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HomeMy WebLinkAbout063-130-016.'Greg Johnston SIS Canyon View Dr., app. 400' E. of Hwy 32, Forest Ranch, Chico Permit*�497-76P,E(util.,MHI E EC LE '00 P I GASVW,�-�P/,- 5W COMPACTION- TEST -'- SUPPORT SIRUCTURE REQ. V -13-1 Permit #2128- 1 Issued 6,1 vi 63-13-16 port. contr: S 7 J Awnings, 0:,rovill' Permit #5924-76B(n'ew awnings/MH —T N .-I 13 .Q ``'ARMIT NO. 5924-76B 0 • PERMIT EXPIRES OWNER Greg Johnston I CONTR. S & J -Awnings, Oroville LOCATION (A.P. . 63-13-16 port. ) S/S Canyon View Dr.,app.400'E.of HQy 32,Forest Ranch i r r a Temp.Pow Pole Called G&E . Serv. Serv. PG&E ' JFIA Date) (Signa COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUIL G (Cont'd) PL MBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing �� Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final " — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam ^-- FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICA Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS e (NOTE: An entry must be made on this form each time you visit the job site.) A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' r 7 County Center Drive �C:rov?Ile, California 95965 Telephone: 534-45419a APPLICATION AND PERMIT BUILDING Owner' SQ. FT. OCC. BUILDING VALUATION Mailing AddrejJ P / Telephone No. I Fireplace Contractor -.� Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ /` Building Address _F,Q� %PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 4l Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.. ` — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S n_ tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Parcel Plans Declaration��' el 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. P Recd f'reel Approval Plan Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service V OR LE io°o AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 1.00 V_ NEW CONST. LING OR ADDNS. ( DACCLBLDGSCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID• ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER 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 $t le of: y �5 a (R,c.(Jzc.t....a0 Ex. Occup(OUTLETS OR FIXTURES)@251 BAL�1 EX. QCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 3d " 3 p �� License No. i 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. 11 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. 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 property for inspection purposes. X (J G2 Date gn ature of Permi.teeee or Agent �Receipt NoV"miL / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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 UBLIC WORKS ?uiIWdi:n9ag Date jo_ G- 7 permit expires Date ! ' z• T7 r 1! li3— ?RkCcL at A P P4CE 99 pyo AwNf KGs The Mg. $efbcick stall be 5 ft. from ;ire sidle proper;y line and 5„ ft. :z 'rhe centerline of the road, pe:rroi, :'ii9 a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. . NOTE:—All Matericls & Workmanship Shch'6e in Accordance M6 Reccgnizod Good Pruz;iices and cf a quality prescri:�ed for the Spo civ:ed use in the; Worm Gui;dino„ Plumbing & Pvlechanical Codes and the Naticnal Electrical Code. I his set of plans and specifications AAUb I oe - cept on the job at all times and it is unlaw-ul t -.- make any changes or alterations on same wit;zou written permisson from the Department of PAN, Works, County of Butte. 8 X20 F 6X1z) Ay I1` /2 x 301 v-• A. ins 6, N n 10 10 ^`,,fI11E� 55A y-7 BUTTE COUNT) BUILDING DEPARTMEN-i APPROVED .1 m A x o 7e 14"oil! 0 0 V J 0 j 1 — w s LP 117L rn m -c -4, _: -Tn 0 its jog LP ,4 M -A o`e ryy 1; e, ; id l �XI�- Rei 400 1 0 %a- 0 'Oki w" 1PY J u A 54- J; 1001 lull 1.0-- Flo C) 1 Tilts 1RAM HUM M; will - Jag UP 6 AP I v I/ P'o a, — IM I f: A .4 )1 ➢ X ! / / \ )� vivoS :A1 oil to ion•0K WIT II I/ •.�� ,-�, j I his set of plans -- z' � inr�'Mansiiip Shdl Bea nil, P, i �� MUST be NOTE-i—A11 Mot ericlls' & with R�r�ryn"ed C'o'd Practices an. ` kept on, the ob at all 'r,eS nn,� it is unlawful to .�,"-1 for the Specified, 'use i^' t11e permission�+ make any changes or n!fPrr1fGns on same without Accordance ,, . of a- qua%tY,:prescr, _ Buildirci;'""�""q'•& Mt1chanical CoceS"na ' Works, County of Butte'.- a �a'artmenfi of Public Uniform the National, Electrical Code.' , ._ ._ Theg. Setback shall 6 5 f from the side property line and 50 f , frOt'n sd the centerline of the road,'per ifting a maximum of a 2 ft. eav ove hang. i M- `W E c - - I ?)YL,K��' ---a . All utility co shall located wifhin "nectioiis. �' ft. outside the rear ; F fhii•d secfion ` of fie mobile horne . ' on the left (road) side of the home. mobile /L — FristalJ0#hv2f � thee mc •a q r or the,, �`=^@t'. e'w� ", ,' r rr3 '�� , + I 1 . Go��Eea•io�'• s It US ' - ➢'..'� sr J•, � .[ t .� y FRY, Jp � . r . •i ♦ .f • r. `P + ' f '� - J a j ,• t,U �ES;'c' m a den7 locatio v , • iT X• ' <•s'ti - , .. 9,. �c A g �, h :. to i a ds- ,per t ,, BA? "Couep nty Health Re- �E /��"� uire'ments.._- 4w i • .# ,.•1 " , 'r` •i' the J 4r - ;la t• ,Je}+�t.. .,•i•� "r .Jr• -• ..'�c irk w '� y ' 'y ~ J• J ' "1� �`ly�``Y •_ �� � -'4 � { '� r .�:� r .[%r , /��.`/ ,;/D�1, 'r � {. ,s'? [�3' i' i'. �" ` ,r I1'R •'r ?#. T aP' > , s :i ter,+. . '�" f r- >•''' �b "fC: -S 3 .�„ f y ,t m `l A .- 1. • 1 Jt�• r, �� y �•, , ,. F BUTTE COUNTYr 1 `� BUILDING DE?ARTMEW • r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: �dr J 2. Installer's name: 3. Is the site currently under permit? Yes 7577 No —L (If yes,, furnish permit number '( / 7 —% % ) 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 ) 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 LPG.) 5. What is the mobilehome electrical rating? --------------e-------- C O Amps 6. What a is the mobilehome site service rating? --------------------- Amps 7. What is the-mobilehome site circuit breaker rating? ------------- %0. 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) 3r 9. What g P P.. ?---------------------- is the mobilehome site as i e size. / (in.) 10. What is the type of gas service? ---------------=------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the. mobilehome? (ft.) 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 LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. ���� Sdtup Model No. Year Width L(ft.) Length (ft.') - Expando .Size ft.x ft. (Draw support details below) . On all mobilehome;§�.manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not .on .file with the County of Butte). S.in le Footings (check.one) Wood :either . *If center piers are other than drawn above, draw in locations, spacing, and dimensions. l l e BUTTE COUNTY Bl1#@ DING DEPARTMENT APPROVED pressure treated or Center Support :. .,. :: fdn. `grade.:: Footing Sizes (in.) ....... - /1.2. Concrete pad. 3. Other, 'specify — — — — — — Supports (check one) 1. Concrete block.. 2. Concrete piers 3. Steel piers ...... . ....... . .... .. .................. specify I ' .. ' . . . . Typical Support 2x 3 x�(in. Footing Size in. (1.n.) (In.) Mak. Pier. Spacing .. .. x�yj� -- (in.)( fi.) I 7i �•�Oveihang _ *If center piers are other than drawn above, draw in locations, spacing, and dimensions. l l e BUTTE COUNTY Bl1#@ DING DEPARTMENT APPROVED ��------------------�-------� ,---------------. ..._._-�---.__.__.. Z /. �� / A �;/ • � � r _ � � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehomehas been installed in accordance with the requirements of the California Administrative Code, Title 25, C �apter 5 under pe,�3n it numbec;Z/z9L57--76 for the following locati( ©it/ Urt Owner`v/,76' Owner's Address/ U Mobilehome Mfg. ModelYear Insignia No. 66 G O 4 3 Serial No 5` d It is hereby certified or occupancy at the above describe location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 53a-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance withthe requirements' of the California Administrative Code, Titre 25 ryktap r 5 under p mit numbe 87 for the following locat:on: /-S W O"It/ 0wner� ��' 9 © �I/S7"O //�02EST 40% Owner'slAddress�o 30K Z ` ��T /^ 0 Mobilehome Mfg. ,4�CModelC IIx Year Insignia No. Serial Nc s /� cl'!C It is hereby certified or occupancy at the above describe/location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RE! OCATED uti PERMITIT NO� NO .✓ '' -..PERMIT EXPIRES. OWNER Greg Johnston CONTR. owner t,OCATION (A.P. 63-13-16 SIS Canyon View Dr.,(pri.rd.), app. 400' E. of Hwy 32, Forest Ranch, Chico 'r ,I ,4 V t' r4 N Y' .5 a Y � q_ Temp. Power ole Called P &E Tvmp—EIe . Serv. �- ? IL Call PG&E hemp- as:;Serv:'> l Z <v - L� lied PG&E ' J B INALED (� (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD + BUILDING BUILDING (Cont'd) PLUMBING" Setback'%--/Firewa Soil Piping Forms Parapets 1st Floor Main BI Restroom FiNeh 2nd Floor Footin Windows 3rd Floor StemwaI N Siding To out ^' Slab Roof Sheathing Water Piping Piers Roofing rr"�% Sewer —.� 8 % Garage Fdn. Vents Fixtures - Footings Garage Vents Water Htr. StemwaII Slab Prov. for physic y handicapped Heaters - - Appliances Carport Footings Conforman of ex. structu Gas Piping & Test >� 7 Temp. Gas — Slab Final y Sanitation Patio FIREP16ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough — Reinf. Steel Final Fixtures Bond Beam FIRE SPR4,NKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANIC ,L Grd. Fault Prot. Scratch Heating Service S Brown Cooling Temp. Pole - Finish Ducts V Underground Interior Lath Ventilation Permanent Door Closer Final Final '%(.� DATE X71 -N oeo—' REMARKS OR CORRECTIONS ZI Zoo? Fro tot ` I i 41 : i 1/ r (NOTE: An entry must be made on this form each time you visit the job site.) Order No.t. {` fen'Escrow No. ; Loan No. WHEN RECORO'Emm All, To, Greg Johng 4191 sDjan'a� 26 Clni cd, C_1-i9I92' r r c _ r goo ,1.vACC AIAOYB Ts.18 LirNli FOM 001cockoep"11 V66 MAIL TAX STATEMENTS TO:. ooCL;wENTARY TRANSFER TAX S. .� �� ---•- -• . 1'. Computed on the consideration or value of property conveyed; OR 51} I `22 ^ " --r, .. "• , i-;�' � ,�0`/ r, ...... Computed on the consideration or value lass liens orencumbrances, emaining at time of sale. r , signature o rant or Agent��tarmining tax — F irm Name 111D TALLE' T TILE AiTD ESCR0W COMPAINTY GRANT DEED TAX PAID FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, I,"?x1RG ARS ' ARI - -NEP RY, a t,: i o :•; hereby GRANT(S) to GREG JO I STO T a 'Sirl:71e man the real property in the Gity_`,Of unincorporated ,State of California, described as County of Butte A portion of the South -vest quarter of the Southwest quarter of Section 7, Townshio 23 1`"'orth, Range 3 East, 1A.D.D. & -:., .and being, a -portion of Lot 10 of said Section 7, and more }particularly' described as follows: Parcel 2, of that certain Parcel 'PIap recorded in the office of the .- Recorder of the County of Butte, State of California, on Dece�ciiber 21, 1973, in Book 48 of Parcel Pians, at pace 8' rlHERE'ROI. the I•Iortherly 60 feet for road and public utility purposes. TOG13 TER .7,IT'%B a_ 60 foot non-exclusive easement for road and -_pu'alic utilit .T purposes as shown .on said reap. R ESL SII G THIER= ROM a riffnt-of­uay 10 feet in width for water pipeline and ti a :--a_r,tenance thereof over an existing pipeline running through t..a -ort, -._ r1 -T -oo-_tion of t' e above described parcel. a L jN ! 9 MOB_ILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit equired separation from lot lines and buildings and generally conform to . pl'ot plan? ,, Yes P No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No of 3. Are footings and supports properly sized, spaced, and braced as per appro ed plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No ti-� 1 � 4. Is the mobilehome level? (Sec. 5088) Yes—No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is -2 able connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes -No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No •.--- C. Backflo each is not State of`California approved, does station havebackflow device and pre af valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? -%Yes B. Does it have minimum k" per foot slope and is it properly supported? Yes I— No C. Are any leaks detected in drainage system after running 3-gay�ons of water through each fixtu!7e,,inpLuding,washing machine standpipe? Yes No,✓, D. Ifc c„State of California approved, does station have required trap and vent? Ye 8. Gas Piping and Gas Vents , )--N A. Connector - Is mobilehome connected to thegas supply with an approved mobilehome connector no than 6 toNote: 3/4” minimum more All piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes No \ ` B. Test OK as per following 'procedure? Yes1.-No - " 1. Open all appliance connector valves. /. , •, 2. ut off appliance burner and pilot valves. 3. test with manometer t • 10'"-1411 water column,�or test with slope, gauge* (minimum 6oz.-maximum 8 oz.) -,n pound increments. Test for 10 min, withoutf drop. ; 4 onnect gas meter to mobilehome with connector,\turn)on gas, test c8nnecti6ns 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 mobilehorre with a minimum of 190 amp) and other facilities on lot, i.e: water mps, garage, cabana, etc.? Yes No �Ai.+�7Z,yfc. B. Is there proper clearances around panels? Yes it—'fro 66f C. Is power supply cord or feeder assembly properly fused? YesyQo� D. Is continuity test satisfactory as per the following procedure? Yes ✓ T�o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. 1 sure that the power supply cord or feeder assembly conductors, including neutral ndu tor, have been disconnected. 3. tch a breakers and switches in the mobilehome to the "on" position. 4. ect one lead of -a test.instrument to the mobilehome grounding conductor and _apply t- other lead to each mobilehome supply conductor, including neutral. 5. A non-current., carrying metal parts of.the mobilehome (a1 minum siding, gas line, water line), including fixtures and appliances, shall be tested,forlcontinuity from such equ'. ent and the -grounding conductor. _3 6. U n 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. 1�J?e 10. Is job card signed by Health Department for water and sanitation? 7 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle l/T Length J`O Width, Vehicle Serial No. l 0 D / 1 State Identification No. < ,iq o Additional.Informa ' n or Comments: � 6 % C3K 01,x' /�� COUNTY OF BUTTE — DEPARTK,ENT OF PUBLIC WORKS 7 County Center Drive — rOroville, California 95965 Telephone: •534-4541' - • '- /y APPLICATION AND PERMIT 7-76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /YY\ X/7 —Date 3 ' Signature of ermitee 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 Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date ilding permit expires Date/Y-7% BUILDI Owner 2f �,^ Q �/�sT� SQ. FT. OCC. BUILDING VALUATION Mai I ing Address / r -./7/VC O 44WOPC= Pl / C .3 Telephone No. 'Sc Or,replace Contractor] Total Valuation i Mailing Address Permit Fee Plan Checking Fee &/or Penalty , Telephone No. Permit Fee $ $ Building AddressS' 15/,0� �� — PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , d Each Trap 1.50 x O LU Z Repair drainage or vent piping 1.50 Water piping 1.5014�, 0 ♦ C'` Q Each gas water heater or vent 1.50 A. P. Na — j -- Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 F s W: . SaIeKlon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking —Parcel Plans Declaration Parcel Ma P 60' R/W Improve is P Lawn sprinkler system 2.00 g. Plans Recd Parcel A royal Plans A oval Permit Fee $ 5 NEW ❑ ADDITION ❑ UTILITIESO OTHER ❑ ' ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 00 Main service 100 AMP OR0V OR LESS5.00 i Main service 'R ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home a Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service/ EA. ADD'L too AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS)_ 12.50ea NEW CONSTR. (POWER 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 St le of: Y U Ex. Occup(OUTLETS OR FIXTURES)'50 @25C AL'e` 104 Ex. ccu FIXED APPLNS• OR O 2.00 P• OUTLETS (RESID.) EA) 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 orkmen's Compensation Insurance. certify that in the performance of the work for which this rmit is issued I shall not employ any person in any manner 1/Koapto 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 TOTAL PERMIT FEE $. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /YY\ X/7 —Date 3 ' Signature of ermitee 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 Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date ilding permit expires Date/Y-7% COUNTY OF BUTTE — DERARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541' '-• / %� �� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -mention property for inspection purpos s. �X Date Zai 7 Sign ure P-ermitee or Agent Receipt No. Y T� ( > T` 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 0"iW+ng permit expires Date BUILDIN Owner 652,zo& �s�--� SQ. FT. OCC. BUILDING VALUATION Mailing Address -=7 -?l FZ 4f C___ 7�. fC C? )1/41ID� (�� Telepho `No. 3 — Q Fireplace Contractor E Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address S PLUMBING No. @ FEE ,. PERMIT FILING FEE $3.00 f ()— — P/,? U, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 E % ach gas water heater or vent 1.50 A. P. No.(p� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans eclaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd )) Porcel[A"pprovaI PIcpprovoI Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 _ Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OP. &20sq ft // R ADDNS. ( ACCLBLDGS. ) 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)@L 256 8AL@1 Ex. Occup.FIXED APPLNS. OR (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. certify that in the performance of the work for which this '_�4% ermit 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 1 1 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 EZ� TOTAL PERMIT FEE �� d( authorize representatives of the County of Butte to enter upon the above -mention property for inspection purpos s. �X Date Zai 7 Sign ure P-ermitee or Agent Receipt No. Y T� ( > T` 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 0"iW+ng permit expires Date