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064-350-005
��- ) 4) H •� A.. P. X5'' -,—Tim JOSEPH C. LIPA 25 Decatur Dr., PP#4,` Lot 260 } CONTR: Murray Cain, Magalia Permit 309-74E (elec. for MH), A :,P :-- JOSEPH C . LIPA 25 Decatur Dr. , PP#$4, Lot 0 NTR: Ray Munjar, Paradise it 517-74P (plbg.for MH) A.P. JOSEPH LIPA =b 25 Decatur Dr., PP##4, Lot 260 CONTR: M.K. Williams, Paradise _P_ermit_1326-74B,,E_(„garage for MH) `IZa-3 5- 5 PERMIT 56-76P(GA•S--P-1-PI,NG ONL-Y- FOR EXISTING SITE) MH �... I ELEC . - � - GAS..___, ..- .� �--- '� SUPPORT STRUCTURE REQ. s Q� -� - COMPACTION TEST REQ. *- 64-35-5 Permit #1817-y�i�MI !-� Issued I 64-35-5 a t f Permit #1491-77B(new open deck/MH) '-fill 9647% nal - t r ' II BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE I NAME I DEPT. 11 DATE I NAME I DEPT. i A iPERMIT NO. 1491-77B PERMIT EXPIRES OWNER joe Lipa CONTR. owner i LOCATION (A.P. 64-35-5 25 Decatur Dr., lot 260, PP#4, Magalia 1. s 1� 1 . I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. C "ed PG&E OB ' FINALED (Date) ! (Signature) 1 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 Stemwa I I Garage Vents Q Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. _ structure i� Appliances Gas Piping &Test Temp. as Slab Final LG ' L / Sanitation Patio FIREPIL.ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRF CpRINKI FRC Iuntnm P-raming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service. Brown Cooling Temp. Pole Finish • Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES --------------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME 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 — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ���i`id i e'lephon moo. i ' !/ Fireplace Contractor Total Valuation Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee O O Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,1/, p Each gas water heater or vent 1.50 A. P. o.Gas _� Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s San t n Fire Dept. Fire Zone _ Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parc I Ma P 60' R/W Improvements..Lawn sprinkler system 2.00 Bldg. ons Rec'd Parcel Approval Plan pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home,® Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2,tsgft NEW CONSTF;L MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 12.50eal NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. Occu FIXED APPLNS. OR P•(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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildin construction, and hereby authorize representatives of the Co rty qeB tte to enter upon the ab -menti ed property for 'ns a ion urp ses. X DateleIrl�>2 I nature of ermitee or Agent 10 Rec t No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. E. OF PU LIC WORKS B Date Building permit expires Date MOBILEHOME INSTALLATION' INSPECTION CHECK LIST 7 Is the mobilehome located with required separation from lot lined and buildings and generally conform to plot plan?' Yes No . 2. Does the mobilehome hpve required clearances above ground? (Sec.5085) Yek,� No 3. Are footings and supports properly. sized, spaced, and braced s per approved plans? (Note possible variation at .spring shackles.) (Sec, 5082 & 5083) YeNo OIs the mobilehome level? (Sec. 5088) Yes— No 5. If morp than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 7ZNo 6. Water''`` A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backfl - If coach is no,t State of California approved, does station have backflow device and pr ss re -relief valve? Yes No - 7. o 7.�stes and Drains ' 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 No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D.� Ifo ch 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: A11 piping is to be at least as large as the mo ehome 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.777777```""'''I.I 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? Yes No 9. Electrical Q►. I's service large enough to provide adequate amperage to mobilehome (must equal rating cLf mobilehome with a minimum of 100 amp) and other facilities on 'lot, i.e., water pumps, garage, cabana, etc.? Yesz�No_ , B. Is there proper clearances around panels? YA_ No 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 pes'tal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 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 nl.obilehome 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 h ►� r Length ( C Width Vehicle Serial No. ( 5 Lo© 15 S(o0 i to State Identification No. S73-3 G 5% 3 3 Additional, Information or Comments:' o� oc-) — COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS +.° 7 County, Center Drive OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT u ,�,,ywcn,auvc� vi 111.wunLy UI ouuc LU CIIICi UPU11 ule above-mentioned property for inspection purposes. Date Signature of Peermitteee or Ager C r Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFIPUBLIC WORKS ByIt iI`�'_'�,� Date A' -/Building permit expires Date BUILDING Owner T/-) C-4-- j 711 t All. SQ. FT. OCC. BUILDING VALUATION Mailing Address �� �> / /. f 't Telephone No. Fireplace Contractor �rr s Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee --��-- Building Address w PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,tom 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. �` +� C"_ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees WA:' Sanitatiort Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldy._Plan�d• %% Parcel iA royal j Pldn royal Permit Fee NEW.2 ADDITION ❑ UTILITIES ❑ OTHER Q -, ELECTRICAL No.1 @ I FEE PERMITLFILING FEE $3.00 •( ;. i, �/'V : �jf j -'%� f , ,:J . .. Main service 600V OR LESS 100 AMP OR LESS 5.00 r Main service EA. ADO'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ElMain OVER 600V Main service 100 AMP OR LESS 25.00 service/ EA. ADD'L 100 AMP 1.00 !" OR ADDNSNEW T DWEACCLBLDGLING OCCUP, &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARAS & NON-RESID. (TUSINGLE 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) �@1 BAL@1 Ex. Occu FIXED APPLNS. OR P'(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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TONAL PERMIT FEE $ m C9 _._ u ,�,,ywcn,auvc� vi 111.wunLy UI ouuc LU CIIICi UPU11 ule above-mentioned property for inspection purposes. Date Signature of Peermitteee or Ager C r Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFIPUBLIC WORKS ByIt iI`�'_'�,� Date A' -/Building permit expires Date • . . A. _. .. .. .. ....-`�,a��,.. a.. a. 7t•. it.. ;, -y,..;+1. �7= :,-1 .,t. _ ., v _.�. —: Penmit #110 7-76MI Lana, Joseph 25 Decatur Dr., ?,ot 260, PP#4, ?Kagalia 64-35-5 �I) for existing site z� O Q e � 3.5 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-/ 4,11 >— '-7K for the following location: Owner Owner's Addressf- Moliilehome Mfg. `— - eo l Model Year Insignia No. • � Z; /— X Serial No. ISIQ!�S "/— b It is hereby certified for occupancy at the above described location and may be occupied. f / Director of Public Works Date Ca ' i. " 2(1 By , / 7. )jbi2,-.x�^t.c_ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED + COUNTY OF BUTTE -DEPARTMENT`OF'PU-BLIC WORKS - 7 County Centeii.12live 7 Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 17-76 6 •+ cV. a UI t— l UU1Ry UI OUIIQ LU CIILUI LIPUII Lilt: above=menti ed pr erty for inspe purposes. Date 1� S' nature of Permitee or Age C� Re eipt No. %--_ 2,, 3 < W Ile-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 be paid. DIRECTOR F PUBLIC WORKS B ;� Date �� 7 - Building Building permit expires Date -f Z -BUILDIN Owner 2 SQ. FT. OCC. BUILDINd VALUATION Mai I i ng Address Telephone No. s G Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ is Building Address �• PLUMBING No. @ 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.� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. Sam6ta46ew Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 .13"Q P Parcel proval Pla s Approval Permit Fee $ $ NEWAM ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r (.` Main service 600V OR LESS5,00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. DWELING OR AODNS. ( ACCLBLOGS.CCUP. &) 20sgft 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 le Of: • Ex. Occup(OUTLETS OR FIXTURES)50 @ 250 104 )StFIXED APPLNS. OR Ex. Occup.(0UTLETS(RESID.) EA2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 21—am exempt from the Contractors License Laws of the State of Califomia. 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 J$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 -(MA-1 ERMIT FEE $ '— •+ cV. a UI t— l UU1Ry UI OUIIQ LU CIILUI LIPUII Lilt: above=menti ed pr erty for inspe purposes. Date 1� S' nature of Permitee or Age C� Re eipt No. %--_ 2,, 3 < W Ile-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 be paid. DIRECTOR F PUBLIC WORKS B ;� Date �� 7 - Building Building permit expires Date -f Z a �64=35=5 Permit ��1107-7',SB(new support structure for future mobile home) _� �- '~ v COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '•— Uroville, California 95965 1107� / (,� 7/ Telephone: 534-4541 APPLICATION AND PERMIT .. ...—.. ... , v...a i u,o vvunly Vuilt lU CIIICI UPUII LII: above -merit' ed propert for inspecti p rposes. .y X (� Date Si atur4fof Permitee or Agent Re pt No./(—/ 2 7 7 y • e-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 Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing A dress o J,_ - Telephone No. Fireplace Contractor ^ Total Valuation 300— Mailing Address Permit Fee �— Plan Checking Fee&/or Penalty Telephone No. Permit Fee -- Building Address as PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �D 0 o 454, y Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /r _ L _3 �� S' A. P. No. l�O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. C. S to Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P provements Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. tLdris Recd Parcel Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 EW CONST. DWELING OR ADONS. ( ACCLBLDGS.OCCUP. &) 22sgft NEW CONSTNON-RESID R (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)IBC BAL@1 (FIXED Ex. Occu FIXED APPLNS. OR (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 ermit is issued. I shall not employ P p y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby FEE TOTAL PERMIT _ s .. ...—.. ... , v...a i u,o vvunly Vuilt lU CIIICI UPUII LII: above -merit' ed propert for inspecti p rposes. .y X (� Date Si atur4fof Permitee or Agent Re pt No./(—/ 2 7 7 y • e-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 Date Building permit expires Date WALTER B. GRIMES AND ASSOCIATES CIVIL ENGINEERS AND LAND SURVEYORS 1.356 MANGROVE AVENUE CHICO, CALIFORNIA 95926 OPTIMUM DENSITY TEST Job Name J 0 C_ :, npC'� Job No. 76 -� Job Location 2s QCCffP« 1>> , /�Gj'req By: -Date 3AY7 C Soil Classification: Ree d i s � 1/elcdh a %a ax" Test Method: Std. Proctor Mod.AASHO Calif. Impact f SUMMARY Optimum Dry Density =p.c.f.; Opt. Moisture = 96 95% Rel. Compaction = p.c.f.; 90% Rel. Comp.= /p 7 p.c.f. REMARKS: F=Dx62.4or,CxE Signed: LIA)rc.t& VJ F 7 21 9y H Note: Weights in grams unless otherwise noted. Sand Calibration A.) Volume of cone = c.c. B.) Wt..Sand gm. Unit Wt. Sand = A x 62.4 .c.f.. - S-101 (Rev. 67) SAMPLE DATA Trial Water used c.c. - ioc C c 2 Cot c A Wt. Wet Soil + Mold = 2 4.'76 L(- % •LG 7 , B Wt. Mold - L6 yLl: yL� C Net Wt. Wet Soil = 2 2 -.S - C L L � L Lj'o . D Vol. Mod. Proctor Mold - c.c. = Calif. Im act'Tam er Reading - / .-S 7 19. Calif. Impact Factor . "B" Kg. = i• i .I /. 9 o ! 7( F -Wet Density- .c.f. MOISTURE TEST Wt. Wet Soil + Tare - Wt. Dry Soil + Tare - G Wt. Water = Wt. Tare - H. Wt. Dry Soil - I Moisture % J Dry Density .c.f. - SUMMARY Optimum Dry Density =p.c.f.; Opt. Moisture = 96 95% Rel. Compaction = p.c.f.; 90% Rel. Comp.= /p 7 p.c.f. REMARKS: F=Dx62.4or,CxE Signed: LIA)rc.t& VJ F 7 21 9y H Note: Weights in grams unless otherwise noted. Sand Calibration A.) Volume of cone = c.c. B.) Wt..Sand gm. Unit Wt. Sand = A x 62.4 .c.f.. - S-101 (Rev. 67) WALTER 6.NUCLEAR RELATIVE.. COMPACTION PROJECT Pa�a9-s � P-"'ol� I RIMES. • and ��SSOC. JOB NUMBER FIELD T EST DATA DATE -1/4//7(. CIVIL ENGINEERS a LAND SURVEYORS- TAKEN BY CHICO, CALIFORNIA 543-1444 T°E `"bra - 2Ca TEST NUMBER 2 3 4 5. 6 7 8 9 10 STATION S tj Cv✓ -styCo/ .S ti coo OFFSET �s.r{stC. /edit Z GICt . $s,�" ttF ELEVATION MODE & DEPTH - " y •' DENSITY COUNT 3"4/ Sri 3 91. 3 Z - DENSITY COUNT RATIO % yi 2.Lv/ Z•3a s Ly .• WET• DENSITY PCF //?'f /* 9 /o -AIR.GAP COUNT AIR -GAP RATIO AIR -GAP DENSITY MOISTURE COUNT' . MOISTURE - COUNT RATIO ,:OISUTRE PCF --� DRY DENSITY s- '; MOISTURE MAX.OBTAINABLI DENSITY- C C C [ X OPTIL'TUM :'MOISTURE % RELATIVE CO:IPACTIO:i q /� 9O �� `I o . L . lam% 3• STANDARD COUNT REMARKS: -it a E t1CCdNa )oh S�OWI 30Ns6 MOG�t✓o. S few sw���e:.. L DENSITY MOISTURE y ,A Lr ' . j 11 •� 3 � CObw�,'-.� BU i � E •d DEPT. OF PUBLIC WORKS 49 -� RRR 9 1976 ,. AIR PM 181911011112 il 1213141516 � y i go 40 LA .00 .r' r ..� r � N � r- x � d• ` V s 0 •� od H s ! �'�' �t .o' • �p s Fi Permit #456-76P Lipa, Joseph -.-25 Decatur .Dr., PP #4, Lot 260 j � Magalia r A.P. 64-35-5 (Gas piping only, for existing site) MH 69� a a I COUNTY OF .BUTTE' — DEPARTMENT OF -PUBLIC WORKS 7. County. Center Drive — Oroville, California 95965 71! It,, Tel e�hone: 534-4541 t, ' • 5G 'APPLICATION' AND PERMIT auUlu-t; ICwCz)t:mc lveb ul the 1,uunty ul tsutte to enter upon ine above-mentioned property for inspection purposes. Date / Signature Sf Permitee or Agentf i Rece)pt No.' /�� 3zz-- 4hite-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. 11� DIRECTOR OF,,PUBLIC WORKS By ,ii _1 c /G- Date permit expires Date "-30 %� -BUILDING Owner _3 _ SQ. FT. OCC. BUILDING VALUATION Mai l Ing Address e L-ek Telephone No. Fireplace Contractor ZA , Total Valuation Mailing Address c l Permit Fee Plan Checking Fee &/or Penalty `•+ z e. ' Telephone No. Permit Fee' Building Address r x� c.h fs� PLUMBING Nor' @ FEE PERMIT FILING FEE J$3.00 ;9,T> 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. % _ .S Zoning & Planning Gas piping system 1 - 5 outlets A;'41 ..•1:50 J Each additional outlet .30 Fees W.C. 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 F==] Bldg. Plans Rec'd I Parcel Approval I Plans Approval Permit Fee $ /-4 atm $ /Z: 'p NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 T� n �_ �} 1!/ ✓� r�i�••-�'�t U'Y.+��_� _�S4Ly Main service 600V OR LESS 100 AMP OR LESS 5.00 /� II L/ Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 ,/ S 7 f' — /7`�'• / S / / 7y _-���-` NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2�Sgft NNEW CONSTMULTI-OUT LET ON•RESID R. ( BRANCH CIRCUITS)2.50ea NEW CONST. POWER APPARATUS & NON-RESIR D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)�250 BAL@log 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 1 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �'� '> oto auUlu-t; ICwCz)t:mc lveb ul the 1,uunty ul tsutte to enter upon ine above-mentioned property for inspection purposes. Date / Signature Sf Permitee or Agentf i Rece)pt No.' /�� 3zz-- 4hite-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. 11� DIRECTOR OF,,PUBLIC WORKS By ,ii _1 c /G- Date permit expires Date "-30 %� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 / _ /_ Telephone: 534-4541 APPLICATION ANP PERMIT au incir, z J1UzSvntduve5 or ine t ouniy or tfuite to enter upon the above- lone property or inspect' purposes. X r Date ignature ff Feermiteee or Agent ipt No. -/ 7 �" J?� te-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. _, EC�OR Q�F�UFt �IC WORKS 25Y 0401A 101-11,41" WHIM M� Date A, permit expires BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing A ress %yJ ' a Telephone No. 2 ' • Fireplace Contractor Q—upy 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 6� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �_ ?J �— __ A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets Each additional outlet .30 F tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ d NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1$3.00 t Main service 600V OR L 100 AMP ORSLESS 1 5.00 Main service EA. ADD'L loo AMP 2.50 Single Family ❑ Duplex ❑ Mobil HomeOthers ❑ Main service OVERAMPOOR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 Ad 1326-7� �S/7 7Ej NEW CONST. ( DWELING OR ADONS. ACCLBLDGS. OCCUP. &� 20sgft NNEW CONSTMULTI-OUTLET ON -RESIT R. ( 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)`�# BAL@1 Ex. Occu FIXED APPLES, OR P•(OUT LETS (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 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 TOTAL PERMIT FEE Is J �qla� au incir, z J1UzSvntduve5 or ine t ouniy or tfuite to enter upon the above- lone property or inspect' purposes. X r Date ignature ff Feermiteee or Agent ipt No. -/ 7 �" J?� te-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. _, EC�OR Q�F�UFt �IC WORKS 25Y 0401A 101-11,41" WHIM M� Date A, permit expires UTILITIES FOR MOBILE HOME i PERMIT NUMBER - B 517-74P Also See 309-74E cc P E _ PERMIT EXPIRES OWNER uvo�rn LLrr� CONTR: Ray Munjar, Paradise LOCATION (A.P. 57-71-5 3 25 Decatur Dr.j PP#k4, Lot 260 Zoning Foundation _ Rgh. Plumbing Rein. Steel_ Framing Wtr. Htr. Firewall ELECTRIC Temporary _ Final DATE COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Setback Piers & Girders Bond Beam Gas Piping & Test Plmg. Topout Furnace Garage Vents GAS Temporary Final Forms Fireplace Lath & Plaster_ Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. _ Final t 3 r-1 `lam 4 •4 ti,I • i PERMIT NO. 1326-74B,E 4 , P E M MH -PERMITMIT 7 N0. / PERMIT EXPIRES OWNER Joseph Lipa CONTR. M. K. Williams, Paradise LOCATION (A.P. 57-71-5 ) 25 Decatur Dr., PP#k4, Lot 260 . am Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) (Signature) Framin ". 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. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin ". B _(z�jTest Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown , Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final I Final DATE- (��^ c.1` '` 2 Ive _REMARKS OR CORRECTIONS ell e`%� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X y- Date y / Signature of Permitee or Agent Receipt No. -- // %0l? 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 BeS- Z—! S/ uilding permit expires Date ................S...Z�.S BUILDING Owner JO96-860- IPA SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address I ``j2 E0Dl2 /4y Permit Fee Plan Checking Fee &/or Penalty RAc std kl honeyt� e ��pp�� j�jf Permit Fee $ Building Address 2,S �EiTV 12KPERMIT PLUMBING No. @ FEE FILING FEE $2.00 ( L Each Trap 1.50 !�7- !' 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 FEVs I W I S tion I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bkt�_ Ions Recd Parcel Approval Plans Approval Permit Fee $ NEWADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3100 [7 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or ss) (more than 12) Runge, Cook -top or Oven 1.00 3p _ 7 e5l Water Heater or Space Heater 1.00 Light fixtures ba 10 s� Rece switch s & fix out ets- (�J,2.UMg 17 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 f: C % ' \! 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. Z> �z 1-77Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O 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. 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. 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 MECHANICAL No. @ FEE. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ z% a authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X y- Date y / Signature of Permitee or Agent Receipt No. -- // %0l? 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 BeS- Z—! S/ uilding permit expires Date ................S...Z�.S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Oceipt , Date 2-19-74 Signature of Permitee or nt 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 BLIC WORKS By —Date -'3— J — Building permit expires Date .._) = l -' BUILDING Owner o SQ. FT. OCC. BUILDING VALUATION Mailing Address 404 Fremont, Ca. 94538 Telephone No. Fireplace Contractor Total Valuation Mailing Address 5248 Scottwood Rd. Permit Fee Plan Checking Fee &/or Penalty Pa Telephone No. Permit Fee $ Building Address Pp# 4- LOT# 260 PLUMBING No.1 @ FEE , PERMIT FILING FEE $2.00 2.00 25 Decatur Dr. 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. 71— A-Z Zo gL � e Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S 'oh Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parting Plans Parcel eclaration Parcel M 60' R/W Im rov ments P Lawn sprinkler system 2.00 Bldg. Pla ec'd Parcel Approval Plans Approval Permit Fee $ $ NEW.0 ADDITION ❑ UTILITIES ] OTHER ❑ ELECTRICAL Na.1 @ FEE PERMIT FILING FEE $3.00 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 Water Heater or Space Heater 1.00 Light fixtures tol_ 61 Receps., switches & fix outlets T ( 25 b. 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: Ray N. Munaar Construction 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._2?1019Classification A 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 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 S ,S o TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Oceipt , Date 2-19-74 Signature of Permitee or nt 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 BLIC WORKS By —Date -'3— J — Building permit expires Date .._) = l -' COU&OF BUTTE ' - DEPARTMENT OF&BLIC WORKS 7 County Center Drive Oroville, Califo 95965 Telephone: 534-4541 APPLICATION AND PERMIT w icNicacniauvca ui Lim uuunty ui nutte to enter upon ine above mentioned property for inspection purposes. X V Date Z Signature ofrnte�&�ye or Agennt7 2 J / Receipt No. Irk _ 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. aIRECTZZlz LIC WORKS U BYVDate �Y — % Building perinit expires Date BUILDING Owner --lose SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address L'"� /(1 • Permit Fee Plan Checking Fee &/orPenalty 6A . I hone No. 3 Permit Fee �-- Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Y V Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Nom� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 6-C. _&a+-Eetisrr FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 .pp 44 -C -C T 00,Ly 7'f AJ . Main service incl. 1 meter 1 3, e7a MO /Lt Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Do Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_ (61 !O Receps., switches & fix outlets b ( 2b 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. FanorF.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 S7 a Temp. Power Pole 5.00 d3 Classification C/ � License No. i Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ B® $ /floe WORKMEN'S COMPENSATION INSURANCE I am awa•e 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1$ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE w icNicacniauvca ui Lim uuunty ui nutte to enter upon ine above mentioned property for inspection purposes. X V Date Z Signature ofrnte�&�ye or Agennt7 2 J / Receipt No. Irk _ 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. aIRECTZZlz LIC WORKS U BYVDate �Y — % Building perinit expires Date