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HomeMy WebLinkAbout022-240-09822-L+�-98"'Z-----,22-24-98 Raymond Rogers contr:Loris ooh_, G idley W/S Kofford Rd., app. 60' S. of Justeson Permit #702-67B; 585-67E, - 9I -67P new Rd., Gridley sin gle famil lv%'' Permit X27 8 6P,E(uti1.,MH) - EIE C :..'.. (AS Z SUP OR TRUCTURE REQ. C7 COMPLETION TEST REQ. _ L----� 22-24-98 Permit #2965-76MHI Issued7� j 22-24-98 Permit #4259-36B(new deck &awning/MH) �� to-Ar 2-24=98co r : crOf�'oville Permit #2392-77B(new awning/MH): r _ _' i-� n ..a 2788-76P,E PERMIT NO. PERMIT EXPIRES -_7 47 ,/ #OWNER Raymond Rogers CONTR. owner. - LOCATION (A.P. 22-24-98 W/S Kofford Rd... app.60'S.of Justeson Rd.,Gridle r` e 1 t Temp. Power Pole Called PG& Temp. Elec. rv. i Called G&E 4 Temp. G s Serv. Ca ed PG&E ` FOAof LED �e Date (Signature) i MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes `j( No' 2. Does the mobilehome have required clearances above ground? (Sec'.5085) Yes, No 3. Are footings and supports properly sized; spaced, and braceds er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yese No 4. Is the mobilehome level? (Sec. 5088) Yes No+ 5. ifigore than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes No C. Baflow - If �n�+- ��.,� ��a%.cf�rnia approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No. B. Does it have minimum" per foot slope and is it properly supported? YesNo C. Are any leaks detected in drainage system after running -gallons of water through each fixture including washing machine standpipe? Yes No A. D. I o a 1 o roved, does station have required trap and.vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mo '1 home gas line inlet without reductions other than the mobilehome connector. Yes A No 7-11 B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No r8" C:4 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimumf 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Ye SX No C. Is power supply cord or feeder assembly properly fused? YesiC/ No D. Is continuity test satisfactory as per the following procedur�e�? YesNo 1. De -energize electrical xyiring system of the mobilehome at the peXtal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the otlier lead to each m.obilehome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. •6. Upon completion of the above procedure, the power supply cord or feeder. assembly conductors. shall be connected to the site service equipment. A further continuity test :shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA .Manufacturer and/or Namestyle Length 37,/5;, Width _Z Vehicle Serial No. 2_ :2. State Identification No. Additional.Informati.on or Comments: COUNTY'OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 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 PI in , Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PI in &Test s2 Temp. Gas Slab Final Sanitation Patio _ FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls . Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS I Motors Framina Test I Water Htr_ Mesh MECHANICA Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer _ Final DATE 7//,7—/ l� REMARKS OR CORRECTIONS G� Grd. Fault Pn Service Temp. Pole Undergrouni Permanent Final COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5uncleper it number ���'- 7G for the following location: Ta'`'m Owner y, Paid Owner's Address�1- Mobilehome Mfg. Model ` �Yearj797_5 Insignia No. ..2 2 s ��'/ G Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works r J Date !f/v� C�/ 741 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED (NOTE: An entry must be made on this form each time you visit the job site.) ti Grd. Fault Pn Service Temp. Pole Undergrouni Permanent Final COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5uncleper it number ���'- 7G for the following location: Ta'`'m Owner y, Paid Owner's Address�1- Mobilehome Mfg. Model ` �Yearj797_5 Insignia No. ..2 2 s ��'/ G Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works r J Date !f/v� C�/ 741 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED (NOTE: An entry must be made on this form each time you visit the job site.) f' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center C rT '`-- AroviIIe, California 95965/ Tel efShone: 534-4541 7 {� Y — 76 APPLICATION AND PERMIT/ 0 4 YYY� 9 l Date —f ">~C 5- Signature off/ PPermi�t-e7e or ent Receipt No. 17 6a c'7:2_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ine tsutle county uoae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/VUBLIC WORKS BYate 6-7-% % ' ding permit expires Date 6 " 7-77 BUILDING Owner L'"t, SQ. FT. OCC. BUILDING VALUATION Mailing Address x( 3o ZZ Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address AAS -0 r�v�� PLUMBING No. @ FEE c' / v 00-- ��S%����,Q, PERMIT FILING FEE $3.00 e2 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1V" Each gas water heater or vent 1.50 A. P. No. �� 2 -- Z Zo Gas piping system 1 - 5 outlets U661pp n Each additional outlet .30 Fee" W. S eDept. FireZone Use Permit Building sewer O EQA Parking Plans -�s Dec ara I n parcel Ma P 60' R/W Im rove nts P Lawn sprinkler system_ 2.00 Bldg. Plans Recd Parcel I Planspproval Permit Fee $ p o 33 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .3,00 Main service 100 AMP ORSLESS 5.00 5e p Main service EA. ADD -L loo AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW OR ADDNST ( DACC`BLOGS.LING CCUP. &) 22sgft NEW CONSTR MULTI -OUTLET NON.R ESI D. BRANCH CIRCUITS) 12.50ea NEW CONSTR.POWER APPARATUS&J NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@251�t FIXED APPLNS. Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 pp License No.Classification Misc. Wiring 6.25 Tam exempt from the Contractors License Laws of the State of California. Permit Fee $ 2J,010 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ro-I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT 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 authorize representatives of the County of Butte to enter upon the ahnvP-mentinnP.ri nrnnort,, fnr—nontlnn n,,.,,,, TOTAL PERMIT FEE $�, This permit is hereby P y issued under the applicable provisions of 9 l Date —f ">~C 5- Signature off/ PPermi�t-e7e or ent Receipt No. 17 6a c'7:2_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ine tsutle county uoae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/VUBLIC WORKS BYate 6-7-% % ' ding permit expires Date 6 " 7-77 --COUNTY OF BUTTE — DEY'AR�il1ENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 —� Tel cphone: 534-4541 / APPLICATION AND PERMIT above' -mentioned property for inspection purposes. X C/ 2- r Date �-3— 7 Signature of Peer tee or Agent Receipt No. L/� 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 F UBLIC WORKS wilding permit expires Date 2--1 z.--77 BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address QLG� — TI ehyne No. �// Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �F�D�o� PLUMBING No.1 @ I FEE PERMIT FILING FEE J$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. Z-2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Sa"Uletr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declar tion parcel Ma P 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap al Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Zr ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7 — % Main service 100 AMP LESSESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others Main service 10 0 AMP OR LESS VER 600V 25.0 -Main EA. ADD'L 100 AMP 1 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2�Sgft NEW CONSTrL MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 12.50e NEWCONSTR. POWER APPARATUS 8& NON -RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @2250 BAL@1 Ex. Occup. (OUTLETSIXED AP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 01 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 Workme1.n's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 herebyO f C A,- TOTAL PERMIT FEE above' -mentioned property for inspection purposes. X C/ 2- r Date �-3— 7 Signature of Peer tee or Agent Receipt No. L/� 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 F UBLIC WORKS wilding permit expires Date 2--1 z.--77 MOBILEHOME' SUPPORT DATA �� yt p G y /Jo - -d .i7RIZA7Y'01) Mobilehome Mfr./— /,I �%�y Setup Model No. �yA�Year Width (ft.) Length (ft.) - Expando `Size '. ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if. not .on file- with the County of Butte) . QSin le. Footinj%s-(check.one) rn Wood:either pressure treated or Ce,ter Center Support �� ;fdn"::grade.: Su" ort Footing Sizes , Locations (in.) .. :. �. pad. 2. -.:Concrete I 1 e%.x� 3., -Other :sR_ .o in. iri: ` n. Supports (check one) I. Concrete block x2. Concrete piers � 1 ,ftwJ inl (in:}(in:) 3. Steel piers '4." Other, specify : I i ... Typical Support I Z' x 3C Footing Size x16 in.(I-n.) (in.) (in.) . . ... _ ... ...�: . F _ - t MaxPier . ng in.. ; ) in. xAn ' ! (in.)(•in.) , � ! Max. - Overhang *If center piers are other than drawn above, BUTTE COUNTY draw in locations, spacing, and dimensions. 'n"ii r%wa DEPARTMENT APPROVED. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ��7�� /f 0�.�/� �S 2. Installer's name:U h �✓ �����G�� tv. ��. ,✓va .� ����5 3. Is the site currently under permit? Yes / / No A SU .(If yes, furnish permit number ) OR Is the site.an existing site? Yes es No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ------------------------ , Q n Amps 6. What is the mobilehome site service rating? --------------------- IC> O Amps 7. What is the mobilehome site circuit breaker rating? ------------- %4 "D Amps S. Is there any other electric load to be served by the mobilehome site service. Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------------- 10. What is the type of gas service? ----------------------------- Natural 777 LPG % 11. What is the gas pipe length from meter or tank to. the mobilehome? o 12. What is the mobilehome gas demand? ---------------------------- �� ,.L� a 1 (BTU) "(This''infoimat3ton not required if pipe length less than 6 ft. on natural gas or -less. than,50 ft, on LPG.) C r . s NOT COMPARED WITH; DECLARATION ZEGAOING LOTS -OR PARCELS ORIGINAL DOCUMENT .r• , , r . 'I certify that as owner of the property acquired by deed in Volume Page., .' ,���• J''Official Records of Butte."County, (AP# I am requesting permission to build or install an additional living unit.on this property. I will not divide the aforementioned property for sale, lease., rent, or financing unless all applicable, -land division laws and map requirements are'com-- plied with. I'am'conversant with the present zoning regulations affecting the afordmentioned ."property, and declare that I shall not violate same. I represent that the proposed use of the additional living unit is m )e Alk !4 ltd,, 7-, A2 :'n r / A) W k 1 G i,r i s 119 r /1//,-g /P IL) � and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that -pursuant to Chanter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the'irea'on or adjacent to said improvement without fully complying with the.applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. 1. D`FIC1�1L.RECORDS _ BUT E CCON T Y -CALIF REC'3?D f+.')!`EST �� fwr3 01+m Address LOUISE KLUEHDER COUNTY RECORDER Dire 335V FEE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - STATE OF CALIFORNIA ) ss. COUNTY OF 2JJTTE ) On this 24th day of May , 197, before me, Ruh H_ King , a Notary Public in and for the County of State of California, residing therein, duly commis- sioned and sworn, personally appeared Rammand A. - Rogers known to me to be the person_ whose name subscribed to,the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of B u t- t -e the"day and year in this certificate first above written. maeeouuue�e�casnea�¢�e®eoesaoase�ee0000ecnnnnm�� RUTH H. KING NOTARY PUBLIC —CALIFORNIA BUTTE COUNTY e '-` My Commission Expires Sept. 19, 1976 �1lIIIIC111141!!11010[BIG IM12112161tBRCa6all ao®ECGuee� Notary Public Ruth H. King 1 S96-1275 ,/ X 07- •�� The j. Set6ack shall be 5 ff. from the side property line and 50 ft. from LN the centerline of the road, permi#ing . a maximum of a 2 ft: eave overhang. % Permit will be Pe/�v+� i''r"• �2 7�'� i� b cl ,�181,. All utility connections shall be �� 0' �lehome, located within 4 ft. outside the rear - third section of the mobile home on the left .(road) side of the mobile 40 home. 'M A- 4 t 4, Septic system and location wof buildl ing drain stub-out to be as per Butte County Health Dept. Re- - ui remehts. 41 Q - NOTE:—All" Materials & Workmanship Sall Be in this set of plans BUTTE COUNTY MUST be Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful to BUILDING DE ARTMENT of a quality prescri.6ed for the Specified use in the make any changes or alterations on .same. without -Uniform' Building, Plumhinq' & Machanica! "Codes and ®/ l written permisson from the Department of Public . :; APP R_ E D € the National Electrical Code. Works, County of Butte. + {.. V r r 1� (J" 1 `I a � I r r - r Jr r 1 I t - 1 1 .• A I � 4 1 ' .40 l 1 •111 � l (r/ � i .. ' 1 t , W 1 48 4-4 r M r 4RMIT NO. 4259-76B PERMIT EXPIRES OWNER Raymond Rogers CONTR. owner LOCATION (A.P. .22-24-98 W./ S.-Koff-o-rd-RdT app-T60""S'7of-°,Tustes'on-Rd. ,Gridle Temp. Power Pole Called PG&E Temp. Elec. Serv. Clied PG&E Te ? Gas Serv. Called PG&E JOB FINALED (Date) 17 (Signature) COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footin s Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel Bond Beam It Mesh Scratch Brown Finish Interior Lath Door Closer BUILDING (Cont'd) 1 1. PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Pi in Roofing Sewer Fdn. Vents Y Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex/.Gas structure 4Temp. Appliances Piping & Gas Final Sanitation FIREPLACE Final Footing ELkCTRICAL Throat z Rou h Final Fixtures FIRE SPIRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Heating Service Cooling Temp. P Ducts Under r< Ventilation 4 Permane Final ; d, Final DATE REMARKS OR CORRECTIONS 0 (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 Drive — UroviIle,'California 95965 --X�3Telephone: 534-4541 APPLICATION AND PERMIT +uu,v„cc iepresentatl ves UI UIe UOU11ty of buiie to enter upon the above-mentioned property for inspection purposes. iLaiL—U ate Signature f P rrmitee oorr Agent Receipt No. 6 It 4 / 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 LIC WORKS By ate ilding � permit expires Date _ ''� BUILDING Owne r �C s SQ. FT. OCC. BUILDING VALUATION Mailing Address Tel h ne No. Fireplace Contractor �(� t Total Valuation Mai I Ing Address Permit Fee % Z !10 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Addres f—�/c.GY RC) PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �=-:,�AS_)_eS6AJ Each Trap 1.50 ' I I C� / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. %o Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e e sl W.C.Sa ( ire Dept. FI re Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provement Lawn sprinkler system 2.00 BI 9. an—S e� Parcel 460<oval Plans Aporoval Permit Fee $ $ NEW JR ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 tf! %4 Z (�(%/�%/ A..'G 800V OR LESS Main service 100 AMP OR LESS 5•�� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Nd Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ` r �^�� II �_(.\ 1 V VU P! ~- L NEW CONST. f DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sq ft NEW CONSTR. MULTI.OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEWCONSTR. /POWER APPARATUS & NON .RESID, %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @@'a BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 1 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.1 @ I FEEPERMIT FILING FEE J$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 $ c$- +uu,v„cc iepresentatl ves UI UIe UOU11ty of buiie to enter upon the above-mentioned property for inspection purposes. iLaiL—U ate Signature f P rrmitee oorr Agent Receipt No. 6 It 4 / 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 LIC WORKS By ate ilding � permit expires Date _ ''� PERMIT NO. 2392-77B PERMIT EXPIRES OWNER Ada Rogers CONTR. Acro-Lume, Oroville LOCATION (A.P. 22-24-98 � S/S Justeson Rd., app.120'W.of Kofford, Gridley I �i 1 F I _ fTemp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E emp. Gas Serv. Called PG&E JOB FINALED (Date (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMkNT QF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setbackr/9—T-7Firewall Soil Piping Forms Parapets 1st FI pr Main Bldg. Restroom Finish 2nd FloNr Footings Windows 3rd Floor StemwaII ` Siding To out Slab Roof Sheathing Water PlDinal Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for ph sicaliy handicaped Conformance of ex. 7ja structure Appliances Gas Piping8 Telit Temp. Gas Slab Final r `� Sanitation Patio FIREPLACE Final Footings Footing ELE TRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam IRE SPRINKLERS Motors Framing —% Test Water Htr. Stucco Final Subpanels Mesh ECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping 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 Drive , — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,2%59t�2 --77 authorize representatives of the County of Butte to enter upon the above-mentioned p o erty for inspection purposes. X Date ignatur!h ermitee or Agent Receipt No. Z PO 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 0 UBLIC WORKS By Date _•S —Z) — 77 B Ilding permit expires Date T_ Z-)--? BUILDING Owner AD 11 86; S SQ. FT. OCC. BUILDING VALUATION O b Mailing Address Telephone No. Fireplace Contractor A(f Total Valuation Qlao Mailing Address ) Vi UC Fee Permit Fee .G.0 Plan Checking ng Fee&/or Penalty Tele hone No. s _,;q I ZPermit Fee $ 10,6C) Building AddressRM �._, �1Z1 �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pi�1Z )'oZf9 / Each Trap 1.50 S ..•-- _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _� A. P- N -7aning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeelW.C. Sa '. 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans P rcel arcel Ma Declarati P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parc pprovol PI s Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 61 OOV OR LESS 00 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1,00 p t✓C.J A// AJ NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS, ) 22sgft NEW CONSTR MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name y style of: »�- Ex. Occup(OUTLETS OR FIXTURES) BAL21 Ex. QCCU P•FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 274 grq Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ )6 Gand authorize representatives of the County of Butte to enter upon the above-mentioned p o erty for inspection purposes. X Date ignatur!h ermitee or Agent Receipt No. Z PO 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 0 UBLIC WORKS By Date _•S —Z) — 77 B Ilding permit expires Date T_ Z-)--?