HomeMy WebLinkAbout030-430-020>- I AP- 30-43-2
James Wirtz
.1634 Leta Lane, Oroville
Permit 4657-75 P,E' (util./MH)_
ELEC.'_
GAS V:22:Z--- ZKI
SUPPOR� S'TRUCTURE REQ.
COMPACTION TEST REQ. no
30-43-20
CONTR: English John Mobile Home Sales�-
Paradise
Permit #953-76MHI
Issued -
30 -43-20
(co
Permit #j160 -77B v r
(covered deck/NH)
Aft kw I to
QO,
6
6.
-V;
THERMALITO IRRIGATION DISTRICT',
.410 6RAND AVENUE NID
OROVILLE, CALIFORNIA 95965;
TELEPHONE: (916) 533-0740,---.
FAk: (916) 533-9243
SEWER SERVICE APPUCATION AND CONNECTION PERMIT
Service Address: 16"LETA I.N.
Owner's Name: ROSCOE FR=
Date: i�RIL 21t1997
Address: 1664 LUA L.N.
Acct. No.: 051264,i6
OROVILLEOCA 9596
A.R. No.: 304300.20
Phone: 533-8278
New Unit:
Applicant/Agent:
Adding Units:
Address:
Fees:
Phone:
Permit: $ 30 0.0
.600 00
-Prel-iminary'ReView By: Date:
Ext. Fees:
Rema'rkii'*,- CbNNK710N FEES WILL BE 'rflOSE APPICABLE AT TM
SC -OR: qw, 00
OR C"WrION To TWE SJUER COLLECTOR, SYSTU4. ClbM
-f 79, 00
--4— M, �"^IMIERTY
ALA(V.LJAA.— CA4
Lateral
Other- - -
1605 00
Total Fees 1605 A 0.0
Aimount Pa id
Collected qy%�' 0,
Finaled.By: Date:
4'
Location:
SON X
Size Line:
46; Ile -
Signature of Owner/A
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPOWCOMPLETION
-Date Billed:
..Computer:
P aid SC -OR:
A.P. File:'
(R.F.C.)
Blue Book'�_
Paid SC-dR-
Meter Book:
-:(S/C HG'sy
Rev. 6M6
4657-75 P,E
RMIT,NO.
P
E
M
UTIL.1.
RMIT NO.
J
PERMIT EXPIRES
James Wirt2,
,OW ' NEA
,CONTR. oNmer
30-43'-20
;�OCATION (A.P.
1634 Leta Lane, oroville
Temp. Power Pole '0Z zzz./ /7
Called PG&E
Temp. Ele/serv.
Ca d PG&E
/ Te
1. ?Gas Serv.
Called PG&E
-JOB
FiNALED IA�Z
(Date)
(Signature)
-NS
MOBILEHOME I TALLAT,JON INSPECTION CHECK LIST
I., Is the'mobilehome located with required 'separation fr om lot line and I buildings and generally
s
conform to plot plan?* Yes No
2. -Does the mobilehome have required clearance s above gr . ound? (Sec.5085) Ye No
�3. Are footings and supports properly sized, s . paced, and�braced as per approved plans? (Note
possible.variation at spring shackles.) (See. 5082 &-'5083) Ye S,)<' No
Is the m6bilehome level? (Sec.. 5088) Yes' No
5. If more than a single unit, are crossove r connections installed?,(Sec. 5088).
Yes No
7)(
6. Water
A. Is flexible 'connector of adequate size and properly installed (1/2" ID min.)-,? (Sec. .5566)'
Ye SX.No
B. Test Does water piping withstand working pressure or 50 lbs. air test? YesV/' NO
.. C.- Backflow - If coach is not Sta of . California approved, does- station have backflo*w device
and,pressure-relief valve? Yes No
7. Wastes and Drains.
A. 'Is connection made with Schedule 40 DWV an - d*have flex connectors at each end? Yes' No
B. Do.es it have minimum per foot slope and'is it properly supported? Ye No
C. Are any leaks d6tected in drainage system after running 3 -gallons of water through each
fixture including washing machine st.andpi�e? Yes. NoK
D.- if e'oap- h is not State o f California approved does 'station have required trap and -vent?
Yes No
Gas Pip/ing and Gas Vents
A. Connector -'Is mobilehome.connected to the
gad supply with anapproved 3/4!' minimum
mobileholma-connector'not more than 6 ft. long? Note: All piping -is to
be at least as
large as the mobilehome gas line iftlet without reductions other than the mobilehome
.-connector. Ye S No
-7X
-B. Test OK as per following procedure'? Yes No
1. Open all appli*
ance.connector va ves.
2.. Shut off appliance.burner and pilot valves.
31. Air test with manometer to 10"-14" water column, or test with'slope gauge (minimum
6oz.7maximum. 8 oz.) calibrated in tenth pound increments. Test,for 10 min. without
drop.
4. Connect gas meter to mobil-ehome'with connector! turn On gas, test connections with
So
.4py water.
C. Are all Appl'iance'vents properly installed? Yes V1
No.
9. Electrical
A. Is',service latge enough to provide, adequat,'-e' amperage to mobilehome (must equal rating olf
r 'inimum of 100 amp) and, ther facilities on'lot, i.e., water pumps,
.nobilehome.with a m 0
garage, cabana, etc.? Yes_X, No
B., Is there proper clearances around panels? Yes -x No
C. Is power supply cord or feeder assembly properly fused? Ye s7y- No
D. Is continuity test satisfactory as per the -following procedure? Yes No
1. De -energize electrical wiring system, -of the mobilehome at, . the pJe'&Ttal.
2'. Make sure that the power suppl y 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 testinstrument to the mobilehome grounding'conductor and
apply the other lead to each rtiobilehorLie supply conductor,. including neuLral.
5. All non-cu'rrent., 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 procedu�e, 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 N.-6iiestyle
Length j!57 Width
Vehicle Serial No.. 17,2,
State Identification No. 0 7.�F 37 L) 0
AdditionaLInformation or Comments:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER.DRIYE
-OROVILLE, CALIF. 534-4541'
CERTIFICATE -OF OCCUPANCY
This mobilehome has been installed in accordance with the relluirements.
of the California 'Administrative Code, Title 25, C 5, un er permit...'
number -
—for the following locLior
VIV
Owner's Address
Mobilthome Mfg.o���� Model Year/_ZZ-15
lisigniaN,.- _SerialNo.-C
It is hereby certified for occupancy at the above described location and
may be occupied.
Director ohPublic Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
. Subpanels
PLUMBING
Setback
Firewall
Soil Piping
Heating
Forms
Parapets
1st Floor
Temp. Pole/41-Z
Main Bldg.
Restroom Finish
2nd Floor
Interior Lath
Footings
Windows
3rd Floor
Final.
Stemwa I I
Sidinq
To0out
Slab
Roof Sheathing
Water Pleing
�Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures'
Footings
Garage Vents
Water Htr.
Sternwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Teo
Temp. Gas
Slab
Final
Sanitation 1�24
Patio
FIREPLACE
Final V
Footinas
Footinci
ELECTRICAL
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS motors
Stucco
Final v
. Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole/41-Z
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanept z2�,
Door Closer
Final.
Final
DATE REMARKS OR CORRECTIONS
d -h
115111<7
,COUNTY OF BUTTE bEPARTMENT,OF PUBL16 WORKS
7 County Cent6r'Drive. Oroville, Califoi�nia'95965
leo6o9 534-45'41
n
'APPLICATION -AND PERMIT d.
the C Ine
authorize representatives -of ounty ot. t3utte to enter upon. This permit Js hereby. issued under the ap licable provisions of
ibove-mentioned property for inspection purposes. d/or �esolutions p to do work indicated
the Butte County Code �n'
above fof which fees-tiave been pai
]C�
D(REbTOR OF?JJIBL WORKS
X Date.3-t
, �-our. Of I
igna�ure of Permitee o� Agent �"J
Rv Date
1.3 (ol
Recei *t No.
p
Pink-Insoector Goldenro A'p' l'i c'O'K't" ermit expires Date
White-.D.P.W. Yellow-Assesio.r.- d P Buil di 9 p
'13 Ul L DING
owner
SO. FT.-: O'CC.- - :BUILIJING'VALOATIO�.
/J:
Add�ess
Mail,i7g, 12,
0 0
ele�hone No.,
7
1
-4 -,,Fireplace
Contract066i'N'e�ft
Total Valuation
Mai I ing Ad&es§
Permit Fee
PlanQhecki ng Fee &/or P6nal ty
Tel ephone No.
Permit Fee T_
is 1
Buildirig.Ac[dress .3 4.
0*
PLUMBING Nol..� I FEE
PERMIT FILING� FEE .$3.00
'6 t2() Ul LL9
Each Tr6p'� 1. 50'
Repair drainage or vent piping 1.�o
Water -piping A.60-/0
Each gas water heater or vent -1.50
.A., P. No.*
a
14-4 9
Gas piping'systern 1: !;.5 outlets j.6@'
-cutlet
Each additional .30
Fe64 W 'CIZO &Fire -Dept.
Fi re Zone
Use�PerTnit'
Ou i I d i ng'.66we r 0:17
EQA
Parking Parce!
Plans Dec I arat 0
PIA. 1-14
4-1
66'.R /W
Impr6vemehts -
Lawn sprinkler system 2.00
�Bld2. Pkn0X_'4_*'--.J!1f
or.. F'oa I—- Pl.ns Approval..
Permit Fee' $ .3.3
'3.3
NEW ADDI Ti ON [J U'TILITIE S -0TkER,,n
_:,.ELECTRICAL No. :6 FEE
PERMI T F�l Ll NG'FEE $3.00 3 '7
Main §ervic6 incl.1 meter.. 3
Additional meter', each.. 1.00
s
Sub -panel (12.or less)- (more than 12)
Du* le Mobi I Hom*6
Single Fami.ly p X Others.
a 0 n,
R nqe, Cook�-t p &,Ove 1.00
Water H eater. oi� Space H e6ter- 1-1.001
Light fixtures 2ul 9 25
bo a 10
-20
Receps.� swiiches'& fix,outl6t�' b.1%25,
CONTRACTORS, LICENSE LAW
I am I . icensed.-under the provisions of,bhapt6r 9, Di v. 3, of the
State of California Business & Professions Code under the name -
style'of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooleri gar.-disp. or,D.W. 1.00.
:Air -conditioner 6r.heat pump
-Water pump
Mobi I Home Facil ities 5
Temp. eoweii, Pole '5:00.
License No. Classification"
Mi sc. Wiring
I am exempt fro . in the Contractors License Laws o:f the' Staie.of Califomi`i,a'�.'
P&rmit Fee. 21
2. t I
MECHANICAL No. @ FEE.
WORKMEN'S COMPENSATION INSURANCE
. . . I I . � . I . . I I . � -:
I am aware of the provisions of.Section-3700 of the Californ ' ia-Labor
Code'which requires every employ6r.to be insured againStrliability
for Workmen's Compensation.
E]'I have placed on.file with the County of. Buite.a cer�tifricate'of
Workmen's Compensation.1 nsurance.
I certify that Jn the- performance of the work for which this
X14 permi� js*issued.1 shall-Inot 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
informa ion is. correct. I agree to comply Jo all County 0�dinanqes
t . - to- building construction, and hereby,
and. State Laws relating
TOTALPERMIT F�E
the C Ine
authorize representatives -of ounty ot. t3utte to enter upon. This permit Js hereby. issued under the ap licable provisions of
ibove-mentioned property for inspection purposes. d/or �esolutions p to do work indicated
the Butte County Code �n'
above fof which fees-tiave been pai
]C�
D(REbTOR OF?JJIBL WORKS
X Date.3-t
, �-our. Of I
igna�ure of Permitee o� Agent �"J
Rv Date
1.3 (ol
Recei *t No.
p
Pink-Insoector Goldenro A'p' l'i c'O'K't" ermit expires Date
White-.D.P.W. Yellow-Assesio.r.- d P Buil di 9 p
kN
--I- -"W
son
too
Y 7-,
:LQ,
'45,
7
3E,
cow
Vol
tl
woo. C V
An
tj�
to 11,
SPIN--, . `� .. - -) � . -
'i.
.-Vat41
TO
onto!
47: -4
Two -
T z
Lyn
SVC. Q 1. K
NOTE:—All Ma*ferials & Workmanship Shall Be in
Accordance wifh Recognized, Good 'Prri!n+T,-.es tlqn�
of a qual4v prescribed for fhe S
. .
P
Uniform- Buildiha, Plumbing A Machohic-al Codes and
,the Nofional"Elecfrical Code.
This sef of plans
s MUST ke'
kepf on fhe job of all fimes and if
m4e any ch�nqes or alfermf ions is
on som ry"
wr'iffen permission from the Deparfmenf 'ofv/
PUYxr
Works, Counfy of Buff'
e.
Sefb
Me side Ock sholl be -,5
Properfy line and So s6pfic sysfe
from' M and locafion g�-
Q Max' road, Permiffino. fo �e as Per
-fhe c6nferlin�of fh4a
'murn of 2 ft. ecive ov Buffe Counfy Healf h bepf.
Re
quiremenfs.
"'?-- 7:1 -
All UfilifY connecfions g
secf ion of fhe mobi6
locafed wifbin 4 ff. oufside fhe'rem-
on fhe leff (road) side of fhe in me -
ho
horn' o6ife'
e.,
-0
A per nif will be i ired for f he,
Wt -Q11, Ition of AM bile'lome,
C
b,
BUTTE COUNTY
BUILDING' DPARTMENT
r .7
APPROYED
COUNTY OF "BUTTE ftP.AeTIVIENT OF.tPUBLIC'-WORKS
% County Center Drive Oroville, Calitornia95965
Tel,ephone: '534-4541
APPLICATION AND PERMIT
auinurize represeniaiiYes oT ine uounxy. oT butie io enier-up.on ine This.permit is hereby issued u , nder the:*applicable provisions of
above -men t ionEid p.roperty. for inspection "purposes. Code and/ bdo'work indicated,.
the Butte County or resolutions t
above for which fees have been paid.
DIRECTOR OF.PUBLIC. WORKS
n a t e 17,
Si gnotu re. of P ermi tee o r Agent
B�
Date
o..
Receipt.N 1;z
Date
�hi te-D% P:W.- — Y el I o,w-Asse s so r Rink-inspec'tor --:,Goldenr dmAppli�ant
j
&qe'
SQ.� FT..: 'OCC.. BUILDING VALU;�Tlbl\l
Mailing Address 04,
Tel ephon e No..
Fireplace
Conteactor
Totiiil'Valuatib�
Mai I ing Address P
Permit Fee
Plan Checking Fee VorPerialty
is
Telephone No.
Permit Fee,
-:z -g"7/
-7
Building Address
LUMBING� N6. @ FEE
M.
-------------
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,
P. No. 3,6
Zo�in'g & Planning
Gas piping sy6tem.l. - 5:outlets 1.50-
Each additional- 6utl'6t .30
F Vs I
WX�*
Se"tft+ten,
Fi re Dept:
Fi re Zone
Use -Permit
Building'sewer 5.00,:
EQA
Pa,rking
Plans
Parcel
Declaration
I. Parce'l Mao
60' R/W
Improvement.
Lawn. sprinkler,,system, 2.00.
lildq�_Plons Rec�d
v—
Parcel 'Approval"
Plans i;,pprovol.'
Permi It Fee' $
$
NEWEI . ;--AbDITION LITI�LITIE5%[] OTHER,
ELECTRICAL� No. FEE
PERMIT, FILING FEE �3.00
AJ
600V OR LF
_S1
Main service SS, 5.00"
OR LE
Za ;L
Main s rviCe EA. ADD'L 100.AMP 2.5"0
OVER 600V
Main service 100 AMP OR LESS 25.90
.Single Family Ej'*. Du'p lexE]- McIbi l.'Home. Othe'rs
Main sery 1, ce EA; AD , D, , L 100 . AMP
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ' ACC. BLOGS: )-2(tsqft.
NEW CONSTPL. (MULTI -OUTLET a
NON-RESID, BRANCH CIRCUITS) 2.50e"
NEW.CONSTR (PO ER -APPARATUS.&
NON RESID. SINWGLE OUTLET CIR
CONTRACTORS LICENSE -LAW
.1 ..arn licen'§ed"under the provisions of Chapter 9, Div. 3, of the.
.State of California Business Professions- Code uhder the. narn6
style of:
LJ
Ex. Occup(P-,T`L,ETS OR FIXTURES), @ 104
FIXED APPLNS OR
Ex. Occup. 0 U T L ET S (RESIO.) EA)
Temporary'service 10.00
Mobile.Horne Faciliti 'e's 15.00
License No. 2-c- Classific'ation
Misc. Wiring 6.25
1:11 am exempt from the Contractors License Laws of the State of California.
'Permit Fee $
WORKMEN'S COMPENSATi6N INSURANCE
1 am aware.of the provisions of Section3700 of the California Ljabor.�
Code which -requi res,every,empl'oyer,to'be insured against liability
for Workr�ens Compensation.
p tertificate of
lVhave 'faced on file with the County of Butte 'a Ic
Workmen's. Compensation Insurance.
I certify that the performance of the work for which' this
permit is issued I shall. not employ any person in any manner
so as to become*su6ject to the Workmen's Compensation Laws of
CHANICAL J FEE
ME No. @
PERMIT FILING FEE .$3.00
Heating
Cooling
Ventilation
-'Ho6d' 2-. 0
Permit Fee $
$
I certify'th'ai I . 'have read t - his -application a . nd state that the.a6 . ov6`
information.is� correct. I agree, to. cornpl'y,to all County Ordinances
and State' L�vk relating 'to building 'coristruction, "and. hereby,:, +,
56 C9
TO TAL+PERMI,TFEE. 1$10-1
auinurize represeniaiiYes oT ine uounxy. oT butie io enier-up.on ine This.permit is hereby issued u , nder the:*applicable provisions of
above -men t ionEid p.roperty. for inspection "purposes. Code and/ bdo'work indicated,.
the Butte County or resolutions t
above for which fees have been paid.
DIRECTOR OF.PUBLIC. WORKS
n a t e 17,
Si gnotu re. of P ermi tee o r Agent
B�
Date
o..
Receipt.N 1;z
Date
�hi te-D% P:W.- — Y el I o,w-Asse s so r Rink-inspec'tor --:,Goldenr dmAppli�ant
j
yk; t
AN
4 too
BUTTE COUNTY DEPAFMLTNT OFFUBLIC.WORKS
7 CountV Center Drive, Oroville,_ CAt.
PHONE: 534-4541.
MOBILEHOME INSTALLATION -SHEET
1. Owner's name: L0.1
'2.� '.'Installer's name.
3. Is the s it,e currently under.pprmit? Yes No
(If yes, furnish permit number OR
is the, site an existing site? Yes, No
yes,'.furnish two (2) plot plans,.)
"tank and leach fields and
4:. ,Will the mobilehome-be located at least 5 ft. away from septic
tlear of all setbacks and easements? Ye s No
(If no, clarify
C' Amps
------------------------
5. What is the mobilehome electrical rating?
6. What is the mobilehome site, service rat iv.�? ---------- 7 ----------- - Amps
7. What is the mobilehome site circuit breaker rating? - -------------- -Y 2--� —,Amps
8. is there any other.electric load to be serrv-ed.by the mobilebome
1< ---------- --------- Yes No
site service? -7 - - - - - - - - -
(if yes-, identify the load arid, size- (Load) jAmps)
-a's pipe siza? ---------------------- - --(in-,)
9. What is the mobilehome s ite
10. What is the typ.e of gas service? ----------------------- Natural LPG
11. What is the -gas pipe length from.'Tref:er or tank. to the mobilehome? (ft
12. :What is the mobilehome g4s dema.nd? ----------------------------- - (BTU)
(This 'inf'o'rmatiori'�'not -,require�, if pipe lengtW'less than 6 f t.. on natural gas
LPG.).
or fess' than 50 ft.. pn
MOBILEHOME SUPPOkT -.DATA
Mobilehome
Mfr.
Setup Model No. Year
Width
(ft.) Length (ft.) -Expando
Size ft.x ft.
(Draw
support -details below)
On all mobilehomes manufactured after October 7,1973,
furnish manufacturer.'.s in I st allatio'n
manual
and structural setup sheets (if not on -f ile with the County of Butte).
S, I
Footings-:(chdck.one:
U000.
d V Wood:either'
A,
P17"sum.-treated -or,
Center
Center Support
f dn. '�grad*.
Support
Footing Sizes
Location sl
.(in
�Concrete pad
Other, ..specify
in.
Suppotts (check one,1
Concrete block,
�in.
/"2. Concrete -piers
in.
3. Steel -piers,
Other, specify
3-6
Typical Support
F ' ooting,Size
.(in.) (in.)
Max. Pier
Spacing
�n_ JT -1n -
kin.)
f t '0 Ci—n.)
-N,
(in.)(in.)
Max.
4 -
Z Overhang
-piers
BUTTE'COUNTY
*If center
are other than drawn
above,
draw in locations, spacing, and
dimansions.
BU ILDING DEPARTMENT
APPROVED
ie op
Ole &-Act
lie
fif 'e, ko_
d4e
t
.43."
VO -j
re
CIA 1, 1
AVIAT .As oil VWY-
Owl
5: bay - P A Arjo in' he -0 w samm", 91,01"o
Fit wnflivas,
oil- X002-00-, kwulmon, log,wall Wed, mo, 301 W
Win"; bV
:'azf j 0 "Wo cis njh7&"hQva
lip.
. Ar�,�
fT ve.,
4 Z�x
lool
ez�
PERMIT NO. 160-77B
/9 Of
PERMIT EXPIRES
OWNER James Wirtz
CONTR. owner
LOCATION (A.P. 30-43-20
1634 Leta Lane, Oroville
Temp. Power Pole
Called PG&E
Tern El C. Serv.
I /ep.
m t'
Ca ed PG&E
T T
e Gas Serv.
Called PG&E
J JO B
OB
FINALED
(Datel
(Sign6fture)
COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS'
BUILDING INSPECTION RECORD
BUILDING
Setback
Forms
Main Bldg.
Footings
Sternwal I
Slab
Pi&L_�
Garage
Footings
Sternwall
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walh
ReInf. Stee
Bond Beam
Framing
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer/ Final Final
DATE— REMARKS O� CORRECTIONS
'(NOTE: An entry must be made on thIs form each time you visit the job site.)'
'COUNTY OF BUTTE DEPARTMENT�OF PUBLI'C'WORKS
7 County Center Dri v e
orovi e_California95965
Telephdne.: 534-4541
APPLICATION AND PERMIT
A4 L11
dumurizu r,tjPIt::�UIILdLIVUZj Ul L(It!.I-UUIiLy Ul MULLU LU t:!fILU[ UpUriLine This permit'. is hereby issued under the applicable provisions of
abovie-mentioned-pmperty for inspection purposes.
the Butte County Code*and/or. resolutions to do work indicated
above for which fees.have been paid.
X Date D.1 RECTOR. OF A50BL IC WORKS
7
Signature of Permitee,or Aftp Date I-ly-77
V
Receipt No
Wh i ie- D. P. W. Ye'llow-Assesslor Pink-Inspecior.— G , oldenrod-Ap . plicant -Bdi <,Ing . permit expiees Date
BUILDING
owner'-_'-:'
7�1 jZ4.
SQ.'FT. OCC. �PILDING VALUAbbN-
e If 42�0-0, OD'
Mai I ing Address
n 3
h N
Ile -30 S>77
Contractor,
Fireplace
Total Valua tion
Mailing Address,
Permit Fee
PlafiCfi6ckihg Fee&/orPenalty
T lephoneNo.
Permit Fee $
Building Addres . s, 3
PLUMBING No. @ FEE
PERMIT FIL.1,NG. FEE $3.00
coo o�
Each Trap .50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent ..1.50
A. P. N 41-3
Zoning & Planning
Gas piping system 1 5 outlets 1.50
Each additional outlet .30
eki
-S
i��on
Fi*reDep t.
F i re Zon
'Use Permit
Building sewdr' 5.00
LIDAL
Park' Ing
Plans -1
Decpl* arcel
aration
I Ma
Parce p
60' R/W
Improvements
Lawn sprinkler system 2.00
--R
-Bldg. n.,, .'d
bi- Oar C I App ro Val
P14f's Appro
0�
Permi-t- Fee $
$
NEW A:DDITION E] UTILITIES�[:] OTHER
ELECTRICAL No. @ FE E,
.
PERMIT, FI LING FEE
main service 111V OR. LE SSESS
100 AMP OR L 5.00
Main-serv-ice EA! ADD'L 100 AMR 2.50
OVER 600V
Main service - 100 AMP OR LESS 25.00
Single Famil yll� ..Duplex EJ Mobi I H ome Others
Main service EA. ADD'L 100 AMP 1.00
d
NEW CONST. ( DWELLING OCCU P 20sq ft
OR ADDNS. ACC.BUDGS�
NEW CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIR C UITS) 2.50ea
NEW CONSTFL POWER APPARATUS.&)
NON.RESID. SINGLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under 'the provi Si ons of Chapter 9, Div.. 3, of the.
State of California Business & Professions Code under the name
style of:
@
OUTLETS OR FIXTURES) 25T
Ex. Occup( BAL 0 109
FIXED APPLNS.DOR
Ex. Occup.(OUTLETS (RESI EA) 2;00
Temporary service 10.00
Mobile Home Fac iLl ities i �.00
License No.- C.1assification
Misc. Wiring 6.25
I am exempt- from' the Contractors" License Laws of the State of Cal ifornia. -
1641011 -
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE :- -'.
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
,for Workmen's Compensation.
E] 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
permi tL_ is issued I shall not employ any person.in an YL manner
.so as to, become subject to the Workmen's Compensation' Laws of
California.
MECHANICAL NO -1 @ 'FEE
-
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee
I certify that I have read this application and state that the above
informati6n* is' c6rrect. I_ agree to, comply to all County Ordinances'
State- Laws relating . to building construction, and hereby
TOTAL PERMIT FEE Is
/Jocp
dumurizu r,tjPIt::�UIILdLIVUZj Ul L(It!.I-UUIiLy Ul MULLU LU t:!fILU[ UpUriLine This permit'. is hereby issued under the applicable provisions of
abovie-mentioned-pmperty for inspection purposes.
the Butte County Code*and/or. resolutions to do work indicated
above for which fees.have been paid.
X Date D.1 RECTOR. OF A50BL IC WORKS
7
Signature of Permitee,or Aftp Date I-ly-77
V
Receipt No
Wh i ie- D. P. W. Ye'llow-Assesslor Pink-Inspecior.— G , oldenrod-Ap . plicant -Bdi <,Ing . permit expiees Date
IV`