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HomeMy WebLinkAbout058-730-030BLAC K, G -LW NIS of Big Bend Rd. at east end of Black top Permit-101-72(Utilities for a Mobile Home) fi�/�• ff�L�78 SS 7 - o Permit #4366-78P I (exist site) ssued Permit ##36-79P (new gas line)MH F STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT g"T0F DIVISION OF COMMUNITYAFFAIRS Community Development Block Grant Program 1800 THIRD STREET P.O. BOX 952054 SACRAMENTO, CA 94252-2054 (916) 445-6000 FAX (916) 327-6660 October 23, 1991 Mr. William Cheff Director of Public Works County of Butte 25 County Center Drive Oroville, CA 95965 RE: CDBG Agreement #90-STBG-490 Request to replace mobilehome Dear Mr. Cheff. The request of Carol Terry, of Connerly & Associates, to replace a substandard 1961 12'x 60' mobilehome for the Carolyn Boyd household, located at 5109 Big Bend Road, is approved subject to the following conditions: 1. The mobilehome to be acquired must be defined as "used" in accordance with the CDBG Grant Management manual. The acquired unit may be a double -wide. 2. . The replaced unit must be placed on a permanent foundation. 3. The promissory note and deed of trust must be executed by all parties on title, and must be due on sale upon expiration of the life estate. If you have any questions regarding this matter, please contact me at (916) 323-6734. S*cerely, J s Norvall mmunity Development Representative 7 cc: Connerly & Associates, Inc. PERMIT NO. 4366-78MHI existing site PERMIT EXPIRES OWNER GUY , C . BLACK CONTR. owner LOCATION (A.P. 62-46-30 NIS of Big Bend Rd at East end of Black Top, Oroville a' 6 Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. t Called PG&E _ Temp. Gas Serv. _ Called PG&E _ OB FINALE Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall; Reinf. Stee COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing _ Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicap ed Conformance of ex. structure Final Appliances Gas PipingTest Temp. Gas Sanitation FIREPLACE Finai Footin Fi Motors ELECT mean MECHANICAL Grd. Fault Prot. Scratch Hea ting Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---- Elec. Service )(/SnjV� ec. e es a Water Piping cstc� �� 1 EH MEINSTALLATI N --- --- --•----- Su Support Gas Pipin Elec. Continuity Water Piping � -� - Drainage �i -) Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes / No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes4 No 4. Is the mobilehome-level? (Sec. 5088) Yes 10ZNo 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. I's flexible connector of adequate size and properly installed.(1/2" ID min.)? (Sec. 5566) YesX 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 No B. Does it have minimum 4" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons 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? Yes No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All -piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. :Test OK as per following procedure? Yes— No 1. Open all appliance connector valves. r 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column; or test with slope gauge (minimum 0 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test,for 10 min. without drop. 4. Connect gas meter to mobilehorqe.with connector, turn on gas, test connections with .soapy water. C. Are all appliance vents properly installed? Yes :1 No 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 1Q1 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? Yest---�`No_ D. Is continuity test satisfactory as per the following procedure.? Yes _�o_ 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 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. MOBII,EHOriE DATA n �a� � AlD � Manufacturer and/or Namestyle j� LengthTWidth (p b A Vehicle Serial No. 7 State Identification No. 7 �� Additional Information or Comments: S I 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 requirements of the California Administrative Code, Title 25, Chapter 5, under permit number rfor the following location: � 1 Owner Owner's Address Mobilehome Mfg. — Model Year Insignia No. 7 �.�`� �� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date i BY _ r -r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. J .COUNTY OF 4UTTE — DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive — Oroville, California 95965 ao, �%Telephone: 534-4541 0 / APPLICATION AND PERMIT �` authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Date b� 7 ature of Permitee or Agent Receipt No. 7 20% 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 abovefofor.-which fees have been paid. / f DlitECtOD-XIF PURNC WORKS Z ffAF/N/L_ /=_NGE:/I _uIlding permit expires Date I BUILDING Owner C� L SQ. FT. OCC. BUILDING VALUATION Mailing Address e e>. 1-1 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address " Ed Plan Checking Fee &/or Penalty - Permit Fee a PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 0/ Z0 V t L L.(r Repair drainage or vent piping 1.50 A. P. No. — ^' O Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Sa"4e"n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements ._Building Each additional outlet .30 sewer 5.00 Bldg. lil� i1s Rec'd ParcelfAvroval Plans Ap Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ � —T 07Y LS i�_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPeoov OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. \ ACCLSiBLDGSCCUP. � 22sgft LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name St le of: Y NEW NON-RREEBISIDD, MULTI -OUTLET CONSTCONTRACTORS ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES1 g 250 @2j 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 1 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 $ $ 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 e14171 r Is C)JQ TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Date b� 7 ature of Permitee or Agent Receipt No. 7 20% 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 abovefofor.-which fees have been paid. / f DlitECtOD-XIF PURNC WORKS Z ffAF/N/L_ /=_NGE:/I _uIlding permit expires Date I R X�� �+f rw,a'h n �j�!.�, N�' �.r f.{.. �� :` � • �=E -%3 �� N i ! z `^R Ft��.'F 'y, "�'.*'^Z ���s � �� �,{:l �� ��y,.:.`z �..+ �....+....-.v ;0� r%t,z ti., tr`,`•:.«% ��Y���'.'xi�`� i.rs .� 6 `! 9 Phis set of plans and specifications MUST kept on the job at all times and it is unlawful is A 1n ,,s or alterations on same without make any ch N writ'61- permi;sian from thr e Department of Pu \� fic Works, County of Butte. 0 O Zoo- so° p o_ All utility connections shallis located within 4 ft, outside the reae r third section of the mobile h on the left (road) side o f the m Qlb home, i. o D C1 it 6_ BU -7-E CUU�yj WADING DEPAR7MEW A PPRo D 9 OZ � O 16 oo � 1 9 JgdKetback shall be 5 ft. from theThefrom the side property line and a ttin a maxi- centedine of the road, p 9 mum of a 2 It. a ave overhang but entirely out of all e 4 . N C) UN v 1 X99! \ J 9 \ 76. /9 . \ 2519•' '' , . \ O �, p O � _ : `' -� O ON 1 \ �1( Q 322.70 R X�� �+f rw,a'h n �j�!.�, N�' �.r f.{.. �� :` � • �=E -%3 �� N i ! z `^R Ft��.'F 'y, "�'.*'^Z ���s � �� �,{:l �� ��y,.:.`z �..+ �....+....-.v ;0� r%t,z ti., tr`,`•:.«% ��Y���'.'xi�`� i.rs .� 6 `! 9 Phis set of plans and specifications MUST kept on the job at all times and it is unlawful is A 1n ,,s or alterations on same without make any ch N writ'61- permi;sian from thr e Department of Pu \� fic Works, County of Butte. 0 O Zoo- so° p o_ All utility connections shallis located within 4 ft, outside the reae r third section of the mobile h on the left (road) side o f the m Qlb home, i. o D C1 it 6_ BU -7-E CUU�yj WADING DEPAR7MEW A PPRo D 9 OZ � O 16 oo � 1 9 JgdKetback shall be 5 ft. from theThefrom the side property line and a ttin a maxi- centedine of the road, p 9 mum of a 2 It. a ave overhang but entirely out of all e 4 1'. Owner's name: BUTTE COUNTY DEPARTMENT 'OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET k(#A/ ),x- .Ot_ _ e 2. Installer's name:, 3. Is the site currently.under 0ermit? Yes " No (If yes, furnish permit number OR Is the site an existing site? Yes/P--r No 7 7 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be locat'ie-`d-. least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements?}Yes No (If no, clarify 5. What is the mobilehome electricalrating? ----------------------- Amps t_�P_ 6. What is the mobilehome site service rating? ----------- _0 ��4:mp s 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 Tj__I (If yes, identify theloid and size: (Load) (Amps) 9.* What is the mobilehome site gas pipe size? ---------------------- 3/c/ (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the length I from tank to the (ft.) gas pipe meter or mobilehok4w�_)4_ 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on L 10 MOBILEHOME SUPPORT DATA slI1/ If other than single wide, MobilehomeMfr. 0' �i furnish Setup Model No. Year WidthI-)- (ft.) Box Length L��O (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). 0 v All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (� Single AA 1. Wood either pressure treated o foundation grade. x (ft.)(in:) � (in.) in.) ❑ .2. Other (specify) Center support u nter support A-3- 'locations* footing sizes Supports (check one) (in.) 1: Concrete block. x 2. Other (specify) (ft.)(in.) (in.) (in.) ¢—Tagalong or Expando, show support details. �. (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max. Pier Spacing Max. Overhang (ft.) in.) BUTTE COUNTY SUILDING DEPARTMEN APPROVED *If center piers are other than drawn above,. draw in -locations, spacing, and dimensions. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK _ 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 ] APPLICATION AND PERMIT / aut"Of—c icNicacniauvas ul the uuunty of uutte to enter upon the above- n ioned property for inspection pur oses. 9 X Date S[L Sig/. re of Permit/itee or Agent Receipt No. 9 White-D.P.W. — Pink- nspector — Goldenrod -Assessor — Yellow -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 Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty 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 11<f10 Each gas water heater or vent 1.50 A. P. No._ Z _ Zonin�—Z— .`� Gas piping system 1 - 5 outlets 1.50 /3 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Building 9 sewer 5.00 Plans Fees ,/ W. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ a-- $ t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 20025 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 Misc. wiring c2 License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ r 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 orkmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ tate Fee far 5rr�rg Motion $0.07/$1000 Evaluation note Fee for n n gMot $ $ TOTAL PERMIT FEE $ aut"Of—c icNicacniauvas ul the uuunty of uutte to enter upon the above- n ioned property for inspection pur oses. 9 X Date S[L Sig/. re of Permit/itee or Agent Receipt No. 9 White-D.P.W. — Pink- nspector — Goldenrod -Assessor — Yellow -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 Permit Expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS / /� 7 County Center Drive -- Oroville, California 95965 /C, /-/ Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT .d BUILDING Owner ��, SQ. FT. OCC. BUILDING VALUATION Mai I i n g Address �J`-J y' Fireplace Contractor � Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address -5?"n%/j' i�,�._- �� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Y Each Trap j 1.50 i ! Repair drainage or vent piping 1.50 Water piping v 1.50 Each gas water heater or vent 1.50 A. P. No. a 2 - ,-z _ O /� ZoningA--1 Gas piping system 1 - 5 outlets 1 1.50 /s " Each additional outlet 50 Fire Zone Fire Dept. Sanitation U-/— Planning, tr Building sewer 5.00 S .amu Plans � Fees ✓ W. Cis/ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee f ELECTRICAL No.1 @ I FEE PERMIT FILING FEE - $3.00 f '" Main service incl. 1 meter 7 `z Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (morethan12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets49 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„/ 5___- License No. Classification ❑ 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 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 In Strumentaniontrprogg Motion $0.07/$1000 Evaluation $ TOTALt PERMIT FEE $ CLU Muf ILC I eIJ1 CSen ldU VCS of the kounty of uutte to enter upon ine above-mentioned property inspection purposes. �f �J X Date Signture of Permitee or Agent Receipt No. � t White-D.P.W. — Pink -'Inspector Goldenrod -Assessor — Yellow -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 Bys�*�-�� ' ` Date C Building Permit Expires Date �' - r .01. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tele hone:�534-4541 - APPLIC TIOKi AND PERMIT , _ ;? BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /Y/C Plan Checking Fee &/or Penalty Permit Fee i PLUMBING No. @ FEE ! y' 4 17A PERMIT FILING FEE $3.00 -3,00 Each Trap 1.50 i r C /I'N�E4,YJ'� Repair drainage or vent piping 1.50 / A. P. No. C.^ ` 3 Zonin P «,nrng Water piping 1.50 Each gas water heater or vent 1.50 Fees W C.. Sanitation Fire Dept. F, re Use Permit Gas piping system 1 - 5 outlets 1.50 /(,.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Lawn sprinkler system 4i0:0:1 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑G' Permit Fee $ /3.00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 100 AMP O OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS/DWELING OOR ADDNST % ACCLBLDGS.CCUP. &'\ 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEN CONSTR BRANCH TLET CIRCUITS NON.CRESID,ONST � BRANCH CIRCUITS% 2.50ea NEW CONSTR (POWER APPARATUS d NON.RESID, `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES g L@1� FIXED ALNS. Ex. Occup. ( OUT ETP P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification— lassification 'Misc. Wiring 6.25 ❑I am exempt from the Contractors License Laws of the State of California. [Bei Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE $3.00 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. L.eceipt �' f r` �� Date Signature of Permitee or Agent No. / '�'��4 -D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i �J Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE s / �,J This permit is hereby issued under the appl'i'cable provisions of the Butte County Code and/or resolutions to do work ndicated above for which fees have been paid. /�DIREC�T/OR OF PUBLIC WORKS/ gy%if l:2 _-f'�/// 'r^ pate �! z �7 q V J` rr Building permit expires Date r/ s /,s—eq COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: X34-45,41 `/ APPLICATION AND PERMIT vC�J j authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. Date Si ature of Permitee or Agent Receipt No. Z -417'9f 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 fo which fees have been paid. DIRECYDQR OF PUBLIC WORKS BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address T, e�hone No._ /� Contra/tor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressC _ Plan Checking Fee &/orPenalty Permit Fee ' 4 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 '3,.00 Each Trap 1.50 o `ava— Repair drainage or vent piping 1.50 /' A. P. No. C� ��+ ,3 (' Zonin P n9 Water piping 1.50 Each gas water heater or vent 1.50 8arlkfAten Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 x.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER K— permit Fee $ 3.04 $ 73 IF6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ®� Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING OBLOGSCCUP. s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESIDi MULTI-OUTL T TS) 2.50ea NON.CONS BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTtIRES g @L 1@ 01 Ex. Occup. (OUTLETS P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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. 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 $ $ 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 I Land Development Fee $ TOTAL PERMIT FEE $ 3 00 authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. Date Si ature of Permitee or Agent Receipt No. Z -417'9f 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 fo which fees have been paid. DIRECYDQR OF PUBLIC WORKS