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Home My WebLink About065-040-036'N'65 -4--2t.-34 LLOYD STEELE ,,�' Gt / ///aa�/ W/S Coutolenc' Rd, app 600 N of Hupp Coutolenc Rd.; Magalia' ` Permit #6455-76E (temp pow pole) lot development for MH, _ � 7� 65-04— ? �p w Pe t' 9A3- 77P,E(ut:1 ,MH E c.F GAS r SUPPORT, STRUCTURE HQ.�y,�, Fa COMPACTIN TEST REQ. 65-04 3 - i6o ��Permi 1#194-77MRI Issued 27 j PERMIT NO. 190-77P.E d PERMIT EXPIRES OWNER Lloyd Steele 871-ayt P CONTR. owner ' LOCATION (A.P. 65-04--20.34 . W/S Coutolenc Rd.,app.600'N.of Hupp Coutolenc Rd Magalia, M i Y i� _ I r Temp. Power Pole Called PG&E Temp. Elec. Serv. ., Called PG&E ` Temp. Gas Serv. Called PG&E V /B INALED (Date) I (Signature) Brjfwn COUNTY OF BUTTE — DEPARTMENT OF,,PUBLIC WORKS ` BUILDING INSPECTION RECORD Coo ng BUILDING A BUILDING (Cont'd) A PLUMBING Se ck F ewaII Ski Piping Forh Pa ets t Floor MaIX Bldg. Rest om Finish 2n Floor F X Jings Windo 3rd Noor Stem all Siding To out Slab Roof Sheaking Water PI 119 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handicapped V Conformance of ex. structure V Appliances Gas Piping & Test Temp. as Slab A Final A Sanitation Patio EP ACE Final Footin s Footing EJ&CTRIdkL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beaml IRE SPRINKLE Motors Framing Test Water Htr. / Stucco Final Sub anel if Mesh MECHANICAL Gird. F t Prot. Scr h HeatIrA I Servict Brjfwn X Coo ng T p. Pole nish Dults der round I ertor Lath Antilatlon Permanent Am oor Closer anal 09inal MOBILEHOME UTILITIES ------------ Elec. ServiceVdP $": Elec. Pedestal Water Piping :-9 Sewer ir Gas Piping 0;4s MOSILEU12ME INSTA LATI N - - - - - - - - - - - - - - Support ly Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS //7% (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, 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'' 7}/J for the following location: Owner `� �--�e• d' - Owner's Address Mobilehome Mfg. Model Year 4 Insignia No. 0-3 5-2- K5 —'76 Serial No. > '% ' % It is hereby certified for occupancy at the above described location and may be occupied. // Director of Public Works Date ! 7 ! By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 'M0BT'!XH10M.E' INSTALLATION INSPECTION CHECK LIST 1. Is the.niobilehomt located with- required separation from lot lines and buildings and generall.\• con orm to plot plan? Yes L -/No ', noes, the' mnbil.ehome have required clearances above ground? (Sec.5085) Yes t -/No 3. Are footin,s and supports properly si?ed, spaced, .and braced aslJ�ler approved plans? (Note possible variation at spring shackles.) (Sec./5082 & 5083) Yes V_ No_ 4, Is the mobilehome level.? (Sec. 5088) YcsN No_ 5_. If mef than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No , 5. Water A. Is flel'ble 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? Yeses 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 L/ No B. Does it have minimum ," per foot slope and is it properly supported? Yes -"'No— C. NoC. Are any leaks detected in drainage system after running 3. -gallons 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 41�-No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply 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 -home gas -line inlet without reductions other than the mobilehome connector. Yes / No r 4 B. Test OK as per following procedure? Yes _ -44 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. Connectgas meter to mobilehoine with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A Is service large enough to provide adequate amperage to mobilehome. (must equal rating of mobi.lellome with a. ::;inu.:um of 100 amp) and other facilities on lot, i.e., water pumps, ZaraGe, cabana, ct-c.? Yes ZNo____ B. Is there proper clearances around panels? Yes "- o_ C. Is power supply cord or feeder assembly properly fused? Yes No` D. Is continuity test satisfactory as per the following procedure? Yes &-- No_ 1. De -energize electrical wiring system of the mobilehome at the 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 le.. --id of a test instrument to the mobilehome grounding conductor and 2ppi}' the Giiii'i .�.�:.au. to eacii liiUb..�eiwconductor,e supply CUuuCtUi, iliC uulilg lieui.rat. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, salter 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 te:=;t shall then be made between the grounding electrode and the chassis of the mobilehome.. UDO11 satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. t Is ;ab card si-ned by health Department for hater and sanitation? 1:.. If everything okay, sign off card and ta, services. MOBTLLiiOME DATA Manufacturer and/or Namest:yle Length 6 -f 4didth Vehicle Serial No. State Identification No. A&Ii.tional Infor-nation or Continents: /Z,/ Y 5- ted.zrq, 1,!ATTS X. 3 S I ., A L L A PL 1, t;, C E I ZE 0 30 UATTS X. 01 SPOL.AlL. 95 D14;tll'i Pt' li E t. C I it C U I T CLc'JTHLS) O!'%'YEk CIRCUIT 7ar U-'JER HEATER CIRCUIT fai 9 COV"00 CIRCUIT o v z .4 C111CLI I T an ClaCUIT 4e.-FAIV A OLDUER CIRCUIT J. TOTAL F I RtT 10000 WATTS 100 x`WATTS 0 40% AIR CONDITIONER 100% OR F --A!ACE WATTS @ 651 i1 p U TOTAL AMP S REFER TO U" -;'G 4.0 FOR CIRCUIT INFO. PANEL MAIN BREAKER SIZE ',7,! WIRE SIZE NEUTRAL $IZE -GROUNU SIZE iFh J. iFh COUNTYIJJ�ETTO - DEPARTMENT OF PUOC WORKS 7 County Center Drive — Uroville, California 95965 �. Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature. j,�P rmitee or Agent Receipt No. V �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gal den rod -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/(SF) PUBLIC WORKS By Date_4-1-77 wilding permit expires Date �-/- 7F BUILDING Owner Q% ��/�' --`SQ:' FT. OCC. BUILDING VALUATION Mailing Address �Q elephone No. � Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone. No amu- Permit Fee Building Address �� /1/C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p%, 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. N . �j✓ �!� Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W.Gt. &ORi-kf't'1'Qft Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Pla I Parcel Declaration Parcel Ma p -60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. ans Recd Parcel Approval Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 10C100 IV_/ — Z 4r Main service 100V OR LESS 5,00 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Single Family ❑ Duplex ❑ Mobil Home JR Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS%// CONST.DWEACCLBLDGS LING CCUP. &) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS &) NON.RESI D. (POW 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) BA@@�1 FIXED APLNS. Ex. OCCup. ( OUT ETS P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ' rtn 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. CI certify that in the performance of the work for which this W 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 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above2) information is correct. I agree to comply to all County Ordinances and State Laws relatinq to building construction, and hereby 36 TOTAL PERMIT FEE $ U Q( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature. j,�P rmitee or Agent Receipt No. V �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gal den rod -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/(SF) PUBLIC WORKS By Date_4-1-77 wilding permit expires Date �-/- 7F BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center -give, Oroville, CA. PHONE: 534-4541 MOBILEHOME.INSTALLATION SHEET 1. Owner's name: , /� (/ y/ S Te fOf l� 2. Installer's name: /-C.S 3. Is the site currently under permit? Yes / ✓/ No ( If yes, furnish permit number 4o S - 4- Z- 0 ) 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? - =- ---- Z b d Amps 6. What is the mobilehome site service rating? - 'C - "----- ..2 O o Amps P 7. What is the mobilehome site circuit breaker rating? -4 ---------Amps 'Of 8. Is there any other electric load to be served by the mobile e site service? -------------------------=--------------- -------- Yes No (If yes, identify the load and size: (Load) '2— 0 (Amps) (, ) 9. What is the mobilehome site gas pipe size? -----;---=------------ 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) (Thi's information not required if}p#.er length less than '6 ft. on natural gas ,or less than 50 ft. on LPG.) �` , MOBILEHOME SUPPOR-T DATA 3 '-8 R s F k^ Mobilehome Mfr. 1qe121z !� c 1�.✓G. Setup Model No. Year % 7. Width y(ft.) Length 363 (ft.) Expando Size i d ft.x �ft. (Draw support details beiow)` 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). (in.)(in.) A - (ft. in.) n.) (in.) (in.) 4 �- *Icenter piers are other t di w in locations, spacing, /3-0 S ra e raven above, dimensions. Footings (check one) 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify 1 Typical Support �:2--X' Footing Size iri)Zin. ) i ( Max. Pier Spacing ------- 1 Max. '. - Overhang BUTTE COUNTY BUILDING DEPARTMIF.NT APPROVED ��Z Center Center Support Support Footing Sizes Locations (in.) ----- Fin.) ' x 7 Cis a � (ft) (in) (in.)(in.) (in.)(in.) A - (ft. in.) n.) (in.) (in.) 4 �- *Icenter piers are other t di w in locations, spacing, /3-0 S ra e raven above, dimensions. Footings (check one) 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify 1 Typical Support �:2--X' Footing Size iri)Zin. ) i ( Max. Pier Spacing ------- 1 Max. '. - Overhang BUTTE COUNTY BUILDING DEPARTMIF.NT APPROVED ��Z ` .BOUNTY* tU*E , -, DEPARTMENT OF PU*C WORKS —77 jc.-, 7 Courkty Center Drive — Orovi Ile, California 95965 •x/ ` Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X 0 Date Signatur of ermitee or Agent Receipt No. /60 if c) 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 L1F PUBLIC WORKS By Date wilding permit expires Date S, -I-"--7 if BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION Mailing Address 0qoo S �� &�I- Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address Of / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping —"e Q oning erifica}ion grilly Each gas water heater or vent 1.50 A. P. No. °";�_ Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 tion Fire Dept. Fire Zone Use Permit Building sewer -x.00. 06 EQA Parking I Plans ParcelLawn I Declaration I Parcel Map 60' R/W I Improvements sprinkler system 2.00 Bldg.- tans Recd arcel Approval Plan proval Permit Fee $ Q $ t3 QC NEW ❑ ADDITION ❑ UTILITIESIZ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QQ Main service 6001 OR LE 100 AMP ORLESS5.00 d d Main service EA. ADO'L 100 AMP 2.50OVER D Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DACC. 5L GDWELLING OCCUP. 9 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: 1A1,C11 �� Ex. Occup(OUTLETS OR FIXTURES) 101 FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 37 $ MECHANICAL No. @ I FEEPERMIT 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 1 certify that in the performance of the work for which this Apermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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.4 information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby as "eLim TOTAL PER IT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X 0 Date Signatur of ermitee or Agent Receipt No. /60 if c) 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 L1F PUBLIC WORKS By Date wilding permit expires Date S, -I-"--7 if Permits 6455-76 E `Vteele, Lloyd ws of Coutolene Rd., app. 600' N. of Hupp Countolenc Rd.,. Magalia .AP: 65'4- 20 (tem power'pai.e fok lot development for MH) j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive--Uroville, California 95965 Telephone: 534-4541 -APPLICATION AND PERMIT 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 t _- rate 7 4 i Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 1 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 Buildidg permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address "0 Telephone No. 1.. Fireplace Contractor Total Valuation Mai l i ng Address - r r ' '� �s Permit Fee — Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address a y PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. t �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 i FI &'es W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans -$g" I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LE55 5.00 Main service EA, ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 9. - 1 OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. &) 2¢sgft 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES)' BA�L@�1 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ "1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 t _- rate 7 4 i Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 1 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 Buildidg permit expires Date N COLINTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ur*ille, California 95965 Telephon'6'.'534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / pate / JSignatureZf P%rmitee or Agent Receipt No. -/ �`y 4/ 77 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 ,Z F r 76 Big permit expires Date BUILDING Owner S'' �`� L I- SQ. FT. OCC. BUILDING VALUATION Mailing Address app L A rA d/Se- Telephone No. XI )- 09 6 Fireplace Contractor Total Valuation Mailing Adcress C.cJ /Ve-i- Permit Fee Plan Checking Fee &/or Penalty Telephone No. permit Fee $ Building AddressPLUMBING OF �+ No.1 @ FEE PERMIT FILING FEE $3.00 r C F Hp. -J , Each Trap 1.50 Repair drainage or vent piping 1.50• Water piping 1.50 A,.* a L, 4 ftom Each gas water heater or vent 1.50 A. P. of C Zoning &Planning Gas piping system 1 - 5 outlets 1.510 Each additional outlet .30 Fes Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bld -- Rer'd Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 r r o �.� P-0 L . Main service 100vAMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 \` i,e_t ,A 'E -,—F a .NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sq ft NEWCONSTR MULTI.OUTLET NON .RESID. ( BRANCH CIRCUITS) '2.50ea 0 C_AA 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)@L25C BAL@t FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 %+0.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �am exempt from the Contractors License Laws of the State of California. Permit Fee $ 13. Cb $ 3 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $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 $ �� b C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / pate / JSignatureZf P%rmitee or Agent Receipt No. -/ �`y 4/ 77 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 ,Z F r 76 Big permit expires Date I Jk OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Lloyd Steele ADDRESS: 6800 Sylmar Lane CITY $ STATE: Paradise, CA. 95969 IMPORTANT: March 31, 1977 ON REVERSE SIDEEE S DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner decided not to build support structure. PP n. - - Receipt #156296 - AF 65"U4-ZU) Building permit fee ------ $24.00 Amount of refund due ------------ $16.00 $16.00 i TOTAL $16. DO I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................ 19...... at................................Cslif. .......... ........... ............... Signature of Claimant I, the undersigned, hereby certify that, to the best of my'knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval0 (Check one) for the same. Dated this .................................... day of ............................. 19....... at ............................... Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp.• Code ............................................ Code ................................................PAYABLE FROM ...............................: FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF-SUTTE -'DEPARTMENT OF PUBLIC WORKS • I�7 County Center Drive — Oroville, California 95965 n „ /� 1 � Telephone: 534y4541 «c...xxx... APPLICATION AND PERMIT auulunce reNresentauves or the uounry or tsurte to enter upon the above-mentioned property for inspection purposes. X �� Date + . Signot}�e of Permiteeeor-Agent Receipt No. /�_1 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 permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALU ON Mai I i ng Address + Tele hone No. % G� Fireplace Contractor OCtivl v ' Total Valuation 6Z22.� Mailing Address Permit Fee a Plan Checking Fee&/orPenalty Telephone No. Permit Fee $ ,. ) Building Address !/ll PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 GZ-► i Vetitfication O Each gas water heater or vent 1.50 A. P. o. �— 0 7 'Z." ° Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes C. FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking arcel Plans Declaration Parcel Map 60R/W ' Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd ✓Parcel Approvol Plans Approval Permit Fee $ $ NEWIm ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 IS Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Main service OOER 600V AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main servlce EA, ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWELING ACCLBL GOCCUP. &\ 2¢sq ft l 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 st le of: Y Ex. Occup(OUTLETS OR FIXTURES)50 @25a BAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 9�fam exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �- I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 TOTAL PERMIT FEE $ Y �C auulunce reNresentauves or the uounry or tsurte to enter upon the above-mentioned property for inspection purposes. X �� Date + . Signot}�e of Permiteeeor-Agent Receipt No. /�_1 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 permit expires Date