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Home My WebLink About030-462-013T- . �.._. .� - .d. _ ....... _. .w- sig _ - n'ro+1 '^'`i r •e --_ -..... r'Ay Leone L. O'Neill 1830 20'-..S:t._.. 91: 6v le Permit 1. _229-77 l', H ELEC S Q S util . /MH) GAS SUPP RT U TURF REQ. COMPACTION TEST RE). A) ral Nle/. ;. contr: W od and'MR Sales, Mn- View Permit #1548-77MHI• § sued contr: Northstate Aluminum,, -Chico Permit #387.1=;7B(nnew:awning.& redwood �Z� J 4 r deck/MH) % % _- 1 r - o f t r i i ' a R I PERMIT NO. �� 1229-77 P,E. PERMIT EXPIRES — 7v OWNER Leone L`. O'Neill CONTR. owner ;.z LOCATION (A.P. . 30-037-11 ) 1830 20th St., Oroville Temp. Power Pole Called PG&E Temp. Elea, Serv. Cale PG&E / Tem . Gas Serv. Called PG&E .loe 1 % FINALED (Date) (Signature) -M0BT ,iai0ME' INS'1ALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w'.,_ 1i required separation from lot lines and buildings and generally conform to plot Ilan? Yes/'I.No 2, Doc,:., the m:)bil.ehome have required clearances above ground? (Sec. 5085) YesX No 3. Are foot:i.n-,s and supports properly sized, spaced, and braced as pe app ved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes—. No 4. Is the mobilehome level.? (Sec. 5088) YesX No - 5. If RoTe than a single unit, are crossover connections properly installed? (Sec. 5088) Yes. x,. No 5: Water A. Is flexible connector of adequate size and properly installed (1/2"ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C •coach is not to-ri--4-a—approved;--does- station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and. have flex connectors at each end? Yes No B.. Does it have minimum V per foot slope and is it properly supported? Yes No t.. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe? Yes_ N D. If coa nia approved, does station have.required trap and vent? Yes - No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas sirpply 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 mold ehome gas line inlet without reduc"tions other than the mobilehome .connector. Yes. No B. Test OK as per following procedure? Yes k'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 installed? Yes No 9. Electrical. A. Is service Large erioitgh to provide .:adequate amperage to mobilehome (must equal rating of mobilehome with a. ;:;iniv.um of 100 amp) and other facilities on lot, i.e. , water pumps, garage, cabana, etc.? Yes I No, B. Is them proper clearances around panels? Yeyy_- No C. Is power supply cord or feeder assembly properly fused? Yesx— No_ D. Is continuity test satisfactory as per the following procedure? Yes No_ 1. De -energize electrical wiring, syste:,a of the mobilehome at the pee tal. 2. Make sure that the power supply cord.or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one l:�.,ad of a test instrument to the mobilehome grounding conductor and app Ly the o leer .t.4a%t - each r1- 1U 11 CLL''I Sii It CGfiuuCtGr, 111C1iii11ng lieuL'tal. 5. All lion -current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,,alter line), including fixtures and appliances, shall be tested for continuity from such equipment: and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;t: shall then be made between the grounding electrode and the chassis of the e Mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Ts job card si-ned by health Departmeat for water and sanitation? 1. l.. If everything play, sign off card and t.a services. MOBILEiT0.t4E DATA Manufacturer and/or Namestyle Length 6/ Width a�,z — /�-l� QLD Veliicle Serial No. � State Identification No. ,.ddr itional Information or Comments: Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa l l Slab COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD i BUILDING BUILDING (Cont' ) PLUMBING . Firewall Soil Piping Parapets 1st Floor Restroom Finish ",.2hd Floor Windows 3rd Floor Sidinq To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage•Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. 1 Appliances . Gas Piping & Test'' �g I UUMi O Slab structure Final Temp. Gas 7� Sanitation t Patio FllEP ACE Final Footings Footing ELECTRICAL Masonry Walls. Throat Rough Relnf. Steel Final Fixtures Bond Beam. FIRk SPRIN LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANI Al- Grd. Fault Prot., Scratch Heating Service Brown Cooling Temp. Pole FI 1sh Ducts Underground , Interior Lath Ventilation Pennanen Door Closer Final Final DATE REMARKS OR CORRECTIONS - 1 $ FA (NOTE: An entry must be made on this form each time you visit the job site.) 46 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number �� G for the following location: Owner Owner's Address Mobilehome Mfg. `'L'! '� Model Year.%'' Insignia No.� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATF,.I-S VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE , — DEPARTMENT OF PUBLIC WO 7 County Center Drive Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date s?.—IJ ^ / Cr BUILDING Owner keoVrL lAl SQ. FT. OCC. BUILDING VALUATION Mailing Address /4-3 Tl S v V LL -sa3 Telephone No. ~ Uv Fireplace Contractor Total Valuation Mailing Address pV ePermit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 3 0 T4 s7— PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3,00 P'O v s L L. -P— Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping gw O Each gas water heater or vent 1.50 On ng YQrfficafion 0fil' it I A. P. N 3 - -- 0-37— Zon' Gas piping system 1 - 5 outlets it /0, 00 Each additional outlet .30 F- s .C. S�ii n Fire Dept. Fire Zone Use Permit Building sewer _rsw /0.00 EQA I Parking Plans Parcel el Declaration 60' R/W Im r p ovements Lawn sprinkler system 2.00 P6T�gLL r Plans Recd Parceloval PI pproval Permit Fee $ 3•ov $ o e NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 3,40 Main service 600V OR LESS 100 AMP OR LESS 5.00 S 00 Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVR Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR AD DNS. ( ACCLBLDGS. OCCUP. &) 2¢sgft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu FIXED APPLNS. OR f�. OUTLETS (REST D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,pp License No. Classification Misc. Wiring 6.25 FT I am exempt from the Contractors. License Laws of the State of California. Permit Fee $ Z , O $ .� d 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. ❑ W 1 have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. Y� I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. m t X Date �/ gnature of Permitee or Agent Recei t No. T TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS B Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date s?.—IJ ^ / Cr GrAlo- �: AOUNT,Y OF BUTTE — DEPARTMENT OF PUBLIC WORKS A 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign ture of Permitee or Agent Receipt No. 1 (D o(Q 1 (0' j ��Y-1-16a White-D.P.W. — ellY ow- � Pink-InspectyL iapr od-Applicant This permit is hereby issued under the applicable provision-boo/0 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT01� OF PUBLIC WORKS Date 3 - - 7 wilding permit expires Date _-3 " BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor L Total Valuation Mailing Address 50 IEL Ain) I&AL Permit Fee Plan Checking Fee&/or Penalty /� n / \ / "/N'/9//�/ V/ a �tG� r�� TeS��. /o' Permit Fee $ Building Address s PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C/ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. D,37— 1/Z oning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe 10 .C.01 serl+4ei+ea FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PLwr's Rec'd Parcel royal Plo proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 f� *IA7W �'-7 Main service 6000V OR LE 0 AMP ORSLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELINGOR ADDNST ( ACCLBLDGS.OCCUP. &) 20sgft NEWCONSTR. MULTI.OUTLET NON .RESID• ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � ��„� h_ j ,[ Lmn i"KJBILQ, i 10, MEL IIN(f , Ex. Occup(OUTLETS OR FIXTURES) BAL 104 Ex. Occup ( FIXED APPLNS• OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 X350 I -L (?AmfKin Mobile Home Facilities 15.00 License NoQ �d2 Z/53 -2j Classification Misc. Wiring 6.25 FF I ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. j I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 09A 2.00 P r _ $ s 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 / N 0) TOTAL PERMIT FEE $ - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign ture of Permitee or Agent Receipt No. 1 (D o(Q 1 (0' j ��Y-1-16a White-D.P.W. — ellY ow- � Pink-InspectyL iapr od-Applicant This permit is hereby issued under the applicable provision-boo/0 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT01� OF PUBLIC WORKS Date 3 - - 7 wilding permit expires Date _-3 " Ir 47 Ir . -� il''Li'tJ'�F11 r ZZ61 6 adiy Lwr stao� :,—nu -!o le3cl J!]oo MOBILEHOME SUPPM DATA Mobilehome Mfr- *r,400 UJre-S7— Setup Model No. 6VqV— Year /97GWidth .24 _(ft.) ' Length .(ft.). gxpando'Size ft. x A1,4 ft; (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Center Center Support Support Footing Sizes Locations l (in.) Our k11qVo ski Tro� In., 4? (ft) (in) r""j. I tiv (in.) (in.) U ki Sin le Footings (check one) I. Wood either pressure treated or fdn. grade. 2. Concrete pad. - 3. Other, specify. Supports (check one) / / 1. ne)1. Concrete block 2. Concrete piers 3. Steel piers 4.. Other, specify . ...... ... Typical Support I !:�-_x30 Footing Size *If center piers are other than drawn above, draw in locations, spacing, and dimensions. �J 'Maxpacing. Pier S uto-olE.) � -, Max. Overhang BUM COUWY BUILDING DEPARTMENT AP-PKrOVFr) IUoT� a n�QBf �-� i-�O�t� � 1 l.L �'i. ��TT V P �D Mr�T M � KI 0 PA,:f rJ 2W5 I &CTA L LATI 0 Aj V'S Q-TLX--Tt ONS -a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBII,EHOME INSTALLATION SHEET 1. Owner's name: OZE-CAIC �. (� oVr / LL 2. Installer's name: lb��(pDhAN17 VID&UL QOvti L2 INC, 3. Is the site currently under permit? Yes // No 21, z C '=7 (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? --------------------- 4no Amps 7. What is the mobilehome site circuit breaker rating? ------------ C) Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?----------------------�[ T (in.) 10. What is the type of gas service? ----------------------------- Natural />C/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 601 /A/ '7� � (ft.) 12. What is the mobilehome gas demand? ------------------------------ aS0 1)D D (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) A _1l -'-I- !-AN M, !Ait�:`oraan, .............. o !a ual Uniform -1 if h N tio J t o t6 I x6pi on he a)akei an ch 1v- I ---writtqn.`0,erm ..Works, 410JUS J RP1cc ildin P1 84 ,Ship Sh6111 Bb ;0 I i...... 7ini764 Good :Prjr-fld'es• f -cif --fhw: ed i - us�- --in:- f g A a.cha .6 'cal! Codes; an ,.ode. - d1ljMUST rrl.#4_21�vlir &Z�14 !S and it is�ulnlawful 'to A111, uti ity co6ne&lo S ' �afl lodatedr wi thiin-Alf t -.-!o 'deth ionj on! ii46--1ifhqui i i - - . , ut third Isectio f e h DePart efvt�of- Pu t-ke obit 06JH6• e rbad) side of the moblCe home:; JL_ c Ole aeo ..... . ------ - -- ---- +_J . ..... ------ 09 1,46 uir .1.0r. rrru ; lati n cf e rnobileh L �W/o w $e.side the;'�e4y..6 -ond So ft. from._ proper et orn------ ..... . i &Ice4erlineolf eroad, p'erM1Wng L 06- f- -21:t.-einveiove.rhcin(i.-�----:-.- BUTTE COUNTY, XIMUM 0 (3 T ENT WING AR; t� AiP PROVED; -- i � � j � __ � _.. _ � . �0 -'��'r� off' (ia��• L) =tor n.•ja I hereby a,) t? orize Jank S. 01!.;ei11/0 --LT LL EN, T:aPE,IS`ES, (contractor for development of property located at 1830 - 20th St., Oroville, Cali forma., 85965, presently beim hJr me) to follow t^.rou h on all develop.-ients. F'L-r. ' e411 has comlcte authorit y to SJOM all .neces a s ry f C'O� .ln ont5 -o-27 . _ning tO the •_.eveloprier of c.fOrEl FT �1One: e r jn - 20U' li St. Or O': L11e v�ll-orn-a j l 'in- G eche Lo,__ se 0''?ei1. THERMALITO; IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE• CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND .CONNECTION PERMIT Service Address: "-S - , Owner's Name: %` - - - ,>� ✓� f Date: = - /_1 Address: Acct. No,L*�70 A.P. No.: Phone: No. U nits: Applicant/Agent: /ii Agents Proof:,.' / �t Address: Fees: Phone: Application $ ' Arrearage Preliminary Review By_-". . , - +. Date: �' r �-'' 7.7 CSA 26 Remarks: SC -O R 1st mo. S.C. Other Total Fees Collected By: - Date: " /. Field Review By: Date: Remarks: k "I'm � 4 4' MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes a first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID ;i PERMIT NO. 3871-77B PERMIT EXPIRES OWNER Leone O'Neil CONTR. Northstate Aluminum, Chico LOCATION (A.P. 30-037-11 1830 20th St., Oroulle p YrA j o i; i. i I i i Temp. Power Pole j Called PG&E Temp. Elea Serv. Called PG&E 1 Temp. Gas Serv. Called PG&E JOB / X�' FINALED / (Date) / (Sigrfature) , a Stucco COUNTY OF BUTTE — DEPARTMENT OF—PUBLIC WORKS BUILDING INSPECTION RECORD panels UILDING _ BUILDING (Cont'd) PLUMBING Setback Heating Firewall Soil Piping Forms Temp. Pole Parapets 1st Floor Main Bldg. Interior Lath Restroom Finish 2nd Floor Footings Final Windows 3rd Floor Stemwall Elec. Pedestal Siding To out ` Slab • i Roof Sheathing Water Piping Piers g 4f4�-17,77, Roofing Sewer Garage REMARKS.OR CORRECTIONS Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically hundluappeConformance of eGas structure -s /C�/� Appliances 1 PI in &Test Temp. Gas Slab / Final Sanitation Patio FIREPLACE Final Footings y 11-77,(Z7' Footing / ELECTR CAL Masonry Walls V Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP 1NKLERS Motors Framing "F 1,17 7 Test Water Htr. Stucco Final VSub panels Mesh MECtWNICAL Gird. Fault Prot. Scratch Heating Service 'Brown / Cooling Temp. Pole Finish % Ducts Underground Interior Lath Ventilation Permanent Door Closer / Final Final J MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS.OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) _�. #COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - . 7 County Center Drive — Oroville, California 95965 Telephone: -534-4541 APPLICATION AND PERMIT 71-77 \1i ,x r BUILDING 711 Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. l) Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty 0 e on o. Permit Fee $ Building Address/ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each, Trap 1.50 Repair drainage or vent piping 0 Water piping 1.50 Each gas water heater or 1.50 A. P. No Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fesi Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel eclaration parcel Ma 60' R/W P Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel App val Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR SS 5.00100 A OR LESS Main service . ADD'L 100 AMP 2.50 Main servi OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main vice EA. AOD'L 100 AMP 1.00 OE AD DNS. ( ACCLBLDGS.LING CCUP. &) 20sgft NEWCONSTR. (MULTI -OUTLET NON .RESID. BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of alifornia Business & Professions Code under the name St Ie Y o - Ex. Occup(OUTLETS OR FIXTU ) BAL50 �j EX. OCCU FIXED APP NS R P•(OUTLETS (RLIDJ EA) 2.00 Temporary service 10.00 License N Classification Mobile Home F ilities 15.00 Misc. Wiri 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo en's Compensation. Or 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 u permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.$ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 hereby101 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abov -ment' a rope for inspection purposes. Date %x,77 Si at a of Permitee�orAgent Receipt .. � 7d d White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR OR OF PBLIC WORKS By , w Date R--* _ 7 Building permit expires Date - I?--e—