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030-420-019
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Or cailer Sales,,.i. — F(exist. sit, h a r' . .n ... r .. .: _ ,..,��� 3 30-42�1 r • I b :r �i • !" it n ':!{k .'tJ. �x. •..-�]n�� :>; .5; . 11• :� i � i1 it 04-0970 f ` u ' I MVILLE t . N 'i•. m7� 0 ^ : I s' ;. 1, S' °ri 1. iTAG tr•.:, vD, • m r SI`I F' t g. 1 U c� y1 �•R. r: „k 4 T e, A r� K x4 l rl ': i ... 1•. . ii.. . S(t �Mn •s n•t A }. Si ' INSPECION RECORD BUILDING APPROVALS, ~w OW.F n UJ Z:. O= 0 OW Ow �Y O< U J i w� Q O OZ O.W LLF- Q �',r WS~°�.4 :ixw �t��S�W1�a1I11J Q W. U O. �� ZJ p �: �j Z .- _ ... _ a Z ...__. u D IW, LL t Xg W - �. �.J._ .. a ,� _ 1. O_m �'�.a �,LL r -..4.. - _y f IP. J :O i _LL !�-. T Y ! '�'F1PFL1/�NCES-B-VENTS U to ,mss 1: ' �^- C ---- [! SIG. w It: 1 • 9' N .4,; { a=; :; 'X fi. ,� "+{ s. d... _!I ADATE t) 0 z t v y: Q t t t i i7 Q SIG. � ^SIG � - � - - ' - - - -' - a _.,-�=. ._ _�t . _ . �.� ..1 ; __..._,...�..t ..,� _ __,_.__• } . .:.;� , 7 f DATE . ' i t 'PATE t - -FS IOC. - ; _, r . _ ,. _. _: -. _, _ .. F - : - _ _ __ •-� .- . { - - - —RATE -A SIGr i i A -� f r •fit -j ATE DATE- --f -- - - - - -_ r : -T i I # Vista # -4s-- .-.. . �. i DATE ------'s �y SIGH � b - - - - � - -�! - --` -^� - -^--"`.€ •..'r�.�,,.---� ,-.-.:.•1-.0,--.�r� .,_; .F —7--j "_''DATE t - - - I, 3 7777777771 77i _ 'PERMIT'`NUMBERt -- -- —� - SIG. DATE SIG., DATE f Sib. - DATE SIG. �T DATg. SIG. DATE ROUGH -IN _�GAS.PRESSURE"TEST::._: •.- - - - - -„--. � -- - - - �--I ^' -- --- __ - - i ---"-- ,.'� ._:WATERfPIPING.:�__,,_ _ a t ;'SEWERR,LINE- - - '�'F1PFL1/�NCES-B-VENTS �^- C ---- [! 1� :- - ----- -- ELECRIL AIPPROVALS` a' "SEWER ONE - --- - - - TCAa - --� _�-_ .�PERMITj<NUMBERtyT& ic7KAL -# _ SIG. .DATE SIG. DATE SIG. DATE SIG. T DATE �SIG. �� DATE j ROUGH=.IN � li4./Y 'Jf Y:� ,f%IV PfbVd 7.4'°_ ,{ FIXTURES, APPL'IXNCES - -L - - METERS - FINAL ' { qi ' 1KISCELLANEOUS APPROVALS - PERMIT!'NUMBERt DESIGNATION SIO. DATE SIO. DATE SIG. DATE SIG. DATE SIO. DATE r t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040970 LICENSED CONTRACTORS DECLARATION I hereby affirm.' under penalty of perjury that I am licensed under provisions of£hapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/13/2004 .APN: 030-420-019-000 the Business and Professions Code, and my license is in full force and effect: License Class: License Number: Site Address: 1706 LETA LN ORO Date: Contractor. Map Index: Description: REPLACE POWER POLE & RE -TAG ELEC. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SERV. METER Contractors' .State License Law. for the following reason (Sec. 7031.5 . Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or, repair any structure, prior to its issuance, also requires the applicant,for such permit to file a Owner: GRAMPS'HERMAN signed statement that he or she is licensed pursuant to the provisions of 1714 LETA LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965-3025 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 3-11,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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GRAMPS HERMAN owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:' and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the,Business and Professions Code - Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 r lt3/ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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. _ Date: — K rriG[1r1 649eAveef = SS Applicant: WARNING: Failure to secure workers' compensation coverage is /_ t oryT eG°C�Ue"' ��`S. unlawful, and shall subject an employer to criminal penalties and one 14(rvv hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of .the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under a applicable provisions of the Butte County Code and/or I hereby affirrh that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolution to do work indicate abo for which fees have been paid.. By: Date: �'1 0// . Name:" Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized a f the owner. I agree to comply with ; all county and state laws relating to building construction. I acknowledge it unlawful to alter the substance of any off ial d men of Butte County I hereby authorize representatives of butte County to enter uponthe above mentioned property for inspection pu ses. Print Name: / / G/�'+�C//ffY%?%��' Signature: Date: Owner ❑ Contractor ❑ Agent for Owner 13Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BWqJ0 DESCRIPTION*OR SCOPE OF '61 on K: ❑ Structure Builtwithout per ❑ Proposed Change of Occup n'cy (note previous use) EXPIRATION OF APPLICATION. Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the.permit and.no construction work has been done. Filing fees, plan check fees for work plan checked and otherde artment costs are not refundable. For office use only: Notes: 77& Application Received by:_ Date: Receipt number: Amount Received: APN: i 7 Lq rovN 'S ST NAME- OW 'S FIRST NAME: PHONE STREET AD SS: FAX: CITY. ZIP: Ern SITE ADDRESS: dlq CITY. ZIP. NEAREST CROSS STREET: TRACTILOT P .APPLICANT NAME: PHONE STREET ADDRESS: FAX E-MAIL' RACTOR NAME: FSMT7RZE.ZE PHONE' DDRESS: FAX CITY ZIP E-MAIL: LICENSE NUMBER LICENSE TYPE . ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY. ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION*OR SCOPE OF '61 on K: ❑ Structure Builtwithout per ❑ Proposed Change of Occup n'cy (note previous use) EXPIRATION OF APPLICATION. Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the.permit and.no construction work has been done. Filing fees, plan check fees for work plan checked and otherde artment costs are not refundable. For office use only: Notes: 77& Application Received by:_ Date: Receipt number: Amount Received: COUNTY OF BUTTE -DEPARTMENT OFDVLOPmENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 APPLICATION DATA SHEETf! �OWNER:ASSESSOR PARCEL NUMBER 6q�t64&n,.�A=j n _ r ./ Proposed Building Use1C/ Counter Technician: I V14 Date: '7- / / j Items required in order to apply for a perry t. All boxes MUST be checked OR marked NA in,Per to apply. El1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Cl 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. Cl 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other ;,•,� , Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) �.❑ 17. Fire Sprinklers...... " ` a`�: , ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by _ ❑ 19 S it R rt d/ E At: d t' d o s epo an or ngmeere oun a ion require .......Wb�., .......... ........ ❑ 20. Erosion Control Plan Required .................................... .....•.. 21. Fees as shown on the attached Schedule of Fees Due Sh ....... .... ❑ 22. City of Chico Plumbing permit .................................................. ❑ 23. California Department of Forestry plan approval ❑ paid. ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form................................................//..of.................................... ❑ 27. croachment Per I o r v a fr m t fC k De t. ... Pre Inspection foc- r ❑ 29. Contractor's lice a information. (Nu er, Name StyW, Classification) ................. Cl 30. Worker's Compensation Carrier and Policy Number. .................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................!. T ❑ 32. Letter of Signature authorization................................................................ �..� 1 ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... El; -37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ - 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above item and requi ments for obtaining a building permit. Applicant: Date: '� " - 1l 1. Index permit application for the above ite n red: Plan Checl Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, El counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date Date: Attention Property Owner: An "owner-buildet" 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 j or labor and materials . for- construction of }thero' osed P P property improvement YES13 NO 22.. HAVEHAVE NOT 0 signed an application for a building permit for the proposed work. �3' I have contracted with the following person (firm) to provide the proposed construction: NAME: ,ADDRESS.. , : - CITY. PHONE: r CONTRACTORS LICENSE NO. 4. I plan to provide portions of this work, bit -I have hired the following person to coos"dinate,' `supervise, andprovide the major work: NAME: - -ADDRESS: CITY. PHONE:' CONTRACTOR'S LICENSE NO. 5. 1 will.provide some of the work -but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESSPHONE TI'PE OF WORK NOTA 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 thepermit. OVER., OWNER BUILDER INFORMATION I 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 ofrecord 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 plaa 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 am y 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 as employer. 0 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 contrilwh'ons. ♦ There may be financial risks for you if you do not cagy out these obligations, and these risks are especially serious with respect to worker's compensation hinm nce. For more specific information about your obligations under Federal Law, contract the Inbemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations, under State Law, contact time Department of Benefit Payments and the Division of Industrial Accidents. Ifthe structure is intended for sale, properly 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 P0rlut erroneously implying that time property owner is providing his or lien own labor and material personally. Building permits mired 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 ?Ij� Mi ira, C.B.O. ding spection NOTE. This OwJw-Builder Information is required by Sectlon lgg30 of the California Health and Safety Code I -. L t L BUTTE COUNTY uT TF0 DEPARTMENT OF DEVELOPMENT_ SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION.#: (530) 538-7636 (OROVILLE) (530) 891-283.4 (CHICO) - o.- - ° OFFICE'#: (530) 538-7541 ° PERMIT -NO. BP DESCRIPTION OR.SCOPE OF K: 0 Structure Built without per 0 Proposed Change of Occup ncy (note previous use) EXPIRATION OF APPLICATION . Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written. request by the person who paid the fee. The request must be made'prior to the expiration of the permit, and no construction work has been done. Filing fees, plan,check fees for work plan checked and other department costs are not refundable. For office use only Notes: Application Received by: Date: Receipt number. Amount Received: `—'f _OWNFIR S. FIRST NAME: DESCRIPTION OR.SCOPE OF K: 0 Structure Built without per 0 Proposed Change of Occup ncy (note previous use) EXPIRATION OF APPLICATION . Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written. request by the person who paid the fee. The request must be made'prior to the expiration of the permit, and no construction work has been done. Filing fees, plan,check fees for work plan checked and other department costs are not refundable. For office use only Notes: Application Received by: Date: Receipt number. Amount Received: `—'f COUNTY OF BUTTE BUILDING DIVISION { DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891.2751 r 7 County Center Drive • Oroville, CA • (530) 538-7541 z.' CORRECTION NOTICE G' /�1S% PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is r completed..If you have any questions pertaining to this matter, or need additional explanation, please contact this office_ immediately. r s 'Date - .� Inspector u �y r: REV 10/92 COUNTY OF BUTTE — DEPARTMENT OF PUBLICNORKS. BUILDING INSPECTION, RECORD; . BUILDING BUILDING (Cont'd)' : PLUMBING . Setback /c2 �o %� lam_ . 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 PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents - Insulation Water Htr. Heaters Slab Car rt Footings Prov. for ph slcally handicaped Conformance of ex. structureTem A liaoces Gas PI in & Tes . Gas Slab Final--- Sanitation -Patio FIREPLACE Final Footin s � �d 7 Footing 'ELECTRICAL Masonry -Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE iPRINIKLFRS Motors Framing`.Z (7 % Test Water Htr. Stucco Final Subpanels MeshMECHAN AL Gird. Fault Prot. Scratch . Heating Service Brown Cooling Temp. Pole Finish X Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UT ITI ES - - - - - - - - - - - - - - - Elec. Service Elec _ Pedestal Water Piping Sewer Gas Piping INSTALLATION --------------Support Elec. Continuity Water Piping Drainage Gas Piping L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — rUroville California 95965 Telephones 534-4541 APPLICATION AND PERMIT . • ' ,/ authorize representati.ves•of, the County of Butte to enter -upon, the above=mentioned property for inspection purposes. X A�—'-.Date'300 79 Signature of •PermiTee or Agent Receipt No: v .� White-D.P.W..— Yellow -Assessor'— Pink -Inspector —.Goldenrod -Applicant This permit is hereby issuel,Underthe applicable provisions of the Butte County Code and/or, resolutions to do.work indicated, above for which fees h'ave:•been paid. DIRECTOR' F.PUBLIC WORKS By Date=7' 7 7 �/uilding permit expires'\Date, f-:7- %� BUILDING Owner ., SQ. FT. BUILDING VALUATION. ' " a1141, /9n 11 ,Mailing Address r♦,0� L� E • Tele hone No:. ,I� •f.. Fireplace Contractor ` E.L Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or.Penalty 'c +: � ...) �,^ Telephone No. Permit' Fee • :2 , Building.Address` SA PAe 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. zoning & 'Planning Gas piping sysYem-1 . 5 outlets- 1:50. Each additional outlet .30' F s W Sa ire Dept. 'FireZone, Use Permit ` Building'sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map - 60' R/W Improvements. Lawn sprinkler system 2.00 4d . PI ec'd Parc pprovol PIao�A'pprovol Permit Fee' $ - NEW ADDITION, 'UTILITIES ❑ OTHER ❑. ELECTRICAL No. @ FEE; PERMIT,FILING FEE Main service 600 AMP OR00V OR SL'ESS 5.00 Main. service - EA..AOD L 100 Hoop 2.50 Main service OVER so0V 25,00 - 100 AMP_.ORL'ESS . - Sin le Family'❑ Duplex'❑ .-; Mobil Home Others;❑ . , Main sewlce. EA. ADD_1L. .10o AMP 1..00 " •`� - NEW CONSTr.( DWELL LING-OCCUP,. &) �� OR•.ADDNS. AC'C ..HL'DG5: 2c Sq ft - - _ "1 EW CONSTR. MULTI.OUTLET ` - 2.50e6 - IL7 (BR ER NEW .. •. 3" NEW CONST R. POWER APPARATUS & CO APPARATUS &) NON-R ES ID. (SINGLE OUTLET CIR. CONTRA ORS. LICENSE LAW am licensed under.the provisions of Chapter 9, Div. 31 "of the State of California, Business &-Professions Code under the - name Style of:, . ��. - Ex. Occup(OUTLE-TS OR FIXTURES)' BAL�1 APPLNS: OR \ Ex.'Occup. (OUTLETS OUTLETS.(RESID•)-.EA/ 2.00 Temporary service 10.00 Mobile Home:F'acilities , 15.00.,. License No,. Classification Misc. Wiring' 6.25• �( rt*I am exempt from the Contractors License Laws of the State of California. Permit' Fee $. $ "' MECHANICAL No. @ FEE.- EE -WORKMEN'S WORKMEN'SCOMPENSATION INSURANCE: #' I am aware, of the provisions of Section3700 of the California Labor Code which requires'every employer to be`irisured'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 Californi'a.. PERMIT; FIUNG'FEE . $3.00 Heating t-' Cooling Ventilation Hood 2.00 Permit Fee $: $. I.certi'fy that I'have read .this application and state that the above information is correc'Ql agree<to-comply to all County, Ordinances and State Laws relatLn. to., bui ldinq. construction; ;and hereby TOTAL PERMIT FEE $�, authorize representati.ves•of, the County of Butte to enter -upon, the above=mentioned property for inspection purposes. X A�—'-.Date'300 79 Signature of •PermiTee or Agent Receipt No: v .� White-D.P.W..— Yellow -Assessor'— Pink -Inspector —.Goldenrod -Applicant This permit is hereby issuel,Underthe applicable provisions of the Butte County Code and/or, resolutions to do.work indicated, above for which fees h'ave:•been paid. DIRECTOR' F.PUBLIC WORKS By Date=7' 7 7 �/uilding permit expires'\Date, f-:7- %� t rr J w 7 A Y L a 'fi1.r t.. �,h + s r a 0. P sy S ,�, V' . of t� �',*V %_Y *` tr i .' . r ,f. t, z +f f. '�� Y > t + - I , Pt i i t '01 e �}x e,- 3" k{r a. + , --+.- ,�h�.i p k F z t fit. t i k l +d 7 S,S ,y J 5 s 'y i t J. t i<1 n v ,4,• y ° gra �v� 'ri�ta1,� r�� `E ` � + t c } sr u-I'e y Y . 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', Vit- 5� , r i n _ J� 1S l� t 3p :'' tF f.1 7 .9 ') 4 S J=OK O = Not OK = Applicabley Not ReaMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plaris)OK except #'s L,--I-Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports' dows-Doors l ctric I -.ti 00/19 (1 8. Frm ils-Anchors-Studs-Rftrs-Trusses_ Sidin ; g -Veneer -Stucco -Mesh oof; g -Roofing t.; Steps -Doors -Landings Date Itp Card B-1 Da ar -1 Date rd B-12�2�ate Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements i•; 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Dista nces-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'•L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas.and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plaris)OK except #'s L,--I-Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports' dows-Doors l ctric I -.ti 00/19 (1 8. Frm ils-Anchors-Studs-Rftrs-Trusses_ Sidin ; g -Veneer -Stucco -Mesh oof; g -Roofing t.; Steps -Doors -Landings Date Itp Card B-1 Da ar -1 Date rd B-12�2�ate Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements i•; 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Dista nces-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date JJNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1._,Zoning-Setbac -Easements-Flood-Slope 0 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Sc �Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porch ,& &,Decks, Soils -Steel-/ /Ftg. Depth 5. Stemwall Main, Steel -Bloc kouts-Wrapped . Stemwa s, Garage; Steel-Blockouts-Wrapped Hold owns and Special Anchors 7. lab; teel-Wrapped 8. Pi -Fireplace Ftg.-Steel 9. D V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. F. Nas Pipe; Size -Anchors - yard gas piping: size -test 11. ater ipe; Test -Anchor -Regulator -Service Test 1 . Electric; nderground f. Pienums kDdcts, Clearance -Material -Support -Ins, 14. Girders -Sills nchor Bolts -Joists -Vents -Cripples i 15. Access & Ven lation 16. Insulation Date Card B-1 rZj Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),0 except #'s 16. Water Htr.: Vent -Act s -Combustion Air -Baffle --------------- ---------------------- 17. Water Pipe, Test & An or -Nail Protection 18, D.W.V.; Test -Fittings &Anchor -Nail Protection -------- --------- - ----------------------------- - Shower Pan, Test, First Floor -Tub Access _- - - ----------- 20. Test Tub & Shower. Second Floor -Tub Access -------------------------- -------- - ------- --------- 21. Gas Pipe: Size & Anchors Date ----------------------- -------------------------- Card B-1 Date Card B-1 --------- -------------- ---------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. - ------------- Fixture & Transformer Clearance -Ins Protection -------- --------- 23. ------------------------ Elec. Receptacles Spacing -Lights & Switches at Doors -------------- --------------------------------------- 24. -------- Size Boxes & No. of Conductors-Stapled ---------------------------------------------- 25 - --- Romex Installed Close to Edge of Studs & C.J. ----------------------------------------- 26. - Equip Ground made 'up w/Mech. Fastners-Bond Gas & Water --- ---------------------------------------------------------- 27. ------------ 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------------------- --- - ------------- ---- 28. Subfeed Wire Size ! i ga. Cu or AI-A.C. Wire Size ! ! ga. 67. Cu or At 29. --------------------------- ------------------------------ Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. - Insulated Neutral ❑ Yes ❑ No ---------- - 30. Service_Riser Conductors & Ground -Main Disconnect 31. ------------------ Equip. Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------- ----- --- 32. 32. ---------- Clothes Closet Light -Shower Light -Spa Light --------------------------- 33. Smoke Detector ------------------ --------------------------------------------- Date Card B-1 Date Card -B- 1 ---------------------------------- ----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'s 34. A.C. Ducts Insulation & Support ----------------------------------------------- - - -- - 35. Vent Fan: Exhaust above insulation -_1_______.______--- - --------------------- ------------- 36. Condensate Drain & Overflow. Size & Grade -- ----------------------- - 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----._.----------- 36. ------ 38. Attic Access & Platform if Furnance in Attic Date Card B-1Date Card B-1 --- --- - - - - - - ----------- ----- ------------ - ---------- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - - ------------------------ ------------ ----------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- ----------------------------------- 41. ----------------------- 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------- -------------------- ----------------- 42. Draft Stop in Walls (rat proof) - - --------- -- - -------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - - - - -- -- ------ ----- - ---------------- 44. Headers & Beam -Size & Bearing 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows -or Exiting Doors -Sill Hgt. & Dimensions 50, Garage Fire Protection Framing 51, Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------- ---------- -------- 53. Stairs: Width -Headroom -Rise -Run -Landing Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ----------------- -- 58. Shear Walls, Nailing -Bolts -- 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B,1 Date FINAL (Plans) OK except #'s 61.- Ext. Steps -Door & Sidelight Protection -Landings - --------- --------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------- 64. Bedroom Exiting 65 ------------ ----------------- G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & SubP anel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. - ------ --- - ------------------------------- --Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. -------------------------------------------- ---- Elec. Outlets & Receptacles at Kit. Counter 72. -- Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75, ---------------- Plb., Elec & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------------------- 7T. -------------------------------------- Insulation - Foam- Looked in Attic ❑ Yes 78. -Guard -- -Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - ---------- 80. 80. --- ---------- - - Followinginstld.'Drive ❑ Yes ❑ No: Walks ElYes ❑ No; --------- Planters ❑ Yes ❑ No 81. ----------------- Stucco; Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof, Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------ 87. Glass Protection 88. Corrections from Previous Inspections - 89. ---..------------------ ----------------------- Gas Test -Meters Tagged, Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 ------- --- ----------------- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: K COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBFIR 30-42-0 9 ZQNING AR BUILDING PERMIT OWNER LAWRENCE HAMMONS TELEPHONE 533-3836 So. FT. OCC. BUILDING VA ATION 960 1 tZOU - OWNER'S MAILING ADDRESS 1783 LETA LANE OROVILLE CONTRACTOR'S NAME SAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 78,75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1783 LETA LANE OROVILLE Permit fee $ 251.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 2 5.00 10.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.007,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New [:� Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 214 X WTT14 RATH _ Permit Fee $ 47.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service BOOVORLESS 200A OR LESS 1$,50 Main service 200A TO t000A1 37,50 CONTRACTORS LICENSE LAW 1 declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is,in full force and effect.SINGLE J�20 Icense ,d0. 3i2o Classification l.) 1, as the owner, or my employees with wages as their sole Compen- sation, will do the work,and the structure is not intended or offered. for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCr( OR ADDNS. 1 ACC. BLDGS. 60 3.64 sq.ft. 33. v NEW CON5TR I -OUTLET NON.RESID BRANCH CIRC S @ 5.00 POWER APPARATUS e OUTLET CIR, EX, OCCUp(OUTLETS OR FIXTURES 76 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID,) EAJ I .3.00 Temporary service 1.15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 48.60 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again`t said Cou ty in consequence of the granting of this permits.. p a� Date ��i�f� / Signator liaant - contract Agent /y�Aniyy�� y�,r� An OS t s 4ei6Vt7TYOn5`64 deep and demolition or construct- ion of structures over 3 stor'ight- Mobile Home Installation Fee S Energy Inspection Fee $ o CONST TYPE TOTAL FEE $ 346.85 HAZ — I DFEES I .— IMP I FL oo CDF PARCEL PD _ IS E This permit is hereby issued under sions of the Butte County Code and/or work indicated a e for which fees IRE R OF PUBLIC B P IT EXPIRES Date the applicable provi- j resolutions to do have been paid. WORKS Date//-1,?—y/ Receipt No. 103059 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT /I M �.� +f., .. +,ti.Y,y>'.,iStJ �'x y3+4d rt..: �•=.�- �fi ::: {.;ry- 1 tt,�(�. "ii � �� n�y�, ,,T /y��j �� ^; rt�`��`�. �yy ,,`�`r� �. � s;_ ±rt;Ti - � j� y� !1 y. �v��..• �}1 K'�'C��Y •(�,.T�.� �!la^.�J. 1 s.�j. �'�. r4'.y�..i � ���v.�.�4v �i� ..;�' IY i- .It �'i ✓.�1 t, f.r 1l +�af.�?' 7"rf�yi�.l �T.f i ii- 1t ���{;�`..��> _ ry�C� ..� �' � 4 , _.. � ' _ � t ,. .�. i . C's n �. r ��?-alter . ,� {i���; . y .�^� � A � � ��,�� � t � 1. �e�S � F4 Lt1 ...>Slt -.�� 1`,tt-a, t_ _� � _.;r� ,. u a 4 ef 7 o COUNTY OF,BQTTEDEPARTMENT.017 PUBLIC WO.RK&,,' . - I 't 'P M1T4-NO. PeoVilld,,California"95965 - Teleph�qne: 916�'-7541 3 -County Center bilv'�'. 5 8 APPLICATION AND. PERMIT, ASSESSOR'PARCEL NUMBERNG4g 36. L11Z. JZONI - -, , ;,: , � - • I 1 BUILD.ING'.PERMIT,, OWNER, _T•ELEPHONE, 44 W &"N (�C_ ;4A41W*61 —33-362,3 OyiNER-5 MAILING ADDRESS I PLO& '*4ze= Z_ e- -e-A /i_-) S' SQ.*FT..; Ott. BUILDING VALUATION.. Z .2- 8'0 CONTRACTOR'S NAME AADDRESS TELEPHONE 0 N T R A C R! S MAILING Fireplace: CONSTRUCTION LENDER UNKNOWN Total Valuation, $ -7 .7,,q Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. PlanCecking, Fee $ R. 'Energy Plan Checking -Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS P e nnit fee $ PLUMBING PERMIT Filing ng Fee 15.00 (21 1 Each Trap- 'ZI, 5.001 /0,()0, Solar or heat pump water heater 1 20.001 LOT NO.SUBDIVISION NAME PARCEL MAP• Water 7-00 7 00 Each qas water heater a xat r or vent 7.00 USE OF STRUCTURE SF Duplex? M o-bi lehomeEl .,.Other SPECIFY Gas piping system.1 5 outlet s 5.00 Building I sewer Mobi le.Home I S G-1 W 15.00 /5 C95 @ 15.00 TYPE, OF WORK N6,X� ji�dditionEl R em'Ode 1, Utilities —1 Installdtion"El Other -D Describe.work: .'Permit Fee Contractor ELECTRICAL PERMIT FilingFee 15.00 Main serviC e 600V OR LESS - 200A OR LESS 18.50 Main service 20GA TO.1000A) 37.501 CONTRACTORS LICENSELAW (:declare under penalty of perjury (check one): .I -am licensed under provisions of Chapt. 9, Div.. 3 of' the Business F m and., Professions Code 'And, myclicenseis` in ,full force and 'effect License No. Classification -Lice L as` the owner,',' or my employees with wages as theirsole C ompen- sation,, will do the work, and the structure i's - not. iritended,or offered for sale. .(Sec. 7044) S contra" I,' a 'the owner, am exclusively! contracting ng with licensed contract- ors. (Sec.. 7044) ors. I'am exempt.under Sec.., Business And Code• for this reason NEW CONST. DWELLING OCCUP'& OR ADONS. A CWC.BLOGS)- 3.64 sq.ft.1 NEW CONSTR. MUL.T].QUTL�i NON•RESID. BRANCH CIRC UI @ 5.001 POWER APPARATUSIk ET CIR. SINGLE OUTLET r 2,0 S,715d Ex. Occup( OUTLETS OR FIXTURES !A 9 FIXED APPLNS.L OR A 3.001 Ex. OCCLIP- OUTLETS IRESTO EA.) Temporary . service 15.00 Mobile Home Facilities 15.00 . . . Mi.sc. Wiring 15.00, Permit Fee $ Coo Contractor 'RAN WORKMEN'S COMPENSATION' INSURANCE Ct, I declare-und6r'penalty of perjury -'(check . one): The permit is-for:$100.00 (valuation) or * -less.. I%Heating I ° have placed, on file with 'tfie,Cou'n'ty "of Butte-�Bbi I din I g Department`' a Certificate of Workmen!s. Compensation insurance ora Certificate' ,tr -ins 're ' r _ . . . of Co�sent o:Sdfi u I I shall not employanyperson in any manner so.as to become subjectHood to the W. C. laws.of California I Notice to Applicant: If after making -this` statement, should you become subject to the W. C. provisions.of the Labor Code, you must forthwith Comply with Such - provisions or this permit shall be deemed revoked: MECHANICAL PERMIT Filing Fee 15.00 Cooling ood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that, the above infornration. is correct, I agree to comply to all County Ordinances and State Laws relatind to building construction; and hereby authorize representatives of the County oil Butte to enter upon the above-mentioned property for inspection purposes. I Also agree to save, indemnify, And keep harmless: the County of Butte against all liabilities," judgments, costs, and expenses which may in any way accrue against said County in consequenceof the,granting Of this permit. X Date Si'Sions `Agent-- Signature. of Applicant Owner ❑ Contractor, '- ' 171" An OSHA permit is required for excavations over -5 Aeep.,dnd,:demoliti,on'6r construct ion of structures over 3 stories in height. = Mobile Home Installation Fee $ Energy Inspection Fee s �3q occ, CONST TYPE TOTAL. FEE HA2. D.F . EES IMP LOOD I GDF PARCEL PD .HD ISSUE This permit is hereby issued under the of the Butte-County.Code and/or :work indicated above .for which fees DIRECTOR OF PUBLIC By � PERMIT EXPIRES Date applicable provi- resolutions to do, have been paid. WORKS Date, Receipt No. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA' 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - Permit No. OWNER �i#WrC41ee_ f/fW14611s A. P. No. Proposed Building Use / e4- 6AreAQ--e' Bui Idi 1 g Inspector d Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................. ................ 2. Plot plans iragZjlca triplicate, signed by prepare , of plans ....... . _ 3. Complete plans in attjIc triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................ ................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation L instructions ... .b.o.. �. . 10. Fees of $ oc fA A) . I . ............... . 11. Chico Urban Area fees paid .............:. �.... ................. 12. Park fees paid .................................................... 3. School District fees paid .............. 14. Sanitation approval from :r i,D Health Department 15. City of Chico plumbing permit ................... ................ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style,Classification) ... 12P Certificate of Workmans Compensation Insurance .......... ..... Owner -Builder Verification (Given to owner ❑, Mail to owner 4.. . Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ............... . 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ---,-/Telephone 533-A83and hold for pickup at office. Deliver w/inspector. Other Applicant UDate I 1 Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circlethew item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data bIy_phone---jnail—counter b .date Contractor, designer, owner, was advised of above required data bIy_phone _mail_counter date Plans checked by Date Plans approved by to Sets of plans on hold in File cabinet AP folder Copy—DPW � 8 .K* ' 1 - � ( � J: J �. _ J K .. J; � � .. _ • `. y � � � + '4 .. � � ., t � .; � � C � • � �� � i �f✓ � ,tel _ �. � _ � �1,f. h. ,. �. _ � ,. '. ii `� .. ti. fir_ � .'.y. ��� _ . y' , : _ 030 NOT to 2 -� TbUkept ou aet NF1 mas.� p� ;,41 - xt oZptIDttta t { eetb8c� OY 8 R, 8+m the of 80 h. etom the XVM8e�boo� Aaeo7doctieW oehte�'1UDe ShaDe Waw with m*aanoh'v � Be or e� 4f s � Pp9s GooQ Pt d for S ti. esus Ov+bPbaq� !n V r the 8 use ' am I P!'uabing �► Obaot+oai-F)eclei rr' lttect , 43 a, ti r h „/ 'The r , side, .. efba�k ` pro sha aerate•/; po{ y' line and 5e 5 ff• from fh\� niur,� o{a 2. she road 0 ff. fro m � ouf o f tf}. ()ave Aetmillin fhe , a!� ea'sefnen fs verhar)g.b t rat maxi. n .. { IF, b1t�I" e. APPROVED �-� OIJ VMK notq w It* &t 17 ot WWI* �W;a femmRA M, &J�edj so sqv�� wt4ji4,10w.jo Utt f r Moa j vo rimUco- aTli,-W W21MIN"AM30 oftlo"OP-1.1, - ,I V. lq, (� / a MIT, q1t1wilmdmils lb r-WICU-ti UA -�ff W11 X21497 --g)a#lh,;OWA ull p 'too umolum .. . .... _.. _... -. .- ... .: ,. .. . , .... .. .. .. r. bY..' .r;:.;y. - . M ..,. : .t %y;:c. aiew^ "s ..' , R,' Y - . T ;Tn , . , fl. y - •tom: y,� . - .. . ... .. , .. _.- ,.. » , _. OWN" r. .,, ,M rn . , ama r.,r r {. ,.'•. , @ 'r'n,. .s .:i,... 2...q- ' �;' i.d . ' is r ti .. .. a f rr s".^`" .. .�.. M _?... e �. 1, . r �.. 5 ., .�.,,+c. '�4. �. n . x. r,,... 5. t.. 1 _ '�-. f'aq:rT _. ,..'Y. :tE y.. .a'�, .. �4� . .... �. •.-..: .. .,.. .. .: ti .. 2'j '. a�. f., kV 41*41�-1 1 f -"b y� f s j 4 I G "G > L • a� - �1 i _ - , !I0 • - is I' . ' i , I r i` I n M 'M f 1 �l { L I f wide ii . x 11 " a o I I i ►, I , max. and within ���� - �� , � �:. �I -1 I � • � :.: i of k�tnts: X11 , i I or fJ �': ,r.• ' . J I .1 . 3� .. I `;' ` i •,1.» i '."�' :1 •}j� } v =' '� .1� -� ` i I - .�; f I .�. ^� - '� - L 1' j 1✓�1.ti 1. .� i I �'.. I� ' Il . I i� i.. �� 1✓ ��. � I � � I; f SC�L- <� d _ TR :55 �o0 7 PA L © I vJ Q: ^ a ¢' r I• — AMA � s Z Z 4- S D + Fo `p P� 2 x i� 2` #�.` I 7;b - ":CHARD 2xa rIR-LARCH Al CHORD 2x4' FIR -LARCH #1 BC X -LOC L. -R:. 029'.8.27 75:73 23.71 u� WEBS 2X4 FIR -LARCH STANDARD Z (V) BOTTON CHOnO CHECKED FOR 10 PSF LIVE LOAD., INECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH. .� ��JIREMEPITS OF I C.S O RESEARCH REPORT. #2949. ..COj4NtCTOR PLATES .DESIGNED FOR GREEN LUMBER PEIR NDS 1- ;Pl.A7E5 TARE CENTERED ON JOINT UNLESS ;,OTHERWISE..INDIC+4TEQ• TABlf 8.78.: � Ofi1+aS i30 6 160/f50A-F FOR iYP PLATE tOCATiON DETAILS. y, > W W CC)E,^JSIli Qa F r� V .Fri - �+1 —� A X 4 g..5K4 I.5X4 • 2X8 tAS! 2X8 AD 4. r 4.00[ r x5 3x 5 (�. t 12.. 0. 12. 24=0� a .:PERMIT N0. 2311-76B PERMIT EXPIRES J] Y� OWNER Signal Mortgage (The Oaks) a �CONTR. Norths.tate Aluminum, Chick LOCATION (A.P. 30-42-19 XURM 1706 Leta Lane, Oroville i -1 > Temp. Power Pole Called PG&E _ Temp. Elea Serv. Cal led .PG&E Temp. Gas Serv. r F " Called PG&E' ' j JOB FINALED (Date) (Signature) t COUNTY..OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD. ' BUILDING 1 BUILDING C 'd PL 1 ( ont I) UMBING Setback Firewall. Soli Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish - 2nd Floor Footings Windows 3rd Floor 'StemwaII SIdInA 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 handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel . Final Fixtures Bond Beam FIR91SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin . Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer _ Final Final DATEREMARKS OR CORRECTIONS 17 (NOTE: An .entry must be made on this form each time you visit the job site.) 1 COUNTY OF BUTTE DEPARTMENT- OF,PUBLIC.WORKS 7 County Center Driye broviII,- California 95965 2 Telephone: ;.:. 'APPLICATION:AND.PERMIT White-D.P W—Yellow•Assessor = Pink-Inspector=-Gol'denrod';Applicanti� �7 �,,$uildingi permit expires Date'.4 _-- ..�..� �., BUILDIN Owner SQ.! FT.` {OCC. BUIL ING VALUATION ` Mailing -,Address: Fireplaces Contractor,•,' ,• Total IVal uaiion- Mailing Address Q'/ - Permit Fee _ Plan:CheckingFee &/or Penalty - - Tel hone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE$2.00 :. :. EachTf rap Repair drainage or vent piping 0: Waterl.p.iping 1.50 Each Idas water heater or nt 1.50 A.'P. No. Zoning & Planning' Gas piping syste - 5•outlets 1.50 Each 'addiiioRaf outlet. .30 F Sa i n FireDept. Fire Zone Use Penni4 Buildlh ewer , 5.00 EQA Parking Plans Parcel Declaration Parcel Map •60',R/W Improve ents L Jsprin'kIer'system 2:00 Bldg. Plans Rec'.d Parc .Approval Pla Approval Permit Fee- $ $ ' NEW. ADDITION'UTILITIES❑ OTHER ' .ELECTRICAL No., @ FEE- PERMIT.,FILING FEE- $3.00 Main service'ncl. 1 ineter + or Additional meters,.'each 00 Sub-panel'(12'orless) (more than 12) - Single Family ❑ uplex El' Mobil Home Others ❑ Range, Cook -top or Oven 1.00,' Waterf Heater:or Space Heats 1.00 Light fixtures: �a a2 '. Receps ;switches'&'f' .outlets ZII-(�25 b. 1010 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�j- � � 'Hood, Ex.,FanorF. . Furn. Motor' 1.00 " Evap.1cooler',g aisp.or D.W. 1:00 ' Air conditio r or heat pump Waterpu Mobile ome'Facilities 5.00 Te ..Power -Pole.... ..5.00. G,. License No.�! Classification isc.1winng-. ❑ I am exempt from the Contractors. License Laws of the Sfate of California: ' P•ermit 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. -have placed on file with the County of Butte -a certificate of '...Cooling`' Workmen's Compensation Insurance. 117 I 'certify that in the performance of the. work for which this permit is issued I shall not employ any person in any manner 1 - so as to•become subject to the. Workmen's Compensation Laws of ° B California. .MECHA'NICAL' No: y @ FEE' PERMIT F.ILING'FEE $3 Heating, •�,: f r r.. x ... _- , " yzQ; '• sVent'i! ationr j,_,�• �:. -Hood j.: 2.00 „ Perm, Fee r $ $ I certify.that.I have• read this'application and state that. the above information is 'correct. I agree to comply to all County Ordinances' -and `State Laws 'relating to building construction,- and hereby authorize representatives, of the County of Butte. to enter upon the above-mentioned property -for inspection purposes. X `Date r� ��'�" Signa r of Permi tee or,Agent ' . .. �^ TAT -AL PERMIT FEE::.., $ This permit is hereby issued under the applicable provisions of ' thelButte•County Code and/or resolutions to.do.work indicated. above for which fees have been paid. :. DIRECTOR,OF U LIC WORKS' B y Date +1 White-D.P W—Yellow•Assessor = Pink-Inspector=-Gol'denrod';Applicanti� �7 �,,$uildingi permit expires Date'.4 _-- ..�..� `,Y 0— , - F '". 4' F:: i5J Ta_ J`,t �. ia.•y� t .t. G i. i - `r,i�ii.' :a,.:.t moi• hof" t '1 ,�,,.; ' n� iew ,.r rt` r•� tt."L°"^+y t4 h' - r" >< a'a ,1�1' . '.. r:; r r + 3a r� 'ti I •,J t,, 'i • 1` h t � a ,t -r � 1 F .i , ,,,, .t , ' c . , 1�. , a _J t y ', �,-,1 h 1-1 _, � , v i r - . 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'r* .• «. k', l i -� ,w S*r• i? +I. .,vy v-wr^ 1•-.- a ,,, t __. x.M - . _ ; t .S £ ,.Yf t : - � '14,11.1 •, .6 f , '� k ` .: � 'i S fn i{3!'r f 1 } IU �, 1 r' . s ai. f A S �. r•>- •,rr { -arc ➢ It 1,i4!•t C� -, :.s } a� a I COUNTY 'OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 -.'CERT1F1CATEiOF OCCUPANCY This mobilehome has been installed in accordance with the requirements ments of the . California Administrative." Tode, Title,25, Chapter 5, permit number .,d/ 2V-` for the following location: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil PI in gl Forms Parapets .1st -Floor Main -Bldg. Restroom Finish 2nd Floor. Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer 'Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure) Appliances Gas 'Piping & Test Temp. Gas - Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. . Stucco Final Subpanels Mesh MECHANICAL Gird. 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 OME INSTALLATION,;- - - - - - - - - - - - - Support Elec. Continuity Water Piping 7 Drainage Gas Piping L DATE REMARKS OR CORRECTIONS (NOTE: An entry must be -made on this form each time you visit the job site.) 1 i• i0BJ,i;F.,li0t•tl I14S7ALLATION INSPECTION CHEGK DIST 1. Is the. mobilehonit loc;�!tcd wi I_ii required seliaration from lot lines and buildings and generally conform to plot plan? Ycs No 2 Doe:; the, mobilehome Have require-cl clearances above ground? (Sec.5085) YesNo' 3. 'Are footinzis 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 o e than a single .unit, are' crossover connections properly installed? (Sec. 5088). Yes No `a. Water A. Is Ll 'xible 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 -__X- No C. Bac-k-f17ow coach is not�te-o-�G�l-fo.rnia approved, does station have backflow device and pressure -relief va ve? Yes No 7.. Wastes and Drains A. Is connection made with Schedule 40 DWV and haveflex connectors at each end? Yes No. F. Does it have minimum 1k," per foot ;slope and is. it, properly supported? YesNo -74 C. Are any leaks detected in drainage system after runnin 3 -gallons of water through each fixture incltiding washing machine standpipe? Yes No V1 D. If coach i.s.not ornia appr d, 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. YesNo A- B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz..) -calibrated in tenth pound increments. Test,for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with . soapy water. C. Are all appliance vents properly.i.nstailed? Yes/ , No I 9. Electrical A. Is sei-rice Large eV.«ligli to provide adequare amperage to mobilehome. (must equal rating of mo bi.lehoiiie with a of 100 amp) anal other facilitL!s on lot, i.e., water pumps, garate, cabana, etc.:' Yes No B. Is there. proper clearances ground panels? Yes No C. Is power supply cord or feeder asse=mbly properly fused? Yes No_ D. Is continuity test satisfactory pis per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at.the ped-stal. 2. Make sure that file 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 It^ad of a test instrument to the mobilehome grounding conductor and , , p:ply coL►uuctor, includLig neuLrdi. apply tLie oLj.ef lis&u %� each niubL.LCiiuiue Sii 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 egi:ipment and the grounding conductor. 6. -Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te;r_ 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. ;.t?, Is ;ob card si-ned by health Departmeiit for water and sanitation? 11. If everything ol<av, sign off card and ta, services. 'MOBIL EIJO-ME DATA Manufacturer and/or Namestyle Length---�'L-�— 1�iidth 2— Vehicle Serial No. State Identif.icat.l.on`No. 11 .dditional Infoi-M, or Comments: authorize entad s of y of tsutte to enter upon the bove,- itioneb.plo r ' pe n purposes. x S,gnatur of P r e.t Receipt No. — White-D.P.W. — Yellow -Assessor -Pink-ln'spector — Goldeniod-Applicant,. This.pe'rmitis hereby issued underthe,appficable provisions of •: the Butte County Codeand/or, resolutions to do work indicated ; above'for which fees have:been paid. 4. DIRE R.OF P BLIC;WORKS; f� BY.. r' Date `. permit expires. Date " BUILDING Owner �' `� SQ. FT.' "OCC: BUILDING VALUATION Mailing.Address 1 'f . f .. -Telephone No:, Contractor` S r Total,'Val'uation Mai ling'Ad'dress Permit Fee Plan Checking Fee &/or Penalty' Telephone No.' 'Permit. Fee $ Building Address= PLUMBING, No. @ :, FEE. PERMIT'FILING FEE ;• $3.00 Each:Trap .. 1.50 Repair drainage or, vent.piping 1:50 Water, piping, 1.50 O, V �° Each' gas water heater or.vent 1.50 _ A.' P. No.• : -� • ' - " Zoning & Rl6nning Gas piping system 1 7:5 outlets 1.50 Each additional' outlet ` :30 F W Station Fire Dept. _ `Fire Zone Use Permit Building sewer ., 5.00 EQA Parking Plans. Rarcel`. Declaration ;Parcel Map 60' R/W "Improvements Lawn sprinkler system .: 2.00 ' Bldg. ans Recd Porcel provol' Plan ..pproval 'Permit Fee ' $ NEW : .'ADDITION,Q ,. UTILITIESQ OTHER_Q - ELECTRICAL No @ FEE;' _ PERMIT•FILINGFEE''•. $3:00 iMain service eoov o 5.00 100 AMP OR LESS. ' Main service EA. ADD'L 100 AMP 2.50 Main service OVER s00v. 100 AMP OR LESS 25.00 -. - - Single'Family •o Duplex'[]" .MobO Home' • Others 0 : Main -service •EA: ADO'L l00 AtdP 1.00 • - - - ' - ,. = 'N E.W CONS,T.. DWELLINGOCCUP. &\ OR'AD�DNS: ( ACC: SLOGS. / 20Sgft ' - 4. ' NEW CONS•TR.MULTI.OUT.L T. NON-RESID'•.' (BRANCH CIRCUITS 2.50ea - • ' - - - - NEW:CONST.R- (POWERAPPARATUS& NON -R ESID. SINGLE OUTLET CIR• - .,CONTRACTORS LICENSE LAW,.-` I :am licensed under the'provision of Chapter 9; Kv., 3, of the State California Business• & P fessi s„ Code de the 'name:;, Sty f• - " @ 251� Ex.;:Oceup,(OUTLETS OR FIXTURES BAL@1 FIXED'APPLNS, OR EX. OccuO' (pUTL'ETS (RESI,DJ EA) 2.00 Temporary, service 10.00 Mobile'Home Facilities 15.00 License.No Classification' r- Misc. Wiring 6.25 E] I.am exempt.from the Contractors License Laws of the State of Cali tom ia. Permit Feb $ $ MECHANLCAL, No. @ • FEE WORKMEN'S COMPENSATION.INSURANCE, - am aware -of the provisions of Section3700 of the California Labor •Code which requires.every emplo`yer.ao be, insured agai'n'st liability for Workmen's Compensation. I haveplaced on file,w,i h•the.'County.of:Butte.a certificate of.c:. Wo rkmen's•Compensation-Insurance. y nce of ,'the work for this perm)t is'issued L shat " manner., ' e orkme f 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 ball County Ordinances and State _Laws "relating -to building construction, and hereby dl - TOTAL. PERMIT FEE $ authorize entad s of y of tsutte to enter upon the bove,- itioneb.plo r ' pe n purposes. x S,gnatur of P r e.t Receipt No. — White-D.P.W. — Yellow -Assessor -Pink-ln'spector — Goldeniod-Applicant,. This.pe'rmitis hereby issued underthe,appficable provisions of •: the Butte County Codeand/or, resolutions to do work indicated ; above'for which fees have:been paid. 4. DIRE R.OF P BLIC;WORKS; f� BY.. r' Date `. permit expires. Date �� F tf C °h a �� rr g rr ,•t '. j,� i 1i i'w 3�.�� i r Z -, ,4 -, ,,.14 -. =,:-tt, -. 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's #,l 1 '` #''rr--.-r"i?,r, ,' i '.tr r .*x� .',�: 4r ..�, L ` J .. R o N V N tee. 170& -L6=TA 19- iz-�� Plod P14n OROVILLE TRAILER SALES (o4: Expr�NQo Pa-0.�ea o 3o -4- 2551 FEATHER RIVER BLVD. OROVILLE, CALIFORNIA 95965 PHONE: (916) 533.2268 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHO'NE : 534-4541 MOBILEHOME.INSTALLATION SHEET 1... Owner's name : �F, ` 1 CQ. < 2. Installer's name: .3. ermit? Yes / / .. No Is the•site currently under permit?.' (If yes, furnish permit number ) OR _ Is•the.site an existing site? Yes.% No (If yes, .furnish two (2) plot plans,) 4.. Will the.mobilehome..be•located at least 5 ft. away: from septic -.tank and leach fields and. clear of all setbacks and easements?- Yes Z qNo (If 'no, . clarify 5. What is the.mobilehome electrical rating? --------- -------------- _��e 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?- ------------------------------------------------ - Yes / / .. No /1 (If yes., identify the load and. size: (Load) (Amps) 9.. -- What is the mobilehome site gas pipe size? ---------------------- 10.-What 10. .What is the type of gas service? ----------------------------- -Natural /1// LPG / 1 1 :.,the as i e length from meter or tank to the mobilehome? What .is p g g .P (ft.) . .� , 12 --------- Whatiis`the mobilehome gas demand? --------------------- (BTU) • l t`f (Thise'information not required if pipe length less. than 6 ft. on natural.gas. ort'less :"than 50',ft ., on LPG.). • MOBILEHOME Sot'fPPUR(T DATA M-obilehome M 4A Setup Model,No. Year le; idth (ft.) Length (ft.) -Expando'Size ft.x 2— ft. L g -th (Draw support details below) On all iobilehomes manufactured after October 7, 1973, furnish manufacturer's installation -n ;=ual and structural setup sheets (if not on file with, the County of Butte). Center Su7port 'Locations A. I 1I' center viers are other than drawn above, -draw Ln locations, spacing, and dimensions. Footings (check. on Wood"either pressure treated o fdn.'grade. : 2. Concrete pad. 21 3.:Other, specify Supports (check oni Concrete block .1 L 2. Concrete piers �i�iCe1a GO& L 3. Steel piers 4.. Other, specify Typical Support Footing Size 3-n. Maxi Pier. Spacing overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1 PERMIT NO. 1120-76B PERMIT EXPIRES OWNER Signal Mortgage CONTR. Gerald L. Hall, Oroville r v, "�- r ..�. .. -. � °erg l� H'�.•', o ,. r,,�{ Y ., ��� ✓ .�' `�;A$'p..,'F- f ,� G�f `.i. ._ ' - �. ' COUNTY OF BUTTE — DEPARTMENT;OF PUBLIC WORKS 7. County. Center Drive Oroville, California 95965' Telephone: 534,4541 APPLIW10N AND PERMIT QUUIVI ILc 9 IJ GJcnt4LI VCJ VI LIIQ VUUIILy, UI OULLU LU GIILCI UNUII AIIC -ab ve-m ti ed property for inspection purposes. xX Date Signature of'Permite or, /Agent Receipt No. 5-6 .g— 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. D.IRECTOR OF_ PUBLIC WORKS 2zy By. .",_ Date Building permit expires Date _,%' BUILDING Owner N �t L O rTtg ra •� SQ. FT. OCC. BUILDING'VALUATiON y P Mailing Address . -7-7 Telephone No. Fireplace Contractor L ( A/q L 4- Total Valuation Mailing Address r0 % µ vd Permit Fee Plan Checking Fee &/or Penalty :0- C7 c (-'Le T,gl ephone No. 533- /0 G3 Permit Fee .. Som' Ga✓ Building Address -rte ; ? PLUMBING No. @' FEE' PERMIT FILING FEE $3.00 G o'?_ d e ti+ w 3j_LS Each Trap .1.50 Repair drainage or, vent piping 1.50 Water piping 1.50 ►-p LJ c (,[ Each gas water heater or vent 1.50 A.'P. N9. 30 - Z - J Zoning &-Planning • Gas piping -system 1 - 5 outlets 1.50 Each additional outlet 30 F s S M Fire Dept. Fire Zone Use Permit Buildirig sewer 5.00 EQA Parking Plans Parcel,m Declaration ! arc a 60' R/W Improvem nts Lawn sprinkler system 2.00 .: Bldg. Plans Recd Parce Approval Pla pproval Permit'Fee. NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE e c - r ` Main service 1000V OR 0 AMP LESS 5.00 . Main service EA. ADO'L 100 AMP 2.50 . Main service OVER 600V .100. AMP OR. LESS- 25.00, Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L''100 AMP' 1.00 • ' NEW CONS. DWELLING OCCUP. &) 20sgft OR ADDNST ( ACC. BLDGS. . ' , NEW CONSTR. MULTI-OUTL T NON.R.ESID... ( BRANCH. CIRCUITS) 2.5Oea NEW CON ST R.: ( POWER APPARATUS & NON.R ESI D. SINGLE OUTLET CIR. 'CONTRACTORS LICENSE LAW am licensed under the provisions of Chapter 9, ,Div. 3; of the State of California Business &Professions Code under the name style of:n n L . ' Ex. Occup(OUTLETS OR FIXTURES)50 @250 tol Ex. Occup.(FIXED AP PLNS. OR OUT.LETS.(RESID.) EA) 2•00 Temporary. service 10.00 Mobile Home Facilities 15.00 '• License No.. �%%;� �� /c Classification Misc. Wiring 6.25 . [-]I am exempt from the Contractors License Laws of the State of California. Permit Fee .. WORKMEN'S COMPENSATION INSURANCE. 1 am .aware of the provisions of Section3700 of the California Labor " Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performanceof 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 PERMITFILING 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 $ OO. QUUIVI ILc 9 IJ GJcnt4LI VCJ VI LIIQ VUUIILy, UI OULLU LU GIILCI UNUII AIIC -ab ve-m ti ed property for inspection purposes. xX Date Signature of'Permite or, /Agent Receipt No. 5-6 .g— 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. D.IRECTOR OF_ PUBLIC WORKS 2zy By. .",_ Date Building permit expires Date _,%' r' (NOTE: An, entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING[ Setback Firewall J Soil Piping Forms Parapets 1st Floo - Main Bldg. Restroom Finish 2nd Floo Footings j Windows `3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents` Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically _ handicapped Heaters Appliances Carport Footings Conformance :of e . structure Of Gas Piping & lest Temp. Gas Slab Final Sanitation Patio MEPLACE Final Footings Footing ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPR KLERS _Motors Framing Test A Water Htr. Stucco 4Final Subpanels Mesh MEC A14CAL Ged. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Po e Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An, entry must be made on this form each time you visit the job site.) J. }J- MOBILEHOME INSTALLP,T"I( INSPECTION CHECK LIST ]� Is the mobilehome located With required separation from lot lines and buildings and generally ( conform to . plot plan? Yeas No d 1. Does the mobilehome have required clearances above ground? (Sec.5085) Yesf? No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note 'possible'variation at spring shackles.) (Sec, 5082 &,5083) Yes No Is the mobilehome level?. (Sec. 5088) Yes No� If more than a single -unit., are .crossover connections. properly installed? (Sec-. 5088) Yes/ No . 11 6/.� Water Al Is fl?x1 connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes. No Test - Does water piping withstand working pressure or 50 lbs, air test? YesX No' .G�. Backflow - If coach is not State of California approved,, does station have backflow device' and pressure -relief valve? Yes_ No V,4 ' 7r Wastes and Drains �A. Is connection made with Schedule 40 DWV.And have flex connectors at each end? Yes /No Ir Does it have minimum per foot slope and is *.it properly supported? Yes/4 No JY. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No If coach. is not,Sttate of California approved, does station have required trap and vent? Yes No �Y Gas Piping and Gas Vents 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. ' Yes4 No T�qzt OK as per following procedure? Yes No A. 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 hoz :-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop... }, 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 of 100 amp); and other facilities -:on. 1'at, i.e., water pumps, garage, cabana, etc..? Yes No LIs there proper clearances around panels? Yes No C�. Is power supply cord or feeder assembly properly fused? Yes -,/,No_ �/. Is continuity test satisfactory as per the following procedure? Yes No I De -energize electrical wiring system of the mobilehome at the pedestal. 2,Make surd that the power supply cord or feeder assembly conduc'tos, 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 neuiral. 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._ 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 shallthen be made between the grounding electrode and the chassis. of the moblehome. 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 mater and sanitation? 11. If everything -okay, sign off card and` tag services. MOBILEHOME DATA r C• Manufacturer and/or Namestyle J' C Length Z Width Vehicle Serial No. J vT.—Z-7 State Identification No. Z7 -7- J2 Additional, Infozmati_on or Comments.: �, a rr�$.�r�}.;�gL, dr ,l4��tr"��r, 1e y,��t . - ss+�+4; t.: � . 7 �� e'F *,N, .ir��-` wat-.^• jrEi�} '�C; v,r •�'V �,nr a•,• R' -xis .rm;. �• � ..... .. �;� .-,, .`, COUNTY'OF'BUTTE — DEPIARTMENT"OF PUBLIC WORKS 7.6ounty Center;Drive — Oroville Califomi'a 95965 Telephone: 504-4541 APPLICATION AND PERMIT / aumonze rep esen>anves.or 1ne county ol.tsut>e ro enter upon me This'permit is hereby i.ssued under. the,applicable provisions of above-ment' ed property for inspection purposes. the Butte County Code and/or" resolutions to do work indicated above for•which fees have been -paid. h DIREC.TOR:OF RtIBLI WORKS x Date . Signature•of Permi or Agent By Date Z�/C� / Receipt No. _ G {o •White-D.P.W. - Yellow-A'§SCssor -Pink-ln"spector,'- Goldenrod -Applicant IId,Ing, permit expires Date - % h?T -BUILDING Owner - SQ.- FT.' OCC., BUILDING VALUATION Mailing,Addre_• s' .Telepfion'e No. i ' Fireplace - Contractor Total Valuafi_on Mailing Address. - F6ermlt Feer Plan Checking Feb &/or Penalty Telephone No. Permit. Feb- $ Building Address No. PLUflABING' , @ -FEE PERMIT FI"L.ING FEE $3.00 , ."E'ach Trap 1..50 ^ Pep drainage or vent piping 1.50 Water pip'i`ng '` 1.50 Each;gas water heater or vent 1.50 y A. P. No. v� '�' 9' zoning 8 Planning Gas piping system.1 7 5 outlets 1.50 Each additional" outlet : 30 £,aa4a4ien: Fire Dept: 'Fi'reZone Use. Permit Building sewer ' . 5.00, ' EQA Plans, Parcel Declaration PParking arcelMa , 60'.•R/W Improve •nts' Lawn 'sprinkler system 2.00' Bldg. ans Recd Parcel proval •',Pldns, PproVai'• Permit Fee $ $ NEW ADDITION UT,IL6TIE8 Q. .OTHER " ELECTRICAL No. @ FEE PERMIT F,I'L'ING� FEE $3.00 Main service600V OR LESS 5.00: :. 100 A,MP OR LESS Main seric' e„ EA. ADD' -L 100 AMP 2.50 OVER 600V Main service100.',AMP OR LESS 25.00 - Single Family,[]. Duplex [] r-: Mobil Home Others Main service( EA. ADD'L loo AMP, 1.00 - '- • NEW OR ADDNS. ACCDWELBLDGNG OCCUP. 6) 20syft - - _ NEW CONSTR. (MULTI -OUTLET NON•RESI'D; l BRANCH CIRCUITS) 2.50ea - _ - NEW CONSTR. /POWER APPARATUS & NO.N-RESIDI (SINGLE OUTLET CIR. 'CONTRACTORS LICENSE LAW:. 'I am- licensed under, the provisions of Chapter 9, Div. 3, of the . State of California Business.8 Professions Code .under th'e name St le Of:` - y _ _-4etaii =t (� ' " G-/�C �/ Ex. Occup(ouTLErs;oR FIXTURES) tog EX.,,000U FIXED AP.P LNS,.OR p. (OUTLETS (RESID.) EA) ,. 2;09 Temporary service 10:00 Mob ile.Home Facilities 15.00 License No::IO.-L y l Classification ' Misc. Wiring 6.25 .[] I am exempt from the Contractors License Laws of the State of Califomia. 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.insuredagainst liability for'Workme i's,Compensation. '� ),,'have,pIaced`on file with the County of Butte a certificate of: Workmen's'Compensation Insurance. EJI certify that in the'performance of'the work for which this permit is issued i shall not employ: any person in any manned so 'as to become subject to the Workmen's Compensation Laws .of;',; •_.Califor nia •,': MECHANICALNo• @ FEE PERMIT FILING FEE �$3.00 Heating Cooling . 'Ventilation Hood i 2:00 Permit. Fe .: $ $ f 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 ', OTAL PERMIT FEE $ aumonze rep esen>anves.or 1ne county ol.tsut>e ro enter upon me This'permit is hereby i.ssued under. the,applicable provisions of above-ment' ed property for inspection purposes. the Butte County Code and/or" resolutions to do work indicated above for•which fees have been -paid. h DIREC.TOR:OF RtIBLI WORKS x Date . Signature•of Permi or Agent By Date Z�/C� / Receipt No. _ G {o •White-D.P.W. - Yellow-A'§SCssor -Pink-ln"spector,'- Goldenrod -Applicant IId,Ing, permit expires Date - % h?T Y 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: %/ AL It-" ( l( 3. Is ,.the site, currently..under permit?' Yes 777_ No (If yes, furnish permit number ) .OR Is the site an existing -site?,'. Yes / / No./ / (If yes, furnish two (2) plot.plans.) 4. Will'the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of-all'setbacks and easements? Yes No - ( (If no, clarify ) . 5. What is the mobilehome electrical rating? ---------------=---- -- Amps 6. 'What is the mobilehome site service rating? ------------ .i_ � Amps .7. What is the mobilehome site circuit breaker rating? ------------ .S 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? --------=------- _(in;) 10. What 'is -the type of gas service?. --------------- ------------ Natural L77 LPG / / 11. What is' the, gas 'pipe length from meter or tank to the mobilehome? (ft.) 12. What is. -.the mobilehome gas. demand?_----------------------------- 7 (BTU)' (This'`nformation,'not.required if pipe length less .than 6 ft, on natural gas „ or less than -50 . ft . 'on LPG.) 1 , MOBILEHOME 'SU SPORT DATA - Mobilehome 'Mfr. 11r, In .0 / /` Ml!11 Setup Model No. Year_ Width t.) Length (ft.)-Expando Size ft.x ft.'. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not an file with the County of Butte) . Sin le, I Footings-(check.one) i 1. Wood 'either i pressure treated or Center, Center Support fdn. :grade.,: Support Locations Footing Sizes (in.) /_,L 2 ' .Concrete pad. in. in. in. 3. Other,..specify Supports (check one) 7V/ 1. Concrete block. =7 r �i X /. / 2. Concrete _piers (ft) l?n� (in.)(in.) / / 3. 'Steel piers 4. Other, specify 3�j1(Typical Support x 3j% Footing Site g 77, (' 1/ • �:LnW.In.) Max. Pier . ����'�� Spacing ft. in.) ' Overhang *If center piers are other than drawn above, ` draw in locations, spacing, .and dimensions. ,OUN" BUI DINrn DTPA TMENT APPROVED 1 PERMIT NO. P E M MH UTIL. PERMIT NO. 4502-74P,E PERMIT EXPIRES // •' •-%' �� i OWNER Signal Mortgage 'CONTR. 'LOCATION (A.P. 30- ) J 170 ID � Leta X Lane, Oroville r 6 e Temp. Power Pole 1 Called PG&E i Temp. Elea Serv.�/��-��-1� Called PG&E Temp. Gas Serv. 1 �� _ Called PG&E JOB / --�;� FINALED (Date) V` �� (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish -Interior Lath Door Closer DA TE 14^`� COUNTY OF BUTTE — DEPARTMfNTVF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garacie Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing I ELECTRICAL FIRE SPRINKLE Test MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Water Htr. Subpanels Grd. Fault Prot. Service ZZ Temp. Pole Underground Permanent Final t j . COUNTY.OF BUTTE - DEPARTMENT-0F:PU13LIC RKS 7 County Center Drive �' Oroville, California 9596 Tele@q ne: 5534-4541 -APPLIC'ATION AND PERMIT 'T � ;. aumorize-representatives or ine county oresutte tq enter upon ine This permit i§ hereby issued under the applicable provisions of ,above =iiientioned property•fo inspecti in.pulposes: r. - the'Buite "'County, and/or -;resolutions to•do work indicated abovetor:which fees have been paid: 00, DIRECTOR 0 UBLIC'.WORKS- 79 Date .' . Sig lure of Perm itee/or'Agent " Q 000, Rv Date M 7- 7 Receipt No y 4 lding permit White-D.P:W. Yellow -Assessor:— Pink = -Inspector_Goldenrod=App_iiclan Y uiexp_ires'Date .....:. ;.../../ ...Z......%..j. :BUIL'DING- " Owner �.... SQ..,FT., OCC: BUILDING VALUATION ; =~ Mai ling.Address=. CJ IV e _ Telephone No. _ Fireplace . Contractor -'� -Total Valuation Mailing Address- Permit Fee -Plan Checking Fee &/or Penalty Telephone No. Permit Fee' - $' - Building Address G` T L. `' `.PLUMBING No. , .. @ FEE PERMIT FILINGFEE _ $2.00,Z 00 /�� E ach. T rap•, 1:50 Repair drainageor`vent piping 1.50 Water piping1.50' Eacligas water. heater or vent ' i�50: ' o.og A. P: N - Znni Gas'piping system 1 =5'outlets. ._ 1.50, . Each addirtional outlet' 30 Building sewer '5.00. F W. an' i Fire Dept.` FireZo se dim ii EQA Parking - Plans Parcel Declaration Parcel Map, 60" R/W' Improvements Lawrrsprinkler system -2.00 Bldg. Plans—Rea d Parc pproval PI pproVal Permit Fee $ $ O NEW ❑ .; ADDITION ❑: -''.UTILITIES OTHER ❑ V .. ELECTRICAL. No. 6" FEE PERMIT FILING FEE $3.00 Main service.incl. 1 'meter Additional meters,•each. 1.00 ' Sub -panel (12 or less*) (more than 12) .Single Family ❑ Duplex ❑ ..Mobil Home Others ❑ Range, Cook -top or Oven 1.00 ti 'Water Heater or Space Heater 1.00 '.Light fixtures 51 bald to 7. Receps., switches & fix outlets CONTRACTORS L' ICENSE LAW, 1 am licensed under.'the provisions of Chapter .9, Div. ,3, of the State :of California Business :& Professions Code under, the name style of: Hood, Ex.-Fan.or F.A. Furn. Motor . 100 Evap. cooler; gar. lisp. or D.W. 1.00 ' Air conditioner or heat pump . Water pump .. Mobil_ Home, Facilities 5.00' S; Temp.- Power Pole, 5.00 License No. Classification Misc.•widrig am exempt from the Contractors License Laws of the State of Califomia. PermiUFee, - ; $' $ % G( WORKMEN'S COMPENSATION INSURANCE I am.aware of the' provisions of Se'ction3700 of.the California Labor Code which requires every employer to be'insured against liability_ for Workmen's Compensation: 0 I have placed on file with 'the County of Butte 'a certificate of -Workmen's Compensation Insurance. 1 certify.,in :the performance of the work for which this. permit -is issued I shall not employ any person in any, manner, 56 as to become subject to,the Workmen's Compensation Laws of.... Cal i,fornra j MECHANICAL No. @�' FEE'. PERNIIT;FILING FEE: $3.00 Heating - Cooling' - Ventilation ' Hood 2.00 Permit Fee $ . $ 'I certify 4hat.:l`have read -this application and state that the above information -is correct:; l:agree,'to comply to all County..Ordinahces and State. -Laws, --re l at to;.building'construction, .and hereby TOTAL`PE'RMIT FEE aumorize-representatives or ine county oresutte tq enter upon ine This permit i§ hereby issued under the applicable provisions of ,above =iiientioned property•fo inspecti in.pulposes: r. - the'Buite "'County, and/or -;resolutions to•do work indicated abovetor:which fees have been paid: 00, DIRECTOR 0 UBLIC'.WORKS- 79 Date .' . Sig lure of Perm itee/or'Agent " Q 000, Rv Date M 7- 7 Receipt No y 4 lding permit White-D.P:W. Yellow -Assessor:— Pink = -Inspector_Goldenrod=App_iiclan Y uiexp_ires'Date .....:. ;.../../ ...Z......%..j. _ `rt� :r-�:t. #, r+:J � . �I �rrl..P'4 ;4• J %',J'' eJ •"1� ; t 7.w +��_ .�. r k _ w'9 '. ✓f r.,r � • ':..r--. gin,.-w -vc a r.y ..k �. 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