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HomeMy WebLinkAbout025-220-078O 25-22 X'7$ KAY VANDERHAVE End of pri rd, off W/S of Lone Tree Rd, app J- mi. S of Cox Ln, Oroville Permit #5224-7-F(bri g ele o cod for MH site) 25-22=2Od -7S Contr: EZ Mobile,,Home Transport Marysville Permit #5484-78 Iv Issued ���9 25-22-X S contr: E -Z Mobilehptpe Trasport,Marys. Permit #5796-7e(reinstall awnings/MH) w J , 4 COIkNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 % Telephone: 534-Q541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ✓- �.�(!+�' #iii/!XX � Signature of Peerrrmitee or Agent / f 4 r G 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 O JUBLIC WORKS By y I Date5_ B gilding permit expires Date BUILDING Owner IU : (L M !� U �" SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor eZ 6 iaf '/ Mailing Address ,Q� / Y7 Fireplace Total Valuation n Telephone No. Permit Fee Building Address L.'"/�D OF r' IvATlr bf r LlJ�S P I an Checki ng Fee &/or Penalty Permit Fee pWvt6v Aw �f�. Jr. d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50. Repair drainage or vent piping 1.50 A. P. No. ;2 "j -', x - .+� d Zoning & Planning Water piping 1.50 Each gas water heater or vent 1..50 Fees` Wie— - Sani.ta4ere Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans f ec'd Parc4 proval `/ Pla4- pproval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES -Rormit Fee $ $ ELECTRICAL No. @ FEE 9Main ERMIT FILING FEE $3.00 Single Family y, b Alex Di/ Kv biLHorne OthersEl' service soov DR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 ' t ' Main service OVER e00v 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. C OR ADDNS. AILCCUP. &) CG.BL GS,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 style of: Y T r R .w MLTI-OUTLET NwTU NON.FS Eo516'p+Y BIZ ANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIl B L1@ Ex -Occu ( FIXED APP _N OR t P•NOU TLE'T67(R,�SIE>.) EA) 2•00 T"Vportary s rvice' =-rW 10.00 Mobile Home F.�ac' ij i,es .. 15.00 License No. Classification Misc. Wirmb `- !G. -.6.25 I r am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the p-ovisions 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 14permit 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 Land Development Fee W #7 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ✓- �.�(!+�' #iii/!XX � Signature of Peerrrmitee or Agent / f 4 r G 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 O JUBLIC WORKS By y I Date5_ B gilding permit expires Date _ COUNTY OF BUTTE -.,MARTMENT 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 permit "'number 7Xc�y�i-� for the following location�:l l c 11 a►..n n TL, Owner:a.�1 Owner's Address Mobilehome Mfg. — r Moder IX - 1 ► 11• Year,t9 7 Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. i Director of {Public Works Date Gi'�_ 17 By k l {THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Centier Drive — Orovi Ile, California 95965 Telephone: X34-4541 �C / APPLICATION AND PERMIT Owner 64 Mailing Address Telephone No. Contractor ,�� !,t y' %�an�E ',e1J-<A0 Mai I i ng Address ,D, % / j-117 Telephone No. ilt LJF �/ L 13-3 6 Building Address 490,0 %P 1:3�11y,07V. pf F 4U1:5—' ZexjAr 72414- 4J. n O UlLL� A. P. No. o[ �J" — 2 — .�� Zoning & Planning F SeRf�etiert Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Map 60' R/W Improvements Plans Declaration Bldg. Plan�ec'd Parc p rovol Pla pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER o �L (5- a2 Single Family ❑ Duplex ❑ Mobil Home J6 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: _ T BUILDING SQ. FT. I OCC. I BUILDING VALUA ION Fireplace I —i -- Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 10ov OR LESS 100 AMP OR LESS Main service EA. ADD'L loo AMP Main service OVER 100 AMPP OR LESS Main service EA. ADD'L 100 AMP ­vw rn 1 / r)WELLING OCCUP. @ I FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ I FEE 5.00 2.50 25.00 1.00 NEW CLl ENI_D BRANCH CIRCUITS, NON -CONST 2.5Uea NEW CONSTR /POWER APPARATUS 0 NON.RESID. (POWER OUTLET CIR. Ex. OCCuo(OUTLETS OR FIXTIIRES so zsa BAL@10Q Ex. OCCUp. (OUTLETS P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc Wiring 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. @ I FEE $3.00 vI certify that in the performance of the work for which this Ventilation yapermit is issued I shall not employ any person in any manner 2.00 so as to become subject to the Workmen's Compensation Laws of Hood California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signatureof Peerrmitee o / r Agent Receipt No. ` 9 Z O / `.- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee %r b,o� $ 36 .O( TOTAL PERMIT FEE $ 0 10 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 BLIC WORKS By Date �—/ siding permit expires Date ,� 41p, Zs" -i z - dais' 401-3 MOBILEHOME SUPPOkT DATA If other than single wide, Mobilehome Mfr. :D(.1,0 (� '�furnish Setup Model No. Year Width ',Z `C (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). e All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) O�Z4 i� Wood either (f .)(in:) .,Center support loca 'ons* (ft.)(in. (ft.) (in*. (f t.. (in.) (in.) Center support .footing sizes .(in.) in. (in.) C:� © .. (in.) (in,') al q I A"_ (in.) (in.) *If c0nter piers are other than drawn above,. draw im,--locations, spacing, and dimensions. pressure treated o foundation.grade. 2. Other (specify) Supports (check one) 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support details. ,0 x 30 -- Typical Support in.) (in.) Footing Size L_�-Q- -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang BUTTE COUI°j; Y BUILDING DEPARTMENT, APPRQUE� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: � ],U - VA � V�::L I tLNdt 1 2. Installer's name: ire ���i� �n awt C- 3. 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes 7 / 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? ----------------------- %m 4' Amps 6. What is the mobilehome site service rating? --------------------- Amps i 7.. What is the mobilehome site circuit breaker rating? ------------- lG � Amps 8. Is there any other electric load to be served by the mobilehome- siteservice? --------------------------------------------------- Yes / / No 77 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.) 10. What is the type of gas service? --------------------------------- )1atural / / LPG / 7 11. What is the gas .pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) F "(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534X541 APPLICATION AND PERMIT U authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I c --- �`` C Date S at r ee or Agent _- p �Q y White-D.P.W. - Yellow -Assessor t5l,n�'�181�!'For - Gdddenrod-App This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich fees have been paid. 'DIR CTO ' f PUB C WORKS B Date r Building permit expires Date BUILDING Owner Z SO. FT. OCC. BUILDING VALUATION Mailing Address �-1 .- Telephone No. Contractor Mailing Addres Fireplace Total Valuation _ Telephone No. Permit Fee Building Address J -Ie Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 C A. P. No. �v — "' Q S Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd 1/01WP ..el Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑- UTILITIES ❑ OTHER Permit Fee $ $ J ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSL ESS 5•00 , �-�/ Single Family ❑ Duplex ❑ Mobil Home LM-- Others ❑ Main service EA. ADD'L 100 AMP 2.50 _ Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ACDNS• // DWE% ACC•BLOGS,LING CCUP. ',!'� 22Sgft CONTRACTORS LICENSE LAW :1 am licensed under the provisions of Chapter 9, Diva 3, of the State of California Business &Professions Code under the name style of: NEW EaIMRL U L T NON-RESID `BRANCC H CIRCUITS 2.50ea ? T•`]Z N W CONST R. POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR, 0250 EX. OCCUD OUTLETS OR FIXTIIaES BAL010Q Ex. Occup. ( OUTLETS P(RESID )50 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. ❑1 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 ermit 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 $ $ 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 5 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I c --- �`` C Date S at r ee or Agent _- p �Q y White-D.P.W. - Yellow -Assessor t5l,n�'�181�!'For - Gdddenrod-App This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich fees have been paid. 'DIR CTO ' f PUB C WORKS B Date r Building permit expires Date 9, Electrical A. Is service large enough to provide adeequata amperage -to mobilehome (must equal ratings mobilehome with a minimum of 100 amp) "and other.facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ 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, 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 theRsite service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for, energizing. , J 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA j Manufacturer and/or Namestyle + Length Width aq Vehicle Serial No. State Identification No. S 3')L -R?) {' Additional Information or Comments: { u r MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located wirequired separation from lot lines and buildings and generally conform to plot plan? Yes_ No_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeses No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes_ No If more.than a single unit, are crossover connections properly installed? (Sec. 5088) Yes o_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes-VNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California 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- 8. esNo B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?.Yes No D. If coach is not State of California approved, 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ 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 WORKS 7 County Center Drive — Oroville, California 95965 Tel ephine: 5344541 APPLICATION AND PERMIT ouulUl V TVVIVJorllaUV as ul %IIC %,uU[ILY UI DUIIC. lU CIIICI UlJUII LIIC above -m tioned property for�iinspection purposes. �'. �- C Date • s atu I ee or gen W This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich fees have been paid. DIRECTOFVOf PUBLAC WORKS o Building permit expires Date BUILDING Ownerud SQ. FT. OCC. BUILDING VALUATION Mailing Address A. .. Telephone No. Contractor Mailing Addres Fireplace Total Valuation Telephone No. Permit Fee Building Address v.. 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 f — A. P. No. LJ O"Ll Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. I Sanitation I 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. Plans Rec'd J/dMPa el Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERJ�L Permit Fee $ $ t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 �S,0110 �-�/ Single Family ❑ Duplex ❑ Mobil Home l� Others ❑ Main service EA. ADD'L 100 AMP 2.50 CQ, Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLBLDGSCCUP. Y) 2¢Sgft 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 st le of: %J NEW CONSTRESID, -OUTLET NON-RESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &, NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B 10s Ex. Occup. FIXED APPLNS. p•(OUTLETS (RESID.)OR EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 'S 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. certify that in the performance of the work for which this ermit 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 N0.1 FEE PERMIT 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 Land Development Fee $ TOTAL PERMIT FEE S7 ouulUl V TVVIVJorllaUV as ul %IIC %,uU[ILY UI DUIIC. lU CIIICI UlJUII LIIC above -m tioned property for�iinspection purposes. �'. �- C Date • s atu I ee or gen W This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich fees have been paid. DIRECTOFVOf PUBLAC WORKS o Building permit expires Date f t, PIShMIT NO. 5796-78B PERMIT EXPIRES Kay Vanderhave OWNER f • CONTR. E Mobile Home Trans., Marysville ,•� LOCATION (A.P. 25-22-25 End of pri.rd.,off W/S Lone Tree Rd.,app.1/ mi.S.of Cox•Lane, Oroville t 1 t r 1 .I i # Temp. Power Pole Called PG&E Temp. EI Serv. Ca ed PG&E Te 0. Gas Serv. Called PG&E ' FINALED _9Ae COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS F. 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 StemwaII Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Flrial 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 MOBILEHOME.UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR • A. 1r_A,4 -IQ (NOTE: An entry must be made on this form each time you visit the job site.) I J F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center Drive - Orovi Ile, California 95965 KS VV/ 11-11f r `` Telephone: 53,4-4541 APPLICATION AND PERMIT 2*14 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Signa e of Pfrmi 3 a&an `' Receipt No. 933 0(/ lk- 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 be5I5 paid. DIREC 0 F PUBLIC WORKS BY Date/01-3 -7P ;il/ding permit expires Date /o-.7 BUILDING Owner ,4Y V4A-Jb6fZ-"UE SQ. FT. OCC. BUILDING VALUATION I a 0 Co ✓ O Mai I i ng Address Telephone No. r Contractor E -a_1telto&Leb'p�14 e TRAA).SPpfe/ Mailing Address P 0. Sox ' /5-47 Fireplace Total Valuation / N/#eys V LL c C %Y3 -(� 5(0 Permit Fee �, O 0 Building Address EA),d OF P2/iVI;TE 120,+D6A` PlanngFee&/ Pena y (0 app Permit t FFeeee ?& rap Ol W L5 LLII A)E 26 RL) . APR � PLUMBING No.1 @ FEE At4 , of C0k LANE PERMIT FILING FEE $3.00 Each Trap 1,50 ® AOO V/uiel Repair drainage or vent piping 1.50 A. P. No.ZZ -- Z�j 2� d Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F4WJ Xial I Senitefien Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pla Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plle.,s Rec'd I Parcel A val Plans Ag4� Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ /44k,/A)1A)(15 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS loo AMP OR LESS 5.00 Sin Single Famil ❑ Duplex ❑ Mobil Home �� Others 9 Y ❑ Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCCUP' Y) 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 of: .� // In.,6 'e 7V_A w__14/ NEW CONSTR MULTOUTLET NON-RESID � BRANCI-H CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES I ouZ' ¢ BAL@1 FIXED ALNS.style Ex. Occup. ( OUTLETS P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.,7�/- 5-T, -1—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 building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ®G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Signa e of Pfrmi 3 a&an `' Receipt No. 933 0(/ lk- 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 be5I5 paid. DIREC 0 F PUBLIC WORKS BY Date/01-3 -7P ;il/ding permit expires Date /o-.7