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Home My WebLink About026-174-0020 \1 26-174-2 IJerry Cantrell E/S Lincoln Blvd., pp,15O'N l m Ave.,Palermo , Permit #1096-79 ,E i �1. r ELEC. GAS SUPPORT STRUC COMPACTION TES REQ, 26-174-2 Pe't #5055-8OP,E(util.,MH-replaces #1096- _ ELEC . %/ ® *0 ,4 � fl GAS 1--19 • FsD T /� SUPPORT STRUCTURk NREQ. COMPACTION TEST REQ. 2- 6-=o-74 - 2 Contr: R ` -V_ el a-b'le Servi• �.- -ng Per Permit -k5-86 6-80mi 1 Is y. mss.. ^,r"y�..-?'_ ..?f••- - 0z 4 I i r t 7 • � 1 n � - - --------- -ly, -0 CN 1 I l� L 5455-"P, E PERMIT N0. Xy PERMIT EXPIRES d i� Y� OWNER Jerry Cantrell CONTR. owner ASSESSOR PARCEL6-174-2 LOCATION E/S Lincoln Blvd., alp, 150'N.of- Ludlum Ave., Oroville .2,o z.5 R i f h, 'r r, m 8 dy� `Y �1 a t� e Temp. Power Pole Called PG&E Temp. Elec. Service _ I ��f�` ��-�►/ Called PG&E /' J Temp. Gas Servicea a Called P"G&E AV 117 PA JOB FINALED (Date) Z Signature = OK = Not OK = Not Applicable ' MOBILEHOMES — Nnt Roadv MISCELLANEOUS' • I Date MOB16AHOME UTILITIES (Plans) OK except Us Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's Zoning Requirements=Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements -,@-'foils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors -mer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location—Clearances— d.—" Amg—QE5Ee4 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures LPG 6. Carports; Windows—Doors ity Clearance 7. Elec. P&vcQL 46A i'-�i.,c.1➢% 4 --- ao 't -ro wR.r—cs Caro I� L Dat /txcard-BI Date Card -BI Date Card -BI Date Cad -BI Date =. and -BI Date Card -BI Date Card -BI Date Date MOBIL ME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's 41'.__ZoniL9 Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI r ' ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Cl—Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ate Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit tts; Insp.—Sketch JP- ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B-1 Dat 1 l@�ard-BI Date Card B -1 -Date Card -BI Date Card -BI Date Card -BI Date t't�t = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single 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 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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. 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 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. 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 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors 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 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. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E:) 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. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I 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. 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. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 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. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-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 you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-$541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (e-/ %_ J Inspector yt" Date /` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .• 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 53424541 e Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - J--•��.,�� .-mac i7 Inspector Date / V / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit, number n i J for the following location: r •tel � ;� %� !' ,%�.-p,�,c_../ , , Owner k /-A n, . _�� . , ✓� Owner's Address 7 Mobilehome Mfg. �isfi Model f Year '~ Insignia No. L� Serial No. ( " It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to,provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i:e., wuter pumps, garage, cabana, etc.? Yes' o_ B. Is there proper clearances around panels? Yes t/No_ C. Is power supply cord or feeder assembly properly fused? Yes 6.1 0 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 instrumentrto .the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. i 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 theelectrical 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.' MOBILEHOMEDATA Manufacturer and/or Namestyle � r Length Width 204'1 Vehicle Serial N�,l�d� !� State Identification No.�� Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. I's the mobilehome located wit required 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) Yes 41-<O- 3. Are footings and supports.properly sized, spaced, and braced as pe pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes�o_ 5: If mor No a single unit, are crossover connections properly installed? (Sec. 5088) Yes v o 6. Water A. Is flexile connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 1, No 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,ZNo B. Does it have minimum k" per foot slope and is it properly supported? Yesl.�lQo C. Are any leaks detected in drainage system after running 3-_ggellons of water through each fixture including washing machine standpipe?..Yes No ,8� 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 3otmore than 6 ft. long? Note: All piping is to be at least as large as the moit ome gas line inlet without reductions other than the mobilehome connector. Ye No B. Test OK as per following procedure? Yes 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._ a � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS VP R IT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES OR PAF EL NUMBER `'• S--/%�- Z_ Z N G L/ i BUILDING PER `Q tf OWN R ��-�pf,,� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS LEPHONE T9 AG gs 7-4 I CONTRACTOR'S MAIL NG DDR S o . �o x o,ei(/IN��G4 iia 2 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ le), dd Penalty $ ARCHITECT OR NGINEER'S MAILING ADDRESS Permit fee $ BUIL NG ADDRE S _ _ / — 5 L VL ,��br /�Pi� %� �� C PLUMBING PERMIT Filing Fee 3.00 UDLO AVE. Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg?'Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New El Addition❑ Remodel U'lities❑ ,lnstaIIation❑'ther❑ Describe work: /- aPE Ab2w5055-to Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.8,) OR AODNS. 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 Business and Professions Code and my license is in full force and effect. �J C— 6 / License No.01Y/6 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 TI -OUTLET NON-RESID BRU ANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. so � zga Ex. Occup(o TS OR FIXTURES BAL�tOQ FIXED APPLES, OR \ (FIXED Ex. Occup. OUTLETS (RESID.) EA,/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 2.00 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 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. �7 X y.�et,/L,- Date ��— Signature Of Applicant — Owner EJ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures ov r tori s in ight. Mobile Home Installation Fee $ .O Land Development Fee $ TOTAL PERMIT FEE $ 50,a OCCUP. GROUP I TYPE OF CONST, I PARCEL PD 1 HD 15y'E V This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTOR OF BLIC I BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �'� �f) Date �(/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome•Mfr. t /� furnish Setup Model No. Z Year dj'-(_) Width 7 (ft.) Box Length C (ft.) Tagalong or Expando Size ft. x ft. (SHOW.SU PPORT 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. S'OPPORTP1£e 5 70. BE L0G4TE1D p�2—„ Footings (check one) �-, . AL S APS/47TAC/4EI> '7Pin ee �, 1. Wood either, "• pressure treated or foundation grade. (ft.)(in:) in. (in.)• ❑ 2. Other: ( specify) Center support locations* (ft.)(in.) Center support footing sizes (in:) x O (in:) (in.) " � R w ♦ P0 1�1_ I 1432o] (ft.)(in.) (in.) (in.) } (ft.)(in.) (in.) -(in.) 116 ni (ft.) (in.) ' x3 (in.)l (in.) *If center piers are other than drawn above, draw in• -locations,_ spacing,. and dimensions. Supporte (check one) 1: Concrete block. ❑ .2: 'Other'. (specify)' Mfr ---Tagalong or Expando' show support details. /,�_ xj,' -- Typical Support (in.) (in.) Footing Size' S -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) F0 BUTTE COUNTY BUILDING DEPARTMENT APPROVED n 1. Owner's name: 2. Installer's na BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville', CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number '3 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 77 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? --------------- ----------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / [ NO / (If yes, identify the load and size: 4A)_ Ll (Load) r;:20 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ Si&e6e17(BTU) (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 " a A 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 o% APPLICATION AND PERMIT ,j PERMIT NO. ASSESSOR.PARCEL NUMBERZOyIIN� 2 - Jr r BUILDING PERM( F//, owN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG A DRESS r� I I V CONTRACTOR'S NAME yy TELEPHONE /1 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER h UNKNOWN Fireplace Total Valuation $ - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B I AD RESS .Q v\ C4a iI V %�f PLUMBING PERMIT Filing Fee X00 41 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outletsAl), rj USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[Poo'orOther SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK NewAdditionRemodel Utilities Installation❑ Other ❑ ❑ Describe k: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee A00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( ACCLBLDGS.CCUP.&� 20 sq ft 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. Classification �J 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 NEWCONSTR BULTI-OUTLET 2,50 ea NON.RESID RANCH CIRC ITS NEW CONSTR. / POWER APPARATUS & 1 NON-RESID. (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 50@� BAL@10t E X. OCcU FIXED . OR p•(DUTLETS TS (RES' EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , C) Mi sc. Wiring 6.25 1� Permit Fee $ 33 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 f Consent to Self -Insure. LJ ' 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 Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 'abilities, judgmen ,costs, and enses which may in any way accrue ag n said Co my i c nce t e granting of this permit. X Date (gnat a of pplicont — Owner Contractor ❑ Agent ❑ An A 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. PARCEL ✓ PD 1.4 �/ 5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. EXPIRES Date- PERKZ. the applicable provi- resolutions to do fees have been paid. WORKS Date �� '�� rS Receipt NO.��% �/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT in /01 -&'Workm Shall ;e, 00 -ort f6; t_all fine, S- 3-e Ca01 s__ Ri ='Acnice.-W -d-0 fbrlcds nship- ecoc -Peai:tices' and ,I.h. .-*-, rjtfon-p� rim S, m __ ___ - -_ •- I h r A. ,--SF*cific -use in :t -d'- ,",pros e I _ w ' ... c b 1 C[,fof for -thy - 'C 'Buff y -0-U'htv of, n ,Z,-I thertmkw U -" ra 'U0 1''I _1_ JVjrU4AKA1 _C� - . -the I ationoll Ele tr ca -6-des . - t1w I 11%1VT, -7 L TT it .......... ...... OU �ack gh-11 b" prop&rf lirici ancF 50 -ft.-from-the T t roci-d,- -p--e-r mi-itfifi_ ;(:,nter-.,,ne Of e. Of a -2 ft., e ave-overhangibut.entirely muril rec r . . . . . . . . . . . .... W1 e TrP) W1 I or e r it orated A-ft- hud . . . . . . . . . . . . . the - 04 n. c the_.rnobHe1Jwm P -thelef+-(roc Yside 6fiVie�rrabi tepticm0em Butte --County'- and 10006) -PP . . . qu* irements.: --- -------------------- �4 L 7, ....... ...... ......... r �BUTT -01 ........ ....... 3U] --- --- IYA EPIN PPRJO V;E /01 T ARM IT NO. 1096-79P,E PERMIT EXPIRES OWNER Jerry Cantrell -• , CONTR. owner nH 26-174-2 LOCATION (A.P. ) E/S Lincoln Blvd., app.150'N.of Ludlum Ave., Palermo 7 M Ale Id, - Y � _ t r I I Temp. Poer Pole j CaIl;d PG&E f Z lec. Serv. d PG&E as Serv. d PG&E FINALED (Date) 'i (Signature) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING JVLVdvn f Fir all Soil aping Forks Para is 1st Ioor Ma'6 Bldg. RestrAln Finish 2nd Nor F tins Windows 3rd Flo Ste wall Siding To out Slab Roof SheathNing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sicall handicapped Conformance of ex. structure Appliances Gas Pf ing & Test Temp. Gas Slab Final Sanitation Patio FI PL CE ' Final R rtelnt. steel Final 4 N I Fixtures Bond BeaW FIAE SPRINKLE Motors meso MECHANICAL x Gird. F It Prot. Scraigh Heatin Servl Bron Coolin T p. Pole FI ash Duc nder round Int for Lath V tllation Permanent or Closer foal Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS -OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epl-#-)ne: 534-4541 APPLICATION AND PERMIT ia94�-�2 j AA authorize representatives of the County of Butte to enter upon the j ve-mentioned proper for inspection purposes. l) X Date AL Sign ure of Per_ or Agent 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 OF—PUBLIC WORKS By Date !7 —/1 =/� Building permit expires Date BUILDING Owner �,� Ira -Mailing S0. FT. OCC. BUILDING VALUATION Address LA—).,4 'TJ'k -40 r. , n70L-60/7 7 T J -% Telephone 60/ Contractor t,`, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee / Building Address Plan Checking Fee&/or Penalty Permit Fee S -4A (v Q_V%e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,CTO Each Trao 1.50 Pa r✓V-PwVD Repair drainage or vent piping 1.50 P. No, a;Z(mi— 174— 2 Zonnn a`k`nnin ater piping 1.50 — Each gas water heater or vent 1.50 F s W. . S do Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 0 -- EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improveme is Each additional outlet .30 Building sewer 5.00 /a � B ans Parcel roval Plans proval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ $ 'j ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -� Main service 600V OR LESS too AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ P ❑ ® ❑ -L Main service EA. ADD'L 100 AMP 2.50 Main service O00VERAMeoovPOR LESS 25.00, 1 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADONST %ACCLBLDGS.LING CCUP 4) 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 st le of: Y NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEWCONSTR. POWER APPARATUS 9 NON -RESID, SINGLE OUTLET CIR, Ex. OCCUP(OUTLETS OR FIXTIIRES g L 00 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /s License No. Classification Misc. Wiring 6.25 wt� mxempt from the Contractors License Laws of the State of California. Permit Fee $ 2,91,S6 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 $ authorize representatives of the County of Butte to enter upon the j ve-mentioned proper for inspection purposes. l) X Date AL Sign ure of Per_ or Agent 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 OF—PUBLIC WORKS By Date !7 —/1 =/� Building permit expires Date