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HomeMy WebLinkAbout026-040-018[mi AP604-18 r�' OPPER 26-04-18 er Palermo Rd, app. 10:0'HOPPER °,JESSEohemia, Palermo 6890 Upper Palermo RdOroville �"��'�`�Permit#91-85A(A ricultura] 4465-74P,E(util MH) t• ion oerm;t/c d mf �,a3=26-04-18eatherRiver Homes, YC.96.0 ' 80MHI (exist ' �g iteA2 /O� 4O 1 �'" ��� — 26-04-18' . 4a Contr: Webster Electric, Oro Permit#6076,-80E ' nst ele for 4 well)x: 6-04-18 c'� t Do i ams , (AAPCO) , Sacto . s;rte--•— Permit #61n=80B(new awning/MH) 1 +3 26-04-18 c6ntr: North Valley Awning, Oro. R, Permit #23 1-8L. (new awning/MH) ' a a L w Chi �, a .�� ' " " P 26 -04 - .JESSE HOPPER Upper Palermo Rd a 100, ek- of Bohemia, ­ Pal . er�6 -f­­ Permit# 4465-74PjE(uti1III.f MH) <;}..26_0 T- 1-8 co"� R. Vek,,Wmes'-Y, C., C 0 t 6 P.S. T� sued "A �Lo vi w c r .,�,7P6t it 6976*_-'80Ejih§t el p f 6, r, 6 04-18 A jll _ k ms 9 (AAPCO), Sa6to #61n"80B(nek Awning/MH) 26-64-i contr: North Valley Awning, Oro. Per #2311-81fylt w fwning/MH) i 26-04-18 JESSE HOPPER 6890 Upper Palermo Rd, Orov'ille Permit#91-85A(Agricultur-I Rid tion DerMit/st— _PALERMO'CITRUS SUB.NO.1 6C 550.83 4 O �a i ✓&-7i0 3.4 5A C. 5741V4�r 7140 3 - I o I O I 5.45AC., G I /N —s X I /.WAc /5 /6 �iBSlg 1, w 4 ref . I i ` •iz I ' meso_ 31 S 0° N I2.04 AM 2.00 AC.`p; — — — — L 29906 c 282N06 60, BOHEMIA Z cr 3 07 PALERMO CITRUS TRACT SUB. NO. I M.O.R. ,WA -''\NO. 3 a . ` NOTE—ASSESSOR'S PARCEL BLOCK & LOT NUMBERS SHOWN IN CIRCLES p r ao I" = 20 $ cr P e,.,O, i tY W J Q CL W Z 1i J AV1� 6 0' 12' 1 .'S Assessors Map No. 26-04 1 rj County of Butte, Calif..'-- MAR., alif. MAR., /95/ .., 60� I p r ao I" = 20 $ cr P e,.,O, i tY W J Q CL W Z 1i J AV1� 6 0' 12' 1 .'S Assessors Map No. 26-04 1 rj County of Butte, Calif..'-- MAR., alif. MAR., /95/ .., PALERMO CITRUS SUB. N0. I .T 18N.R. 4E. M.D.B. &M. 60, 550.63 w Q /�ITD11l% TI%AP•T &I^ 1 O 3.4 5A C. O 5.45AC. 3 i ( 26-04 Tax Area Code 92-00 ! 6 F t i { 1. in 00 = 2 - I� E leg i 2/ � • •S - ...1 i �I F� 1 9 •.� O t� Fiw 80-J A /3 O � �•_ 1.67Ac/5 /6 0 4. 79 Ac 5 AC /8-0F Q 16 . �o /2 4 4 _ 5 t� O 630 630 W i=D 07 .. 2.04 AC. 2. 00 AC.a- -E t - 4 299.76 282.06 60' iaz rrs6 wo BOHEMIA -- AVE 0. e0' 60' cr ' Assessor's Map No. 26-04 :. NOTE—ASSESSOR'S PARCEL BLOCK County of Butte, Calif. / / & LOT NUMBERS SHOWN Ms1R 95 '�. COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT N0. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASS SSOR PARCEL Ni . ZONING OWN N0. //0,0,0,8PHONE OWNER'S ADDRESS V LOCAT&N OF BUILDI USE O UILDING 14a SIZE OF STIVIUCTURE X = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDI ROOF COYFRING FLOOR T E ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County 'Ordinances as follows: 3DB �_ > FRONT SIDES REAR AG Buildings shall be a minimum of five'(5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner,/ Permit Fee - $25.00 The above described AG uilding is exempt from a building permit. Receipt No. `5✓�� Director of Public Works By _ Date 8S" White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant .r..� —..t.. .. s/ui,y"'.ry .�. w....r:--.w.+�-..w�+�-�.«,..—wx r�...s ' ,nrn- •'-r-...c�...rv� ...+.^"-1.,,y-"".•-. v... .�..:,�,....�� 40 . , . - > COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING A - 0)— BUILDING PERMIT OWNER- TELEPHONE S0, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS L CONTRACT R'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER1 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR1ESIS 4 1 ] + PLUMBING PERMIT Filing Fee 10.00 t + r I l it i1 l'Ji� rsr. t 'ra. Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome©�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 1Utilities [JInstallation ❑ Other [E� i1 Describe work: �� -+� �. CI It +" �/ + �. �' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51) OR ADDNS. `ACC, BLOGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0� am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. -�!� %+ License No. 17 `'11 `/j// Classification 6 — e ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR .Ou LET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS 61 NON.RESID. (SINGLE OUTLET CIR. / 50@250 Ex. Occup(OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR EX. OCCup.(OUTLETS (RESIDJ EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ -r have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X'' Date / = Signature of Applicant — Owner El Contractor ©gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ,.- TOTAL PERMIT FEE $ OCCUP. CROUP I TYPE OF CONST, PARCEL Pb HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which r� DIRECTOR OF PUBLIC By r'.t�I:'� r 1 PERMIT EXPIRES Date �•-"- the applicable provi- resolutions to do fees have been paid. WORKS Date 1 / Jr �, �' �� f Receipt No. � �_� �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Califprnia 95965 - Telephone 916/534-45 APPLICATIO-AND PERMIT I�c ASS°R^bC NUMB R ZO '; 2 BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS COI�TR AICT R•S N ME TELEPHONE+ 1va�/, �/ CONTRACTOR'S AILING ADDRESS t S I'll Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER M LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN DDRESSio I ti.,PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 )e/r Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 55.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti s ❑ Inste lation El Other Describe work: S 1- �'� % Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 DR LESS 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2,50 NEW CONST. l ( DWELLING OCCUy P.) OR ADDNS, ACC• BLDGS. 22 sq it CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions /Code and my license is in full force and effect. - License No: T� �y �h i,' D ClassificationEx. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE w coNSTR .OUTLET 2,50 ea NO -RE BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS eI NON.RESID. (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50 @ � 100 p / IXED APPLES. OR Occup. (RESIDJ EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): permit is for $100.00 (valuation) or less. rg,-have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X !y Da Z �6 49-11ture of Applicant — Owner ❑ Conrracror Agenr ❑ An OSHA permit is required for excavations over 5'0',' deep and demolition or construct- structures over 3aastt�ories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTO OF PUBLIC By ` PERMIT EXPIRES D e -I the applicable provi- resolutions to do fees have been paid. WORKS Date--D.P.W., Lion,Coff ipt No. 7Q q YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r i ( PERMIT N0. 6192-80B � PERMIT EXPIRES 0- OWNER Jesse L. Holter CONTR. Don Williams, AAPCo, Sacto. t • ASSESSOR PARCEL 26-04-18 LOCATION 6890 Upper Palermo Rd., Oroville 1' Temp. Power Pole S { Called PG&E 1 Temp. Elec. Service t, Called PG&E 1 r Temp. Gas Service Called PG&E JOIttaX ate) Signature - V = OK 0 = Not OK = Not Applicable MOBILEHOMES ' = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip, w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date �00 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga.-Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Perrr.it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; -Access -Comb. -Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub --41.-Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PAR�y� L NUMBER ZONING -Q`7r= BUILDING P I F/L4 / OWNER TELEPHONE SQ. Q. OCC. BUILDING VALUATION JESSE L. HOPPER K 14 KK£�n ^^ ' I CONSTRUCTION LENDER LENDER'S MAILING ADDR ARCHITECT OR NG ADDRESS BUILDING S 6890 UPPER PALERMO RAOD LOT NO. 1 SUBDIVISION NAME E UNKNOWN PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[� Other SPECIFY TYPE OF WORK NewJ] Addition❑ Remodel❑ Utilities [:1 Installation[] Other❑ Describe work: INSTALL 8 x 20 AWNING CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professipq�_00 and my license is in fu 11 f8y and effect. License No.CC I/ C6 Classification (i b ❑ I, as the owner, or my employees with wages as their sole_compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Fireplace Total Valuation $ 0 Permit Fee Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Lawn sprinkler system Permit Fee MM Me Qt -LO - 3.00 Contractor Permit Fee ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Heating Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING OR ADDNS. ACC. BLDGS.CCUP.&) 20 sq ft NEW CONSTR ULTI-OUT LET NON-RESID BRANCH Ci RC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in con ence of the granting of this permit. Ex. OCcup(OUTLETS OR FIXTURES BAL210Q / FIXED APPLNS. OR EX. Occup.((RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. © I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Heating Cooling Hood Ventilation permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in con ence of the granting of this permit. Mobile Home Installation Fee Land Development Fee TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, Filing Fee 3.00 2.00 $ Sa a D RCELI PD I HDA ISSUE X / Date 12-22-80 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of App ant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT OF PUBLIC WORKS ion of structures over 3 stories in eight. Receipt No. 7 By. Date%'17-- P/ WHITE-D.P.W., Ybg4W--a&SS , PINK , GOLDENROD -APPLICANT P T EXPIRES Date— /^/If ^� Z PERMIT NO. P E r' M MH UTIL. PERMIT NO. 4465-74P,E PERMIT EXPIRES OWNER Jesse HIQUX Hopper CONTR. `s LOCATION (A.P. 26-04-18 ) w/s Upper Palermo Rd, app. 100' N. -of Bohemia, Temp. Power Pole ! Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ' Called 'PG& E JOB FINALED •S ' " t (Date) 4 t (Signature) ( E 1 PERMIT NO. P E r' M MH UTIL. PERMIT NO. 4465-74P,E PERMIT EXPIRES OWNER Jesse HIQUX Hopper CONTR. `s LOCATION (A.P. 26-04-18 ) w/s Upper Palermo Rd, app. 100' N. -of Bohemia, Temp. Power Pole ! Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ' Called 'PG& E JOB FINALED •S ' " t (Date) 4 t (Signature) ( E COUNTY OF BUTTE — DEPARTMENT bF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback r, Forms Main Bldg. Footings Stemwal l Slab Piers Garaqe Footings ' Stemwa I I Slab Footi Slab Patio Footi Framing Stucco Mesh Scratch Brown Finish Interior Lath ` Door Closer Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Gara e. Vents Prov. for physically handicapped Conformance of ex. structure Footin Test Heating Cooling Ducts Ventilation Final FIREPLACE FIRE SPRINKLERS MECHANICAL Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer 92 — Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Fixtures Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final L�K DATE REMARKS • ' CORRECTIONS oe 00( %A r COUNTY OF BUTTE — DEPARTMENT OF PU ' 7 County Center Drive — Oroville, California Tel e0hone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 0 Sig ture of Permitee or A(geennt Receipt No. -- Z6p 7 0 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 By Date %- L(— uilding permit expires Date..............`�."..�{.'.�. BUILDING Owner E 5 4:5— PPS SQ. FT. OCC. BUILDING IIALUATION Mailing Address C SQ AYL Telephone No. Fireplace Contractor CJW Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address — CAJ AS U PpF/1` E �t PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 i Q (� D a 19'f F 46 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z �, — 0 � — � �Zon� Ga piping system 1 - 5 outlets 1.50 () Each additional outlet .30 F W(t,;, San Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,d6 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Imp rov ments P Lawn sprinkler system 2.00 I Bldg. Plons RecdPor el proval ons Approval Permit Fee $_$/01 NEW [J ADDITION ADDITION ❑ UTILITIES � OTHER � No. @ FEE PERMIT FILING FEE $3.00 0 Main service incl. 1 meter 3.00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba101 Receps., switches & fix outlets b.7 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ /7-10 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 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 property for inspection purposes. X Date 0 Sig ture of Permitee or A(geennt Receipt No. -- Z6p 7 0 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 By Date %- L(— uilding permit expires Date..............`�."..�{.'.�. t`1P Soo BUTTE COUNTY BUILDING DEPARTMENT �PPROVED - this -set of plam 414 MUST bo t kopt on the job 4 all time§ hhd if is unlawful to make any�changes 0Y aIfe'rations can same without writion permisson from the Department. of Public .. Works,.- County of Sufte. All utility connections Septic system and -location ofLu;Jd- located within 4 ft. shall be rear inn to be as per third section outside the rear Butte County .Health' Dept. Re- on the left (ro d) the mobile bile home t -quirements. •home, he mobile The 94�dg Setback shall be 5 ft. from 1� the, side property line and 50. ft. from the centerline of the road, permitting �a 4 a maximum of a 2 ft. eave. overhang. V. PERMIT NO. 5960-80AHI ex site PERMIT EXPIRES ) II Q / f / OWNER JESSE HOPPER CONTR. Feather River Homes, Y.0 . ASSESSOR PARCEL 26-04-1 A LOCATION W/S Upper Palermo Rd, app 100' NWof Ro'h _mi a, Palermo Temp. Power Pole Called PG&E Temp. Elec. Service t Called PG&E Temp. Gas Service Called PG&E JO6VF HALED (Date) J2-11 1/ -P - Signature— J=OK O = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2.Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILE .OME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s oning Requirements—Setbacks—Easements 1. Setbacks—Easements otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability sal H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lenity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI .rai H Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater�H Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed aJer and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.' Bonding; Metal w/5'—Circulating Equipment—Heater 9"—G" and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit x; Insp.—Sketch p ' ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date�l Card -BI Date Card B1 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i N I J = OK O = Not aK Not Applicable f- = Not Ready RESIDENTIAL ISingle and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive E] Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. 82. 83. Ventilation throughout House Glass Protection Corrections from Previous Inspections Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ _41. 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cl ng. Joist-Rftr._T_ies-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DF.IVE 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 -5 7*0- �U - for the following location: Z4cll:` Owner 6---_z-' - i'-� Owner's Address 'J �J % / +✓ ��✓ G-� �'� Mobilehome Mfg. �h& �rS f Model% �� Year �c) Insignia No. !d .)�" S J Serial No. ? It is hereby certified for occupancy at the above described location and may be occupied. Director of Public WorksXc, 0 11, f, Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 1. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 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 3. Are footings and supports .properly sized, spaced, and braced as per proved plans? (Note possible variation at ,spring shackles.) (Sec. 5082 & 5083) Yes o 4: Is the mobilehome level? (Sec. 5088) Yes 5 If more an.a single unit, are crossover connections properly installed? (Sec. 5088). Yes No 6. Water A. Is flex' a 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--.,Np- C� Backflow - If coach is not State of California approved, does station have backflow device 1 and pressure -relief .valve? Yes_ No r 7: Wastes and Drains M A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ao B. Does it have minimum" per foot slope and is it properly supported? Yes/ C. Are any leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe?.Yes No 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 co a for not more than 6 ft. long? Note: All piping is to be at least as e a largthe mob 1 home gas line inlet without reductions other than the mobilehome n ct rtspe e No B. T, t OK aollowing procedure? Yes_ No_1 Op nappliance 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.. 9. Electrical A.' Is service large enough to provide adequate amperage -to mobileaome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes' o B. Is there proper clearances around panels? Yes C. Is power supply cord or feeder assembly properly fused? YesNo D. Is continuity test satisfactory as per the following procedure? Yes 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 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 Ak (�✓ Length l 5 Width Z i Vehicle Serial No. Z-7 3 Ao", State Identification No. Z -5--L ?_ Additional Information or Comments: • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County C'-e'nter Dcive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT CZ ASSESSOR PARCEL NUMBER ZO ING a EL _ BUILDING PERMI41�) 0I�Np —1 I TELEPHONE SQ. FT. I OCC. I BUILDING VALUATION nI y V_ r- l7tryrccS' ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 CONTRALTO 'S MA LING ADD S O _ V as , Fireplace NEW CONST'(DWELLING OCCUP.M) OR ADDNS. ACC. BLDGS. 20 sq - CONSTRUCTION LENDER UNKN 1 N Total Valuation $ Ex. Occup(OUTLETS OR FIXTURES BAL@1 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Mobile Home Facilities Permit Fee $ 7.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRF.p$S W V i PLUMBING PERMIT Filing Fee 10.00 a Each Trap 2.00 Repair drainage or vent piping 5.00 , Water piping LOT NO. SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets' USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ PAmodeIQ Uti lit'es ❑ InstajlationgT Other ❑ Describe work: S tGQ - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code.and my license is in full force and effect. License No- S4v*2L Z -T Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 4 ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .❑ The permit is for $100.00 (valuation) or less. Mi have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upoa, the above-mentioned property for inspection purposes. I also agree to e, in nify and eep harmless the County of Butte against all liabiliti , Jud , cost expenses which may in any way accrue against C u co s the granting of.this permit. Date Signature of Applicant — Owner Cl Contractor ❑ Agent An OSHA permit is required For excavotiyns over 5'0" deep and demolition or construct• ion of structures over 3 stories in height.!/ I I--- - % Receipt No. WHITE-D.P.W., YELLO :Sr INK- SPECT R. GOLDENROD -APPLICANT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST'(DWELLING OCCUP.M) OR ADDNS. ACC. BLDGS. 20 sq - NEW CONSTR NON-RESID BRANCH CIRCUITS) NEW CONSTR I POWER APPARATUS 6� NON-RESID, %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@1 EX. Occup. IXED APPLNS. OR �OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ [TOTAL PERMIT FEE $ \'3V. I I-oc CUP. CROUP I TYPE OF CONST. r IPARCFLIPD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to-do work indicated above for which fees have been paid. D IRECT^ OF PUBLIC WORKS By Date PEPAT EXPIRES Date {.q OWNER _ r COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE °� OROVI LLE, CALIFORNIA 95965 - TELEPHONE: 916/534541 PERMIT APPLICATION DATA SHEET (/ Permit No. Proposed Buildi'n'g Use Permit Fee Based Upon Building Inspector / ay-';.. Complete Contract Price ajther,(�xplain) A. P. No. 4('-0 q-/ DPW Valuation Date - /O -Z/- Flo At time of permit application, I was advised he following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. 2. Plot plans i dupliic e�' riplicate. . . . . . . . . . 0 3. Complete plans in icat triplicate. <_;7p. U� 4. Complete enginee�nd calcs. . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ V 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data, . . . . . . •Pre -Ins ec. request to �. Pre -Inspection for o Required- Building Inspect �'2'/��YC7 'S . (Date) �1 18. Other `SG _ _ J _ P" When you issue the permit, process as follows: Mail m ea<e:pKe��- andqED pickup at _ Other Y ApplicanQ�. a- Date V owner. Mail to contractor. r- % office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time f ap li a i ircle item-) 1. Index permit for above Items No. 2. Additional items required: ntract'or esigner, Owner) was advised of above required data by �LI-Telephone O� By Plans checked by. Plans approved by Other Copy—DPW / Date Date ef-b _Mail Other Date �� Y.C31'E:—All Materials & WorkmanshipShall Be ain Acc )rdance with Recognized Good Practices and of c quality prescribed for the Specified use in the Unif ren Building, Plumbing & Machanica! Codes and the 4ptlonal Electrical Code. This set of plans and specifications WTIft kept on the job at all times and it is u claw uI -to rr tr nnv chnnges or alterh+inns on scue withou*f eYriffenpermission from the Department' of Public Works, County of Butte. l A setback of 5 ft. from the property lines and a setback - R of 50ft. from the road centerline shall. be clear of structures or equipment except for a 2 ft. eave overhang.. BUTTE. COUNT* BUILDING DEPARTW * APPROVED �3 Qf MART NF Z P�® Zr OK� Utility connections shall be within :1 .4 ft. of the mobilehome, either directly behind or within the rear half of the roadsic4e11=ft) of the mob4e e. - --- rcl , _ f{.oppP, *paap, I J t.. f L l A setback of 5 ft. from the property lines and a setback - R of 50ft. from the road centerline shall. be clear of structures or equipment except for a 2 ft. eave overhang.. BUTTE. COUNT* BUILDING DEPARTW * APPROVED �3 BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: �cp-��e,@ /C/d�� 0154070'.x' 3. Is the site currently under permit? Yes No. (If yes, furnish permit number ) OR Is the site an existing site? Yes /r// 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? ----------------------- d t o Amps 6. What is the mobilehome site service rating? --------------------- o Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 42 0 ® Amps 8. 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? ---------------------- AA) 10. What is the type of gas service? -------=--------------------- Natural -j—/ LPG 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.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 7C A/� West furnish Setup Model Np.,-;V X yS P"O °�� Year &'® Width—.2 _(ft.) Box Length L/ (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 front of mobilehome unless otherwise specified. (ft.)(in.) (in.) (in.) Footings (check one) Single 1. Wood either x i a -- Typical Support pressure treated or V?V x ,0 foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support Center support (ft.)(in.) locations* footing sizes Supporta (check one) (in.) �,y K] `: Concrete block' 07y xjo .2: Other. (specify) (ft.)(in.) (in.) (in.) lb Tagalong or Expando,' show support details. BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, APPROVED. draw in -locations, spacing,_ and dimensions. _ _ _ (ft.)(in.) (in.) (in.) x i a -- Typical Support (in.) (in.) Footing . Size (ft.)(in.) (in.) (in.) S''� ®�' -- Max. Pier Spacing (ft.)(in.) y5 0 x �� % o �� -- Max. Overhang (ft.)It! (in.) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, APPROVED. draw in -locations, spacing,_ and dimensions. _ _ _ COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville-----534-4541 ti " ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width 9 y x Box Length q J x-3 2. 2 Kitchen Appliance Circuits e ................ = 3,000 3. 1 Laundry Circuit ............................ = 1,500 ` 4. Ovens ....� r! "-:^::�:�......... .......... = yCD 0 5. Cook Stove.Top .... _ 6. Hot Water Heater 7. Dishwasher &Disposal 376 8. Clothes Dryer ................................ = SS 5 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts ..... 30 `JV I, - First 10,000 watts @ 100% .............................. 10,000 Remaining 0. ,4 `1-L- watts @ 40% ...... _ $ 17_� 10. Air Conditioner watts @100%.. _ ) Largest Demand Central Heat" System/= j, �c 0 watts @ .65%.. _ i ; , .✓ y ) TOTAL DEMAND WATTS REQUIRED .............. /tl0 "Demand Watts Required" - 230 .............. ............ _ AMPS De -rate Mobilehome to ..................... —� AMPS j BUTTE COUNTY BU1LDING DCPARTMIN� 3�3 H i' ell 2391-81B PERMIT NO. q J PERMIT EXPIRES OWNER Jesse Hopper .i CONTR. EmNo.Valley Awning, Oro. ! 'ASSESSOR PARCEL 26-04-18 LOCATION 6890 Upper Palermo Rd., Palermo i r {`H 1 I Temp. Power Pole j, Called PG&E Temp. Elec. Service 1 Called PG&E Temp. Gas Service Cal led PG& -E i JOB FIA ED Date) Signature V = OK 0 = Not OK - = Not Applicable MOBILEROMES MISCELLANEOUS * = Not. Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ - / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5.Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 - Not OK Not Applicable = Not Ready RESIDENTIAL, (Single and Duplex) 7k ` Date UNDERFLOOR Plans OK exce tk's oning requirements -Setbacks -Easements G ndrq-F-r 3- Ftg ra a ils-Steel- / M /" Ftg. Dept 4 tg., Porches & Decks; Soils -Steel- / /" -�� 5. sscw,.,anc Ua� t I B4@cMs-Wrapped-S 6, Sle 7. Pi - irenlace Fta.-Steel 8. - 9. Gas Pine Qi7o-Anrhnrc 10 Pinp- Tpct-Anchors-Regulator Service 11. n e 12 s & Ducts; Clearance-Material-SSupp�or 13 ..,,�,.v. o ti-Joists-VerRSsLr est Ins. FRAMING (Continued) 48. Property Line Firewall & Openings AQ. Frt r1nnrc_n„o 1'-r:har4 Garanc-Qrrl ctnr., 7 o.,u^ h 11 51. Plywood on Roof Overhang -Attic Vents -Rafter Outri 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection-Skyl 55. Shear Walls; Nailing -Bolts I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Date LUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor -Ducts -Meeh. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & 19. Gas Pipe; Size & Anchors 62. Stairs & Rails I; Breaker Sizes -Labels _ 33. Condensate Drain & Overflow; Size & Grade 63. Fireplace or Stove; Clearances -Hearth 35. Attic Access & Platform if Furnace in Attic 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors Fire Stops; Furred Ceilings -Stairs -Chases -Tub 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ❑No 75. Following instld.: Drive [I Yes E] No: Walks El Yes El No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Card -BI - Date -_ Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub __41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. _ 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO./� 7 County Center Drive - Oroville, California 95965 - Telephone 916/53541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ 6— oq —lc3 ZO 'NG' .- Z BUILDING PERMIT OWNERTELEPHONE © lie SSea SQ. FT. OCC. BUILDING VA TION OWNER'S MAILING ADDRESS C o 6 y .�v Q Loves 0 6� CONTRACT SNA .�lo va &_ 14 `CIL . TE LEPHONE CO7TRACTOR'S MAILING A DRESS 710• K 1!-."g C�.c, Fireplace _ CONSTRUCTION LENDERUNKNOWN Ao'r Total Valuation is Filing Fee $ 10.00 L9NDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER U LICENSE NO. Plan Checking Fee $ Ca. CPO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , — Permit fee $ , d!J BUILDING ADDRESS 6'a PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU SF ❑ Duplex❑ Mobilehome® Other 7r,' --a Uce/ucc, SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewIR Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ��KZ6 �Lc/u C�c� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. IDWELLING OCCUP.01 OR ADDNS. % ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO and Professions Code and my license is in f forc and effect. License No.���.��'4� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS S\ NON.RESID. (SINGLE OUTLET CIR. 1 @ 2e1 Ex. OCCUp�OUTLE TS OR FIXTURES BALM Ex. Occup.�OUTL. TSP(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of. Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa' ounty in onsequence of the granting of this permit. X Date – Signature of Applicant — O er ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP, GROYP _` TY E or co ST. V, PARC PD HD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 4--7-0Z Receipt No. �~ i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT