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064-270-043
64io 7-43 � W. E. Jalaftipick 696M Brevard Cir., 1 , PP#15, Maga. contr: Hess Backhoe Serv., Paradise Permit #k7078-78P,E(util.,MH) ELEC. . GAS SUPP ST UCTURE REQ. AtO COMPACTIN TEST REQ. AJO 64-27-43 ontr : Bernies MH, Rradi e ermit #1332-79MHI ;nal !r ssued — �9 NI/�•�/,� 64-27-43 Permit ##1400-799 (plbg/7078-78)MH 64-27-43 contr: Sierra Mobile Serv., Paradise Permit 5-80B(MHJ new deck & awning/ y�t 64-27-43 • �h O'Lou�lin 6251 Brevard Cir.,lot 86,PPIkl5, Magalia ontr: Ralph W. Johnson, Paradise ermit lk?--677-8].B(nA; p9ri.4-ett;, arage) I I JOB FINAID (Date) —� v Signature PERMIT NO. 2677-81B PERMIT EXPIRES— XPIRES OWNER Ken O'Loughlin OWNER CONTR. Ralph W. Johnson, Paradise ASSESSOR PARCEL 64-27-43 i LOCATION 6251 Brevard Cir., lot 86,PP#15, Magalia .T tt 1 0 Y�A t r' Temp. Power Pole lCalled PG&E Temp. Elec. Service ' Called PG&E Temp. Gas Service Cal led PG&E' JOB FINAID (Date) —� v Signature J = OK O = Not OK Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater } 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane [boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -B] Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL fSingle and Duplex) vale UNDERF OR Plans OK except #'s Date FRgMIN ontinued) ^ oning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth g., Garage; Soils -S"- / I 7-A" Ftg. Depth 4. Fig., Porches &Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ft .-Steel 48 49. 51.ood� 53. 54. oper irewall & Openings Exi.Doors-One 3' -Check Garage -3rd story, 2 exits - ea room -Rise- ul Landing -Fire Protection Roof Overhang -Attic Vents -Rafter Outriggers 52-g--Nailing-Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate Date Card -BI Date Card -BI Date Card -Bi -�t 4 Date Card -BI Date Card -BI Date Date Card -BI Date FID;A' ens) OK except q's Card -BI Date Card -BI Date Date PLUMB NG (Permit) OK except O's 56(/Ext. Steps -Door & Sidelight Protection -Landings SZ�-S a ector 14. Wat r Ht.; Vent -Ac ess-Combustion Air 58. n - eara , Comb. Air In Garage; Above Floor-Ducts-Mech. Protection 15. Wate Pipe; Test Anchors -Nail Protection 16. D. W. Test ttngs & Anchors -Nail Protection 59. B2gLgq>_Exiting-- 60r6cF-1-�8efli`Fix1ures & Tub Access 17. Showe P ; Test, First Floor -Tub Access 18. Te u & Shower, 2nd Floor -Tub Access u pane ; Baker Sizes -Labels 19. Gas Pi Size & Anchors ails ove; Clearances -Hearth Card -BI Date Card -BI Date 6 6 • d Panel; Int. & Ext. ix . & pp iance; Grnd -Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67 s & Receptacles at Kit. Counter r, ing-Landing-Closer Date ELECTRICAL Permit OK except N's 68 uc in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 6 . Wtr. Htr, ents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor- ech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 7 ,c &-Dech. Equip. Listed for Location 23. Romex Insta led Close to Edge of Studs & C.J. 7 in Garage; (G.F.I.)-Romex Protec. 24. Equip. Grou made up w/Mec .Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 25. 2 Appliance ircuits in Kit en & Conductor Size 73. uard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire S e / / Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance ooked under Floor ❑ Yes 27. Range Circ. / / ga. u or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutra es El No 75. F (lowing instid.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; PI niers ❑Yes ❑No 28. Service -Riser Con uctors & Ground -Main Disconnect 29. Equip. Clearanc anels-Motors-Mech. Equip. 76. Stu co; Brown -Finish 30. Clothes Close ight Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vent Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water ell; Disconnect, Electrical, Plumbing Card B -I Date Card- I Date Exterio Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Ca -BI Date Ventilati throughout House Date MECHANICAL (Permit) except q's E Glass Pro ction Corrections rom Previous Inspections 31. A.C. Ducts; Insul &Support Gas Test -M ers Tagged; Gas -Electric b 32. Vent Fan; Exha t above Insulation 85. 86. Water & Sewe Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 33. Condensate D in &Overflow; Size &Grade _ 34. Furnace- t; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acc s & Platform if Furnace in Attic Card -BI Card -BI Date BI Date ate Card -BI Date Card -BI _ Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date /) FRA ( s OK except q's ,k Comments at Final: S' er Material & Anchors _ 37. Walls; St Nailing, Spacing & Bracing -Plates -Sound r' ___sover Girders & Floor Nailing raf in Walls (rat proof) .Fir ops; Furred Ceilings -Stairs -Chases -Tub 41-eader & eam-_Size & Bearing rs-Post Caps -Anchors -Connectors 43. Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4A. irep�lace Ties or Type A Flue -Fireplace Throat _ ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Gar ire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, Califprnia 95965 - Telephone 916/534-454 APPLICATION AI4D PERMIT AS JgS OR PAF�JEL N MB,ER Y/ _ -a1 —44 ZONIIN�G/ 1 — I BUILDING PERMIT OWN ,/ - TELEPHONE SQ. FT. OCC. BUILDING VALUATION © �© OWNER'S MAILING ADDRESS 1 R reAjar C TRA TOR'S NAME ITELEPHONE hs a C 0 NT RAC OR'S MA 1. IN ADDRESS ' Fireplace CONSTRUCTION LENDERUNKNLO VZI/ � Total Valuation $ LJ O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER V LICENSE No.- Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILD( G ADDRsS asr 1 rG) e— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBD VISION NAME' - P R EL MAP �10� Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF c7 STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Otherl D•Q Q -j %" SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 5.00 ` Main service EA. AOD'L 100 AMP 2.50 DWELLING OCCUP.) NEW CONST. \ y OR ADDNS. ACC. BLDGS. 20 Sq it CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check One): Pr I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Com and my license is in full force and effect.IXED G License No. Classification �/,� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.Ov LET NON. CH CIRCUITS) 2.50 ea NEW CONSTR (POWER APPARATUS S) NON-RESID. (SINGLE OUTLET CIR. 50 @ 25m Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.iOUT ETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' u shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood' 3.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil' 'es, •udgments, costs, and expenses which may in any way accrue agai s d ty in se ence of the granting of this permit. X Dat �� S' re Applicant Owner ❑ Contractor Agent ❑ An OSHA permit is equired for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ GR; Occup. GROUP TYPE OF CONST. IPARCELI PD � �E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7—,X ] ,over `3 Receipt No. �J T 3� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT •I s 'AERMIT N0. 5315-80B / /��/�/ PERMIT EXPIRES OWNER W. E. Jalonivich CONTR. Sierra Mobile Serv., Paradise ASSESSOR PARCEL 64-27-43 LOCATION 125 Brevard Cir., lot 86,PP#15, Maga. N s` sl F .I i 1 t) k 1 ; I. 1 e 1' I Temp. Power Pole_ Called PG&E _ I Temp. Elec. Service Called PG&E Temp. GasService _ Calle dPG&E— JOB G&E_JOB FINALE[ Signature I COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT N0. `VI 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 27,O • •� APPLICATION AN ,PERMITAll ASSESSOR PARCEL NUMBED Zi ZONING BUILDING PE MI OWNER' t - � •v W TELEPHONE SQ. FT. OCC. BUILDING VALUATION M, OWNER'S MAILING ADDRESS t a 61 1 � r � /PHONE CONTRACT E % TE CONTRACTOR'S MAILING ADDRESS �J�J�JJ R CONSTRUCTION LENDER � / -- UNKNOWN relaP Fice Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T T�ORR*ENNG�`INFEER _7(I R E I�CENSE No. � Z Plan Checking Fee $ ♦� p1 '—'- ARCHITECT ENGI R'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 ��1. 5 Z� U)4^L! n C 1 F Each Trap 200 Repair drainage or vent piping 2.00 Q W Water piping LOT NO. SUBDIVISION NAME 41, PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 ,TYPE OF WORK New D—Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work:_Z_Q X / mit ¢E�%%(c)�(1 Permit Fee $ Contractor ELECTRICAL PERMIT vOR Filing Fee 3.00 V OR SLESS Main service 100 AMP 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING .OR ADDNS. ( ACCLBLDGS.CCUP,&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ®� am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C d an my license is in full force and effect. /AI / / .License No.4�� Classification 4 - & ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEWCONSTR. POWER APPARATUS & NON .RESID, SINGLE OUTLET CIR. Ex. Occu / 50@ P\OUTLETS OR FIXTURES BAL@10¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [p__I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' t said ty i onsequence of the granting of this permit. ©� / D ate Signature o plicant — Owner❑ Contractor ❑ Agent F-1 An OSH ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories` in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE occuP, GROUP I PARCEL D 1 ND ssDE This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIRECT R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r `< i '. >. � � � �' R •.,} J=OK 0 = Not OK - - = Not Annlicable kA^D 11 CU^&A CC ;'+ ►A ICeCI 1 A \IS^1IC � = Not Ready - Date MOBILEHOME UTILITIES 1Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. 1P s) OK except #'s 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete Wicks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Alum. Awn.; Columns—Connections—Splice— eca nclosurn 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows—Doors_ 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Card -BI Date ate / --% Card -BI Date r Card -BI Date 0 LS (Plans) OK except #'s 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting.; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch _ 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 2 �r . = OK = Not OK = Not Ready able RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive El Yes E) No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire -Protect ion Framing (NOTE: An entry must be made each time you visit jobsite) 7078-7.8P,E HERMIT NO. 1 PERMIT EXPIRES OWNER W. E. „JAIami.nack � h� 4 CONTR. Hess Backhoe Serv., Paradise 64-27-43 "f 4 r R• + Q t t� Temp. Powjr Pole Called ,�PG& E Temp. E: ec. Serv. Cafled PG&E Temp Gas Serv. Called PG&E t� f roe 3 FINALED } (Date 1 (Signat'u ) ' t ,x r i f 7078-7.8P,E HERMIT NO. 1 PERMIT EXPIRES OWNER W. E. „JAIami.nack � h� 4 CONTR. Hess Backhoe Serv., Paradise 64-27-43 "f 4 r R• + Q t t� Temp. Powjr Pole Called ,�PG& E Temp. E: ec. Serv. Cafled PG&E Temp Gas Serv. Called PG&E t� f roe 3 FINALED } (Date 1 (Signat'u ) ' t ,x r i is 9. Electrical p A. Is service large enough to provide'adequate amperage -to mobilehome (must equal rating 6f- mobilehome fmobilehome with a minimum of amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes //_//Nom / B. Is there proper clearances around panels. Yes No / d y � p// ..,C. Is power supply cord or feeder assembly properly fused? Yes 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 been1Zdisconneccted. ` 3. Switch all breakers and switches in the mobilehome to the "on" position. i 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. J j ' 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 procjedure, 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 C• Length Width,--- Vehicle Serial No. �. O�l�D6� L2 • ti State Identification No. Additional Information or Comments: A MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withx6quired separation from lot lines and buildings.and generally conform to plot plan? Yes4A- 0 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes o_ 3. 3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes M No 4. Is the mobilehome level? (Sec. 5088) Yes 'No 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle;Kble connector of adequate size and properly installed (1/2" ID mina)? (Sec. 5566) Yes ✓ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes VNo C. Backflow - If coach is not State of Cali fo 'a a oved, 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 k" per foot slope and is it properly supported? Yes 0' C. Are any leaks detected in drainage system after running 3 cellons of water through each fixture including washing machine standpipe? .Yes No D. If coach is not Stateo Califo nia approved, does station have required trap and vent? Yes No / / ./ F 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector of 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. Yes_ No_ / B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 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 mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesZNo_ 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 reqquirements of the California -Administrative Code, Title 25, Chapter 5,runder permit number for the following location: '�� ���%-+9 --;A+-4f Owner- Owner's wner Owner's Address till Ala t9 ire Mobilehome Mfg. '�_AU►i �� -�° Model- /`fYear fj� Insignia No. r Serial No. QA RU /-1/ 9044 It is hereby certified for occupancy at the above described location and may be occupied. / Director of Public Works Date /b / By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD BUILDING BUILDING (Cont'd) PLUMBING Set c'k rewall S Piping For P a ets 1 Floor Main Idg. Re oom Finish 2n loor Foo S_ Wind s 3rd oor ' Stemw I Siding To out Slab. Roof Sh thin Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Ventx Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physl Ily Appliances Carport handica ed Po Conformance of a Gas Piping 8 Test ,. Footings structure Temp. Gas Slab A Final Sanitation Patio R PLACE Final Footings Footing E CTRI L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam IRE SPRINKL RS Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Fa t'Prot. ScratA HeatI4 Servic Broin COOLIng TiAp. Pole F Ish Du is I.Aderground In rior Lath nIllation ennanent or Closer anal final MOBILEHOME UTILITIES ----------------•- Elec. Service Elec. Pedestal Water Piping Sewer z' 1 •� %" Gas Piping 1 E ME INSTALLATION - - - - - - - - - - - - - - Support 112 Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /44 t12 "N c /,/J- N G. a Q (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 �� /'j✓ �% Telephone:'534-4541 APPLICATION AND PERMIT ' wn above -menti n"66"property for inspection purposes. X 096Date , �� ! Signature of Permitee or Agent Receipt No. v 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. DIREC RP BLIC WORKS By 7ate/Z uiiding permit expires Date BUILDING Owner bo�� C �, SQ. FT. OCC. BUILDING VALUAT a Mailing Address Telephone No. Contractor •�' Mailing Address /, (;3 Fireplace Total Valuation �S<� Telephone No. �`�- �15— Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE pp ,O PERMIT FILING FEE $3.00 �O Each Trap 1.50 ,s7, "J' J .Zb;r 8A Repair drainage or vent piping 1:50 A. P. No. — 27 Z/� RT OG ,tonin & PI nning Water piping 1.50 brDd Each gas water heater or vent 1.50 F yrLG'' SVKonl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M p 60' R/W Improv znts Each additional outlet .30 Building sewer 5.00 Bldg.s Rec'd Parce royal Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ a3.0-6 123 1&C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,QU Single Family E] Duplex Mobil Home Others ❑ ❑ Main service e00v OR LESS V 100 AMP LESS 5.00 -L Main service EA, ADD100 AMP 2.50 �D Main service OVER 6 00V25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. DWELBLDGS,LING CCUP. B\ 20Sq ft OR ADDNS. \ ACC 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.CONSTRANCH CIR T NON.CONS ( BRANCH CRCUITS 12.50ea NEW CONSTR POWER APPARATUS a NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI�RES g L,2 I Ex. Occup. FXED ASPENS, OR P• � FXED TS (RESID,) EA) 2•00 Temporary service 10.00 v/�'��v��. c- Mobile Home Facilities 15.00 16 ; // License No.J06T" "/ — Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $jar 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 �1 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 $ $ 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 Land Development Fee a �'� $ 2S-, TOTAL PERMIT FEE $ I above -menti n"66"property for inspection purposes. X 096Date , �� ! Signature of Permitee or Agent Receipt No. v 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. DIREC RP BLIC WORKS By 7ate/Z uiiding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - --. 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .UuwllLc l c;V...clllaUVV UI U VUUIIIY UI OUIIG W CIIICI UpUII Lilt:above-men ' ned property fo section purposes. Date Signature of 0&e_6 r AgentReceipt 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 OF PUBLIC WORKS i Building permit expires Date Yo BUILDING Owner SO. FT. OCC. BUILDING VALUPATION �^ Mailing Address Telephone No. Contractor Mailing Address Q �i Fireplace Total Valuation 957.6 T T pe ��O Permit Fee f,2 Building Address _ �' Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE ' PERMIT FILING FEE $3.00 Each Trap 1.50 / G+� %-(p Repair drainage or vent piping 1.50 A. P. No. "/ —2 7 Zonidgt8' Planning Water piping 1.50 Each gas water heater or vent 1.50 le�ds Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � � Pt Bldg. 55 Recd ParcelAtp oral Plan pro�ol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 10o AMP LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ®" Others ❑ -L Main service E4. ADDtoo AMP 2.50 ✓` �/ V 0 (/X OVER Main service 100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.DWELING OR ADDNST ( ACCLBLDGS CCUP. Y) 20 sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & P essions Code under the name St Ie r y NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONST R. /POWER APPARATUS 9 NON-RESID. \SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIiRES g * ,fit@ � EX. FIXED APPLNS. OR OCCU p•�OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities License No. 2-110 %13 Classification Misc. Wiring #6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. ro 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that 1 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 $ QQz TOTAL PERMIT FEE $ O� .UuwllLc l c;V...clllaUVV UI U VUUIIIY UI OUIIG W CIIICI UpUII Lilt:above-men ' ned property fo section purposes. Date Signature of 0&e_6 r AgentReceipt 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 OF PUBLIC WORKS i Building permit expires Date Yo - MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome /Mfr: a furnish Setup Model No. ,f / � Year�� � Width 2'1 (ft.) Box Length 52 (ft.) Tagalong or Expando Size .4i. ft, x4g:&, 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). All center supports measured from front of , mobilehome unlessoth� �ified.� J����• �YLQi�.oQ 9 -roc., Footings (check one, Single � %h "�( ' ®'� • - � p , � ,,, V V 1. Wood either, pressure treated c foundation grade. �Y • t.j(i•:) (in.) (in.) 2. Other (specify) CeJer support Center support l,cations* footing sizes. Supports.(check one) (in.) `1; Concrete block. d 2. Other (.specify) (ft.)(in.) (in.) (in.) --Tagalong or Expando, show. support details. • i . • 36 3v (in.) / $ x -- Typical Support (in.) (in.) Footing Size ( Nin.). i:=a- in. in Max. Pier spacing - Max. Overhang (ftp, *If center piers are other than drawn above, 'draw in -locations, spacing, and dimensions. A 1: Owner's name: 2. Installer's na - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 _ 0 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / ' / No /K / (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 /X./ No (If no, clarify ) ( 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What -is the mobilehome site service rating? --------------------- 2 co Amps 7. What is the mobilehome site circuit breaker rating? ------------- /44 Ames 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / '/ No / X/ (If yes, identify the load and size: (Load) Ames) �. / 9. What is the mobilehome site gas pipe size? --------------- ----- (in.) 10. What is the type of gas service? --------------- Natural / / LPG / K/ 11. What is the gas pipe length from meter or tank to th mobilehome? .� e° (ft.) 12. 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Jr.'T • t ° , � 1 i \ r } rW;rfr AL1Y:Fd"rM H.fJ .p.;: �' rt }!"rt y' I a•i s•\ �•, T..! tyi , t•t tv. �rr�:y4Sr' } r J.4 . y /t 4� �1 4 �� �k r �•} �77 ! ,. +•i f .\n• } .r\ J t�rl .- . ,•i ..r. T.a,,w., .-....:il .,..�.Y•�++yY.•.�1-.•Yt"i•'� � ..�..i.-•...-- ,-.�..�.-r• Y��•.•r.�., � t"'.'b "'1'T"'�T�—••..�•.:ss4•••�•-. � __ _ - .... . Ilk COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tial ephone: 534-4541 APPLICATION AND PERMIT BUILDING OwnertoSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �2� hev Plan Checking Fee&/or Penalty - - Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 P 6 T' oZ 7- q3 r� Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes W. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 '(jd EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 13W pl�ee�eejd Parcel Approval I Plans Appr of Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ P l7)G!�✓ r d .- ELECTRICAL No• @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 10o AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ P ❑ ❑ -L Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLOGSCCUP, !) 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 st le of: y NEW. RESICON SD, MULTI -OUTLET . ESI D, BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS B NON -R ESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIPES) B L254 1� Ex. Occu FIXED APP LNS, OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �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 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 $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date" Siro-- e of Permitee or Agent Receipt7 0or6Ag3,6 7 White-D.P.W. - Yellow -Assessor - Pink -Ins ector - 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 P,IJSLIC WORKS //�-7 BY Date �/� / 1 Building permit expires Date