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061-490-006
, Otis Bra y�P W/S pr i:rd.,app.7/1.0 mi.W.of Foreman Creek Rd., Berry Creek Permit #1972-78P,E(uti1..,MH) ELEC. GAS SUPP/ORR,-T, STRUCTURE REQ. -COMPACTION C r i dJ 0►// t :1 r, }PERMIT NO. 1972-78P3,E y i . PERMIT EXPIRES fir_ OWNER Otis Bray CONTR. owner i LOCATION (A.P. 71-08-79 1 W/S pri.rd.,app.7/10 mi.W.of Foreman Creek Rd., Berry Creek = G ±` N: t. a 1� s 1 r - F • r t i Temp. Power Pole Called PG&E Temp. Elec. Serv. cfalled PG&E A Temp. Gas Serv. �F Called PG&E JOB �y FINALED�Date _ -z" (Signature) � �� � � u � � � �, � �, �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' .a e - BUILDING INSPECTION RECORD ' BUILDING X BUILDING (Cont'd) PLUMBING Setpck FI all Soil (ping Form Para is 1st loor Main Idg. Restro Finish 2nd Noor. Foo 'n s Windowk 01( 3rd Ar Stem II Siding To out Slab X Roof Sheatkng Water Pi in Piers Jr Roofing Sewer Garage Fdn. Vents Fixtures Footings X Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings A Slab Prov. for physical) handica ed Conformance of ex. structure Final Nk A (lances Gas Pip ng &Test Temp. Gas Sanitation Patio Jr h REPkACE Final Footings Footing ELECTRICA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLE Motors nal Mesh J \ / MECHANICAL X I Grd. gault Prot. U"Jw" co ing X I Temp. Pole ish D is nder round INfrior Lath entilation Permanent or Closer anal Final MOBILEHOME UTILITIES ------------------ Elec- Servic 4RYElec. Pedestal Water Piping - ,Z U - -) P Sewer . Z r6_% Gas Piping OBILEHOME INSTALLA TION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage ' Gas Piping P 9 DATE REMARKS OR CORRECTIONS tXry (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 i Telephone: 534-4541 APPLICATION AND PERMIT 11`172�" all!L"Orze representatives U1 ine UUUniy OT Buite io enter upon the above-menttiioneed property f pectioon�puurrposes. X�C��-C /7 Date Signature of Permitee or Agent Receipt No. ' �D 7 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 bee id. DIRECTOR OF PUBLIC WORKS .1 ilding permit expires Date 2-7 — 75' BUILDING Owner S SQ. FT. OCC. BUILDING VALUATION Mai I i ng AddressMe v -r t vz ,& on V I I I Telephone No. Contractor Y/ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S Plan Checking Fee &/or Penalty Permit Fee IY\ 'Y' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No. � ZO"' Water piping 1.50 � �® Each gas water heater or vent 1.50 F Sa on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 ®, - f31dg. PI ns Recd P A P ns Appro "al Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ ©� ELECTRICAL No.1 @ FEE ' PERMIT FILING FEE $3.00 to 0 Main service 600V OR LESS r 100 AMP LESS 5.00 Sin Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service E4. ADD100 AMP 2,50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r L ACCLBLDGS.DWELING CCUP. Si 2¢sgft 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 CONSTRES,., -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEWCONSTR POWER APPARATUS a NON -RESID, SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTURES s0@25¢ BAL@1 Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No. Classification Misc.firing 6.25 I am exempt from the Contractors. License Laws of the State of California. Permft Fee $ $ (2 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 INO. @ 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 $ �� TOTAL PERMIT FEE T $ all!L"Orze representatives U1 ine UUUniy OT Buite io enter upon the above-menttiioneed property f pectioon�puurrposes. X�C��-C /7 Date Signature of Permitee or Agent Receipt No. ' �D 7 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 bee id. DIRECTOR OF PUBLIC WORKS .1 ilding permit expires Date 2-7 — 75' NC)TP--All Moferials & . Workmanship Sholl Be in n r,,nn+TF:d C n^d ¢r�r?cces , and of a Cl4a-�lit.e nrP zr.r7!-,,,,.F `•�r "-be rc"`eri'Pe4 Use in the t.lnife".. B.uila':rr;, plurn'�,nq, &. Machanical Codes and the National Electrical Code. this set o plans and specitications MUST be, <ept on the Fb at all times and it is unlawful to nake any chi ages or alterations on same whhout .vritten permi;son from the Department of Public Works, Coun of Butte. The • Setback shall be 5 ft. from the t like and 5o fr. from the sine proper cen•ierlhie of Ilie read, pert'niK'419 a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. Septic systein and location o to be as per Butte County Health Dept. Re- quirements. e- quirements. All utility connections shall be located withi n 4 ft. outside the rear third section of the mobile home on the left (rmad) side of the mobile home. rPa�►a�,®,� o o T)3Yh-y. s , P _tc 7e' - 9— 7 9 tYA /9 'BUILDING DEPARTMENT APPROVE r,