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HomeMy WebLinkAbout047-320-013app. wu ' oz 1 5/ � v—s,­­ ­. --vr 1 . . � - - _ mi. east of Hwy. 99E Q - Permit 2157"=73P;E— -/� 7 -- app. 5001 off s�s Keefer Rd. app. 4 (utilities for mobile home)�� Hwy. 99 AP 47- (utilities for molhile home) LOT BLOCK SUBDIV. JOE W. SIMS `3')-/s I s/s Keefer -Rd. app. 2 mi. E. of Hwy _99 TYPE OF - PERMIT NO. PLAN NO. DATE 1 ) PERMIT Ch' o C i Permit# 842-75P,E(uti-I., MH),411 ,I ELEC. < y/aP�7S o - GAS —�—� S %S SUPPORT STRUCTERE REQ. COMA CTION TEST REQ. AP 47-32-3 CONTR: Carrell Bros., Chico Perm tN/1060-75MHI A f Issued5175 PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT I BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D -DEMOLITION 600.1 'L PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT I BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D -DEMOLITION 600.1 'L INSPECTION RECORD BUILDING APPROVALS �w IL Z O ONF Q0.'D puO.j J 0 LL ZK U-1 it wm2 OW iN W Z r O= w'- zg O= waF X"I W Ow W. Z1 K Ow WN Xa W W UO pm U ,J �Q a�W �� W QJV R WK u Z u' SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMSERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST ' WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS DESIGNATION MKM MIT 0. 842-7 5F, E P E. M ,MH UTIL. PERMIT NO. PERMIT EXPIRES 3 _ 76o OWNER .Toe W. Sims 'CONTR. LOCATION (A.P. 474 32-13 ) sls Keefer. Rd, app. 2 • mi. E. of Hwy99, Chico t ' F ?'Y rte j k `4 <k a a lee 7 Temp. Power Pole, Called PG Temp. Ele . Serv. a /Temp. PG&E Serv. PG&E FINALED (Date) „( ig ure) fi0 ` Building Department FROM Environmental Health RE: Sewage and/or Water Clearance LOCATION ION A . P#. Has been approved for SE7. AGE DISPOSAL . V! TER SUPPLY N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD B ILDING BUIL"G (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 FIREPL CE Final r Footings Footing ELECTRICAL masonry Walls Throat Rough �7 l Reinf. Steel Final Fixtures Bond Beam FIRE SP NKLERS 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 REMARK OR CORRECTIONS IS � 51 N. 1 .. r ' MOBILEHOtiE INSTALLATION 'INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes e- / 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. -5082 &x5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes o 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6: Water A. Is fIex�i le connector of adequate size and properly installed (1/2" ID min.)? (Sec.. 5566) . Yes 4 ---No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - 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 k_No . B. Does it have minimum" per foot slope and is it.properly supported? Yes No C. Are any leaks detected in drainage system after runningons of 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? yep rT„ . Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with in approved 3/4" minimum mobilehome connector not more than 6.ft. long? Note: All piping is'to be at least as large as the mobile e`gas lineinlet without reductions other than the mobilehome connector. -Yest No B. Test OK as per following procedure? Yes a'No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water colume, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.: Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed. Yes No _ .... ....... ._ . 9. Electrical A. Is service large enough to provi adequate amperage -to mobilehome (must equal rating of- mobilehome with a minimum of - amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C:, Is power supply cord or feeder.assembly properly fused? Yeses No ' D. Is continuity test satisfactory as per the folldwing 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 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. 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 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 _Ompletion 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. r MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT """ """"`Y VI UUt- IV V"`U' "N"" UM This permit is hereby issued under the applicable provisions of above- tione property for ins p ction purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date ( �l DIRECTOR PUBLIC WORKS ignature of Permitee or Agent ��� BY Date- Receipt No. / ZG� . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Zlding�... permit expires Date..........................�... BUILDING Owner^" OE , SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor � Total Valuation Mailing Address 30e/.� ES���� Permit Fee Plan Checking Fee &/or Penalty / (!_0lepho e No _gZ Permit Fee $ $ Building AddressS, S A� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 D°!% / .- �� /'ri,!! �� O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --3Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 F & Saw4e"n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel M p 60' R/W provements Improvements Lawn sprinkler system 2.00 Permit Fee $ or B Plifn Re Parce pproval Pla pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /(/ , 6 /Q/1 F- /t /' 11_ Xe- Main service incl. 1 meter 75- *P E Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 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 ]M M02 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 am style of �.� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump obit Home Facilities 5.00 1 Temp. Power Pole 5.00 License No(;) Classification Misc. wiring ❑ 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. Xhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 L L_ A -710A1 O?' M IJC TOTAL PERMIT FEE1$301j """ """"`Y VI UUt- IV V"`U' "N"" UM This permit is hereby issued under the applicable provisions of above- tione property for ins p ction purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date ( �l DIRECTOR PUBLIC WORKS ignature of Permitee or Agent ��� BY Date- Receipt No. / ZG� . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Zlding�... permit expires Date..........................�... This set of plans and spincificrytions MUST i �! r�� hept on r �.,� ..� 4 • t146g r !« ani chon es or Cherootons on some WI .hou .1 ; written permission from the Department of Pubric. 1: r ne nlag" oernack shall b2 5 tt. f eor IropC " V • the centerline of the road er i ,x a maximum of a'2 ft, oavo overhan o D IA o {3, i'✓o7�9 � 0 .4.ef,941,4 60 I 92GS6 "JiiEj '031gj UapuuEids3 ME RUM COUNTY BUILMNG DEPARTMENT •soV II a.raaD A 1— P R O ` , .. •_ �� �� - J - ,' • � ., _ , v.�� ifr. f�:`. �'. i �� ,'�: .. r . �� �, �� �. � / �� y..,.+.- _. _ ..� � � �� i .��� � `�� .. .. � }� - ' � � r - � " � .� i ..ter �. ..._ .. �.. � - - - - `� •R i " t. ar, x ��' '4 � - ., � - _ v 51 Min. Street or Driveway 140BILEHOME INSTALLATION INFORMATION SHEET 0) 4) 10 V cd A "4 LO 0 &J 0. 0 > W 41 N cu z 0 v-4 M '114 Aj Z to N, U -H AJ .44 m 0 C_ O. 0 cm 4-4 c r. 0 -A 14 -,4 � w e C3 10 u 41y W pf-4 U U 0, (n r_4 W A 0 CC'0 W M E:' 11 to El v4 0• a ci I: 0 �c Z 4cn .1-4 0 ;P.% 0 ,z Wr_i 4) Z 0 0 0 co Aj AJ b ca _H V4 V4 U �,u co0 0 m p 0 �s (L) P 0-4w -f4 r-4 to z 7. :3 0 0 $4 p Cl L) rAr _f4 (L "a). 0 r_ r4 O U) (b &J co m (L) 0 0 0 •a > C3 0 &J 0 4 C AJ V_ lU OJ -H 0 U -i Cl U i .0 cc rt C P H r. C. U CION :1 14 -H - 4 U C CZ . 0 WM W 0 "4 .14 V V W -H co ,4. d), .14 44 'V -4 4J :3 1:6 (A 0 0 0 0 ,C M 0 0 :3; M .0 CL 0 L.; 0 0 0 Z U (0 W C: 4) 0 0 M 0 M &d M 0) 0 -4 0 C). cs Q z 0 L) cz :3: .AN, �1: >4 q ami _N V; 1D 4j r4 .v4 >1 cdn '°V4 Go r-4 z ,..'.0 cl A 4j :$ .14 :..0:.: 1 .1 Ia. ;:-* l 41 0 .01-4).....l. 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Aj C6 14 W r4 -H u u fp cd 4j N 0 .4 Lp G 0 -4 C (D CO a) - Ij »4 Aj 04) 0V4 41 C: U a, ri u r 0 E: 0 P-4 0 0 u '+- V 0 9: 1$ ce V4 -H 0 u W r2 u rj Z 41 C 4V 44 60 4j 41 u -,4 0 r. -f-4 G 0 0 (i c C: �,114 C: j N N 44 V-4 $4 CO C1.O -W -r-4 W v4 -.4 0 0 144 W 13 '�AU , ��W -4 AA 4) ir 1 (0, V � -4 0 x ®rq:*,4 Z ;a 'Cl "4 6--k 10 (n M IJ 0 0 0 10 0 r mWH r_4 0 0 0 -4 z Aj CJ &j -4 /r7 G_H (V 'a u'.4 win 0 0) Q $4 4J 0. cd VJ 4 u z >; (i m 0) 0 .,4 1; >% cl 14 `4CL u 1+ " W ' 'j .-Z- U)­'�q >A . 44 4J r4of -,4 C: -,4 tj*­ �l 4j 1W " " 4V > W 4 0 4j :3 M0 0. p C: $j :1 .), d) 0 0 4) cc -4 ucd 4j U >% m C13 -,4 0 M o: p uM,cu- w:'0 $4 0 4) r 4 0 Cl, r_4 .14.- Cl Cl Ml co W m 3+..0 cn u44 0. od U H -4 .:3 1:3 M -,4 >4 0 Mobillhome,,\ Gas Drain inlet Q I I I Water -4 Electrical) C QFC ADDITIONAL CC�LN:*7:;TS Drain Connector, Describe_ --5 Water Connector, Describe LO,O B&t2,ING SUPPORT A';D _'OOTING INFORMATION Pier Spacing Used Maximum Pier Load Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimension Used o;:2 41 DC I � TYPE OF PIER_ USED �^ Steel Concrete Concrete Block Other TYPE OF FOOTING KkT_RIAL USED Pressure Treated Wood Concrete }� Redwood (Grade) Other Approved Type LOATH BEARING S0POR TS BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT --V--1" — "' "" ""U" y "' 1""` W .1111:1 UPI -111"'C This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated c above for which fees have been paid. Date ��y- DIRECTOR OF PUBLIC WORKS ASignaYu7_re of Pmitee or Agent C�4 s1 BY `�- � Date �✓ %' 1 _ Receipt Ner No. AF ` y / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date......... ... ..5?......... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address )e'% q A r (�O Teleph=ne o. y S Fireplace Contractor w a& K_ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address S �T PLUMBING No.1 @ FEE PERMIT FILING FEE 0 , ©(7 % / a- h%/4 44L!4 Q t'= (44) Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /0.0 Each gas water heater or vent 1.50 A. P. No. Z47— Z Zonins ^ ^ Gas piping system 1 - 5 outlets 1.50 0 _ irEach additional outlet .30 F s S o Fire Dept. Fire Zone U e Permit Building sewer 5.00 , � EQA Parking De or Parcel Map / Improve ents Lawn sprinkler system 2.00PI�V 4L P ns Rec'd orcel A oval Plan pprovol Permit Fee $ , $ 01 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 , Q Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 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 20 bol to 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 C. Temp. Power Pole 5.00 License No. Classification Misc. wiring Is I am exempt from the Contractors License Laws of the State of California. Permit Fee $.21. 10 L'A5Y toc 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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ sY --V--1" — "' "" ""U" y "' 1""` W .1111:1 UPI -111"'C This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated c above for which fees have been paid. Date ��y- DIRECTOR OF PUBLIC WORKS ASignaYu7_re of Pmitee or Agent C�4 s1 BY `�- � Date �✓ %' 1 _ Receipt Ner No. AF ` y / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date......... ... ..5?......... �~f_be //_ Setback shall! be -- -- --I 5 ft. fror _t �I — j I the�sid,property Ione and chef nferline of the o - -Ift- 50 permft ft. fror A. i Chas -kept set �..: on of plans aocha... the joli�-et-�a11-times-iri Ai�UST tai it -is unta�wfuJ=to I• I I I 1.. -- rr'aXimum�Qf a 2 ave I Overhanc --- - i make_eny�c#�a-ge_s� i �►ritten r 'alteratrons I i. per the o sa�nlovt Department of .PubA'r -- Works, ::County �.from of Quite d, I L I I I — t.' ' i P he mobilefiome. - v fi Septic L j~Butt kqu1rorne dr r-ounty sysrn and Ci. x,ot its. a. location-ql-— to bb as HeattH-=peps--Re- - ��'.5.-- __i.�. �.: I , ` —� tom►-N-� � D -� D pw - i - 1 I Q i _ All ocatedwithin4ft. u.c�-o-n-nr�ections 6utsidel shall the be �� rearPC1I =-third-secinh — - - - - --{— j OV'home. on the left -- (road)' . side of the r4biie i - T!- 7��'- - j ' �UIL-DING=pEP�RTME�T - � I ..« a _ --�-� 4 � _770 -TALI �1-,� 3 1 0 ____��.-- I 1- _ - A P ---Imo____ p_RO����p --�._��-_ -�- -13 j. COUNTY OF BUTTE - DEPARTMENT- OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives of the county or tsutie to enter upon ine above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. 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 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I I I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 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 baba] 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. lisp. 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 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 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 $ $ 1 certify that 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 $ autnonze representatives of the county or tsutie to enter upon ine above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County 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 inspectio purposes. X - Date Signature of Permitee or Agent Receipt No. T 6 7 341 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 FWBLIC WORKS By Date %'`G -% 3— Building permit expires Date BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION �- Mailing Address J2.27 f c v Telephone No. 1" 1&/- 4- Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address e7 o A2_Gv / D-7 e( s PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 LS'- rA R ` . 'C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 )Z� Each gas water heater or vent 1.50 A. P No. B Gas piping system 1 - 5 outlets 1.50 115Z) Each additional outlet .30 / FaS VXe.a at ire Dept. Fire Zone Use Permit Building sewer 5.00 -Uc) EQA Parking Parcel Plans Declaration parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Plans Rec' pt,�� - g (.0 �.J rcel Approvl Plans pproval Permit Fee $ $ c NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 c� Main service incl. 1 meter 3 td 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 20,25 Light fixtures b��a_l�t 1�0 Receps., switches & fix outlets Z�5 I Q In 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 f -- t.F j 'j-10 Mobil Home Facilities 5.00 "v Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT 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 TOTAL PERMIT FEE $ L 4 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. X - Date Signature of Permitee or Agent Receipt No. T 6 7 341 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 FWBLIC WORKS By Date %'`G -% 3— Building permit expires Date i'300 'Orr* fide9Wg. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. F- /d Ds A0 4ell h�a m c31j/to /NG C-0 U/ �. A �T Septic sY item - • a ►on � ButteComy s to be '0 ! quirernen ealth Deetper Vi All I blit located Y connections shall / thirdwit in 4 ft. be �secti ° f outside the rear0 on the left Of side fobile homed home ' he S",e t Pt mobile (� \ f \