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056-200-064
r . k / AP "6 -?&3W CSS 4 -- LYNNE WRIGHT S e/S Hwy 32, 6 N. o- ��'o,�� est Ranch, . a m' paSt�Aadison oad Permit## `3839- 4B, P,E (new . sf) LOT BLOCK SUB AP 56-20=15 P. ` L�INNF 1AIRIGHT TYPE OF PERMIT NO. PLAN NO. DA e/S Hwy 32, 3 mi. N. of Lookout, Fore PERMIT - Ranch) C%l►CO' Permi t# -4332-75P .E(.1 ELEC. C9100 GAS ff' SUPPORT'STRIUCTURE REQ. O W COMPACTION TEST REQ. -40 AP 56-20-15 Permit 5203-75 MHI _ ISSUED 7 56=20=15 Lynne & David Wright EIS Hwy 32, 3 mi.N.of lookout, Forest Ranch ; Per it #4064-76 ,E( i ELEC. GAS SUPPORT STRUC COMPACTION TEST REQ, AP 6-20-15 — Permit 4427-76MHI tu CONTR: Beich Sales, Chico ISSUED - ) B --). b EDt PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE NCE BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S - SIGN PERMIT i REMARKS 1 r i a i, 1 f HM -HOUSE MOVING 1 EP -ENCROACHMENT D - DEMOLITION 600. 1 t S'1 ddUMddV Sf]OVAIV77,7.7SIIIU 97VAOUddV 7h XY.L.T777 lVNld S1N3A Q S33NVi'IddV 3NIl 213M3S DNldld a31VM 1S31 32111SSmid SVfl NI-NDf1mi 31Va flIS 31Va 'fl IS 31Va fl16 31Va DIS 31Va 'DIS lbi3ewnN 11WU3d S'IVAO,YddV 5AlI9Mf)7d lVNid SM313 W S30NVIlddV v S3Ml11XId NI-Honoii 31Va 'DIS 31Va 'DIS 31Va 'DIS 31Va 'DIS 31Va 'DIS I2l3BWf1N 11Wi13d 97VAOUddV 7h XY.L.T777 lVNld S1N3A Q S33NVi'IddV 3NIl 213M3S DNldld a31VM 1S31 32111SSmid SVfl NI-NDf1mi 31Va flIS 31Va 'fl IS 31Va fl16 31Va DIS 31Va 'DIS lbi3ewnN 11WU3d S'IVAO,YddV 5AlI9Mf)7d 8rIVAOMc[dV o,viar IQS CM033V NOi.I33dSNI U"i CSI � 31VO 'DIS 31Va 'DIS 31Va 'DIS 31Va 3J�Va 'DIS 31Va 'fl IS 31Va 'DIS ' 31Va 'OIs 31Va 'DIS 31Va 'DIS 31Va 'DIS 31Va• 'DIS n 2 F z v m n t7 mD D� rm n m0 0 t7m R i1 0 tnm �- m0 x; 0 z 5 ym i- m0 �m �- )c >1m _- O m z �m t- 0 � ; z m m0 m� r0 O r C�0 oAD D3� I030 z Z 3z m3 m— 8rIVAOMc[dV o,viar IQS CM033V NOi.I33dSNI U"i CSI � PERMIT NO. 4064-76P,E PERMIT EXPIRES 7 Za )W OWNER David & Lynne Wright CONTR. owner .LOCATION (A.P. 56-20-15 E/S Hwy 32, app. 3 mi.N.of Lookout, Forest Ranch S . 9 E Temp. Power P le Called P E Temp. Ele . Serv. d ?� C/' 7 Calle PG&E Temp. as Serv. C led PG&E Y/, 76 NALED (Dat (Si a re) `C COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Bond Beam Framing Stucco Mesh Scratch Brown Finish r Interior Lad Door Closer DATE ,8v,v Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping'& T Tem .Gas Final Sanitation FIREPLACE I Final Footing Throat Final FIRE SPRINKLE Test Final MECHANICAi Heating Cooling Ducts Ventilation Final REMARK R CORRECTIONS PLUMBING ELECTRICAL Rough Fixtures Grd. Fault Prot. Service Temp. Pole Underground Permanent Final i (NOTE: An entry must be made on this form each time you visit the job site.) I V1 ' = COUNTY OF BUTTE — D'EPARTMENT'OF PUBLIC WORKS .. 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 •�/( // (�'/, APPLICATION AND PERMIT All AJ JU/ BUILDING Owner L \ N 1, 5- Jr— SQ. FT. OCC. BUILDING VALUATION Mailing Address d 1>1 ' 1v rL '( Tele hon I�o (� Fireplace Contractor — Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ / Building Address c %— w PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,Gpv "-- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Q. CID Each gas water heater or vent 1.50 A. P. No. 1p — --•�S T_ At g:2e Gas piping system 1 - 5 outlets 1.50 Q .60 Each additional outlet .30 Fees C. Sa I on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans cel eclaration Parcel Ma 60' R/W Im prove ents Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel provol Plan pprovol Permit Fee $10$ NEW ❑ ADDITION ❑ UTILITIES R1 OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, Main service 100 AMP ORV OR LESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home FgJ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTFLPOWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)BAIm22 L1 oo- Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.1 EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Q� License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ oc 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 orkmen's Compensation Insurance. certify that in the performance of the work for which this Yplermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned operty for insp tion purposes. X ,'' Date11)� 11 lw_T� TOTAL PERMIT FEE $ 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 P IC WORKS Signature Vf P itee or Agen g BY Date Receipt No. _19 L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date r0 k0t 1�. .T S XPi `0 �O "Ile Setback fibhl� � �•� �' flies Sideall ba S ft. from � � ��n��eof the and Sp ft � . }f'� �� a the road, Perrrmitti 11 �P��C ft. eaVe 0,..L ©F Or L t"'t-i eS PMT' � 4347�x-4J PM T- -,;t �06 4/- �4 All utility connections shall be �e located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. &60/ NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Buildinq, Plumbinq & Machanical Codes and the National Electrical Code. Ing, W)r Septic system and location to be as per Outte County Health Dept. Re.- quirements. y poe-411too OT '36i� ,.DvrQ e 6UTTE COUNTY 3UILDING DEPARTMENT APPROVED This set of plans a M0jiseS,-MUST be kept on the job at all times and it is unlawful to make any changes or alterations on samewithout written permission from the Department of Public Works, County of Butte. �+ 3ml. OI.EsU.RED i \ SUPPORT COMA07TIO141 PERMIT W< STRUT0 0 TEST REQ. A. P _ No.. ELEO �S ` YES 9 NO IES Yv0 s- p COt1NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BY Date �—`1-�71� Receipt No. T ��� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Ilding permit expires Date r7 7 BUILDING Owner VA V•l L aiac SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor -i L C i6pf-1aA 0.$ Total Valuation Mai I i ng Address S` 48 'E S A -, Permit Fee Plan Checking Fee &/or Penalty C k (L Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 nF u-- . —' Wocwck. 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, slrj �- "' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. S'aNi-tK�tipn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W p Im provemen Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel 4froval Plans Ap royal Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /6 r-• /!� % ���_ L Main service 100 AMP OR LESSLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25# BAL 109 Ex. Occu FIXED APPLNS. OR p• 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. 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 $ $ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date S /(J TOTAL PERMIT FEE Oa $ 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 OFIIBLIC WORKS t �� BY Date �—`1-�71� Receipt No. T ��� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Ilding permit expires Date r7 7 BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: kav,4 2. Installer's name: � %� �ja l 4 voKt. 541 -e r 3. Is the site currently under permit? Yes 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 7V_/ No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? -----------------------fps 6. What is the mobilehome site service rating? --------------------- fps, 7. What is the mobilehome site circuit breaker rating? ------------- 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? ---------------------- No (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG /t/J' 11. What is the gas pipe length from meter or tank to the mobilehome? (f t.) 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.:won 1M): MOBILEHOME SUPPORT DATA Mobilehome Mfr.Setup Model. No.—'I %Q'7 Year Width (ft.) Length �'/ 3 .(ft.) Expand& Size. ft..x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). - Sin le -► Footings (check. one) + Wood either pressure treated or Center Support fdn. grade. Footing Sizes (in.) 2. Concrete pad. In. X36 / / 3. Other,.specify -- -- - 3:6' Supports (check one) �%�1. /1Concrete block +L x Q / / 2. Concrete piers ;f� �in� (in.)(in.) 3. Steel piers -- - - — -- - - -- — 3`i 4. Other, specify 11 11 Typical Support x!�Ol �in. x 1 Footing Size Max. Pier g3. Gf�Spacing 4t. in.)�-ft,in.)1 (in.)(in.) � � � � Overhang _ _ _ f `a� —"-=). *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COU" DEPARTMENT A PPROVED + N, MH Ut il. PERMIT NO. 4332-75P,E P E M MH UTIL. .PERMIT NO. PERMIT EXPIRES ;OWNER Lynne Wright ONTR. ;LOCATION •(A.P. -20- 5 ) ;r e/s Hwy 32, 3 mi. N. of Lookout, forest Ranch e r, �r .o t . Temp. Power Pole Called PG&E Temp. Elec. Serv./__C/ Called PG&E Temp Gas Serv. ailed PG&E JOB ..� FINALED (Date) (Signature) s•• e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING_ BUIL NG (Cont'd) PTUMBING Setback Firewall Soil Piping Forms °—' Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab f~ Roof Sheathing Water Piping Piers Roofing Sewer -- Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test 1119 Footings structure Temp. Gas - Slab Final —' Sanitation-----�� Patio FI PLACE Final Footings Footing E ECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures - Bond Beam FIRE SPRI LERS Motors Framing ------- Test Water Htr. Stucco Final Sub anels t Mesh MEC ANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS J f _ N10BILE11O'ME INSTALLATION INSPECTION CHECK LIST 1., ;is the mobilehome located wit�equired separation from lot lines and buildings and generally conform to plot plan? Yes Y No - 2. Does the mobilehome have required clearances above ground? (Sec. (Sec.5085) Yes P No 3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes No 4. Is the mobilehbme level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (,Sec. 5088) Yes No 6. Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (S 5566) Yes No B. Test - Does water piping.withstand working pressure or 50 lbs. air tes esI� No C. Backflow - If coach isnot State o alifornia approved, does station have bac flow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes P <0 C. Are any leaks detected in drainage system after running 3-glons of water through each fixture including washing machine standpipe? .Yes No � D. If coac 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 connectedito the gas supply with an approved 3/4" minimum mobilehome connector not. more than 6sft. long? -Note: All piping is to be at least as large as th o ilehome s n without reductions ether than Oe y6b'1 m� co ector. Yes No B. es K s p following procedure? Yes _ o 1. Open all appliance connector va , 2. Shut off appliance burner.and pilot valves. 3. Air -test with manometer to 10"-14" water column', or test with slope gauge (minimum 6oz.-raaximum 8 oz.) calibrated in tenth pound increments. Test -for 10 min. without drop. 4. Connect gas meter to mobilehome u -i th connector, turn on gas, test connections with. soapy water. C. Are all appliance vents properly installed? Yes No le - 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating; ;f mobilehome with. a minimum of 19.0!amp) and other facilities on lot, i.e., water. pumps, C:, cabana, etc.? Yes i�/No �' V B. Is there proper clearances around panels? YesL-< C. Is power supply cord or feeder assembly properly fused? Yes iv, Nio. D. Is continuity test satisfactory as per the following procedure? Yevdls c- 1.De-energize electrical wiring system of the mobilehome at the pedestal. 2. Make sire 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 :est instrument to the mobilehome grounding conductor and apply the other lead to.each mobilehome supply conductor, including neutral. S. 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 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. MOBILEHOIE DATA • Manufacturer and/or Namestyle W.4z`^�yC�/ZQ� . / �5 0 Length- Width Vehicle Serial No. State Identification No. Additional Information or Comments: t I I � I I ; I , ,• � - I NOTE:—All M terrryls &. W lrk... l I i j - ' Accor;da 'ce wi+ , � - rnanship_I Shgll- -(3e in - { . L .. 1 ! , ! •' I Rec.. r mrp-d! Good I I I I I I _ l _of!3,^�`� ! ! I Practljces! on !_a_qua ,ty.l nr.: cri for A h` _i j Ur]iforl l�uilri Pn! PII; Rc_NI S.oec'f e u P m t IP r�hnnlrry;' `^pies-anr. j The Nati nryf I P. +� i - 1 Ill I ( I.Ic;..n�P_ - fhis-set -dF- 1 I -- j i � r� I I f. � I i. I. I ,� ��-- -_ -- _-_ _-- --l-•_--. •-_I__-_ ___. 1_.__..�._ _I_._._f _.._ ... dept ;qn ithe iob �at all tlm_es a_nd Iters unlawful Ito (- + I-- - - _ _ ! I __ ! make' any changes or alterations on same without I j w I'~ ' r ' + I 1 ' ritten � rmisson from She ase artmenf ofPublic - •— _ i 1 • � I,I. ��.:_ `:��®r�.���:� I ra�f • ._-�-•--! � � c �' -i--i--i-- i I I i ---Works;-�our ty of Butte. - - � —� ---1- -Lt --I . ........ C% - i: TF ' ! / I I aY .�. I�--moi I}'�i-'i '._.._`�`.".—.,,.... '-++•�.�`�•.� " �ii�r+r -.... �,..r,f�--.l..,` f, ---i-- - i --•--'---i-- --� -�9 VDA i - - - - I I -�_ + I ISe f;c�. ste and ocation e# d`- l� _ r—T--- P X—'-- — - to be --as -per? , —,- I I i ii i Rp-; I i-L- ---1- - --t-- t-- ; rjl f uti I i ty' connectlions/ shall be i ,. - -- — - !---- ,--i--- --;— located within 4 ft:`outstde ,the rear -!__ ! _- -----i—hird_section.. � i. � ( e -mobile --h - - -- — _� on the'le (roiid) side of'the mobile ! c . 1 I ; --I- I I ! ! i roI .lam_-ethac._sh�al I Ibe , 5 t. '— ! I I I l _ theida _pr�bpertyl line aids t. roti —�— the I en erl'ne �of Ithe! i ad p�rrri� tiro --- - ; ! -�— - ---i - — - -i i _.. q �k of -12-¢ ve-�Jerb- -�— I,J I I I I I i I _I 11�� Is...,.� I...—....I• � I T��,._....�..�='+..r-•.- _ `, 1---_._.^g.. _L.__._ -«•,IS __.. i--------�--'-•-�---1---•�• - LVL•, I l__ �__i-. ! + _I. I ! i i jII J��jF ._ L.._ I �—.._ �---I— �--`—'_-i - �-L ��-�._._.I_ .L_��"" ��,,i``. 4ti.1 +..1,._ �,•e+...� F�-"?',+. .1 �.�Jr 19w �! !•-.- BUTTECOUNTY BUILDING DEPARTMENT .. APPRO EP I Z^ 4�_ �i1.M�z :i�f.-t i7:! ^ tri u.JJr;-i• �w i � n �; h ZI�TMVC 7. EST TN.FQ i .,,.z . n e •��'.rei�r_r��—r., SY'.:e.... .aGeir^M.�:s. ,•�z-;.;-�*'-�ss's,;v.-•�_;,..r..x�x�s3 IA t ! t !i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for nspection purposes. �_xDate 1 Signature o ermi tee o gent ReceiptNo. �� ~ White-D.P.W. —Yellow= e�i k-Inspec rArlit 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 F OLIC WORKS By 4e Bu ding permit expires Date—�` ✓�' 01 a BUILDING Owner �' SQ. FT. OCC. BUILDING VALUATION , Mailing Address1171 Telephone N Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address S �� -� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 5, dcrlw X Each Trap 1.50 "f C Repair drainage or vent piping 1.50 Water piping C O Each gas water heater or vent 1.50 A. P. No. a, ��-/ ' Zo ng Gas piping system 1 - 5 outlets 1.50 Each additional, outlet .30 F k<W. S on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA ParkimgT Parcel Declaration Parcel Ma p 60' R/W Im rove ents p Lawn sprinkler system 2.00 ,P/lans IMFs Recd Parcel proval 1 Plans pproval Permit Fee $ • Ej 33-16, NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter. p 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 b0 (d2 c Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump - , Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ c D® $ 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. [-VI certify that in the performance of the work for which this ya 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 I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for nspection purposes. �_xDate 1 Signature o ermi tee o gent ReceiptNo. �� ~ White-D.P.W. —Yellow= e�i k-Inspec rArlit 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 F OLIC WORKS By 4e Bu ding permit expires Date—�` ✓�' 01 a V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965C Telephone: 534-4541 APPLICATION AND PERMIT !� BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing Addre s Pfi. Ak�/ ^�� eiepno vo. _ �/• � Contractor O WTotal fireplace Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty - Telephone No. Permit Fee Building Address �� ,� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 © © O © U Each Trap 1.50 02�$Pair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �O Q� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. Serti�etFam Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel gap 60' R/W Improvements Lawn sprinkler system 2.00 F:::::] Bldg. Plans Recd Parcell pproval 11 ans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 z2.zee 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 b al 1@10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �n I certify that in the performance of the work for which this ¢ permit ,is issued I shall not employ any person in any manner o 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I x X' Date l0' Irignature of 61mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant i If 01 O O TOTAL PERMIT FEE $3 b. I C)6 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 UBLIC WORKS Bye Date �ps`7� -7 Building permit expires Date , 6> -7 --w 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. �gI have placed on file with the County of Butte a certificate of OPWorkmen'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. X tib' Date Cg 5% Signature o ermitee or Agent Receipt No. 1Z 2-7397 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee @ FEE $3.00 2.00 $ TOTAL PERMIT FEE 1$12.0 111LZ 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 Building permit expires Date.......... Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION f Mai I i ng Addr ss 0 0 n C Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ 3 Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 7�. C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50jZ7 Ea c water heat or vent 1.50 A. P. N0. �-. Zoning 8 Planning Gastem 1 - 5 outlets p 1.50 Each additional outlet .30 F S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans ParcelParcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. PI 4'd I Parcel Approval I Plans Approval Permit Fee $ $ J NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ?j " Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family E_ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 bai �0 R s., swig s&fix lets 20(a25 sJ'rj 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 160 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring --w 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. �gI have placed on file with the County of Butte a certificate of OPWorkmen'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. X tib' Date Cg 5% Signature o ermitee or Agent Receipt No. 1Z 2-7397 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee @ FEE $3.00 2.00 $ TOTAL PERMIT FEE 1$12.0 111LZ 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 Building permit expires Date.......... Date E emtd* qXUtte- OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: David writ ADDRESS: P.O. UO3C 171 CITY & STATE: Forest RAincht CA" 9.5942 IMPORTANT: July 19. 19?& SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Ower decided not to build reo dem e. 74 .w -a! �,u , ftce AP 56-2400-19) (� {� S:e�Lldin j At fee ww.rr} $83.00 jj_ ,,���1 of �y,,wee •Mry14r'.rw1� l�1� L�{diA?un.t of refunds due .ww«�rww��!1�+ $53.33 1=16169 p4mit. fea ww__w $15450 ZW**M0 01108 Amm at *f refuad 4u* Ele*ar.ical vomit fes wM»I a. fl taft Mountof refund due TOTAL RNV0 DUE 087.63 $87 63 TOTAL $87 63 I, the undersigned, declare under penalty of perjury that services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. 19€h Julys a ftovt� lie Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that thg Ia- Budget Appropiiesleo�P or Spec% Boar6 WjvjiW (Check one) for the same. th Dated this .................................... day of ............................. 19......, at..��...��...��.....�.............. . Calif..................................................................................... Department Head or Authorized Deputy D ept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC . GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered of work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant .and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably.