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025-020-008
AP 25-02-08 K. McCULLOUGH e/ -s. Atjy 70.,,.900 S.. of,Palermo Rd.., Palermo' Permit# 755r75PIE(util., NH) ELEC. 0/- V1,31 7-5— I Z� f=pj GAS Qlr- SUPPORT STRUCTURP, REQ. COMPACTION TEST REQ.:27 AP 25-02-O im it# 863-75MHI q -.7 -S- (issued 4- -7 5 ---k]?-,-25-02-O8----,-- Per&tt# 864-75B('demoli-sh 7 -S -T7 025-020-008, PEKIIT#95,7-.-24 2. MICCULLOUGH,'. Kerineth 3432 "Hwy, 70,,* Or6vi.liie Cori t;;.B3*- ggs.,Efectric Ele Ser' Ch/MH,, LA i) w4wy'ntV'W4.".+'$i e. • .`�"o , ti -025 020=008 PERMIT#95 2429' y_: xCULLOUGH, Kenneth r ,A �. �} -3432 Hwy ;701; Oroville y - 1gg-sl Electric , s, �t .. t i a , OFFICEn COPY. i Addr ess GA, Meters y _ ELECTRIC Date Meter. Date � r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 Co6nty Center Drive - Oroville, talifornis 95965 - Telephone (916) 538-7541 - PERMIT NO. APPLICATION AND PERMIT �``ll ASSESSOR PARCEL NUMBER 025-020-008 ZONING u BUILDING PERMIT OWNER 1 XNAINWINIX910 KENNETH MCCULLOUGH TELEPHONE 533-7989 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME BIGGS ELECTRIC 872-9457 TELEPHONE 343-0211 CONTRACTORS MAILING ADDRESS Rjt), PARADISE 95969 Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation is LENDER'S MAILING ADDRESS r Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3432 Eit+TY 70, PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF .W Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CHANGE ELEC SERVICE DAMAGEE ON POLE NM TO MOBILE HOt3E Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 • 600V OR LESS Main Service ( 200AORLESS ) 23.00 23.0( 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, f / and my license is in full force and effect. / 76/ License Class �1 ,. IC. No. ( J `//- 1r) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 16 ❑ 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 OCCUR So. OR ADDNS. ( a ACC. BLOS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 �L 50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 123.00 PERMITFEE S 66.00 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. ❑ 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 MECHANICAL PERMIT Filing g Fee 20.00 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.) I 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 , / <-�_�r r_4 _ Date � � Signalur o0J pplicant -", Y'Owner_y, �"Contractor Agent An OSHA permit is required for excavaTbns over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 56.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD 5 This permit is hereby issued under the applicable provisions of the�u{te County Code and/or Resolutions to do work indicated b'ov for which fes Ave been paid. By Date -lo1c1 9!< PERMITEXPIRESON (Date) Receipt No. M-el" WHITE-D.D.S.-B ISNARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I �- .. Vz COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 .County Center Drive - Oroville, dalifornia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-020-008 ZONING u BUILDING PERMIT OWNER KXKKXXKX&XXX11&X K KENNETH MCCULLOUGH 533 -7989 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME BIGGS ELECTRIC 872-9457 TELEPHONE 343-0211 CONTRACTORS MAILING ADDRESS 2 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 3432 HWY 70, PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF RJ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CHANGE ELEC SERVICE DAMAGEE ON POLE NEXT TO MOBILE HOME Mobile Home I S I GI W 1 @20.00 PERMITFEE Jg Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service ( 20ov OR LESS ) 23.00 23. 0 200A OR LESS 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. --,!fQ 3 yl® License Class - ic. No.Ex. OWNER- UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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 OCCUP. sO. OR NS. ( 8 ACC. ) 3.50 FT. NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (ourlFr OR FIXTURES ) 20 Q 1.00 BAS zo Occup. ( OUTLETS PR S D.)E0. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 123.00 PERMITFEE $ 66.00 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 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.) j 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 Q�i Signature Applicant - nee�r� Contractor Agent An OSHA permit is required for exca#d io s over 5'0" dt and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSV This permit is hereby issued under the applicable provisions tions to do work Indicpaid. of thXfmate B �n/4j/95— y e PERMITEXP RESON (Date) �` Receipt No. `� WHITE•D.D.S.• D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN �I, OWNER: Xe. IRATE: LOCATION: 302 ?b' A.P,#:^'d-� CONTRACTOR: ZONING: l/ CONTRA PRE -INSPECTION FOR: DATE TO INSPECTOR:�� 3 PERMITHISTORY: [✓f NONE [ ]AS FOLLOWS: TYPE OF OCCUPANCY: f BUILDING INSPECTOR'S REPORT ding Description: [ ] Commercial/Usage:` [ ] Residential/# of Units: Mobile Home: Yes[ J No[ . ] [ ] Currently Occupied. [- ] Abandoned/Vacant. tric: (s. [ ] No Electric is currently ] On [ ] Off Condition of electrical? ' • Natural (�J N/oneL ] Currently On [' --t_-_.-4 ] [ ] Pro p ane Obvious problems: Plumbing working Yes[ No[ Well: Yes[ No[ J Potable water: 'Yes[ �01 Obvious Sewage Problems: s� E ;ion Recommended: [ ]Issue [ ] Hold for: i Date:. _. T NO. 755-75P.E P E M PMH UTIL. PERMIT NO. C -PERMIT EXPIRES OWNER _K McCullough =,CON TR. LOCATION (A.P. 25-02-08 ) i= ''. e/ s Hwy 70, 2 90011S. of Palermo Rd. , X t Temp. Power Pole Called PG&E Temp. Elec. Serv._ Called PG&E TAmIL_Gas Serv. .� Called PG& d' 11a .v -,//1OB FINALED i " (Date) (Signature) I Footings COUNTY' OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING- BUILDING (Cont'd) Masonry Walls PLUMBING Setback — — firewall i Soil Piping Reinf. c4eel Forms Parapets 1st Floor S7"- 2-2- 7,S7"— Main Bldg. Restroom Finish 2nd Floor Motors Footings Windows 3rd Floor Stemwal I Sidinq —181300 Final Slab Roof Sheathing Water Pipin 3/771" Piers Roofing Sewer 331 75,1n Garage Fdn. Vents' Fixtures Servic _Ivl- Footings Garage Vents Water Htr. Temp. Pole Stemwal) Slab Prov. for physically handicapped a Heaters Appliances Z"'Z/ 7-5 Carport Footings Conformance of ex. structure Gas Pipin2 & Tes Temp. Gas Slab Final Sanitation Patio FIREPLACE Final r" Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. c4eel Final Fixtures S7"- 2-2- 7,S7"— FIRE FIRE SPRINKLERS Motors ra in Z 7 J— Test Water Htr. Stucco Final Subpanels Mesh M EQ -WA NICA L Grd. Fault Prot. Scratch Heating ?/ � - Servic _Ivl- Brown Cooling Temp. Pole Finish Ducts Z"'Z/ 7-5 Underground Interior Lath Ventilat on : Permanent Door Closer I Final �j j "~� Final Zc- DATE REMARKS OR CORRECTIONS 9. Electrical A.` Is service large enough to provide adequate amperage -to mobilehome (must equal r ting of mobilehome with a minimum of 100 amp) and other facilit es on 1 i.e.water pun, s, garage, cabana, etc.? Yes L�No; l s`�� ' %DD �/ �' .'� , n Ki tAv e_ ak- B. Is there proper clearances around panels? Yes "0 C. Is power supply cord or feeder assembly properly fused? Yes No D.' Is continuity test satisfactory as per the following procedure? Yes L --No 1. De -energize electrical wiring system of the mobilehome at. the pedestal. . 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 other lead to each mobilehome supply conductor; including neutral. 5.. All non-current, carrying metal parts of the mobilehome (aluminum.siding, gas line, coater line), including fixture's 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? ll.'If everything okay, sign -off card.and tag _services. MOBILEHOME DATA Manufacturer and. /or Namest} Length_ Width Vehicle Serial No. �2 f_4.2 State Identification No.. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes�o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes /No 3. Are footings and supports properly sized, spaced, and braced as pex approved plans? (Note possible variation at spring shackles.) (Sec. -5082 &.5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes'ecNo 5. If more than a singl unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Ye sjNo B. Test - Does water piping withstand working pressure or 50 lbs, air test? YesyNo C. Backflow - If coach is rrat State ofCalifornia 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? Yes�2No C. Are any leaks detected in drainage system after running ons of water through each fixture including washing machine standpipe?,.Yes No D. If coa-h is no �L to =f=Ca f~' ^^'_a -approved, does station have required trap and vent? -N o 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 mobilehome gas line tinlet without reductions other than the mobilehome connector. Yes f ----No B. Test OK as per following procedure? Yes Y No 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 755— Telephone: 534-4541 APPLICATION AND PERMIT auuwrrce representatives oI the Gounly of Butte to enter upon the above mentioned property for inspection purposes. X Date s' Signature of Permitee or Age 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 for which fees have been paid. _ DIRECTOR Os PUBLIC WORKS BY Dat —I -L ^ _%J_ 7i "'� ding permit expires Date ............. � i BUILDING Owner �S' �y D� SQ. FT. OCC. BUILDING VALUATION Mailing Address 0-3 Telephone No. 3" "8 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address �'!� ��C" G _ PLUMBING No. FEE PERMIT FILING FEE x".@a , 00 7_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping a,aa Each gas water heater or vent 1.50 A. P. No Z°ni P Gas piping system 1 - 5 outlets _4— &90 Each additional outlet .30 F W S4. tion Fire Dept. FireZone Use Permit Building sewer 0-00 EQA Parking ParcelParcel Plans Declaration Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 g� / g. Plans Recd Parcel Ap val Pla Approval Permit Fee $ i $ 3. iN NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service incl. 1 meter S © 6 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home,K Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook-top'or Oven 1.00 Water Heater or Space Heater, 1.00 Light fixtures bar 610 Receps., switches & fix outlets2u 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 s fit; Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 15.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring Xr I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q Q $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 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 L PERMIT FEE $ �C auuwrrce representatives oI the Gounly of Butte to enter upon the above mentioned property for inspection purposes. X Date s' Signature of Permitee or Age 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 for which fees have been paid. _ DIRECTOR Os PUBLIC WORKS BY Dat —I -L ^ _%J_ 7i "'� ding permit expires Date ............. � i • Sa 10 S. I � WI '7,4 -5-D permit will be required for the tallation of the mobilehome. ,0'-' 4,- 0 All utility connections shall be located within 4 ft. outside the rear third .section of the mobile home on the left (road) side of the mobile - home. ;rr; The Nd7. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting. a maximum of a 2 ft. eave overhang. Septic system and location e#4n4W- �rr beat to be as per Butte County Health Dept. Re - D phis set of plans s MUST kFa kept on the .job at all times and it is unlawful ~#' make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. BUTTE COUNTY BUILDING DEPARTMEN'T APPROVED R. U y. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORD /3— 7�' 7 County Center Drive — Oroville, California 95965 (� Telephone: 534-4541 APPLICATION AND PERMIT authorze repfeSelIlLatives ul Ine Couniy of Butte to enter upon the above-mentioned property for inspection purposes. k X — k_g-Date Signature of Permitee or Agent Receipt No. /'ZF1 75 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 PUBLIC WORKS Zuli Date ��FldinaggrPermit expires Date ............................................ BUILDING Owner �U�G U SQ. FT. OCC. BUILDING VALUATION �p Mailing Address 7dY Ord /Poli! Telephone No Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address $��� p Q PLUMBING No. @ FEE PERMIT FILING FEE $2.00 iSUtt/>z Each Trap 1.50 / D f 2 �£//ytO Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �J�— D.Z — D Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 f� Fs W -e- FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M P 60' R/W Im provempnts Lawn sprinkler system 2.00 Bldg. -Plans Recd I Parc Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 � yt a<�v7' Ofi /I hrlf 73�Sr—�J Main service incl. 1 meter Additional meters, each 1.00 Single Famili ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal d10 Receps., switches & fix outlets �Iu 2D 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 7% Pl 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. XI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby G%!`� 1-10,Wt •`/e 0.0 TOTAL PERMIT FEE Isle IGv authorze repfeSelIlLatives ul Ine Couniy of Butte to enter upon the above-mentioned property for inspection purposes. k X — k_g-Date Signature of Permitee or Agent Receipt No. /'ZF1 75 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 PUBLIC WORKS Zuli Date ��FldinaggrPermit expires Date ............................................ W a 1. 2. 3. 4. 5. 6. .7. 0 COUNTY OF BUTTE Department o ruolic worK . 7 County Center DrVve,,Oroville, California PHONE: 534-4541 L This set of plans and spncT --+7 ,ns M"ST kepT on Tine jo a all rimes and it is t -ThO ake any changes or alterations on same with Utility ritten permission from the Department of Pul orks, County of. Butte. NG ti • G M rt G N rt HID F1 The+.*. Setbcck shall be 5 ft. from � 'he side property line and 50 ft. from the centerline of the road, permittine' a -maximum of a 2 ft, eave overhang. Length = MOBILEHOZ.4E INSTALLATION INFORMATION Lot Facilities Plot plan dimensioned, location of mobile and utility connections? Yes 'e- No Electrical. service equipment ampacity d B Circuit breaker ampacity 6,0 Permanent Wiring Connection /ti e Ampacity o Receptacle V C_ -_5 Ampacity Gas:- Natures LPG iEs Gas riser size 4 Drain inlet size Water riser size 3� Are utility connection's located outside the rear 1/3 of the mobilehome within 4 f eet.of the left wall? Yes- No If not, show di.taensions.a_bov_e. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes A--' No Do you propose to do other work on the property other than the mobilehome installation which will require a permit's YesL/ No If so, specify A_ - Mobilehome Data 20' 1. Length_ Width_ Manufacturer %,yq,t/ .9,*7,ej'/d_ A) Vehicle Serial No. aV16"03 Insignia Control No. ,n 8 8 gz a a 2. Feeder -assembly ampacity 60 /9r»o Conduit size ? Power -supply cord (amps)_ .a 3.' Gas inlet size ,( Mobilehome connector s2ze�3 _ Capacity. 4. Drain connector: describe on reverse side 5. Water connector: describe on reverse side 6. Designed loads: Roof live load 4 psf. Wind load / S' psf. (only for mobilehome.s manufactured after October 7, 1973) 7. Manufacturer's installation instructions? Yes No l--�-• 8. Will the mobile home -be installed on a separate support structure? Yes No_Ae, *For plans and specifications of support -system, see other side. llo 4 , a - W LOAD BEARING SUPPORTS ADDITIONAL. CO1L%!7',TS p / Drain Connector, Describe Water Connector, Describe LOAD BEARING SUPPORT AND s7OQ ING INFOR ATION Pier Spacing Used = —0Com. Maximum Pier -Load Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Din'en.sion U�cd Q TYPE OF PIER. USED Steel Concrete {'Concrete Block Other TYPE -OF FOOTING MATERIAL USED Pressure Treated Wood_ Concrete Redwood (Grade) 6_ /.Other Approved Type o q 44 BUTTE COUNTY BUILDING D1=P/' rP, -4' APPROVED tPERMIT NO. $61-75H �� !f P F kE M - .r MH UTIL. s PERMIT NO. _ PERMIT EXPIRES OWNER C O h _ �.z :,CONTR. sLOCATION (A.P. 25-02-08 ) e/s Hwy 70, 9001 S. of Palermo Rd,., Palermo Temp. Power ole Called PG&E Temp. Elec. Serv. Called PG&E u Temp. Gas Serv. Called PG&E JOB -3 73 / FINALE. " (Date (Signature) J COUNTY OF BUT TE — 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 Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing _ Sewer Garage :c^ Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structu-Temp. Gas Piping & Test Gas Slab Fin —' SanMahon Patio VFIR&LACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors . Framing Test Water Htr. 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 DATE REMARKS OR CORRECTIONS J COUNTY OF BUTTE — DEPA{3TMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 e Tel epbone: 5a4-4541 APPLICATION AND PERMIT WOR =iUNiwehtau VVb U1 the Bounty of Butte to enter upon the ve-mentioned property for inspection purposes. X UDate 3 Signature of Permitee or Agent Receipt No. / 2— f 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 OF BLIC WORKS B?ildinag Date -3 -0 7) f permit expires Date ..................:............... BUILDING Owner _ J Mailing Address 09 6-tV k¢irr✓ SQ. FT. OCC. I BUILDkNG VALUATION ITF-IM01-, / Telephone No. Contractor Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $0 CJ S, O $ Building Address PLUMBING No. @ FEE PERMIT 70 —O 00 FILING FEE $2.00 Each Trap 1.50 / v I D �C. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NO. p�.� O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet F W SeT�n Fire Dept. Fire Zone Use Permit .30 Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system_ 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE r rpt(% PERMIT FILING FEE $3.00 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 Water Heater or Space Heater 1.00 Light fixturesbal dio Receps., switches & fix outlets 10b 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 J 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. l-fXl I certify that in the performance of the work for which this JJ���� permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S i =iUNiwehtau VVb U1 the Bounty of Butte to enter upon the ve-mentioned property for inspection purposes. X UDate 3 Signature of Permitee or Agent Receipt No. / 2— f 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 OF BLIC WORKS B?ildinag Date -3 -0 7) f permit expires Date ..................:...............