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HomeMy WebLinkAbout033-087-005Qt 33-087-5 _ AP 33-087-5 CATHERINE RUSH� - x CATHERINE RUSH 270 Incline Ave, lot 13,, Oroville (AUNT MINNIE APPROVAL - 5/5/81 " R. P rmit �# X47- 8B a g1' ion) SF ft, 33-087-5 & 6 e". Permit #838-80B,E(util.-,MH) ELEC.,—i-/ s41 3/.t y/� GAS SUPPORT STRUTURE REQ, COMPACTION TEST REQ.,-NQ�_ _ _ 33.087-5 s FPermit#1.—'64-8QMHI ntr: Mobile" Home Ser -ice Co • sued — t /31Z + w FA 0 +1 �y)'pp4�'r•!�^�q�Fk7��. , 4:01 LAND OF NATURAL WEALTH AN C'; BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P:O. Box 1100 - 7 County Center Drive ❑ 747 Elliott Road Raply to Chico, California 95927 Oroville, California 95965 Paradise,: California 95969 Telephone: 916/891.2727 Telephone: 916/534.4281 Telephone: 916/ 872-2961, Ext. 5 May 29, 1981 Catherine Rush 270 Incline Avenue Oroville, CA 95965 Dear Mrs. Rush: This is to advise you that pursuant,to Section 19-19 of the Butte County Code, the Board of Supervisors has approved. a variance renewal to Sections 19-10 and 19-12 of the Butte County Code•for the continued use of a mobile home on your property located at 270 Incline Avenue, Oroville, CA. and identified as Assessor's Parcel Number 33-08-7.,.6.,5.,. This variance renewal was granted on May 57. 1981.and'includes the: following 'conditions: 1. The variance renewal is granted only.for a term of one year. At the end of one -year -you must apply for a new variance if the use .is to continue. 2. If the applicant residing in the mobile -home or conventional residence moves.to another location or is deceased,.the variance automatically expires and the mobile home shall be Moved within 120 days. If the mobile home is..not removed within 120 days, the.County may remove said mobile home and store it at the owner's expense. Very truly yours, Lynn Vanhart, Director Division of Environmental Health TEV/lld cc: 'Clerk of the Board Planning Department rBuilding rDepartment-----�,. LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avonue, P.O. Box 1100 7 County Center Drive ❑ 747 Ellion Road Reply to Chico, California 95927 Oroville, California 96965 Paradise, California 95969 Telephone: 916/891-2727 Telephonm: 916/534.4281 Telephono: 916/ 872-2961, Ext. 58 April 29, 1980 Catherine M. Rush r 270 Incline Avenue. Oroville, CA 95965 Dear Mrs. Rush:- This ush: This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10' and 19-12 of the Butte County Code for the placement of a mobile home on your property located at 270 Incline Avenue Oroville, CA and identified as Assessor's Parcel Number 33-08-7-6 & 5. This variance was granted on April 29, 1980 and includes the following conditions: 1. The.variance is granted only for a term of one year. At the end of one year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the owner's expense. 3. The mobile :home shall be placed on the property without violating any of the setback requirements of the zone in which the property is located. 4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to install the mobile home. Very truly 5 n E. Vanhart, Director ision of Environmental Health ' IEV/lld cc: Clerk of the Board P arming Department lding Department A, 838-80P,'E TERMIT NO. NIQ PERMIT EXPIRES PWNER Catherine Rush owner �CON TR. 33-087-5 & 6 LOCATION (A.P. 270 Incline Ave., oroville it Temp. Power Pole Called PG&E Temp. Elec. Serv.— Called PG&E # '71— Temp. Gas Serv. cam! say CAI ed�— JOB FINALED (Dat 00,V,7 (Signature) FiAlsh D is nder round Int for Lath ntilation Permanent D or Closer anal inal OBILEHOME UTILITIES Elec. Service -aa 1> Elec. Pedestal Water Piping Sewer Gas Piping IdQBILEHOME INSTALLATION - - - - -- - - - - - - - - Support Elec. Continuity Water Piping �(� L �rainage Gas Piping DATEJ REMARKS OR CORRECTIONS - P/t010, AM&IR 6, S 4/A[4llt. 34- K BD/�� w Tf�oz P/ (NOTE: An entry must be made on this form each time you visit the job site.) a COUN`Y OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) lllli, PLUMBING Set ckAlrewall kil Piping For P a ets ?FResNroom st Floor Mai Bldg. Finish d Floor Fo ins lndo s 3r Floor Stem all SIdIngN To ou ' Slab Roof SheXthing Water P in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents / Insulation X 41 Water Htr. Heaters Slab Carport p Footings Prov. for ph sica handicapped Conformance of ex. Y i structure Appliances Gas Piping & Test Temp. Gas Slab /A Final Sanitation Patio IRE ACE Final Footin s Footin E C T R I L Masonry Walls Throat Rou h Reinf. Steel; Final Fixtures Bond Bea FIRE SPRINKLE Motors Framinq est / Water Htr. Stucco inal Sub anel Mesh MECHANICAL V�Ccoqjfng Grd. F It Prot. Scra h eat Servi B n T p. Pole FiAlsh D is nder round Int for Lath ntilation Permanent D or Closer anal inal OBILEHOME UTILITIES Elec. Service -aa 1> Elec. Pedestal Water Piping Sewer Gas Piping IdQBILEHOME INSTALLATION - - - - -- - - - - - - - - Support Elec. Continuity Water Piping �(� L �rainage Gas Piping DATEJ REMARKS OR CORRECTIONS - P/t010, AM&IR 6, S 4/A[4llt. 34- K BD/�� w Tf�oz P/ (NOTE: An entry must be made on this form each time you visit the job site.) a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 d&!Wi—Y'CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the ements of the California Administrative Code, Title 25, Chapter 5, permit number 7f or the following location: I- -),, r --j Owner Owner's Address C Mobilebome Mfg. 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 I Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST a; 1. Is the mobilehome :Located with�equired separation from lot lines and buildings and generally conform to plot plan? Yes- No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes ---No 3. Are footings and supports properly'sized, spaced, and braced as perapproved plans? (Note possible variation at spring shackles,) (Sec. 5 82 & 5083) Yes--NNo- 4. Is the mobilehome level? (Sec. 5088) Yes— No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) . Yes No 6.. Water A. Is flexr� connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_o B. Test -.Does water piping withstand working pressure or 50 lbs, air test? Yes �No ackflow - If coach is not State of California. 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. o— B. Does it have minimum 4" per foot slope and is it properly supported? Yes— No C. Are any leaks detected in drainage system after running 3 -ons of water through each fixture including washing machine standpipe? Yes— No !� If coach is not State of California approved,, 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 ani approved 3/4".minimum mobilehome connector no more than 6 ft. long? Note: All piping is to be at*Teast as large as the mobile e gas line inlet without redu tions other than the mobilehome connector. YesLNo B. Test OK as per following procedure? Yes No_ Open all appliance connector valves. Shut off appliance' burner and pilot valves,.. XAir 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. connector, turn on as test connections with Connect gas meter to mobilehome with gas, soapy water. C. Are all appliance vents properly installed? Yes— No_ 9. Electrical �- A. Is service large enough to provide adequate amperage to mobile�lome'(must equal rating of mobilehome with a minimum of 1000� amp') and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes.� O__ B. Is there proper clearances around panels? Yes 4, o C. Is power supply cord or feeder assembly properly fused? Yes41-No D. ntinuity test satisfactory as per the following procedure? Yes_�l�0 IsDe-energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, witch all breakers and switches in the mobilehome to the "on" position. 4 Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixturgs and appliances, shall be tested for continuity from such equipment and the grounding conductor. � Upon completion of the above procedure, the power supply cord or feeder assembly, conductors shall be connected to the site service equipment. A further continuity test 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. AOTs job card signed by -Health Department for water and sanitation? -If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle v Length Width % Vehicle Serial No. State Identification No, A 3�- Additional Information or Comments: CvJ,P clf2.jc_�� Tb err, I'vs-r*L46 COUNTY OF BUTTE --, DEP.ARTMENT OF PUBLIC WORKS 7 Oaunty Center Drive - Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for in tion purposes. X w Date Signature of Permiit�e or Agent 11 Receipt No. v v 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. DIRECTGAF)OF PUBLIC WORKS By Date B rilding' permit expires Date BUILDING Owner G/4WE_e1 AJE_ Ro s t+ SQ. FT. ' OCC. BUILDING VALUATION Mailing Address Zgv //i 6L11/vC_ AVE 0K10V /&(16 A G4 1,SJJa=jV Contractor / ee— WOAeIL Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address V0 ��V��/V AVE Planng Fee&/or Penalty Permit t Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -3,00 Each Trap 1.50 ©� Repair drainage or vent piping 1.50 A. P. No.3 3 -� 0&7-9 (O Zoni Planning Water piping f. O.0") Each gas water heater or vent 1.50 es Saba re Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets �O"DO EQA Parking Parcel Plans eclaration Parcel ap 60' R/W Improvements Ea additional outlet I .30 �tp uilding sewer (V,Qa Bldg. PI s Rec'd Parch rovol Plans Approval /00'Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3, co ;$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS w•t Main service 100 AMP OR LESS 5.00 �v Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS,CCUP. 41 20sq ft 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: NEW RESID. BRANCOUTL T NON-RESID, � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXT11PES) g L FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am 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 permit is issued 1 shall not 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 $ $ 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 ILand Development Fee $ f g_X TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for in tion purposes. X w Date Signature of Permiit�e or Agent 11 Receipt No. v v 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. DIRECTGAF)OF PUBLIC WORKS By Date B rilding' permit expires Date COUNTX OF 5UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 53'4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X—Date Si gnatureof 8ermitee or Agent Receipt No. 3 (- (0 a,�5 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 r which fees have been paid. DIRE_OTOR OF PUBLIC WORKS I luilding permit expires Date/ BUILDING 71 Owner ���� SQ. FT. OCC. BUILDING VAL ATIO, 400, Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation C' tG� �!/J--�y� C7 �rJ Telephone No. 7 Permit Fee Building Address�--�� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. , A Zo Ing & Planning Water piping 1.50 Each gas water heater or vent 1.50 PV SeRf-t "'M FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Impro Laments Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel 40roval P ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES-[] OTHER Permit Fee $ $ ELECTRICAL NO -1 @ I FEE PERMIT FILING FEE $3.00 Main service 10001 OR LE 0 AMP ORLESS5.00 Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 CONST.NEW DWELLING CCUP . Y) 22sgftOR ADDNS% ACCBLDGS. 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: dAM14' S94VICE co, NEW CONSTR T NON-RESID( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS 9 NON.RESID• SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTURES) BAL@1 BAL@1 Ex. Occup ( FIXED APP E S, OR ) 2 00 • OUTLETS (RSID,) EA Temporary service 10.00 �010AVIE Mobile Home Facilities 15.00 / License No. 1��� �%� Classification 1 Misc. Wiring 6.25 ❑ I am 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 ermit 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 $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 Is 460 'a TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X—Date Si gnatureof 8ermitee or Agent Receipt No. 3 (- (0 a,�5 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 r which fees have been paid. DIRE_OTOR OF PUBLIC WORKS I luilding permit expires Date/ MOBILEHOME SUPPORT DATA If� other than single .wide, Mobilehome Mfr.___L :furnish Setup Model No. Year Width (ft.) Box Length `-[q (ft.) Tagalong or Expando Size ft..x- ft. (SHOW 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). All center supports measured ftom front of .mobilehome unless otherwise specified. Footings (check one)'. Single 1. Wood either... . D'� A. (ft'.Xin.) pressure treated or foundation grade. X 30 (ft.)(in:) (in.) (in.) [].2. Other (specify) Center support locations* Center support footing sizes Supports.(check one) 1. Concrete 'block. 2. Other (specify) (ft.)(in.) (in.) (in.) < Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) D'� (ft'.Xin.) (in.) (in.) (ft.)I (in.) (in.) ;in.) *lf center piers are.other than drawn above, draw in. -locations, spacing,,.and dimensions. x C7 -- Typical Support, (in.) (in.) Footing Size Max: Pier Spacing. (ft.)(in.) -= Max. Overhang i BUTTE COUNTI BUILDING DEPARTMEN APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONES 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: j-/? 40-1V1,E 1� VLCE C -Q , 3. Is the site currently under permit? Yet />,O No / / • (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify _ ) (This information not required if pipe length less than 6 ft. on natural gas' or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? ----------------------- 10 Amps 6. What is the mobilehome site service rating? --------------------- _ QKD Ames 7.. What is the mobilehome site circuit breaker rating? ------------- SD Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes _L No 7,77 (If yes, identify the load and size: (Load) (Amps) ---------------------- (in.) 9. What is the mobilehome site gas pipe size? 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas' or less than 50 ft. on LPG.) 0 Iri ,r. �l I ecce •`� � vlitl'1i1� �n 4 - , Shad\ ge ara o�ct�ccl e Sln tie 0 \� oate R� 9nIe he pan cd �Coaes an NC��!ffie n a With Iresar`bea {or $` Mach r c a Aa°g a%n9' t a� G°a • A setback of 5 ft. from the %3VA o 1oaa� pec property lines and a setback the N of 50ft. from the road 1 Abe --- oc � e ceoJ`cab gb°� Utility coe I _ e1T«G• mobithe lehome� gear 4 it. oft or Within 1 directly behind le{l) of the ►,Atf of �e roa dside LIST b@ � sand specifications M This set of p a�+ M kept on the job it UA*Wfo to c i alter t and o sam `KBS make any changesint0f Pubk written permission Buttthe DeparftG Works, County centerline shall be clear of structures or equipment excepl for a ? ft. eave overhang. BUTTE COUNTY BUILDING DEPARTMENT APPRUVtD 4.. cc+ r' • r), o. 'PEQMIT NO. 3347-78B PERMIT EXPIRES 6/14/79 OWNER CATHERINE RUSH PONTR. owner LOCATION A.P. 33-087-5 '270 Incline Ave, lot 13, Oroville M p: Temp.ower Pole r Called PG&E Tem Elea Serv. Called PG&E Te p. Gas Serv. Called PG&E ` OB FINALED�y` 0 • s (Date e i (Signature) Setback Forms Main Bldg. Footings Stemwa I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTIGN RE CORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows N 3rd Floor Siding To out Roof Sheathing Water Piping ' Roofing— Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov, for physic handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final 43-1,q— Sanitation FIREPLACE Final Final Test MECHANICAL Heating Cooling Ducts Ventilation Final -- --•- Elec. Service Sewer IONF - Support Drainage REMARKS OR CORRECTIONS rixtures Motors Water Htr. Subpanels Grd. Fault Pry Service Temp. Pole Undergrouni Permanent Final Elec. Pedestal Gas Piping Elea ContinuT Gas Piping 'I (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL 0 Owner �- d Mailing Address 01 Contractor Mai I i ng Address Building Address 1-"- -b 13 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 53.4-4541 APPLICATION AND PERMIT Ione Telephone No. A. P. No. �.--� c� I Zoninq & Plannin Fefas�l WLe-T9aai-iatio Fire Dept. I FireZone I Use Permit I EQA I Plans Parking I Declaration P P Parcel I Parcel Ma I 60' R/W I Improvements dgr-Rhee=d I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification I am exempt from the Contractors License Laws of the State of California. 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Icertify that in the performance of the work for which this peris issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 propert inspection purposes. C X�— Date/ ;,//17 Signature of Permitee or gent *7 1 f / Receipt No. / 1 s )LJ White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace $ Total Valuation No. @ Permit Fee $3.00 Plan Checking Fee &/or Penalty 5.00 Permit Fee r t j PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING Ccup- S\ I+ •Z0Sq ft NEW CONSTR. /MULTI -OUTLET NON-RESID 1 BRANCH CIRCUITS/ 12.50ea NEW CONSTR. POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. J Ex. OCCUp(OUTLETS OR FIXTURESEFBAL @ 10{ FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ 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. PIA T R OF PUBLIC WORKS By Q�Ya`D to , "71F' ung permit expires Date