Loading...
HomeMy WebLinkAbout033-084-003A.P. 33-084-3 Walter -W. -Bayard 287 iernwood, Oroville Permit 2573-75 P,E (util. MH) ELEC.r� i .S GAS �a SUPPORT STRUCTURE REQ,/40., - COMPACTION'TEST R:U,):-^•„�® AP -33-084-03 Permit# 3636-75MHl-• Issued '7 ��.- 75 17- a-zs- AP 33-084-3 Permit 431-78B ONTR: Duralum, S pramento HK ( awn ings /MH) 33-084-3 Fj7ktZLQ Permit#313-88P(gas lines/MH) 6//p/5F? O i K 1 - � 1 ��_. �' f. �� �, 1 - � 1 ��_. �' i `431-78B + PERMIT NO. i I P E M IC MH UTIL:,-. I PERMIT NO._ ��►� PERMIT EXPIRES ' OWNER _ Walter Bayard - CONTR. Duralum, Sacramento I 11 LOCATION (A.P. 33-084-03 ) i j287 Fernwood, Oroville e I �i I j Temp. Power Pole Called PG&E { Temp. Elec. Serv. Called PG&E Temp Gas Serv. Called PG&E ' - JOB FINALE ate) (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 DATE COUN—Y OF 13UTTE — DEPARTMe:NT-OF 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 " Garage Vents Water Htr. Prov. for physically handicapped — Heaters Appliances Conformance of ex. structure Gas Piping & Te Temp. Gas Final Sanitation FIREPLACE Final Footing Throat Rou h Final Fixtures E SPRINKLERS Motors Water Htr. Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS ELECTRICAL V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:`534-4541 'APPLICATION AND PERMIT f authorize representatives of the County of Butte to enter upon the above -me zofPermitee y for inspection purposes. r�cc/ Date l notuor Agent Receipt No. 3 76 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*OOFPU LIC WORKS B ateBuilding perat ...... ....... .......... BUILDING Owner �% y SQ. FT. OCC. BUILDING VALUATION �d Mailing Address AV Telephone No. Fireplace Contractor Total Valuation Mailin ddress �^ Permit Fee Plan Checking Fee &/or Penalty e one No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 CA Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r ,y�� �� v Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plc Recd I Parcecr <pproval Plans pproval Permit Fee $ NEW NQ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home14 Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures al d20 —b.1%2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca 'fornia Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Waterum P P Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License N 0 Classification �� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATIONMECHANICAL 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. toI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r-1I 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. No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me zofPermitee y for inspection purposes. r�cc/ Date l notuor Agent Receipt No. 3 76 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*OOFPU LIC WORKS B ateBuilding perat ...... ....... .......... �b J sL619 �OAI �17pnd : o `�-••� :.� 1dJv • !Nnoo !IMH UtiI HERMIT NO. 2573-75P,E J P E M MH UTIL. ^PERMIT NO. PERMIT EXPIRES 74 OWNER Walter Bayard CONTR. LOCATION (A.P. 33-084-03 ) a 287 Fernwood Oro�e • q� 1i . :t? 1r+ 5� Temp. Power Pole _ Called PG&E2�! Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB a FINALED (Date) (Signature) F COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback �`'�--^ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. " Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp., Gas Slab Final Sanitation Patio FIREPLACE Final 7. Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service , Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �i / r 9. Electrical A. Is service large enough to provid.e`radequate amperage -to mobilehome (must equal rati g of mobilehome with a minimum o �0 amp) and other'facilitles on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes o C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the -following procedure? Yes No 1. De=energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all t-reakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor,'including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors Eihall 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 ty Health Department for water and sanitation? 11: If everything okay, sign off card and tag services. MOBILEHOME DATA / Manufacturer and/o.r NamEstyle. Lengt h,b Widthr.Zr Vehicle Serial No. State Identification No. / (0//r/ "/ / / V /U`/`X . Additional Information Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from'lot lines and buildings and generally conform to plot plan? Yes G No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes :f No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yesl No_ 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes-; No 6.. Water A. Is flexile connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes �/No B. Test - Does water piping withstand worki ressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of.Califo a approved, does station have backflow device and pressure -relief valve? Yes L, -"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 '" per foot slope and is it properly supported? Yew No C.. Are any leaks detected in drainage system after running 3-lons of water through each fixture in6luding washing machine standpipe?,.Yes No D. If c�oaf �s not State of C4��Ov ed, 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 connect oy/*not more than 6 ft. long? Note: All piping is to be at least as large as the mob.ehome gas line -inlet without reductions other than the mobilehome connector. Yes(/ No 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, to on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE - *'IdEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 9596 �J f Telephone: 534-4541 APPLICATION AND PERMIT authoriz repres ntatives of Vie County of Butte to n r upon the aboyee-rg2nti .ert for 9ction purposes. X 2 / Date Signature of Permitee or Agent Receipt No. ,/ 33 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Dates' _. -7 1 �. wilding permit expires Date BUILD NG Owner ���Tom-43AX AA 12 SQ. FT. OCC. BUILDING VALUATION Mailing AddressAY Telepho a No. Fireplace 3 38' Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee I Building Address 2 ��— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r Each Trap 1.50 / s" Repair drainage or vent piping 1.50 Water piping 1.50 /0.(167 / T, Each gas water heater or vent 1.50 A. P. Z Gas piping system 1 - 5 outlets 1.50 „� Each additional outlet .30 Fe's W St ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 %�•�0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ments P Lawn sprinkler system 2.00 iLd•g. Plans Recd Parcel pproval Pla s Approval Permit Fee $ Od �' 3 G NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 3• ©C, Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethon 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bo %2In Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring *❑'l am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I�.I 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 42.00 Hood 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_-pnd hereby TOTAL PERMIT FEE $ (/ authoriz repres ntatives of Vie County of Butte to n r upon the aboyee-rg2nti .ert for 9ction purposes. X 2 / Date Signature of Permitee or Agent Receipt No. ,/ 33 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Dates' _. -7 1 �. wilding permit expires Date COUNTY OF BUTTE — DEPARTMENT•OF�PUBLIC W, KS 7 County Center Drive — Oroville, California 95965 Tel Gphone: 534-4541 / APPLICATION AND PERMIT !/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. X Date �A Signature of Permit�ele, orest or Receipt No. x,19 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �Date -$aiding permit expires Date a—,17 U BUILDING Owner �� �/ SQ. FT. OCC. BUILDING VALUATION Mailing Address -3 7�/ S C _ -�, l°/'/ aenI��o Te hone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �, PLUMBING No. @ FEE ` PERMIT FILING FEE $3.00 �f 4=x ti Each Trap 1.50 'CD�IhC� cam. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.onis Zing g & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 _6wl-latilam Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Flans Parcel Declaration Parcel p 60' R/W Im rov ents p Lawn sprinkler system 2.00• Bldg. ass Recd Parcel AVproval I I Plan Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER rof ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter _ d 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 '-Water Heater or Space Heater 1.00 Light fixtures b20 alld210 Receps., switches & fix outlets •' 20025 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: ' Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.ccooler, gar. disp. orD.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring MIam exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. • @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this hermit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling . Ventilation Hood 2.00 Permit gee $ $ 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 `0C TOTAL PERMIT FEE $ In authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. X Date �A Signature of Permit�ele, orest or Receipt No. x,19 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �Date -$aiding permit expires Date a—,17 U 0 ■ ■1"EMMMMMMM ■� ;. ME■MEMS M■ ' r ■■ � . ■■■■■ I • e • ME MEN ■■MISE■■■■ 0 ; N■■■OM■ 0 MMI ■■■ ■■ ■ • • . . .. ■■■■M■■■■MONSOON ■■■■■n■■ i■■ ■ M■■■■ ■■ ■■■ e :. ■M■■■M■■■■M■■■■■ .a .. ■■M■■ ® MEN ■ ■ ....... . .. ■_ .... ■■■■■■■■■s M■■■■■■■EM■■sIR � ■ ■■NONE MEME m■s■�■■■■ ■ ■ ■■ No • J�■■■��■■MON®■ _ �� r i ■■ s■ ::, .. • ■■M■EMN MEMO MM■MMIN■ ® • • •- ■� ' ■ . • • ■■ •. El Ml_ - ■■■■■M■■EM■s■■■■■� ■� ■■ M■■ ■■■M■■NM■ ■ M■■®■■■ MEMNON _..: Q..a�... ;..,_Li 9 •D M MMM■MEME■N ■■ ■■• F_9..: — •• - ■■■�■■M��■ ■N■■■MEN ■■ 'M■M■ h , ■MON ■■■■■m■■■M MEN MONO M■■■ • i . ^ e • a sM■M■ • •. -�■■ M■M■M■SE■■ M■M■ME■■EM M■ SOMEONE ■■ON o 0 ■NNN ■■■■ • • o • : • . • • : • • o : • ■N■N■■■ ■ ■MNM ■■■■MM■■■■ ■■sMM■M■■■■■ ■ ■M e s • • i NONE e ■■■■■MM■■■■■■■■ ■M■■■■■■■ .... , ■ ■■O■ ■■■■■■■■■■■■■■ ■■ N NN■ MON EM — ■■■■s■■■■■M■■ MENEEmm=mm__ �MMEMOMMinNE®0 v N■sN■■s ■■■■■■■�M _MEN ■s ■ 7 County Center Drive, Oroville „Califiornia PHONE: 534 -4541 - AWL. iLn i Utility Co n n P r ' 20' to a o min M rr w . m r 51 n a w w o W N µ 0 m Ln IGV o MOBILEIiOME INSTALLATION INFORMATION Lot Facilities Mobilehome Data H 1. Plot plan dimensioned, location of mobile .1. Lengthy Width,.,_/./' 0 and utility connections? Manuf acturer !Zi9�iog'- Yes No Vehicle Serial No.Ll . 2. Electrical. service equipment ampacity aZOfl Insignia Control No. H Circuit breaker ampacity / 6 U 2. Feeder assembly ampacity //749 Permanent Wiring Connection Conduit size Ampacity 4:7 _ Power supply cord (amps) • Receptacle v--'_'Ampacity !/ 3. Gas inlet size �3. Gas: Natural ��" _-.LPG i��— ti Mobilehome connecotor size Gas riser size -I Capacity. 4. Drain inlet size ��` 4. Drain connector: describe on reverse side 5. Water riser: size %/ 5. Water connector: describe on --reverse side 6. Are utility.counect:ions located outside 6. Designed loads: the rear 1/3 of the mobilehome-within- z Roof live load 2 ®-:Ak' psf. 4 feet of the left W -_ll? Yes No Idind load � � psf. _!/' If not, sb.ot; di:mens:ions.above. (only for mobilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes j� No Yes a/ No 8. Do you propose to do other work on the g, Will the mobile home be installed on a- property other than the mobilehome separate support structure. installation which will require a permit 9 Yes No Yes Y No If so, specifyvvjyl ly" ,*For plans and specifications of support system, see other side. LOAD BEARIN('r/04V.;� SUPPORTS . l�/� �/ ADDITIONAL CO'D!.7',TS �r Drain Connector, Describe ---11— WaterConnector, Describe LOAD BEARING SUPPORT Ai;D 100TING INFORMATION Pier Spacing Used- in r Ma:;imam Pier Load �/�p0 Maximum Column Load (mu'•t'-units on y) \ �rti� S e- e. Z Soil Bearing Capacity_ 21" Footing Dimension L'scd 7 S t TYPE'. OF PIER. USED . Steel Concret /Caac-rete Block Other TYPE OF FOOTING MAT RIAL USED Pressure Treated Wood 6).1. y �f Concrete L.A r -/'C g �' Redwood (Grade) Mao Other Approved Type 'voKr eKcis BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO., * 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION SAND PERMIT ASSESSOR PAji!EL NUM ER 11 L 1 ' ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS'MAILING jADORESS CONTRACTOR'S NAME TELEPHONE k_r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS, Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ( Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ;l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome0— Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Permit Fee Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.51) yz¢sgft I declare under penalty of perjury (check one): OR ADDNS. ACC. SLOGS. I NEW CONSTR. MULTI -OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NO N.RESID .BRA CH CIRC S POWER APPARATUS e (SINGLE CIR. and Professions Code and my license is in full force and effect. OUTLET License No. Classification EX. Occup(OUTLETS OR FIXTURES e20 0 50t A 030 ❑t I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling Q I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE , $ I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL P11 NO I33UE all liabilities, judgments, costs, and expenses which may in any way accrue I I against said County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been aid. P An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. r Receipt No. L) _ By S Date WNITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 7 County -' Denter Drive. Orovi Ile — Phone: 538-7'541 747 E I I ibtt Road, Parad i se — Phone: 872-6307 CORRECTION NOTICE OWN T NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above addrees and should be corrected. Please notify this office when correction of work is; completed. If you have any question pertaining,to this matter, or need additional explanation, please contact this office immediately. Inspector- Date/, -7- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT E T N()/6� ASSESSOR PA NUM ZONING BUILDING PERMIT owNE,�^� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S IyjA1LING DDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ACYDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAI-ING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME. PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE! OF STRUCTURE SFO Duplex[] Mobilehomeff other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK i New ❑ Addition ❑ Remodel [3 Utilities ❑ Installation ❑ Other:,,—Permit Describe work:Jaia 1& Fee L,/, � Contractor ELECTRICAL PERMIT Filing Fee 10.00- 0.00Main Mainservice 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification , 1, as the owner, or my employees with wages as their sole compen- sation, will do the wor<,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am e)clusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. � DWELLING OCCUP.a\ 'hQS.gft OR ADDNS. ACG. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID .BRA CH CIRCUITS IRC 1 S POWER APPARATUS e SINGLE OUTLET CIR. I 20050t EX. Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S CDMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.0,31 (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 of Consent to Self -Insure. jam' I shall not employ any person in any manner so as to become subject to the W. C. laws of Cal fornix. 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 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to a I County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mertioned 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 consequen:e of the granting of this permit. > X -'► ="i -� Date �� �.4 � ' � SignotUre of Appl cont — Ow4r� Contractor ❑ Agent ❑ An OSHA permit is required for exco-ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heidht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP[ JSCHOOLJ FLOOD PARCEL I PD ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS B Date PERMIT EXPIRES Date / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-ENSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916,99M. 538-754-1 t li OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) n 2. I (have/haiEe2so.t) i+j_`�, / signed an appli ation for a building permit for the proposed work. 3. I have conl_racted with the following person (firm) to provide the.proposed construction: Name Address _ City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: 3 Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to!provide the work indicated: Name Address Phone Type of Work ,I Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted.to issue the permit.