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Home My WebLink About064-340-02264-34-22 Roger Dillon 165 Elmira Cir), lot 100, PP�W4, Magalia ontr: Tri V Const. Paradise Permit 615-77P,E(ut l9, �5 ELEC. GAS SUPPORT, STRUCTURE REQ. 4,0 COMPACTION TEST REQ. go r __- ,; 64-34-22 Con.tr: SOS MH Ser, Par. Permit #5001-.77MHI /VI177 Issued :9,0 64-34-2 Permit #3670-78B(new dec /MH) •'s STATE OF CALIFORNIA 1'V BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF ROUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM RECORDING REQUESTeD SY: BUTTE COUNTY BUILDING DIVISION WHEN RECORDED MAIL TO: NAME BUTTE COUNTY BUILDING DIVISION ADDRESS 7 COUNTY CENTER DRIVE . CITY, STATE, ZIP CODE OROVILLE CA 95965 2015-0006780 Recorded I REC FEE 19.00 Official Records I County of I CONFORMED COPY 1.00 Butte 1 CANDACE J. ORUBBS I County Clerk-Recorderl I I BN 11:18AN 03 -Mar -2015 I Page 1 of 2 NOTICE OF MANUFACTURED HOME, MOBILEHOME OR COMMERCIAL MODULAR - INSTALLATION ON A FOUNDATION SYSTEM Recording of this document by the enrcrcemeni agency indicates compliance with California Health and Safety Code SeWon 16561(a). This document is evidence that the enforcement agency has Inspected Ula Insiallatlon and issued a Certificate of OoeupanCy, form NCD 5130, for the unit described hereinr upon the real proporty described with certainly below, as of Ute date of recording. When recorded, this document shall be Indexed by the county recorder to U* named owner of the real property and sha11 be deemed to Stye consfruclive notice as to its contents to all persons thereafter deagrig with the real property. ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AGENCY PROPERTY INFORMATON SCHULTE, RICHARD A & ROSELLA A FWX OROMTY off" WMM 14173 ELMIRA CIRCLE wkwo ss MAGALIA BUTTE rA 95954 CITY caum" STATE apcWE 14173 ELMIRA CIR 0WAu.ATKXApO MSprdrUerll MAGALIA BUTTE CA 95954 STY C0uwy STAR BPCOCE SCHULTE. RICHARD A & ROSELLA A WTOA'W Qrda pW0rjvmx wh %Mi) 14173 ELMIRA CIRCLE rA UNO Pmtcss MAGALIA BUTTE CA 95954 a" COUNTY STATE apeoce BUTTE COUNTY BUILDING DIVISION Erf�OptrAliTA�iX I55t/IAP19W T rrb CaTI'IIRCAIE W COOWAr7Cr 7 COUNTY CENTER DR M UMADDRESS OROVILLE BUTTE CA 9596; On OWN" STATE Ira= B15-0417 ai OM PERMT RO. QUO 538-7601 T&VHM* MA6EB 0-' EtTiOEOF UNIT LIEN MIXI IS) RELUV.OR CONSENT TOMSTAUATION ATTR D -SEE REVERSE SMMURE OF EN ENT AGENCY 0FF1C10.1 GATE OEALER _I_NEORIW�TION NONE 01401 NAM Pied .aaw rdA wNIONE1 NONE OMMUCOMMAW NONE CTALUMSMESSAMESS NONE 0" OOItnY STATE ap ow MANUFAGTUREO HOMEIHiOBILEHOMMOMMERCIAt MODULAR UNIT 09SCRIEIM GOLDEN WEST 1977 WaffAeRRIMSK" MWIl "INAWR WWPAMMICATE 61835A/B SRA MttGMM — - 60'X24' CAL068659/0 �rTronrxTru'r7r Gkoe�IS1►RIOIABiiMA6FALSI 064-340-022 LBH49030 ASSESSOR'SWC0. MASER TCC RMSTRATlOn CEM MAW v="A6 M Iri.rr iW BUTTE REAL PROPERTY LEGAL DESCR1PTtON COUNTY SEE ATTACHED 04SYRra 7100-*VrOtoGermyftWw .aroCoppro04MoneegNaAo U=flKOneCMjr RC!g rMy NCO 433A (Rev. 1012011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE V 1 L" ." k j c i Es&ow.No.: 05;308202-MB., Locate No.: CAFNT0958-0958-0003-0000308202 Title No.: 05-308202-BD EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL A: Lot 100, as shown on that certain Map entitled, °Paradise Pines Unit No. 4", filed in the Office of the County Recorder of Butte County, California, on October 1, 1970, in Book 35, of Maps,-at Page(s) 97, 98, 99, 100 and 101. Certificate of Correction recorded December 2, 1970,.in Book 1648, Page 4, of Official Records 5 EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein_, and that no damage .shall be done to the surface of said. land. PARCEL B: A non-exclusive easement over Lots A, B, C and D (the common areas) of Paradise Pines Unit No. 5, and Lot A of Paradise Pines Unit No. 4, for Ingress, .egress and the uses and. purposes set forth in the Declaration of Covenants, Conditions and Restrictions, amendments thereto and the Declaration of Annexation for Paradise Pines Unit No. 4. 4- r PEti�MIT NO. 3615-77P,E PERMIT EXPIRES OWNER Roger Dillon CONTR. Tri V Const., Paradiso LOCATION (A.P. 64 34-22 ) 165 Elmira Cir.;.lot 100,PP#4; Magalia u r, h it f i7 i✓ 1; :y )u' Temp. Power Pole Called PG&E nz Temp. Elec. Serv.. y Called PG&E4-o Temp. Gas Serv. Called.PG&E JOB FINALED /d (Date) 1G (Signature) 9: Electrical �. A. Is service large enough to provide adequate amperage-to mobilehome (must equal rating of mobilehome with a minimum•of 00'amp)._and°other facilitics,on`lot, i.e., water pumps, garage, cabana, etc.? Yesi✓ No B: Is there proper clearances around panels? Yes No: C. Is power supply cord;or.feeder assembly properly fused? Yes +'�No_ D. Is continuity test satisfactory as per the following procedure? Yes-Z No 1. De-energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the`power'supply cord•or feeder assembly conductors, including neutral conductor, have been disconnected. R 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply:.,conductor, including neutral. 5. All'non-current, carrying metal parts-of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall'then be made between the,grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off -card and tag services. MOBILEHOME DATA , Manufacturer and/or Namestyle Length Width Z Vehicle Serial No.- State o. State Identification No. Additional Information or Comments: "MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit's required separation from lot lines and buildings and generally conform to plot plan?, Yes_ No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes P-'�No_ 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes `No_ 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 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID mdn.)? (Sec. 5566) Yes No 7. B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yest-' No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 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 4 --_'No C. Are any leaks detected in drainage system after running 3/ -gallons of water through each fixture including washing machine standpipe? Yes No v D. If coach is not State of California approved, does station have required trap and vent? Yes No 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 mobilehome 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? YesVNo- _ COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC -WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number for the following location: /L , LTJ-�•-�n� ��.1 Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. 0 X Serial No. < It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Mai Slab Piers ,rage Foot! Stemv Slab Patio Footings Masonry Wall: Reinf. Stee COUNTY. OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ewall So Piping 1 Floor 2n loor 3rd Fkoor To out Water PipiNg Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Restfqom Finish Windo Siding Roof Shea In Roofing Fdn. Vents Garage Vents Insulation Prov. for phsical handicap ed Conformance of ex. structure Final F PLUMBING TR Test Motors Mesh( MECHANICAL Grd. Failt Prot. Scr tch Heatigi Servi B wn I Coo ng TAO. Pole finish I Dais nder round I terior Lathentilation Permanent boor Closer Final Inal MOBILEHOME UTILITIES ------------------ Elec. Service tel. `% 9 raj Elec. Pedestal Water Piping i'-? Sewer Gas Piping BILEHOME INSTALLATION - - - 0 ......... Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �v- ? PZ A/ (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 O/^� �'7 • Telephone: 534-4541 / / APPLICATION AND PERMIT �// S BUILDING Owner (s"Ir;., V/L(_ 0 I SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace c Contractor �. S J f2 U/C� Total Valuation Mailing Address yt, Permit Fee Plan Checking Fee &/or Penalty ✓l.�l 7 I ho-elJps� T Permit Fee $ Building Address C. ` , L /4 4 % /�•• PLUMBING No. @ FEE PERMIT FILING FEE $3.00 l9 T V ®101#19 ?w Each Trap 1.50 . � 9 lq' Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (4 3 � �. l0 7 Zoning 8 Planning Gas piping system 1- 5 outlets 1.50 Each additional outlet .30 F W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 BldgrWcm--RBc'd I Parcel 40proval Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 �V Main service io°°V OR o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family El Duplex ❑ Mobil Home Others ❑ O Main service 100 OEAMP OR'LESS 25.00 Main service EA. ADD•L too AMP 1.00 ' NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET BIR, 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: v� %� ,vim/iSE ��e�S� Ex. Occup(OUTLETS OR FIXTURES) BAL@t FIXED Ex. Occu FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.i y� <- e2e ��C 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT 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 30— TOTAL PERMIT FEE $ 0 "" auu-onze represenlaU ves UI the bounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ofP•e�rmitee or Atgent Receipt No. 1 ✓0 �s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF .PUBLIC WORKS By �A �/Date —KI`7 BtWding permit expires Date —7i,F'7 MOBILEHOME SUPPORT BATA ' Mobilehome Mfr. �� /�Ie� /`/a Setup Model No. Year' Width 2(ft.) Length: :.. at.). ,:"iEkpand' .Size ft.x ft. (Draw support- details, below):. . On all mobilehomes manufactured after October-7, 1973, furnish manufacturer's-installation manual and structural setup sheets of ilot on .file with the County of Butte). - Sin le -® Footings-- (check, one) Ion Wood. either pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) �- L.1. 2.. Concrete pad. 3. Other,:specify k-rt. in. Pin.jZin.� 'Supports (check one 'a_" Concrete block 2. , Concrete piers 3. Steel piers / / 4..-Other, specify Typical Support ` x Footing Size _ # _ Max. Pier f _ Spacing ��3n. ft. �in.) (in.)(in.) Max. % Overhang *If center BUTTE COUNTY" piers are other than drawn above, draw in locations,.spacing, and•dimensions. `BUILDING DEPAPTN "' APPROVE® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:% 2. Installer's name: 3. Is the site currently under permit? Yes 4/,,�, No / / ^ 7? (If yes, furnish permit number ?6( ) OR• Is the site an existing site? Yes / / No / / (If yes, furnish two (2) -plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- dp Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- alp 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? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / (in.) LPG, / / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the-mobilehome gas demand? ------------------------------ (BTU) (Tfiis'information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.. on -LPG.) COUNTY .OF BUTS= — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Tel ephoone: 334-4541 APPLICATION AND PERMIT author) presentat)ves of the County of Butte to enter upon the abov a tioned property for inspection purposes. X Date 77 7 Signature of P . ee or gent 7/Z Receipt No. 192 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY 7 ;2 Build ng permit expires Date 71 BUILDING Owner �t L it b rl� SO. FT. OCC. BUILDING VALUATION Mailing Address i 5 Telephone No. Fireplace Contractor 1 �d� S Total Valuation Mailing Address ��60- Permit Fee' Plan Checking Fee &/or Penalty Telephon No Permit Fee Building Address PLUMBING No. @ I. FEE PERMIT FILING,FEE- 1 $3.00 L05 -/e 14 1. /�6 . r Each Trap 1.50 07 . c�0 ` Repair drainage or vent piping 1.50 Water piping �- 714- A Each gas water heater or vent' 1.50 A. P. No. - JC. ^ 2 - Hing Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fig C. S ion Fire Dept. Fire Zone Use Permit Building sewer. r x.09• v^ EOA Parking Plans Parcel Declaration Parcel a P 60' /W Im r p oveme Lawn sprinkler system 2.00 BI P aq ,ec'd Parce pproval Plans Appoval Permit Fee $ a $ NEW ❑ ADDITION ❑ UTILITIES .OTHER ❑ • ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 100V OR OR LESS 5•00 -S— Main Main service EA. ADO'L 100 AMP 2.50 Main service D100 V ER AMPP OR LESS 25.00 O Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 �„y,,S - / ((�/(V J C� NEW OR ADDNST (DWELLING ACC. BLOGOCCUP. &) 22 sq ft 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: y �J' t C42A3S1 . C6 BAL@2`T Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �- License No. ?_02-101 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ S SU WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700,of the California Labor Code which reqdires 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 ercertify that in the performance of the work for which this mit 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 informatio s correct. I agree to comply to all County Ordinances and Sta Laws relating to building construction, and hereby hki Ce �\ TOTAL PERMIT FEE $ ` Sd author) presentat)ves of the County of Butte to enter upon the abov a tioned property for inspection purposes. X Date 77 7 Signature of P . ee or gent 7/Z Receipt No. 192 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY 7 ;2 Build ng permit expires Date 71 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .� BUILDING INSPECTI ON'RECORD . BUILDING. BUILDING (Cont'd) PLUMBING Setback�- �— — 9 , 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 Gara a Fdn. Vents Fixtures ' Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica e. Conformance of ex. structure Appliances Gas PI in & Test Temp. Gas Slab Final — — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin ff Test Water Htr. Stucco V Final Subpanels Mesti MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation . Permanent Door Closer Final Final MOBILEHOMEUTILITIES------------------Elec- Service Elec.•Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support . Elec. Continuity Water Piping Drainage Gas Piping 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 - Oroville, California 95965 Telephone: 534-4541 n 7� APPLICATION AND PERMIT All authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X (ISS,G` e, J_ez� Dater Z -/ 2" nature of Permitee or (A�7gennt 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. DIRECTOR OFPPbBLIC WORKS BY Date 3 — ?4P ilding permit expires Date_ 33 —7Z BUILDING IV I Owner C✓1, SQ. FT. OCC BUILDING VALUATION Mailing Address. (7 ��(, v t '16 } 19 C4 p�oq N�� Tel ! J^W %% Contractor Hem: I Mailing Address Fireplace Total Valuation / L Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee • .- _ (o S C.6Y► (IL -1 tL PLUMBING No.1 @ FEE D /bO ? /� '7` PERMIT FILING FEE $3.00 Each Trap 1.50 & pq v f Repair drainage or vent piping 1.50 A. P. No.�9 `► 3��Z-Z'� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F dV'C. Si Fire Dept. Fire Zone Use Permit Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 / Bldg. �S Rec'd �� Parcel {�`roval PlansAppro val Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 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 ( ACCLBLOGS.LING CCUP, Y) 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 style of: T NEW CO I T (BRANCH CIRCUITS) 2.50ea NEW CONSTR. BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 8 NON-RESID.' SINGLE OUTLET CIR, Ex. Occur)(OUTLETS OR FIXTIIRES B L@; FIXED APPLNS, OR Ex. Occup-( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Licehs 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 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 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 $ 62 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X (ISS,G` e, J_ez� Dater Z -/ 2" nature of Permitee or (A�7gennt 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. DIRECTOR OFPPbBLIC WORKS BY Date 3 — ?4P ilding permit expires Date_ 33 —7Z