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HomeMy WebLinkAbout024-110-013ho r R 4 -� -,- ,y, 24-11-13 Alfred Olschowka W/S Gilstrap Ave.,ap .700.'N.of Reimer Rd.; Ev ns Gridley��,.jfet� ? 3 permit #1621-78B(demolition/SF & garage 24-11-13 Permit #708-880P,E(uti� ,MH) L ELEC'i4' P GAS SUPPORT STRUCTURE RSP. /r/O COMPACTION TES REQn d - _ ._-.,._.,2W-4C*ue n in T s) Pe - MEI Is "- 24-11-13 �Contr: Hansan's PQrair Ccrvice Sacramento PermIssued#k15VM4 �Issued 4 -��'!�-Y . Tti a. • R Sufte OROVILLE, CALIFORNIA GENEkAL CLAIM CLAIMANT: Franklin Trailer Sales, Inc. dba West oas rai er bales ADDRESS: 3042 Esplanade CITY & STATE: Chico, CA. 95926 IMPORTANT: April. 8 1980 SEE INSTRUCT16NS . DATE OF CLAIM: P ' ON REVERSE SIDE - SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS ' OR SERVICES DATE j DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID. DELAY) AMOUNT" j rjl 3/20/80 1 Owner (Robert C. Olschowka) decided not to have contractor install mo i e .-- - - (Mobilehome'Installation Permit.Appin. #1432-80 m Receipt #36638AF _ " I —_I MH Installation permit fee -----.$40.00 Retain 1 3 of fee ®�®�__.-o-m�-m 13.33 v• AMOUNT OF REFUND DUE ---- $26.67 $26°67 j I I TOTAL$26:6! I, the undersigned, declare under penalty of perjury that the services or articles 'claimed have been performed or delivered, and that this i claim is true and correct as stated. Dated this ....... day of •s4.C`�C��. /`......... 1960, at C'�f•�rQ...•...••••, Calif. ?fil42 / ' t .................................Cat T..l.... /.�'.l.in4F.e....... _ Signature of Claimant a ; I, the undersigned, hereby certify that, to the best of my knowledge, -the services. or articles specified above ave een performed or de- - livered and that there is a Budget Appropriation or Specific Board ApprovalO (Check one) the 8th April 80 Oroville 8.0 Datedthis .................................... day of ............................. 19. at ...............................Calif. .. .........................- i ' - Departm nt Head o. Authoriz ,. rputy I Dept. - Exp. Code ............... Code ................................. PAYABLE FROM ........... .... FUND I DO NOT WRITE BELOW THIS LINE — AUDITORS USE ONLY VENDOR DEPT. CODE &SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE INVOICE I NO. I DATE DISC. GROSS I AMOUNT ENCUMB. j SUB -DIST. I I I !I COUNTY OF BUTTE 'OFFICIAL/RECEIPT N'3,26638 ' 6638 OFFICE OR DEPARTMENT ISSUING RECEIPT i i Received from The Sum of For Rec L,A,,)n LJ Title II CHECK f' �G.c�ia�yf;—� By II • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A/0 �_ 0 a aumorize represeniatives or me county Or tsuiie io enter upon me above-mentioned property for inspection purposes. X � Date Signature of Permitee^—orr Agent Receipt No. ,� G 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions o1 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 otse SQ. FT. OCC.' BUILDING VALUATION Mailing Address LEG Telephone No. Contractor F�P.9iGE� EGGS, Z.( Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee Cpxmw pG PLUMBING No. @ FEE s5zPERMIT ` C-67151 FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 1 A. P. No. (�;?( -//- 0-0l_6-0 p. Zoning 8, Planning Water piping 1.50 Each gas water heater or vent 1.50 F Vd-GI 8=,te,+. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EDA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� Bldg. F&ri-s Rec'd Parcel royal Plan proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ e- 122ol3lze7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR0V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Homeqr Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST- / DWELLING OC cup, s� 22sgft 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 BRANCOUTL T NON.CRESID.ONST � BRANCH CIRCUITS) 12.50ea NEWCONSTR. POWER APPARATUS 8 NON .RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES, 5 L� FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 a�a 42ei Mobile Home Facilities 15.00 License No. e<"/ Classification52?/S.5_1s_�? Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability o n's Compensation. hay placed on file with the County of Butte a certificate of W Workmen's Compensation Insurance. F-1I certify that in the performance of the work for which this permitis 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 �L' $ DDG TOTAL PERMIT FEE $ aumorize represeniatives or me county Or tsuiie io enter upon me above-mentioned property for inspection purposes. X � Date Signature of Permitee^—orr Agent Receipt No. ,� G 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions o1 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 f- r PERMIT NO. 1621-78 PERMIT EXPIRES OWNER Alfred Olschowka CONTR. owner LOCATION (A.P. 24-11-13 w/s Gilstrap,Ave, approx. 700' N. -of Evans Reimer Rd.,.Gridley Sump. LICE. JCfv.. Called PG&E _ Te p. Gas Serv. _ Called PG&E _ JOB FINALED Bond Beam I FIRE SPRINKLERS I Motors 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 Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Piping &Test 'Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls — Throat Rouoh Bond Beam I FIRE SPRINKLERS I Motors Stucco Final Subpanels Mesh MECHANICAL Gird. 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 OBILEHOME 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 U C 0 KS y 7 County Center Cri ve —► Orovi I le, Cal i forni a 95965 . Telephone: 534-4541 APPLICATION AND PERMIT authorzC VaPFUSUFRUIIVCS UI the Bounty or [Suite to enter upon the above-mentioned propert for inspection purposes. X Date ( 0 �Ignt/ure of Pe tees orrr Agent Receipt / �✓ % 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 f hich fees have been paid. WORKS D 4EC O OF PUBLIC By Date �,&/ Building perrn�expires Date BUILDING Owner r S ,fi SQ. FT. OCC. BUILDING VALUATION Mailing Address / x --,;Pv n I hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �j�. �� S� !/>✓ t'� Plan Checking Fee &/or Penalty Permit Fee � ZAQ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1,50 Repair drainage or vent piping 1,50 A. P. No. �.��R % Z onin & Planning Water piping .1.50 Each gas water heater or vent 1.50 F Sarthtatit1 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 5da_Pl4n pc dParcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E' permit Fee $ $ .!� ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Sin le Family �/ Duplex Mobil Home ❑ Others g y ❑ 8101 OR LE Main service SS 101 AMP OR LESS 5,00 Main service EA. ADD -L. 100 AMP 2,50 Main service �VER 600V 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. ( OR ADDNS. ACCLBLDGSLING CCUP. B) 22sgft 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 CRESID.ONSTR BRANCHMULTI-OCIR T NON.CONST ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS a NON•RESID, _SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTI1RES*1 5 L� 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 ® 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. 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 the Workmen's Compensation Laws of California. 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 MECHANICAL :No.1 @ 1 FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ authorzC VaPFUSUFRUIIVCS UI the Bounty or [Suite to enter upon the above-mentioned propert for inspection purposes. X Date ( 0 �Ignt/ure of Pe tees orrr Agent Receipt / �✓ % 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 f hich fees have been paid. WORKS D 4EC O OF PUBLIC By Date �,&/ Building perrn�expires Date ):PERMIT NO. PERMIT EXPIRES OWNER Alfred 01schowka CONTR. owner " "LOCATION (A.P. 24-11-131 I SW corner of Wright Ave. & Gilstwp A-ve., • Gridley 1, a Temp. Power Pole ed PG&E Tem c Tern le/- Serv. — Call;d PG&E /Temp. as Serv. Iled PG&E SIN v _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD a . BUILDING BUILDING (Cont'd) PLUMBING Se ack hrewall Solt Piping For Pa ets 1NI Floor Mai Bldg. Rest om Finish 2n Floor Fo ins Windo 3rd oor Stem all Siding To out Slab Roof Sheat)% -Ing Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures 41 Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio JFIREPLkE Final ECTRIICAL Reinf. steel f Final Fixtures / Bond Bea FIRE SPRINKLERS Motors Framing Test Water Htr Stucco Final Suboanelli Mesh MECHANICAL Grd. FW61t Prot. Scra h Heatfng Servi B n Co ling T p. Pole F ish cts nder round In rior Lath entllation/Permanent Ifior Closer Final final MOBILEHOME UTILITIES-------------------Elec. Service SCJ Elec. Pedestal Water Piping _ Sewer4—,X3-k' d Gas Piping lgaa now MOBILEHOME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this forrf each time you visit the job site.) 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 5, under perm -t number's %� ����� for the -following location: Owner Owner's Address Mobilehome Mfg.Moder ' Year Insignia No. Serial No. .It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — PhonQ 343-4211, Ext. 70 7 County Center Drive, Or6ville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE _ ,. r BUILCIING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance i 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. 1 � { i,ispector-a16—A" �. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Ca;7nty Center Drive - Oroville, California 95965 Telephone: 534-4541 Aq&_P�� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned ropert or inspection purposes. X Date . ✓/ Signature of Permitee or Age t Receipt No. -5 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 r which fees have been paid. DIREC.TO,R OF PUBLIC WORKS Tuilding permit expires Date i BUILDING �, `J Owner�g�T oL/.5'Cl!'ioa)4A SQ. FT. OCC. BUILDING AATION L Mailing Address xT 13ox 43Z- G��jl�y)^ ��/�` / lEAPP1P_ lAAA Teelle`pphhon/eNo. Contractor /��/�—/�+//// ,`5&AJS �G Mailing Address 72— A� ) / i02,%) Fireplace Total Valuation �^ ^ n� nA�� C4 ¢ ,r Permit Fee BuildDingi� Address AS W)P AC Planng Fee&or Penalty Permit Fee 451A_,G AD. - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. N _ //` �� L Zoninjlanning Water piping 1.50 Each gas water heater or vent 1.50 F s SaakaUow FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans eclaration Parcel Map 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 F Fwg. Pla ec'd I Parcelroyal I PI Approvol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Af 91 X-o'f- ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home l�J� 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.OR A.D.S. ( DWELLING ACC. BLDGS.CCUP. Y) 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: ` TIQk)�P�rJ� W) e%�Q/r NEW CONSTR BRANCHCIR-OUTLET NON.RESID (MULTI BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES) 54 5 L ,2 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification C Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor' Code which requires every employer to be insured against liability men's Compensation. ve placed on file with the County of Butte a certificate of Vkmen's Compensation Insurance. lecertify 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned ropert or inspection purposes. X Date . ✓/ Signature of Permitee or Age t Receipt No. -5 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 r which fees have been paid. DIREC.TO,R OF PUBLIC WORKS Tuilding permit expires Date i MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. S furnish Setup Model No.& S�I y �' -Year, Width Lam- (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft.. (SHOW 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). All center supports measured from front0o mobilehome unless otherwise specified. CCenter Footings (check one) Singlet i Wood either.pressure treated or foundation grade. (ft.)(i2. Other.(specify) Center supplocations I Supports.(check one) (ft.)(ip.) (ft:)(inj) at.)[\(in4.) (in.) (in.) h x50 1 (in.)` in. x307 (in.)I(in.) *If center piers are.other than drawn above, draw in locations, spacing,;and dimensions. �2. Concrete'block. 0 Other (specify) *-Tagalong or Expando,' show support details. x3 -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) :r U -- Max. Overhang (ft.)(in.) BUTrE CpUN `���LDJNG � �EPA�R`TMENt . APPROVE i �d 1. Owner's name: 2'. Installer's na BUTTE COUNTY .DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No --5 • (If yes, furnish.permit number ' ) OR Is the site an'existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4.. Will the mobilehome be located at least 5 ft. away from septic tank and leach f ields'and clear of all setbacks and easements? yes No ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- o Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------- --------------------------- Yes No T-7 (If yes, identify the load and size: cJ (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------r n•) r Natural /y/ LPG 10. What is the type of gas service? ----------------------------- 11. What is the 'gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? -----==----------------------- (BTU) (This information not required if pipe length less than 6 ft,. on natural gas or less than 50 ft, on LPG.) i' o � n COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ���lll940 Telephone: 534-4541 APPLICATION AND PERMIT A / Owner�E wk", Mailing Address !moo Y2 Z Telephone No. Contractor Mai I i ng Address Telephone No. Building Address GOyW&,Q GU�IC�f� A. P.. No. �2 I i Zon-4B Planning F W-116. I Sa i o FireDept. FireZone Use Permit EQA Parking I Parcel Parcel a 60' R/W Improvements= Plans Declaration P p ovements Bldg. Plans R c'd Parcel Approval Plans Approval e/ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No. Classification RI am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. Date •� "/3 ga Ignaturee.r or © Agent Oz-- Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING — SQ. FT. OCC. I BUILDING VALUATION Fireplace $ 9 31 00 Total Valuation ELECTRICAL No. @ Permit Fee PERMIT FILING FEE $3.00 Plan Checking Fee &/or Penalty Main service 100 AMP OR10V OR LE LESS5.00 67, QQ Permit Fee Main service OVER 600V 25.00 100 AMP OR LESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .00 Each TraD 1.50 Repair drainage or vent piping 1.50 // FIXED APPLNS. OR EX. Occup.((RESID.I EA) 2.00 Water piping 1.50 01 Each gas water heater or vent 1.50 Misc. Wiring 1 6.25 Gas piping system 1 - 5 outlets 1.50 0 (� Eac dditional outlet .30 uilding sewer 5.00 QDL Lawn sprinkler system 1 2.00 Permit Fee $ 9 31 00 .$ $ Ii' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,DO Main service 100 AMP OR10V OR LE LESS5.00 67, QQ 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 OR ADDNST %ACCDWELLING CCUP BLDGS.&) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & R. NON.RESIO.. SINGLE OUTLET CIt EX. OCCUD(OUTLETS OR FIXTI-RES) 50@25t BAL@1 // FIXED APPLNS. OR EX. Occup.((RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 50Q Misc. Wiring 1 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE 1$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ o'er' TOTAL PERMIT FEE $ Q 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. DIRE TOR OF PUBLIC WORKS BY Date f —� euilding permit expires Date