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Home My WebLink About064-570-019o George Gillogley AP 64-57-19 � 120 Racine Circle, Lot 141, PP 10, " 120-Racine ONTR:'Featfier'River-Con"str: ;I�agalia � it 3791-75 P_,E (util./M ALEC. loGAStan If �/\ SUPPORT STRUC, i COMPACTION TEST REQ, ti AP 64-57-19 l c Permit 4614- 75MHI •�-� , CONTR: English John MH SIS, Para ISSUED -57- Z:5- 64-57-19 :64-57-19 Permit 243-76B"(riew covered deck/ 64-57-19 Permit #665z76B, (w�iv�� gar- age/MH) 'i -' E , i 1 0 `PEiRMIT NO. 669-76B,E + PERMIT EXPIRES OWNER George Gillogley CONTR. owner LOCATION (A.P: 64-57-19 ) 120 Racine Circle,,lot 141=Unit #k10,Magalia ;r �r It Its c w A ' Temp. Power Pole Called PG&E _ j Temp. Elec. Serv., 3 Called PG&E _ Temp. Gas Serv. _ Called or_o JOB I FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILQING 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 Prov. for physi ally Heaters Slab handicapped -Appliances Carport Conformance of ex. Gas Piping & Tes Footings structure Temp. Gas Slab Final Sanitation Patio 601REPL E Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 2 U Reinf. Steel Final Fixtures Bond Beanj FIRE SPRINK ERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAIL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final Z G DATE REMARKS OR CORRECTIONS 4 ff -7 j4A 3 ' (NOTE: An entry must be made on this form each time you visit the job si-te.) F_�15 COUNTY OF BUTTE — 'rPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 �'- Telepherie'534-4541 C./ V 76 APPLICATION AND PERMIT meceiPT Ivo. ! - White-Dte-DW .P.. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date _ BUILDING Owner SO. FT. OCC. BUILDING VALUATION /y f Mai I i ng Address e Telephone No. �3 0� Fireplace Contractor -��¢� Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address aQ PLUMBING No. C FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 ,t Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --S% — / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 17141 W . Sa FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Ian Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 a s e ' Parcel royal PIarvr-lrppraval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Q _ Main service 10 OV OR 00 AMPOR 5.00 Main service EA. ADO'L loo AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service AMP oR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 2dsgft �I NEW CONS. DWELINGOR ADONST ( ACCLBLDGS. ity OCC90 G , NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS &) NON.RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)"'� BAL@T Ex. Occup.(OUT ETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 X ® 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. 1 certify that in the performance of the work for which this n 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 C I 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Sign lure of Permitee or Ag-�ent P7!� TOTAL PERMIT FEE $ oZe 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 PUBLIC WORKS _ By Dat % 6 meceiPT Ivo. ! - White-Dte-DW .P.. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date _ N 0 ,xflMH VTIL. 3791-75 P E PERMIT NO, , a P i E t M MH UTIL. i PERMIT NO. PERMIT EXPIRES OWNER George Gillogley 1CONTR. Feather River Constr.,Magalia (. 64-57-19 LOCATION (A.P. ) n 120 Racine Circ_le-, Lot 141, PP 10, Magalia i Temp. Power Pole }�k Called PG&E 1� T Elec. Serv.� 7� Called PG&E`i �/ -/7 - 7S <Q• /� Temp. Gas Serv. Called PG&E JI�l JOB FINALED Ag /77 (Date (SigrKt e) t4 , s� 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 Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio _ FIREPLACE Final Footings Footing ELECTRICA Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot Scratch Heating Service 2 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE _ REMARKS OR CORRECTIONS 9. Ele-�rical - .. •.�`�•�� Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp),.a.nd other'facilities on lot, i,e., water pumps, garage, cabana, -etc.? Yes N' No Is there proper clearances around panels? Yeses No Is power supply cord or feeder assembly properly fused?, Yes No D. Incontinuity test satisfactory as per the following procedure? Yes A No X / 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. Switch all.breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome rounding conductor and le 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. 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. MOEILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST : ZS - Is Is the mobilehome located W*th required separation from lot lines and buildings and generally conform to plot plan? Yes No 2 Does the mobilehome have required clearances above ground? (Sec.5085) Yes& No i Are footings and supports properly sized, spaced, and braced as per approved plans? (No.te possible variation at spring shackles.) (Sec. 5082 &.5083) Yes No 4/ Is the mobilehome level? (Sec. 5088) Yeo No Ifmo e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6 Water Is flexible connector of adequate size and properly installed (1/2" ID min,)? (Sec. 5566) ' Yes `o Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 4--No Backflow - If coach is not State of California approved, does station have backf low. device and pressure -relief valve? Yes %- No 7. Z t'es and Drains Is connection made with Schedule 40 DWV and.have flex connectors at each.end? Yes L_ -Wo Does it have minimum '" per.foot slope and is it properly supported? Yes `--No .;//Are any leaks detected in drainage system after running 3 -gallons of ,Tater through each 'xture including.washing machine standpipe?. Yes No MW If coafh is not State of California approved, does station have required trapand vent? Yes No 8. Gas Piping and Gas Vents A,o ector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobi home connector not more than 6 ft. long? Note: All piping is to be at least as large the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as perms ollowing procedure? Yes No 1. Open all apace connector valves. 2. Shut off appliance rner an lot valves. 3. Air test with mann er o 10"-14" water column, or test with slope gauge (minimum 6oz.-maxim.-oz.) calibr ted in tenth pound increments. Test for 10 min. without drop, 4, Connect gas meter to mabilehome with connector, turn on gas, test connections with- soapy ithsapy water. C. Are all appliance vents properly install Yes No I COUNTY OF BUTTE — DEPARTMENT OF PUBL RKSL?7(?1 7,5 7 County Center Drive 2 Oroville, California 9596 Telephone: 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xJ'/'"` Date c — 7O ^2, Signature of Permitee or Agent 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 OF PUBLIC WORKS By - Date di�" permit expires Date `� - `16 BUILDING Owner _ e '� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address ! pp bo Y Permit Fee Plan Checking Fee&/or Penalty Telephone No. cs -36 Q 3 Permit Fee Building Address C PLUMBING No.1 @ FEE PERMIT FILING FEE 1$3.00,qao d4 A G A L I A PP AD Each Trap 1 1.50 / O Repair drainage or vent piping 1.50 Water piping 16In.0 Each gas water heater or vent 1.50 A. P. No. — �Zo - n Gas piping system 1 - 5 outlets 1.59zamggg 03 Each additional outlet .30 Fe Vw Sa n Fi elit. Fire�Zone Use Permit Building sewer _S e0 EQA Parking Parcel Declaration Parcel M 60' R/W . Im rov ents p Lawn sprinkler system 2.00 FPla�ns Bldg. PIS Recd Parcel A proval Plan Approval Permit Fee $ $ NEW ❑ . ADDITION ❑ , UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home 13TOthers ❑ Range, Cook -top or Oven 1.00 �D �QFi`4C� %nd�l Water Heater or Space Heater 1.00 Light fixtures b 2 Receps., switches & fix outlets ami CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities /5.00 Temp. Power Pole 5.00 License No. Classification / Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ z 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. IV I- have placed on file with the County of Butte a certificate of �4I Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this. permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$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 TOTAL PERMIT FEE $ �l authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xJ'/'"` Date c — 7O ^2, Signature of Permitee or Agent 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 OF PUBLIC WORKS By - Date di�" permit expires Date `� - `16 COUNTY OF BUTTE — DEPARTMENT OF POBLIC WORKS 7 County Center Dryve — ► OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mPntioneed/property for inspection purposes. �G�^"'� Date A ignature of Permitee or Agent RZipt No. � 36 3( 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 uilding permit expires Date BUILDING Ownert e 40�� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Q7,7 Permit Fee 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. ��S` % --�/Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sani-taftn- Fire Dept. Fire Zone Use'Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel pproval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Nr ELECTRICAL No.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 y 1a d2 10 Receps., switches & fix outlets _hm in 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: / OJV61-`fo tJ %'rr 'S/ -S 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. ah// 7 6 7 Classification / Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Sir(f 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 Js 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 ` 3a of TOTAL PERMIT FEE $��I G authorize representatives of the County of Butte to enter upon the above-mPntioneed/property for inspection purposes. �G�^"'� Date A ignature of Permitee or Agent RZipt No. � 36 3( 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 uilding permit expires Date M03ILEHOME IMSTALLATION INFORMATION SHEET t. Street or Driveway ' ." 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Cda •• .P C: P d NO O x x � o a) ro U) 41 co .4J U r -i >, P+ JJ o-0 (1) v Pu COro� p . zn 0 N w Cd .14 O w VI r r•1 G a) r-4 •ri a) FJ 0) M 0 }-r ro }•r x 44 (n a) a.J O P .G Q) 44 p.r as >( W CV W w U' 0 A .- �r H,H r-( :J Ca 0 •r1 >r H 6e /-/. G le� 7 /0 / .CO -vi IQ 14 Cl' nJ ADDITIONAL COI�L'17_;TS Drain Connector, Describe_ � _ !t �� - �•4 V L D 2 C—V 0 y -P4- EfZ S f Tater Connector, Describe -S-009 a n arts „n LOAD BEAK I M; .SUPPORTS LOAD BEADING SUPPORT AND 1WTING INFORMATION � Pier Spacing Used Mayimum Pier Load ys�� Maximum Column Load (multi -units only) !0Soizk 3!50- Soil l Bearing Capacity. la—Z7-6 Footing Dimension -L'scd 'LX/ ___3 ?) TYPE OF PIER USED Steel -Concrete Concrete Block t/ Other TYPE OF FOOTING MAT_RIAL USED L Pressure Treated V,10od Concrete ( Redwood (Grade) A�� Other Approved Type 0 • 4;rqw e4jS t BUTTE COUNTY .BUILDING DEPARTMENT APPROVED, Septic system api ing drain stub Butte County quirements. All utility -connections she located within 4 ft. outside tI -. third section of the mobile Powe on the left. (road) side of the Po,� home. �O q U4'%Vr Y Pad oqC� 6 O� � r ration df build= to be `as• pbr l th DOE( ; Re. will 136 Y -6q Q of the m w C) The,Btdr'Setback shall be 5_ft.._f- C the side property line and 5Q ft, from the centerline of the'road. permitting - a maximum of a 2.ft. eae oaerhr�q, s ?s- a n i For }he ' v: �` I Q c - O L p < d BUTTE CO NTY BUILDING DE RTMENT APPR E® /„ 3,9-, 1 �7 k i b� _AD This set of plans and specifications MUST .0 E - --CnCL' kept on the lob at all tirnes and it, is unlawful to °' .o '=' I ! n +, mai a any chonc�es or v.t-:ra, .ons on some without frm the Department of Public � a z z� written permission Works, County of butte. 3 ' o Nv 2 ra ►+ aJ C rJ E C 0 O O s ti C ' `. N u O 4 w d O U Septic system api ing drain stub Butte County quirements. All utility -connections she located within 4 ft. outside tI -. third section of the mobile Powe on the left. (road) side of the Po,� home. �O q U4'%Vr Y Pad oqC� 6 O� � r ration df build= to be `as• pbr l th DOE( ; Re. will 136 Y -6q Q of the m w C) The,Btdr'Setback shall be 5_ft.._f- C the side property line and 5Q ft, from the centerline of the'road. permitting - a maximum of a 2.ft. eae oaerhr�q, s ?s- a n i For }he ' v: �` I Q c - O L p < d BUTTE CO NTY BUILDING DE RTMENT APPR E® /„ 3,9-, 1 �7 !)r Septic system api ing drain stub Butte County quirements. All utility -connections she located within 4 ft. outside tI -. third section of the mobile Powe on the left. (road) side of the Po,� home. �O q U4'%Vr Y Pad oqC� 6 O� � r ration df build= to be `as• pbr l th DOE( ; Re. will 136 Y -6q Q of the m w C) The,Btdr'Setback shall be 5_ft.._f- C the side property line and 5Q ft, from the centerline of the'road. permitting - a maximum of a 2.ft. eae oaerhr�q, s ?s- a n i For }he ' v: �` I Q c - O L p < d BUTTE CO NTY BUILDING DE RTMENT APPR E® /„ 3,9-, 1 �7 I t PERMIT NO. - 24376B , P I E M (LH UTIL. (PERMIT NO. PERMIT EXPIRESala OWNER George Gillogley �CONTR. owner ,I �L�ttOCATION (A.P. 64-57-19 t .Y• X1120 Racine Circle, lot 141, PP#10, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Telmp. Gas Serv. Called PG&E JOB FINALED do I (Date) (Signature): t I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Telmp. Gas Serv. Called PG&E JOB FINALED do I (Date) (Signature): COUNTY OF BUTTE — DEPARTMENT•OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUDABING 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 Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of e/- structure , Gas Piping Test Temp. Gas Slab Final i ? r— Sanitation Patio FIREP CE Final Footings Footing EL CTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beamq. Id FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC, ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS .� COUNTY OF BUTTE — DrEPAR--TMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 52.4-4541-7� APPLICATION AND PERMIT W/ -• ,.yam., � Receipt No BY Date a� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant uilding permit expires Date BUILDING OwnerSQ. XXI FT. OCC. BUILDING VALUATION Mailing Address / 2 IYlephone No. 73-02 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address�� Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 dZ4 �0 Each Trap 1.50 ` s Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ;j Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F�e W. n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 arkinEQA PPlan 9 Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PlansR c'd Parcel royal PI s Approyal Permit Fee $ $ NEW'0 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 ` Main service 00 AMP.ORSLESS 5.00 Main service EA. ADD'L loo AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONST. DWELLING CCUP. & OR ADDNS. ( ACC. BLDGS. ) 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 style of: Ex. Occup(OUTLETS OR FIXTURES)@ua BALM Ex. Occu FIXED APPLNS. OR p.(/ OUTLETS IRESID.) 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. : �e Date r / J 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. DIRECTOR OF PUBLIC WORKS -• ,.yam., � Receipt No BY Date a� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant uilding permit expires Date