Loading...
HomeMy WebLinkAbout030-101-024pp 30-101-24 Rth G. Baldridge'f'I-#wIoglp7���� 1766 18th St., Oroville Permit 1,6470-76P E(util—si i) L� ELEC. 0 " e GAS SUPPO T STRUTURE REQ. COMPACTION REQ.. AVO 30-101-24 Contr: Huggitt Electric Permit #1195-77E (ele ser' ch to ser addit living unit) SF U—M -1, 30-101-24 contr: Oroville Trailer_ Sales, Oro Permit #1754-7ZMI Issued 030-101-024 ' 03-1638 BALDRIDGE; RUTH 1766 18TH ST, OROVILLE RE -ROOF 1 i 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT 03-1038 ASSESSOR PARCEL NUM BER 030-10 - ZONING BUILDING PERMIT OWNER Ruth Ba TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 10 600.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 600.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Pian Checking Fee $ PERMIT FEE $ 37.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: reroof w/com r\ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License LYf1, the following reason: , as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. & ACC. BUDS. SO 3.50FT. NO"ON.ROSID T. MULTI -OUTLET @7,50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup GLmEr oR FOrruREs 20 0 1'00 BAL o .50 Ex. Occup. ounEis RE�S16.) ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the rs' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply those provisions. X Date �— y- 0-3 Signa re o Applicant - ❑ Owner ❑ C ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ OTAL FEE $ 37.00 NS�TYPEi �.A Z HD UE This permit is hereby issued under the of the Butte County Code and/or Resolutions Indic ted ab a for which fees have y PERMIT EXPIRESN applicable provisions to do work been ppd. Date Dete Receipt No. WHITE-D.D.S.-B.D. A A -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DfVISION 7 County Center Driva m, Orovllla, 0200nia 959x5 • Telephons (530) 538-1541x\, APP ICATIONAND PERMIT U v1219bj ss osP to t-, I (D` ="m7° BUILDING PERMIT ner�a 'f SQ. FT, o= 5UFLD241.33 YALUAMN v names chane= � IW= / `S :rimrnr� max= lvm Fire?� tea, sewers Ammg i off! Yalcration s ezma= Da Daum Rho Fee 5 20.00 ?ennft Fee S a�� = Da 090=t MUM wnu as Pian G4�e�¢►o Fee 5 eaama.�a�s Shergy Plan Cbs-i:hg Fee S La P�AiT FE S arty yrmmv�aLsetne� Pr. s. e►a� PLUM3mm 'PERMT F+W=g Fee 20. D0 Eft* Trap 7.DD USEOPS epi UCTURE S01ar or bmid pump wrier hester 23.DD 3F Duplea 0 hbbDsboene O Oher V►mbr Arg 15.DD Semb P= yetw fm6w or vert 5.DD TYPS OF WDRRK Q= pbjpg Simi= 1 -5 wgy 5.DD himo t] Ad:g-= 0 Aid 0 Lw=- O 0 Other _____ _%mcm waver �g 1.bma S G YV �20.DD Da=rbs Waal POT F- S -ELECT cAL PEpmIi FTmg Fe= 2o.Do ' lJiaf� Service � o � 2s� 45AD Mmfm mm sD so"am E � aces oarW6 C7S� �ss cm • Mn= DB F9MM am Er.a�s IRE= AERM m BMW FEE PAlb $ TpMpwvy Ssrvi=e =D NObbe Horne Facumes ZMDD SPA MDD sk&rrF ' . � PERmlT FEE S XF-CHAMMAL PERW FSng Fee ZD.DD HeaSmg Had � AMOVW RE.CM-Eb PERBAPi r'r= s Mobbe Home hsstili n Fee S ernargy Ins�e_-inn Fee � �] �� � %` ' ✓-� tf �O " TOTAL FcE $ TOKm � CO K L t. Fm I R_= COF pi�9 (PD !m t3�= ibis pPJmb is hareby tmvsd un3ar lha appD=bfe PrniMM scrs ad 1fia auk (aunty Code and/or rlm=Wfi= b dD evark ineiaal,_d e,bove for wNr-h fees have been psd B�y o� �— t 'i O.R OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property 'rovement : YES �"i NO ❑ I HAVE;."HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: CONTRACTOR'S LICENSE NO. 4. I punto provide portions of this work, but I have hired the following person to coordinate, supe se, and provide the major work: EV) ':l%1 5. I will prc the work NAME SIGNED: CONTRACTOR'S LICENSE NO. some of the work but I have contracted (lured) the following persons to provide ADDRESS PHONE TYPE OF WORK DATE:_ )U NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits,are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their'license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is *$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under, limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Cc . Mc 1 C. ViZC .B.O. M ger, Builg Inspection NOTE. 77i is Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER - PERMIT 40. 6470;76P E7 PERMIT EXPIRES 4�2 OWNER Ruth,G.Ba,ldridge CONTR. owner LOCATION (A.P. 30-101-24 1766 18th St., Oroville Temp. Power Pole Called PG&E Temp. Elecserv. Cal le,• PG&E Temp. Gas Serv. ailed PG&E OB FINALED '!�/ I -R a/7' (Date) (Signa`iure) COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC,WORKS BUILDING INSPECTION RECORD. BUILDING BUIL ING (Cont'd) PLUMBING Firewall Soil Piping Setback Forms Parapets Main Bldg. Restroom.Finish Footings Windows Stemwal I Slab Roof Sheathing Piers Garage Footings Stemwa I I Insulation Slab Carport Footings structure Slab Final Patio Footings Footing MasonryWalls Throat Reinf. Steel Final Bond Beam FIRE Siding Roofing Fdn. Vents Garage Vents Prov. for phed sically handica Conformance of ex. ' FIRE ACE Mesh ME K HANL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR C RRECTIONS �/w �d 1st Floor 2nd Floor.. 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation / Final �Q ELECTRICAL Rouah Motors Water Htr. Subpanels Grd. Fault Pr Service Temp. Pole Final (NOTE: An entry must be made on this form each time you visit the job site.) ,a . f' til�Bl:i,T?liU,tli INS`CALLATION INSPECTION CHECK LIST 1. Is the mobilehome 'locatcd wi.i-h required separation from lot lines and buildings and generally conform to plot plan? Yes No 2, noes they mobilehome have. required clearances above ground? (Sec.5085) Ye!.�No_ 3. Are foot.in,s and supports properly sized, spaced, and braced aser approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobileliome level.? (Sec. 5088) YesXNo— 5. I�f��re1than a single unit, are crossover connections properly installed?,(Sec. 5088) S. Water A. Is =1e i_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? Yes No C. of Califo is approved; does station have backflow device and pressure -relief valve? Yes No . 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesNo B. Does it have minimum;" 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 trashing machine standpipe? Yes No D. !,! ch is n a.a.pproved, 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 -not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_X No B. Test OK as per following procedure? YesJU 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 increment's. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes` No 9. Electrical A Is service Large eno`iigl. to provide adequate amperage to mobilchome (must equal rating of mob ileltom e with a. :::inii,'um of 100 amp) and other facilitit-Is on lot, i.e., water pumps, garage, cabana, ctc:? Ycs No 1; Is then- proper. cica.r aces. iround panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes NoY 1. De -energize electtical4•wiring system` of the mobilehome at the pe estal,.-_ M,/ 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 he mobilehome to the "on" position. ' 4:, Connect one lead 'of a'testinstrumena to the mobilehome grounding conductor and' 1-1 apply Llie oi..lAer lead to each Tl1UUL1el-Locke s-Lipp.Ly conductor, 11it.luulltb YIeULrSt. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,anter, line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. , b. 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_;L shall then be made between the grounding electrode and the chassis •of the .y mobilehome.. ' Upoit•'ssti_sfactory completion of the electrical tests, -the ,lot. or site, service equipment',may be approved. for.energizing. ` I:; job card signed by llealth Department for water and sanitation? I.,_ 'If everything olsay, sign off card and tag, services. "- M�oBrLLM.LDATA MantUf: Cturer and/or Namest-yle Length ti'itith Vehicle Serial No. ���� •, `'tate Identification 'No. P.deiitional Information or Comments: r 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 of the California Administrative Code, Title 25, Chapter number the following location: the requirements 51 under permit Owner � . P _ r Owner's Address / 744 /�` � �`• �%_ ilk • // Mobilehome Mfg. Model Year Insignia No. — 9V-2' Serial No. A It is hereby certified for occupancy at the above described location and may be occupied. Director f Public Works Date��/% By �-2 � Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED - COUNTY OF~BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 • APPLICATION AND PERMIT above-mentioned property for inspection purposes. r X , i, Date _o Signature of Permiiittee or Agent Receipt No. 1(Z(� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I nis permit is hereby issued under the applicable provisions of the Butte County Code and/ resolutions to do work indicated above for which fees hav ee paid. DIRECTO OF PUBLIC WORKS Z-74-7% BY Date uiiding permit expires Date Z— Z�— BUILDING Owner(/ H rJ 13,41— ' W6 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address/7/`(— /g /lGG V Telephone No. —1635 Fireplace Contractor Total Valuation Mai l ing•Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address�70� cls PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 •Q Z_ Each Trap 1.50 Repair drainage or vent piping 4-519 �f D Water piping 1.50 _ Zoning Verifica ion Only Each gas water heater or vent 1.50 A. P. No. „3 Zoning & Planning Gas piping system 1 - 5 outlets C? h additional outlet .30 Fe Sa ion Fire Dept. Fire Use Permit EQA Parking `:� parcel Ma 60' R/W Improvements Plans D r tion P P Building sewer Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval ons Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3-0 Main service 600V OR LESS ` O Q 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 CONST.NEW ( DWELLING CUP. &\ OR ADDNSACCBLDGS 22sq ft / NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR. POWER A&PPARATUS 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 style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 Ex. Occu FIXED APPLNS. OR P•( 2.00 OUTLETS (RESID.) EAJ Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 rV LAJI am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z 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. rVr 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ A $ � v� 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 �rr,r,.l�e a ......:...... ..s i►�� Li/�11J /nC� �L� C y O TOTAL PERMIT FEE V above-mentioned property for inspection purposes. r X , i, Date _o Signature of Permiiittee or Agent Receipt No. 1(Z(� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I nis permit is hereby issued under the applicable provisions of the Butte County Code and/ resolutions to do work indicated above for which fees hav ee paid. DIRECTO OF PUBLIC WORKS Z-74-7% BY Date uiiding permit expires Date Z— Z�— Nei The J14 Setback shaft be 5 it. from the ry side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely, ,... out of all easements,, r ' �e x•�r 2� t !la ion of a required fog e rnob,leho�QRe O . All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. l2 - This set of plans arr:facts MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permiss onfrom he De; �r+ment of Public Works, County o NOTE: All Materials & ,Workmanship Shall Be in Accordance with Recognized Good Practices and BUTTE COUNTY, of a quality prescribed for the Specified use in the. BUILDING DEPARTMENT Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. APPROVED .:� .:. V, t �� � � '+ •'ri. mss.-r..'i.'? :ti +'J F ti. � i �. .. 2 +� �`,.+..,,.. ate.. t t j '• • � , �''�� �' 111 •OM1 ���� � r: �._ s. + i. /►•�� ?i C 1 . •v !i _ COUNTYOF'BUT•TE -, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 > APPLICATION AND PERMIT authorize representativesCounty of Butte to enter upon the above-mentioned operty or spection purposes. Date 1 Si nature of ermit gent Receipt No. fJs 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.0PIPUBLIC WORKS By Date_ wilding permit expires Date e(— 7 BUILDING Owner R.—ZIL, 13 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace p Contractor .cn/L��., g.—c Total Valuation Mailing Address �)_5 � *44 �`'^�`^' Permit Fee , Plan Checking Fee&/or Penalty ` Telephone No. Permit Fee $ Building Address /764 WAPLUMBING No. @ FEE PERMIT FILING FEE $3.00 ` Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 f A. P. No. ��%� ^ 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 � Feelt Wj2 Sar>itirti'lon FireDept. FireZone Use Permit Building sewer 5.00 EQA IParking Plans I ParcelLawn Declaration I Parcel Map 60' R/W I Improvements sprinkler system 2.00 ' Bldg. Plans Recd Parcel A al I Plans rovol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ . FEE PERMIT FILING FEE $3.00 y 7 n_ Z 800V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 ; Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L loo AMP 1 1.00 " i"✓L NY NEW CONSTDWELLING OCCUP. & . OR ADDNS. ( ACC. BLDGS. 20sgft NEW CONSTR. MULTI.OUT LET NON.RESID. ( 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 aliforniaJ3usines & Pfessio Code der the name Sty /,. C� - Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS, OR Ex. Occup. (OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 CtJ�lA 12C�[ Mobile Home Facilities 15.00 License No. `�4/qO_ C!_ / Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ $ MECHANICAL No. @ 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. 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 $ $ 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 �1z Iy D a0 TOTAL PERMIT FEE $ 30 De authorize representativesCounty of Butte to enter upon the above-mentioned operty or spection purposes. Date 1 Si nature of ermit gent Receipt No. fJs 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.0PIPUBLIC WORKS By Date_ wilding permit expires Date e(— 7 ^If center piers are other•than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED' MOBILEHOME SUPPORT DATA - .. ,' Mobilehome Mfr.. / Setup Model No. Year'bC/ Width (ft.) Length==��6�-- (ft.)-Expando'Size ft.x ft. (Draw support details below) . On all mobilehome°s-manufactured after October 7, 1973, furnish manufacturer`s installation manual and structural setup sheets .(if. not .on file with the County of Butte). r S.in le . �, 1 ..... ' �,�• ' .. F dtin s- (check. one) T01111. Wood :either pressure treated or Center Center Support :: fdn.'grade.:' Suppo • Footing Sizes !. Locati s (in.) ........ L112.:Concrete pad. - x / / 3.::Other,-'specify in. in. i 41 Su orts (check one) Concrete block (f7_�i.nnt x 2. Concrete piers 3. Steel piers Other, specify I ....... ... ,. .... ......... FF-�Q Typical Support x Footing Size I x .(in. (in.) - ... ..... � :................ ...... Max. Pier. � � Spacing .. ... •. .._ •. ._ . ti (-in.) (in.) 1 Max . Overhang -�-- ^If center piers are other•than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED' 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:Cam:&:tza) 3. Is the site currently under permit? Yes No _1 (If' yes, furnish permit number w- ) 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 fr aseptic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify _ ) h 5. What is the mobilehome electrical rating? ----------------------- . A t s -----6'Vll�_-_ 6. What is the mobilehome site service ratang.. -- - Amp s 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: (Load) �(Amps) 9: What is the mobilehome site gas pipe size? ---------------------- (•) 10.. What is the type of gas service? ----------------------------- Natural / / LPC,,4--1 11. What is the gas pipe length from meter or tank to the mobilehome? z. V 12 What is the mobilehome gas demand? ------------------------------ (BTU) (This inforniationjnot required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) -, THERMALITO IRRIGATION DISTRICT r 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT 1 Service Address: Owner's Name: Date: Address: Acct. No: ' A.P. No.: " Phone: - No. Units: i Applicant/Agent: r f ` Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: ' r -7 CSA 26 Remarks: SC -0 R ' 1st mo. S.C. Other Total Fees - Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). , El 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID i c . l7G Ir 4< u ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �1\ 7 County Center Drive — Orovi Ile, California 95965 ( �_ � Tel epkone: 534-4541 l APPLICATION AND PERMIT ' BUILDING Owner � ll, ZZ SO. FT. OCC. BUILDING VALUATION N Mailing Address Telephone No. Fireplace �/ Contractor Hj�% �iC'"/j/��i�j� Total Valuation Mailing Address ��d 5� �`'/�,�/��ff��/ S%� Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address ��� S7" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ��/,///; ' el;nWater Repair drainage or vent piping 1.50 piping 1.50 Each gas water heater or vent 1.50 A. P. No. �Q l/D/ ��� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W:C Sanitation, Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg,Plans.Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00,QQ I aq.�le,r - 5splljef_ 1-4z of 75 Cr �-ai�% Main service 601V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 - 100 AMP OR LESS Single Family a Duplex ❑ Mobil H g Main service EA. ADD -L. 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS & NON -RES ID. (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)@�R BAL@I FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._719a Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee S /0..rC� 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. / ❑have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F]I certify that in the performance of the work for which this permit is issued•I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t' X 114, ,... s l tJ ®/ D ate ! Signature of P/ermi�tee or �Aggent Receipt No. 1(4 ` � !� 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 / _L, Date 1,_11-7 'Building permit expires Date Z1—//- ? P •=�1"COUNTY OF BUTTE —.:,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT y authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �.G�a s� Date r __Signature of Permitee r Age± Receipt No. �IT�D & ✓ 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 0 PUBLIC WORKS ` BY i Date_559 ig permit expires Date 5-ZL- 7 BUILDING OwnerAl &Z &.1' S SQ. FT. OCC. BUILDING VALUATION If Mailing Address Telephone No. Fireplace Contractor &�f/��li Total Valuation Mailing Address o Lu� Permit Fee Checking Fee&/or Penalty `Plan n1i Permit Fee $ Building Address S' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. �o —/40 y Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Se(fi4e ew Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W1. Improvements Lawn sprinkler system 2.00 Bldg. -a".9 -Re -d I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (� ELECTRICAL No. @- 'FEE PERMIT FILING FEE $3.00 3400 t df 600V OR LESS Main service 100 AMP OR LESS 5•00 OD Main service EA. ADD'L 100 AMP 2.50 25741 Main service OVER 6 O 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCL BLOGS.LING CCUP. &) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( 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 st II of: 00, Ex. Occup(OUTLETS OR FIXTURES) 50 BAL@j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.3c241 "_ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O $ 70 3 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 Wor men's Compensation. I/ 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 FEEPERMIT FILING FEE J$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 E TOTAL PERMIT FE $ 0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �.G�a s� Date r __Signature of Permitee r Age± Receipt No. �IT�D & ✓ 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 0 PUBLIC WORKS ` BY i Date_559 ig permit expires Date 5-ZL- 7