occup. OUTLET OR FIXTURES ( ) 20 Q 1.00 SAL 90 EX. Occup. ( OUTLETS R D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perf rmance of work for which this permit is issued. My workers' n in r ce Carrie and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Num er — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not Loy any person in any manner so as to become subject to workers' c pe ation laws of California, and agree that if I should become subject to the rkers compensation provisions of ection 3700 of the Labor Code, I shall rthwit comply with those p Sion X Date j _ Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructiono� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OAC CONST. TYPE TOTAL FEE $ 35.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have y PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date,5-.28 - (Dat ) Receipt No. 195600 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 APPLICATrON`AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O^I I 1-04 3 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CTOR'S NAME I i TELEPHONE CONTRACTORS MAILING ADDRES 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 ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS ^ O( PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ OtherGas ' SPECIFY Each gas water heater or vent 15.00 piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities A, Installation ❑ Other ❑ Describe Work: Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 ' (Main Service OOOV OR LESS 20 A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( & ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) d SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1-00 BAL 0 .SO Ex. Occup. (oFIXED tR ISE ISE INS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring t23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is GCC i CONST. TYPE �7T, TOTAL FEE $ J HA2. I D. FEES IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 7.69 Nn WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -.y�"':C�'•3'�8��"'r"'r; � v',,�res+".�"'TF'+ `4tt-..�.,,�'.•„ �,�� fs,Y4.4'1.rrs•,tr""�=::t`:.t+�y-•�-' ei'Ir+:iFu y? 4: 4cc;` -'_yr4.`*,•.,K►t._.+;.#, ». ' '' _ 03�=11=1=043 t a ' '93-3016 B c-• ` ROBERTSON; ENID . •' , r 05291 LOWER'.WYANDOTTE",AVE, OROVILLE / { REROOF/MARKET CONTR. GEORGE 'ROOFING t el • f .w ase i ' n t � t ... �.. ,. A,�,-..- ..•.-qs•- . •Fryr„ ... T... �Bj. �. . - -. •v -r-�c �.....•� •r..•.- r.+vr� �.- . .. •r.+'1.,-�JN'a%y,,,r1¢„ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Hf 7 County Center Drive - Oroville, California 95965 Telephone (916) 538-7541 PER No. 'µ APPLICATIQN AND PERMIT } ASSESSOR PARCEL NUMBER I ZONING c BUILDING PERMIT OWNER1,; • A TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILNG ADDRE _ r 161U4 CONTflAC R'S NAME r Z TELEPHONE 3- CONTRACTO 'S AILING 6DDRESS ( ro Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ y p, ap 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 j , PERMIT FEE $ A40— : PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ... --i ..w...S ry...::rw :py.. i�;.w.:,..•",...,..,..,:�.ytJ.,.�w. rr--'...: a�yr�rfs -.-,..... �.... ,,rN.:..w,;. i,:H _%. •�. . , _ -:_ . Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. • SUBDIVISION'S NAME ' • f ► -. PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE I .�,......,.w......„r.- : I SF C) Duplex 0 Mobilehome'O Other SA & 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 O O Addition ❑ Remodel ❑ Utilities ❑ Installation Other • Describe Work: S PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 \ �i L�.aSt,�,.,C , 1AV� L1'k' �.A A �.'�G —t -L \' 1 X A"�(�l Main Service 600V OR LLESSESS ( 20A OR / 23.00 000 Main Service ( 200A TO 1000A ) 46.00 1 NEW CONST.DWELLING OCCUP. So, OR ADONS. ( & ACC. BLOS. 3.50 FT. 1 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. LicenseNo.���� Classification C-3 ❑ 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 1 @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL.20 @ 1.50 Ex. Occup. FIXED (RESIO OR p' (OUTLETS IRESID.1 EA. ) 5•QC 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): 1 + This permit'is fori$100'.00 (valuation) or less. °` r ,�.. + ' =' I r.'" '�• 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. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. `;-1 , Notice to Applicant: If afte► 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 I 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 ' corisequence f the granting of this permit. ~ Date 9—;! —`'j,3 Signature of Ap (cant - Q 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, $ —C ...... Energy Inspection Fee $ OCC CONST. TYPE TOTAL` FEE HAz• D. FEES IMP FLOOD COF PARCEL PO ND ISSN 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 , q BY -Date By PERMIT EXPIRES ON '(Date/ Receipt No. 149664 WHITE-D.D.S_.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SE -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Te p ne (916) 538-754 �` ? � I NO. APPLICATION -AIND PER I U - ASSESSOR PARCEL NUMBER D�3 ZONING G BUILDING PERMIT OWNER i TELEPHONE �� _ lO SQ. FT. OCC. BUILDING VALUAT �?4 ye" DO OWNER'S MLI G ADORE CONTRACT R'S NAME � TELEPHONE CONTRACTOR' (LING 4DORESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 0, O 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 O SF Duplex ❑ Mobilehome ❑ Other S�C� 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 (3Remodel ❑ Utilities O Installation ElOther Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 L Main Service600V OR LESS ( 20OA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.50 FST.0. CONTRACTORS LICENSE LAW I dgglare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C e and my license is in full fore and effect. License No. („ _Classification �'39 ❑ 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-FESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.0000 BAL. Ex. Occu FIXED APPLNS. OR Occup. (OUTLETS (RESID.) 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. O 1 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 ' consequence the granting of this permit. C GL/ Date 9—Z-23 Signature of Ap Icent - ❑ 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 �` ` $ ti' ' DCC CONST. TYPE TOTAL FEE ,$ HAZ. D. FEES IMP F100D COF PARCEL PD HD ISS 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 ORKSWW/, By Date PERMIT EXPIRESON lDetel Receipt No. 148664IF WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " . � �a�� �%� .. ,�o, �. i Permit 2676-87B Robertsons Market 528-ower Wyandotte Rd Oro 0 COUNTY,.OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telepho6e:1916/538-7541 C-, - APPLICATION AND PERMIT I ASSES SQR PA_ C ^_ 1 WMBER -'-•+ �i �L ZO N,ING sc> BUILDING PERMIT OWNE I r7 R' !M° F- TELEPHONE SQ. FT. OCC. BUILDING VALUATION AIL INS,G ADDRESS OWNER'S ESS /e�A /CONTR 130 WV � A CT Og'S NAME �eY fl. f�dE�F�.--NE�\� ~` CONTRACTOR'SA-ILING .ADDRESS %% rJr /0 `} l� V E Jlr�i U ! Ile Fireplace i CONSTRUCTION LENDER / UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .5 ARCHITECT OR ENGINEER LICENS-- NO. r Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS ! ! Permit fee $ PLUMBING PERMITFilin gFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE � SF ❑ Duplex❑ Mobilehome❑ Other Y` �Q I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W0.00 ea ' TYPE OF WORK New❑ Addition [I Remodel[] Utilities Instal tionOther Describe work:. �O ❑ i _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 •- Main service BOOV OR LESS 10.00 100 AMP OR LESS 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. 9, Div. 3 of the•Buslness and Profession ode a d my license is in full force and effect. ^- . License No. Classification ❑ 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 , ontract- ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) 1. Drs. ❑ I am exemptlunder Sec. , Business and Professions Code i ffoit this reason I i ` .. � S NEW CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. +/zQsgft NEW CONSTR. M ULT' -OUTLET .2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. 20®SO¢ Ex. Occup(OUTLETS OR FIXTURES NLO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities ` 15.00 Misc. Wiring 15.00 ��+ Permit Fee r,$ Contractor, ', WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury •(check one):- r-]Thepermit is for $100.00 (valuation) or less-- [9,.,l have placed on file with the County of Butte Building Department a Certificate of Workmen's Co pensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not, employ any person (n y' n er so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, shouliiyou•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 1 + 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 her au thionze�representativeslof the Countyot Butte to enter upon the ab o e- e4rti Q+hed p o erty for inspection, purposes. I also agree tovsave, inc d'iceJp harmless the County of Butte against all liabilitiee judgments, costs, and,ezpensses which may in any way accrue against said County in co�nsequ'e -e oT the granting of thi's..permit. �X ��f �'ir xxx Date Signature of Ap,0llicant — Owner Contractor E]Agent E] 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 $ TOTAL PERMIT FEE, $ f� ocCUP. CONST.TYPE FLOOD PARCEL PD NO 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. DJRE�:TO O PUBLIC WORKS / .� By�7� . Date _ _ r PRMIT EXPIRES Date I ��_ Receipt No. % ?�l.5 WHITE-D.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT RMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 e)�,' 1J/, APPUGATION AND PERMIT ASS S R PA _C MBER 20 G BUILDING PERMIT o ETELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR S eE Oro It/ ON RAC TO •S N N TE EPH A CON RAC O 'S LING ADDRESS n V Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V^ Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other --fa I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Instal ❑ Other P( Describe work: 1 / Imo' _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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): S-11', am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession de a d my license is in full forc 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN CCUP.91\ OREADDNS'/zQsgft " T DWELGS / NEW CONSTR.ULTI.OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. / EX. Occup\OUTLETS OR FIXTURES AL930 °AL®2so Ex. Occup. OUTLETS (FIXED PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Eq,,f have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree t save, indemnify and keep harmless the County of Butte against all liabiliti judgments, c sts, andexpenses which may in any way accrue against s County in co e e the granting of this permit. X � j/� Contractor Agent Signature of A Kant — Owner Ei/ El An OSHA p mit 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPc FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County -Code and/or work indi d above for which RE PU B P IT EXPIRES Date the applicable provi- resolutions to do fee have been paid. ORKS 12 Dat //� Receipt No.;52 WN ITE-O.P.W., •ELLOW-ASe[990R. PINK -INSPECTOR, GOLDENROD -APPLICANT �. , .. •� �• . .. , `�; .. .e I S v C CS r •' . ; .« eli•a�. $1 . . ;'r _ y'.'.�f } 'i _ i'j"` y....4-nr.�q. Jl . _ .. y+� r i4 .. .�, .•'11.. fi`3*:'~ w- .x41.:'�•.�.;.�7 � , _ �-.i+�.1�}� .. �7 i' -. — ' �. COUNTY 'OF BUTTE DEPARTMENT OF PUBLIC WORKS- PERMIT NO. !-County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 i j " """ " : • + APPLICATION -AND 0 ND PERMIT 1 i ASSESSOR PA,. CEL NUMBER ZONING BUILDING PERMIT OWNER' .. T„E,L PHONE f& m/ Son �W - /I?SS SO. FT. OCC. BUILDING VALUATION sQ ivM cls /�tcs/�hed OWNER'S'Y NGt_DIJIEj` I_ (.Jucf1,4-Q -k Circ. lt5,9�,� ` CONTRACTOR' NAME t TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee '"� $ % (� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ,-, "' SF LbY Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS I G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Permit Fee S „ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 10.00 100 AMP OR LESS 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. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ' License No. Classification 1' 1, as the owner, or:rny employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am'excluslvely contracting with licensed contract- ors. (Sec. 7044) ^' ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADDNS. ACC. BLDGS. ( DWELLING OCCURM ,�2¢Sgft NEW CONSTR.U TI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. I EX. OCCUp OUTLETS OR FIXTURES 82DAes0s LO 30 Ex. Occup. our E TS P(RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. a I shall not employ any person in any.manner so as to become subject r to the W. C. laws of California. 1. t .. 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee s 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, rand expenses which may in any way accrue against said County�in consequence of the granting of .this permit. ,� Date -� ” / - 11 ` Signature of Applicant Owner ,❑ ., Contractor❑ Agent t ❑ — An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE,,% ... $412 �; O OccUP. CONST.T;7 I SCHOOL PLOOD PARCEL P11 NO 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. OR%O01PUBLIC WORKS DIREC&�Zl B /1111 y_e /j, TReceipt PERMIT EXPIRES Date _L* ,/W - .c No. If�ll�t/� WNITE-O.P.W., YELLOW-ASRL 3OR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4/� Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 o _ APPLICATION"ANO OERMIT ASSESSOR PICC NU R ZON NG — r BUILDING PERMIT ow E (�1 (gym O PH,o7Ef SO. FT. OCC. BUILDING VA U ON/ UdO 69(p�7/� OWN E 'S MAILING ADDRESS � � NT ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $$ BUILDING DRESS - V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OOV OR Main service 100 AMP ORSLESS 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. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.li , OR ADDNS. ACC. BLDGS. ) /20sgft NEW CONSTR U TI.OUTLET '2.50 ea NON.RESID BRANCH CIRC ITS APPARATUS e (SINGLE OUTLET CIR. ) EX. OCcup(OUTLETS OR FIXTURES AL 0 eALo 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. I shall not employ any person in any manner so as to become subject I Y"� to the W. C. laws of California. Notice to Applicant: If after making this statement, -should you become subject 1 to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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 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 I' ilities, judg ts, costs, and expenses which may in any way accrue ag ns said out consequence of the granting of this permit. Date L� Signature of Applicant — Owner Contractor ❑ Agent ❑ 1tvAn 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 $ TOTAL PERMIT FEE $ Occup. CONST.TTPC SCHOOL FLOOD PARCEL I PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indic above for which ECT PURYLIV6RKS BY PER IT XPIRES Date the applicable provi- resolutions to do fees have been paid. Date Receipt No. l0 �� WHITE-D.P.W.. YELLOW-ASS93SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -$PUBLIC WORKS - BUILDING DIVISION r '• 7 COUNTY CENTER DRIVE - 0ROVILLE.,kCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �`-' l l t IG�tY\ O t' I �JHi� A. P. No. — 743 V Proposed Building Use C Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . , , 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 1.7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 02T<4. Owner -Builder Verification (Given to owner[], Mail to. owner Q'� S AQ _15. Improvements may be required. . . . . , . . . , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Recorded .copy of ftricultural Acknowledgment Statement. 19. Driveway Permit'. 20.., Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When Issue the permit, proces as follows: Mail to owner, Mail to contractor. Telephone`f "� 3 and hold for pickup at �C7office, Deliver w/inspector. Other Applican ey ^. Copy of plans sent Health Dept., Fire Dept., Other Date 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, was advised of above required data by_phoneLL—inail_counter by47ff (date Contractor, designer, owner, was advised of above required data by—phone —ma II counter by date Plans checked by Date Plans approved by l Date Sets of plans on hold in File cabinet AP folder Copy—DPW �y 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) zoJ 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 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 G'/iiC. i71 �G�;rrF✓ Social Security Number Date��� NOTE: This Owner -Builder Verification is sent to you as required by.Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to�our office before we are per- mitted to issue the permit. 36-111-�f 1(4 0q_ g�, s......�J-...s..,.--:",rsrq—rs.�-`tii..y...r,.r.+,,.a.d,s�-{#i.�.+ _ .'/"X+rr7.�.�:—�eW:.�,t-•.�e..tl' .:.+w�c-•—+r.yo�„-� : COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico. -Phone: 891-2751 7 County Center Drive', Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307• CORRECTION NOTICE. G� o��� OWNER PERMIT NO. A routine inspection indicates that the following.violations of County Ordinance exist at the,. above address and should be corrected-Mease notify this .office when correction of work is completed. if you have any question pertain.Ing. to' this . matter, or need: additional explanation, :please. contact. this, office Immediately. -(u 4J �A� Inspector Date - --+.+S-r .i• :z'-f'�� ""s".�.""."""+'far,.''maw+i.F'i"a�'v�ci""�t%+'{iS,s`.d'ita•wr.+e.i�W'r.zv=�r�ti:.�.:......�:.� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r G+ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 (. 747 Elliott Road, Paradise — Phone: 872-6307 - CORRECTION NOTICE 2 If 7 �5 OW PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. InspectorA/X/ Date7-1 a� MASONRY WALLS N E S W 1st Lift 2nd. Lift 3rd Lift. 4th Lift 5th Lift 6th Lift FARE WALLS (Occueancy, Area Propert Gypsum.Board 1st Layer 2nd Layer. Walls Ceilings L 1409-88 2197-89 COMMERCIAL 36-111-43 752-90B ROBERTSONS MARKET 5291 Lower Wyandotte AVe, Oroville Contr: Better Builders (walk-in box/market) -7/ I JOB FINALED (Date) Signature CERTIFICATE OF OCCUPAN ISSUED (Date) Signature. V=OK O=Not OK - = Not Applicable C®MME ' Not Ready Date UNDERFLOOR (Plans) OK except #'s onin :Setbacks -Easements -Flood -Slope -Soil Report g., 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. D.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 A2�-,:k Card B-1 IgE - 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. Hand icap-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/Mech. 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. Hi. V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers 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) 'RCIAL 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 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-Mech. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 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-Mech. 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-Draina e & Wood -Earth Clearance Looked under Floor Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; PIbg.-Appliance-Firep lace: 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: 44. Fire Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearing -Support Fix. Certificate of Occupancy (NOTE: An entry must be made each time you visit the job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N0. 7 County Center Drive - Orowille, California 95965 - Telephone: 916/538-7541. _ 41-3 APPLICATION AND PERMIT ASS R PARCEL NUMBER S;W ZONING BUILDING PER IT OWNEnid TELEPHONE E`Pek, - _—o 2 fr �S v s32 -ofyo SO. FT. OCC. BUIL NG VALUATION OWN 'S MAI LI 1�7DDR ESS U Es CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILI ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee _ $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Q Permit fee $ � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 5- c' USE OF STRUCTURE .Gas piping system 1 - 5 outlets 5.00 SF�J Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECI FY Mobile Home S G I W 0.00 ea TYPE OF WORK. New ❑ Addition ❑ ❑ )sfI t� Remodel Utilitieso Installation Other Permit Fee �.� $ S 1 Describe work: I:4 W , t^ , erg -e Contractor ELECTRICAL PERMIT Filing Fee 10.00 011 OR LEMain service 100 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.N OR AODNS. , /20sgft I declare under penalty of (check . p Y perjury y (econe): ACC. BLDGS. NEW CONSTR. TI.OUTLET ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ NON.RESID .BRA CH CIRC TS POWER APPARATUS d 2.50 ea and Professions Code and my license is in full force and effect. (POWER OUTLET CIR. License No. Classification Ex. OCCU OUTLETS OR FIXTURES p� t 8AL@eALa3o 156, 1, as the owner, or my employees with wages as their sole compen- . FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec.—, Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g J& I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Perrnit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have'read this application and state that the above information Mobile Home Installation Fee $ 1s correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ S U— I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD ND 139UE all liabilities, judgments, costs, and expenses which• may in any way accrue against said ount y se uence of the granting of this permit. I y / /7u X-GC/G�!/(/� Date This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agen work ( ated above for which fees have been paid. An OSHA permit is required for excav ions over 5'0" deep and demolition or construct- DIROF P WORKS ion of structures over 3 stories in height. Receipt No. G�G�Z BY t D o WHITE-D.P.W.. YELLOW-^3SC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT I EXPIRES 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/hava-) au signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 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. I will provide some of the work but I have contracted (hired) the following .persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date r. 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. COMPLAINANT. ADDRESS PHONE NUMBER: OTHER COMMENTS: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cpunty &enter Drive',�Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-111-43 ZONING BUILDING PERM OWNER Robertson's TELEPHONE SO. FT. OCC. BUILDING VALUATION Contr 5000 OWNER'S MAILING ADDRESS PO Box 43 oville 95965 CONTRACTOR'SNAME Better Riiilders TELEPHONE 989-2574 CONTRACTOR'S MAILING ADDRESS 99966 Fireplace CONSTRUCT ON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 25.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 85.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Market SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ AdditionFN Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Walk—In Box _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare un penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full fort 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.!! OR ADONS. ( ACC. BLDGS. , /20sq ft NEW CONSTR. ULLOUT LET NO N.R E SID BRANT CH CIRC ITS 2.50 ea POWER APPARATUSN) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLE TS OR FIXTURES eAL020080¢ 1.2030 Ex. Occup. ouT ETS (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject 'to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 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, judgments, costs, and expenses which may in any way accrue against s 'd Cou y i. cos enc of the granting of this permit. X , Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ 1 CONST TYPE �— TOTAL FEE $ 85.75 HAz CUA PARK SCHL FLD PAR Y P D Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Zi, -t.—F-0 ^�' Receipt NO. 6 J(O.S WHITE-O.P.W..`r ELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .7�''A'FYw"'SY'�.`�,.�K Nuri"`r�..'ik''tlr'�S"j`,!4'i%i'j4'�it\"Y'riY"'.3.�`i�'.-.+4 �-'r,: .+ ` Fi%'` • ...,+'1.... .,�„ COUNTY OF BUTTE - DEPARTMENT OFPUBLIC. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;'6ALIVO•RN9'A 9n3;)6VELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET/ Permit No. el f/ OWNER I5 A. P. No. —� Proposed,Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: '• DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 43. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting'documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) - 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from - L, Health Department / X I 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use:.�ZOL (B) Parking:�pe�..... 0%- _� 18. Improvements may be required. Contact Land Development Section DPW 3/y0 G� 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to I Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation.lnsurance 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... Recorded copy of Agricultural Acknowledgment Statement ..:...... 5. Letter f si naatu/rhe/ authoriz i 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. rTelephone-�S�*nd hold for pickup atoffice. Deliver w/inspector. Other .. "'Appl icant'L s Date. . Copy of plans sent Health Dept., Fire Dept., Other Date 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: i Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_coun g by date Plans checked by Copy—DPW Date, Plans approved by Sets of plans on hold in File cabinet AP folder Date BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER 7s� w APN 3 lQ P/- V3 Firm NameiO4�-Y' IS()&--) �S Imo\ 7 Address i L-owe_-ir dy ll nd(D H,,__ - Nature of Business C?rn�er! S'iY re Contact Person Ty-. Ief' bf '_V-_rr_sCL �'oFl Phone # 1. Does your business or that -of your tennants handle, store, or transport hazardous materials? 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 st ndard temperature 4 pressure), or formulation containing hazardous material? 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. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or. school 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 es, vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative ���� ( ignature/ (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, El25533, and.25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. ® 1:1 The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. )FACTUMNO COMPAXY TRANSMITTAL Post Office Box 61522 Vancouver, Washington 98666-1522 (206) 695-3230 TO: DATE: ATT'N: t -A REFERENCE: 'P, E L'S 'FOOD S WE ARE SENDING YOU: SHOP DRAWINGS El PIT DETAILS HER Eg-'SPECIFICATIONS E?-bETAILS El COPY OF LETTER El CURB PLANS. REMARKS: F lZ E R -A T' k 11,3 4) -CcRIA QF:- I K-NS7-'f-'-tk ildi QNJ T? -L, T5) T)t�r-,-kL- QF- ISEPMc. P. THESE ARE TRANSMITTED AS CHECKED BELOW: El FOR APPROVAL El �F0 -YOUR USE El AS REQUESTED El FOR REVIEW AND COMMENT BY 26&Ll Q -1 REVIEWED AS SUBMITTED RETURNED FOR CORRECTIONS REVISE AND RESUBMIT IIAR-22-1990 11:24 FROM ISOLOC MANUFACTURING CO. TO 1022219169272315 P.02/09 BRYX May 1, 1884 - Fwmed Plastic H . BASF WYANDOTTE CORP 86917 (N) 7yp., ff<12i, YFltz. 8422 40—amt horn F wren +kata'flNA In • doakn.0 or ator.d In an o f.een Wckn..., as bn%6 0&. for a a.rifiny of 1.26 E ' E C :. G : F f 7 � 21 dtp,rn..poW aa0 anwk. Ra.Nop.d noo:0.0 pA.IN �i.s.riN ..rM1rKA M tf» oripin.l t.st yor4 � = •tfor� tenMbn d molbn rwlduo on tM fum.o, floor r..Wtd b fkxn.lrh.1 p4rM4nt 10 ialCutK.A i �un..vraao aa8nwn+on a s and srnok• a.r.+owa o1auM+ot+on a roz6o. Tr 6 100 CHERRY HILL RD •:LOOK FOR CLASSIFICATION MARKING ON PRODUCT 15817, 85NK3820 luno 4. 14R5 -Page 4 •Replaces R5817G dsted Nov. 1, 1963. '2110012 ism UnderwNtm LaboratorlYa Ince sW010153a ' A O SURFACE BURNING CHARACTERIST_GS 1 in. 2 in. n. 6 in. Thick Thick Thick 3 in. Thick / Maximum* Maximum* I:axi.murrA_ 2 Thick* Maximum* FLAME SPREAD _ 10U 1014 15 #(1;1 5+ 15++ Smoy,E DEVELOPED 45-125P 45-125## 45-125f f4i _• 95+ 95-1254-f * -- Installed in a thickness, or stored in an effective thickness, as indicated, for a density of "1.0 pcf. - Flame spread and smoke developed recorded while 'material remained in the original test position. Ignition of molten residue on the furnace floor xeaultod in flame trAVej equivalent to calculated flame spread Classification of 5 and smoke developed Classification of 165-200. Flame spread and smoke developed recorded while material remained in the original test position. Ignition of molten residue on the furnace floor resulted in flame travel equivalent tv 4aleulated flame spread Classification of 35 and smoke developed Classification of 450. spread and smoke developed recorded while x al remained in the original test ositio. g 'on Of molten residue an the furnace »e floor X ed in flame travel equivalent to calCUlSted flame, ad claaci_fluaLloh, of 35-50 and smo)(P d.ave,7,opv.0. _�_ • Classification of over $00. Flame spread and smoke developed recordea while material remained in the original test position. X911itiOn of molten residue On the furnace floor resuired 111, fI&zne tr4val squivalent tn. CaleU)Oted 11ame -spie&d Classification of 5 and smoke developed Classification of 200-400. ++ Flame spread and smoke developed recorded while Inaterial remained in the original test position. Ignition of molten residue on -the furnace floor resulted In Ilame travel equivalent to calculated dame PRODUCT NAME SEALANT JMC/AL /STS 6 SILICONE SEALANT PRODUCER John Latta Associates, Inc. 1001 S.E. Division Street Portland, OR 97202 (503)238-1253 PRODUCT DESCRIPTION Uses: Seerent Specie/islsC, SILICONE SEALANT i5 a one com - ponentadhesive/sealant that cures to a tough, rubbery solid when exposed to moisture in the air. It is a non sag sealant that will ad- here to clean metal, glass, vul- canized silicone rubber , siliame resins, natural and synthetic fibers, ceramic, paper as well as many painted and plastic surfaces. For specific non- recorn mended surfaces, see'Limitations'. Typical Applications: +� in general glazing operations • for general sealing applications, such as sheetmetal, skylights, ventilators and air conditioning * in expansion points and curtain wall joints +� for metal or plastic signs bedding of marine hardware or sealing of marine cabins and windows Weatherability: Sea/ant Specialists® Silicone Sealant remains flexible to extreme temperatures. This materiel is 1001E solids; shrinkage due to weathering is negligible. Resis- tance to ultraviolet and ozone is excellent. Compatibility: Sea/s,71 Specialists ® Silicone Sealant offers good resistance to most solvents and oils, organic and inorganic chemicals. Composition: Ses/enl Specialists O Silicone Sealant is a 1009 silicone rubber. Packaging: Packaged in 10.3 U.S. FL OZ (305m1) plastic cartridges, (fits standard size caulking gun) 12 cartridges per case. Colors: Available in clear, white, aluminum, and bronze. Limitations: Not for use in structural glazing. aqua- riums or conditions of con- tinuous immersion. Not for use on concrete, marble, limestone, lead zinc or galvanized steel. SILICONE SEALANT TECHNICAL DATA Applicable Standards/ Specs: See%nl Specie/isls ® Si 1 icone Sealant is designed to meet the following specifications: *Federal Spec's TT -S- 001543A and TT -S-002300, also . the requirement of MIL -A -46106A Amend 2, Type I Is When fully cured and washed, FDA regulation No. 21 CFR 177.2600 ( formerly 121.2562) subject to end use compliance with any applicable total extractives limitations. *National Sanitation Foundation under the cribrie C2 for direct food contact *Underwriter Lebroratories for service to 3024F (150QC) where elongation is not essential. U.S. Department of Agriculture for use in federally inspected meat and poultry plants. ( Refer to Table I -Typical Physical ties SEALANT SPEC/AL/STS ©SILICONE SEALANT Table 1 - Typical Properties Tack -Free Time (772F & SOX RH) 10-20 minutes Cure Time (772F & SOZRH, 1/8 -bead) 24 hours Extrusion Rete ( 1/8" orifice, 90 psi) 400 gms/min. Sag or Slump (1 /8" x 4" bead in inches) None Tensil Strength ASTM D 412 400 psi Peel Strength ASTM D 412 40 pli Tear Strength ASTM D 412 45 psi Shore A Hardness ASTM D 676 30 Elongation ASTM D 412 4502 Brittle Point ASTM D 746 -752F Maximum Continuous Operating Temperature 4002E These values are not intended for preparation of specirications..All tech- nical information contained herein is based on tests we bell" to be reliable, but the accuracy therofis not guaranteed. Joint Des4p: figure 1 illu- strates why a thin bead of silicone will allow more movement than a thick bead Sealant Specialists B Silicone Sealant should be no more then 3/8" thick and no less then 1/8" thick. figure 2 illustrates the use of a polyethylene backer - rod to achieve proper joint depth and to act as a bond breaker to prevent three sided adhesion which can result in joint failure NORMAL oNAx.lsw« MMIFACE iiLICONE t T ExCESSWE SURFACE STWTC, MAY TEAR SEALANT 52� ".ANT LOW STRE" AT so"0 LNIE MACE BTREECH IAS IVUi Figure t T'""'11 'S 0 p . Ap►�t8gw pur to - ro �o�+T wives � ° 000 g o . °,moo°.° O p° Soo .Po FOLrf tpQrt�ArY�EME DoE ZU► 'o°. 0 F0 aL flp THER 111 WAD W!{T �E No 1048111Eo THAN 1 * 000- �j�A; SILICONE INSTALLATION Preparation: For best results, joint surfaces must be clean, dry,. sound and free of frost. Tape can be used on smooth surfaces to ma3k when a clean line is required. Method: Sealant can be applied directly from the plastic car- tridge. Remove cap and cut nozzle to desired opening. Insert car- tridge in caulking gun and apply sealant, wetting both sides of bond. Joints should be tooled imme- diately (before skin forms at approximately 20 minutes) Cure Rate: At conditions of at least* 754F ( 2440) and 5031 relative humidity, the sealant forms a tack -free skin within 20 minutes. Tooling is not practical after this skin begins forming, and should be completed within 5 to 10 minutes of application, even though this may require alternate periods of applying and tooling. If masking tape has been used to mark off an area, it should also be removed before the skin forms. Clean up and. removal: Solvents such as napthe, methyl ethyl ketone (MEK) or I JJ -tri- chloroethane are most effective in removing uncured sealant. Storage and shelf life: Stored In the original unopened con- tainers at temperatures less than 902F (324C), Sealant Specialists ® Silicone Sealant offers a shelf life of one year from date of shipment. To prevent curing of the unused portion of an open container, reseal tightly with cep. SEALANT AVAILABILITY See18171 Speciellsls ® Si 1 scone Sealant is available from: John Latta Associates, Inc. 1001 SE Division Street Portland, Oregon 97202 (503)238-1253 or 462.1 Airport Way South Seattle, WA 98108 (206)624-4574 or _. 149 Orobric Ct. WE Suisun, CA 94585 (707)864-0329 TECHNICAL SERVICES Technical services and information ere available from John Latta Associates, Inc. at the addresses and phone numbers above. WARRANTY John Latta Associates, Inc. war- rants Sealsnl Speelellslec9 products to be free of defects for six months from date of invoice. Our obligation to the Purchaser shall be limited to replacing any portion proving defective, or,' at our option only, refunding the purchase price, but shall not in any case exceed the purchase pr ice of the material. User assumes ell other risk, if any, including the risk of any injury, loss or damage, direct or consequential, arising out of the use of, or inability to use, this product. This warranty Is in lieu .of the warranties of merchantability, fitnessse for par- ticuler purpose, and all - other warranties, express or implied. No deviation 1s authorized. R IL Z/ = 11 .1� V pL� • 7 ':.i ✓7 9, ,- , PROJECT�',� CLIENT Kramer CONSULTING ENGINEERS a G e h l e n 400 COLUMBIA ST.. SUITE 240 Assoc. VANCOUVER, WASH. 98660 = ® Inca 206-693-1621 — 503-289-2661 n� x / e-%�N �:yfi� �.- ����.✓ i� 1. ���u/ (i� L/Y r L Lci , A�7 1/ „/ I C I ��! /�.'�l�i��.� L✓J'K, .S J 02 -Z2- ZD5:1 ['/4mLo 20 i l�. ld�r• �r PROJECT live- ;2p GdvL c CLIENT Kramer CONSULTING ENGINEERS o ��3�� G e h l e n 400 COLUMBIA ST., SUITE 240 ci Assoc. VANCOUVER, WASH. 98660 ® I n c. 206=693-1621 — 503-289-2661 s Ki 7 • �/ =7 /, -7,3 K c - � ) 7' Ik 5' ol -PROJECT CLIENT Kramer - CONSULTING ENGINEERS Gehl -en 400 COLUMBIA ST., SUITE. 240 it Assoc. c; VANCOUVER, WASH. 98660 z Inc. 206-693-1621 — 503-289-2661 CL o � Gc��i✓...� mit//��o� S U` USS _v 'ii �� 7J x.29 �'/Giv/I7t`S ✓� 9: PROJECT CLIENT MsKramer Gehle' n Assoc. Inc. CONSULTING ENGINEERS ui o 400 COLUMBIA. ST., SUITE 240 VANCOUVER, WASH. 98660 206-693-1621 — 503-289-2661 a a p"k RIC -7 l Sn� 293 Z)7� —e oI -Z2 = ZD57 = V �•LpLJ �r"�S �E'Ga/r JECT �L Go /�l/� CooL c ENT ram e r CONSULTING ENGINEERSLa 8 e h d e n 400 COLUMBIA ST., SUITE 240 W VANCOUVER, WASH. 98660 aHA[Assoc- I 206-693-1621 — 503-289-2661 g { 5Y.1 d lz I CLIENT lPROJECT Kramer I II Gehlen .Assoc. inc. CONSULTING ENGINEERS 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98660 206-693-1621 - 503-289-2661 " � , ci /,v A/,5 A% 77-2 Z- 5X- 2 G,4. v 1�5714 452 -7 64, 2e-) ,,E�AIDY 145 -944e -Y -n PROJECT CLIENT Z- OL� 2- Kramer CONSULTING` ENGINEERS Gehlen 400 'COLUMBIA ST., SUITE 240 2r6 Assoc. VANCOUVER, WASH. 98660 Ci Inc. 206-693-1621 - 503-289-2661 I Z5-36 0 Z-3 -,o -n PROJECT CLIENT Z- OL� 2- Kramer CONSULTING` ENGINEERS Gehlen 400 'COLUMBIA ST., SUITE 240 2r6 Assoc. VANCOUVER, WASH. 98660 Ci Inc. 206-693-1621 - 503-289-2661 I l3o7 >tI . . • C'����/�✓ ,��v/> X9.5 � �3�i�i�9• �,c�?F�.e/s'� S,�?r7►�G ?' SI,t,�;/S/.5 Tb I>E7�72/�9/.vim ULTi/� Lp,9�S , Gdvt7.9�T� kms, 41& fad �4 TN' vW E72 Z— �PE�STS STRc-5S iN T��/S;�N AS GvQ.L AS C�MP.Fc 55/��1 7 � CF�.4M �Fu4M S/�9in% ST12c55 D /57Z'/�iT>o�/ 7Z) /V,4-i.9Zc5 ,fsEvoivo �r� c. �P,�v6E c�,vG y� �.✓� C G /.-� s7�� �/__.��' ,� Ecno•�s 2E�-l/9/tet/ i�G,�7✓�' UC��J/� C ' PROJECT CLIENT S v v G K ra m e r CONSULTING ENGINEERS G e h l e n 400 COLUMBIA ST., SUITE 240 ASSOC. VANCOUVER, WASH. 98680 kl Inc. 206-693-1621 — 503-289-2661 091 i �oL ySTy,P�� /ivSv�,�U,✓ 25 9G'/ G /9/v &� A5T7e Dc - jLEC./'7v.�/ 8UT PROJECT /3Z, -12 7Z> 8t �st� /yC7,-?AZ 7tY /G,C/Vt75iS . OPV L y �U/79 1s7 z Z �O. 0/79'(//Z-YZ .J = A 72 ¢ /z i 12- PROJECT f�;-C`"c CLIENT /SQL o C f�5 5 �iiloi✓--S Kram' e.r , OONSULTING ENGINEERS v,y q eC, Se a G e h I e n 400 COLUMBIA .ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 / Inc. 206-693-1621 — 503-289-26612i = " C7i9 - Z �,3 Z- e7z '057J 72 PROJECT CLIENT Kramer Gehle'n Assoc. r v1 22- 7 vvo 7-7 7,D Z-- 77 16 7Z-;' 77� 7Z/�- - -72 All /- /11 C- CONSULTING'ENGINIEERS' 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98680 206-693-1621 — 50'l-2Rq4)A81 PROJECT CLIENT Kramer Gehten Assoc. 11 Inc. ZK1 7-.3) 3 71 -,V,3(13;7 AA CONSULTING ENGINEERS 1,4ez 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98660 d 2! 206-693-1621 — 503-289-2661 ta9g. 10 l U Nlo,��' �� G✓h/j'' /S PE+i 'P��Sryvi � /A) TiZ'-�'✓-s ��rJ s77or✓, i�v �? �/�9,2io vs r7H 57� AT /O /� JEi�o.eM.9T7U�✓, ,�v.9rtii oV�`0 8 Cp Z Z5,/ ��2r,�5 ,�T• .Su�Pa.zTS �of�iYJ /S OE�2r-��i✓� . Dui i� G9c.'.e or GX�t_�i�/t�/Ti9�: J>ATA� f%ssrJ/�� %�i%t/cZS ,�Q9�v� X95 fart/ ���77G �77z19�/sFoe� �S c;77OA PROJECT CLIENT / coL v G r9.55 �/f'lPl7!>r✓S Kramer CONSULTING ENGINEERS Gehl e n 400 COLUMBIA ST., SUITE 240 9 A S S O C. VANCOUVER, WASH. 98860 N P 77 5 "ate rPP� I _/ GOfID�iV�i>o�cZs IAI \To �ivT .�T T�cap/G�vL uM,t/ PROJECT CLIENT Z-,--') 4f-- 14SJ!/M/�T%JIS Kramer CONSULTING ENGINEERS 9. Geh I en 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 Inc. 206-693-1621 - 503-289-2661 g N (D Fn m U) :To) -4 n 0-3 c IU< A. 0 1 ` o >0 0 (` ) 0o N (D � 00 ^, <r C CD D m f z U) U) o 2--I Z w m co rn= N N Om � A o PHOJ.NO. DATE � , 1 SNT DESIGN a 1 1 �I 1 ul n \ O R a \ JV`1- PIN- Nl- N\- N�' f r Z ►N NI�� � 4 to �A 3 00 C G00 G �. �71\ \J v Nl 6. Vl• j f� �IJ -I� (N Cj V ,1 v vl 111 �A a� x v * U a 1 1 �I 1 ul \ O a \ r Z ►N 1 1 �I � ul 1 1 � ul r Z U1 NI�� � �JG7?/ ' rC-r�;::: T�/:',riv:�SS " �//✓� N= 1J % �.v. '�� '.S.��Z� �Gt�i91%�� � �7G!/.� / � OMAX � r""z-�F/ e 9 ' 302,90c) / z"4-04-<, o /S 19,7 25,�, .5 /96 '13 / Z. 7 .55 /3 y " /-t 70 los .65 bolo /4 '' /3, 1330 _ /0 7-7 .7 .7 .53 12, 90CD , / 6.7 .75 .7S 43 � S 22 3�5 .26 .45 z 8 C>* /0 l 5 8 .34 .5 227 /4-73 .4/ , 55 /S 7 /2 13.1 ,99 /57'� 12.1 , 543 GS /3 4 � 36,0 �. /5 /0.2 .75 ' , 75 9t3` .14 29o,•M..9Y ,_ ' PROJECT CLIENT Kramer ` 'CONSULTING ,ENGINEERSca < //vim' G e h I e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 a I h n 206-693-1621 — 503-289-2661 s 1 } SE6,27OrV 1 -- 2319.00 .. r / 75" /%J r F =/37 GCo LV = = /,75�" rO. 02-39 XZ" ��(,52, Uv�� OW (off, ZSo 3/5 '�Clz"v/ ' l'vvJ72v� /n/ . T�•'/5 Ci9,3L PROJECT CLIENT l Sv L U G V%L > NKra -Mer CONSULTING ENGINEERS -' /" G e h I e n 400 COLUMBIA ST., SUITE 240 �iPG Assoc. VANCOUVER, WASH. 98660 Ci bLl InC:. • 206-693-1621 — 503-289-2661 l;i3- -AD !A✓,?Z-L ,4i 44L YS/S COir�l�,9�F.�lL i7y O� �OE�a�iLl-�17v1/S: dST�z ��v.9iY1 ST xo 7v�L � �CLow 5 h Z ,2ya. oZ 3 � jAc/) = O 574d �= 2(2)w2-3 9) p. 574 L' k �SSvr�L� �o/ov f GL v9, 4.z>e AoZ ST�3EZ Ec`%sJ USC /415 C- K5 -,c. / S. A 3 4>� PROJECT CLIENT Kramer' CONSULTING -ENGINEERS G e h I e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98880 i ii C . - 2nA' -RUR-1 R? 1 — XMI-269-2681 Cr/f3GG 9 /-mwt1 = /9d'6 PROJECTC.00 ' CLIENT /5v2--0 G ENGINEERS BI ST.ASH. SUIT E 240 W 980 Kramer coNSULTING Gehlen 400 COLUMBIA Assoc. VANCOUVER 7 /Z Q �oL �'l/,��,s'��yc ; Z� G,4. GAG ✓,' sr� L /1:124Z41 J S4.9 S 7 75;, /3 69.1 lee, 7-7-3 9.7 96, o /2,go 7 35 3'5 /(o /015% 7 /, ,3S 6,Sl .28 3.2- 8 4 -19 /7,19 9 16,7 /4,/ /17/ 91 vZ �. /Z 72 /5�/%8 �-7 1,7- ,Z13 13 78 /4.65 8.q) 4, o /4 64- /3.99 8.0 3 3.9 1-15 7-73 3, 7 cJ/it/�� �Y G CGJ Z/ - 8C� 9 PROJECTC.00 ' CLIENT /5v2--0 G ENGINEERS BI ST.ASH. SUIT E 240 W 980 Kramer coNSULTING Gehlen 400 COLUMBIA Assoc. VANCOUVER 7 /Z Q . ,cow' 9 •. �,•,;. `•.'.�/��S 5 � �LYv,��7k.9i��� '� " /%�L [.vtv PuyL�i �o�%jI ,9Lo�v�. C.�,•�e,�i� s . Lv,� w�ST�� V/L>/1/es owx:Lx �- /0 7 T.>c� 2/J'l�'l7D •� �JS ,t,Ef�K �lc�]o�/ �/iLG ivoT .�'E" �9c'.y; •�.�/�� A2/a�2 7b /v/�Tf�L .S�t�� F o 7 - (/�t��G PLLo�✓ PLF PROJECT F,e CLIENT 53� C�v�.t7c Kramer:, CONSULTING ENGINEERS G e h I e h .400 -COLUMBIA ST., SUITE 240 9d'� ASSOC. VANCOUVER, WASH. 98680 Oki I Inc. 206-693-1621 — 503-289-2661 a A,/3 �ULY' 57Yfzgv� PAF Ys/s Kramer:, CONSULTING ENGINEERS G e h I e h .400 -COLUMBIA ST., SUITE 240 9d'� ASSOC. VANCOUVER, WASH. 98680 Oki I Inc. 206-693-1621 — 503-289-2661 a A,/3 c -;9z- a1w A) Go ,$to 7D /Z) Zl- Y 'IV IP k C pf:� pal Max PROJECT CLIENT 1,5e)Z- a C--' X.5 Inc.. A ENGINEERS C Kramer CONSULTING ENG Gehlen 400 COLUMBIA ST., SUITE 240 21 Ci VANCOUVER, WASH. 98660 z Assoc. 2 -693-1621 — 503-289-2661 06 PROJECT CLIENT Kramer Gehlen Assoc. 5,,�14EZe IAJ Ct/.AGL SUE Ta V(v J�A - -7 ego d O. 574 Iy2l 75, 77,D 2 E -2- x L; P - CONSULTING ENGINEERS /9,41.9;x' 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98660 22 57 4 2 0 4�4 E -J A 7-,9 i98 7 /0 PROJECT CLIENT Kramer Gehlen Assoc. 5,,�14EZe IAJ Ct/.AGL SUE Ta V(v J�A - -7 ego d O. 574 Iy2l 75, 77,D 2 E -2- x L; P - CONSULTING ENGINEERS /9,41.9;x' 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98660 22 V 7o 4D - (91" 75)) 75, 77c�//, 75)Z�z) 71 Le P �.//�vp ,ScJCT7o.J p/�A�S l j.3t•CE z 0,0P- �CCt�•iG L�7�7t�L Lofr'd f a. �is� i �e , F6 sic fit vA✓i.✓U S,g�lc P/�CE�U•�2� G{// l/h2/0d.5 ' PROJECT �x Gov c t G�/�9LL i CLIENT i'-SvwG i9�✓��YS/S K ra m e.r - CONSULTING ENGINEERS �!h` _ " �B G e h I e n 400 COLUMBIA ST., SUITE 240 o Assoc. VANCOUVER, WASH. 98660 a Inc. 206-693-1621 — 503-289-2661 s PROJECT t CLIENT Kramer Gehlen Assoc. Inc.. -71 A/= A 67 � 7:1 z /=/2o/�I 6��O2C _ Ti�'tE GjrgGG P/�L oLUG �ivA�ySrs CONSULTING ENGINEERS: " 9AlAee;# 400 COLUMBIA ST., SUITE 240-- VANCOUVER. 40-VANCOUVER, WASH. 98660 a 206-693-1621 — 503-289-2661 � 4-A /Z Z-. 1c, A/ 41 7- 6? 0 F AFX Ix >( ov VlzA) PROJECT CLIENT ri c. 206-693-162 1 503-289-2661 4cc Kra ni e"'r "CONSULTING . .ENGINEERS UA 400 COLUMBIA ST., SUITE 24 22, Gehlen 0 L Assoc. VANCOUVER, WASH. 98660 Ci x e �`�� .� �/i�-/.v�7D•cLs/.L•_�',a ��=Z�uCT�U�✓ � �itiia�- %5�-`� ' �¢T ?%Z A17 . 57, ev �i�/1�iT�/✓�i .S�t�7t :��7=L�'C�70>✓ C%�i9/P�CTt�/S�?G.S PROJECT CLIENT Kramer CONSULTING • ENGINEERS Cm G e h I e n 400 COLUMBIA ST., SUITE 240 Assoc VANCOUVER, WASH. 98660 Inc. 206-693-1621 — 503.289-2661 a ; 1 0 0. `i0 � ,� M N r) 0 N N .N i J .N �I Q Ilk Vl 0 0 rJ N • r -.v o H1 rn P o N O 0 0 p 0 O VAQ 4p 14) V� % v 0. h V 'J � N o 0 N `i0 � ,� M N r) 0 N N .N i J .N �I Q Ilk 0 0 rJ N O 0 0 p 0 O VAQ 4p 14) V� % v 0. vl\ � N ON 1 PROJECT CLIENT K ra M e r CONSULTING -.'ENG'INEERS'k _ G e h I e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 1. I r+ f+ �na_aoz.1 R� 1 — Ff1.'3-SRA-SRR 1 a 1 GoL tJMi✓77y4/ 72F-:51— L19 yov S//Llf''G `� SUOOp2T�� 7Z))- . 0 Z)P .000 fig 14 vRc /Gvo r PROJECT/=�2c �� �� LCL fg�,/C /� CLIENT _vLvG Kra m e r" CONSULTING ENGINEERS y�k, D G e h I e n 400 COLUMBIA ST., SUITE 240 / Assoc VANCOUVER, WASH. 98660 Z vE <jvv 235L-:;) /23 , / 9 � love 3650 -/7!0 . /89 . 2- /9o /go : 20 8vc� Sao z:) , z o3 , 2 J 8 -217 3 -22-3 9vo 550 ,218 .Z30 . Z�Z ,237 .230 , 2-Y . 282- .252 //vv 70o a _ 299 _ 2_,5r/ _ 3oZ .267 / zocv 765, .241 , 2--8o .32-2- , 265 /30o g 350 .28-5 , 3bo . 3f �) .311 /900 900 . 5 D , 322- .'372 .333 /�vo /oz90 39v :950 , So3 .�9t3 fig 14 vRc /Gvo r PROJECT/=�2c �� �� LCL fg�,/C /� CLIENT _vLvG Kra m e r" CONSULTING ENGINEERS y�k, D G e h I e n 400 COLUMBIA ST., SUITE 240 / Assoc VANCOUVER, WASH. 98660 Z N e Lggz-68z-eos - Lm-egg-goz • o U 'I 09988 'HSVM 'd3AnOONVA ova 31ins ' ".is viewmo0 oov UO 1-490 �� Z/' Sd33f�JIJN3 JN mSN00 1 a ui 6.1 n-7 lN3113 ' 133Poad oL��� NG✓r� �o;� 7 7d '7(y/X� NOI.✓G�o� 3G✓/lSi� z� /Y/ /1621VI .Y »Q" Fd i• o o .. psi ovo2 oosE 1� clo,s o a PROJECT CLIENT Kram -er-:-* CONSULTING ENGINEERS --' 5 �, 1 - 0 'S" Gehlen 400 COLUMBIA ST., SUITE 2'400 Assoc. VANCOUVER, WASH. 98660 Ci Inc. 206-693-1621 - 503-289-26561 L 92 / 061-) S/ -✓c E l4 1�t /Nc /�llJOv/v� Ol DG=' �A�JGZ✓ %�f/ coLi'w'v Sn/.8�s /�✓ !��'y! �Cr7 Dit,/ ' i—�STS .. i%3��1/ � . NC7- G,eo�s o�'i,x. 1�t7=a.e,•�l DE�U2�1,9�1 n/ ,¢� P4 . DQ - 3 NET 1431 .. PoLYv�fi 3 °l98'� ' /l0�3 • z 49• /92 2 - PROJECT PROJECT -� CLIENT Kramer'"-" Gehlen Assoc. "cD �60vcnoAJ G CONSULTINQ' ENGINEERS 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98660�- a � cciao .rr �4T sUPPo/z i � ,�r MlvsP�� GUiN% d G.��S X/ c vtr'f. NcT G �v SS ET O O Z23 , azo ova 0. o/ 7 o S.9 /22 o01 , ov/ v 003 .003 3�2 6So '120 , 0oc3 0. /i 2 , iZo 757 . 14 9 0. /35 /, ov 3 _ 86 8 867 .'/37 .393 "05(.0 912- (o 973 /'0 . / 9/ . ooa P67 9 F6 '009 . zo8 �iS .407 97S 4 ,OCL V S 7- �¢ T t�9 • �4 /A /A . O v p o 0 0 /22 o01 , ov/ v 003 .003 3�2 .085 .00.3 , od2� . Zoz , iZo .004 59� . 1-f3ooh .'/37 .393 "05(.0 757 . / 9/ . ooa P67 , z/ 7 '009 . zo8 �iS .407 97S . 2295 . oio , Z3S . 750 . S/S A983 .21-73 , o l . 2e,7 %39 . 72/ //90 .317. .0/2. .305 1.1913 . 89,3 /Z97 PROJECT CLIENT /SUL.t7 Kramer CONSULTING'-- ENGINEERS: G e h l e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98680 k t h C. - 206-693-1621 — 503-289-2.661 s 9c�v 0 0 7Uv p 6vv . p 0 `joss r�ios�a�v s�v ��J�% .na/r✓i S �i�9J��� p it/EC3 L�GT ,G ��9v - Dc�G�C:7oi✓ ion 797- 40 T19S�S1/rYJ� j �i.0 I�.PC Lp, o •l z 3 9 . 5 .G ,7 .8 '9 /.o /• I /.z D�"FLEGTIonI � wC�yE.�) �Z �OLYI/,PC?zi�.9N� PROJECT ?cry Cvo —;,X ,2 =WaCT7o1% { CLIENT /SGJL vG. ..K ra m.e r CONSULTING ENGINEERS G e h l e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 I< Z n C 208-693-1621 — 503-289-2881 a 0 -3 .9 5 7 I PROJECT CLIENT /SULp G Kramer. eofVSULTING ENGINEERS G e h l e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 Ci Inc.206-693-1621 .— 503-289-2661 /vv J a 80� J7oe-) 0 co �l 3vo Zvi / c7U 0 -3 .9 5 7 I PROJECT CLIENT /SULp G Kramer. eofVSULTING ENGINEERS G e h l e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 Ci Inc.206-693-1621 .— 503-289-2661 _ • , I�f�G CTI os•✓ 219 Z. $,PAW Z2(621 �z l/Pv� c�'An>�ivi9-�7o1/ U/= L c�i¢•DS �� �.�/L �/•@� � /2-97 _ 3 PvLT3i„R, ��(o /✓lGt�Ot7(lrS OG /�t/r�e77/g O� Sr�Z S,rirvS C /, 75 • J� ,Z SXivs ./ PROJECT F Ivo 2 �/L'77o�✓ CLIENT C - Kramer � CONSULTING ENGINEERS s . G e it I e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 Ci Inc.. 206-693-1621 — 503-289-2661 . ,Or¢Tf� 0�7,�i.1/m �•C'cwl 3 Poi e& --7,V/ 9 '- 1WIV6 Z- '41 '41 Qf /L 1V/%%7j� uG /Nc2TJ� OF �i¢�t/CZS �vGL JGc/S ilk 5 % /N} ► ��SvSUrY/� /3 SLG PilNc�-S.. I ,eon �2��.s1 Pte, 1D2 - /vCIP 93776_�f 1 (9 oat/�-z ' PROJECT -/2 CLIENT K ra m er - '`CONSULTING --ENGINEERS G e h f e n 400 COLUMBIA ST., SUITE 240 Assoc. VANCOUVER, WASH. 98660 InC . 206-693-1621 — 503-289-2661 qC z h ��-� .29 f�55Ui�'/� T �i�i� r�5 �✓rTlf �� �(/f�.f't ,moo /BS Tb f ���/G �' S/►��G SrSl�11 j��7=�%�-� C!/.� v� ,��'•Qi2T.5 ��� r�sT�G ��.9Vro2 3sa a NcT �!/OSP.4J 1 'l ��J,- ,ate s����r �s oma) v • 08s �� �_ . )j9GLow � / 9 �r oc.-) UE" S 1 PROJECT CLIENT Kramer 'Gehlen Assoc. �yLv CONSULTING " ENGINEERS 400 COLUMBIA ST., SUITE 240 VANCOUVER, WASH. 98660 9,7 G�,trt7Z9'L p,9�1/�2 - ��LYs�s 0 a y A 30 T u Z- 0/4LO s=9-7 i9iA 1000 "ALGA 71,r- M A -44-0-0-, L/A/ ,/,49r. 40 / - L -D ILHca 4 ,,I— Uwe_L4 e 4A).+n 2-73 /09'-f 0,2402- 9 /e3 214o 'Eel 1121 3 6q2 530 -.20 /7S /7 22,s 7 I -4D 23 512 -22- 145 5.78 /3 /e38 12 .2-4 121 f,:Y6 .0 15<6 6-32- 35.� 1923 ge--> I 599 303 121;- e5 /9 9// P3 PROJECT G4& i- A -Y2 CLIENT Kramer CONSULTING ENGINEERS As hien' 400 COLUME31A ST-,'SqUITE240soc). VANCOUVER, WASH. 98660 Ci • IN OR'I'ti W EST 'i'ESTING . LABORATORIVS, INC: 5405 N. Lagoon Avenue CONSTRUCTION INS ECTIO TION NON.OSITIIUCTIVf TRSTINO MATERIALS INSPECTION P.O. BOX 17126. WELDING CERTIFICATION CHEMICAL CAL ANALYSIS Portland. Oregon 97217-0126 SOIL TESTING 1 1� •MYSICAL 792YON ASSAYING Phone: (503) 289-1778 May -6, 1986' Isoloc Manufacturing Company P.O. Box 61522 Vancouver, WA 98666 Subject: Load test performed on four (4) Isoloc panels submitted. . Report: Individual panel load tests are reported on the following data sheet". l Drawings are accompanying this report. It has been a pleasure serving you on this project. If we can be of further assistance please feel free to contact us. Report Number 61641 Sincerely, T EST TESTI G LABORATORIES, INC. e p , Supervisor Ope atiohs A.32 �. i Isoloc Manufacturing Company Page 2 May ;6, 1986 Load Test Panel Size: 96 x 47 x 3.5 inches Type of Load: 3 Point Flekural Panel Type: Polyurethane Data: Deflection, in Inches Load, in at Drawing Location Pounds 1 2 3 4 5 6 0 0 0 0 0 0 0 600 0.013 0.100 0.015 0.017 0.018 0.035 900 ----- ----- ----- ----- ----- ----- 12'00* 0.046'.0.110 0.030 0.060 0.055 0.040 1500 0.078 0.450 0.060 0.082 0.448 0.080 1800** .0.150 0.802 0.120 0.110 1.025 0.100 2100 0.160 0.950 0.142 0.150 1.055 0.122 2400 0.170 1.080 0.160 0.160 1.070 0.145 2700 0.175 1.225 0.168 0.172 1.096 0.150 2730 -----------------FAILURE---------------- * Noticeable deflection ** Visual Cracking in Panel A. 33 . l Isoloc Manufacturing Company Page 3 May 6, 1986 I;oad Test Data: Panel Size: 96-x 47 x'4 inches Type of Load: 3 Point Flexural Panel Type: Polystyrene Deflection, in Inches Load, in at Drawing Location Pounds 1 2 3 4 5 6 0 0 0 0 0 0 0 \ 600 0.004 0.118 0.013 0.009 0.078 0.035 900 0.150 0.'210 0.040 0.035 0.194 0.115 1200 0.181 0.304 0.055 0.055 0.298 0.171 1500 0.210 0.395 0.076 0.077 0.390 0.207 ' 1800 0.240 0.470 0.090 0.101 0.499 0..238 2100 0.261 0.530 0.110 0.122 0.502 0.270 2400 0.285 0.595 0.130 0.150 0.635 0.303 2700 0.315 0.730 0.150 0.178 0.770 0 338 3000 0.350 0.930 0.175 0.210 1.045 0.378 3300 0.400 1.150 0.200 0.249 1.245 0.420 3600 ----------------- FAILURE ---------------- A. 14 Isoloc Manufacturing Company Page 4 May 6, 1986 hoad Test Panel Size: 96 x 47 x Cinches Type of Load: End Load Panel Type: Polystyrene Data: A. 35 Deflection, in Inches Load, in at Drawing Location Pounds 1 2 3 4 5 6 0 0 0 0 0 0 0 600 0.009 0.005 '0.015 N/A N/A N/A 1200 0.040 0.045 0.0.58 1800 0.070 0.079 0.095 2400 0.094 0.107 0.175 3000 0.112 0.123 0.196 3600 0.176 0.189 0.210 4200 0.190 0.203 0.230 4800 0.203 0.218 0.247 5400 0.218 0.230 0.262 6000 0.230 0.245 0.282 6600 0.249 0.251 0.302 7200 0.264 0.280 0.322 7800 .0.285 0.300 0.349 8400 0.305 0.322 0.372 9000 0.360 0.382 0.435 9600 0.390 0.450 0.503 A. 35 Isoloc Manufacturing Company Page 5 May 6, 1986 Load Test Panel -Size: 96 x 47 x 4 inches Type of Load: 3 Point Flexural 410 Pounds Each Point Panel Type: Polystyrene Data: Deflection, in Inches Load, in at Drawing Location Date Pounds 1 2 3 4 5 6 4-21-86 0 4-22-86 1230 4-23-86. 1230 4-24-86 1230 4-25-86 1230 4-29-86 1230 4-30-86 1230 5-5--86 1230 5-6-86 1230 0 0 0 0 0 0 0.073 0.080 0.040 0.105 0.400 0.092 0.130 0.122 0.405 0.361 0.100 0.144 0.132 0.197 0.419 0.373 0..184 0.164- .1640.132. 0.132. 0.197 0.420 0.374 0.185 0.164 0.132 0.197 0.422 0.373 0.186 0.164 0.134 0.200 0.422 0.374 0.189 0.164 0.132 0.200 0.422 0.373 0.190 0.166 0.132 0.197 0.422 0.372 0.190 0.163 Discontinued after 15 days per engineer's request A. 36 M, A- _N U- A-7 C --r U�rt, 1 TE.-ST7. LOCATION'S LOAD-. LOAD LOAD Alx45' Te, r +"_-_VrIr_AFC>AM_WITFl_ -:TIN SIDEL75"'CWAN114 EL�_'_. Z4. GAGE: 5I4EZT_.MF_TAL.. d7 - I t>F-' vi FEW A.37 IN LOCATION'S LOAD-. LOAD LOAD Alx45' Te, r +"_-_VrIr_AFC>AM_WITFl_ -:TIN SIDEL75"'CWAN114 EL�_'_. Z4. GAGE: 5I4EZT_.MF_TAL.. d7 - I t>F-' vi FEW A.37 D.- PZAM :Y -- - U I -x -r u P, E*.. A. 38 -�� of •�. '�� '��a. t"4 EM8 t"4 N TYPICAL POLYURETHANE SLAB PANEL FAILURE AT MIUSPAN. r'. A.41 ' � ,� r .. .., � , 4t >c :; 1 _ %> � ,, ■I�i ' ., ., .,. 4r' � �- # - r `�� .R Y ` 4 t i! ii' 1 !` 4t�N�k !' ,'i 'i .. �. � s �� .. F �- •� �'V. �W, j ! i' k Ji `� l � .: � • 7 � i'Nv ' �� F t a •� e ( t. . ��1 ♦i 4� J� �(�' a • _ �:�1I •":+ i., ,.�e . rix,. ,s°� � • : � ... .. j Fi+.' ''7 n;;NNr� + �, � i fir. r f 1 'S m� 4 �. — . . ,� i a i e ..,', ` : � �J Wim.. � � :, '' • . _ _ N '� �tA' wM1 .i' ._ 7. is f1� � t .cY.: - :-F,. 1 `�S li•...IJP.. � . i� ' .. Jaf�:, :.„..L•:i'::M•:.:'I..�y'��,. �1�!i:. G4CIIEi• MAR -22-1990 11:25 FROM ISOLOC MANUFACTURING CO -Page 3 - TO 1022219169272315 P.03/09 III. RECOMMENDATIONS . A. Based upon the experimental' phase of this investigation the following total loads (including dead weight of panel) are recommended for either polyurethane or polystyrene panels utilizing 24 GA. galvanized. steel skins: 3 1/2" PANEL 4" PANEL 6" PANEL SPAN ALL014ABLE RECOMMENDED ALLOWABLE RECOMMENDED ALLOIJABLE RECOMMENDED (FEET) LOAD* USE LOAD* USE LOAD* USE (PSF) LOAD (PSF) (PSF) LOAD (PSF) (PSF) LOAD (PSF) 8 34 25 44 25 100 25 9 24 -24 31. 25 70 25 C 10 / 17 17 23 _ 23 51 25 11 13 13 17 17 38 25 12 10 ** 13 13 30 25 13 H/A N/A 10 ** 22 22 14 N/A N/A .g ** 19 19 15 N/A N/A 7 ** 15 '15 16 N/A N/A 6 ** 13 13 I *In order to exceed Recommended Use Load up to Allowable Load, permission by a'Registered Professional Engineer must be granted for each condition of use. **Ho loading other than that 'of the panels themselves shall 'be applied. . Allowable panel loads were based on test data from the 4" x 8'-0" long polystyrene panel. The loads were.limited to provide a factor of safety of about four to the load at failure. It is assumed, therefore, that loads at failure for other panel lengths and thicknesses will be approxi- mately four times the tabulated allowable load. B. Even though an insufficient number of tests were run to . deter+nine wall panel behavior, it can be stated that for panel heights up to 16 feet with four inch minimum thickness and for panel lengths (acting .as slabs) up to 16 feet that there will be satisfactory performance in the wall panels under light lateral loading not to exceed 5 psf. This loading, again, may be exceeded but only under authorization of a .Registered Professional Engineer. a ' •h - .. �t�:n�C �!i;. ' .. ' :; :. ;��' ;.'fi; �. '.%. V � ,''',. _ ,,n •� 'a' ',o'. ,ti ^;::'u .;,. c \ , .. .. .... .. ..._. ...._ ,r•• , ,:.:{ ... ,� :. �aa.� �• � � :� ;' � �ti!� a ' •h � I 6'I . -:- � ... . I -'M r ALL- ....-/ OPE \Atfl I C AT I a N).5 -3- VLOING DCPA RTMGNI ED ISOLOC NIANUFACTURIkO CO. P. 0, /OX 61642 - VANCOUVER, VA USA 99660 STANDARD WALK=IN INSTALLATION INSTRUCTIONS NOTE: Enclosed with this set of instructions is a shop drawing and bill of material showing exact size and locations for all panels. Before beginning installation review the drawing and carefully read these instructions. Insure that the installation is carried out by competent personnel; FLOORS: A. The area where the walk-in is to be placed must be level to assure exact panel alignment. If floor is not level, floor panels or channel screed must be shimmed to level. B. When a walk-in has a prefab panel floor a grid of 1" x 4" P.T. spacers 23" O.C. must be placed down first to create a breather space, make sure panel joints are supported by the spacers. C. Caulk between floor panel joints with a 1/2" bead of rxic6AA� caulk to the exterior.edge. (See Detail) D. Strike a.chalk line in from the edge of.'the floor one-half the thickness of the wall panel. On this line fasten angle screed 24" O.C. E. For walk-ins with an insulated pit, strike chalk lines to the exact outside dimension (make certain the layout is,square). Continue by following previous operation."D",for securing of angle screed. F. For walk-ins with channel screed strike,a chalk line to the exact outside dimensions. Along this line place the outer edge of the channel. Before securing in place apply a bead of butyl caulk directly underneath. Secure in place with appropriate concrete fastners. G. RAMPS: Secure to concrete with Two (2) 2" x 2" x 1/4" x 2" Aluminum angles - fasten to concrete with One (1) 1/4" x 1-1/4" nailin and to ramp with #14.x 1" P.H.S.M.S. WALL PANELS: A. Camlocks: Before setting any panels make certain all camlocks are rotated clockwise as far as possible. Panels are locked together by rotating counter -clockwise as far as possible. B. Panel Joints: All panels have a closed cell gasket applied at the factory on three sides. If the gasket is damaged it must be repaired, use gasket supplied in the hardware box, this is important in order to effect a proper air -tight seal. C. Corners: Not all corners are the same dimension. Before setting.corner panels verify the dimensions and proper location with the shop drawing. D. Panel Alignment: When possible check for proper interior and'exterior panel alignment before securing with the camlocks. DOORS: A., Panel/Door Sections: To ensure proper sealing of the door, the panel section must be horizontally and vertically aligned. B. Doors With Floor: Set panel/door section into floor recess and fasten in place with three (3) 16D nails or 4114 x 3 F.H.W.S. C. Doors Without Floor: Secure panel/door section to floor with Two (2) 2" x 2" x 1/4" x 1-1/4" Aluminum angles. Fasten to concrete with Two (2) 1/4" x 1-1/4" Nailin - fasten angle to door stiles with One (1) 4114 x 1" P.H.S.M.S. Rnnr PANF.T.R A. Lagbolt Type: Fasten roof panels down to the walls with 3/8" lag bolts and washers from top of the roof panels. The roof panels are pre -drilled for the lag bolts at the factory. Align the roof panels with the walls before securing. B. Camlock Type: When required, roof panels are secured to the walls with camlocks. Align roof and wall panels before locking. ROOF SUPPORT: A. Exterior Support: Support first row of roof panels with braces. Attach roof panel hangers at each camlock with 416 x 1" D.W. Screw. Set in place second row of roof panels and lock together. Place 3." x 3" x 3/8" x 36" angle spacer bars directly over the joint of the two roof sections at the perimeter. Bring the two channels back to back with the hangers between. Fasten the channels together with 3/8" x 1" cap screws at' each pre -drilled location. Attach channel to each spacer bar at the tab with Two (2) 3/8" x 1" cap screws. B. Interior Support: Fasten support post to beam with 3/8" x 1-1/2" cap screws. Attach to floor with 3/8" concrete anchors. Fasten roof panels to support beam flange with 4114 x 1-1/2" P.H.S.M.S. VALANCE PANELS: (Glass Door) A. Support upper valance panels with temporary braces, until glass door frames are installed. B. Lower valances on coolers are secured within the channel screed. No other securing is required. COVE BASE: A. 2-1/2" Aluminum: Fasten with 418" x 1" P.H.S.M.S. 18" O.C. JOINTS: A. Freezers: To insure a lifetime seal, caulk all exterior panel joints with silicone sealant. THERMOMETERS: A. Thermometers are mounted in the door frame at the factory. Although all thermometers are factory calibrated field adjustment may be required. U 7 a MAF,' -22-1990 11*24 FROM t'EC:Cier 7021 85817, 85NK3820 Juno 4. 1QR5 -Page 4 O so�_"�� ISOLOC I1ANUFACTURIHG CO. TO 1022219169272315 t BRYX May 1. 1884 - II rmnwd P!astk •« P. 02109 BASF WYANDOTTE CORP FM817 (N) 40-""t **M F Coro TYpw OR 1tt. OrM ft422 I K TM*+ emDtc. e...tay.d v; T b y .+kdnit.d M a Vookn.0 a blond In M Nf.eew Ncknew, M M.d:c.t.e, for 1 d.ruhy Of 7.26 tl�F4rn..pn.0 .r.d .mok. df rNOp.O rnow"d V'+9* iMmW �rw*Nei 1nr* Dr:pIM) tW 4"VL = •Hort tgnMbn of mott.n m0duw on tlr. fwn.o. Hoon rwKowd In no 10 HtCutn.d tMm..M►A Mt7MNto.tsOr, Of 6 ono M+gko MwtoWd Of W111ostbn M X260. 100 CNERRY HILL RD °l l(1K FOR CLASSIFICATION MARKING ON PRODUCT Replaces R8817G dated Nov. 1, 1983. '21MOO12 4V"0 UnderwrltKa. IAbborattorit►a tnc • Aw0101513 SURFACE $UR13Y2`G_CHARACTERIST_CS 1 in. 2 in. n.- 6 in. Thick Thick Thick 5 in, Thick Maximum* MRXimum* Maxi.AucA chick* Maximum* FLAME SPRM 100 10 V # 15ff1"ff._ ! 54 15++ SMOY,E DULLOPED 45--125P 45-125VO 45-12 95+ 95•-125+4 * - Installed in a thickness, or stored in an effective thickness, as indicated, for a density of *1.0 pcf. - Flame spread and smoke developed recorded while 'material remained in the original test position. Ignition of molten residue on the furnace floor xeaultod in flame trrlvel equivalent to calculated flame . MF. CWMT'Wpread Classification of 5 and smoke developed Classification of 165-200: Q=IM DWM"I ff flame spread and smoke developed recorded while ��(���� t S 1raerial remained in the original test position. ction of molten residue on the furnace floor resulted in flame travel equivalent tv ueleulated fiamc spread Classification of 35 and.smoke developed Classification of .450. M - Flame spread and smoke developed recorded while material remained in the original test position. Ignition of molten residue on the -furnace floor resulted in flame travel equivalent to calculated flare spread cX3Ssi{,ic:al.ia>h: of 35 -50 -and SMOXP Classification of over S00. + Flame spread and smoke developed recordea while material remained. in the original test position. Ignition of molten residue on the furnace floor resulted li,, deme txAyal equivalent tc). ealcu] Otto flame -spread classification of S and smoke developed Classification of 200.400. ++ - Flame spread and smoke developed recorded while material remained in the original test position. Ignition of amolten residue, on -the furnace floor Yesulted in dame travel *quivslent to Calculated liame 5 t c(I--3 r s�• I CQUNTY OF;BUT)TE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle. California 95965 - Telephone: 916/538-7541 n APPLICAT_-W-WAND PERMIT `P��iMIT ASSESSOR PARCEL NUMBER'S :�,%/j' ZONING ,e I - f BUILDING PERMIT OWNER +'� TEL'3E,P/HON�EE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS lJ i'I J� W, ,�f/,� , t CO h CTO 'S NAME , TELEPHONE/ CON RAC TO R'S ILI NG A ESS ;� .� Fireplace CONSTRUCTION LENDER UNKNO N d Total Valuation $' t Filing Fee $ 10.00 LENDER'S M� ADDRESS .1.t j Permit Fee $ ARCHITECT OR ENGINEER. LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $GINEER'S ARCHITEC OR ENMAILING ADDRESS ;t} {!. Penalty $ BUILDING ADDRESS - Permit fee ::,$ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 f/ Solar or heat pump water heater 20.00 LOT NO.- SUBDIVISION NAME PARCEL MAP Water piping ..5.00. Each qas water heater or vent 5.00 USE OF STRUC 3ORE i� ' r�lA'�� �•{ �/ SF ❑ Duplex❑ Mobilehome❑ Othe %�-/f11 •� �%'-•t ��-�+' FZY _: . Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel [)� •Utilities ❑ Installation❑ Other ❑ P-scribe work: oe- 447 Permit Free $ actor ELECTRICAL PERMIT Filing Fee 10.00 b Main service 00V OR LESS 100 AMP OR LESS 1 10.00 Main service 'EA. ADD'L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW , K I declare under penalty of perjury (check One): t F1_ I am licensed under provisions of Chapt. 9, Div. 3 of the"t `Business Nand`•Professions !Codge and my license is in full force(, and' effect. C fQ License No. �S 3s Classification / " El1, 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, astheowner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason i NEW CONST.jr DWELLING OCC U`11) 'h2sgft OR ACDNS. \ P.aACC. SLOGS. NEW CONSTR MULTI -OUTLET ON•RESID .BRA C CI C ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES eA 08 0 .k$� FIXED LNS. Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 o g Permit Fee $ Of Contractor WORKMEN'S COMPENSATION INSURANCE y 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. 17-1-1 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. \ MECHANICAL PERMIT FiIingFee 10.00 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 Countyot 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 grantin of this permit. -` r X h i Date Signature of Applicant— /Owner❑ Contractor E]Agent / An OSHA permit is required fair excavations over 5'0" deep and demolition or construct-/fI�EUBLIC ion of structures over 3 storIies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 7l WHITE-D.P.W.. YELLOW-ABeCSSOR. PINE INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATJON, AND PERMITJo ASSESSOR P RCEL"N MBER —L ZONING BUILDING PERMIT O TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE5,'S MAILIN ODRESS CONST TOR'S NAME TELEPHONE CRAC TOR'S iLiN A SS -YGw//fJ Fireplace CONSTRUCTION LENDER VNKNO N Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ ARCHI EC OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCRE SF ❑ Duplex❑ Mobilehome❑ Othe SPMCI PY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ AdditionE:1 _Remodel [� Utilities ❑ Installation❑ Other ❑ Z�scribe work: ( .-lil1��— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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. ��SS5 Classification ���f 0 ❑ 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.51 OR ACDNS. C ACC. BLDGS. ,/:¢sgft NEW NON.RESID R. .BRA CH CIMUCTI-OUTLCTITS 2.50 ea POWER APPARATUS o- (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e00 30 5AL930 � Ex. Occup. OUTLETS FIXEDP(RESID )LNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of -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. MECHANICAL PERMIT Filing Fee 10.00 Heating oon Cooling g Hood 3.00 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 t save, Indemnify and keep harmless the County of Butte against all liabiliti s, judg ts, costs, and expenses which may in any way accrue agai id .t co a ence of the granting of this per ' . X — Date Signature of Applicant — 0 er ❑ Contractor ❑ Age An OSHA permit is ryuir F r excavations over 5'0" deep and demolition or construct- ion of structures over 3 sto s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ' OCCUP. CONST.TYPE 1,501001. FL0011 PARCEL P11 ND 9suE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees E IR F UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS C Date Receipt No. WNITE-D.P.W.. YELLOW-A9e E990R. PINK INSPECTOR. GOLDENROD -APPLICANT 06 MANUFACTURING COMPANY 1 THE EXPERTS. 'IN COLD STORAGE. • E .t 6 151`y I o j 1 t t� r, soloc Manufacturing is recognized throughout the industry as a leader in the innovative design and qual- ity manufacturing of walk-in coolers and freezers for America's food storage needs. Our management team, with over 30 years of exper- ience, has developed a solid reputation for design excellence. Innovative features like wrap-around corners help Isoloc maintain a position of leadership in the industry. Modern, cost-effective production methods like the fill -full insulation technique, and our commit- ment to use only the finest state-of-the-art materials, means that you can count on every Isoloc walk-in for long-lasting durability and consistent temperature maintenance. Finally, our total commitment to service sets us well apart from the rest. Isoloc is one of the few walk-in fabricators that offers true custom manufacturing. We make a special effort to design and build each unit to your exact specifications so that it fits your needs perfectly. And, we still sweat all the little details, like proper panel alignment and consistent finishes. This all adds up to a quality unit that's not only efficient and dependable, but attractive as well. Best of all, we guarantee on-time delivery ... every time ... no matter what the job. Our on-time record is one of the best in the industry. So call Isoloc today for all your walk-in cold storage needs. Because, when it comes to innovative design and quality workmanship ... Isoloc stands alone. r se o e MANUFACTURING COMPANY Isoloc Manufacturing Company P.O. Box 61522 Vancouver, WA 98666-1522 (206) 695-3230 E Flush Infitting Cold 4*10AA A.J oOLA I Ift Storage Door 0490411111111111, Wi = ( At Isoloc, we believe in totally supporting the refrigeration contractors and equipment dealers. Asa result, we will continue to work ONLY through them forthesales and service of our products. Our commitment to the contractors and dealers is firm. Under no circumstances will Isoloc compete with refrigeration contractors or equipment dealers in the sales or service of walk-in 'coolers or freezers. , , ' Slide In � I Mobile „A1 Architectural and Food Facilities Consultants Specifications on Isoloc Walk-in Coolers and Freezers 1. WALK-INS: Shall be prefabricated, all metal clad and sectionally constructed for accurate and simple field erection, with provisions for easy disassembly for future expansion or relocation. 2. PANEL CONSTRUCTION: All panels must be interchangeable for fast assem- bly. They shall consist of exterior and inter- ior metal pans precisely formed to insure proper size. Insulation must be rigid poly- styrene bonded permanently to exterior and interior die formed pans. Rigid poly- urethane may also be specified. The maxi= mum roof panel length is 16 feet. Beyond that length, roof support is required. This support may be designed to go inside or outside the walk-in. 3. FINISH: The interior and exterior sur- faces shall be finished with (Specify any one or combination of the following): a) Bright 24 GA. galvanized steel (standard). b) Stucco embossed aluminum or galvanized. c) Stainless steel, type 304, 2B finish. d) White high gloss acrylic baked enamel with epoxy primer. e) Glass fiber reinforced plastic (white). , , Important Note: Most types of metal or fin- ishes may be requested if available to the manufacturer. 4. INSULATION: a) Rigid Exparided Polystyrene shall be used in 1 pound density with a K factor of .23 or less depending on design temperature. The insulation shall be Class 1 fireretardant rated with a flame spread of 5 @ 4 -inch thickness and shall remain stable at atemperature range of —60 degrees F to ± 167 degrees F. b) Urethane insulation shall be used in 2 pound density with a K factor rat- ing of .12. The insulation should be rated as self -extinguishing and fire retardant type as per ASTMD-1692 designation. The insulation must re- main stable at a temperature range of —60 degrees F to ±150 degrees F. 5. SECTIONAL FASTENERS: All vertical wall sections, floor sections and ceiling sec- tion joints shall be fastened together with steel cam action speed locks. Each device shall consist of a precisely located care lock and steel pin. These fasteners shall not exceed on -center spacing of 57 inches. All locks shall be actuated from inside of the walk-in with a standard hex type allen wrench. A wrench will be furnished with each walk-in delivered. Snap caps will be provided to close wrench holes. 6. SECTIONAL GASKET: All sections to be joined shall have two rows of closed cell gasket adhered to metal and creating a self-sealing, airtight joint. In addition, sealants may be applied on the job where specified. 7. FLOORS: ,a) When sectional insulated floor is not specified, the walk-in will not be built with a floor. Low-temperature walk-ins will be designed for an insulated_ pit in building floor. b) When a sectional insulated floor is required, construction will provide a wearing surface of galvanized steel overlaid and bonded to 3/4 -inch exterior plywood. They shall be made to withstand 300 lbs. per square foot. S. HINGED WALK-IN DOOR SECTION: Entrance door openings to be not less than 36 inches wide by 78 inches high. All shall be provided in a 47 -inch section so it is i6ter- changeable with sections specified in'Sec- tion One. Special sizes are available on request. Insulation in both door and door section shall be same as wall panels. 9. HARDWARE FOR HINGED WALK- IN DOORS: Hardware may be specified as to polished aluminum, baked enamel, galvanized, or chrome plated. I 10. DOOR LATCH: The latch shall have a positive lock with an inside safety release. 11. THERMOMETER: 2 -inch dial ther- mometer to be mounted above pilot light and switch. 12. DOOR HINGES: Each shall have a minimum of two each strap cam -lift hinges, self-closing. Door to remain open past 90 degree angle. 13. POSITIVE DOOR CLOSURE: A device to insure positive closing of the door is available as an optional item. 14. ANTI -SWEAT HEATERS FOR HINGED FREEZER WALK-IN DOORS: Heater wire shall be approved by Under- writers Laboratories, Inc., Heater wire shall be placed in a metal runway and covered with a 20-guage galvanized steel or stain- less steel cover (optional).. The perimeter of the door section shall contain heater wire. Wire shall be easily replaceable. Temper- ature of heater system shall be self- regulating. 15. GASKET FOR HINGED WALK-IN DOORS: An NSF -approved sponge rub- ber gasket, easily removeable, shall be mounted on top and two sides of doors with a positive type latch. The bottom edge of each door shall have a high conformity neoprene wiper gasket. All gaskets to be resistant to fats, water, oil, and sunlight and shall be easily replaceable. 16. LIGHTING: Each walk-in door section shall be equipped with an operating switch and pilot light mounted on the exterior, and one vapor -proof light, loose, for the inter- ior. An inlet box shall be provided for 115 volt, 60 cycle, 1 phase, A.C. service. 17. INSTALLATION INSTRUCTIONS: A set of assembly instructions on the walk- in and all accessories shall be supplied with each unit furnished. MANUFACTURING COMPANY . Post Office Box 61522, Vancouver, Washington 98666-1522 Phone (206) 695-3230 4 Expanded Polystyren (EPS) Insulation Over the past 35 years EPS has proven itself in a wide variety of low temperature applications. Today it is con- sidered the leader in highly efficient, low-cost insulation. EPS is a lightweight foamed plastic insulation material that provides high R values, low K factors and excellent moisture and mildew resistance at a cost comparable to fiberglass insulation. All polystyrene is class 1 rated to satisfy strict building codes. It is available in 4, 5 -and 6 -inch thicknesses. In short, EPS provides the most BTUs of resistance for your equipment dollar. We also offer 3'/2; 4- and 5 -inch polyurethane insulation. Both types of insulation are installed using the full -fill method of panel construction. This highly efficient process eliminates the need for insulation -robbing wood or dense foam framework. It also assures you that there are no voids in the insulation coverage. You'll be sure the panels are completely filled with the best insulating material available. RECOMMENDED PANEL THICKNESS Application Design Temperature Thickness R Value Cooler ±450F/±25°F 4" 17.25 Short Term Freezer f2O1F/t50F 5" 22.0 Storage Freezer 0°F/ -150F 6" 28.5 Blast Freezer -20°F/ -40°F 7" 35.0 Pwe��ww ��/Mwiwwwlw DOUBLE ROW PVC GASKET RIGID INSULATION INTERIOR METAL CLADDING �Y 1 TONGUE & GROOVE DESIGN FEATURES Flexible Engineering Atlsolocwerealize every customer has special requirements and preferences. That's why we use modular panel construc- tion ... so we can have total design flexibility. Your walk-in will be constructed to your exact specifications. And it can be relocated or enlarged to meet growing needs. Sectional construction also saves you money on shipping and on-site installation. Air -Tight Seams By utilizing the excellent forming characteristics of both types of insulation, a tongue -and -groove pattern is precisely molded on all sides of the panels. A high- grade PVC closed -cell gasket is then adhered to the interior and exterior edges of the seam to guarantee a positive moisture and air seal. The deep, wide ' tongue -and -groove design also makes accurate panel alignment easy. Interior Meat Distribution Freezer Warehouse (110' x 210' x 161 1 ^�Isoloc Installations Abco Pizza t ' Alaska Distributors. Alpha Therapuetics Boeing Co. ' Canned Food Warehouse�� µ l Certified Foods 1 3"o Chevron Stations Costco x -1L. ��taYtr 4 w" Dairy Queen MKD Distributors-Dreyer's Epson Ft. Richardson -AK Fudrucker's Ft. Wainwright -AK c King Command Meat Koldkist Icel . Little Deli Marts Maries Dressings Papa-Aldo'sj Pizza Peter Pan Seafood Red- Dot Corr). 1 Seward Marine Seafood Shakey's Pizza Shell Oil Shop & Cart (Stores Sizzler Restaurants. Stockmarket Foods Stock Pot Soups •m Taco -Bell Taco -Time Thrifty Foods Time Oil Co. ` U.S. Forest Service r U.S. Naval Commissary ..,, Washington Bulb ' Western Boxed Meat I p� v Ew� _ Q :Z Ew� _ Q :Z Corners Despite the additional manufacturing cost, we insist on using 'Wrap-around" 90 -degree corners on all our walk-ins. Wrap-around corners provide for greater structural integrity, easier cleaning and better appearance than conventional flat corners. Locking Mechanism Steel cam -action locks are precisely positioned in each section to allow a tight drawing together of all wall, roof and floor panels. Cam locks are actuated through an access port on the interior side of each panel, and the ports are then sealed with an NSF pressure type cap. All Metal Cladding At Isoloc we realize that appearance can be a big factor fora retail walk-in. We offer a wide choice of bright or pebbled galvanized stainless steel, pebble aluminum, or fiber reinforced plastic. All the finishes can be pre -painted, are easily cleaned, require little maintenance, and are exceptionally attractive. GlasS Door Service Cooler 0), Standard Infitting Cold Storage Door Standard Storage Cooler At Isoloc Manufacturing, we GUARANTEE that our walk-in freezers and coolers will be freefrom defects in materials and in workmanship under normal use, for one year from the date of installation. IN FACT, WE ARE SO PROUD OF THE QUAL- ITY WORKMANSHIP THAT GOES INTO EACH UNIT, THAT ISOLOC GUARANTEES ALL PANEL LAMINATION AGAINST DEFECTS FOR FIVE YEARS AND ALL FOAM INSULA- TION MATERIALS FOR TEN YEARS. Isoloc GUARANTEES to replace, at its option, any such defective parts, F.O.B. the factory. Although Isoloc walk-ins are built only of the finest quality materials, the top of ANY walk-in should not be used for storage of any merchandise, materials or equipment unless it is specified that. it isbuiltforthat purpose. Isoloc assumes no responsibility for any damage result-. ing from overloading on the top of any unit due to storage of merchandise, materials or equipment. v 3315-85B Enid Robertson 3329 Oro Bangor,Hwy COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C-;iifornia 95965 - Telephone 916/534-4541` J �- APPLICATION,AND PERMIT ASSESSOR PARCEL NUMBER `'(� -•%r/ - ZONING BUILDING PERMIT OWNER ' TELEPHONE19q ,SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, / j j 11 i q1 4•�/ l ti� / /F r�/Vt / CONTRACTOR'S NAME r / i ( /i; ¢+r- (,— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER II(Ir r,,C UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r-reL LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee $ Energy ecg ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSf n/1 r // 3 S' Jrr� A., P1 ,�l, � P i ermt fee $ `��' 'r' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W10.00 ea TYPE OF WORK New Addition El RemodelUtilities Installation❑ Other E] Describe work: �/' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / 1 OR LE Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ElNON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , OR ADDNS. ACC. BLDGS. /20sq it NEW CONSTR. UL '.OUTLET 2,50 ea BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. EX, OCCUp(OUTLETS OR FIXTURES 20050t .200580 FIXED PR EX. Occup. OUTLETS (RESID 1EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 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. 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 K �'It r �'"-' 711 J Date f A' Gi Signature of Applicant - Owner ®y 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 $ TOTAL PERMIT FEE $ ( Q oCCUP. CONST.TYPEJ FLOOD PARCEL PO NO 59UE 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. pIRECTOR OF PUBLIC WORKS f" BY /Date PERMIT EXPIRES Date li l/erg/ Receipt No. 4,A Ii � WHITE-O•P•W•. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califor fia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT L IT NO� �L� Ass OR P�A//jjg EL NU BER 11// ZONING BUILDING PERMIT ow ROO_ rSQlq. r _ TELEPHONE19q SO. FT. OCC. BU DING VALUATION OWNER'S MAILING ADDR 5 CON AC OR•S NAME TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LE OER•S MAILING ADDRESS Permit Fee $ 10.00 ARCH ECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS nq r Permit fee 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 PIPJ' r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping •5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Re odes ❑ filitieS Installation❑ Other ElPermit Describe work: - v0oCid' ud Om A0 Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR Main service 100 AMP ORSLESS 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. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.p 122sgft A CC. BLDGS. 2/ NEW CONSTULTII.OUTLET IRC ITS 2.50 ea N ON.RESID BRANCH CIRCUIT S POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Cccu 20050e P OUTLETS OR FIXTURES eAL030 FIXED APL14S.I, Ex. occUp. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 o n co sequence of the granting of this permit. t X Date N —Fj 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 $ TOTAL PERMIT FEE $ O Occup. CONST,TYPEJ IFLOODIPARCELI PO I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IREXV PU:r1D BY Z2 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS to 11141� Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - OUI4?Y OF BUTTE DEPARTMENT OF PUBLIC WORKS 7.COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 868-85 for the following: Use Classification Addition to Market Address or Location 5291 Lower Wyandotte,, Oroville Group B-2 occupancy; Type V -W construction. It is hereby certified for the occupancy described above and may be occupied. Director of Publicor cs Date 7-8-85 By // I J.F. Gla der POST IN A CONSPjZUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. . This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. 4 COUNTY OF BUTTE } DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Ude (4-sa� 5 YC 8 - 8s A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector-'�L'>`� Date i$ PERMIT NO.. 468-85B PERMIT EXPIRES OWNER ROBERTSON'S MARKET CONTR. owner ASSESSOR PARCEL 36,111-13 LOCATION 5291 Lower Wyandotte, Oroville- 4. Temp. Power Pole_ CalledPG&E Temp. Elec. Service Called PG&E Temp.Gas Service Called PG&E— JOB FINALED (Date Signature 0 V OK O - Not ORS' Not Applicable Not Ready RESIDENTIAL (Single and Duplex) �E = Date UNDE, LOOK Plans OK except #'s Date FRAMING (Continued) ping requirements -Setbacks -Easements roperty Line Firewall & Openings q.-,/Ptg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. Depth r491._)Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3-Ft,9-7Garage; Soils -Steel- / /" Ftg. Depth IQ _S_tairs; Width -Headroom -Rise -Run -Landing -Fire Protection .orches & Decks; Soils -Steel- / /" Ftg. Depth . Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51--R-Wtood on Roof Overhang -Attic Vents -Rafter Outriggers .52rStding-Nailing-Veneer ._6._Stemwa Is, Garage; Steel-Blockouts-Wrapped-Slab 3.-Steeae-Mesh-Dr1p Screed-Fdn. Vents-Underflr. Access -7--Piers-Fireplace Ftg.-Steel 54-C�Area-Glass Protection -Skylights -Plastic 8. .W.V.: Fall -Fittings -Test -2 way C/O -Sewer TestWalls; 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card-BI DatDate e S f6 �� Card -BI Date Card-BI Date Card -BI Date Date Card -BI / Date FINAL (Plans) OK except #'s / Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air xt. Steps -Door & Sidelight Protection -Landings _ r5�. ke Detector -58-F mieee; Vents -Clearance Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59 Elect oom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures 8( Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel;/Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Applince; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Veceptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire DoQ(; Swing -Landing -Closer 68. A.C. Duct in G rage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Ven s -Clearance -Comb. Air-Connector-P.R.V.- In Garage; A ove Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes No. of Conductors -Stapled 70. Plb., Elec. Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Rece tacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation Foam -Looked in Attic ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73, Guard Rai s & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Ve s & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Followinginstld.: Drive ❑ n❑Yes ❑ No; Walks ❑ Yes No; Planters F-1 Yes E] No76. 26. Service -Riser Conductors &Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. Stucco; Brown -Finish 30. Clothes Closet Light -Shower Light 77, A.C. U it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water ell; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. Exteri r Elec. Trim; G.F.I. Receptacle -Underground 81. Venti tion throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except Y's 82. Glassf Protection 83. Corre tions from Previous Inspections 84. Gas est -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Wated & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, EnerPy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date 7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR INC Plans OK except q's V. S' s; Proper Material & Anchors 37 W fls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38 earing Walls over Girders & Floor Nailing n Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub deader & Beam -Size & Bearing "-Imengers-Post Caps -Anchors -Connectors 441 -*,t Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthnp.-Rfng._ °1T8'place Ties or Type A Flue -Fireplace Throat V5--A1Tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions moire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) V. = OK O = Not OK. = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 4 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ��- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 140. — 64 ASSESSO PARCEL NUMBER ZONING BUILDING RMIT OWNnflk 1A!S Cs TELEHONEa� �J^ 7A SQ. FT. OCC. BUILDING VALUATION O OWNER'S MAILING ADDRESS I l CONTR C OR -S NAME` If i TELEPH NE CONTRACTOR'S AILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH C OR ENG EER X1c-Penalty L EN E NO. Plan Checking Fee ,$ a $ ARCHITEC OR ENGINEVR'S MAI ING ADDRESS Permit fee $ � BUILDING ADDRESS L n _ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Qu Water piping 5.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water h,4d6r or vent 5,00 Gas piping sys m 1 - 5 outlets 5.00 USE OF STRUCTURE SF E:1 Duplex❑ Mobilehome❑ Other !'/C�✓''�F_ SPECIFY Building s er 5.00 Mobile KM.I S I G W 10.00e TYPE OF WORK New❑ Addition Remodel[] Utilities❑ Installation❑ Other ❑ Describe work: 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2h0Sq 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 C� �I, as the owner, or my employees with wages as their sole compen- ' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES A 50 9 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 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 _co ts, and expenses which may in any way accrue against said Gunty 'n onseq n of he granting of this�pfe�rmit. 1 %� �`h/ Date -E/� t�' &'� Signature of Applicant — Ownerjk 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 p 8-2- TYPE OF CONST. V—N PARCEL PD HD 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY PpfMfT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,/— Date [�' ' 2-11-1p, Receipt No. !3! W2. WHITE-D.P.W. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i Pae l MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE Bldg. Permit # OWNER_ A. P . # A. GENERAL X Zoning requirements (sideyards, parking, special conditions). /2! Valuation. ..3—. Signature by R.C.E. or Architect f required). Calculations. /C4. r -a - r-y„_of Chico; City of Biggs. ;5v -"Complete plot plan with dime , easements, other buildings, and other pertinent data. See previous permits and plans in file for expired permits, change of use, etc. B. OCCUPANCY REQUIREMENTS Building use Occupancy Class — Type of Constr. ,� Building floor area - $ sq.ft. Occupant Load ; • Total allowable floor area sq.ft. Basic allowable floor area *-30G sq.ft. Basis for increase 72w rt '&e.A0& c !oma I- d*- �dditions, alterations, and repairs exceeding 50'/. (Sec. 104). Compliance with occupancy group requirements (Chapters 5-13). Occupancy separations (Sec. 503). / Area separations (Sec. 505). Firewalls due to location on property (Sec. 504). X Maximum height requirements (Sec. 507). Attic separations (Sec. 3025). Ventilation and special hazards requirements (Chapters 6-13). Fire extinguishing systems (Chapter 38); Fire alarm systems (Sec. 809 & 909). M e re uirements. (Grease Hood w/fire sprinkler system - Chapter 20). 15. - co �ca an a) Restaurant Act; (b) Commercial Pool. Smoke detect on sys em. 1�7ij Fire Dept. Plan Review and/or Fire Marshal Plan Approval. . Electrical Code Requirements (Pools or hazardous occ.) (Art. 680 & 500's). C. TYPES OF CONSTRUCTION REQUIREMENTS Fire retardant roof coverings (Sec. 1704). Parapet walls (Sec. 1709). Toilet room floors and walls (Sec. 1711). Physically handicapped (Sec. 1711 & Table 33A). i Guardrails (Sec. 1716). Detailed types of construction requirements (Chapters Proper roof pitch for roof covering (Chapter 32). Attic access and ventilation (Sec. 3205). -3! Roof drainage (Sec. 3207). Skylights (Chapters 34 & 52). A% Stages and platforms (Chapter -'-39). Interior wall and ceiling finish (Chapter 42). ;�-*—Wal-1 - ire resistive requirements (Chapter 43). and ceiling coverings (Chapter 47). �*-Bulass and glazing (Chapter 54). ilding Materials - Check: Grade, Species, Allowable Example: (Glu -lam Beams w/ certif. 24F ext.grade). 17-22). Human Impact (Sec. 5406). Stresses, Ext. or Int. -- Page 2 MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE (continued) D. STAIRS EXITS AND OCCUPANT LOADS eneral Exit Requirements (Sec. 3301) (Post occ. load, etc.). ,,Number of exits, width and locations (Sec. 3302). Doors (Sec. 3303). k �irridors and exterior exit balconies (Sec. 3304). �>v1.'fairways, rise & run, width, winders, and construction (Sec. 3305). K izontal exit (Sec. 3307). 7 t and smokeproof enclosures (Sec. 3308 & 3309). it signs and illumination (Sec. 3312). isles & seating (Sec. 3313). Exits for occupancy groups.A-B (Sec. 3315-3319). E. ENGINEERING REGULATIONS, DESIGN, QUALITY MATERIALS, AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plans must include plot plan, floor plan, foundation plan, elevations, and complete structural details. • Energy design, calcs, and necessary details (State law). • Veneer (Chapter 30). • Chimneys and.fireplaces (Chapter 37). Engineered plans if required. • Plastics (Chapter 52). Excavation and grading (Chapter 70). Continuous or Special Inspection (Sec. 305). • Factory or other certification. - Soils or compaction data. 1 Noise regulations. 1 Footing reinf. Min. Two #4 bars (cont.). 1 Engineering Calc(s) should include:. (a) Roof - Ceiling. (b) Floor - Ceiling. (c) Foundation. (d) Walls -- Large openings? (consider lateral). (e) Lateral: 1. Roof Diaphram. 2. Shear Walls. 3. Anchorage & Tie -downs. 4. 'Connections thru-out. (f) Retaining Walls. Ic 1 ---�-QA_ . �46 YJ t �f T- a � � t F ' %1( .. . � � 1 nom. .. � � �. v i 1 `, . .• � �, �� � � � - I __ . , � i + -�� rl i - � ` �. 41 •,I . 'R �- - - �'� � � - - � - � I ,. _ _ i - .. _ _ � ' � � �� - - - . t _ �I. .. f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT Ni�&/- , eV044 _ ASSESS R P EL NUM ER o — — ZONING ' BUILDING PERMIT OW R b Ir & kir Av, aS TELE( -HON S o SQ. FT. OCC. BUILDING VALUATIO O N M ILINGDRESS Q r CO A TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ,,MT OR E INEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR NGINE R' MAILING ADDRESS Permit fee $ BUILDING ADDRESS B _Wil a 14 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 rfJV P Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTUR / SF ❑ Duplex❑ Mobilehome❑ Other Q'rKe- SPECIFY Building sewer 5.00 Mobile Home S I G I W I 1 110-00 e TYPE OF WORK New ❑ Addition Remodel ❑ tilities Q Install t' EJ Other ❑ Describe work: (� Ltri Cd�(��__ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS ( DWELING OR ADDNST ACC. BL DGS.CC UP.&\ // 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole pompen- 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 CON5TR ULTI.OUTLET �n NON-RESID BRANCH CIRC ITS 2.50ea 0.(�! NEW CONSTR ,POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20@50C OR FIXTURES BAL@30 Ex. Occup(OIXED A Ex. Occup. OUTLETS ( R RESID IEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. 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. 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 I con quenc�e—of the granting of this permit. %�� m �ti Date b —//'� /jr - 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. JPARCFLJ PD I HD I ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRVTO7FUBLIC B1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date u1144 4 A! i Receipt No. K16 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 633-80B a . PERMIT EXPIRES _ -- 2/8/81 . OWNER ' ROBERTSON MARKET CONTR. Don George ' - LOCATION (A.P. 36-111-13 ) 15921 Lower Wyandotte, Oroville a • . a i�. S� Temp. Pow r Pole Called PG&E Temp. E ec. Serv. Cal ed' PG&E Temp. Gas Serv. lied PG&E JO - t NALED G �r (Date) i (Signature i k� Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers ` Roofing T.. Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handlca ed Conformance of ex. e Appliances Gas PipingTest Temp. Gas Slab anal- Sanitation Patio REP ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling. Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping ®u DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivq T CYroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aumonze r r senlauve r me c: ty or tsutie io enier upon me above -me o ed pro r for ' e ion purposes. Date Po Signatureof ermit qr 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. DI ECTOR OF PUBLIC WORKS By z' Date V Building per expires Date 2466 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION O C7 Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address N� Cc3t�L �o Plan Checking Fee&/or Penalty Permit Fee // PLUMBING No. @ FEE g PERMIT FILING FEE $3.00 Each TraD 1.50 fj(Ld Repair drainage or vent piping 1.50 f A. P. No. (ff / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fdq W/C. Sarritat'rorl Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P nhTT s 7ec"d I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER tgp Permit Fee $ $ �j ELECTRICAL No. @ FEE V IF PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 %r (� Main service OVER soov 25.00 100 AMP OR LESS r Main service/ EA. AOD•L 100 AMP 1.00NEW CONST. OR ADDNS. \ ACCL BLDGS.CCUP. Y) 20 sq ft 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 le, style �f0/d NEW CONSTR MULTI-OUTL T NON.RESID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 0 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES a @L@1 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 r '�� O'LCCLC Mobile Home Facilities 15.00 g License o. 20 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. @ 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 buildiWconstruction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ aumonze r r senlauve r me c: ty or tsutie io enier upon me above -me o ed pro r for ' e ion purposes. Date Po Signatureof ermit qr 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. DI ECTOR OF PUBLIC WORKS By z' Date V Building per expires Date 2466 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORD -e 7 County Center Drive — Oroville, California 95965 Telephone: 534-541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 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 Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. I Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A provaI Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 80000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 4) 20sgft OR ADDNS. ACC. BLDGS. 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: NEW CONSTR. JMULTI.OUTLET NON-RESID. % BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS fi NON.RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETs OR FIXTtIPES) '5 A ,5 FIXED APLNS Ex. Occup. (OUTLETSP(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 $ MECHANICAL No. @ 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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 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 Building permit expires Date Date r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION JkND'PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �'� 0--,> � Signature of Permitee or Agent Receipt No. 2"QQY& v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Thi tis hereby issued under the applicable provisions of t Butte oun od and/or resolutions to do work indicated bove A f es ave been paid. E rtOR OF PUBLIC WORKS 9 A? 71 BY Date / p &.11l A DAIIiiiiiiamg permit expires Date (o ^ o ' BUILDING Owner�rS©/J 5 �/( (L'�, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor L.R IZ©eJ A16 [ VT , Mailing Address 1051 S (E CA 40 L , Fireplace Total Valuation �IDC ©[� 0I q 5 i Telephone - 1?// Permit Fee Building Address ql I-oldEra WVA_AJ Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ®O Each TraD 1.50 040 Repair drainage or vent piping 1.50 A. P. No. f -) 3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s .C. Svn"Zii0fl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 AS -0 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI dg.41HmT-Rec cT Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ D00 r pie— -- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 C �i S -M Main service OVER P O 25.00 10AMP OR LESS Main service EA.. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACCLBL GS,CCUP. 4� 20sgft 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: // NEW CONSTRES'D. MULTI.OUTL T NON.RESID BRANCH CIRCUITS 12.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L2 FIXED ALNS Ex. Occup.(OUT ETSP(RES(D)REA) 2.00 -00 Temporary service 10.00 Mobile Home Facilities 15.00 S �+�� License No.Classification ,L Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5,00 $ j Toi 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 LxNworkmen'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 0 Heating()QO �, 00 tj N 0 Pl4IL Cooling -7, so Ventilation Hood 2.00 Permit Fee $ 7S $ /5 S 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 Land Development Fee $ TOTAL PERMIT FEE IPS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �'� 0--,> � Signature of Permitee or Agent Receipt No. 2"QQY& v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Thi tis hereby issued under the applicable provisions of t Butte oun od and/or resolutions to do work indicated bove A f es ave been paid. E rtOR OF PUBLIC WORKS 9 A? 71 BY Date / p &.11l A DAIIiiiiiiamg permit expires Date (o ^ o ' '^-�+�.w�w�...-�:,.:u......�:+.-^�.e�U-�+•---�r`+r'•'via"i�F.r3iTn^.iT^^�,Lr.r.-:-,-�4.1N�:-�L'�.- f,r:.:.n�1'+.a•� +..f.: a .Ya:a.w +,4.. .. ,� �� � .eat �j�/S �� _' � X33 ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION `AND PERMIT ASSESSOR PARCEL NUMBER • - 3 (• .-J // - / - • ZONING11 IBUILDING PERMIT OWNER (/ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME T(ELEPHO-NE ? -;-' /'JE' Z CONTRACTOR'S MAILING ADDRESS - W w Fireplace / 00� CONSTTR�•U�'C�`TION LENDER UNKNOWN Total Valuation $ i U Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ f S ARCHITECT OR ENGINEER ^AV_L LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 J / Each Trap 2.00 Repair drainage or vent piping 5.00 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 KI Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [] Describe work: A ,Wl rtl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main Service 100 AOOV MP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y\ OR ADDNS. \ ACC. BLDGS. / 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ®�Iam licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and�.m�i license is in full force and effect. License No. �� Classification � .. ❑ I, as the owner, or my employees with wages as their sole c mpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR ( POWER APPARATUS.&) NON-RESID. SINGLE OUTLET CIR e) Ex. Occup OUTLETS OR FIXTURES B �@100a IXED APPLNS, OR Ex. Occup.(ourLErs (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): k / R��The permit is for $100.00 (valuation) or less. 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 shat l be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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/inconsequence of the jranting of this permit. V �� �� / N 1 ' � X xI( ►i/ _ _r _, VI _ Date I Signature of Applicant — ` Owner ❑ Contra11tor ❑ Agent I { An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST. PARCEL PD ND SSUE -This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By � . PERMIT'EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date N/Z I Receipt No. (n / � �" WHITE-D.P.W., YELLOW-ASSe330R, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 q;2 APPLICATION ANO PERMIT Ir CJJ ASSESSOR PARCEL NUMBER _ / 16 — f�, ZONING BUILDING PERMIT owrR W EPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C SkCITR ACT R'S NA E� ld LEP=O N'Z CONTRACTOR'S A ING ADDRESS (�,(-iQ�/ Fireplace 100 0 C NSTRUC ION LENDE 11 NO Total Valuation $ UN Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ f ARCHITECT OR.ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 5 BUILDING ADDRESS aW4��� PLUMBING PERMIT FiIingFee 10.00 O Each Trap 2.00 Repair drainage or vent piping 5.00 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other N' Describe,work: 4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.&) OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare u er penalty of perjury (Check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and�efect. No. Classification I, as the owner, or my employees with wages as their sole pen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR(MULTI-OUTLET NON-RES'..BRANCH CIRC TS 2.50 ea NEW CONSTR. IPOWER APPARATUS eI NON-RESID. %SINGLE OUTLET CIR. 80 @ 250 Ex. OCCUpOUTLETS OR FIXTURES BAL@1EX. p•\OUTLETS (RESID,)EA. 2.00 OCCU / IXEDAPPLNS. ORLicense Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare erpenalty of perjury (check one): The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 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 hereb authorize representatives of the Countyot Butte to the above -m ti ned property for inspection purposes. I o agdos indemni an keep less the County of Butte against II Iiabilents c sts, and ex ens s which may in any way accrueagainst s s u ce of th Tr ting of this permit. X Date Signature of Applicant — Owner Contra rot ❑ Agent An OSHA permit is required for excavations ov r 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE is permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TOR OF PUBLIC By PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS De Z Receipt No. (0�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEJARTMENT OF PUBLIC WORKS 7 County Center Drive—t*Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 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 Date Buildln§ permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 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. G Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I 'W.C. 1 Sani--tatierr FireDept. 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-R-erd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,w 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 Water Heater or Space Heater 1.00 Light fixtures b�l� Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ r" MECHANICAL No. @ 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 Comper^sation. ❑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. 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 bui Idina construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 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 Date Buildln§ permit expires Date .1 - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS/ 7 County Center Drive Orovi Ile, California 95965 63 Telephone: •534-40 APPLICATION AND PERMIT 19 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor wl Total Valuation Mailing Addre Permit Fee Plan Checking Fee &/or Penalty Telephon 3 —Co ef� �tJ 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 /_ _ / Z A. P. No 4 J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Files' I 4-.C-. I SaRi4a�fiefl- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 BI4g d Parcel Appro= Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL :No.1 @ FEE PERMIT FILING FEE $3.00 3s06 Main service incl. 1 meter Additional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 .41 —y�,� 29E Water Heater or Space Heater 1.00 Light fixtures b 1 /411 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: i C Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. _3/�5�>S� Classification G b Misc-wiring Q —a S.vo TUU ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee Or$ OC WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE ®� auinunce representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X Date Si ature of Permitee or Agent Receipt o. —� White-D.P.W. — YelI.W-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Countv Code and/or resolutions to do work indicated above for which fees have been paid. I CTOR OF PUBLIC WORKS By Date// permit expires Date Z' /,S % MAR -22-1990 11:25 FROM ISOLOC MANUFACTURING CO. TO SPECIFICATIONS: WALK-IN BOX SIZE .• �V" n W, ('� �T70to H, O COOLER 0 FREEZER 0 COM90 INSULATION: ❑ URETHANE STYRENE WALK-IN BOX FINISH EXTERIOR 5U -ay~ INTERIOR: UNEXPOSED:•2.Dy.. 6v_-ciAQ(l WALK-IN DOOR SIZE NO 3 W. , H. ❑ MS. O D.A. ■ STD O FLUSH NO. W. H. O MS. O O.A. ❑ STD ❑ FLUSH NO, W. H. ❑ MS. ❑ D.A. ❑ STD O FLUSH REACH -IN DOORS: GQTY- SIZE: X O SOLID ❑ GLASS NO. PILOT LIGHT & SWITCH ❑ SURFACE FLUSH NO. i 2" THERMOMETER NO. I-1 HEATED AIR VENT ACCESSORIES: NO. ( VAPOR PROOF LIGHTS/LOOSE S4,D SQ. rY ROOF: O CAMLOCK U LAGBOLT FLOOR FINISH: 9 STD ❑ OTHER._ FLOOR PIT -TYPE OF INSUL. THICKNESS O BACKING REQUIRED IN: ❑ SHELVING Cl NSF MOULDING LINEAL FEET O NSF CONSTRUCTION ROOF SUPPORT SYSTEM ❑ INTERIOR STEEL ❑ EXTERIOR STEEL ❑ GLUELAM TYPE REQUIRED CUSTOMER: - • R��Ca;:: �•� r�tc.,..:.• � ;.., .� � �.�: o�n.v��.�, rte. SCALE. — — DATE: j = = DRAWN BY.MANWACTURM Y RE+nsea ::4'.`0 Wellc.:ncemleniand�lreezera� ��+ 1022219169272315 P. 04%09 MAR -22-1990 11:26 FROM ISOLOC MANUFACTURING CO. TO 1022219169272315 P.05/09 41 . 13`"46 b 2 ?-O%T A.T6 23� z�- gra... ab X96 !1 WOO1' H 4$i MAR=22=1990-11:27"FROM-: ISOLOC' MANUFACTURING CO. TO 1022219169272315 P.07/09 Al 41-10 lip �9� .�.. fib. �►���� I 1 I 61" j ,MAR -22=1990 11:28 FROM ISOLOC MANUFACTURING CO. 'TO '1022219169272315 P.08/09 I --Lj— `5- 4C ( `hL Y � P I DOOR Mt.S.S.. NO. REACH - 0 SOLI I Vancovv, NO.^ NO. NO {- ROOF: FLOOR 4. �� FLOOR O BALI ❑ SHE u rvar ❑ NSF d INTE TYPE F I�.'r� j CUSTOI I Vancovv, MAR -22-1990 11:2e FROM ISOLOC.MANUFACTURING C0: TO 1022219169272315 P.09/09 TOTAL P.09 1 ,e_ _ I,l iR-.`2-199GI 11:25 FR011 i SOL OC [—IAN _IFA TUR 11.113 ( O - Tb. Icl2L2 291692 74-23 F'. 114 013 SPECIFICATIONS: ' t rr r • M � � O �N WALK-IN BOX SITE W• L O COOLER M FREEZER ❑ COMBO INSULATION: (T1 URETHANE.__'___.... .._ _ __ _.__.._. is STYRENE.,._ WALK-IN BOX FINISH EXTERIOR: STUC"INTERIOR: UNEXPOSED:` WALK-IN DOOR SIZE _ E_ NO. 3� W. Iy__H. ❑ MS. ❑ D.A. IN STD ❑ FLUSH --._NO. ___-.W. _._H. ❑ MS- ❑ D.A. l.7 STD Cl•FLUSH ---NO. ----W____H. ❑ MS. ❑ D.A. ❑ STD ❑ FLUSH REACH -IN DOORS: Q Y: SIZE: -___ x ❑ SOLID ❑ GLASS NO. -� PILOT LIGHT & SWITCH ❑SURFACE *FLUSH NO._,_ 2" THERMOMETER NO. HEATED AIR VENT ACCESSORIES: NO.__L.,.___ VAPOR PROOF LIGHTS/LOOSE S4,0 Sa. f� f. ROOF: ❑ CAMLOCK N LAGBOLT FLOOR FINISH: 9 STD ❑ fYTHFR:_._.._.._..._....__.__....._....._._.._._._.. FLOOR PIT 7 TYPE OF INSUL. ___„ THICKNESS.__—___. 0 BACKING REQUIRED I ❑ SHELVING ❑ NSF MOULDING LINEAL FEET O NSF CONSTRUCTION ROOF SUPPORT SYSTEM ❑ INTERIOR STEEL ❑ EXTERIOR STEEL ❑ GLUELAM TYPE REOUIIIED-__,..— — – - - - -- CUSTOMER: RE�:ORO.V�I., C.A. SCALE: .DATE: DRAWN BY, REVISED: «� Walk -;n cooler and Irpezem I JOB N0: -- W9t OtRCe Sax 61522 1713 Simpson Vancouver, Washington 98668 Phone (206) 695.3230 SHEET OF f MAR -22-1990 11:26 FROM ISOLOC MANUFACTURING CO. TO 1022219169272315 P.05i09 �PAMU -P-8 1-T 20%T . /.J-\ I * .J AIN 441�� 23� i HEM Air Vim' 60/90'd- STMF,69T6TZZZ0T 01 '00 0NIanioddflNdW OO-IOSI WON=] LZ:TT 066T-EE-adW i MAR -22-1990 11:27 FROM ISOLOC MANUFACTURING CO. TO 1022219169272315 P.07/09 Tam I ,Xx EX! . 4 s MAR -22-1990 11:28 FROM ISOLOC MANUFACTURING CO. TO 1022219169272315 P.08i09 4,L I 4 r i DOOR R5C�:S.S._..-.�-:' X0...8_ t -Y EJ INTE TYPE. F cusro� i vancouv MAR -22-.1990 11:28 FROM ISOLOC MANUFACTURING CO: TO 1022219169272315. P.09i09 TOTAL P.09 r t I ADJ TO #98-1956 BUTTE COUNTY PUBLIC WORKS ORO BANGOR & LOWER WYANDOTTE PUBLIC WORKS�f/i'�3 - A� ELECT SERVICE FOR TRAFFIC LIGHT r e- ;-Buft6, County 'PublicW6 rks A, , ..- Traffic'sigfia f ri OFFICE COPY Address dd r GAS Mete Date - Mete y ELECTRIC Metert y DatlaOg 9, m- eter By COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Ae j . to 036-111--043 ZONING BUILDING PERMIT OWNER RTTTRT MT2=TRT.•1 T?84 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7 COTI .TY C.FWT ,R T)RTVF \ (�l�e}+)f CONTRACTOR'S NAME '91 CO TTY PYM,T)'TCY 141IRVq 1, f� 1 J 1 l n/ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ('I'0 RAT!Ir 3R P, L,OWPP, 1rYANTj'1()T'rF Energy Plan Checking Fee $ ?JO,Z'!'H FAST CORNPR, ')ROVTLE $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TRAFFIC T,T(,=TTS SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities YJ Installation ❑ Other ❑ Describe Work: ^LrCTR.IC SRPWTCF, Ff1R TRA17TC LT(:RTS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ©o I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) El, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑. Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. s0 OR ADONS. a ACC. BLDS. 3.50FT_ T. 1Njoµq�,p. MULTBRANCI.OUTLET 97,50 PSINGOllRET OWELEPPARATUS R ACIR. 20 ®,.� Ex. Occup. OUTIETORFDTTURES BAL 50 Ex. Occup. ou�nErs-RE=.)OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TY TOTAL FEE $ HAZ. D �ES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have l��E " By- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid.Al .'Yl •� _ , Date - ,• ;rte Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DPVELQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 No. (Rev. 12/96) APPLICATION AND PERMIT r l ASSESSOR PARCEL NUMBER Adj. to 036-111-043 ZONING BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7 COUNTY CENTER. DRIVE CONTRACTOR'S NAME BUTTE COUNTY PUBLIC 14ORKS TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ORO BANGOR & LOWER WYANDOTTE Gl � Energy Plan Checking Fee $ NORTH EAST CORNER, OROVILF $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TRAFFIC LIGHTS SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities b Installation ❑ Other ❑ Describe Work: ELrCTRIC SERVICE FOR TRAFFIC LIGHTS Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000A OR LESS 23.00 9,1 nn LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. SO 3.5¢FT, NON.pEOSIpT MULTI.OUTLET 97,50 POWER APPAIATUs a sINGLE ourLET cIR. Ex. Occup.OUTLET OR FIXTURES 20 ®1'50 s„L @ .50 FIXI Ex. Occup. ovrLm A'116.oERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comp ith th e provisions. G �7 X -� Date ' Signature of Appli t - ❑ Owner ❑ Contractor ,Agent An 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 $ FXEiIPT occ CONST. TYPE TOTAL FEE $ 43.00 HAz. D FEES IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or inr which fees have BW ' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid,43.00 Gp ate p 7 Q 1� ate Receipt No. a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVEI_.gPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. AS SE OR CEL � Nu ER r7_JC ZONING BUILDING PERMIT OWNER Q� deJ U, hj fG-.r TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MU DRESS AI CONTRACTOR'S NAME 1 a TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS y7 fL Energy Plan Checking Fee $ PERMIT FEE $ LO NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE P SF ❑ Duplex ❑ Mobilehome .❑ Other sPECIFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lities CZ-lastallation ❑ Other ❑ Describes Work:U��2y \ / /—Jr— 4 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 S G Mobile Home W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling' Fee 20.00 OOOV OR LESS Main Service so OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR AODNS. ( a ACC. BUDS. 3.5QFT: Npµq�Ip, CONSTMULTI.OUTLET 97,50 POWEA APPARATUS a swGLE oun Er CIR. OUTLET OR FWTURES 20 ® I. Ex. Occup. eAl o . Ex. Occup. p�� p LNS°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 3 PERMIT FEE $ .— MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee OCC CONST. TYPE �y TOTAL FEE $ p PEEs IMP FLOOD CDF PARCEL PO HO ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Te Receipt No. WHITE-D.D.S.-B.D. 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