Loading...
HomeMy WebLinkAbout065-350-050. ~~' »=�� 8 AP *~�� ���. '�270.- (PRE -INSPECTION FOR EXISTING SITE FOR � f 65-35-50 Carl Youngdahl ' 1276 Holmwood, Magalia Permit #1990-77MHI Issued � --------------- Contr:'Par Mod Con � Permit #2126-77P(gas piping) MH ` od 1270 H61mwo ., Magalia Permit #5564-78B(new cove",, � "��~~�~. mi Q ' IL3 t _71 `w 6251-78B R, PERMIT NO. ►� PERMIT EXPIRES OWNER Edward Gorman owner CONTR. 65-35-50 LOCATION (A.P. ) 1270 Holmwood, lot 115,SDO#2, Magalia yi k. tik f ti r r . i. r V . t; Temp. Powe/P.1e Cal IedgPG& E Temp E ec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) Avq- k,(, .7 ( igna re) U 9 G • Setback Forms Main Bid Footin Stemw Slab Piers COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING. (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Stemwal l Insulation Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE. SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping Mg§16EHOME INSTA LATI - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping " DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF_BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye I—^Oroville, 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 ate��% Signature of Permitee or Agent 6(O'W/ Receipt No. k`3 76(p- White-D.P.W. hite-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 beenId. r DITOt�Q�/,UBLIC WORKS By Date Building permit expires Date d �a� BUILDING Owner (r �/ �� �� SQ. FT. OCC. BUILDING VALUATION Mai ling Address ' �ja% (o Contractor " Sk__ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /a ©8 b1� WO °�' Plan Checking Fee&/or Penalty Permit Fee 0 7— /Is 67 D Z PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. C,. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe W. . Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans arcelEach Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel al Plan royal Lawn sprinkler system 2.00 NEW Cg ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Ste' Main service OVER &ooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OOR ADDNST ( ACCLBLDGS.CCUP. Y) 20sgft 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: NEW CONSTR BRANCH CIR T NON-RESID BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES BAL 21 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 Cal ifomia. 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 ermit 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 Land Development Fee $ TOTAL PERMIT FEE is '- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate��% Signature of Permitee or Agent 6(O'W/ Receipt No. k`3 76(p- White-D.P.W. hite-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 beenId. r DITOt�Q�/,UBLIC WORKS By Date Building permit expires Date d �a� 5564-78B f PEftlT NO. j 17 g 1. PERMIT,EXPIRES OWNER Ed L. Gorman CONTR. owner 65-35-50 LOCATION (A.P. ) 1270 Holmwood, Magalia t K Temp. Power Pole Call6d PG&E Temp. E� ec. Serv. CalAed PG&E Temp. Gas Serv. Balled PG&E !JO B, FINALED Z I (Date) (Signature r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " rF' BUILDING INSPECT ON° RECORD r � BUILDING A BUI ING (Cont'd) PL Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom F141sh 2nd Floor 'Footings Windows 3rd Floor Stemwall 'Siding To out Slab Roof SheathingWater Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph si ally handicapped Conformapce x. structure' Appliances Gas Piping & T st Temp. Gas Slab • Final,/ i Sanitation Patio FIR LACE Final Footings Footing EL Masonry Walls Throaty Rough Reinf. Steel Final t Fixtures Bond Bea FI SPRINKLERS Motors Framing Test Water Htr- Mesh I / MECHANICAL Scratch Heating Brown Cooling, Finish Ducts Interior Lath Ventilation Door. -Closer Final MOBILEHOME UTILITIES ---------------- Elec_ Serv" e Water Piping Sewer I E OME INSTALLATION - - - - - - - - W7. Support Water Piping Drainage DATE REMARKS t)'Ii CORRECTIONS Grd. Fault Pjrot. Service Temp. P e Under ro nd Permane t Fin E c. Ped tal as Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) MBING COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive e' :Proville, California 95965 Tel ep#ione: 534-4541 .(r/ APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X G�/J /i�'/cQ/Li.►'te slw Signature of Permitee or Agent Receipt No. �!T_, 4 Z 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. DIRECT91 OF PUBLIC WORKS By Date 43- 2 7�7d� B ding permit expires Date 9'7'7 c BUILDING Owner C G � t/ SQ. FT. OCC. BUILDING VALUATION Mailing Address f e� Tel ephon.e No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address d % q/ Plan Checking Fee&/or Penalty Permit Fee G % g PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No.(O Sr ',7� 5� JrG Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FAeff Set.* Fire Dept. Fire Zone Use Permit Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Bldg. P. s Recd Parcel A vol Pla pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ,) L� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5.00 Single FamilyeW, Duplex ❑ Mobil Home,a Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OOR ADDNST ( ACCLBL GSCCUP. S) 20sgft 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 NEW CON TR(MULTI-OUTLET, NON-RESID. BRANCCIRCUTS) 2.50ea NEW C ON ST R ( POWER APPARATUS.6 NON RES,D. SINGLE OUTLET CIR. EX. OCcuD{OUTLETS OR FIXTIIRES gAL Ex. OCCU FIXED APP LNS. 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 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 Land Development Fee $ TOTAL PERMIT FEE $ 2 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X G�/J /i�'/cQ/Li.►'te slw Signature of Permitee or Agent Receipt No. �!T_, 4 Z 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. DIRECT91 OF PUBLIC WORKS By Date 43- 2 7�7d� B ding permit expires Date 9'7'7 c 9. Electrical. A Is service la;-ge enociglt to provide adequate amperage. to mobileliome (must equal rating of mobilehome (aithi a ::iini;1um of 100 amp) and other facilities on lot, i.e., water pumps, ,oat'agv% cabana, ctc.? Yes! No B Is them proper clearances around pan.els? Yes v No C. Is power supply cord or feeder assembly properly fused? Yes ✓ No D. Is continuity test satisfactory as per the following procedure? Yes L- No_ 1. De -energize electrical wiring systeri of the mobilehome at the pedestal. 2. Puke sure that the power supply cord or feeder assembly conductors, including neutral conductor, havE� been disconnected. 3. Switch all beakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and , pp , y , aj�p>�' the GL'lil�l .Lldll %o caul IliuuL.�Ciiulile Sli )1 CG'fi�tuCtGr, 11iCliiGlilg Yieuircli, 5. All nor, -current, carrying metal parts of the mobilehome (aluminum siding, gas line, writer 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 ;hall then be made between the ,grounding electrode and the chassis of the riobilehome.. Upon satisfactory`'completion of theelectrical tests, the lot or site service equipment may be approved for energizing. TI; job card signed by health Departmeat for water and sanitation? 11. Ii evc_xything okay, sign off card and t.a; services. :` OBILEiJOME DATA Manufacturer and/or Namest:yle _:5 ri Length Width Vehicle Serial No.�15 State Identification No. r.de.itional Info-nnat:ion or Comments: ii0t31i,1?liU:tG, INS`UALL A1110N, INSPECTION CHECK LIST 1. Is the. mobiehomt located wi.l.h required separation from lot lines and buildings and generally con.fonTi to plot plarO Yec3 V No 2, Does the m:)bil.ehome have required clearances above ground? (Sec.5085) Yes1%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 4-"'No- 4. /No4. Is the mobilehome level.? (Sec. 5088) Yes r-�No� 5. If more than a single unit, are 'crossover connections properly installed? (Sec. 5088) Yes ✓ No 5. 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 L-� 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 ," per foot slope and is it properly supported? Yes L-�10 C:. Aria any leaks detected in drainage system after running 3- allons 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 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.ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes _✓Jo 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 mc�bilehorne with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes k ---'No 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 51 under permit number !G S d'7') for the following location: Owner Owner's Address Mobilehome Mfg. Model y oirt G %l i' Year Insignia No. Serial No. U S . It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 4A By Q -- THIS THIS CERTIFICATE IS VOID WHEN/MOBILEHOME IS RELOCATED ' PERMIT NO. 1990-77MHI PERMIT EXPIRES 4/28/78 OWNER CARL YOUNGDAHL CONTR. Para Mod Con LOCATION (A•.P. 65-35-50 1270 Holmwood, Paradise Temp. Power Pole Called PG&E Temp. Elea ServO—'O"' Called P "&E Temp. ,,GG�as Serv. Ca11ed PG&E ' JOB ,�- FINALED ii (Date) (Signal 4,6) . J. (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REURD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Para ets 1st Floor Main Bldg. Restroom Finish 2nd.Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service ' " Elec. Pedestal Water Piping J` Sewer Gas Piping 5-1.3 h 1 E ME INSTALLATIONv - - - - - - - - - Support . Elec. Continuity Water Piping Drainage 17 Gas.Piping DATE REMARKS OR CORRECTIONS /-f (NOTE: An entry must be made on this form each time you visit the job site.) I + " CObNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — proville, California 95965 Tel ep'hone: 534-4541 APPLICATION AND PERMIT arae-�� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date $ignatur Permite�e%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. By ((RECTOR OF PUBLIC WORKS - ' Date L J -permit expires Date �/Z 17 8` BUILDING Owner L� FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address & (0 w Permit Fee Plan Checking Fee &/or Penalty ����5 Telephone i^—�S� . Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �1 d 70 1." W Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 14 94 (,1 ti Each gas water heater or vent 1.50 A. P. N "' •�-tS Zoning & Planning Gas piping system 1 - 5 outlets 4.,6k)- U" Each additional outlet .30 F W..B' Se""181+44d Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 13h6gr+H,urm-fec'd Parcel Approval Plans Approval Permit Fee $ $ / 3 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6111 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 110 AMP 1.00 p l�� v NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20sgft ' NEW CONSTR. (MULTI -OUTLET NON.RESID, l BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON .R ESI 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 the name style of: C Ex. Occup(OUTLETS OR FIXTURES) BgLA FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '7 License No��/7ly Classification f� Misc. Wiring 6.25 ❑ 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. J[�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 Cboling 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date $ignatur Permite�e%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. By ((RECTOR OF PUBLIC WORKS - ' Date L J -permit expires Date �/Z 17 8` Tx e COUNTY OF BUTTE , - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - proville, California 95965 / �Z)-77 Tel ep'hohe': 534-4541 Y APPLICATION AND PERMIT QCc vt ,0 L BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I' Address P61Telephone L �� o. Fireplace Contractor !2 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty elephone No. Permit Fee Building Address_20 ZlaA� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 :2n iao Each Trap 1.50 67 Repair drainage or vent piping 1.50 •1 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.((�.5 - - �j (� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W -e' _ Sar3+a4+err FireDept. Fire Zone Use Pennit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Im rovement , P Lawn sprinkler system 2.00 Bldg. ans Recd Parcel App• val 7 Plans App val Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 v Main service 100V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO -L-100 AMP 2.50 Single Famil ❑ Duplex ❑ Mobil Home Others ❑ OVER V Main service 100 AMPOOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - NEW CONST. DWELING OR ADONS. ( ACCLBLDGOCCUP. 22 sq ft 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 ame S e Ex. Occup(OUTLETS OR FIXTURES) BAL@; E FIXED APPLNS. OR . Occup. (RESID.) EA) 2•00 temporary service 10.00 Mobile Home Facilities 15.00 License No C assificationC— / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 $ 0 autnor(ze representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X� Date c5J ee ' re o or Agent l_ �. Receipt No. - White-D.P.W. - ellow-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. DIRECT F PUBLIC WORKS By Date -'d'-77 euildirig permit expires Date y -2--P 7