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064-360-017
I 64-36-17 Nelson Westerhout 85 Norwich Cir., lot �,PPi�#?#�*agalia Permit #2997-79P,E(ut_�j.,MH) ELEC.-7--/D=19 ,VAA-rK P moo. GAS 7' l 0 -7 9 R pe, SUPPORT STRUCTURE REQ. 1U0 OMPACTION TEST REQ. /y ► //0- -36-17 contr: Paradise Modular Conc., Para Permit #3764-79B(new pri.garage) n! 7�0 4 36-17 r. Paradi�Mooular Concepts y ti P rmit#3332-79MHI Issued �17-11� -7 co tr : . e !a le- Ser•,v. , Paradise Permit #5878-79B(0ew awning/Mg) f 64-36-17 contr: Paradise Modular Conc., Para. Permit #6238-79E(elec.for permit # 3764-79/garage) Z` t 64-36-17 rPermit#2903-82B(ic, d d k 64-36-17 1360-91B BREEDLOVE, Clinton p' 14174 Norwich, Magalia I. (covered deck/mh) i e RESIDENTIAL - 64-36-17 la60-91B BREEDLOVE, Clinton 14174 Norwich, Magalia (covered deck/mh) 5P JOB FINAL Signature J=0K O=Not OK Not ' = Not Ready, • . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements ' 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC ARPORTS, GARAGES, Plans OK except #'s . J4022!69 Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Wig; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh tG.-' oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date- 1Y-;, Card B-1 C S Date Card B-1 Date /Z -/7 / Card B-1 GS -i Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single ' =- I & Duplex) ` Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rli n -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive l7 Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain &Overflow; Size &Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card E-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made `j, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Orive - Oroville, California 95965 - Telephone: 916/538-7541 1360-91 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-36-17 ZONING RT -1 BUILDING PERMIT ._ OWNER CLINTON BREEDLOVE TELEPHONE 8734730 SO. FT. OCC. BUILDING VALUATION 208 Cov 2 6 OWNER'S MAILING ADDRESS a ga is 14174 NOrwich Dr,Raxadisa 95954 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14174 NorwichI�agalia Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 173 SUBDIVISION NAME 1P.P.C.C. Unit 4 PARCEL MAP Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome93 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Additionj® Remodel❑ Utilities ❑ installation❑ Other ❑ Describe work:_ Covered deck replacing awning (storm damaged) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 810V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. [ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.eI) DR ACDNS. ACC. BLDGS. , �22SQft LET NEW CONSTRESID, RANCH CIRCUITS) NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURES 200500 SALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15E..00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ounty in consequence of the granting of this permit. Xc2,eL e � Date Signature of Applicant — Owner 1!!S1 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- stories in height. ion of structures over 3193/5-7 Mobile Home Installation Fee $ Energy Inspe tion Fee $ Onc ff l co PE . r TOTAL FEE $ 67.75 HAL. I cuA PARK ✓ SCHL ✓ I FLD __ I CDF --- I PAR PD I HD. I SU , This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab a for which fees have been paid. D E OR PUBLIC WORKS i / ByAfa^ Date PE MIT EXPIRES Date 5 -�3'�l --iF eceipt No. ✓ / 5- 7 NIT!-O.P.W., YELLOW-ASDE330A, PINK -INSPECTOR, GOLDENROD -APPLICANT Y"'+VS{..LhW'�7'1'{"SiiJ+`hMfifr`S'%IitVMY�•'W'AI'N��M�r"3�.�..`/�"N"i•'Yl`}.1+'�(�1L1Vf�''.*.,.�vYr. �. ,1'�. COUNTY OF,i,BU4A"T iE -DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION PV { / 7 COUNTY CENTER DRIVE - OROV,ILL E,.CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER C L -vro,j Ayl?,5ko1,e_> oe_ A. P. No. C Y- 3Ic- '17 Proposed Building Use CbJ DaG�� ` Building Inspector S"� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: d/ DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans,in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. , 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation :........ 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) .17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... �22. Certificate of Workmans Compensation Insura ee .................. 23. Owner -Builder Verification (Given to owner ❑''Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... ' 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone _ and hold p'ckup at �� office. Deliver w./inspector. Other Q��c-6�i��,�y L5�2--1i/, Applicant Date G �G1� Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ____Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--.nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY QF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An."owner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan.to provide the major labor and aterials for construction of the proposed property improvement (yes or no) �� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name -- Address v rat- 11 r -c City ✓i¢�Zi i� G�lf- Phone _f;�7Z-3a_ 7/ Contractors License No. / 7i7 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ' Address City Phone Contractors -License No. " 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: "- Name Address . Phone Type of Work Signed: Property Owner � Date 1 -4 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County'Cenfer Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36 - / t ZONING Rr_( BUILDING PERMIT OWNER C L I 1\17-od Z3iz,MO c o v e TELEPHONE 873 - y73^ SQ. FT. OCC. BUILDING VALUATION I—D -✓ O d V 1. OWNER'S MAILING ADDRESS No vqI C -d PA � CONTRACTOR'S NAME 0/�- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN pp Total Valuation $ Zp o O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 39 5-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S Energy Plan Checking Fee -��> $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r y %7V /V U CH Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME /-- / - U^) PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ ' DuplexMobilehome[Z/ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodei,2r Utilities ❑ Installation❑ Other ❑ Describe work: C of !7261'•- 160-,E AC114s /0 -IN 14 Dldll,, y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main Service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADDNS. L ( DWELLING OCCUP.N ACC. BLDGS. , 2�20sgit NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS .&) SINGLE OUTLET CIR. ( EX. OCCUp\OUTLETS OR FIXTURES BAL930 °AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in consequent of the granting of this permit. /� ,2% X G✓�, G�- Date d�/�!� �� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ PHAZ. CONST TYPE _ --� TOTAL FEE $ �/. 7f� I CUA PT7 SCHL I FLD I CDF I PAR PD I HD. I ISSUE. This permit is hereby issued unoer the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. 19 3 If- 7 v41T�•O.r.'N.. YELLOW -ASSESSOR. PINK -INSPECTOR. GO'.o KNROD-APPt.I CANT .4 NOIR\C i ,.lo�ii� �N l��` iNE:t:r� ■■■11nu ■■■1111111 ■■■UMV GENRES ■■■aum MEMO M; M■■■,1V ■■■EI IM ■■11111 I\ 4111111111 irk 7■■■aN 1111■Ea,■ '1■■E■ C MEETS (1110FAIIII 1 (1■a A0111 ■■■■■O■■■ ■■■0111■■■■ ■■0111■■■■■ ;'�■■■■111■�1, �■■■■l11L1■1`►�i i!'J■■��1i1lJ■S1 r' -•- r. 6Y 3G n f PERMIT NO. 2903y-.82B: PERMIT EXPIRES OWNER •NELSON WESTERHOUT CONTR. owner ASSESSOR PARCEL 64-36-17 LOCATION 14174 Norwich Circle, lot 173,PP#4 Magalia C Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E I F Temp. Gas Service �r Called PG&E JOB FINALED (Date) Signature v = OK 0 = Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS. Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date CKS, COVE RPORTS, ETC. (Plans) OK except It's oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footi Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete q3' 'e Girders and/or Joists -Decking -Bracing -Stairs -Rails tvwood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date 9-�- 7,"ard-BI Date Card -BI Date Card -BI Date Card -BI Date 1 ` Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK exc pt N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval Card B -I Date Card -BI Date 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- Card -BI Date Card -BI Date Card -BI_ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing-Plates-S3und 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 19 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 744 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office .when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector ! Date zdzl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilje, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO o�-3 ASSESSOR PACE UMBER Z; 1' ZONING BUILDING PERMIT OWN J 1/ S VV40 U�r TELEPHO E SO. FT. OCC. BUILDING VALUATION C OWNER'S MA LING ADORE ` 74 Abqgwt �'12 CONTRAC O 'S N E L PHONE CONTRACTOR'S MAILING AD ESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADD ESS Permit Fee $ 30 pe ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ p; -v Penalty $ ARCHITECT OR ENGINEE S MAILING ADDRESS Permit fee $ BUILDING ADDRESS C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAM PARCEL MAP Eac1;7h qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehomep Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: C', v4^7ZI~ p � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.m) OR ADDNS. ACC. BLDGS. _ 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification on I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NO .RSDBRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 21 BAL00 IXED APPLNS. OR Ex. Occup.(OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidCounty in conseq n the anting of this permit. X / Date �_ 3 Signature of Applicant — Owner 9W C rracto ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP M_ f TYPE of CONS PAi c� PD ND ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �7 Date �` %'D Z- �� Receipt No.f5173 Z WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I 3764-79B 9 PERMLT-NO. PERMIT EXPIRES La- OWNER Nelson Westerhout / Paradise Madinat Conc.; Paradise CONTR. 64-36-17 ? LOCATION (A.P. ) 85 Norwich Cir., lot 173, PPCC#4, Magalia I a i 1 • 'a ;2 e a Temp. Power Pole Called PGS�&"E Temp. Elec%Serv, Called PG&E Temp. as Serv. ailed PG&E VBINALED (Date) fM/ (Signature) P K Y~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILD( G (Cont'd) PLUMBING Setback Firewall Sol[ Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows - 7 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing /o - Sewer Garage Fdn. Vents Fixtures Footin t .(/p StemwaI l p[.J4% ?f ge Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica ed Conformance of ex. structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio (REPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough - 7 B Reinf. Steel Final Fixtures - 7P 10 Bond Beam FIRO SPRINKLERS Motors Framing - Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Tem . Pole Finish Ducts nder roun Interior Lath Ventilation Permanent Door Closer Final Final -MOBILEHOMEUTI TIES .................. Elec. Service Elec. Pedestal Water Piping DATE ---- bupport Drainage 01 -le W% �K Dpi in Ele .Continuity Gas Piping Si�i✓ O/�� G��fls>!S c 4,k y dlL / 1d 114 �� ® -t�£a J (NO07-Anentry must be made on this form each time you visit the job site.) %D -/J . 7� I , COUNTY OF BUTTE — DEPAR-A. ENT. OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �7igs�-�9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /,\ a J��e 4 ::a-- V -a Signature of Permitee or Agent RJ✓eceipt 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. DIRECTO OF UBLIC WORKS By Date wilding permit expires Date—Z6',P'D BUILDING / Owner � � , SO. FT. OCC. BUILDING V L ATION62 c/J/ ff Mailing Address Telephone No. Contractor tV 19AI Mailing Address s ' Fireplace Total Valuation Tele o I�p. � Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Feeof PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ` Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — //�� I ting & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W �_ ban to ' n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking P rcel PI ns eclaration Parcel Ma P 60' R/W Im rovem P Tach additional outlet .30 Building sewer 5.00 Plans Recd Parcel Approval Plan pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ is ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 60ov OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L. too AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST ( DWELLIN. OR ADDNS. ACC. BLDGS.CCUP S) 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: License No. Classification 0-4 NEW CONSTR MULTI.OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIiRES g L@; FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. EJI certify that in the performance of the work for which this permit is issued 1 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 1 1 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 $ .Aeo, 1IOC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /,\ a J��e 4 ::a-- V -a Signature of Permitee or Agent RJ✓eceipt 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. DIRECTO OF UBLIC WORKS By Date wilding permit expires Date—Z6',P'D ,J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �f 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541��� APPLICATION AND PERMIT Receipt No. T � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date v� BUILDING OwnerO Cr -1 �` �1 � 'e. 1�'i� l� ® U � SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address S Fireplace Total Valuation Telephone No. _ .8S Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 _ A. P. No. 3 oning & P/ nning Water piping 1.50 Each gas water heater or vent 1.50 es SaWla i^= FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Bldg. Plans�Rec'd Plans Approval Lawn sprinkler system 2.00 ____E2LceI_AEprovoI NEW ❑ ADDITION 0 UTILITIES ❑ OTHER 4 Permit Fee $ G` 1 to -7 ELECTRICAL -4- No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 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 CONST. I DWELLING OC Y OR ADONIS. %ACC. BLOGS. $ 20sq it Q.& 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 `� NEW RES,.,CO BRANCH CIRCUITS) T NON-RESID (MULTI-OUT BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID. `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 50@250 BAL01 Ex. Occup ( FIXED TS (RES. OR • OUTLETS (RESID.) EA 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 �88 �� / License No. Classification 1 Misc. Wirin 6.25 61.2"o 944,21c;W ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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 Wo en'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 7l'I - Signal -L. f Permitee or Agent /-By Land Development Fee $ 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. D C OR OF PUBLIC WORKS IL' Da Receipt No. T � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date v� PERMIT NO. 2997-79P,E PERMIT EXPIRES OWNER Nelson Westerhaut CONTR. owner LOCATION (A.P. 64-36-17 1 85 Norwich Cir., lot 173, PP#4, Mag3lia ,i r .y Temp. Power Pole Called PG&E gip. Elec. Serv. Called PG&E /FINA _TAW. Gas Serv. !1_;1-3 ' " G I •9 Called PG&E OB LED / ( te) (Signature) mesn 1 % I B' MECHANICAL % I Grd. Ffult Prot. \ tiMn \ I CoollAg \ I Tlma. Pole logrior Lath V Illation Permanent oor Closer nal G anal �w MOBILEHOME UTILITIES Elec. Service — pod Elec. Pedestal ® sE Water Piping ��Sewer 3 y Gas Piping ' 1 E ME INSTALLATI N • . • ......... Support - 7 Elec. Continuity Water Piping -f3-7f Drainage 7 - .y Gas Piping DATE REMARKS OR CORRECTIONS 7 �o-z 44,4 / O 240 �. sa 31�ir �Pr 6 7"f (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ' Fir all it Piping Para is t Floor \tbak dg. Restro Finish 2n Floor n s Windows 3rd loor all Siding To out SlabX Roof Sheath Water PIXg PiersX Roofing X Sewer Garage X Fdn. Vents X Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Provfor physical[ handica ed Conformance of ex. structure Appliances It Gas Piping &Test Temp. Gas Slab Final Sanitation Patio VREPkACE Final Footin s Footing LECTRI L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam IRE SPRINKLEW Motors I Framing Test Water Htr mesn 1 % I B' MECHANICAL % I Grd. Ffult Prot. \ tiMn \ I CoollAg \ I Tlma. Pole logrior Lath V Illation Permanent oor Closer nal G anal �w MOBILEHOME UTILITIES Elec. Service — pod Elec. Pedestal ® sE Water Piping ��Sewer 3 y Gas Piping ' 1 E ME INSTALLATI N • . • ......... Support - 7 Elec. Continuity Water Piping -f3-7f Drainage 7 - .y Gas Piping DATE REMARKS OR CORRECTIONS 7 �o-z 44,4 / O 240 �. sa 31�ir �Pr 6 7"f (NOTE: An entry must be made on this form each time you visit the job site.) f MOBILEHOME INSTALLATION_INSPECTION CHECK LIST Is the mobilehome located w�ityrequired separation from lot lines and buildings and generally conform to plot plan?. Yes l/ No_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yea/No 3. Are footings and supports properly sized, spaced, and braced as pew approved plans? (Note possib_e 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 t/No .6. Water A. Is Uleebble 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? YesjZNo C. Backflow - If coach is not St a e o ifornia approved, does station have backflow device and pressure -relief valve? Ye je 7. Wastes and Drains / A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes/ No B. Does it have minimum k" per foot slope and is it properly supported? Yes L No C. Ar=_ any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes N.o D. If coach is not Sate I ifornia approved, does station have required trap and vent? Yes No ry 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 e omgas line inlet without reductions other than the mobilehome connector. Yeso_ B. Test OK as per following procedure? YesNo 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? Yes Lo 4 9. Electrical A. Is service large enough to.provide adequate ;amperage -to mobilehome (must equal rating o mobilehome with a minimum of lamp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes_ C. Is power supply cord or feeder assembly properly fused? Yesl/ No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have 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 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 �aC f / 1�� -37 A 7 Length Width Vehicle Serial No, s�nl �iG<11Z p "'�3� A-15 State Identification No. ��'� •/��OQ �, S / A Additional Information or Comments: e COUNLTY 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 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Moder' Fear . Insignia No. 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 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — Oroville, California 95965 V/ Telephqne: 534•4541 3-!2� APPLICATION AND PERMIT O� BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address O„ IT Building Address A. P. No. /- � (�/ _ Zoning 8 Planning ,es I VV. .Sz."au. t FireDept. Fire Zone Use Permit EOA IParking I Parcel Parcel Ma 60' R/W I Improvement Plans Declaration P 3 Parcel rovol I P I an4PA'p-proval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER G Single Family ❑ Duplex ❑ Mobil Home 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 License No.Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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. 3f ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 4�L�z __t� 1;7 Signature of Permitee 7/ Receipt No. %sy %a (I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation ELECTRICAL Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee 5.00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 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 .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ 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 Main service O100VERAMeoovPOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. /DWELLING OR ADDNS_ % OCCUP, k ACC. BLDGS. 20sq ft Ex. OCCUDIOUTLETS OR FIXTIIRES gqL Ex. DCCUp. OUT ETS IXED PLNS (RESID )REA) 2.00 3;Smporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Land Development Fee $ TOTAL PERMIT FEE $ O This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. I R OF PUBLIC WORKS B 11 Date Building permit expires Date _ 7 ac>U COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS z 4 7 County Center Dive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. XDate-�"'� 5-1/2 —1, Signature of Permitee or Agent 7 Receipt No. 2 ©� 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 OFP4BLIC WORKS 7� By � Date ��'" Bui4iing permit expires Date YD BUILDING Owner- ��/�( SQ. FT. OCC. BUILDING VAL AT ON Mailing Address 1,-7 C zvqaTelephone Li C� No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �j ,01Z Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 God" �7 tifT 7 Repair drainage or vent piping 1.50 3� •� A. P. No. / on' g & nning Water piping 1.50 a O Each gas water heater or vent 1.50 F Sa i ti ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 /O.DZO EQA Parking r ParcelEach Plans I Declaration I Parcel M 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Por I rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES 0 OTHER ❑ Permit Fee $ 11-1- f%2 f ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS!,/ 100 AMP OR LESS 5.00 %0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 ?.`jai Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR AODNS. ACCLBL GS.LING CCUP S) 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 le of: NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI RES B Lr Ex. Occu FIXED APPLNS. OR P- OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1Joq License No. Classification Misc. Wiring 6.25 E]I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,5v $ I— MECHANICAL No. @ 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 asp 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 above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. XDate-�"'� 5-1/2 —1, Signature of Permitee or Agent 7 Receipt No. 2 ©� 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 OFP4BLIC WORKS 7� By � Date ��'" Bui4iing permit expires Date YD 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orov_il_le, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No (If yes, furnish permit number o� `7 % — S) 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? ----------------------- 1 O m Amps 6. What is the mobilehome.site service rating? --------------------- V Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there'any other electric load to be served by the mobilehome / / NoT77""' site service? --------------------------------------------------- Yes ✓/ (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 / Ll 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (B`U) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA ° If"other than single wide, Mobilehome Mfr. ,�,i furnish Setup Model No. % — Year l �1 Width.c� 4 x en (ft.) ogth (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Fotin s (check one) Single 1. Wood either pressure treated or foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes r � X � � Supports (check one) (in.) Concrete block. ® 2. Other (specify)- (ft.)(in.) (in.) (in.) <--Tagalong or Expando, show support details. /,? - 01 U (ft.)(in.) (in.) (in.) 60 -- Typical Support (in.) (in.) Footing Size KEA (in.) (in.) �- 6 -- Max. Pier Spacing (ft.)(in.) X30 -- Max. Overhang (ft.) (in.) (in.) (in.) )� (ft.)(in.) f 6UIL-DING DEPARTMENT l � yX�� &o- APPRoVeD *If center piers are other than drawn above, draw in locations; spacing, and dimensions. 92 -N.: Ssn Tomas Aquino Rd. Campbell Calif:. May 2,. 1979 Butte Co. Dept. of.Public Works # 7 County Dr. O,roville, Calif. Re: Agency Authorization for permits Utilities and Construction Sirs; Supervision..' LeVern A. Hadley: Registered Building Designer, -.is hereby.authorized to act as our agent in the obtaining of the necessary -permits, utilities,. • and construction supervision of the lot development and the installation of a mobile home on our lot # 173 Paradise Pines unit #A on Norwich Circle, Paradise Pines, Magalia, Calif. 9 incer �,e ly, i/ • • 1 -PERMIT NO. 5878-79B I PERMIT EXPIRES OWNER Nelson Westerhout CONTR. Sierra Mobile Serv., Paradise 64-36-17 LOCATION (A.P. ) k , s 85 Norwich Cir., lot 173, PPCC#4, Magalia rt i c ' I ti if • 4 f. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) r-raming Test Water Htr. Stucco Final Subpanels Mesh CHANICAL Gird. 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 OBILEMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 11 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTYE — DEPARTMENT OF PUBLIC BUILDING INSPECTION' RECORD WORKS BUILDING BUILDING (Cont'd) . PLUMBING Setback — Firewall Sol[ 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 �O� . %9 Sewer Fdn. Vents Fixtures .Garage Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed . Conformance of ex. structure Appliances Gas PI In & Test Temp. Gas Slab Final 0—1 e- k Sanitation atio Cg�Vl FIREPLACE Final Foot in s ,O— ® Footing _ r- LECTRACAL r-raming Test Water Htr. Stucco Final Subpanels Mesh CHANICAL Gird. 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 OBILEMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 11 (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 Tel ephone:, 534-4541 APPLICATION AND PERMIT =� 9 Code which requires every employer to be Insured against liability for Workmen's Compensation. Lhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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- enti ;ert for inspection purposes. 4 1 X ''L Date S' 91ture of Permitee or Agent Rece' No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 710,0 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- Z �y Building permit expires Date ''- -2-9-?v BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 8 00 Mailing Address J Telephone No. 3 -417 7' Contractor Mailing Address P96 s Fireplace Total Valuation Telephone No. �7y 6.57o Permit Fee , p Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE ,, PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �j�-3 -/ 7 zanini PI ening Water piping 1. Each gas water heater or vent 111.50 Fes W16 S on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 ule�Bldg. Plans R d Parcel A royal Plans Approval Lawn sprinkle ystem 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER, Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 1:1 Duplex E] Mobil Home Others El Main service EA. ADD'L 100 AMP 2.5 / / / OVER 600V Main service 100 AMP OR LESS 2 0 Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST � ACCLBLDGSLING 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: NEW RESID, BRANCH CIR T NON.CONS ( BRANCH CIL ITS/ 2.50ea NEW CONSTR. (POWER APP ATUS d NON.RESID, SINGLE O ET C.R, Ex. Occup{OUTLETS R FIXTIIRES �*L BAL@1 aia FIX APP LNS, OR EX. Occup. (0 LETS (RESID.) EA) 2.00 Temporary S rvice 10.00 Mobile Home Facilities 15.00 License No.c-77/11/a4Classification e_ Io� Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ MECHANICAL No. FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE $3.00 Heating Code which requires every employer to be Insured against liability for Workmen's Compensation. Lhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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- enti ;ert for inspection purposes. 4 1 X ''L Date S' 91ture of Permitee or Agent Rece' No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 710,0 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- Z �y Building permit expires Date ''- -2-9-?v ..... .. .. . ... 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