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I A.P . 27-15-13 "` o B. R. HNANICEK 3455 Grubbs Rd., Pa er Permit 3156-72P,E (water Piping, mowci qui Alec L'ioii, & ; ;.. elec. service for mobile home) F;r 27-15-13 BO' ANICEK Contr.: _ om's Mobile &..Motor... -. . Permit�� ;-85P(install gas line/ex MH) -�- 27-15-13 L►� _ / Contr: Tom's Mobile & Motor Permit{k1105-85M I s fisting site Issued - �- 27-15- Co),.itr• incoln Village MH Sales P'N,- it# 238-85B(new decks & awning/NH)- r y] �� CNI 01-11 1io�=gs ' 1105-85 PERMIT NO. T 1.238-85B PERMIT EXPIRES OWNER BOB HNANICEK CONTR., Lincoln Village MH ASSESSOR PARCEL 27-15-13 LOCATION 3455 Grubbs Rd, Oroville •moi s. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E t Temp. Gas Sei 1 Called PG JOB FINALE[ is Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 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.-Rig.-Bra..ing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Liring 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtc. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = 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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 51. 52. 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 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 #'a 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instid.: Drive E] Yes E] No; Walks El Yes El 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; Pibg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Supporrtt 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain &Overflow; Size &Grade 86, Energy Compliance Certificate -Other Certificates 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 Comments at Final: Date FRAMING Plans OK except q's 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rf_ng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 " APPLICATION AND PERMIT C PER N -� ASSESSO� PARCEL N�1 Ny$ER //�`""''JJ�� ZONING _ BUILDING PERMIT owN Rf , b h '<, TEL HONE SQ. FT. OCC. BUILDING VALUATION Cd 0 16 12 0Q OWR;S5AI LING {tjJDR ES l //���JJJ'' /�-J r' IU Ic' c Ci 3 /] CO TRACT 'S NA 11 rIao A1 / TELEPHONE _ COTRACTOR'S AILING AD RESS (/J ` Fireplace CONST TION LENDER UNKNOWN Total Valuation is I O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a ,� ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �S O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS4, ti del PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Q✓O ; Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome g Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ Re del Q Utilities Installation❑ Other❑ Describe work: `! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUR.& OR ADDNS. ACC. BLOGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@501 and Professions Coe d m license is in fulldc �nd effect. License No.� Classification �� ❑ I, as the owner, or my emp oyees 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 ULTI.OUTLET 2,50 ea NON -R ESID BRANCH CIRC ITS NEWCONSTR POWER APPARATUS & NON .RESID. (SINGLE OUTLET CIR. Ex. Occup(o TS OR FIXTURES aAL®ao IXED PR EX. OCCUp. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 0 onsent 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ' s, judgments, nd expenses which may in any ay accrue agai t s i County in consequ ce of th granting of this permit. X to �— % ' /V �� Sign re of App cont – Owner ❑ ContractorOr" Agent ❑ An OSHA permit is required for excavations/v and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE �LS© OCCUP. GROUP TYPE OF CONST. PARCEL PD ISD, ✓ 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .� Sy SO G ,sD Receipt No.4— WHITE-D.P.W., YELLOW-ASS@S R, PINK -IN TOR, GOL ENRO D -APPLICANT M r � 'ry NOTE:—All Materials & VWorlcmonship Shall Be in Accordance wii`h Rccognized Good Practices and ,`iae J for the Specified use in the of. a qualify presciu„�'�ing &Mechanical Godes and Uniform uuiiding. F the National Electrical Codd, This set of plans and specifics itions M! -!ST be kept on the job at all times cs.11d it is unlawful to make any cyrynctes or al' -'7.'. Ai�::S on snr^e wi�houf written permission from the Department of Public Works, County. of Butter A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall' be clear of structures or equipment except for a 2 ft. eave overhang. I _ r�wn. .+rwr if a :, '._> .o.w.....�.�.,.... ...� .-"^S: �5T2 L".rm.t•ec�.ar'r: b�..... , L'Ls5'14/'[A. ..r� _.=�".-...,.•�....^�=��� ra..r�:S:ac�t:�ci..:1 / 7� 3.."s s'�.=g"_""-"s`• — e-T�'S:r'. f BUILDING DEPARTMcEEN APPROVED 1/4v*" APPROVED -0-`)-- AV I _ r�wn. .+rwr if a :, '._> .o.w.....�.�.,.... ...� .-"^S: �5T2 L".rm.t•ec�.ar'r: b�..... , L'Ls5'14/'[A. ..r� _.=�".-...,.•�....^�=��� ra..r�:S:ac�t:�ci..:1 / 7� 3.."s s'�.=g"_""-"s`• — e-T�'S:r'. f BUILDING DEPARTMcEEN APPROVED 1/4v*" APPROVED -0-`)-- _ 1 ILINCOIJ Roel MOBILE HOMES- op- bus,- 9 "� rs c4t-j Km� WA..S R -M,6 4a-jv ro BUTTE COUNTY BUILDING DEPARTMENT` APPP 0\/[: 2628 Lincoln Blvd. • Oroville, CA 95965 a (916) 534-7774 G BU TF BUILDING DEPARTAAFNIt r - 1_I PA DI)iIQ); Rios On iTAL a-, TS ,� A , ig-D DeAD BU TF BUILDING DEPARTAAFNIt =-- �-o • O w L --j UL -j �z - m- �' f 1104-85P PERMIT NO. 11 05-E 5NHT Zex site PERMIT EXPIRES OWNERBOB HNANCEK Tom's Mobile'.'Motor CONTR. . -13 ASSESSOR PARCEL 2$-15 LOCATION N/S Grubbs - Rd, 32- mi W Louis, Pal 3455 Grubbs Rd. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FiNALED (Date) Signature x1a ,C _' OK ` 0 Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors QR Sewer; Location— Test— F I -C/ Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails V r• er; tion— t— etch) 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 r%/G , Loc1&Wor-1V--Wft#r/ /"L:ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors '%,,-iTtility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date j MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except b's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2.- ; SVO_ S —Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—De and—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lec ' ity; M est—Cr vers—Bre ers—Cle nces 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MNVe'st—Fh FVConnector 5. Elec.; Pool Lighting; 15 volts—GFI er MH Test—Regulator—Connect r 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed r and Sewer Connec d— t Gr —HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagge 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit s; Insp.—Sketch 0. Cert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI' Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Notyadle Read = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tq'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 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 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 Card -BI Date Card -BI Date 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 Date FINAL (Plans) OK except k'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. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Root; 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 Date Card -BI Date MECHANICAL (Permit) OK except N's 82. Glass Protection 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. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 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 Comments at Final: Date FRAMING Plans OK except q's 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-_Rfn_g._ _ 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: An entry must be made each time you visit jobs ite) ft ' MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 s PERMIT N0. ZM " 2.5 y Address or location of mobilehome z.5 !\c--/ '± Owner's name a j Owner's address -� U _�,. � t 1-� ?r't t � !'?.S pr r -b= _ r ��� i- Insignia or hud number 1 �o Manufacturer's nameW 1 ' � r 'yp S C. 1 f Serial number of V.I.N.' —Year of manufacture �? `�IF THE`MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION a ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 6\n1Ce_ // os— 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. rf'1 C%C��ae nCrv..i'i'S ��UrvS r�r•' �e-ch �jl.✓N1�i'� . Inspector Date 1z COUNTY OF BUTTE " DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 I 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE N/14 1105- tys OWNER PERMIT NO. 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. /.�� M6 C I 1. I J i it --a 4— Inspector Date �s �� �� �. Z � �J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,/ • 7 County Center Drive - Oroville,-Galiforn-ia 95955 - Telephone 916/534-4541 '� c APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONI _1a_ G BUILDING PERMIT OWNER//(� 4 N��A,,`'(�,�/ TELEPHONE SQ. FT. OCC. BUILDING VALUAT N OW R'S MAILING ADDRESS Ji t� A4 191& Ing -i PooE CONTRACT E T .LEPHONE CONT ACTO ' AaLING A S t{[� F i rep lace CONSTRUCTION LENDEFT UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORE ' ,.}' A _ PLUMBING PERMIT9 Filin Fee 10.00 WOCh Trap 2.00 oar Water Heater 20.00 L53 &4E413 -6S Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G 1W 1 10.00 e TYPE OF WORK New ❑ Addition [:]Remodel ❑ Utilities ❑ Installation P/ Other ❑ Describe work: =►N_S1'WLL /'VU 12% Le 49ginsA 1C lS 1 h�J S��"� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60v OR LESS 1000 AMP OR LESS 10.00 A V!9 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,& OR ADDNS. ACC. BLDGS. 2t/20sgft CONTRACT RS 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 m license is in full* for& a effect. Y License No. �� Classification El 1, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUT LET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. f POWER APPARATUS &1 NON-RESID. %SINGLE OUTLET CIR. Ex. Occu P�o OR FIXTURES 2A00500 L@30 BAL®30 A FIXED APPLNS, OR FIXED EX. Occup. OUTLETS (RESID,) EA 2.00 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 shal I 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. rmle which may the in any wayof Butte aaccrue ainst allso agree to liabilities, j dgmentts, costs,ndndeexpharmless against sai n in c nsequ a of the rSt ing of this per 't. X Dat Signor a Applicant — Ow r❑ Contractor A n eC An OSHA permit is required for excavations over " d p and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ .!�-,Q TOTAL PERMIT FEE $ 1 aDDUP. GROUP TYPE o1 CONST. PARCEL PD D S9UE is permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /� Date/�(/�[' ?a - 4 • +, L ' Receipt No. A7 '; S-0BY WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Orovllle, Caflforn(a 95965 - Telephone 916/534-4541 5 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER O a 4I. TELEPHor�. E SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LI DDR SOW e ! ` y„_ KID CONTRACTOR'S AM v r TELEPHONE ii CO TRAC OR• MAI ING ADORES V Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RESS �� K PLUMBING PERMIT Filing Fee 10.00 �1 PG.B /AX�[1 » _ x A2 � ) L& Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S W 10.00 a C� TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: —XiSMain Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLOGS. , / 2/20sgit C TRACTORS LICENSE LAW I declare nder 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 fulldo ce nd effect. License No. 70c� Classification ❑ 1, 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 No R. BRANCH TLETITS 2.50 ea New .CONSTR POWER APPARATUS & NONRESID. SINGLE OUTLET CIR. FIXTURES AL® SAL@30 Ex. OCCup(OUTFIXED A POR LISIS Ex. OCCUp. OUTLETS (RESID.)RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep her e s the County of Butte against all liabilities, judgments, costs, and expe es which may in any way accrue against sai County i consequ a of the ra ing of this perm' . X Date Signa ofpplicant — Owner ❑ Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep nd demolition or construct- ion of structures over 3 sstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TORO PUBLIC By PERMIT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORK$ / 't�S '-f'�" Dat ^ C("'`�^�� Receipt No. _ f 7, S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .' NOTE -,All Materials & Workmanship Shall Be in Accordance riith Rocognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plur:abing & Mechanical 'Codes and r the National Electrical Coda y This set of plans and specific ritions MUST be kept on the job at all times and it is unlawful to make any changes or al ,-r: +icns on some without written permission from the Department of Public Works, County of Butte A setback of 5 ft. from the property lines and a setback of 50ft. from the road eerrterPine shalt be clear of structures or equipment except for a 2 ft. eave overhang. /105-85 �JTTE COUNTY Z2 BUILDING DEPARTMENT APPROVED r �. • 1. Owner's name: 2. Installer's name: BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET i (QZ 3. Is the site currently under permit? Yes / / No --� • (If yes, furnish permit number ) OR Is the site an existing site? Yes h J. • 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 ) S. What is the mobilehome electrical rating? ----------------------- ( Amps 6. What is the mobilehome site service rating? -------------------- C/_D Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ��� Amps, 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------- ---------------------------- (I£ yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? -------------=--------------- N Yes No 1– ,ral 7-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome l'� (ft.) �- 12. .What is the mobilehome gas demand? ------------------------------ � (This information not required if pipe length less than 6 ft. on or less than 50 ft. on LPG.) BUTTE, COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA If other than single wide, u Mobilehome Mfr. I furnish Setup Model No. Year,---�—_. F idthft.) Box Length 4�20 (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. Foo in s (check one) Single W d ith (An.) (in.) /-.(in.)j (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Tagalong or Expando,' show support details. I -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft..)(iin.) oo a er pressure treated or foundation grade. (ft.)(in.) (in.) (in.) ❑ 2. Other: (specify) Center support locations* Center suppor footing sizes Supports. (check one) (in.) DA-.; Concrete block. (� L( 1. ❑ •2: Other,. (specify) -f t—) ( inn (in.) (-inn (An.) (in.) /-.(in.)j (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Tagalong or Expando,' show support details. I -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft..)(iin.) s e� 7� .. s v`��" e'"�� �' . ?.* v tij � �� `j. .. ���� � � �� *�f k' .� � `i w .� o- �� �,d %.3 �,� .+ {, �; � a,�-(5'-(3 COUNTY OF BUTTE — DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Y Telephone:`533-123b, Ifxt. 259 APPLICATION AND PERMIT authorize representatives of the uounty of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Building Permit Expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 -------- — 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. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees I W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures0 a10 Receps., switches & fix outlets 2 0 0 25 E —bc= 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 Misc. wiring License No. _ Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 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 SPermit Sntsrrumentattio�trDf a anion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ authorize representatives of the uounty of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Building Permit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' > 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230; Ext. 259 APPLICATION AND PERMIT duinorize r pre ent lives of the County of t3utte to enter upon the above- ti n p perty for inspection pu oses. 1 Date zceipt g ture of Permitee or Agent RNo. lea 3 74 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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� !r Date Building Permit Expires Date BUILDING Owner C SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 3 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address sCITOO135PLUMBING No. @ FEE PERMIT FILING FEE $2.00 :2.OD /YJ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 0 Each gas water heater or vent 1.50 A. P. No. 22 —/5- /3 Zoning_3 Gas piping system 1 - 5 outlets 1.50 ach additional outlet .50 Building sewer 5.00 6.00 Fire Zone Fire Dept. Sanitation lanning Plans Fees!/ W. G. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $Y, $ j> � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 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 /,00 Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ pQ $ = O d 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. I certify that in the performance of the work for which this SAOis issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 LDws relating to building construction, and hereby ate Pnst umentaoron r groo^ion valuation $0.07/$1000 E Y $ TOTALPERMIT FEE $ ��•S6 duinorize r pre ent lives of the County of t3utte to enter upon the above- ti n p perty for inspection pu oses. 1 Date zceipt g ture of Permitee or Agent RNo. lea 3 74 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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� !r Date Building Permit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 933-123Q, Ext. 259 APPLICATION AND PERMIT nuuwnce represeniaiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Sign ture of Permitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indica-ed above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ����B Date_fa P 70 Zuilding Permit Expires ate t ,3-0 3 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor �� Total Valuation Mailing Address , O. ax Z DA,:�- Permit Fee Plan Checking Fee &/or Penalty Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1 1.50 A. P. No. y 7� (� Zoning A---7,Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 PI, Fees L W. C /W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �� J? -,L �e_Ill ce Main service incl. 1 meter a -p Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 1411.4 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets LE CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi usiness & Professions Code under the name style of: r 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 Misc. wiring License No.Z.a !j4O % Classification e10 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of W kmen'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 Permit Fee I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby tote Fee for Strung Motion $0.07/$1000 Evaluation note Feetfo, S n gMot TOTAL PERMIT FEE s nuuwnce represeniaiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Sign ture of Permitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indica-ed above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ����B Date_fa P 70 Zuilding Permit Expires ate t ,3-0 3