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030-250-036
N � 30-25-36 JOHl�i DAY Si of O Dam West, app i mi. E a ' Hw,y 99E, Orov!� rr� e`r�7jt #634-77E (ser/mac clean up SF .�1�,�. M 30-25-36 j M. Ja anivich M1 IS/S Oro Dam We t. ,app. -- i.E.of llwy 99: 1E. , Oroville.2�0% contr: R.B. Const., 0-wo Permit 31-7811,E(uti ,MH) ELEC. d ;�u--0 GAS c`,fi " / 7; 'SUPP T TRUCTURE REQ. dU-0 COMPACTION TEST REQ. 6V0 30-25-36 :rmi.t ##510-78MHI 3sued 7 30-2,,5-36 Permit 711-78B(new open deck/MH) 4/-/V- 7r 30-25-36 ,- Permit #2782-78B(new covered deck/MH �Vq---It7f- .3 0 i ORDpN CARLSON a tO.t�: Oro Dam West �•r a ohtr: Waibel AC� ermit ##6068-78P, M( Pu pump & SF �--�- 030-250-036 00-2404 LUNDBERG, HOMER 3455 ORO DAM WEST, OROVILLE CONTR: BAKER ELECTRIC ELECTRIC SERVICE q F1 N � 30-25-36 JOHl�i DAY Si of O Dam West, app i mi. E a ' Hw,y 99E, Orov!� rr� e`r�7jt #634-77E (ser/mac clean up SF .�1�,�. M 30-25-36 j M. Ja anivich M1 IS/S Oro Dam We t. ,app. -- i.E.of llwy 99: 1E. , Oroville.2�0% contr: R.B. Const., 0-wo Permit 31-7811,E(uti ,MH) ELEC. d ;�u--0 GAS c`,fi " / 7; 'SUPP T TRUCTURE REQ. dU-0 COMPACTION TEST REQ. 6V0 30-25-36 :rmi.t ##510-78MHI 3sued 7 30-2,,5-36 Permit 711-78B(new open deck/MH) 4/-/V- 7r 30-25-36 ,- Permit #2782-78B(new covered deck/MH �Vq---It7f- .3 0 i ORDpN CARLSON a tO.t�: Oro Dam West �•r a ohtr: Waibel AC� ermit ##6068-78P, M( Pu pump & SF �--�- 030-250-036 00-2404 LUNDBERG, HOMER 3455 ORO DAM WEST, OROVILLE CONTR: BAKER ELECTRIC ELECTRIC SERVICE q -- A . � r "PERMIT NO. 2782-78B PERMIT EXPIRES 'jTOW. E. Jalanivich WNER ' i 'CONTR. owner {LOCATION (A.P. 30-25-36 ) 2070 Oro Dam Blvd. West., Oroville 1 i r� Temp. Power Pole Called PG&E Temp. Elec. ferv. Called PG&E Temp. Gas Se.v. Called PG&E i JOB FINALED — (Da;e) (Sicnature) f . Reinf FI stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' REORD Subpanels 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 Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf FI stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME 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 — DEPARTMENT OF PUBLIC WORKS 7 C65nty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Date Ign re of Permitee /oar Agent Receipt o. f17 Z �z 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 fMXAA,,- aid. EU IC WORKS yn'' B ' D teIt � c1 Building permit expires Date '� �� BUILDING Owner i1i Zz &LANSQ. 1 FT. OCC. BUILDING VALUATION va&z' S (o O () Mailing Address QltO61-V9. r Lk- Telephone No. -oma: Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address p b O L Plan Checking Fee &ior Penalty Permit Feeo e 1 1-71 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 LLCM Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 FtW1 i!C. S on Fire Dept. Fire Zone Use Permit Gas piping system 1 •- 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � Bldg. 40 Recd Parcel A ;al Plans Lawn sprinkler system 2.00 NEW CA ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 1. Main service OVER 25.00 100 AMPP OR LESS O Main serviceADU'L 100 AMP 1.00 T/ ACCEA. DWELLINGNEW BLDGS.CCUP. 4 OR ADONS1 24; sq ft / 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 le of: y TLET NEW RESID, BRANCH CIRCUITS) NON-RESID, ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS.&J NON-RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES 1 5 L250� Ex. QCCU // FIXED APPLNS, OR p•tOUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. Zil�certify that in the performance of the work for which this ermit 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Date Ign re of Permitee /oar Agent Receipt o. f17 Z �z 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 fMXAA,,- aid. EU IC WORKS yn'' B ' D teIt � c1 Building permit expires Date '� �� r• J +tx1Y .•r ..,"!!'*•E.•---•� M6J,iy. vt1.M�`vVr*,.,,e'�r.+reCeryr �r,�,'yds+r--w,.,�,i�,�+b.,-:--�-Js.r.r.ay.,.�::.;,.r'.+.F- -`-� 030-250-036 ' 00-2404 LUNDBERG,HOMER 3455 ORO DAM WEST, OROVILLE g CONTR: BAKER ELECTRIC ELECTRIC SERVICE L 0 OFFICE COPY Address GAS Meter By A Date ' ELECTRIC Meter By Date —l�eb i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7941 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT hb— x14.4 ASSESSOR PARCEL NUMBERZONING .. BUILDINGPERMIT OWNER. 5 12 1/!�I �`/• TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRA( R NAME Ia l TELEPHONE 3 U D E 4 OM 6 A?05 CONT TO S I NO174 CO STRUCTf N LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO.—Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _S241T)F. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Rem/od/e'll 0 Utilities J❑ Installation ❑ Other ❑ Describe Work: � (�..L.�[.. /rG ��� �. Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service PODA 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 I full force and effect. License Class%�, Lic. No. ? J ' = OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ 1, 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 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 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.) ,d. 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r y X �� [� Z >tf �.1 . 4 Date t' k jjjI ---r t li Signature of Applicant - ❑ Owner 0 -Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46. CCU000A NEW coNsr. DwELLINo occuP. l ( ORw so 3.5QF°: CONST. MUL�Ti ou�rLFS. NON-RESID. @7.50 POWER APPARATUS h SINOLE OUTLET CIR. 20 ® 1.00 Ex. Occup. ounFr OR FIXTURES BAL o .50 FIX Ex. Occup. OUTLEDTSA REQS o.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 RUE INS' PERMIT FEE $ n MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ Q� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , Byhtl / ; �� i; PERMIT EXPIRES ON` the applicable provisions Resolutions to do work been paid. I Date ; S ✓ LJ Date Receipt No. WHITE Mr. —CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT !D ao. a401�- o�dSo �3� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINISION ' 7TCounty Center Drive Oroville, Cdforn4 95965 • Telephone (530) 538/5410 r PER O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER w® --, v ZONING BUILDING PERMIT a OWNER ff J,yam •A {/.-. LI�GJ.r TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS IRAIU ADDRESS 04 DAMWa5z D (� _IO CONTRA S E n TELEP ONE Wto a COM TO NO JZE 'J COI1STR1UCTATNLENDER LENDER'S MAILING ADDRESS ace Valuation $ tiFilin ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESSlA/t Is r�" I Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uh'lities0 Installation�0 Offer ❑ Describe Work: sic— C.-' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V LE Main Service . ' 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 i full force and effect.POWER License Class Lic. No.T OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY P 1 rY P Law for the following reason: ❑ I, 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.PkE. ❑ 1 am exempt under Sec. Business and Professions Code for this reason12 Main Service TO 46. 00 SCC000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING so OR ADDNS. ( a ACC. BLDS. 3.5¢FT, OµCONST.I. MULQ. TI -OUTLET @7.50 APPARATUS 6 SWGLE OUTLET CR. OUTLET OR FIXTURES 20 @':30 EJ(, OCCU B EX. Occup. FlXED APPLNs. OR P• ourLETs (.ESLD.) Ea) 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 UG' o PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Policy Number (rhe 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �® Sign r of App' ?Tt - ❑ Owner for ❑ Agent An OSHA per ' required for excavations over 5'0" deep and demolition or construction of structures er 3 stories in height. Occ CONST. TYPE TOTAL FEE $ O� HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE 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. /�10 tJ Dat Jd PERMIT EXPIRES O 1iOr ), De ReceiptN WHITE -D. D. —CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .'� PRE-INSPP %TION REPORT OWNER: L_ U riV .� �o 65-V Co LOCATION:0414) `r p CONTRACTOR: PRE-INSPETION FOR: 4�24 /� 4 � / .. DATE TO INSPECTORZ6 --1—=� PERMIT HISTORY:( ) NONE v BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Yes No Electric currently On Off_ Condition of Electric DATE:_% A.P. ZONING: FOLLOWS: Gas: / Natural Propane None Currently On_� Off Obvious Problems: Sanitation: ` Plumbing Working / Well Working Obvious SewageProblems ACTION RECOMMENDED: ISSUE: Inspector• Potable Water HOLD FOR Date �� IM Sketch buildings on reverse and indicate location on property. ��,� _. - ..yam.. _. �...+ .. ;y..^:• �T .f..r .ya.• 30-25-36 . +r..r• �-"r^W+�'• � ._�• frrn-Yy s . 17 JO DAY _ r t . _ S/S Of am West,'2- mi. E .app Hwy 99E, Orovi;_ ..- i. - er *t #634-77E (sY�er/uy/c clean up 9`• , - , `�l�,,ti• ,(liiry_t� 30-25-36 ` Ja anivich SIS Oro Dam Wet.,a p. i /E.of Hely E., Oroville contr: R.B. Const., Ci -&o f Permit #3 1-78P,E(uti ,MH) EIEC. d - GAS Ng"r " ! SUPP T TRUCTURE REQ. AJ d " COMPACTION TEST REQ. ,i30-25-36 a mit #510-78MHI Issued - � K•x'�c <{�: �. -gid ..-:._"••L 'S.� - - , . 30-25-36 , ... Permit 711-78B(aew open deck/MH) `. " S' 30-25-36 Permit #2782-78B(new covered deck/MH rs _ 3 04 gDN CARLSON t0Oro Dam We t e _Contr. Waibel AC� Permit #6068-78P, ,M( • pump & v M .. } C) SF j ;� (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - ©� ZON1NO BUILDING PERMIT OWNER/ •A TELEPHONE SO, FT. OCC. BUILDING VALUATION � C) /� �/L—,6/. OWNERS MAIU DRESS OPOUJ��- Oe -0 70NE COMRA E S � TE a 3 v COM TO N74 D 4 / 09M /J �-9 CO h �K/ CO STRUc,n N LENDER Fireplace LENDERS MAIUNG ADDRESS .Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEER'S AWUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS M - Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0 ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service POOAORLESS 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 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 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.) 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO WEL OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NNEW ON-FIU MULTI.OLmET 97,50 POWER APPARATUS a SINGLE ouTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@''O0 s ® eo FDPPUS. D AOR 5.00 Ex. Occup. otm., RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Fs " PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE OTAL FEES B/ [T�hisptermft Haz. I D. FEES IMP FLOOD I CDF PARCEL PD HD ISSUE is hereby issued under the applicable thButte County Code and/or Resolutions indicated above for which fees have been By _ Date PERMIT EXPIRES ON provisions to do work paid. fa ReceiptN WHITE -D. D. —CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V CuQ b® ro p ao� i3- Z �e !ON COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive f— 0. -Wille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aumonze represenrarlves or me uounry or tsurre ro enrer upon me above-mentioned property for inspection purposes. ,r X Date Signature of Permitee 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 Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressS a U _ Plan Checking Fee&/or Penalty Permit Fee PLUMBINGNo. @ FEE i PERMIT FILING FEE $3.00 Each Trap t'.50 Repair drainage or vent piping 1.50 A. P. No Feps W,C. Sanitation Fire Dept. Fire Zone Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE SLFSS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. 4\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: ±� NEW CONSTR BRANCH CIRCUITS) NON.CRESID,ONST BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS &, NON.RESID. SINGLE OUTLET CIR. EX. OCCuDtOUTLETS OR FIXTURES WAITL ,@ 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 ❑ I am exempt from the Contractors License Laws of the State of California. 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. 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ aumonze represenrarlves or me uounry or tsurre ro enrer upon me above-mentioned property for inspection purposes. ,r X Date Signature of Permitee 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 Building permit expires Date I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'' - Groville, California 95965 ` Telephone: 534-4541 1J APPLICATION AND PERMIT IG)lIGOclllou vca VI Nlc liVUllly VI Quilt W GIIICI U11V11 IIIc above-mentioned property for inspection purposes. X /i �(� Date Signature of Permitee or Agent Receipt No. ,�f���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 paid. DIRECTO OF PUBLIC WORKS By Date_ O- I Z` ?/ B4' ding permit expires Date ZZI-I 2,- / BUILDING Owner/ SO. FT. OCC. BUILDING VALUATION Mailing Address 0 20 W igi A0Ae_,, Telephone No. Contractor AzAhez Mailing Address Fireplace Total Valuation JTelephone / s _ Permit Fee Building Address Plan Checking Fee &/or Penalty -- Permit Fee c;2 -U 70 nJ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ; Each Trao 1,50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 gas as water heater or vent 1.50 F s I v4e SaAketion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel I Declaration I Parcel Map 60' RAN I Improvements Each additional outlet .30 Building sewer p 5.00 Parcel AEEroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ l [/ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCL BLDGS.CCUP, Y) 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y NEW CONSTR MUI-TI.OUTL T NON.R ESI D, BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS.a, NON-RESID. (SINGLE OUTLET CIR, Ex. Occuo(ouTLETS OR FIXTIIRES g L i e EX. OCCUp•�FIXED APPLNS, OR OUTLETS (RESID,) EA) 2.00 _2,06 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 6-0-,71 Mist. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ oe 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 orkmen's Compensation.. have placed on file with the County of Butte a certificate of F11orkmen'ss 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 $3.00 546 Heating Q A Cooling Ventilation Hood 2.00 Permit Fee $ $ of 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 Land Development Fee $ TOTAL PERMIT FEE $ IG)lIGOclllou vca VI Nlc liVUllly VI Quilt W GIIICI U11V11 IIIc above-mentioned property for inspection purposes. X /i �(� Date Signature of Permitee or Agent Receipt No. ,�f���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 paid. DIRECTO OF PUBLIC WORKS By Date_ O- I Z` ?/ B4' ding permit expires Date ZZI-I 2,- / F COUNTY OF BUTTE ' DEPARTMENT OF PUBILIC WORKS 7 County Center Drive Uro\%ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon,the above-mentioned property for inspection purposes. Olt.. X Date ' Signature of Permitee or Agent Receipt No. ' 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 /_ Date— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date BUILDING OwnerSQ. 1- � FT. OCC. BUILDING VALUATION j4 Mailing Address ' r Telephone No. ' Fireplace Contractor l� Total Valuation ' Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �� , J 1 _ Jl PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 J - Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 .r A. P. No. 1 ) �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .� - .• �, _ Main service 100 AMP OR00V OR SLESS 5.00 J Main service EA. ADD'L too AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 1.00 NEW CONST. LLING OR ADDNS. ( DWEACC. BLDGS.CCUP. &) 22sgft 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 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 No. Classification Misc. Wiring 6.25 ❑ I 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. ❑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. Olt.. X Date ' Signature of Permitee or Agent Receipt No. ' 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 /_ Date— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drivly — Ciroville, California 95965 Tel ephon"+: 534-4541 ((/ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property f spection purposes. l X Date .. gnature of P rmi tee. t )) Receipt No. /-5' 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. DIRECjOR OF PUBLIC WORKS Byb) f /o Date .2— permit expires Date -2 - 7 - 78- BUILDING OwnerJ0 k SQ. FT. OCC, BUILDING VALUATION Mailing Address 12 O 70 ® � T�ephone N� `� (� Fireplace Contractor 14 ) 14 Total Valuation Mailing Address 0 Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address D a'PLUMBING 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 A. P. N —,245'311051 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes I W.C. re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 s ec d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 9.00 S Main service j00`1 OR AMP OR SLESS 5.00 f&0 Main service EA..ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACC. BLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW C ONST SL 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 style of: y Ex. Occup(OUTLETS OR FIXTURES)@L� BAL@1 Ex. Occup. FIXED APPLNS, OR P'(OUTLETS (RESID.) EA) 2.00 Temperary service 10.00 Mobile Home Facilities 15.00 License No. 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 TOTAL PERMIT FEE $ ` authorize representatives of the County of Butte to enter upon the above-mentioned property f spection purposes. l X Date .. gnature of P rmi tee. t )) Receipt No. /-5' 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. DIRECjOR OF PUBLIC WORKS Byb) f /o Date .2— permit expires Date -2 - 7 - 78- PERMIT NO. 711-78B PERMIT EXP.1RES OWNER W. Jalanivich CONTR. owner LOCATION (A.P. 30-25-36 ) SIS Oro Dam West, app.2 mi.E.of Hwy99E, Oro. I f ( r i e� �i. ` 4* F v } I r t , Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E /FINALED mp. Gas Serv. r -Called PG&E B ' (Cate C (,c.19n e) i 4 i Stucco / I Final . Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDIN B ILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms 'Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for phslcally handica ed Conformance of ex. structure An of Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Foot Ing ELEC ICAL Masonry Walls Throat I Rou h Reinf. Steel - Fina I Fixtures Bond Beam, , i _�,1 FIR)E SPAIINKLERS I Motors Stucco / I Final . Mesh MUCHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer MOBILEHOME UTILITIES -------•---------- Final Elec. Service Final Elec. Pedestal j Water Piping' Sewer Gas Piping I OBILEHOMEINSTALLA�TIO�N-------------- Support Elec. Continuity • Water Piping Drainage Gas Piping DATE - REMAf CS OR CORRECTIONS O (NOTE: An entry must be made on this form each time you visit the job site.) s r r 8 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 71/ 7 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -men ' d property for inspection purposes. X Date nature of Permitee or Agent Rec 'pt No. 1-7 �Lo f 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. DI CTO Qf PUBLI WORKS B ` Date Building permit expires Date BUILDING Owner 'a ' SO. FT. OCC. BUILDING VALUATION Mailing Address © 7 e e hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address,' S 0Plan Checking Fee&/or Penalty Permit Fee ' PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 ' Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No,.�.. 6 Zonin 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 s Soition I Fire Dept. Fire Zone Use Pennit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans -Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pions Reo P 4ce royal pld5j ALawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex Mobil Home/Others❑ ❑❑Home Main service 600V OR LESS 100 AMP Less . 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONSOR ADDNST \ ACCL BLOGS.DWELING CCUP. S� 22sq ft 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: NEW CONSTR.S,.. MULTI -OUTLET 1 NON.RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS .&, NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B �0 Ex. OCCU / FIXED APPLNS. OR p.(FIXED (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 Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against' liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men ' d property for inspection purposes. X Date nature of Permitee or Agent Rec 'pt No. 1-7 �Lo f 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. DI CTO Qf PUBLI WORKS B ` Date Building permit expires Date PERMIT NO. 381-78P;E--.--, PERMIT EXPIkES W. Jalanivich OWNER CONTR. __ R B Const., Chico LOCATION (A.P. 30-25-36 S/S Oro DAm West.,app. i mi.E.of H®y.99E, Oroville it .. F ti Temp. Power Pole Called PG&E 411 ot ° Temp. Elec. Serv. Called PG&E Temp/Gas Serv. �' '000 Called PG&E �OB FINALED (Date) (Signature) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required�clearances above ground? (Sec,5085) Yes_' No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes' No 5. If mp e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No - 6. Water A. Is 49xible 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. Bach& aow--1-f--cea�ph-is-no-t.-S-ta-t-e-of--C•aliforn a--app.royed, 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? Yes)c No B. Does it have minimum 'k" per foot slope and is it properly supported? Ye SX- No C. Are'any leaks detected in drainage system after running 1 -gallons of water through each fixture•including washing machine standpipe? Yes_ NoZ D. If a a approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4", minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mob'Aehome gas line itilet without reductions other than the mobilehome connector. Yes l� No B. Test OK as per ?following procedure? YesNo 1. Open all appliance connector valves. ;( 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum f 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.?' Yes , No B. Is there proper clearances around 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 -:Y -No 1. De -energize electrical wiring system of the mobilehome at the pedestal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in•the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion•of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. - MOBILEHOME DATA Manufacturer and/or Namestyle f Length Width Vehicle Serial No. State Identification No. (� 10197671�L<e-,7 Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Newall S I Piping Pakpets 1 t Floor Malik Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Pyoor Stemall Sidina To out Slab Roof Sheaking Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for ph sical handica ed Conformance of ex. structure V Appliances Gas Pininn & Test Temp. Gas Y. Slab Final Sanitation . Patio REP ACE Final Footings Footina P:i(;:r6rairAAf neim. a[eex Final X Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub anel Mesh I MECHANICAL Grd. Fa6lt Prot. Scratih HeatIA ServI94 BrqAn ' Coo ng T mp. Pole F ish D is nder round r,Z In rior Lath X entllatlon X I Permanent oor Closer Final Final �. Q MORILEHOMEUTI TIES ---- •----------- Elec. Service Elec. Pedestal oGi Water Piping Sewer Gas Piping E ME INSTALLATION - - - - • - - - -- SupportElec. Continuity Water Piping �e DrainageGas Piping DAT REMARKS OR CORRECTIONS d (NOTE: An entry must be made on this form each time you visit the job site.) 0 COUNTY OF BUTTE nEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF- OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: -��.�%/LDs�%di�.-c Owner �1 e' - U Owner's Address Z �'�JG -:2d 7p 651 p . Mobilehome Mfg.-+�is.� Model Year�1� Insignia No. ( ���V 7 Serial No. i It is hereby certified for occupancy at the above described location and may be occupied. Director roof Public Works Date �/% BY- �On—L THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED r i { i COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — , Uroville, California 95965 w y Tel ephone: 534-4541 U/ APPLICATION AND PERMIT above-mentioned property for inspection purposes. Date,/ Signature Pof/Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant in)s permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. RE F PU C WORKS J Date Bing permit expires Date ? I BUILDING Owner 1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S Total Valuation Mailing Address 67 7 Permit Fee Plan Checking Fee&/or Penalty ` Tel hon No —_ Permit Fee $ Building Address s PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 0 4W q9 Cz Each Trap 1.50 Repair drainage or vent piping 1.50 Qnly Water piping 1.50 ALO Each gas water heater or vent 1.50 A. P. No. -a -S'.316 � Za I Gas piping system 1 - 5 outlets 1.5U Each additional outlet 30 F W.C. LKJYonj Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking I De on Map p 60' R/W Improvemen s Lawn sprinkler system 2.00 ppPlanns . PI� Bld Rec'd arc oval Plans Approval Permit Fee $ NEW ❑ ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - LES Main service 100 AMP ORS SLESS 5.00 t Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Rn Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADONST ( ACCLBLDGS.LING CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON•R ESI D, ( 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 style of: 3_ Ex. Occup(OUTLETS OR FIXTURES) BAL@t09a Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 - Mobile Home Facilities 15.00 11 �s l?1& � 7 License No Classificatio �" 2 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. 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 $ $ 1 certify that'l 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 authnri�c ronrcconr�H.mc. „a •... n,...:.... _s n...._ '- --'-- _-- . TOTAL PERMIT EE above-mentioned property for inspection purposes. Date,/ Signature Pof/Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant in)s permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. RE F PU C WORKS J Date Bing permit expires Date ? I N Ok �-'All Materials 89 Workmanship Shall 'Be in AccP,o+-,,,rP wlf1 R6r-,-,,,n*'7ed Gn(,4 Prvctices Qnd of a quality prP,;cr*,6P,-1 Ior +he Specified use in -the Uniform Building, PlurnYng & Machanicall Codes and the National Electrical Code. ----- The "r. Setback shall be from the -Y I side property line and rom fhis set of plans and specifications 'MuS ie road, ormi Hing a MaKI e ol, d , T. centierliri .4"_ mury, of a 2 ft. ease overhan but entirely (ept on the job at all firnes and it is unl�-!-VfJl :� out of all easements. make any ch'-nnges cr P-1terations on sarn,!* wiffioul written permisson . from the Department of Pubfic Works, County of Butte. A,1,0 Pro 11 be requi ed wr the off the rn . ileh me, I. z , L Sept: c system and location o**=dd- TO be as per Butte County Health Dept. Re- quirements. A ll utility connections shall be within 4 ft. outside the rear third section of the mobile home. on the- left (road) side of the mobile I home. /-7',3' Y' �z ,, . I . I . . I - - -4 _-BUTTE-COUNTY BUILDING DEPARTMENT APPROVED ., COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - - '-7 County Center Drive - ,Oroville, California 95965-7e Telephone: 534-4541 / APPLICATION AND PERMIT UUuiU - 'vV1V0V11lal1VV0 UI UIV %lVUllljr UI DUILC UJ CIIdCI UPUII lilt: above-mentioned operty for inspection purposes. / s Dat ReceiV0.// 6n /E2 // 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/5l01_113 WORKS By Date -27-0 7/P B 'ding permit expires Date 7—Z—if— 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 70 elephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressS� �J�� PLUMBING 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 A. P. No. Q'��-S' �- 3 �p Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F MTt-rtiorr FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Platens Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. fps Recd Parcel A val Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [X,ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 gLdz�—�� /4a, Main service 100v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home JK Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLOGS.DWELING 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 style of: , 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 License No. Classification Misc. Wiring 6.25 2kam 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 +2.00 Hood Permit F e $ $ 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 -3© TOTAL PERMIT FEE $ �� aC UUuiU - 'vV1V0V11lal1VV0 UI UIV %lVUllljr UI DUILC UJ CIIdCI UPUII lilt: above-mentioned operty for inspection purposes. / s Dat ReceiV0.// 6n /E2 // 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/5l01_113 WORKS By Date -27-0 7/P B 'ding permit expires Date 7—Z—if— 7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET -1. Owner' s name :�Za IQ / I/ / L� `— 2. Installer's name: 3. Is the+site currently under permit? Yes / y/ No (If yes, furnish permit number - "J7f ) 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? ----------------------- /'G Amps 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? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes / / No / � ----(Amp s ) n 9. What is the mobilehome site gas pipe size? ---------------------- �- (in:A 10. What is.the type of gas service? -----=---------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mob' ehome? / (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.) f MOBILEHOME SUPPORT DATA If other than single wide, •� Mobilehome Mfr. �kyL� /'V furnish Setup Model No. Year Width (ft.) Box LengthTag (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October R; 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 ess otherwisq spe ied. Footings (check one) Wood either n pressure treated or _\ foundation grade. ft.)(in:) w 01 v (in.) (in.) ❑ 2. Other ( specify) Center support Center support loca'ons* footing sizes Supports (check one) (in.) 0-1: Concrete block. ❑ 2. Other (specify) ( t.)(in.) (in.) (in.) IF Tagalong or Expando, show support details. (ft )(in.) (in.) (in.) Typical Support in.) (in.) Footing Size (ft.)(.) (in.) (in.) -= Max. Pier Spacing -- Max. Overhang (ft. ( n.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If canter piers are other than drawn above, draw in -locations, spacing, and dimensions. NOT COMPARED Wll}j DECLARATION REGARDING LOTS OR PARCELS ORIGINAL DOCUMEi T I certify that as owner of the property acquired by deed in Volume ® , Page 5 Official Records of Butte County, (AP# I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all•applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of.the additional living unit is and that further I shall.not change this proposed use of the additional living unit. unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable faws:and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this --statement shall be properly acknowledged and recorded at the request of the County of Butte. s 26647 ^` �. OFFICIA:. RECORGS: VIAA;4 BUTTE COIItiT �'-CALIF.444 e RECOIt0S fl'J€'a; OwnereriE 7 P1� 1970 ell i LOUISE K LUI_NDEn Address COUNTY RECOIti7Eit WE q 7 Date STATE OF CALIFORNIA ss COUNTY OF On this 27th day of January 197 B , before me, Walter D. Summers a Notary Public in and for the County of State of California, residing therein, duly commis- sioned and sworn, personally appeared Wilbur E. Jalaniyich known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my, official seal in the County of Butte the day and year in this certificate first above written. S96-1275 OFFICIAL SEAL e WALTER D. SUMMERS `� �v NOTARY PUBLIC - CALIFORNIA Notary Public PRINCIPAL OFFICE IN BUTTE COUNTY ,M MY COMMISSION EXPIRES OCT. 1, 1979