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Home My WebLink About027-100-030�.• n K _ .#.i.. .. ,X > ti i�. 271 -0-1�3�30 D0:(�TNER, Fred 090 + PHILLIP CALDWELL / % at /I 922-67P - o 595 Reservoir'•Rd'.--1'fA�-PaIerm6- r _ 461-67E contra A-`1-=Masonary, Oroville - m Permit 7595 Grier • Av' ' #5337-75B (replace fire- e•, Palermo- place,earthquake damage. /SF) CONTR: Wynoka Homes, F.O. B.o -1-947,, Or ille - (new single family) l - 27-10-'A3.3o , /i��% I P it #4028-80P,E(utfp1.,MH) (J I ELEC.�%'��- GAS ,z SUPPORT STRUCTUIE�EQ. 1 COMPACTION TEST REQ. t: - 0- I - Contr: Kentwood, Chico MAILLOTT, Gordon Permit#4935 mi_] } ' Issued -•- • — �; __ Brubs Road & Grier Road E Oroville _ ' RENEWAL - 1828L._ , ' ! N 9 PERMIT NO. 40-28--8'6 ,E PERMIT EXPIRES OWNER Philip Caldwell owner ;CONTR. LOCATION (A.P. 27-10-13 7595 Reservoir Rd., PAlermo 53((, a3 -D9' Temp. Power Pole Z Called PG&E Temp. Elec. G&Ser/v. Called RE Temp. Gas?Serv. Elf'd PG&E Ag z 0, FINALED L (Date) (Signal COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD a BUILDING BUILDING (Cont'd) PLUMBING Sehtack F wall Sox Piping or PbrgMets 1 Floor Mai Bldg. Restr _ m Finish 2n loor / FodNings Windowk 3rd Akoor Stem all - Siding To out Slab Roof Shealikina Water Pipiwg Piers f Roofing Sewer Garage % Fdn. Vents Fixtures Footings /' Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handica ed / Conformance of ex. structure Appliances 41 Gas Piping &Test Temp. Gas Slab Final % Sanitation /1, Patio •FIREP ACE Final Footings Footing LECTRI L Masonry Walls Throat Rough Reinf. Stee Final / Fixtures I Bond Bea / FIRE SPRINKLE Motors s Framinq Test % Water Htr Stucco X Final X Sub an s Mesh NMECHANICAL Grd. F,,iult Prot. Scratch Heati is Sery ce orgwn E;oo#lng Temp. Pole X Finish D is /underground Int6rIor Lath ' ntllation / Permanent or Closer anal Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Q510_ Elec. Pedestal _W Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping % n—O —&-b C.,30 Drainage Gas Piping DATE REMARKS OR CORRECTIONS ov--, �Z_eo� (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobileaome•(must equal rating of mobilehome with a minimum of 100 amp)'.,and other facilities on lot,, i.e,, water pum_ps,, garage, cabana, etc..?. Yes_ No B. Is there proper clearances around panels? Yes -L'_"No_ C. Is power supply cord or feeder assembly properly fused? Yes o v D. Is continuity test satisfactory as per the following procedure? Yes_ No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of -the above procedure, the power supply cord or feeder assembly conductors shall be connected to 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 . `f7 Manufacturer and/or Namestyle Length_ Width lC, Vehicle Serial No. o �e State Identification No. Additional Information or Comments: r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.- Is the mobilehome locatedw'th required separation from lot lines and buildings and generally conform to plot plan? Ye _ No_ , 2 Does the mobilehome have required clearances above ground? (Sec.5085) Yesv No 3. Are footings and supports properly sized, spaced, and braced as,))zr approved plans? (Note possible variation at spring shackles.) (S��No 5082 & 5083) Yesll�_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ _ 5-. If more a a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is fle ble 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? Yesj.ZNo_ C. Backflow - If coach is not Stat ornia approved, does station have backflow device and pressure -relief valve? Yes . N 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No_ D. If coach iof e 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 of more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"--14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy dater. C. Are all appliancel/ vents properly installed? Yes No_ 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 ' "-) for the following location: Owner %�•!? 1�-rJ' // A�11'1__4_I; Owner's Address *�� • 't-'� - -�'" �,- Mobilehome Mfg. Model Insignia No. S �.y 7 '< <e) '~ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date l '' �f 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 Oleaq*def Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 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. �Aff COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 ' 7 County Cenier Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE n r1 , 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. Q� v. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Si%nature of Per tee or Age t ,+%,7 BY ` ` Date Receipt No. `"�c� c� permit expires Date T --z' White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant BUiI Ing BUILDING Owne /N_/P / We SQ. FT. OCC. BUILDING VALUATION Mailing Address Re L of Telephone No. Contractor G L S Mailing Address Fireplace Total Valuation Telephone No. 3 Permit Fee Building Address Plan Checking Fee &feaflewaFly ww/, —6 Permit Fee PLUMBING No. @ FEE D / c�W PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. o. Q /� Zeng & Planning Water piping 1.50 Each gas water heater or vent 1.50 FV'e's'l wee. Sa� I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking PI s Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. 64ns Recd Parcel Approval 1/s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e 25.00 100 AMP O OR LESS Main Service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELINS OR ADDNST V ACCLBLDGSCCUP. S� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions IRode under the name St Ie O ' %� 11244TV,7_� J1 1� ( NEW CONSTR. BRANCHCIRMULTI-OUTLET NON-RESID, (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&, NON.RESID. SINGLE OUTLET CIR, EX..00CUD(OUTLETS OR FIXTURES, 5 L25 EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �7 License No.� /�11� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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. F -1I certify that in the performance of the work for which this permit is issued 1 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 J 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X (4f Date '� v $ •!�i% TOTAL PERMIT FEE Is '96 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. DIRECT O�F PUBLIC WORKS Si%nature of Per tee or Age t ,+%,7 BY ` ` Date Receipt No. `"�c� c� permit expires Date T --z' White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant BUiI Ing 1. Owner's name: 2. Installer's na j t 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 �`d 2� �y 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 164 No ( If no, clarify ) 5. What is the mobilehome electrical rating? -----------------------2) Amps 6. What is the mobilehome site service rating? --------------------- 2� Amps 7. What is the mobilehome site circuit breaker rating? -------------— Amps P 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? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / PG,=/ 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less thapelft. on natural gas or less than 50 ft. on LPG.) r_ tea t/ i - /AJ sP , J MOBILEHOME SUPPORT DATA Mobilehome Mfr. i \ �� Setup Model No. Year (� Width Z (ft.) Length 5� (ft.) E xpando Size _�ft.x ft. (Draw 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). -. . S *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (chdck one) ,777'-1-. Wood either pj pressure treated or fdn. grade. L1 2. Concrete pad. 3. Other, specify Supports (check one) i/*_l. Concrete block `! 14 2. Concrete piers T / / 3. Steel piers 4. Other, specify 12 *r7 -Typical Support �.In x )Footing Size i Max. Pier Spacing Max . ' 3 Overhang .413 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 2Z Center Center Support i Support Footing Sizes Locations .(in.) 4 Off. in. in.) (iri.j III . 4 - (ft) .(in) I..._ x (in.)(in.) t t s i • - - ._ i f )� (�f1. ^ x in. . (in.) (in.) .L (in.) (in.) a t *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (chdck one) ,777'-1-. Wood either pj pressure treated or fdn. grade. L1 2. Concrete pad. 3. Other, specify Supports (check one) i/*_l. Concrete block `! 14 2. Concrete piers T / / 3. Steel piers 4. Other, specify 12 *r7 -Typical Support �.In x )Footing Size i Max. Pier Spacing Max . ' 3 Overhang .413 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 2Z &NTY OF BUTTE - DEPARTMENT OF PUBLIC WO PERMI NO • 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 1 APPLICATION AND PERMIT ASSF�^SO-$PARCEL NUA�BR - V�')L (J .� / ZO ING BUILDING PE IT OWN TELEPHOWE SQ. FT. OCC. BUILD G VALUATION OWN R'S M ILI GADDRESS _47Uvni Vt�� CONTRACTOR'S NAKTE TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER p 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 S PLUMBING PERMIT Filing Fee 3.00 �2129 re Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping 10 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets too USE OF STRUCTURE SF [IDuplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 2.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities vinstallation ❑ Other ❑ Describe work: — Permit Fee $ ITT Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC.BLDGS. 22 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 ❑ 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 U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occu 50 @ 25' P�o OR FIXTURES BAL@1O¢ FIXED A Ex. Occu FIXED APPLES. OR p•�OUTLETS (RESID.) EA.� .2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $1'00.00 (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;;21 I shall not employ any person in any manner so as to become subject Iwwl 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 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 I' bilities, judgments, costs, and expenses which may in any way accrue 2,,said Coun in consequence of the granting of this permit. /_ Signature//f Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in/height. Mobile Home Installation Fee $ Land Development Fee TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, PARCEL PDi �/ ND 550 This permit is .hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC By PERMIT EXPIRES Date __/_/� the applicable provi- resolutions to do fees have been paid. WORKS Date (F `•� _ Receipt IVo. C.f/3 7 / Y'S� WNITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "' #'� �� NOTE:—All Materials & Workmanship Shall Be Acc ordance with Recoqnized Good Practices a of 'a qualify" prescribed for the Specified use in f Uniform Building, Plumbing & Machanical Codes a V) the *National. -Electrical Code. Mcoflons MUST -15W 'plans and pec, unlawful to This set!. s times and it is ur kepfi�n'fhe job -at all +' ame wltl,iout any' or olferatiOns 0 s' i public _M_Akf� on, m the'Depo., ment 0 .R;;� ormission fro written i rify of Butte., r , 6u. ks n d e d IT T cl� �'te, FORNOBILE� '%01 t.4 0 0% %01, . . e a setb & ac APerty ien. I,ines, 1he TOcle�rof L) Ilbe-� I.'or�, V ova for a 2 ft, save P0 0 US 2! 'Utility c"ohn'ectioris sha#i be within 4 ft. of the mobileh 6 either 7, directly behind or with n the rear .-half of the -roadside (I t) -of the mobilehome. n d e d IT T cl� �'te, FORNOBILE� '%01 t.4 0 0% I BUTTE COUNTY -DE BUILDING' ROWE -AP 49. 0- %01, . . e a setb & ac APerty ien. I,ines, 1he TOcle�rof Ilbe-� I.'or�, V ova for a 2 ft, save I BUTTE COUNTY -DE BUILDING' ROWE -AP 49. 0- A'p 1 i.can t Address ( Telephone Name of O Address �57 M 2, Assessor's Parcel Pio. on which mobile home is to be located: -0 3. Whan purchased Da er 4. Pleas.e read the following carefully before signing: "A-3" (Agricultural) Regulations, Section 2.1--d allows: "d. Housiag facilities (incl,uding s -o -bile. homea) to- acccomdata caaly^ agricultural, employees and their families employed by the crw-nes or operator of the premises;. -and provided further that sud% housLaq facility..shall be considered accessory to the main buildi.Lg and sha11 conform to the provision pertaining to requa,red yard and open sgama for dwellings . " Ordinance No. 1439 states: "1. a. AGRICULTURAL EMPLOYEE: An individual who verifies, by pe rsanai affidavit and by affidavit of his employer, that ho is, or wil]L be:, employed at least 32 hours per week for at least 16 weeks per yea=, or that his primary source of annual income is, or is anticipated to- be, derived from, any of the following described occupations (1) -The preparation, care, and treatment of farm land, p 4*46-pQ, or ditches, including leveling for agricultural purpo_es, plowing, discing, and fertilizing the soil; (2) The sowing and planting of any agricultural or horticultural cormodity ; (3) The . care of any agricultural or horticultural commadity. . As used in this subdivision, "care" includes, but is not 13mLted to, cultivation, irrigation, weed control, thinning, heating,. px g, or tieing, fumigating, spraying, and dusting; (4) The harvesting of any agric_ultura.l..or horticUtur_ale c®mModity, including but not limited to, picking, cutting, thres.hincy, mawing, knocking off, field chopping, blumchi,.ng, baling, balling, field, packing, and placing in field containers or in the vehicle in which the commodity will be hauled. on the farm or to the place of first processing; (5) The assemLbly and storage of any agricultural or horticul- tural commodity, including but not limited to, loading, roadsiding, banking, stacking, binning, and piling; (6) The raising, feeding and managentent of livestock, fur bear- ing animals, fish, frogs and other aquatic -animals, and bees, including but not limited to, heading, housing, hatching, milking, shearing, handling eggs, and extracting honey. (7) The operation, conservation, improvement or maintenance of fare n -.its tools and equipmerit." 5. 1, ' / j�.� do declare, subject to the penalty Of perjury, that I.- reside 'at and that the permit applied for under th . this application, for housing facilities on property identified in . Section 2, does conform to Section 2 .1-d. as identified in Section . 4 of this application and Agricultural of this application and Agricultural Employee. as defined in Ordinance No. 1439. 6. Pernit description and number Date issued By ;'PERMIT NO. 5337-75B j P E 3 MH UTIL. ;PERMIT NO. z PERMIT EXPIRES ,�(%,L` /1-74 •.,OWNER Phillip Caldwell - 'CONTR. A-1 Masonary, Oroville LOCATION (A,P. 27-10-13 ) 7595 Reservoir Rd., Palermo -t .fr. �p Temp. Power Pole Called PG&E Temp. Elec. Serve: Called PG&E w "! Temp. Gas Serv. Called PG&E JOB • ," "� FINALED (Date) n ` (Signature) it _ COUNTY OF BUTTE — DEPARTMENT 0F�' PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BU LDI (Cont'd) PLUMBING Setback Firewall + Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents AWater Htr. StemwaII Slab N Prov. for physically handicapped Heaters Appliances. Carport Footings Conformance of a -structure Gas Piping & TeAt Temp. Gas Slab Final Sanitation Patio FIREPLACL Final Footings Footing EL TRICAL Masonry Walls Throat Rough Reinf. Steel Final / Fixtures Bond Beam FIRESPRINKLEKC Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHA AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roup Interior Lath Ventilation Permanent Door Closer Final Final DATE �R E ARKS OR CORRECTIONS f t COUNTY OF BUTTE '- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 X3`37-�J Tel pphone: 534-4541 APPLICATION AND PERMIT U,G VVWrly `u oull6 lV """ upun u.e above�rfie tinned propertyifor inspection purposes. X " Signature of Permi Receipt No. 4EVch White-D.P.W. - Yellow -As Date : S or Agent :or — 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 P �BLLIC WORKS By Date ✓Z —f -7' � ilding permit expires Date �� %j� SL BUILDING Owner ��[� e,t �f�lriJ�/�� SQ. FT. OCC. BUILDING VALUATION OSU Mailing Address Telephone No. Fireplace Contractor - 4J C/N 4-9 L Total Valuation U -' �+ S , Mailing Address q /—p 4(JL Permit Fee Plan Checking Fee&/or Penalty Telephone o. 3- 8�V Permit Fee s //3 Building Address IC1961S ek U Utz f'C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. % - - '� 3Gas Zoning $Planning piping system 1 - 5 outlets 1.50 . Each additional outlet .30 $.ani9at1nn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 81,49 Pl-,, p,,'d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (3 �' - & C e7 -IV 614 /<-t- Main service incl. 1 meter Additional meters, each 1.00 - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b %1 Receps., switches & fix outlets 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 Facilities5.00 Temp. Power Pole 5.00 License No. Y.) 2 D �% .. Classification G Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which .requires every employer to be insured against liability for Workmen's Compensation. fT�l 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.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ isXG U,G VVWrly `u oull6 lV """ upun u.e above�rfie tinned propertyifor inspection purposes. X " Signature of Permi Receipt No. 4EVch White-D.P.W. - Yellow -As Date : S or Agent :or — 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 P �BLLIC WORKS By Date ✓Z —f -7' � ilding permit expires Date �� %j� SL REQUEST FOR FA ' Date C) Fume AKE, T`TSP ION DEPT. Telephone 53.,F — O2 C. � , .(last name) (first Xame) Address_ -7,5r Directions IVIS OF CO 4CERN: INSPECTION Date NATURE OF DAM&GE .Danger: Action: Inspector\