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HomeMy WebLinkAbout064-700-022y ti 64-70-22 V. Williams `9 1114 ° 7 j ,, ' �'' LA � -1' CD ` 45 Colter Ct. lot I29, PP#2 ,Magalia DC v '' contr: J. T. cr&regor, Paradise Permit #495 =77P E(utilMH) . ELEC. 9-� 4 GAS SUPPO1tT'8Tk1fCTURE REQ. Q.. COMPACTION TEST HQ. -70-22 �4 ' Contr. aradise Magular Contr. 1 Permi #5680-771IIkI -Issued 4 064-70-22 =. ,_ ,` #98-1711 4 WILLIAMS,'.NANCY*,W: 6196 .COLTER CT''. MAGALIA r i RELIANCE PROPANE INS AL PIPING % 7, Y _ Q.. i col .—„,..,�.� ��t•.. � -. .�,.,,i.,��.�. _ 0►'4.+�:^�'�w:; z ".” �� x risf'1'sr�sa�+r'.�tt�'• .o}.,,`.,wr.+� 06=702 #9".8-11 WILLIAMS; NANCY .W: . 6196 COLTER CT:--MAGALIA'• vRELIANCE PROPANE' _ ' INSTALL YARD PIPING i6, r iv i t ,7 - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541q�_, ,,P7, JIT NO. (Rev. 12/96) APPLICATION ANQ PERMIT `'f j ASSESSOR PARCEL NUMBER _,�.� ZONING 4 r BUILDING PERMIT OWNER NAr If b A nl TELEPHONE 073- ayg/ SO, FT, OCC. BUILDING VALUATION OWNERS MAIDKESS �� b r .-,c Ato,41 CONTRACTOR'STELEPHONE 'E C r C %R ✓ �+�/� CONTRACTO 5 MAIJNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee $ BUILDINGADDRESS / Q /`� frIr Cov f— Energy Plan Checking Fee $ al, .$ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 13Utilities ❑ Installation ❑ Other ❑ Describe Work: ,NSA c / / (e"2,/( /r 41,4'r -J9 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 J "' PERMIT FEE $ " ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AOR'SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, /will do the work, and the structure is not intended or offered for sale. E) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �`� (r(( 1 1 X GAAa`,� -r 1 t 1 1 ! trw-, Date ' Oj jt Signatme of App)icant - •© Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structures over 3 stories in height. P Main Service 200A TO lOooA 46.00 NEW CONST. DWELLMIG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. NON p61D. T. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FUR Es BAL @ ,50 Ex. Occup. D�tFrs w IEs OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ J -- HAZ. D. FEES IMP - FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab v� for which fees have been paid. �oJ l e-1 By /fiDate , PERMIT EXPIRES ON I Date Receipt No. rLY&I S L11 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californic' 95965 • Telephone (530) 538-7541 IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �� / ZONING BUILDING PERMIT OWNER J�,1 - W TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MA6i ftSS � ©U.,>r o1149sys"y CONTRACTOR'S ZI Q I AJ Ce JCe I TELEPHONE CONTRACTORS MAILINADDRESS _ 57 75-7 CT7 l CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS /► I Q C b / � /l, J �� Energyn0 Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑)) Utilities ❑ Installation ❑ Other ❑ Describe Work: �NSra/ / u/r}(L� pilo t.� q Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 O� PERMIT FEE Yo ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1 as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. will ZIVas owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00 CCU000A NEW CONST. DWEWNO OCCUP. SO OR ADDNS. ( DW: ACC. S.3.5¢x. W:,L KKIµREOSIU MULTI.OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 1120 @ 1.00 R. Ex. Occup. oFlxuT rsR= ) E 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation � I one hundred dollars ($100) or less.) Zi 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. o , ,. X 1.y1/�/fs�.- iA.� - W XL.C. Date ' 3 Signat a of Ap cant - t� Owner ❑ Contractor LJ Agent An OSH permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ COLT. TYPE !1 TOTAL FEE $ V FEES IMP FLOOD CDF PARCEL pD HD ISS E EHAz.TD. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab for which fees have been paid. By �} �/� Date � Y+� PERMIT EXPIRES ON I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERUJT NO. �.- 495.7-77P,E PERMIT EXPIRES OWNER V. Williams CONTR. J. T. McGregor, Paradise LOCATION (A.P. 64-70-22 ) 45 Colter Ct., lot 129, PP#2, Magalia J 0 Temp. Power Pole Called PG&E Temp. Elec. Serv.— o - 1 Called PG&E �t U Temp. Gas Serv. Called PG&E 13 Fol NALED lO (Date) (Signature) J MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? YesV_'No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes L,`*� No 3. Are footings and supports properly sized, spaced; and braced as per approved plans?. (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes _;�No 4. Is the mobilehome level? (Sec. 5088) Yes No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes -No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes°� No, C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 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'_ No C. Are any leaks detected in drainage system after running 3allons of water through each fixture including washing machine standpipe? Yes No .D. If coach is not State of California approved, does station have required trap and vent? Yes No - 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be.at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turnon gas, test connections with .soapy water. C. Are all appliance vents properly installed? Yes No r 9. Electrical A. Is service large enough to provide adequate amperage -to mol,ilphame (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes -,-"No B. Is there proper clearances around panels? Yes —No C. Is power supply cord,or feeder assembly properly fused? Yes —No_ D. Is continuity test satisfactory as per the following procedure? Yes_ -'No - 1. No1. 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. S. 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 ,4. Length 41L. Width Vehicle Serial No. 2- q State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING S aback •firewall Soi PIpIn Fohns P a ets 1SkFIoor Man Bldg. Res .00m Finish 2nd X11oor otin s Windo s 3rd FI or Ste wall Siding r To out Slab Roof Shegthing 1 Water Pi in Piers `\ r Roofing / Sewer Garage Fdn.. Vents \ Fixtures FootingsFootingsk Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V y handicar ed sic Ily Conformance of ex.\ structure % Appliances \ Gas Piping & Test V Temp. Gas %\ Slab A Final Sanitation X Patio P,(I R9P LACE Final Footings Fodtin ECTRICA Masonry Walls Throat I X Rou h Reinf. Ste Final Fixtures Bond Be , ;'FIRE SPRINKL Motors Framing \ Test Water Htr. Stucco Final Sub ane Mes MECHANICAL Grd. F ult Prot. Scr ch \ Heatika Servl e B wn Co "Ing T• Imp. Pole D cts ender round Verlor th entilatlon Permanent r Final final MOBILEHOME UTILITIES --- `----------- Elec_ Service ",,>fl. Elec. PedestalZd/ 2-2 Water Piping ,7 Sewer i/ - Gas Piping AALQLILEHOME INSTALLATION/--- Water,Piping Support Drainage Elec. Continuity r - Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) .... _ ,. ,.r .. .`: .: � .rte-. -^- �• -� -- COUNTY OF eU,T_T.E.. 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 -L 7 for the following location: / l -1 /t ✓ Owner ! i . & Owner's Address Mobilehome Mfg. 1 ` Model Year r Insignia No. ti� �r1 � `' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Dir2g5qz:��7, lic Works ,y Date /lam /( -- By A, THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 6_((�� v / /,/ _' Telephone; 5344541 APPLICATION AND PERMIT A authorLe rep ese1 iaovets of the County of Butte to enter upon the above-mentioned property for ins ection purposes. i X Date Signature of P itee or Agent 48 Receipt No.172 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 OF PUBLIC WORKS BY Date // — x— 7 77 B ' ding permit expires Date BUILDING Own SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address -- Telephone No. Fireplace ` r ��% Total Valuation Mai I i n Addr Permit Fee Plan Checking Fee &/or Penalty — Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 G Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �Q�-- ® —� a� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F " ��- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Declaration Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. PI n c'd Parcel A royal P Approval Permit Fee $ $ NEW ❑ AD (TION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 600V OR L Main service 100 AMP ORSLESS 5.00 3�- Main service EA. ADD'L loo AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ©----others ❑ ER Main service 10 0 AMPOOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELINGOR ADDNST ( ACCLBLDGOCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea NEW R. CONSTPOWER 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: .k, L@1?SQ Ex. Occup(OUTLETS OR FIXTURES)BA@L 00 Ex. Occu FIXED APPLNS. OR p• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Licens /_LClassification / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI 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 Cal i forni a. 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 $ authorLe rep ese1 iaovets of the County of Butte to enter upon the above-mentioned property for ins ection purposes. i X Date Signature of P itee or Agent 48 Receipt No.172 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 OF PUBLIC WORKS BY Date // — x— 7 77 B ' ding permit expires Date BUTTE COUNTY,DEPARTMENT OF PUBLIC WORKS 7' County Center Drive, Oroville, CA. ,'. PHONE: 534-4541 MOBILEHONE' INSTALLATION SHEET owner's name: 2. Installer's name: - .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 :T clear of;all setbacks and easements? Yes �,. No ) (If no ,.' clarify ��� � Amp s - 5. ---- What is the mobilehome electrical rating? ----------------- 6. What is the mobilehome site service rating? --------------------- f� Amps, 7. What is the mobilehome site circuit breaker rating? -------------Amps,, 8'. Is there any other electric load .to be -served by the mobilehome site service? -----------------------.---------------------------- Yes / / No /..- (If yes, identify the load and size: (Load) , (�P) ,.. ' 9 What' 'is the mobilehome site gas pipe size? --------------------- ., 10. What is the type of gas service?--�.��--- - -=f _� ---- Natural 77 LPG 11. What.is the gas pipe length from meter or tank to the mobilehome?-(fto):' : r 12. What is the mobilehome gas demand? ------------------------'--'-- (BTU) (This information not required if pipe -length less than .6 ft.-on natural gas r �. or less than 50 ft. on LPG.) _ s t MOBILEHOME- StPPORT DATA Mobilehome Mfr..-, ' ^ �/'j�"' Setup Model No. / v26 Year F , Width (ft.) Length /4/ (ft.) Expands Size ft -.x ft. (Draw support details below) ' On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation ma al and structural setup sheets (if. not on .f`l..e'with the County of Butte). (..�/ylK�/U �iL{/}/J i%7�G•;sGGiCcC '7,�'�r/ � �! �7 -, Sin le ® Footings (check one) i Center Support Locations Center Support Footing Sizes (in.) r •) . in.) X� (in. _ _� ( t5 in) x in.)(in.) 4 (iq.) (in.) ff.n.) =a (in.) (in.) " I a- D 3D center piers -are other than drawn above, Af draw in locations, spacing, and dimensions. Wood either pressure treated or fdn. grade. i 2. Concrete pad. 3. Other, specify Supports (check one) Concrete block 2. Concrete piers r 3. Steel piers 4. Other, specify Typical Support k1__.xPin.) Footing Size. j r..._. _--�.....1 Max. Pier )) Spacing �• t. l n. l Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED. • COUNTY OF �SUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 • Telephone: 534-74541 7` ,J r�e{�/ / APPLICATION AND PERMIT*1 l ' BUILDING Owner JL L ` SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor J^ ��. Total Valuation Mailing Address C f4iYL Orz • Permit Fee Plan Checking Fee &/or Penalty � t 's Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C..- f tA, '' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping �B ` /qL r7149ning Verification ch gas water heater or vent .1.50 A. P. No. �O ^�� �� R7 = � Za Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F oetlC SaGpt ion ire Dept. Fire Zone Use Permit Building sewer --3-00 EQA Parking arcel Parcel Ma Plans Declaration P 60' R/W ImprovementsLawn'sprinkler system 2.00 BI Recd ,(o / Parc Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR LE 0 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 Sv Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 iWOR {/�J NEW CONST, DWELLING OCCUP. & ADD NS. ACC. BLDGS. 22sq tt NEW CONSTR. . MULTI -OUTLET NON•RESID - ( BRANCH CIRCUITS) 2.50ea p EOR MOBILES NON-RESID NEW R. (SINGLE OUTLETPOWER TCIR.& 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: %r ^+ Gr Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup. FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5 ' License No. r%% 6, c9 95: Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 1 $ 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 S TOTAL PERMIT FEE $ autnonze representatives of the County of Butte to enter upon the above-mentioned property f inspection purposes. �-22-1 X Date Sign re of Permitee or Agent Receipt No. 1 �7 0g41 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 �� 6,.V� Date /Q --f—:Z Buiing permit expires Date --