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HomeMy WebLinkAbout065-290-046� � ' ) . � - � . .� .' . . `^. AP 5-29-46HOWARD NITKIN5 Holmwood Dr., Magalia "41LGA8SUIC ColAp 65-29-46AP 65-29-46 A- CONTR.-'Cal Ga's, PE��adise �;VA Owncontr: LMOY�/RaReoberts magaliaPermit #1079-78B*(new­dec-ks/NH) FA � Nu MUtil. —, ;PERMIT NO. 1314-75P,E P E M ` J.MH UTIL. PERMIT NO. Al PERMIT EXPIRES "OWNER Howard Nitkin —ON TR. LOCATION (A.P. 65-29-46 ) —Z O "} 1416- -.Holmwood Dr., Magalia t Temp. Power Pole Called PP&E a' Temp. Elegy. Serv. ,� < tiCalled,(r Temp.Aas Serve 'ailed PG&E JJOB J FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tback L Firewall Soil Piping r�7 F ms arapets 1st Floor in Bldg. R troom Finish 2nd Floor otings Win ws r 3rd Floor Stem all Sidin To out Slab Roof Sl4athing Water Piping �.. �. Piers Roofing f Sewer Ag Garage Fdn. Ventk Fixtures Footings Garage Ven / Water Htr. StemwaII Prov. for phyically ' Heaters Slab handicapped f Appliances Carport Conformance of X. f Gas Piping & Test S Footings structure f Temp. Gas Slab Final Sanitation Patio % IR PLACE Fin t -•-y—'7% Footings l Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam F E SPRNNKLERS Motors Framing Test Water Htr. — Stucco Final Subpanels —�-- Mesh MECHAN16AL Grd. Fault Rrot. Scratch Hea ing Service Brown _ Cooling Temp. Pole 7 Finish ucts Underground Interior La Ventil tion Permanent Door Closer Final Final DATE REMARKS OR/CORRECTIONS A, ✓�� /u rte .' L./ - r v �dctsc, TTew 0 MOBIZEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w:Ltli.required separation from lot lines and buildings and generally conform..to plot plan? YesNo 2. :Does the mobilehome have required clearances. above ground? (Sec. 5085) Yes 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 flexible 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 -Z, No C. Backflow - If co is not State of California approved, does station have.backflow_device and pressure -re' ie alve? 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 4" .per foot slope and is it properly supported? Yes No C. Are any leaks•detect•ed in drainage.system after runnin 3 -gallons of water through each fixture including washing machine standpipe? .Yes No1 D. If c cc h is not State of California approved, does station have required trap Iand vent? Yes.! o 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 itilet 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, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesX_ No. ). Electrical A. Is service large enough to provide adequate amperage-tc mobilehome (must equal rati� of mobilehome with a min Unum 100 amp) and other facilities on lot, i.e., water pumps; garage, cabana, ,etc.? YesoNo B. Is there proper clearances around panels? YesX 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. De -energize electrical wiring system of the mobilehome at the pe estal. 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 conduc_or and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. 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 7 signed. by. Health Department. for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOMZ.DATA Manufacturer and/or Namestyle Length Width o� Vehicle Serial No. State Identification No. Additional Information or Comments: i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 35 7�!- 7S v autnonze representatives of the county oT ttutte to enter upon the above-mentioned property for inspection purposes. X ate Signatureof Permitee orAgent J Receipt No. ( 3;�/ 6 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 7—r -Buildi,ag permit expires Dat BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ' Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone o. Permit Fee Building Address �Jr— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �ppJ 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. Na a g ��W Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 d 00 Each additional outlet .30 Falef S"+ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd 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 b Receps., switches & fix outlets 20025 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. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 6_ l License No. classification _ Misc. wiring _ oryt ❑ 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 fororkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 $ ✓� autnonze representatives of the county oT ttutte to enter upon the above-mentioned property for inspection purposes. X ate Signatureof Permitee orAgent J Receipt No. ( 3;�/ 6 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 7—r -Buildi,ag permit expires Dat COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W0 KS 7 County Center Drive — Oroville, California 95965 Tel epoone: 534-4541 / APPLICATION AND PERMIT v Receipt No. 3 f>L/ / - uY White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Q BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor G' fji c'= Total Valuation Mailing Address 5' S 4. Permit Fee Plan Checking Fee &/or Penalty Tele hone No. Permit Fee Building Address /' O0 le!�pPLUMBING No. @ FEE PERMIT FILING FEE $3.00 s 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. -Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. . Saafiz Fire Dept. I FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rove ents p Lawn sprinkler system 2.00 y Id I ec' / Parcel A proval Plans pproval Permit Fee $ $ a NEW. ADDITION ❑ UTILITIES ❑ OTHER �. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 mac' 00 Main service incl. 1 meter .,2��2eOV1177 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home -ES Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures be lag10. Receps., switches & fix outlets CONTRACTORS LICENSE'LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali , nia Busin s & Pr fessions Code under the name styl I 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 Q License NoG& � Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 Work Compensation. ell"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 California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2.00 Hood 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 -menti ned property for inspection purposes. t/ �X Date T Signature of Permitee or Agent�/�_ LL U A1 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. DIRECTOROF PUBLIC WORKS Receipt No. 3 f>L/ / - uY White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonce representatives or the county or butte to enter upon the above -menti d prop ty �fo sp cti purposes. Date Signature eP�,er ' 'ee or Agent —� Receipt No. 'J / Vbr0 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 Building permit expires Date ................`.... 7 ................. 6.. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor f Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tele hone No. 3—/133 Permit Fee $ $ Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $2c6U Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping op Each gas water heater or vent 1.50 A. P. No. _ ��, Z %t?T ( ZO"i Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W Sara Fire Dept. Fire Zone Use Permit Building sewer —5 -ea' GU EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 L___ Bldg. Plans Recd Parc pproval Plans pprovol Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 pp Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 �OD fQ F �yf �L� Water Heater or Space Heater 1.00 Light fixtures 20 bol dio ,, 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: r 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 15.00 Temp. Power Pole 5.00 n License No. � Classification K]'� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Z �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. n/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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ autnonce representatives or the county or butte to enter upon the above -menti d prop ty �fo sp cti purposes. Date Signature eP�,er ' 'ee or Agent —� Receipt No. 'J / Vbr0 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 Building permit expires Date ................`.... 7 ................. 6.. Fmq %of 9i pimp* MUST iN Copt on the job at all times and' it is unlawful to make any changes, or alterations on same without All utility connections -shall be written permisson from the Department of Pnbltc located within 4 ft. outside the re,��o�5• %-UUFIIY W1 third section of the mobile hofi�eOz- /W W OOzD ,lp/Q/ki, on the left (road) side of the mobile home. �V �) pp@@r��d� will 6e xa Jwri vx 4v h0 N - the the side propert the centerline of a maximum of a a I I be 5 ft, ;line and 50 ft the road, perr ft. eave over Sut $ittic system and-IQ�„ b'l7'Cdt to be cis te County Health Dept. qu i rernen ts. C Al Oo"Oy 10,6 'W .A/) nr► 13 re- *I dl,,, , -'/ P /G Ac - c- c, tia G, ,5� ( r7WiVE,,PS-q/-A,P0✓44 = `r BUTTE COUNTY f kr/Y/T Pr- 4, C, "/ rl ue Z ►q nfarw. G'AIP o +',BEET .uE,gLr�r %1f0 4j/.f��MCri1/i G� 1.WiN le V ' 6 k E_yG BUILDING DEPARTMENT APP OvE'; RAY N MUNJAR CONSTRUCTION ENGINEERING CONTRACTOR LIC. NO. A 271019 5248 Scottwood Rd. Paradise, Ca. 95969 FOR: NlTeIAI 110,Y7 ,LCL. RW eW /SO 0041,9 T ,Cdulv774hv 11, ,1 t fY G,9. pw n7e (7i�) �'y 9 -,4,4 JOB NO I UNIT LOT ADDRESS ;PECIFICATIONS DATE IN's ;NAL STf9 d- G D l ✓ON R 1Y3://.PE1a ,477, �? F CD/1J OD M 1111oFlvA Ap-gl di 0, it i ., IV 1 1 1 +f �- l•VUlY11 Vl' Ll.Il1L Lc1/Cli l.11lGlll. va a.•v ai... ,. va.� ` 7 County Center Drive, Oroville, California ~1 1 PHONE: 534-4541 /-l;TKfW ri I en,th = _ MOMLEIIOME INSTALLATION INFORMATION IK - Lot Facilities of plan imensioned, location of mobile util y -onaections? No rrtric-1 service equipment ampacity./ere b—as .er ampacity L'C� r-.. herr Wiring Connection �Qy yac it /(�o _ LPG `tin ' ? ..di�nVr• . ,t� l L Mobilehome Data 10y 11 1. Length (O© / Width ^ Manufacturer kik Vehicle Serial No.=—j1-04*g Insignia Control No. 2. Feeder assembly ampw �lci/ Conduit s-;ze �� Power sup ,ly coni (a. p. 1 �/jg 3. Gas inlet size III y' Mobilehome connector Capacity„--_ 4. Drain connector: t- 5. 1dater conntcror: d—,r G. Designed lo.! Roof live 10.”,Wine t.c3d ra"le S76 Drciin Conacctor, Describe (a i,'a t e onnec to r , Describe_ ee 9 LCAD SUPP"';%*' _-'00'I*, -N, -j 4A('>jvi_ #E- Pier Spncinz-, '-'sod zV09-A 5 R, (ul vd:-*iT.U,,. -!:Iler Load U, V .-aximum Cc!,-,mr,. Load ti- -J 1:s -0 11 voc 0 1" --D ae Steel Con-cren r c to B-1 c c':,, -1017 ors f TYPE OF FOOTING i_ -SED 'A 4,d9 / r ,sure -r-atcd �,'ood s - - 1, — - __' Cc-,--rcte 4 g 4AA -a C6 t., o o -d- _ (-Gra d e) u ��/a C6 Other Approved Type x Q 71. J J." N Tj TS S76 Drciin Conacctor, Describe (a i,'a t e onnec to r , Describe_ ee 9 LCAD SUPP"';%*' _-'00'I*, -N, -j 4A('>jvi_ #E- Pier Spncinz-, '-'sod zV09-A 5 R, (ul vd:-*iT.U,,. -!:Iler Load U, V .-aximum Cc!,-,mr,. Load ti- -J 1:s -0 11 voc 0 1" --D ae Steel Con-cren r c to B-1 c c':,, -1017 ors f TYPE OF FOOTING i_ -SED 'A 4,d9 / r ,sure -r-atcd �,'ood s - - 1, — - __' Cc-,--rcte 4 g 4AA -a C6 t., o o -d- _ (-Gra d e) u ��/a C6 Other Approved Type x Q A . ) ,lam„� � (v,�1rn� =�,� U� �7�fJ1 tip o t) WALTER s. NUCLEAR RELATIVE COMPACTION PROJECT T/r. Zof AF' S,ds /Iowa'ewoual /? RIMES and aAssoc. FIELD TEST DATA JOB NUi`IBER DATE 2 - Z73� CIVIL ENGINEERS a LAND SURVEYORS TAKEN BY .T ✓evhch �% o 7J_ 9 CHICO, CALIFORNIA 343-1444 CoHir. TEST NUMBER t 2 3 4 5-.. 6 7 8- 9 10 S• a^d,oQ N, edys o F S. � cor � . STATION � - OFFSET c.,d ELEVATION rdl 2' r.7/ 7•* MODE & DEPTH g.. �F ,iii 97 � I DENSITY COI�NT _ /3C. 43 1 48•o* DENSITY COUNT RATIO 2 .48 2.4.5 2 •7 Z WET DENSITY PCF / V ¢ 10,57* 0 / 00's, -AIR,GAP , COUNT ' AIR -GAP ` RATIO AIR -GAP DEWS I TY MOISTURE COUNT'. /r $ 7 MOISTURE -' COUNT RATIO ,IOISUTRE PCF DRY DENSITY s. PIOISTURE MAX.OBTAIN KME )ENS ITY //2.0 /12., OP1I,rJiI :'MOISTURE RELATIVE 913 % % C0:1PACTIO`I - .94 t STANDARD COUNT REMARKS: Se 2 O 1% E- � p � ✓O v� � ' � �Q G/H C n DENSITY . MOISTURE �� . � �' �� �( N U O '� r 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division,,7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspond ence/dMiments for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On September 18, 2001, 1 served the foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid,' addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Bud Irving 14766 Holmwood Dr. Magalia, CA 95954 I declare under penalty of perjury under the. laws of the State 2001, at Oroville, California. J* mber 18, 3 I PERMIT NO. 1079-78B d / PERMIT EXPIRES14 DOWNER Howard & Nancy Nitkin CONTR. Lloyd R. Roberts, Magalia LOCATION (A.P. 65-29-46 r' 20 Holmwood Hr., Magalia i I 1 ,Z • ... q'+ . �`".,�, ;'; fix. is ' r Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E� Temp. Gas S v. Cal I edy'PG& E JOB/ 1 FINALED Q �� f (Date) (Signat �) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REJCORD BUILDING]BUILDING (Cont'd) PLUMBING Setback Firewall q Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom' finish 2nd Floor, Footings Windows 3rd Floor Stemwall Siding To out Slab Roof SVeathlng Water Piping Piers RoofIR6 Sewer Garage Fdn. ents Fixtures Footings Gara a Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for ph sically Appliances handica ed Carport Conformance of ex. Gas Piping & Tes Footings structure Temp. as Slab Final - .IQ• N1 Sanitation { Patio FIREPLACE; Final ' Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRIN LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC NICAL Gird. Fault rot. Scratch Heating Service Brown Cooling Temp. tole Finish Ducts Under ound Interior Lath Ventilation Penn ent Door Closer Final Final f�. MOBILEHOMEU. ILITIES--------------•--- Elec_ Service 7 Elec. destal ! Water Piping Sewer Gas Piting BI EHOME INSTALLATION - - - - - - - - - - /--- Support Elec. ontinuity Water Piping Drainage Gas iping DATE REMARKS OR CORRECTIONS 71 IE0 k � "Z�_ I" QA44-j-, (NOTE: An entry must be made on this form each time you visit the job sited) CGUNTY OF BUTTE• — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive r — aOroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of butte to enter upon the abov -mentioned roper for i ectio urp es. Dat -�v 'r 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 UBLIC WORKS By - Date "J— .1 a3— Building permit expires Date �—� 3- BUILDING ' Owner Xe 4low SQ. FT. OCC BUILDING VALUATION i.� Mai I i ng Address S Telephone No. Fireplace Contractor r� Total Valuation 116FS Mailing Address ® Permit Fee Plan Checking Fee &/or Penalty Telephon No j Permit Fee $ Building Address C—w ' PLUMBING No.1 @ 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 j A. P. No. S -a — `p• Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F _a 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA king Parcel PPlans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PXans Re 'd Parcel Ap al Plans Approval Permit Fee $ $ NEW YADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 1.00 NEW OR ADDNS. ( ACCLBLOGS.LINGCCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & ' NON RES D. (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 name style Of:,,-,/• `� ���� C//_(//✓J �� s Ex. Occup(OUTLETS OR FIXTURES) BA 109 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 ❑ I am exempt from the Contractors License Laws of the State of Califomia. 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 Work en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 $3.00Heating 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 $ authorize representatives of the County of butte to enter upon the abov -mentioned roper for i ectio urp es. Dat -�v 'r 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 UBLIC WORKS By - Date "J— .1 a3— Building permit expires Date �—� 3- i3UT COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public! ! ! r r ! ! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!. The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Phone Number: The above information is not available to the public!!!!!!! (2) • •