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HomeMy WebLinkAbout061-080-020�F. -'_ 61 -8 -20 - DONALD HENNESSEY r ITNESSEY-, Donald 1161-67B App I f W/S Zink Rd, app 1.5 I - - _- - A 74 of mi. from BaldrockRd,,Oroville r 1-Og-2 _ Permit #7405-78P,E (relocate util n/s Zink Rd: app. 2 mi. east of Bald Rock ��,E�i ting s�)_O� S_ q`� (n familp room- shelter for trailef) GAS _ ' f SUPPORT STRUCTURE REQ.-vt� f COMPACTION TEST REQ 61-08-20 Contr: Curleys�trailer Towing Permit ##7406-7 MHI Issued (ro 01,77 - I IALP 56knv?ed I 3 3 a 1 i ' Y i t I i i 61 -8 -20 - DONALD HENNESSEY r ITNESSEY-, Donald 1161-67B App I f W/S Zink Rd, app 1.5 I - - _- - A 74 of mi. from BaldrockRd,,Oroville r 1-Og-2 _ Permit #7405-78P,E (relocate util n/s Zink Rd: app. 2 mi. east of Bald Rock ��,E�i ting s�)_O� S_ q`� (n familp room- shelter for trailef) GAS _ ' f SUPPORT STRUCTURE REQ.-vt� f COMPACTION TEST REQ 61-08-20 Contr: Curleys�trailer Towing Permit ##7406-7 MHI Issued (ro 01,77 - I IALP 56knv?ed I 3 3 a 1 i ' Y T l g PERMIT NO. 7405-78P,E PERMIT EXPIRES OWNER DONALD HENNESSEY CONTR. owner LOCATION (A.P. App 74' off W/S Zink Rd, app 1.5 mi. front Bald Rock Rd. i 1 F ` f y I` p f V r i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALEDV 502) (Date (Signature) Brown Finish Intprior Lath Door Closer MOBILEHOME Wafer Piping S OBOE lm Waterer= DATE Final Subpanels MECHANICAL Gird. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final TIL ITI ES - - - - - - - - - - - - - - - - - - Elec. Service SIZfl,7Elec. Pedestal s�9 f Sewer o Gas Piping NSTA LATI N - - - - - - - - - - - - - - Support Elec. Continuity i° Drainage Gas Piping REMARKS OR CORRECTIONS 75? G'�� ���e �i��-,z (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD : BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list 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 Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r pehysically handica Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Flwhirns Brown Finish Intprior Lath Door Closer MOBILEHOME Wafer Piping S OBOE lm Waterer= DATE Final Subpanels MECHANICAL Gird. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final TIL ITI ES - - - - - - - - - - - - - - - - - - Elec. Service SIZfl,7Elec. Pedestal s�9 f Sewer o Gas Piping NSTA LATI N - - - - - - - - - - - - - - Support Elec. Continuity i° Drainage Gas Piping REMARKS OR CORRECTIONS 75? G'�� ���e �i��-,z (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 0 3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes r' ,No= 5. 'If morp, than a single unit, are crossover connections properly installed? (Sec. 5088) Yes IMAO 6. Water A. Is flex/�'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Oi No B. Test - Does water piping withstand working pressure or 50 lbs. air test?-Yes_4­-1N9_ C. Backflow - If coach is not Stat If California approved, does.station have backflow device and pressure -relief valve? Yes e �— No_ 7. Wastes and Drains A. Is connection made with Schedule'40 DWV and have flex connectors at each end? Yes o B. Does it have minimum 4" per foot slope and is it properly supported? Yesz No C. Are any leaks detected in drainage system after run ng 3 -gallons of water through each fixture including washing machine standpipe? Yes�o_ D. Ifis not State of California approved, does station have required trap and vent? YescoaNo 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 mobil ome gas line inlet without reductions other than the mobilehome connector. Yeso_ B. :Test OK as per following procedure+ Yes No_ :1. Open all appliance connector viLlves. 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.-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 No' 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana,'etc.? Yes K No B. Is there proper clearances around panels? YesNo_ / C. Is power supply cord or feeder assembly properly fused? Yes y No 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 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. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width w Vehicle Serial No. State Identification No. Additional Information or Comments: 0 11 1 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 % for the following location: r + Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. /• > It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works i Date 07 By ii THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J _. 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 - entioned property for insp tion purposes. Date Signature of Perm. ee or Agent Receipt No. ���% White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the BVKe County Code and/or resolutions to do work indicated al: f which fee ha a been paid. --ARE= OF BMLIC WORKS BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 'I Tel hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Q C� �' �,, Plan Checking Fee &/or Penalty Permit Fee A2,0 Inn, Ion Ral It a drv- PLUMBING No. @ FEE Ito 16 PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. b i -2- d 61-0-2-0 ., •� Zoning & Planning Water piping 1.50 10+00 Each gas water heater or vent 1.50 F s S on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 io,Oq E Parking ParcelEach Plans I Declaration Parcel Map 60' R/W mprovements additional outlet .30 Building sewer 5.00 O;po Bldg. ns Rec'd 9• Parcel royal p Plans provol Lawns sprinkler system 2.00 p y NEW ❑ ADDITION ❑ UTILITIES �' OTHER ❑ Permit Fee $ �, �,Q,r ELECTRICAL No. @ FEE + PERMIT FILING FEE $3.00 3,00 Main service 600v DR LESS . 100 AMP OR LESS 5.00 Single Family ❑ Mex 1:1 Mobil Home ® Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER600v 25.00 100 AMP OR LESS , Main service EA. ADD'L 100 AMP 1.00 NEW CONST.OR A.D.S. ACCLBLDGS.LING CCUP. Y\ 20sgft I 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 st le of: %� NEW C.E aID BRANCH TLET NON -REBID `BRANCH CIRCUITSI 2.50ea CIRCUITS) NEW CONST R. POWER APPARATUS d NO N•R ESI D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /5,00 License No. Classification Mi +riTfg 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 24 rvv $ 2 6 le Z 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 Land Development Fee -Z $ TOTAL PERMIT FEE $ �C authorize representatives of the County of Butte to enter upon the - entioned property for insp tion purposes. Date Signature of Perm. ee or Agent Receipt No. ���% White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the BVKe County Code and/or resolutions to do work indicated al: f which fee ha a been paid. --ARE= OF BMLIC WORKS r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County tenter Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X r Date Z Sig/.re of Permitee or Agent Receipt No. I SS,917/ 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 ahoy r whi fees have been paid. ( REdTffi OF PLIC WORKS Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor uv. y,� ti ,� �� � Mailing Address $' r. Fireplace Total..Valuation i^CJ L l �, f b Telephone No. 5 3_ Permit Fee Building Address J 9 '- Plan Checking Fee&/or Penalty Permit Fee n 61L 100 a kyly7r/_6Y� h hn PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ���� Z � in ong & F lanning Water piping 1.50 Each gas water heater or vent 1.50 �ees xic Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pits Rec'd �� Parce%WA royal � Plans'�Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ J$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex Mobil Home ® Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 4) 22sgft OR ADDNS. ACC. BLOGS. 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 styl of: . , TLET NEW RES,.,CO BRANCH CIRCU NO N.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTliRES g L 1 IXED ALNS Ex. Occup. (OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 G License No.20373 3 Classification &/ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. PD -1 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 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 s .3 C) TOTAL PERMIT FEE 30 '� autnorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X r Date Z Sig/.re of Permitee or Agent Receipt No. I SS,917/ 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 ahoy r whi fees have been paid. ( REdTffi OF PLIC WORKS Building permit expires Date MOBILEHOME SUPPORT DATA Mob ilehome. Mfr. ��/ T %�%/� L //l/ ,� Setup Model No. Year 1 910 Width (ft.) Length S _ (ft.) Expando 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 Footings- (check. one) --' /4/—t'. -'Wood 'either AN ipressure treated or Center Ce et' r Support fdn. grade. Support F�ting,.S3zes Locations �'i�i. 2. Concrete pad. �� / / 3, Other,: specify 1 -- — - Supports (check one) /`7 1. Concrete block 40,- x ' / / 2. Concrete piers `ftp (fn (in.)(in.) ))) 3. Steel piers 4. Other,. specify -- - - — -- - -- — 'g y�Typical Support 2 (� x Footing Size x�L—.._.kin. in. (in.) + F Max. Pier s' Spacing in. x > . Max. Overhang /0000. *Ifscenter piers are oter than drawn above, draw in. locations,._spacing, and dimensions. gU�� Co�� BUILDING DEPARTMW - -A PpRQVED• VY !;7, , , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: a Al /4- L D E &,41. 15 S r y 2. Installer's name: Cu /? ,y 5 -rR 4 C_ � 7-0k)/ "V C', 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 / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 0 fps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- j, 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) Q, 2_ (Amps) 9. What is the mobilehome site gas pipe size? -----=--------------- 10. What is the type of gas service? -------------------------- -- . Natural / / LPG / 11. What is the gas pipe length from meter or tank to the mo 'lehome? 149I( , ft.) 12. What is the mobilehome gas demand? --------------------f--------- (BTU) (This information not required if pipe length less than 6 ft. on al gas or less than 50 ft, on LPG.) F�9 S 7AF RO, YNd �,conF�rc� :�it��ssE'y /CIA tot 46+Y - A permit well be required for fhs . installation' of ;'rhe mo.bileliome, w Septics stern an //n of Y d locati�i Butte County 'Health Dept. R oto be - as per obi ments. , UN OVT UO9 IL IE SePrr (" NOT 1 • ) ill �� , :y , r ., ! i , NOTE. All �Matei•ials & V\/orkinanship Shall Be in. 1 t�I Accord nce; v�►tit ;Re5ogni�ed" `Cvood ,'Practices and M o- -a qu lity pre,crfbed for fhe ecified use in the Uniform u�l'011"% plumbin &':Ma p { f. , ( g chanical Codes and theiNatonal Electrical Code. . ' Ail . y4ility connections shall e �:. 1 r t „! „� ,,� A located within 4 ft. outside the re 3r third section of the mobile hor ie , I II on the left (road) side of the mobile ihl. i °itf + I1;� Il ?� fp ans'i9d 'specificatlons MUST !» sept an the job. 't gall times and. it is unlawful to home. malte'��n � chla'm±` esi or'I� wri4*i I' 9 0f ,1 alterations on same without ' ermis on r,f , i the Department Workslk ' t.of Public I unt)% of ,Birth. Thel,Wd Setb' ck shall -be 5` ft. from the : side (ps�o p erfy ineOan`d '50 ft. ,from the cen4erli of te'ro'ad' permitting'a maxi - U4 , i:ur+� df a 2 ft 14aV6 overhang but entirely ' iolut bf` al �eas�emerlt5.j?' � • • :� . . �� BUTTE COU BUILDING DEPA TMENT APPRO E® �E vi COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representa iv of the County of Butte to enter upon the above-mentioned pr erty for inspection purposes. X Signatuof Mi4�t, Receipt No. l s S 4 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.QF PUBLIC WORKS By Date1— a -7q ------------- ilding permit expires Date BUILDING Owner 0 A -L, -D C S S C_ 11-r SQ. FT. OCC. BUILDING VALUATI Mailing Addre i7 30 4Z 6 Telephone No. Contractor 0 VOL- 6ZA1 LE (Z -OW l Al Mailing Address '4 (Qi eV_& -r Fireplace Total Valuation Telephone Permit Fee Building Address . Plan Checking Fee &/orP natty Permit Fee PLUMBJ413 No. @ FEE PERMIT FILING EE $3.00 Each Trap 1.50 Repair drainKe or vent piping 1.50 .� A. P. No. >� 0 Ing & Pla erpipi 1.50 Qr Each ga water heater or vent 1.50 "F\ejsN�Wj.. AEE5nFireDept. /11 Fire Zone Use Permit Gas p' ing system 1 - 5 outlets 1.50 EQA Parking Plans rcel Declaration Parcel M 60' R/W mprovements Eac additional outlet .30 B (ding sewer 5.00 OcOO Bldg P%4s Rec'd Porc Approval Plans A roval awn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER Permit Fee $ $ " ELECTRICAL No. @ FEE �vV PERMIT FILING FEE $3.00 .,��=e90 in service 100 AMP OR00V OR SLESS 5•00 -) Single Family ❑ Duplex ❑ Mobil Home -9 Oth s ❑ MaN service EA. ADD•L 100 AMP 2.50 Main ervice OVER eooV 25,00 100 AMP OR LESS Main s VICe EA. ADD'L 100 AMP 1.00 NEW CO T. / DWELLING OCCUP. 'I) 2�sgft OR ADDN `ACC, BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter, , Div. 3, of the State of California Business & Professions Co under the name Style f: P , NEW CONS R (MULTI -OUTLET NON-RESID ` BRANCH CIRCUITS 2.50ea NEW CONST POWER APPARATUS .& NON-RESID, SINGLE OUTLET CIR, EX. OCCUD(OU ETS OR FIXTIIRES '104 Ex. Occup. �OFUT ETS P(RESID•)LNS REA� 2.00 Temporary service 10.00 ,s Mobile Home Faciliti 15.00 r� 3 3 Classcation �_� / License No. --g � 3 %' i Misc. iring 6.25 /too ❑ I am exempt from the Contractors Lice n Laws of the State of Cal ifomia. Permit Fee $ S $ 6 Z MECHANICAL NO -1 @ FEE WORKMEN'S COMPENS TION INSURANCE 1 am aware of the provisions of Se ion3700 of the California Labor Code which requires every emplo r to be insured against liability for Wo men's Compensation. I have placed on file with a County of Butte a certificate of Workmen's Compensation surance. ❑I certify that in the pe formance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject t the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood I I 2.0 Permit Fee $ $ I certify that I have red this application and state that the above information is correct I agree to comply to all County Ordinances and State Laws re ting to building construction, and hereby Land Development Fee $ �S TOTAL PERMIT FEE authorize representa iv of the County of Butte to enter upon the above-mentioned pr erty for inspection purposes. X Signatuof Mi4�t, Receipt No. l s S 4 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.QF PUBLIC WORKS By Date1— a -7q ------------- ilding permit expires Date r' .COJ,JNTY OF BUTTE — DEPARTML_NT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 � Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. O� Date a 0 Signature of Permittee or Agen Receipt No.J k - / 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 OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuatio rf Telephone No. Permit Fee Building Address 7t�/ Z1- Plan Checki9b Fee&/or Penalty Permit Fee �. LUMBING No. @ FEE PERMIT FILING FEE $3.00 Each T ap 1.50 Repai drainage or vent piping 1.50 / (, A. P. No. b .. S -2- 0Z i Fining Wat piping 1.50 Eatgas water heater or vent 1.50 F . 4an44_ en Fire Dept. Fire Zone Use Perm G s piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improv Fit ach additional outlet .30 wilding sewer 5.00 Bldg. P s Recd Porcel royal Pla Approval awn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER-® pe it Fee $ $ ° ELECTRICAL No. @ FEE PERMI T 1 LING FEE $3.00 BOOV OR LESS Main servlc 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others Main service A. ADD'L 100 AMP 2.50 Main service o R 60OV 25.00 100 MP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r % ACCLBLDGS,LING CCUP. Y) 22sgft. 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 CONSTR MU LI T NON-RESID BRANCH CIRCUITS 2.50ea BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES g 'L92500100 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 - 1 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. ❑1 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 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 LMa_PguWpFR9Rt Fee ME, $ 30 TOTAL PERMIT FEE $ 30 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. O� Date a 0 Signature of Permittee or Agen Receipt No.J k - / 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 OF PUBLIC WORKS By Building permit expires Date Date