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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`