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Home My WebLink About027-060-049! `{4 - T"10- 9- > llvin Bailey 7 Upper Palermo Rd., Oroville Per 04-80P,E utcil—. ,MH) ` r, ELEC. J / f GAS SUPPORT S 'UCTURE Q ho COMPACTION ST REQ. 2-49� Permit##3W 2-80MHI 1 27-06-49 Permit ��3205-81P (i st . nat . ga,sj/ ne/ �� --- -• 27-06-49 Betty McCormick 7009 Upper Palermo Rd., Oroville Permit #353-82MHI(exisesite Issued / .,,5 , r. ,.. .-s .. .. •PERMIT NO. s PERMIT EXPIRES Calvin Bail y OWNER owner r CONTR. LOCATION (A.P. 27-06-49 7009 Upper Palermo Rd.; Ciroville j Temp. Pgwer Pole Call d PG&E _ Templec. Serv.. j lied PG&E Gas Serv.lled PG&ELED (Date) (Signatu Z MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation -from lot lines and buildings and generally conform to plot plan? YesNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes A No 3. Ate footings and supports properly sized, spaced,'and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083),Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No - 5. If mo�r�han a single unit, are crossover connections properly installed? (Sec. 5088) Yes Y No — t 6. Water A. Is flexi� 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 No_ C. Backflow - If coach is not. State California approved, does station have backflow device and pressure -relief valve? Yes o- 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_jt!!�`No, ,� B. Does it have minimum " per foot slope and is i r d? Yes�N0 C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No D. If co h is not State of California approved, does station have required trap and vent? Yes ' 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as me,gas line inlet without reductions other than the mobilehome large as the mobile connector, Yes_ B. Test OK as per following procedure? Yes ✓ No 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated*in tenth pound increments, .Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connecto/Nor on,gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes— 9. Electrica 1 A. Is service large enough to provide adequate amperage -to mobile�iome (must equal rating of mobilehome with a minimum oKNo 0 amps and 'other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ B. Is there proper clearances around panels? Yes o_ C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 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 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. MOBILEHOME DATA f Q Manufacturer and/or Namestyle / Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: M �J44 '� • _.. f . .. ` j �� f ,e J Fo in s Stem ai l Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings isonry Wall: Reinf. Stee ,,WUr*TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD , BUILDING BUILDING (Cont'd) A PLUMBING Finish Window Siding Roof Sheat In Roofing Fdn. Vents Garage Vents Insulation Provfor ph sicalll handicaooed Conformance of ex. Footin IRE SPRINK Sok Piping 1 Floor 2n loor 3rd k0or To out Water Pi i Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Al Fix ECTRIaAL Stucco X Final SubpaneLl MECHANICAL Gird. FAR Prot. Heatl Servigit Iflor Cool g TAP. Pole Dubs nder round V ntllation Permanent or Closer anal final MOBILEHOME UTILITIES .................. Elec- Service % Zi gp Elec. Pedestal -------..-1 lotater Piping Sewer X'Gas Piping 7S.t�72o7ti 4eeocr EME INSTALLATI N - - - - - - - - - - - - - Support Elec. Continuity Water Piping T3 _ �'� Drainage Gas Piping DATE REMARKS OR CORRECTIONS �o o r9 '�L�, • . ,/o. gqy2.4j 2-0 2744 r7/1 r4q o� (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 OROVILILE, 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 <;lir I Z`Jfor the following location: Owner 0141 -�------- �—'= - Owner's Address -'-• -- f- Mobilehome Mfg. Model Year Insignia No.� / f Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date - By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow - Installer, Pink - D.P.W. County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 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. ................... ... ....... ........................... 9 ......................................... Date.. `.............. Inspector ....................................................... Do Not Remove This Tag tann-A) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 72Z ASSESS O PA CEI- U6 RR ZO ING.5", BUILDING PERiRl OWNER ELEP�o�E� S0. FT. OCC. BUILDING VA TION O WNEMAJADDR E_S_�� v/Op C/vlLf: CONTRACT NA PRONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER" UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS —" Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS _• OV PLUMBING PERMIT Filing Fee 3.00 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❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ R emode 10 Uti lit'es ❑ Installatio;K Other ❑ Des cri work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP LESS 100 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.OR ADDNS. ` ACCLBL GS.DWELINGC V' P / 1 ., 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 m license is in full force and effect. y License No. 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 CONSTF;MULTI-OUTLET 2,50 ea NON•RESID, BRANCH CIRC ITS NEW CONSTF;L POWER APPARATUS &\\ NON-RESID. %SINGLE OUTLET CIR. 1 EX. Occup(OUTLETS OR FIXTURES AL @ B AL 10¢ FIXED APP LNS. OR EX. Occup.(OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 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 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the aove information is correct. I agree to comply to all County Ord inancess'and'State; Laws relating to building construction, and hereby authorize representativesTbf the Countyot Butte to enter upon the above-mentioned property for jnspectiori purposes. I also agree to save, indemnify and keep harmless the County'of Butte against all liabilities, judgments, costs, and expenses which may inl`any way accrue against aid Count in consequence of the granting of this permit. DaL Signature of Applicant — Owner nrractor EJ Agent ❑- An OSHA permit is required for eAcovations 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, I PARCEL PD HD-. Issues d/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT O PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-71,40 _J Receipt No. WHITE•D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 .MOBILEHOME INSTALLATION SH ET 1. Owner's name: y 2. Installer's name: 3. Is the site currently under permit? YeS 7eLl No (If yes, furnish permit number OR Is the site an existing site? Yes _� No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft away from septic tank and leach fields and clear of all setbacks and easements? Yes /' / 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? ------�/y ` v, APs 8. Is there any other electric load to be served by the mobilehome" ; siteservice? ----------------------------------- -; --- Yes No (If yes, identify the load and size: (Load) ti, (Amps) 9. What is the mobilehome site gas pipe size? ----=--------------- in. 10. What is the type of gas service? ---------=------------------- Natural E -2-S4, LPG 11. What is the gas pipe length from meter or tank to the mobilehome? A(ft.) 12. What is the mobilehome gas demand? ------------------------------ �v (BTU) (This information not required if pipe length less than 6 ft on natural gas.. or less than 50 ft. on LPG.) t3UTTE COUNTY 3UILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA ome Mfr. 0 If o6er,than single wide,., Year Mobileh* Lzzi—R-0 �f� furnish Model No. k Width (ft.) Box Length c�) _(ft.) Tagalong or Expando Size ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October,Z, 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. Footinga (check one) Single -d either pressure treated or foundation grade. v L x (ft. (in:) (in.) ( in. ) 2. Othef'(specify) Center su ort Center sup ort location footing zes Supporta (check o ne) .(in.) oncreteblock. EL Other (specify) *----Tagalong or Expando,' show support details. (ft.)(in.) in. in. IrAt1� Typical Support (in. Pin.) Footing Size �x (ft.)( n.) (in.) Max,. Pier Spacing (ft.)(in.) Max. Overhang (ft -:)(in.) ' on *If center piers are other than drawn above, .._,draw_.in.-1ocatiQns, spacing, and dimensions. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 6� y --11v Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7► X Date Signature of Peermitee or Agent Receipt No. J -I a9119) 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. DIRECTOfl OF PUBLIC WORKS By Date B 'ding permit expires Date � BUILDING Owner *,Vi 41 SQ. FT. OCC. BUILDING VALIJATION Mailing Address )bo Up e�L od 42, r Telephone No. Contractor ow ovyt._, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 200 �,Q E� �4.C��v � Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 . 00 Each Trap 1.50 OO , Repair drainage or vent piping 1.50 N`_ A. P. No. -tJ`�' 9 �� Zoning & Planning Water piping 1.50 Q�0(� Each gas water heater or vent 1.50 F046's I 'W*�'C. S n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 O.0 EQA Parking Plans Parcel Declaration arcel Map 60' R/W I Improvements E ch additional outlet .30 wilding sewer 5.00 ,Qd �� Bldg. Plandt ec'd +fr/ Parcel A'ERroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $ — .$ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 :3 00 Main service 600V OR 100 AMP LOR ESS 5.00 .6t7 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER a O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BL GS.CCUP. B) 20sgft, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW CONSTP- (MULTI.OUTLET NON.REsID (MULTI CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS.&)j NON-RESID. SINGLE OUTLET CIR. EX. OCCUP(OUTLETS OR FIXTURES) BAL@100 Ex. OCCU FIXED APPLNS. OR \ 2.001 p• OUTLETS (RESID.) EA/ Temporary service 10.00 Mobile Home Facilities 15.00 6,00 License No. Classification Misc. Wiring 6.25 / FiR I am exempt from the Contractors License Laws of the State of California. Permit Fee $ p'?G-,5D $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot.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. 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 relatinq to building construction, and hereby Land Development Fee $ o;A57 -� TOTAL PERMIT FEE $ 5 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7► X Date Signature of Peermitee or Agent Receipt No. J -I a9119) 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. DIRECTOfl OF PUBLIC WORKS By Date B 'ding permit expires Date � U i; Utility connections shall+be within f f`. 4 ft. of the mobilehom(g either i' directly behind or within the rear ' half of the roadside (left) of the �r ins a sp cificotions MUST be rnoblehome... _ This "set of pia '' F and it is ur�lnwful to` kept on the .gob all tees ame without or rlf^rr4sons ons ;Q.,MINIM* , `- mdkeany change .. SQU • en ermissiorj from;the Department of Publicp M,031LE3 watt Co ? f Butfe B. Count Works, u I i E� !{��-Aer;t-will ` I Workmanship Shall -Be in be re''wred for the NOTE:�AII Mater Is �s, Good Proctices -'and ifs#alla#iori.:of thetobilehome Accordance with eco +17e, ,� iE • reser edor the Specified use in the of .a quality p '! & Machanical Codes., and p mbin�g Vnifo�M . Building, . de. the.:'National Electr al i A setback,of 5 ft. from th4 property �ines''ancla setback., LA «'f s of 50ft: fnpm the road centerlinshall be clear of' structures1lor equipment eccept for a 2. ft. ieave overhang.;; i; it ... i i t Ii BUTTE COUNTY RI ING�-PARTM'ENT APPROVED > i• Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 2� 403 Section 26-8.1 of the Butte County Code requires this acknowledgement Fi BUTTE CALJF• be recorded prior to issuance of a building permit. 0 45 REq i� gp The property described herein is adjacent to land or included Re 17 12 25 PM19 - within an area zoned for agricultural purposes, and residents of OLARk A. NELSON4LESE this property may be subject to inconveniences or discomfort arising C��h-k_Rn0ROEF' from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operarions including( but not limited to cultivation, plowing,.spraying, pruning, and harvestir4g which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and._._.�.�-:_ residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. Z All that real property situate in the County of Butte, State of California, described as follows: TW North 1/2 of the North 1/2 of Lot 3 8104 SS 111& shoim al, the otficW Nay entitled, Mwtum to Alem citno ftot Bubdivislon No. 1", filed in the office of the Butte cao nq aeoos�er• 11roe1 1 of that drtain record Of wavey recorded July 7, 1977 in Book 61, of Also be� , official llecords at VW 40. Date:,, ate:( PRO RTY WNERS, f r /�• r State of ) On this the % % day of ,ccs , 19 7 ) SS. before me, the undersigned Notary Public, personally County of ) appeared OFFICIAL SEAL known to me to be the person(s) whose name(s) •�� DOROTHY A. WISE PUBLIC - CALIFORNIA subscrib d to the within instrument and acknowledged N NOTARY BUTTE COUNTY that executed the same for the purposes my Comm. Expires Aug. 6, 1984 therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notai# Public Present A.P. N0. 7T2—_06—�i MD OF DocUmed r rty W r . 1 PERMIT NO. 353-82 HI / exis.site PERMIT EXPIRES 6+,9jVVD-3 OWNER Betty McCormick CONTR. owner ASSESSOR PARCEL 27-06-49 LOCATION 7009 Upper Palermo Rd., Oro. E Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PGJ JOB FINAL/D (Date) ,Z— -') �� Z� V =.OK . 0 = 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 ✓I'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; Locatiort—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 (PI ' OK except k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. ung Requirements—Setbacks—Easements 1. Setbacks—Easements otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector A-151—ectricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI Sin; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6.�r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7 e/and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9.1-Ercks; Insp.—Sketch 10L6err.* of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date A— — 2.6ard-BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date XWA4e" 0, 4v�-, = OK = Not OK = Not Applicable RESIDENTIAL (Single, and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'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 -B lockouts -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. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI r 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 Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 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 H's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. 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. 72. Insulation -Foam -Looked in Attic E) Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. 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. Subieed 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 AI, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑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-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL*(Perrrit) OK except N's 83. 84. 85. _ Corrections from Previous Inspections 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 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 p'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 & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist -joist 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. 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 DRIVW OROVILLE, CALIF. - 534-4541 t 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 ��~-'fit for the following location: Owner's Address-�'�1-�' Mobilehome Mfg.,4'�Z-�-*-• Model Year Insignia No. -7;- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director,of,Public Works';7 Date,—o;2—,-L4 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED - Installer, Pink - D.P.W. +? '' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 ' " 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. Y � COUNTY OF BUTTE - DEPARTME'�NT OF PUBLIC/4-4541 PERMIT N0. 7 County Center Drive - Oroville, Callfornia 95965 - Telephone 9—�C3, APPLICATION 'AND PERMIT �1 ASSESSOR PARCEL NUB R "� —�- �t. -sBUILDING ZONI PERMIT ow R Afe- "'(�IC� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN MAI LI y.yQADDRESS CONTRACTOR'S NAME Vr /V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE 0 WN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Ot Permit Fee $ ARCHITECT ORENGINE LICENSE No. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORE S �� &,�Wnse, Pfj(�� j) PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 V 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 ❑ Uti fI•it�''es [IIp; �taIIation 9 --'Other El Describework: Toe 66 I617A4 5l/C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 /'� V O v ^ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y 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 Business and Professions Code and my license is in full force and effect. License No. 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 CON5TR TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. / EX. OCCUR(OUTLETS OR FIXTURES a �@ IXED APPLNS. OR Ex. Occup.(OUTLETs (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 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 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 against said County in consequence of the granting of this permit. X Date –_/l�� Signature of A licant – Owner,®" Contractor ❑ Agenr ❑ 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 $ O TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND IesuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREMR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees .have been paid. WORKS Date %11T �� Receipt No. �%6�5 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT S!n B e n --,.v .-es and U� Use n Me Nc4fional Ejeci-r:cal Codes and fhis set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any chaqg!s Or al-ferations on same `,/jjhout written p-ormisson {rem the Department of Public Works, County of Butte. t9 A setback of 5 ft. from the property lines and a setback of 501`11. from the road centerline shall be clear of structures or equipment except. for a 2 ft. eave overhang. CL QL BUTTE COUNTY BUILDING? DEPARTMENI APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: e. 2. Installer's name: 3. Is,the site currently under permit? Yes / / No /A—% (If yes, furnish permit number ) OR Is the site an existing site? Yes /Y/ 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 /ice No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- &e (P Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome BUTTE COUNTY BUILDING DEPARTMENT APPROVED �-- siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- NaturalT7 LPG./ / 11. What is the gas pipe length from meter or tank to the mobilehome? X `7fl (ft.) What is the mobilehome gas demand. %,�lj, P 0 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED �-- MOBILEHOME SUPPORT DATA If other "titan single wide,- Mobilehome Mfr. �%�c�_ furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)Un:) Center suppd locations* I J (ft.)(in.) i (ft.)(in.) I - I (ft.)(in.) (ft J1 (in.) Single (in.) (int.) Center sup ort footing ses (in.) ' (in.) /(in.) Footings (check one) D-1. Wood either pressure treated or foundation grade. 2. Other: ( specify) Supporta (check one) 0--1: ' Concrete block. El .2. Other. (specify) E ---Tagalong or Expando,' show support details. (in ) (in.) /Z XZL/ x � -- Typical Support (in.) (in.) Footing Size X (in.) (i.) �� -- Max. Pier Spacing 4 (ft.)(in.) �) (in.)I (in.) *If center piers are other than drawn above, draw in. -locations. spacing, and dimensions. (ft.)(in.) -- Max. Overhang r+•JI . Return to DPW®� AGRICULTURAL STATEMENT OP ACKNOWLEDGEMEN FOR RESIDENTIAL DEVELOPMENT 2� 40.3Li OFFI(;,AL I,E:.If F?L) ; Section 26-8.1of the Butte County Code requires this acknowledgement BUTTE COUNT' be recorded prior to issuance of a building permit. ' 0`.05.RI :ATE pY The property described herein -is adjacent to land or included FEB 17 12 25 within an area zoned for agricultural purposes, and residents of OLARtf A. NELSON this property may be subject to inconveniences or discomfort arising CLERK -RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including ;EE but not limited to cultivation, plowing,.spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones.and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California described as follows: , Z ?he llarth 1/2 of the North 1/2 of lot 3 Bloch 85 as shown oa the Official Map entitled, "Addition to Werso Citrus Itact subdivision No. 1*, filed in the office of #I%&Butte OMMt3p Recorder. T' A191Z being Parcel l of that certain record of surrey recorded July 7, 1977 in Book 61 of Ofrieial Records at page 40. Date: _ 1 t State SS. County of ) PROPERTY,OWNERS: On this the 1 I day of cQ 19 before me, the undersigned Notary Public, personally appeared OFFICIAL SEAL known to me to be the person(s) whose name(s) -4� DOROTHY A. WISE subscrib d to the within instrument and acknowledged NOTARY PUBLIC -CALIFORNIA that L'.' BUTTE COUNTY executed the same for the purposes h.q Comm. Expires Aug. 6. 1984 therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Nota4 Public Present A.P. NO. 2-1-06— t k- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; CalifoMia 95965 - Telephone 916/534-4541 APPLICATION ANP PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER "2 O �� _ � `% ZONING BUILDING PERMIT OWNER 4111)) b- fl1LCY TELEPHONE i33Qq-71 SO. FT. OCC.1 BUILDING VALUATION OWA ING ADDRESS76!4W+ AlCeIVi' A?` 4/'//GL'- CONTRACTOR'S NAME q/�1/�J•+'(�7 % TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERR� _ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER�J LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING PLUMBING PERMIT Filing Fee 10.00%� Each Trap 2.00 Repair drainage or vent piping 5.00 I U/ C Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 1/0,00 y USE OF STRUCTURE SF FIV Duplex ❑ Mobi lehome ® Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other 0 Describe work: '/00 113/7"t L- AM1714y)4- Z;14 S f ` ( J Permit Fee $ _a, 100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a\ 20 OR ADDNS. ACG. BLDGS. // sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 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 n 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 MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR 1 POWER APPARATUS &I NON-RESID.. SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES_ BAL@1 IXED APPLNS. OR Ex. Occup.�OUTLETS (RESID.) 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 onej: ❑ 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 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 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 against said County in consequence of the granting of this permit. X �--- Date V M n (�' Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��r�a OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions—of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ( PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date te ifc Receipt No. J591& WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �/, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NO-T,IC BUILDING OR`RRIORERTY ADDR 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 mater, or, need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO S PERMIT NO. 7 County Center Die - Oroville,'California 95965 - Telephone 916 34-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NU BE S —I�f(% — ZONING BUILDING PERMIT OW ¢t�./ //4/ 81q IL II ^ILC T EPHON�j SQ. FT. OCC. BUILDING VALUATION O W N E A� I N G AL2 L� _ ��N CONTRACTOR'S NAM &Eg TELEPHONE CONTRACTOR'S MAILING ADDRESIS Fireplace CONSTRUCTION LENDS UNKNOWN Q Total Valuatio$ n Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEEJ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI ING A DRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 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 RUCTURE SF Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK .New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: / ` ,, ��!L'' /¢"� �[ G / LI / /� Zp( �G�..��///TTT (OLS Permit Fee $ rm0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.SI\ OR ADDNS. ACC. BLDGS. I 20sgft 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 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 2.50 ea NON.RESID BRANCH CIRCUITS) NEw CONSTR (POWER APPARATUS 6� NON-RESID. (SINGLE OUTLET CIR. E. Occup OUTLETS OR FIXTURES a �� Ex. Occup.�OU00 FIXED APPLNS. OR TLE TS (RESID,) 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): ❑ 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. j 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 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, said County in consequence of the granting of this permit. X ��•�✓� Date ^Z� — Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sion f the Butte County Code and/or wor n ica d ove for which I CTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �� 9_Z_ r 21 Receipt No. 1r✓��((yyDate WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT