HomeMy WebLinkAbout064-650-018DAVE Mc AP
off n�s Magali shew Rd, 7/ 0 mi.
west . of . Skyway,,._Maga - -.
_. Perm t...3449-73P,E: Gj/%_
i futilities for mobile home)
,+ -w ..„.64-65-18
LIs
tr_; .-Bay. Area Mobilehomes,Magmit#190 81 I( isting site)
ued ` ; t„
r
LM
PERMIT NO. 1999-81MHI ex site
PERMIT EXPIRES— 1dL—1 ��
OWNER
David McNamar
CONTR. 19 Ray Area MHO Mnqnlia
ASSESSOR PARCEL 64-65-18
"K
LOCATION 14838 smokey Way, Magalia
Ft
Temp., Power Pole
Called PG&E
Temp. Elec. Service—
Called PG&E
Temp. Gas Service
CalledPG&E—
/-ED
JOB IF IN (Date)
Signature
s
J OK
0 = Not OK
— = Not Applicable ^MOBPLEHOMES
* = Not Ready
MISCELLANEOUS y"
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.-Connec.—Shing.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except H's
oning Requirements—Setbacks—Easements
1. Setbacks—Easements
2 etings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3�jaas••MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
lectricity; MH Test—Crossovers—Breakers—Clearances
4• Elec.; Receptacles and Lighting; Distances—GFI
; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
taoger; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
AZavidler and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
AWSVs and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards -Ins. to Main in Conduit
s; Insp.—Sketch
1`9.. er.. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-IDate
Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
1 Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
O = Not OK "
- = Not /applicable
9461 Ready RESIDENTIAL JSingl'e and Duplex)
'
r -
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-8lockouts-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.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
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
Card -BI
Date
Date Card -BI Date _
Date Card -BI Date
FINAL (Plans) OK except N'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.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
17. Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI" Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. 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 ❑Yes
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes [I 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-1
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrr.it) 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
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
_Walls;
Bearing Walls over Girders & Floor Nailing
39.
_40.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
-41.
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
_
45.
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 job site)
COUNTY OF BUTTE
u DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — R*ane-8�
�7,2-A461- X t;-7 -
C004 RIR ECTI®N N®TICE
BUILDING OR PROPERTY A06AESS
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.
Xi'0'2"VC, O0"2
Inspector Date
' t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7, COUNTY CENTER DRI `F
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 10 t r for the following location:` "
/k/y3k LAJ tAA. ?Y 1 11 t,,1►
Owner VX11A3 A a // I C 11V 0^ w.`
Owner's Address
Mobilehome Mfg. (
C Model" Year
Insignia No. CA 1 RIPS' t . j Serial`No. V
r
It is hereby certified for occupancy at the above described location and
may be occupied.
/j Director of Public Works
Date e �`� /� By/�
t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Dvive - Oroville,.California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
/ (� 10 A
�c/mmmft
ASSESSOR PARCEL NUMBER
--BUILDING
ZONI G
PERM[
OWNE
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
�I
CONTRACTOR'SNAME
llle
HONE
C NTRA TO 'S MAILING ADDRESS
AWER
CONST R UC ER
In
UNKNowry
Fireplace
Total Valuation $
LENDEFrS M LING ADDRESS
Permit Fee
$ 10
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ l
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDP. Ss
��
PLUMBING PERMIT
Filing
Filin Fee
Fee 3.00
Trap
2.00
Repair drainage or vent piping
-2.00
Water piping
LOT N
SUB DIVI,SIION �NA/ME
`-1 —`73
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[�J' Other
SPECIFY77
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition ❑ Remodel❑ Utilities ❑ Installation[' Other ❑
Describe work:
pZ ,(
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100DV OR O AMP ORLESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
-F!5r 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. C- G )
y%�1�2� 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 CONSTR ULTA•OUTLET 2.50 ea
NON.CONS BRANCH PARC IS
NEW CONSTR /POWER APPARATUS &)
NON•RESID. (POWER
OUTLET CIR.
O@ 251
Ex. OCCUp(OUTLETS OR FIXTURES 5O@25¢
FIXED PR
Ex. Occup.(OUT ETS(RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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 Cer'ificate 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
FiIingFee 3.00
Heating
Cooling
Hood
2.00
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.
I 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 said County in cons quence of the granting of this permit.
X Date S
5' orure of Applicant — Owner Contractor ❑ Agent Jr
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3cstories in height.
Mobile Home Installation Fee $ 3 0 -
Land Development Fee $
TOTAL PERMIT FEE $ fib'- —
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
I D
sSDE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above r which
DIRECT R F PUBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate �
& '�y-,?
Receipt No. 00;L� •
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT '
i
` � -lr7fr' ..
1V(J:—All `�vlp+erial & Workmanship Shall Be in
;o` AtiL� tdanc`e *ifh `Recognized Good Practices and
ofTci qualify i:s'cm►l?e.l for the Specified use in the
Uhi" Building; Plur6bing & Mechanical Codes and
*lie Ndticrai Beciriod[ Code.
�fy�I
A setbarck of � ft. from the
property lines and a setback
of 5Qft. from the road
centerline shall be clear of
! structures_ or equipment excep
for a ft. eave. overhang.
This set of plans and specifications MUST be
kep+ -)n the job at all times and it is unlawful to
iia r, -",r-,Y or alterations on same without
wri;,torl permission from the Department of Pub-
l1c Works- CountY of Butte,
- ,• Vii.! 5� � �, �, T1�w
Cnpc�
od
S.
1 t ,
R 4 j
�9p S 7
~lV
411/43 -'61/ -11
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED lig
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
.1. Owner's name:/_ Lam% ��/�t�/�e�;' �►'/�
2. Installer's name:Ui',/ha.A�ef S
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) 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? ----------------------- Amps
6. What is the mobilehome site service rating? -----% Am s
P
7.. What is the mobilehome site circuit breaker rating? --------------
----------- %d d Amps
8. Is there any other electric load to be served by the mobilehome ,
siteservice? --------------------------------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)
/, ` A
9. What is the mobilehome site gas pipe size? ----------- ------ �/7 (in.)
10. What is the type of gas service?---------------�-- Natural / / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
p
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. ,S�e 6/'�%���/ furnish Setup Model No. % Year
Width (ft.) Box Lengt(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.
(ft.)(in:)
Center support
locations* J
�?d0irr S
.26-s
(ft.)(in.)
D 110;1/'/'S"
3i -6p
(ft.)(in.)
!/7 -
(ft.)
-(ft.)( in.
./(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
1�A/ x Ie
a7 x3 A
2y>)(3®.)
�yX3o
(in.)I (in.)
Footings (check one)
Single �"-1. Wood either
pressure treated or
foundation grade.
D 2. Other: (specify)
Supporta (check one)
1: Concrete block.
E] 2: Other.(specify)
!r—Tagalong or Expando,'
show support details.
f x� U -- Typical Support
(in.) (in.) Footing Size
fr
e, -- Max. Pier Spacing
)` 1 -- Max. Overhang
(ft.)(in.)
BUTTE COUNTY
BUILDING DEPARTMENT
APPRO'
*If center piers are other than drawn above,
draw in -locations, spacing,. and dimensions.
Permit: 3449-73 P,E
Mc Nawar, Dave
300off n/s Magalia-Nimshew Rd., 7/10 mi. w.
1
of Skyway, Magalia
(Utilities for mobile home.)
4qn r -d
rl -
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center -give .,_ OroviII%-California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aumuiilu representatives or the t aunty or outte to enter upon ine
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address ,
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
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.Gas
Zoning &Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 2oll
Receps., switches & fix outlets J
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
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
$
aumuiilu representatives or the t aunty or outte to enter upon ine
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive-'rGfoville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
����i� ►fir/
QULhor ce representatives of the bounty of butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Pegrmitee or Age
Receipt No. // T 2 ` d
White-D.P.W. — yelJlow- sensor — Pink -Inspector Goldenrod -Applicant
(;2/• 0J G6 a cr_ / UG ('2F S. ✓
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �- Date
Building permit expires Date ..,V--- y
BUILDING
Owner .�. �,
SQ. FT. OCC. I BUILDING VALUALZIN
Mailing Address �51.2C
Telep one No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building A dressPLUMBING
�C
No.
@
FEE
PERMIT FILING FEE $2.00
:7Z
—Each Trap 1.50
ItWa
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
r
A. P. No. S %- (�— �J
/� Z„
Zoning P
Gas piping system 1 - 5 outlets
1.50
f j
Each additional outlet .30
s
Sari on ire Dept. F.iireZone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Pa�el Ma p
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
a�
j3�g. Plans Recd Na5Pa%eT Approvol
Plans Approval
Permit Fee
NEWADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Hom Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
i`
Light fixtures 20025
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat p mp
Water pump /
-06
Mobil Home Facilities 5.00
6
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
$ G�
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 1 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
^�
��06
QULhor ce representatives of the bounty of butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Pegrmitee or Age
Receipt No. // T 2 ` d
White-D.P.W. — yelJlow- sensor — Pink -Inspector Goldenrod -Applicant
(;2/• 0J G6 a cr_ / UG ('2F S. ✓
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �- Date
Building permit expires Date ..,V--- y