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HomeMy WebLinkAbout047-100-074I I,. I I - 444449-7* W/SVardue erd a *�Rd= no . of Hwy 99E Chico Permit 1095-72 (Utilities for Mobile ome b- r75' 47-10-74 /S Meridian, app 200' E Hwy 99, Chico Permitl#4281-80E(eularge ele ser) 47-10�►74 e&q -�6_8D Conti :--Rgdney M. Mart n, F .R Perinit#4357-80sting site Issued_ 047-10-0-074 96-1915 WALDRIDGE, RANDY CONTR; CHICO ELECTRIC 14901 MERIDIAN RD, CHICO r I SPLIT ELE SER TO WELL/SF El QUAINTANCE, L.L. Z794-72B,P ' 7-10 I w/s Meridian Rd. 700' so. of Munjar, Chicb (patio for mcb ile home) r ® QUIRING, Leonard 1094-72 P - - - ----2770-72,11, 042-72P - W/S Meridian Rdi.,no. Hwy 99E Chico r ('Utilities for Mobile Home )/,.% (-patio & carport for M.H.-CON North S -at Alum. -'? 7/ 7 C r li PERMIT NO. 4357-80MHi(exist site PERMIT EXPIRES - 9- -9// OWNER WAYNE W, PARDUE -c6NTR. Rodney M. Martin, Forest Ranch LOCATION (A.P. 47-10-74 WIS Meridian, app 299'E Hwy 99, Clico Temp. Power Pole Called PG&E/ Temp. Elec. S rv.. Called PG&E Temp. Gas Serv. Cal ed it7 FINALED COUNTY OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING (NOTE: An entry must be made on this form each time you visit the job site.) Setback Firewall Soil Piping i Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor E Footings Windows 3rd Floor Stemwall Sidin To out Slab Roof Sheathing Water Piping Piers Roofing Sewer i Garage Fdn. Vents Fixtures t Footings Stemwall Garage Vents Insulation Water Htr: Heaters ' Slab Car ort p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 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 Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal ` F- 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.) t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally s conform to plot plan? Yes— No_ 1� 2. Does the mobilehome-have required clearances above ground? (Sec.5085) YesL- No 3. Are footings and,supports properly sized, spaced, and braced as per roved plans? (Note possible variation at spring shackles'.) (Sec.. 5/082 & 5083) Ye — o 4. Is the mobilehom level? (Sec. 5088) Yes_ ') s � 5. If more n a singl/e'' nit, are crossover connections properly installed? (Sec. 5088) Yes— No— O /� ���� 6., Water A. Is flexib onnector 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 7rido J C. Backflow - If coach isno t alifornia approved, does station have backflow device and pressure -relief val e s No_ 4 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum 4" per foot slope and is it properly supported? Yes— . o C. Are any leaks detected in drainage system after running 3-gallo water through each fixture including washing machine standpipe? Yes— No. D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents 1 A, nnector - Is mobilehome connected tolthe gas supply with an approve 4"minimum mobs ome connector not more than 6 ft..long? Note: Allpipin s to be at least as large as e mobilehome',gas-line inlet without reductions of than the mobilehome connector. No 4, B. Test OK as per folio g ,procedure? 'Yes_ Noy � 1. Open all appliance c ector valves. S 2. Shut off appliance burner an ilo valves. 3. Air test with manometer to -14" wa r column or test with slope gauge (minimum 6oz.-maximum 8 oz.) Cali ated in tenth ind increments. Test for 10 min. without drop, 4. Connect gas met to mobilehome with connector, turn gas, test connections with soapy water a., C. Are all pliance vents properly installed? Yes— No. C9 67 0 9. Electrical A. Is service large enough to provide adequate amperage -to mobile1iome'(must equal rating of- mobilehome with a minimum of 1 amp) ,and other facilities on rot, 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? Ye o 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 th owe upply cord or feeder assembly conductors, including neutral conductor, have Ze s ted. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one leak of a t i strument to the mobilehome grounding conductor and apply the othe ad to mobilehome supply conductor, including neutral. 5. All non-current,ryin etal parts of the mobilehome (aluminum siding, gas line, water line), incng xtur and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above rocedure, the.power 'supply cord or feeder assembly conductors shale co ed to the site service equipment. A further continuity test shall the ma ween 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. C MOBILEHOME DATA n Manufacturer and/or Namestyle Length Width V (I /:l ej tial No. Otat 1 entificatio Additional Information or Comments: COUNTY OF BLPTTE -_ DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Y / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /�2.r Gc..�ate 9 "" Signaturee�e or Agent Receipt No. 7 3 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.®F PUBLIC WORKS BY Date rJ- y-�� Bu ding permit expires Date r --I + - Owner �_ % /�� �� �/� L7 SQ. FT. OCC. BUILDING V ATION Mailing Address i1 Telephone No. Contractor �y / " Mailing Address , 61 /� . - ��� �� Z 614 Fireplace Total Valuation Telephone No. Permit Fee e- /IanC Building Address �� ",a, Z! eckingF &/or Penalty Permit Fee PLUMBING No.1 @ I FEE L PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �7 A. P. No. / —� - /7` zonin� �Ilning Water piping 1.50 Each gas water heater or vent 1.50 Fpcesl Sa Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I mprovements Each additional outlet .30 Building sewer 5.00 Bldg. Plans eed Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 LESS 100 A P OR LESS 5.00 Main service 600V AMP Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 J Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 IS'v NEW CONST. ( DWELLING OCCUP. 51 2�S ft OR ADDNS. ACC. BLDGS. / q 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: % 4 NEW CONSTR. BRANCHMULTI-OCIRCUITS) NON-RESID. 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 611 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g L2; 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 $ $ 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. (551 have placed on file with the County of Butte a certificate of orkmen'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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above I information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby IL414-1 $ 3®.00 TOTAL PERMIT FEE $ (� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /�2.r Gc..�ate 9 "" Signaturee�e or Agent Receipt No. 7 3 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.®F PUBLIC WORKS BY Date rJ- y-�� Bu ding permit expires Date 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 reqquirements of the Cal'fornia Administrative Code, Title 25, Chapter 5, iunder permit nwxtber!Y- / 1 �� for the following location-' / -��c. "V,43 r Owner f 0'7— ' /U2 U!�— f Owner's Address /1 zz'► „% eMobilehome Mfg.{ �I ( Model Year IM -Ano, 1 !") /� _ �j"�•- 11 0 _ ra o. � --r -*s It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. _ this set of plans and specifications MUST be kept on the to at all tines and it is unlawful to O, r __maks any chc.;iges or lit?rations on same without I written permisson from the Department of Public Works, -County of -Butte: -- - - - NOTE:—A I Materials & Workmanship Shall Be Accordanc with Rp�ognize:i Good Practices ar I of a clualit� press. `baJ for tha Specified use in thr Uniform Bui, ing, Plumbing & Mcchanical Codes an r the Nation I Electrical Code. I jA CP 7,_ A from the and a setback t. f rom the road centerline shall be clear of Istructures or equipment except for a 2 ft. eave overhang. o Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the reef half of the roadside (left) of tho mobilehorrte, - - - Cts 0 BUTTE COUNTY BUILDING DEPARTMENT APPROVED c�..t �„'F1{.,.• ;,,' �1. `� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 1 ,P PHONE: 534-4541 P MOBILEHOME INSTALLATION SHEET 1. Owner's name-' Y Gp�lz yj2i LJ/ •.�0 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number J��O ) OR T ,.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 /�54 No (If no, clarify ) 5.. What is the mobilehome electrical rating? ----------------------- Amps " 6. What is the mobilehome site service rating? --------------------- -"®"� Amps 7. What is the mobilehome site circuit breaker rating? ------------- Z Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) - 9. What is. -the mobilehome site gas pipe size?----------- (in.) 10. What is the type of gas service? ----- ---------=-- Natural / / LPG 11. <tothe What is the gas pipe length from meter ormobilehome? (ft.) 12. What is the mobilehome gas demand? -------------------- (BTU) (This information not requ' ed if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY ;:BUILDING DEPARTMENT A•P RR OVFD 1 MOBILEHOME SUPPORT DATA - -- 1 If,other than single wide, Mobilehome Mfr. furnish Setup Model No. Year _ Width _Z4 (ft.) Box Length z�� (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 from front of mobilehome unless otherwise so . 1 p�fified. aN �ee�� �a1 Single K n". Center support. locations* (ft.)(in.) (ft.)(in.) (ft.)I (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Footings (check one) r'–'' 1. Wood either pressure treated or foundation grade. F] 2. Other (specify) Supports (check one) F-,0-4.: Concrete block. 2. Other (specify) 4—Tagalong or Expando, show support details. -- Typical Support .) Footing Size (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang r COUNTY OF BUTTE. Department of Public Works 7 County Centtr.Drive Oroville 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBI[.EHOME Mobilehome Installation Permit:No. FILL IN INFORMATION FOR ITEMS 1 THRU 10.. 1.. Width x •Box. Length x 3 Watts. 2. .2 Kitchen Appliance Circuits ------------- 3000 3'. 1 Laundry -Circuit -------------------------- m 1500 -.:. 4:..Ovens --------- ------------ ;------------------. _:.. `�GaLo2 .S�✓I��S' 5. Cook Stare Top ----------------------------- _: 126 .. 6. .Hot Water'.Heater------------®m------------- 7. Dishwasher & Disposal -------------------- k-' -- _moi N% � :. • ' 8.. Clothes..Dryer ---------------------- ------ 8.. motors, exhaust fans,etc.) 14 9. other (specify) ------------------------ = ci.h . . Sub -total - Watts First 10,000 watts @ 100% ------------------------------------ - /10.000 Remaining , watts @ 40% --_--v------------------- 10.. Air Conditioner watts @ 100%-m�a---- ------ ----- _ �1_ Largest Demand1z Central Heat System - watts @-65% _ TOTAL DEMAND WATTS REQUIRED ------------------ �emand Watts Required. 230 = ................ - AMPS De -rate mobilehome to ...... AMPS 1 1 i 047-10-0-074 96-1915 WALDRIDGE, RANDY CONTR; CHICO ELECTRIC 14901 MERIDIAN RD, CHICO SPLIT ELE SER TO WELL/SF OFFICE COPY Address GAS Meter- B Date ELECTRI 9 Meter B Date 07h COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,'C4fornia 95965 - Telephone (916) 538-7541 P RMJJ_NO. APPLICATION AND PERMIT 9�� IV I ASSESSOR PARCEL NUMBER 047-1,00-074 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 149( 1 RD. CHICO CONTRACTOR'S NAME TELEPHONE 01 ELEMIC 1891-1933 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 14901 MERIDIAN RD PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ELECT TO METER WEM SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 7b Describe Work? RESIDENCES GOING TO ADD NEW SERVICE TO WEII — SO THAY CAN SPLIT COST OF ELECT TO WELL Mobile Home I S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT FilinQ Fee 20.'0)0 Main Service ( 2000A A OR LESS OR LESS 1 23.00 3.00 20 / Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class GIO Lic. No. G.W14—jl �'i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR50. OR NS. ( 8 ACC. ) 3.5¢ FT. NEW CT CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FUTURES ) 64L @ 1.550 Ex. Occup. ( OUTLEEDTS (RESID) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 PERMITFEE $ 66.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations; ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ( lr . _ t.. r MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number #,j -4 -IAL-) 1-1, (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _` 'w� —� J_ Date 4y - Z!� -n L-- ^=--- — Signature of Applicant - ❑ Owher ❑ Contractor Y Agent An OSHA permit is required for excavations over 60"deep and demolition or construction of structures over 3 stories in height.. Mobile Home Installation Fee Is Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HO ISSU 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. , B�'//�a'�' y PERMITEXPIRESON If"/2 7/1% / (Date) ReceiptNo. ZoZ, 3521 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 ' 9 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive - Oroville, Calif"hia 95965 - Telephone (916) 538-7541 /'� j _ ����o• APPLICATION AND PERMIT y(p -.-� ASSESSOR PARCEL NUMBER 047-100-074 ZONING BUILDING PERMIT OWNER RANDY WALDRIDGE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 16901 MERIDIAN RD, CHIC0 CONTRACTOR'S NAME TELEPHONE 891-1933 CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 14901 MERIDIAN RD PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ELECT TO METER WELL SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )i7 Describe Work2 RESIDENCES GOING TO ADD NEW SERVICE TO WELI — SO THEY CAN SPLIT COST OF ELECT TO WELL Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 2E0000V OR LESSA OR LESS ) 23.00 3.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class GGl0 Lic. No. L' )5`1315 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BAL 2 I:5000 Ex. Occup. (oFIXE APPLN S. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP ELECT 123.00 PERMITFEE $ 66.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 1 P\ ... � MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number "J,.,, 7(«', (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _D vwl� _ _ Date C&- _a�(Q_—_ Signature of Applicant - ❑ Ow er ❑ Contractor Y Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionA4fC� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ate u y (Date Receipt No. a0 13SZ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r a4+it . y�.t�:, �y='t�v �.,Y�:;,.;_-•��:..*ei.'w�.;'�Y,;..:y--+w'1w�,..�"y.'Ti.•iy9{�1�Fp.�E�:F''t'�`-.:: gt^�{{�y}'.�..�'�•Ci'�Y.-�"4.._ �.,. y.5.r .� .. ~COUNTYOFBUTTE -DEPARTMENTOFD., RMENTSERVICES - BUILDING DIVISION �� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)538-7,941 PERMITAPPLICATI `N DATASHEET OWNERw - P. No.`Y / - 160 ^ 7Y Proposed Building Use h� Building Inspector ( Date At time ofpermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: . DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ................ 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. . • 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9..Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ........ .... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. A 17. Planning approval for (A) Use: -0 (B) Parking: 18. 19. Contact Land Development about (A) Improvements (B) Drainage. ........... Driveway permit (const r ction approval required prior to occupancy). .. .... . /� 0 20. Pre-Inspedion requ-eW Pre -inspection for OX 4 required. . .toBuilding Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner=). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................... 28. 29. Mobilehome utility clearance . .............................. Documentation of legal access . ..................... ; ................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. -32. OL Existing violations/expired permits . ......................... Plarnheck list. ~' 34. When .you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ` -Qa _C � Acreage Applicant _� Date t� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dote Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ` Telephone:' 533-V-30, Ext. 259 APPLICATION AND PERMIT f BUILDING Owner SQ. FT. OCC. BIJILDING VALUATION f � Mailing Address Fireplace Contractor 0CAJN-f C— Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address ft/ls' f%%►" �+,,,;,� J12,4j � �/�� ��! PLUMBING No, @ FEE PERMIT FILING FEE $2.00 ,2, 1 , 4 0 ,e, Each Trap 1.50 U Repair drainage or vent piping 1.50 - Water piping f 1.50 /• S "�3J'2 foil Each gas water heater or vent 1.50 A. P. No. y 7—1 U Zoning A Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. (Sani'�tai on t Plannii64g �/Yq'Building sewer 5.00 "r .-U Plans v' I FeesL,-' I W. C. v R/W I Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $,fes ,v ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �3• �- Main service incl. 1 meter 3, •ro Additional meters, each 1.00 — �• —• Sub -panel (12 or less) (more than 12) - USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 d r h! Oven, Cook -top or space heater 1.00 Light fixtures bal (610 Receps., switches & fix outlets 2019 s - 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 Misc. wiring >> ,,.,CIS, a�� s , License No. Classification _ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /1. i v 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. X❑ 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. PERMIT FILING FEE ' $3.00 Heating Cooling Ventilation 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 %sf urnentatio trDf a anion $0.07/$1000 Evaluation $ TOTAL PERMIT PERMIT FEE $`�-7 °�''�v autnorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X' i f Jf !� J"(?1 I Date Signature of Permitee or Agent Receipt No. .r White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicants 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 .J�fr Dater' i' i z__ �� Building Permit Expires Date -1 S- 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ 7 -z), 7 County Center Drive — Oroville, California 95965 Telephhong: 533-1.30, Ext. 259 APPLICATION AND PERMIT Owner -gf,�Ley J.F Mailing Address ��� Z �ew(,�✓C %��. C%�---� Contractor OWN-r`e— Mailing Address Building Address alis �c+ Alx"dyy�� A. P. No. let 1---4 V Zoning $7n7< 1 Fire Zone Fire Dept. anitatio annin Plans @/ I Fees W. C. /W I Encroachment NEW ❑ ,ADDITION ❑ OTHER ❑ USE OF STRUCTURE Single Family ❑ Duplex ❑ 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 BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet 'Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F. A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Misc. wiring f2. Poles i am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 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 property for inspection purposes. Date Signature of ermitee or Agent r Receipt No.r soy� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -App c.4yt�_b Cooling Ventilation @ FEE $2.00 1.50 1.50 1.50 1.4-0 1.50 1.50 S .50 5.00 N 2.00 @ FEE $3.00 '�• �� 1.00 1.00 1.00 1.00 1.00 $f2.�� @ FEE $3.00 Permit Fee $ $ (State Fee for Str�r g Motion $0.07 / 1000 Evaluation $ nate Fee for n n gMotrom $ TOTAL PERMIT FEE UR,s-0 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 WOR//KS B , — DateC2= / 9-7 Z_ Building Permit Expires Dat — —7 / I • , :ate ,w' I I • 7- rx 4o? 4.4. self It of plans and, Spec ficati6ns Mij ST be I tent bi 1 ,he job at all times and it is unla to make z ny ch:pnges or allfiwatib is on same withoutp3rmisson' W6rkl, from Cou the b artm6nt of Publie �ty of Butte. UT (-E COU Ty BUILDING DEPA'FTMENT AP, R0' ED • , :ate ,w' I I i . � � S. w". ��; # �. �. � � !' . , ��. i i i •. � � � I t � �_ �� ' Y LF.I' 1 � � t �r . � �f ' � � t•.� ' • • � /. •.... tr . �� �� r. 4r i i k 4 I_ LAND OF NATURAL. WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 H. W. McDONALD September 5, 1980 Deputy Director Wayne and Cheryl Pardue RE: AP 47-10 14 Rt. 4, Box 515 y Applica'i for Determination Chico, CA 95.926 Dear Mr. and Mrs. Pardue: At the regular meeting of the Butte County Subdivision Violation Committee held September 3; 1980; the Committee issued a Certificate of Compliance for AP 47-10-14 with no conditions. There is a fifteen -day appeal period before this Certificate of Compliance can be recorded unless a waiver is signed waiving your right to appeal the Committee's decision. This waiver is attached to this letter. If you have any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works Jor1n Mendonsa A"istant Director JTA/ds Attachment cc: Planning Department w/o attachment Health Department w/o attachment r8uilding Department w/o attachment COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 534-4266 Sept. 29, 1980 Re: AP 47 -10* -74 WayneandCheryl.Pardue Rt. 4 -Box 515 Y Chico, CA 95926 Dear Mr. and Mrs. Pardue: Enclosed please find a copy of the Certificate of Compliance issued by the Butte County Department of Public Works —, which was recorded on September lb, 1980 in Book 2551 Page 598 in the Office of the Butte County Recorder. Should you have any questions regarding this,matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works Joya-Mendonsa- Assistant Director JM/ns Enc. cc: Planning Dept. 'Health Dept. /Building Dept. LD 1330 K RETURN TO: .� Public Works Land Development Section- YUBLIC-WO2'K5 SEP 18 3 Ito Fl,' Pqn s CERTIFICATE OF COtTLIANCE f CL -P.K' A. CLERK-RECOfiDFR�� Issued to: Wayne and Cheryl Pardue Rt. 4 Box 515 Y FEE Chico, CA 959261126 This Certificate of Compliance is hereby issued by the County of.Butte to certify that the land division which created the parcel'of property identified below complies.with the applicable provisions of -the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: approx. 9,200 + ft. north along Meridian Rd. and 99E intersection. West side.of Meridian Ave. Chico. 2. Assessor's Parcel Number: 47-10-74 Description: All that certain property located' in the County of Butte, State of California, more particularly - described as follows: The Southeast quarter of the Northeast quarter of the Southeast quarter of Section 13, in Township'23 North, Range 1 West; Mount Diablo Base and Meridian. Issuance,of this Certificate is conditional upon the -following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66Y99.35 (b), to protect m 6 the public health and public safety..None iv Cil F-� C -j County of Butte Subdivision Violation Committee 00 &ND Or DOCU1yiENI '--�L� `�,✓i�i����•/�` LD 1'00 END OF DOcu?;i NT .\ �� O��! :t'��1i std' c�,, jr�li O u o��, �b �® 000��'o aw �C4o COUNTY O.F ,B-UTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'95965 - Telephone 916/534-4541 APPLICATION .8ND PERMIT PERMIT NO. ASSESSOR PaE7 NUMBE '1 �' ZON G i BUILDING PERMIT OWN, TELEPHONE SO. FT. OCC.1 BUILDING VALUATION R'S MAILING ACrDVyS C fes/ C' -CO'N RACTO 'SNA TELEPHONE CONT 5 A RDD S � L . CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $_ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty , -i $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS,� '0 PLUMBING PERMIT Filing Fee 3.00 D J72` -�10 Eacl`iTiap 2.00 Repair drainage or vent piping 2.00 _ Water piping LOT NO. SUBDIVISION NAMEPA&CEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ° " SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Rem del [IUtilities ❑ Installation C Other ® Describe work:/i/�/�.��o [�' SE.Z°'���' C` Permit Fee $ Contractor .rl ELECTRICAL PERMIT Filing Fee Main service 61008'AOR LESS MP ORLESS5.00 �, U Main service EA. ADD'L 100 AMP 2.50 S� NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑NON I am licensed under provisions of Chapt. 9, Div. 3 of the Business n and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW -CONSTR. ( POWER APPARATUS .&) & RESID, SINGLE OUTLET CIR Ex50�� . Occup( p(OUTLETS OR FIXTURES BAL@10Q FIXED APPLNS, OR Ex. OCCU_.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 5 Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned 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 consequence of the granting of this permit. I I,' - l- ^ X 1 !� X11 (, ; I., : Date 1� ��r. . �.- Signature of Applicant — Own7fl—J Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Land Development Fee $ r TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code anal/or resolutions to do work indicatedabove for whio' fees have been paid. DIRECTOR OF- UBLIC WORKS By PERMIT EXPIRES Date Receipt NO. I - WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT ASSESSOR PLCj.Fy NUMBE?2 ZON G / ` BUILDING PERMIT OWN S ^,� C v TELEPHONE SQ. FT. OCC. BUILDING VALUATION W R'S MAILING A D SS L p c I-CONTRACTOR'S NA TELEPHONE CONT A 04 dWbyr2,,- CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 - Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer Lawn sprinkler system 1--2.00 TYPE OF WORK New Addition Rem del❑ Utilities❑ Installation�L Other[. Describe work:�.G�oL� s�%C c' _ Permit.Fee $ Contractor ELECTRICAL PERMIT Filing Fee Main service 500V OR LESS 100 AMP OR LESS 5.00 Main service ADD'L 100 AMP 2.50 NEW CONS/rEA. OR ADDNSDWELLING T `ACC. BLOGS,CCUP,&) 20 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO IDR BRANCH CIRCTU, TS) 2.50 ea NEW NON -CONRESIRST91 D. SINGLE OUTLET CIR. / Ex. Occu 50 @ 25c P�oX OR FIXTURES BAL@10s A. FIXEEDD APP LNSOR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation _+ permit Fee $ Contractor 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. 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 agains said Coun in c nsequence of the granting of this permit. X Date Signature of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for xcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ / OCCUP. GROUP TYPE OF CONST, I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code work indicated above for whi RECTOR O LIC BY PERMIT EXPIRES Date the applicable provi- d/or.resolutions to do ees have been paid. WORKS �j ate S v Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER: LOCATION: i g G © i inQ/liatom , Rd DATE: 9 -ZZ -q% AP.#: QW7 --I00-0-7-q CONTRACTOR: �� ZONING: PRE -INSPECTION FOR: a 4_�CSC.LJy %Jltn�v-c-cam Jz� ?'YLJ�/l W -e- 1 DATE TO INSPECTOR,Z% Cl �a PERMIT HISTORY: [ ]NONE [)dAS FOLLOWS: TRIE E. TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT ' uilding Description: ' [ ] Commercial/Usage: [ ] ResidentiaV# of Units: r Mobile Home: Yes[ No[ J [ ] Currently Occupied. [ ] AbandonedNacant. Electric: [ es [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? ' Natural [ ] Propane[ a'-J�one[ ] Currently 0"0 ] Obvious problems: r anitation: Plumbing working Yes[ No[ ] Well: Yes[ No[ ] Potable water: Yes: Nol I. Obvious Sewage Problems: _0 /� { . Action Recommended: [ Spector:, 9 [ ]Hold for: Date: � "IT P.1 ..0 -'TAOX211 07 146 14451R -I, W�, "Rip, X.N., "I., .-.. f', r 7 . , i),, * ' `- Li . L