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HomeMy WebLinkAbout064-340-014F.'v _I w - - ROBERT FAU 245 Elmira Circle, P.P., Magalia CONTR_-Ray _N_MuTY6r-PML:bbi1:e- Cnnst., Paradise Permit 2290-72P(water piping onlhome) FAU, Robert _ 245; Elmira Circle, PP##4, lot 92, Magalia `.-_ �_/8��� i Permit## 2598 7 (garage, future MH) AP o4-34- fr7 _. rmrti#_ 336 -75 ,E(u�0� . -- Pe �+ ELEC. ' " ®OA�itP GAS --SUP - HrSFRUC-T-U:RQ-R1'�, < c .. GOMPACT.ION -T.EST REQ. yyD AP 64-34-14 Permit 3399-75B (1st renewal/2598-74) — - .P 6/?>7-7_ .. d 64=34-14 Permit #387.,9-761Y,E(2nd renewal & elec. for permit #k2598-74) - D 6/S9/7 7 „n. __. - AP 64-34-14 Permit 3357-77P & MHI ISSUED - 9-77 7 64-34-14 P-dimt' #k4421ii77B;Ep`(riew -ra 'n.aia, cabana;, deck/MH) �VA41, g/q/7g_ at � 3 V sat eoun4 joutte OROVILLE, CALIFORNIA GENERAL CLAIM Robert Fau. CLAIMANT: 245 Elmira Circle ADDRESS: Magalia, CA. 95954 CITY & STATE: IMPORTANT: September 19, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT - Decided not to install fireplace stove. pifc8ttOri-x5-244- 8B-- Recetp't-44M Building permit fee ----- $5.00 - ------ 1.67 Amount of refund due ---- $3.33 $3 33 TOTAL $3 33 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval (Check one) for the same. .� 19th Sept. 78 Orovi&' `. Datedthis .................................... day of ....................:........ 19....... at ..................... Calif ......... ..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM....................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC.' GROSS AMOUNT ENCUMB. SUB -DIST. 1 . J 10STRUCTIONS to C AIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OFNBUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . Oroville, California 95965 Teliephone: 534-4541 APPLICATION AND PERMIT Owner �® , x— MiilingAddiess M -7 eIephone N _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Contractor/ l . Mailing.Address Fireplace Ig 1 Telephone No. Total Valuation Permit Fee Building Addressr Plan Checking Fee&/or Penalty A. P. erns e PLUMBING 2z PERMIT FILING FEE Each Trap Repair drainage or vent piping 7Water piping N0.— J Zonin &Planning Each gas water heater or vent s t141-G� Sawita�ierr Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets P rkin Pa el Each additional outlet EQA I plans Declaration I Parcel Map 1 60' R/W I Improvements Building sewer BYdg. Plons Recd Parcel A royal T Plans Approval Lawn sprinkler system NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee �l ELECTRICAL PERMIT FILING FEE 600V OR LESS Main service 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L loo AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ! DWELLING OCCUP. 4 OR ADDNS. 1 ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the NEW CONSTR. (MULTI.OUTL T NON-RESID, BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. State of California Business & Professions Code under the name Ex. OCCUp(OUTLETS OR FIXTURE le of: Ex. Occu FIXED APPLNS. OR style p•�OUTLETS (RESID.) EP Temporary service Mobile Home Facilities Misc. Wiring License No. Classification /\ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. 'f h h f f +1, k f h' h' rol @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 I cert) y t at In t o per ormance o e wor or w Ich t Is Ventilation %C permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood J 1 2.00 California. 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 aut representatives of the County of Butte to enter upon the ab ve-men ' " ned roperty ) pection purposes. is Date _ J Signature of Permiteeelorr Agent Receipt No. /ap/a % 5 J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE Is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date U • PFRMIT NO. 4421-779,E PERMIT EXPIRES OWNER Robert Fau CONTR. ownerI SII T ` . ,14. Temp. Power Pole Called PG&E Temp. EI'ec. Serv. k Called PG&E Temp. Gas Serv. Called PG&E ' JOB X FINALED (Date) (Signat' �. CERTIFICATIONS As required by the State regulations, 'both the builder and the•insulation. applicator must sign.a card certifying that the proper -"'R" values ,for all insulation locations have been installed. An example of a certification card; which is furnished by the builder or. insulation applicator is shown in Fig. 13. THIS IS TO CERTIFY THAT IMSLNJITION'HAS BEEN INSTALLED IM CONFORMANCE WITH THE CURRENT. EMERGY REGULATIONS, CALIFORNIA ADMI"ISTRATIVE CODE,. ITLE 25, STATE OF CALIFORNIA, IN THE BUILDING. LOCATED'AT: �r nF reet -Lot. Number Iract No. EXTERIOR WALLS Manufacturer TMekness/Type / �'1— R Value CEILINGS / Batts: Manufacturer" Thickness R Value I Blown: Manufacturer 'rhickness " No. Bags' Wt./Bag Sq ' Ft Co red R Y 1 ve a uo FLOORS Manufacturer Thickness/Type r v R Value' j l SLAB ON GRADE Manufacturer Thickness/Type. R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer*- Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUHBER BY TITLE DATE INSULATION CONTRACTOR LICENSE HOMER BY - TITLE_ DATE ^ Zf, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILD!MG,/ BUILDING (Cont'd) --PLUMBING Setback 1 j "I Firewall Soil Piping Forms ,- Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings qr VWindows 3rd Floor Stemwall Siding I To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents I Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physically I Appliances handica ed j Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIAEPLAEE Final Footings Footinq ELECTRIC Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 3 _ �7 i Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd..Fault Prot. Scratch Heatinci Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity �..n�.n Y Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS op y_ (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 — Uroville, California 95965•+ > �] Telephone,: 534-4541 " / /7 APPLICATION AND PERMIT X Date O ' D-6.`77• r-UMLlto UU 1NO Signature of P/ermitteeee or Agent n BY Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector -'Goldenrod-Applicant Bwlding permit.expires Date_ 7— 7�� BUILDING Owner V SQ. FT.. OCC: BUILDING VALUA ION * , Mailing Address �° r j �- +. (� 0 Telephone o 6 / Fireplace _ Contractor Total Valuation 60- Mai l i ng Address Permit Fee 00 Plan Checking Fee &/or Penalty r t ' Telephone No. .' Permit Fee $ t0 O $ lyl r .r Building Address " -PLUMBING No. • @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50, Water piping 1.50 q� Each gas water heater or vent 1.50 . A. P. No. '— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W S on Fire Dept. Fire Zone Use Permit Building sewer- 5.00 EQA Parking Plans Parcela Declaration Parcel Mp 60' R/W Improvements Im P el— Lawn'sprinkler system 2.00 P Recd F Parcel pproval Plan pproval Permit Fee } �, $ $ NEW BE— ADDITION ❑ UTILITIES ❑ OTHER ❑` ELECTRICAL No. - @ FEE , PERMIT FILING FEE ; $3.00 Main service 6001 OR,LESS 5,00 100 AMP OR LESS - , 1 - Main service EAI ADO'L 100 AMP 2:50 ' - Single Family ❑ Duplex ❑ Mobil HomeOthers ❑. ' OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - • `- NEW CONST.( D -EL (SCUP. & O OR ADDNS. l ACC. 6/ ) 22sq it 3,6 NEW CONSTR. MULTI.OUTLET NON.RESID.. ( BRANCH CIRCUITS) 2.50ea ` - t i - • - NEW CONSTR. POWER APPARATUS &) NON•R ESID; (POWER OUTLET CIR. CONTRACTORS'LICENSE LAW r 1 am licensed under the provisions,of Chapter 9, •Div. 3, of the .1 State of California Business & Professions Code under the name' style of: - �- • Ex. Occup(ouTLETS OR FIXTURES) @251"09 FIXED APP LNS. OR - Ex: Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service t ,10.00 Mobile Home'Facilities 15.00 _ License No,_. Classification - Misc. Wiring _' 6.25 i= © I am exempt from the Contractors License Laws of the State of California. Permit Fee, $ $ 6 16E 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. placed on -file with the County of Butte,a certificate of `' F-1 'Workmen's 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 I 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 ab ve` c"tioned property for inspection purposes. TOTAL PERMIT FEE $,�� Fp� to ..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. X Date O ' D-6.`77• r-UMLlto UU 1NO Signature of P/ermitteeee or Agent n BY Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector -'Goldenrod-Applicant Bwlding permit.expires Date_ 7— 7�� PtRMIT NO: PEP F OWNER ' CON TR. • v r Temp. Power Pole Called PG&E Temp. Elec. Serv. i Called PG&E Temp. Gas Serv. 4FI4 Called PG&E I r O LED { (Date) (Signature i ' '4 9. Electrical ?. Is service, large enoc.igli to provide adequate amperage to'mobilehome (must.equal rating of mobilehome, iaith a.' :::inivum of •190 amp) and o4_her ,faciliticas on lot, i.e., water pumps, ,,ara-e, cabana, etc.? Yes No B. Is there proper clearances Around panels? Yes 0'No, Y C. Is. power supply card 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 rhe power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. swi.r-ch.all breakers and switches in the mobilehome to the "on" position. 4.' Connect one lt_:1d of a test instrument to the mobilehome grounding conductor and •, ,-.. l P appy tine oi:�Aer ,.eau to eachmvu,l.�e��urr�e .sui; Y ,. conuuctoi:, including rLeutral. 5. All nor, -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 completicn of: the above procedure, the power supply cord or feeder assembly conductors shall: be connected to the site service equipment. A further continuity tez:t shall then be made between the ,grounding electrode and the chassis of the 1110bilehorie.. Upon satisfactory completion of the cll.ectrical tests, the lot or site service equipment may be approved for energizing. Is job card signed by Health Department for water and sanitation? - 12., If everything olcay, sign off card and ta; services. MOBILEIJOLPIE DATA _0Manufacturer and/or Namestyle � Vz-�v�� Length_ Width Vehicle Serial No. State Identification No. r.dCt4tional Infoz-nation or Comments: r t• 10BT,,'F'H02.1,' L�S''AL-LATION ,INSPECTION CHECK 1_,TST -- - --- 1. Is the mobilehomt located wi.l.i required separation from lot lines and buildings and generally conform to plot plan? 'Y 13 No ', Does the mobil.ehome have required clearances above ground? (Sec. 5085) Yes No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes t-'�No C 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No h: Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes t No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backfl.ow - If coach is not State o� California approved, does station have backflow device and pressure -relief valve? Yes V 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 ," per foot slope and is it properly supported? Yes v""No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No P" D. If coa h i -s not State of 'Cal iforniaapproved, does station have required trap and vent? Yes VNo 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 mobile .ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes �do 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 m0bilehoine 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' • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st 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 Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation . Patio FIREPLACE Final Footings Footing EL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels , Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Finala Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M001 EHOME INSTALLATION - — - - - - - - - - - - - Support ! • 7 Elec. Continuity. Water Piping X-771 Drainage Gas Piping ��� `.�/L •" DATE REMARKS OR CORRECTIONS (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 OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number 3359 7 2 for the following location: z Owner Owner's Address Mobilehome Mfg.4',— Model Year/—O Insignia No. L9 `i/ L1 -21 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date' ' % B Y 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Uroville, California 95965 Telephone: 594-4541 J3�-7-77 APPLICATION AND PERMIT /' I 1_z V Signoture of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR PUBLIC WORKS By Date7—'-=77 ` Ilding permit expires Date 7—;?— 79 BUILDING OwnerRo wt SO. FT. OCC. BUILDING VALUATION Mailing Address V V s Cd4dedvei Tel ph=ne�Dly� Fireplace Contractor Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No: Permit Fee Building Address 2, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 Zoning a Planning Gas piping system 1 - 5 outlets 1.50 (J Each additional outlet .30 Fee Fire Dept. Firezone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declarati Ma p I 1.Parcel 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel A provol Plans Aorproval Permit Fee $ Qr( NEW ❑ ADDITION ❑ UTILITIES OTHER'OTHERR ELECTRICAL No. @ FEE P T FILING FEE $3.00 6_50L• (�� In s v1 100V OR LESS 100 AMP OR LESS 5•00 yyy / VIzz EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home, Others ❑ In SefVICe OVER BOON 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 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 style of: Ex. Occup(OUTLETS OR FIXTURES)gq 25 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 zial-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. ❑ 1 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 a Laws relating to building construction, and hereby au orize representatives of the County of Butte to enter upon the ab ve-men i ed property ection purposes. fo� 34) OTAL 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 Daid. V Signoture of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR PUBLIC WORKS By Date7—'-=77 ` Ilding permit expires Date 7—;?— 79 ' �' ' { � /tee$ ¢-�•�1>� ..- '' `� / • : a = ')'PERMIT N0. 2L598r-701; P P E + • ^ M ? MN'UTIL.! PERMIT NO. / G 7 PERMIT EXPIRES"v OWNER Robert Fau „fCONTR: f F LOCATION (A.P. 64-34—x' 245 Elmira Circle, PP#k 4,. lot 92 Magalia' �. - ' f ' r X , ' 1 Temp. Power Pole T, a' Called PG&E Temp. Elec. Serv. j; Called PG&E <t' Temp. Gas Serv. Called PG&E JOB' ✓g --7 FIN (Date) J .. (Signatur ' COUNTY OF BUTTt - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms`r, Parapets 1 st Floor Main Bldg. Restroom Finish `------------ 2nd Floor Footings Windows 7 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage X Fdn. Vents Fixtures Footings Garacie Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE incl Footings Footing ELECTRICAL Masonry Walls 7 Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICA Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. ole 7S Finish Ducts Underground ,Z Interior Lath Ventilation Permanent Door Closer Final Final DATE .REMARKS OR CORRECTIOP(S 7S- et ,0 W akLq- � � � ,S;,-- e 4 r :Z I COUNTY OF BUTTE — = DE-F_I�RTMENT OF PUBLIC WORKS 7 County Center Drive — Urovnle, California 95965 �� Telephone: ,534-4541 6/ APPLICATION AND PERMIT '1.J/ V.7-1194 / c�( BY � Datel'� Receipt No. �` / 1 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Bu ding permit expires Date —/0— 7 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ALUATIONMailing - Mai I ingAddress � uV o 0, I r 0(o Te one No. Fireplace Contractor fv i.—r-, Total Valuation Mailing Address Permit Fee / Plan Checking Fee &/or Penalty - Telephone No. �d — Permit Fee YT T7 20 Building Address ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / 07' 2, G. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^.3 �- / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W, Zaei-talisra I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 R14g. Pier+ -s e d Parcel Approval Plans Approval Permit Fee $ . NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - aj^9�'^7U Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others aJ Main service 0EA 110MP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ,T Cj - NEW CONST. DWELLING OC P. & C7 OR ADDNS. ( ACC. BLDG ) 20sgft NEW,CONSTR. (( MULTI -OU L T NON-RESID, l BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, I 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 Ie Of: style Ex. Occup( OR FIXTURES) �'� BAL011 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ _ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of Cal i forni a. 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 aut Ize r resentatives of tbp_ Aunty of Butte to enter upon the ab ve-ment' ned property f nspection purposes. JA_Date i� C9 ki -, —Signature of i or Agent MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.00 Hood Permit Fee $ $ TOTAL PERMIT FEE $ 6 s0 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( JBLIC WORKS �0 1 / -7 '1.J/ V.7-1194 / c�( BY � Datel'� Receipt No. �` / 1 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Bu ding permit expires Date —/0— 7 7 Owner J� Mai I ing Address Ild 0 ~COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC*01 " 7 County.Center Drive - Oroville, California 95965,' Telephone: 5344541 'APPLICATION AND PERMIT ' 'BUILDING SQ, FT. OCC. 'BUILDING VALt1ATibN 9�®6 3 TelephoneX .7 o. Fireplace • Contractor Total Valuation , Mai I ing Address Permit Fee i Plan Checking Fee &/or Penal ty Telephone No.: Permit Fees— Building Address ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 L Repair drainage or vent piping 1.50 ' Water piping 1.50 Each gas water heater or vent 1.50 /�� A. P. No. LO V _ 3 Zoning & Planning Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 ` EQA Parking Plans Parcel. Declaration Parcel Map 60'~R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERly ELECTRICAL No. @ FEE PERMIT FILING -FEE, $3.00 / v2Sr9 Main service incl. 1 meter.. Additional meters, each- 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplez•❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 _ Light fixtures b �� ` Receps„'switches & fix outlets- CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the • State of California Business & Professions'Code under the name - style of: Hood; Ex. Fan orF.A: Furn. Motor • 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump - Water pump ` Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification ” Misc. wiring . • I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL , No: @ FEE WORKMEN'S COMPENSATION- INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance.. ,,KI 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 Permit Fee. $ I certify that I have read this application and state that the above. informs n is correct. I agree to comply to all County Ordinances and tate aws relating to building .,construction, _ and hereby aut orize re esentatives of the C of Butte to enter upon the .. ab ve-mentio d prope�t ri ection purposes. XDate 1/0 ' Signature f�'tee or gent Receipt No. t� White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod=Applicant TOTAL PERMIT FEE $ -� !� / S 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 BLIC WORKS ~. By Date—� 7 - •' ding permif expires Date--'��� COUNTY,OF BUTTE - DEPARTMENT OF PUBLIC W RKS y/y 7 County Center Drive - Oroville, California 95965 .0 Telephone: 534-4541 APPLICATION AND PERMIT Signature of Permitee or Agent �.e Z�/� 13;� Date/D�� Receipt No. J.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant uilding permit expires Date ....................... ................ EIUILCIING. Ownerr-- u� SQ. FT. OCC. BUILDING VALUATION ZS" T- / Z- 0a Mailing Address P 8 SEC LL) b6 i) AtI L U' O v n� (! Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $_75'jele- $ Building AddressZ S � �? PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2 r Oce f, Each Trap 1.50 �t Repair drainage or vent piping 1.50 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 W. a on re Dept. FireZone Use Permit Building sewer 5.00 EQA Parkin Parcel Plans Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parc Approval Pla pproval Permit Fee $ ,5-d $ NEW V1 ADDITION ❑ UTILITIES❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ��++ 67i4 A tF Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 V`%U2 B f Lu Water Heater or Space Heater 1.00 Light fixtures bal @ln Receps., switches & fix outlets 20 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this iV3J 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 r authoa representatives of the County of Butte to enter upon the ab -aRfor ' ection purposes. ,,�above hrc . 7- -x -'7 TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR OF PL41LIC WORKS Signature of Permitee or Agent �.e Z�/� 13;� Date/D�� Receipt No. J.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant uilding permit expires Date ....................... ................ EP ARTMEN? OF -PUBLIC WORKS rive Orovidle, California 95965j� Telephone: 534-4541 APPLICATION AND PERMIT t, jam---- `,Date `/'_� - DIRECTOR nF PUBLIC WORKS Signature of Pernritee O�yAgent ��3.�� Date Receipt No., White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant "i,ing permit expires Date., 7-0 BUILDING Owner SQ. FT. OCC: BUILDING VALUATION Mai I i ng Address i Telephone No. ' Fireplace Contractor Total. Valuation' Mailing Address Permit Fee Plan Checking Fee&/or Penalty - - Telephone No. Permit Fee Building Address '� `' PLUMBING No. @ FEE PERMIT FILING'FEE $3.00 ,0d Each Trap 1.50 Gam. Repair drainage or vent piping 1,50 Water piping 11.59Q, OU Each gas water heater or vent 1.50 A. P. No. (le- 3 — �T �i I 1n Gas piping system 1 : 5 outlets -x-68• Each additional outlet .30 F S io Fire Dept. FireZone se Permit Building sewer EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improveme is Lawn sprinkler system 2.00 larls'Fiec'd Parcelpproval ' PlanApproval Permit Fee "_ ;. $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 4 $3.00 3.00 Main service incl. 1 meter �.pp Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) — Single -Family ❑ : Duplex ❑ Mobil Home Others ❑- Range, Cook -top or Oven 1.00 s,_ l�sal _ �L Water Heater or Space Heater 1.00 10 Light fixtures B2j ` Receps„ switches & fix outlets' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r Hood, Ex. Fan or F.A. Furn. Motor 1.00 r Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. "Power Pole 5.00 r License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ g $ a-� MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700,of the California Labor Code which requires every employer to be insured against -liability. for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. SoKI certify that in the performance, of -the work for which this permit Js issued' I shall not employ any person in any manner s to become.subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3,00 Heating ` ` Cooling . Ventilation ' Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the aboGe information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby au ize epresentatives of the County of Butte to enter upon the ov men ioned property fci pe ion purposes., T TOTAL PERMIT FEE $ Q( -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. t, jam---- `,Date `/'_� - DIRECTOR nF PUBLIC WORKS Signature of Pernritee O�yAgent ��3.�� Date Receipt No., White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant "i,ing permit expires Date., 7-0 MOBILEHOME SUPPORT DATA Mob ilehome Mfr. !ie -4 /;04 jtj Setup Model No. Year ; Width (ft .) Length ...S s :.. (ft.) Expando Size . /3 ff.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 le-,�`'/'�. 1 Footings (check..one) _ 1. Wood..either . 'V�^� R pressure treated or Center Center Support 1 y)0 ' fdn. grade. Support Footing SizesVo Locations (in.) 2. Concrete pad. x / / 3. Other,: specify j Supports (check one) 1. Concrete block ---_� X-- 2 . Concrete piers - 7 i 3. Steel piers' 4. Other, specify VF�.3.n x 3.n. �) . ft.in. . ---�� �(in.) (in•) I *If center piers are other than drawn above, ` draw in locations, spacing, and dimensions.. a Typical Support 3 -x3 -x O Footing Size in. in. �Max. Pier Spacing ft -0 1,- in.) . Max. Overhang COUNTY BUILDING DEPARTMENT APPROVE® 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �G� Fa q, 2. Installer's name: _ 06CYY'1CkJ LO Q:,ti., Spy 1% 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes No 7t— (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away f om septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) �- ------ 5. What is the mobilehome electrical rating. ---'_---------- -- �d�Amps 6. What is the mobilehome site service rating? -- ------------- - 4 UT.� Amp`s 7. What is the mobilehome site circuit breaker�rafing? ---- C Q 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) 9. What is the mobilehome site gas pipe 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? ------------------------------ 3y (BTU) (This information not required if pipe length less than 6 ft. on natural gas or.less than 50 ft: on LPG.) r=;A v ,��D:itlo0� Gori; C1I• ���� Kept onsef fhP ofP'sand specifications •M ►Hake b of all tunes and it is unlawful bQ . "nu ch "►raes or altera+;ons on same withqut Permission from the Department o{ pu o bounty Of Butte, c z .C?r — PARADISE PINES ARC HITiEC T URS L Cco�j t I;G3. Cr-MriP is T I E.1 �Pd��f . v -.----=..I----.------- NAME --- / DATE.___/y-UC�,U APPROVED 0` F. ..- ADDRESS---c25�J�%JG/� A pefmit will be required for the.. - All uti0i installation of the mobilehome.- �� �-�'`� 77 t Y connections shall be located within 4 ft. outside the: rear thlr�l section 'of the mobile. home on the left (road) side of the mobile S, ao' home. ~� Septic system nd location 6F build ie 43g:Set6ack shall be `5 ft. from fo be as per' ' ( t` a side property line and 50 ft, from i Butte Coun#y Health Dept. Re-,, I t. a certetline of. the road 1 ,permitting quirements_ _ _ _ _ _ _ . .a maximum of a 2 ft, ea ve overhisng. I 10 P /DO 1-C' LEilGN G/NE ; IIJ 1 ; oP h l® �frjt BUTTE COUNTY BUILbING DEPARTMENT APPROVED 17. F7 • rz� L' .; 6i v 9'P �7L . t. '0\ Zggr gp/\ c- /0 �7 iD 7 f:�/1N ,.../ . '';•' g'r %P triT fi/N.0 . -- I- VH I PERMIT : 2290=72 FAU, ROBERT 245 Elmi-r Circle Paradise Pines,;- M: .(Water piping only for mobile home) Wim, M- t lAf48EzT' e'A U LQT 74 ,�'EL7✓tIOOD G/T� C/I • 9�'OG 3 45- 1his set of plans and specifications MUS1 bb kept on the job at all times andunlawful to make any changes or aiterations on sa. without written pennisson from the )�r3;trtm Works. Countv ')f B. ++p PARADISE PINES ARCHITECTURAL CONTROL COMMITTEE NAME PQX.._L-G9U APPROVED Cl'.. 26-- ADDRESS_2 SGA- L-5, D i3P' n 3� �o q /� 23'49'39 �•%/ . BUTTE COUNTY BUILDING DEPARTMEN,. A,ppRo I ef) f r'�f' dllq from {t, { road «71 av n'lerhanc A )Z P 0/17 .F�� 5� 6vTTE Cv. A F, 4 c✓T F ToP cuT ggN,e %f,".S". r�X"- :+r�•K�'rxy'.'+"��' '.•en, �.?`- /3�- 7Z owNe � /D Septic system and oc�tTa,i ''� — — •— ——a.'r..� ing drain stub -o t tot'P r� CotteCounty Hp �nPt quirements. �o p iop cF. LEilc</ Z -/NE D i3P' n 3� �o q /� 23'49'39 �•%/ . BUTTE COUNTY BUILDING DEPARTMEN,. A,ppRo I ef) f r'�f' dllq from {t, { road «71 av n'lerhanc A )Z P 0/17 .F�� 5� 6vTTE Cv. A F, 4 c✓T F ToP cuT ggN,e %f,".S". r�X"- :+r�•K�'rxy'.'+"��' '.•en, �.?`- /3�- 7Z owNe � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS c� 7 County Center Drive — Oroville, California 95965 ter' Telephone: 5.33-1230, Ext. 259 APPLICATIO14 AND PERMIT Owner) Mailing Address/d Contractor 2TA (/ �� �� �� ,y J—, � J " Mailing Address Building Address (� T� _y/7/_n Z: A r A. P. No. — ZO —+ / Zoning --��A` — Fire Zone Fire Dept. Sanitation PI nni Plans t/f Fees W. C.V1 R/W Encroachment NEW ® ADDITION ❑ OTHER ❑ W USE OF STRUCTURE Single Family I Duplex ❑ Others ❑ 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: ` License No.�-2 72,e9,Z Classification /Y BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r p d Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 -Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ r/ $ d ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets Ala Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misr. wirina U I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X l l/,a ! E' !?� . %I.,Gc�_ Date Signature of Permitee or�Ag%ent Receipt No. ' a White-D.P.W.'— Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant i, Coo I i Ventilation @ FEE $3.00 Permit Fee $ $ State Fee for Strpng Motion $0.07/ 1000 Evaluation $ nstrumentation rogram $ TOTAL PERMIT FEE $�A This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. Date Building Permit Expires Date \, COUNTY OF BUTTE DEPARTMENT OF PUBLI 7 County Center Drive — Oroville, California 95965 Telephoner -533-1250, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - Date Signature of Pe 'tee or Ag eceipt No. _ White-D.P.W. — Pink -Inspector —„Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF� PUBLIC WORKS 011 By /. "t'� - Date // _,_ Building Permit Expires Dater/fi��l BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address a s SGL Iva D GOZAFireplace IJ Contractor -[/S Total Valuation Mailing Address UUP Permit Fee Plan Checking Fee&/or Penalty .fr, A Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 c,?, p d 01 y ` G , Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 iS Each gas water heater or vent 1.50 A. P. No. Zoning A -Z, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire'Zone Fire Dept. Sanitation I ni g . Ing sewer 5.00 Plans Fees V/ 1W. C.&/ R/W Encroachment Lawn sprinkler system 2.00 NEW 1z ADDITION ❑ OTHER ❑ Permit Fee sJ ,,.fes% $ ,J ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures La)1115 Receps., switches & fix outlets RM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, ON. 3, of the State of California Business & Professions Code under the name styl �f: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring 71 License No .=2 %2Z)l �7 Classification /Y ❑ 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. ElI certify that in the performance of the work for which this Permitis 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 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 ,S$Permit Ins rumentatonrrF gtaonion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ 2 d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - Date Signature of Pe 'tee or Ag eceipt No. _ White-D.P.W. — Pink -Inspector —„Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF� PUBLIC WORKS 011 By /. "t'� - Date // _,_ Building Permit Expires Dater/fi��l