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HomeMy WebLinkAbout027-220-127] ` l / ' � } . ' | Marvin Henderson 27-22-1279, cut Hwy,ap'P.2500'W.of'Cbx--Ln.,Palermo / | . ` / ' . / . ` | � 2.---- � � . � | 1 k ] . ) ' ^ ' ~=+.' i - r Y I PERMIT NO. 4118-76P,E PERMIT PIRES OWNER dprqnn CONTR. o er LOCATION (A.P. 2 -22-127 ) N/S pri.rd.,app.2600'E.of Palermo Honcut Hwy, appp.2500'S.of Cox Lane, Palermo (rear lot) �r ,j I z 4-f tt 3i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E _ 64� i Temp. Gas Serv. Called PG&E ' JOB FINALED (Date) (Signature) TO: Building Department FROM: Snvironmental health RL: Sewabe and/or -,dater Clearance //Y® 7 6. l Z/ O Ri LOCaTIuly A .P, Has been approved.for: f SSAGE DISPOSAL / 1-3 Sanitarian Date S95-775 !W1, 'm0B1"i,131i0'ME INS'UALLA' IDI INSPECTION CHECK LIST 1. Is the mobilehome located wi'.Ei required separation from lot lines and buildings and generally i conform to plot plan? Yes.,; No 2. Dees the mnbil.ehome have required clearances above ground? (Sec.5085) YesX No 3. Are foot.in,s and supports properly sized,_spelced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) YesXNo+ 5. If mo e single unit, are crossover connections properly installed? (Sec. 5088) YLO 5: Water - A. Is flexible connector of adequate size and properly installed .(1/2" ID min.)? (Sec. 5566) Yes -4 No B. Test - Does water•piping withstand working pressure or 50 lbs, air test? Yes No C. Ba 1. lifornia approved, does station have backflow device and pressure -relief valve? Yes No. 7. Wastes and Drains A. Is connection made with Sche3ule 40 DWV and have flex connectors at each end? Yes/,�� No B. Does it have minimum /," per foot slope and is it properly supported? Yes X No. 1 C.. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes NoX D. M coach i_so 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 conne or not more than 6 ft, long? Note All piping is to be at least as large as the mobil\No egas line inlet without r ctions other than the mobilehome connector. Yes B. `!'est OK as,per following rocedure? es_ No 1. Open all appliance con,ector yAlves. 2. Shut off app>8.) urn and pilot valves. 3. Air test witter to 0"-14" water column, or test with slope gauge (minimum 6oz.-maximumcalibrat d in tenth pound increments. Test for 10 min, without drop. 4. Cor_nect�as meter to mc,bilehome1aith connector, turn. on gas, test connections with soapy water. \ C. Are all appliance vents properly i.nstaNd? Yes_ No_ 9. Electrical A. Is sei-vice large e:nokigl. to provide ::idequat-_e amperage to mobileliome. (must equal rating; of mobilehome iiith a. ::;inh::umof 0 amp) and other faciliti.e:, on lot, i.e., water pumps, g;.trat,e, caMna, etc..' Yco_ li. Is ther.-� proper clearances around panels? YesxNo C. Is power supply cord or feeder assembly properly fused? Yes 4 1\10 D. Is continuity test satisfactory as per tiie following procedure.? Yes� No 1. De.-energize electrical wiring,, syste:a of the mobilehome at the pede tal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, hive been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test inst-riiment to the mobilehome grounding conductor and ,. apply tl��e oi:u.i? �.c:au to each 'fiiUu'i.�Cuullit siippiy CunuuCtui, ini:Iuulilg neai.rdl. 5. All nor.-current, carrying metal parts of the mobilehome (aluminum siding, gas line, iter 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 te;t shall then be n.ade between �.he grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the e]_ectrical tests, the lot or site service equi.pment may be approved for energizing. ;;;ydb card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and La, services. MUFiTLir;'U.NtL UATA�'z:e�Cr� /9A/111 Manufacturer and/or Namestyle Length _�� Widthc;47, Vehicle Serial No. State Identification No. ..&,i'i.tional Infoi-aat ion or Comments: DATE REMARKS Oft CORRECTIONS d,q d� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REC09D BUILDING BUILDING (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 SheathingWater Pipingo� 7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas f Slab Final Sanitation ; V/e`, Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pr t. Scratch Heating Service ✓ - Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS Oft CORRECTIONS d,q d� (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 6RIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code Title 25 C apter 5,, under, germit number 42 3 i0- 76 for the following location: �%I--s � �- /�� - Owner v Owner's Address ITI-5 Ad � A- Mobilehome Mfg. Model Year ✓`%761e Insignia No. O g /3/ 7 -� y Serial No. It is hereby certified for occupancy at the above described location and may be occupied. / Director of ',public Works Date _ �� 'fo By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED s COUNTY OF BUTTE — DE'PART`MENT OF PUBLIC'WORKS 1 7 County Center Drive — Uroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner t"Z A,/ 461k/��J ✓ SQ. FT. OCC. BUILDING VALUATION Mailing Address �"� �QGTO/l/ D10: ,r i9 q [%9 �0 3 5 Telephone No. /D$ ^aha-3� Fireplace Contractor pg ` Total Valuation Mai ling Address Il" Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address OP f,J(/� Ad • 2 OCA t� T PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3. d ,/�P G. O AC-P—M 0 h/ A,,C.LT lfW � _ ,,0"Pd0, Each Trap 1.50 / .06;001• ©. O ]` C ojC &fI2 L,.] --Water Repair drainage or vent piping 1.50 piping 1-5fJ /0. 0 Q gas water heater c' ~ ~ 1.50 Gas piping system 1 - 5 > A l2 fl. ZSnrng aeri{ica}1Oru,.Each A. P. No. 2 % -Z 2 —/2 �'— i" Each additional outlet 30 Fe vqt. S t i Fire Dept. Fire Zone Use Permit Building sewer 5.88 p.Q0 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im r ovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Pa royal Pla Approval Permit Fee $�'.OD $ 17 ©( NEW ❑ ADDITION ❑ UTI LITIESV OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 • (�® I 00V OR LESS 0 Main service 1 5.00 100 AMP OR LESS S• Main service EA. ADD'L 100 AMP 2,50 Z.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 �'N%1• •"�� IiM �7�/ 'v1u1 �nvl�y/ NEW CONST. OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sq ft NON•RESID NEW R (BRANCH CIRCUITS) 2.50ea NEWMOBILES NON -RESIT R. (POWER SINGLE OUTLETTUS.& CIR CONTRACTORS LICENSE LAWS I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ��• H/� /.Oi3 Ex. Occup(OUTLETS OR FIXTURES)@25¢ BAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1�7f I certify that in the performance of the work for which this tom! 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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE t$ aUu Vri a rePFeJtlnlaUVeS UI Lilt:L.UUniy OI Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permyitee oorrjAgent Receipt No. / /-sE-7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAFT0IBLIC WORKS BY Date pd —%- ilding permit expires Date o f` 7 rl• r COUNTY OF BUTTE — 13TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner V�� ��� SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Fireplace Contractor F R LE C0 A.) F7 Total Valuation Mailing Address %a? CLE L. Permit Fee Plan Checking Fee &/or Penalty PAR. A 015 �%�r No. �y 7 Permit Fee Building Address PLUMBING No. @ FEE PLUMBING PERMIT FILING FEE $3.00 44�o(pQO Each Trap 1.50 as Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 7 2 — — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fat(on FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. PI ns Recd P e Approval Pla s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 'g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home( Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sq ft NEW CONSTR. (MULTI -OUTLET NON -R ESI O. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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 styf: i�. r'+ l �I� 4�L/_►L-Q�,/jZ�/�.�T Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 C License Na2f f7f S C Classification Misc. Wiring 6.25 ❑ 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee _ $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 22 TOTAL PERMIT FEE $ i cN,cacn wuvca UI me Uuumy UI CSUtte Io enter upon the above-mentioned property for inspection purposes. X Date " Ignatur/e'o Permitete or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date ��' �-Y 7 G Building permit expires Date It '-7-1( ' 7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Oroville,'CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: �LF— . h 3. Is the site currently under permit? Yes /X / 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? ----------------------- =" %�""y , ;1 .._.Am s 6. What is the mobilehome site service rating? --------------------------- Amps �.• 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8.. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Lbad) /S (Amps) (' 9. What is the mobilehome site gas pipe size? ---------------------- in.) 10. -What is the type of gas service? ----------------------------- Natural."----- LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on'natural gas or less-than)50 ft. on LPG.) 9 1 y MOBILEHOME SUPPORT DATA Mobilehome Mfr. m&YL. JA) fir ,Setup Model No. Year Width 2 (ft.) Length (ft.) Expand& 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). _. 7.leS® - Footings- (check- one) �rjkai_ _ .4- :r in :ions Center Support Footing Sizes (in.) x3 i� in:)�in. 4 � .x — (in.)(in.) in..x`� J (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support .3� Footing Size R;xin. Max. Pier LSpacing ( t.))((ln,)) Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED CLEARED DATE -m -s <�y/ -- ..gip Sa?i�0 COMPAC` IOV s:pe 6 � . i�0�y A. P. TEST REQ. 110. ELEC.JLAS' .,.n.. 5� litj 1 . ✓ r( SY COUNTY OF BUTTE -I&LkENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California.95965 PHONE: 916-534-4541 e DATE RE: With reference to the above subject: aZ % _2 Attached is: Application for permit Typical Plan Sheet Building Plans Mobile Home Sheet Engr. Calcs. List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ ,Certificate of Workmen's Compensation Insurance. Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets .of plans in accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave.. Chico ><_ 7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. Verification of legally created parcel by deed. Parcel map recorded. OTHERA ' As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. , Yours very truly, Clay Castleberry Director of Public Works J.F.'Glander JFG:dd AsDirector 0 PERMIT NO. -,1002-77B PERMIT EXPIRES����/ OWNER Marvin Henderson CONTR. owner LOCATION (A.P. 27-22-127 NIS pri.rd.,app.2600'E.of Palermo Honcut Hwy app.2500'p.of.Cox Lane,Palermo S . Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. /Called PG&E .J J2.•������ FINALED -------------- (Date) (Signature) I u COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING oe BUILDING (Cont'd) PL MBING 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 Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. ! structure Appliances Gas Piping & Test Temp. Gas Slab Final �J�cZC/ Sanitation Patio FIREPLACE Final Footings Footing ELECTRIC'.11. Masonry Walls Throat Rough Reinf. Steel Final Fixtures Mesh / I MECIUANICAL I.Grd. Fault Prot. I 1 Brown Cooling Temp. Pole 1 Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M2016EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) �Q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Ur -45e, California 95965 Telephone: 53,4-45441 APPLICATION AND PERMIT �---- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I Date- v Signature of Permitee or nt A resnt Receipt No.. 1 lel ® -,0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above' for which fees have been paid. _ DIRECTO 0 PUBLIC WORKS By Date 3—Z 7 — 7 7 Building permit expires Date � —Z��' 7� BUILDING Owner 6l2570JJ SQ. FT. OCC. BUILDING VALUATION ®D ✓ �O � o Mai I i ng Address 11 ©%4-L D &- vI , 1 Telephone No. M L p/. - %� .s �' �e %L — Fireplace Contractor O Total Valuation Mailing Address Permit Fee Q Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Q ( 1✓C Building Address ,01,,hL7 lg4ov �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0& 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. 2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. S (tea Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Pa cel Ma p 60' R/W Imp rovements p Lawn sprinkler system 2.00 Bldg. Ions Recd Parcel Approval P ns Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ® @ ELECTRICAL No. FEE PERMIT FILING FEE J$3.00 Main service 1000V OR 0 AMP ORLESS5.00 L f�� /�0 A -/Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. 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 Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� Ex. Occu FIXED APP LNS. OR p• (OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ClassificationFr Misc. Wiring 6.25 ✓^Q 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. � I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 6 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I Date- v Signature of Permitee or nt A resnt Receipt No.. 1 lel ® -,0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above' for which fees have been paid. _ DIRECTO 0 PUBLIC WORKS By Date 3—Z 7 — 7 7 Building permit expires Date � —Z��' 7� d. XrERMIT NO. 1001-77B PERMIT EXPIRES OWNER Jack A. Rogers CONTR. owner LOCATION (A.P. 27-22-126. N/S pri.rd.,app.2600'E.of Palermo Honcut.Hwy, app.2500'S,of Cox Lane, Palermo 9 r.. I t,. Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E �JOB FI ALED (Date) (Signature) Stucco / COUNTY OF' BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPE`CTION RECORD Subpanels 1 Mesh BUILD( G BUILDING (Cont'd) Gird. Fault Prot. (PLUMBING j Setback 1� _ Firewall \ / Soil Piping Cooling Forms Parapets 1st Floor Underground f Main Bldg. Restroom Finish 2nd Floor 1 Footings Windows \ 3rd Floor Elec- Service Stemwall Siding 1 To out Gas Piping ' Slab Roof Sheathing Water Piping Water Piping Piers ,9 Roofing Sewer Garage / Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physically handica ed Conformance of ez. structure < Final '�J - Appliances Gas.Pi in Temp. Gas Sanitation &Test Patio FIREPLA t— Final FootingsFooting ELECTRI Masonry Walls Throat Rou h Reinf. Steel Final I Fixtures Stucco / Final Subpanels 1 Mesh MEG NICAL Gird. Fault Prot. Scratch Heating Service t Brown Cooling Temp. Pole )` Finish Ducts Underground f Interior Lath Ventilation Permanent Door Closer I Final IFinal MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping ' N213ILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An. entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — vEPARTMENT OF PUBLIC WORKS �— 0 7 County Center Drive — Uroville, California 95965 Tel ephone:.534-4541 APPLICATION AND PERMIT 77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate 227 17�Signature of Permltee or gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORO PUBLIC WORKS gy / 'eK Date wilding permit expires Date - —3—Z�f-7 BUILDING OwnerC SQ. FT. OCC. BUILDING VALUATION J Mailing Address I >Tq/141 c+ ® z� �Jr�c� 'Z Telephone No. _ `�' i rep I ace Contractor (,(� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $$171 �y Building Address pile, ,PnI vA* i'-� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 J1Q,F/cj1f IWI 491 Each Trap 1.50 i Repair drainage or vent piping 1.50 Water piping 1,50 Each gas water heater or vent 1.50 / A. P. No. �- ,�� ! �lp Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FIS W. C. S FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Rlans Parcel Declaration arcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1 OR LE 10000 AMP ORSL _SS 5.00 f^/r // �R /jf��/�/S • Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS.CCUP,&\ 2¢sgft / NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.R ESI D. (SINGLE OUTLET CIR, 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: Ex. Occup(OUTLETS OR FIXTURES)BAL@1 @ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N Classification Misc. Wiring 6.25 C/' am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. 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 relating to building construction, and hereby TOTAL PERMIT FEE $ 6 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate 227 17�Signature of Permltee or gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORO PUBLIC WORKS gy / 'eK Date wilding permit expires Date - —3—Z�f-7