HomeMy WebLinkAbout065-350-05565-35-55
Blaine Crowther
1250 Wood Dr., lot 30, SDO#2, MagalvA
contr: J. T. McGregor, Paradise
Permit #4920-79P. E(util.,MH
ELEC. 1 -,?2" 0 • oaf
GAS
IgMp&�_ Z 2- --S-D z,Ito
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.y.�,
65-35-55
contr: Donald W. Carr.,, -Paradise
Permit 440-800(ne/pr_isgar�e)
65-3/5(-j55
Contr: Cal GAs, Paradise
Permit##242 5-80P ( gas pi ng /492 0-
79)MH
65-35-55
Contr: Cooper Electric, Paradise
PLrmit#2441-80E(wire existing.
le.
�ra.ge-)._...
65-35-55
Contr: Paradis4 Modular Conc9pts
ermit#3188-80M 4J
Issued 64 rg .,/
8
65-35-55
contr: Donald Carr, Paradise
Permit #4205-80B(covered deck &
open deck/MH)�,
ME
o�
•
i�
r
65-35-55
Blaine Crowther
1250 Wood Dr., lot 30, SDO#2, MagalvA
contr: J. T. McGregor, Paradise
Permit #4920-79P. E(util.,MH
ELEC. 1 -,?2" 0 • oaf
GAS
IgMp&�_ Z 2- --S-D z,Ito
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.y.�,
65-35-55
contr: Donald W. Carr.,, -Paradise
Permit 440-800(ne/pr_isgar�e)
65-3/5(-j55
Contr: Cal GAs, Paradise
Permit##242 5-80P ( gas pi ng /492 0-
79)MH
65-35-55
Contr: Cooper Electric, Paradise
PLrmit#2441-80E(wire existing.
le.
�ra.ge-)._...
65-35-55
Contr: Paradis4 Modular Conc9pts
ermit#3188-80M 4J
Issued 64 rg .,/
8
65-35-55
contr: Donald Carr, Paradise
Permit #4205-80B(covered deck &
open deck/MH)�,
ME
iiiiiiiiiiTi�1 - - a Mo
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico •— 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
_lad!.... �......�„-..........................
Building or Property Address
A routine inspection indicates that the following
violations -of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
........................................................................................ ..............................
'c0iiF�....'02�1...*440 OAC- ..........................
s .. Q. ?4.c .....f, . h.l.1%.Q.p .~........
2
Date ...�.j•),.f,".."... Inspector .�....................
Do Not Remove This Tog
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
1 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 U for the following location:
Owner n� •• i*
Owner's Address
Mo"bilehome Mfg. Model Year
Insignia No. �ti ��/ /_� Serial No. _
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By f;
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
Y •-
4920-79P,E•_,
PERMIT NO.
e
PERMIT EXPIRES
+. Blaine Crowther
OWNER
.;CONTR. J. T. McGregor, Paadise
65-35-33
LOCATION (A.P. )
1250 Wood Dr., lot 30, SDO#2, Magdlia
a
,a
t
S
• }0.
t Temp. Power Pole
Called PG _
Temp. Elec. Serv. 1,
Call PG&E
Temp. Gas Serv.
�lied PG&E
3
JOB
INALED i U
. (Date)
r -
(Signature)
k
t.
1
(qr
4920-79P,E•_,
PERMIT NO.
e
PERMIT EXPIRES
+. Blaine Crowther
OWNER
.;CONTR. J. T. McGregor, Paadise
65-35-33
LOCATION (A.P. )
1250 Wood Dr., lot 30, SDO#2, Magdlia
a
,a
t
S
• }0.
t Temp. Power Pole
Called PG _
Temp. Elec. Serv. 1,
Call PG&E
Temp. Gas Serv.
�lied PG&E
3
JOB
INALED i U
. (Date)
r -
(Signature)
k
t.
J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
t BUILDING (Cont'd)
PLUMBING
Se I ck
Fhvwall
So ipin
For
Parlpets
1 Floor
Mai ,Bldg-
Restr m Finish
2ndNfloor
Foo. in s
Window
3rd Nor
Stem all
Sldin
To out
Slab
Roof Sheaf&lng
Water Pi in
Piers d
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footin s
Slab A
Prov. for physicall
handica ed
Conformance of ex.
structure
Final
Appliances
a.
Gas Pi in & Test
Temp. as
Sanitation
Patio
IFIRE126ACE
Final
Footings
Footing
ELECTRICA
Masonry Walls
Throat
Rou h
Reinf. Steel
Final '
Fixtures
Bond Beam
® FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Falult Prot.
Scra h
Headg
Servic�
B n
Cost-1ng
TeAp. Pole
F Ish
ni _tc
I�r...re..........a
woor closer
Final
final
MOBILEHOMETIL
TIES
d-- - - - - - - Elec. Service d SODA 4,D Liles
Elec. Pedestal
Water PipingL)46-01?
-r
Sewer i
Gas Piping
EH ME INSTA ATI N
- - - - - - - - - - - - - - Support
Elec. Continuity yo
Water Piping
-7 11'61q v
Drainage
Gas Piping
DATE I REM KS OR CORRECTIONS
j / C
s�
F6 '014
�u !/ b e'r Wa r" 06 r2l-r-r ;J- So Com/ G�i£��' � lCS Lli Eclf
�,� lkt�/ `!��' �Z- Si/.l�i� �lfa�+/1 l�/G�IG � %lt %�/!� o` a/a T£,•G
9,A
3
(NOTE: An entry must be made on this form each time you visit the job site.)
9., .Electrical
A. Is service large enough to provide ade�quate'amperage-to mobile:iome'(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? YesG-No_
C. Is power supply cord or feeder assembly properly fused? Ye No
D. Is continuity test satisfactory as per the following procedure? YeNo
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 lead of a test instrument to the mobilehome grounding conductor 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.
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 theelectrical 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
Length Width
Vehicle Serial No
State Identification No,
Additional Information or Comments:
MOULEHOME INSTALLATION'INSPECTION CHECK LIST
1. Is the mobilehome located ith required separation from lot lines and. buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes\ed, No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Scci 5082 & 5083) Yes �No_
4. Is the mobilehome level. (Sec. 5088 ) Yes -JNo
5. If Vqre than a single unit, are crossover connections properly installed? (Sec. 5088)
Ye
-No
6.• Water
A.. Is fle ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yeso—
B. Test - Does water piping withstand work g essure or 50 lbs..air test? YeX, No
C. Backflow - If coach is not State of Califor is 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 4" per foot slope and is it properly supported? S3<—
No
C. Are any 1'eaks detected in drainage system after running f3 -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 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 mob' ehome 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, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? YesV No.
COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - _Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
��420-7�1
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Me 2Date -7'1
'gnature of Permmitee or A4_4
Receipt No. -,j o�
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.
DIRECTO OF PUBLIC WORKS
By s,v Date --/ f-751-1—
S
Building permit expires Date po
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mai I ing Address Z '7 t LU IN
Telephone No.
Contractor rL
Mailing Address Ic� � E� �1Z
Fireplace
Total Valuation
PAeyapi-srV17--1,74g-L-
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
G LU &o a 5-D
PLUMBING No.1 @ FEE
fQ2 �
PERMIT FILING FEE $3.00 .0�
Each Trap 1.50
o
Repair drainage or vent piping 1.50
A. P. No. + 3
Zontrig ann' g
Water piping 1.50 Q, Q�
Each gas water heater or vent 1.50
FdmrfW
Sat n Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
Parcel M
60' R/W
Improvements.
additional outlet .30
Building sewer 5.00 �,Q(�
k ��
Bldg. Planed
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
ELECTRICAL No.1 @ FEE
-00
PERMIT FILING FEE $3.00OR
L
Main service i°o°o AMP ORSLESS 5.00 Zj
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L loo AMP 2.50
Main service OVER e00V 25,00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. B\ .20 sq ft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Mt 6e_e aj oa-
`I
NEW R S,., BRANCH CIRCUITS)
NON.RONS � BRANCH CIRCUITS/ 2.50ea
NEW CON ST R. POWER APPARATUSSJ
NON-RESID. SINGLE Of CIR.
Ex. Occup{OUTLETS OR FIXTIIRES 5 L�
Ex. Occup C FIXED TS (RE APPLNS. OR
OUTLETS (RESID.) EA 2•00
Temporary service 10.00
Mobile Home Facilities 15.00 Qy
License No. 274A� `� � Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
o�U
MECHANICAL No. @ F_EE
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.
E]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.
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
Land Development Fee
TOTAL PERMIT FEE$
-71157
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Me 2Date -7'1
'gnature of Permmitee or A4_4
Receipt No. -,j o�
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.
DIRECTO OF PUBLIC WORKS
By s,v Date --/ f-751-1—
S
Building permit expires Date po
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
O
ASSESSOR PARCEL NUMBER
ZaNTNG
14
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING 4D ESS ,
a L a � >L .�W t.N tr„o�� 1.�� ►� ,. �.
CO RACTOR• NAME
49
TELEPHO F
Cq,NTRA OR'S MAILING ADDRES
Y 1( 0 � an
CONSTRUCTION LENDER
1 -A -l`
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
O W to
PLUMBING PERMIT
Filing Fee 3.00
I ---�^
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
�p
NAME
SQ� Z�
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
v
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeX Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other,
Describe work: 4'
C� q2_44i
Permit Fee
$
Contractor /� "'
ELECTRICAL PERMIT
Filing Fee 3.00
Main service i°oo AMP ORSLESS
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP,B
OR ADDNS. ( ACG• BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full for a ai\d effect.
License No. :3: /n e' /
LCr�- �_ Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON•RESID R. BRANCH CIRCMULTI-OUTLEUITS) 2.50 ea
NEW CONSTF;L POWER APPARATUS 8�
NON-RESID. %SINGLE OUTLET CIR.
50@250
Ex. Occup(o TS OR FIXTURES BAL@IN
(FIXED
Ex. Occup. (OUT OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
2� The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIIng Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabil't'es, judgme ts, costs, and expenses which may in any way accrue
agai s ty in fluence of the granting of this permit.
', i
JJXSS��� Date J
Sig oture of Applicant — Owner ElContractor Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ 1�
occuP. GROUP I
TYPE OF CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work i Gated above for which
DIV OF PUBLIC
,. N,4
Bye`
PERMI XPIRES Date
the applicable provi-
resolutions o do
fees have been paid.
WORKS
Date d
Receipt No. 3 G Y g ,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS
~�41. 7 Countv Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
AS ESSOR PARCEL NUMBER
�S
ZONING
BUILDING PER T
O ER
TELEPHONE
SO. FT. OCC. - BUILDI G AL ION
OWNER'S MAILING ADDRESS
TR AC R'S N M
EL EPHONE
TRACTOR'S AILI G ADDRESS
CONSTRUCTI NLEN R
UNKNOWN
Fireplace
Total Valuation Is
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR EN (NEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
BUILDING ADDRESS
Sa o &1
PLUMBING PERMIT Filing Fee 3.00
�-e--
Each Trap 2.00
Repair drainage or vent piping 2.00
Water piping
LOT NO,
.36
SUBDIVISION NAME
o �-
PARCEL MAP
Each qas water heater or vent 2,00
Gas piping system 1- 5 outlets
USE OF S TURE
SF ❑ Duplex[] Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system 2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work: —
// //
-141.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 3.00
Main service 8011 OR 000 AMP ORLESS5.00
Main service EA, ADD'L 100 AMP 2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS, ACC. BLDGS. 20sgft
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi ns Code an my license is in full rce nd effect.
License No.409 Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON-RESID, SINGLE OUTLET CIR,
sDL250
Ex. Occup(o OR FIXTURES BAL@tOs
@1
IXED A
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
,have placed on file with the County of Butte Building Department
!�' a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIIng Fee 3.00
Heating
Cooling
Hood 2.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
liabilities, ju ments, costs, and expenses which may in any way accrue
aga t said C unt in conseq nce of the granting of this permit.
(0 3 a
Date
Signatur of Applicant — ner❑ Contractor ❑ Agent
An A permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 in height.
Mobile Home Installation Fee $ Gy
Land Development Fee $
TOTAL PERMIT FEE $
OCcUP, GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do.
work indicated above for which fees have been paid.
DIRECTOR OF PVALIC WORKS
/
By. �L Date
PERMIT EXPIRES Date_ ��^
ystories
Receipt No. , .1 it (G-
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASS SSOR PARCEL NUMBER
S_
ZONING
BUILDING PERMIT
OWNE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O WNE 'S MAILING ADDRESS
CONTRACTOR'S NAME TELEP ONE
CONTRAC OR'S MAILING ADDRESS
CONSTRUCTION LE DER UNKNOWN
IVIP 41Z
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee -
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTUftE a
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY'
Building sewer
Lawn sprinkler system
2.00
TYPE OF. WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: GL,%Zt, g-x"s7�c l�►G/L4s%F _
SFS �� b yyQ��a
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 10ov OR LESS
100 AMP OR LESS
5•00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING O P.&�
OR ADDNS. ACC, BLDGS
2¢Sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and, my license is in full force and effect.
/^
License No. �s bI 1G � Classification C-_ -/ I`
❑ I, as the owner, or my employees with wages ,as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) •
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTL 2.50 ea
NON-RESID, BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &�
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL�1os
FIXED APP LNS. OR
Ex. Occup. (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ Ja,v
Contractor `
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
I�f a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the ,County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
s
X „�� Date
Signature of Applicant — Owner El Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $ ^7
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
P11
HD
1550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXP S Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date L5 A/_ 70
Receipt No.. I62 5! %
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
c
744
PERMIT NO. 4205-80B
PERMIT EXPIRES_ �O .1
OWNER Blaine Crowther
Donald Carr, Paradise
CONTR.
65-35-55
ASSESSOR PARCEL
LOCATION 50 Wood Dr., lot -30, SDW2, Magali<
i
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Calle/PG&E
JOB FINALED (Date) ,' 4A)
Signature CIA
?.PERMIT NO. 4205-80B.
r
PERMIT EXPIRES I �'
OWNERBlaine Crowther
Donald Carr, Paradise
CONTR.
65-35-55
ASSESSOR PARCEL
LOCATION 50 Wood Dr., lot 30, SD0#2, Magalia
Temp. Power Poie
Called PG&E
Temp. Elec. Service
Called PG&E
Temp.. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK ext t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; 8teel-131ockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
15.
Water Ht.; Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb.,-Flet. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked..under, Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following, instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-----
Card B -I
Card B -I
--
-- ------
-
Date----- Card -BI Date
Date Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
84.
85.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
Water &Sewer Connected -C/O to Grade -HD Approval
31: A.C. Ducts: Insulation & Support
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
Card -BI
Card -BI
34,
35.
Furnace -_Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -B I_ Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date _
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. Sills; Proper Material & Anchors _
37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing___
39. Draft Stop in over
(rat proof) _
40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Comments at Final:
41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin -Root 13rac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
47.
Bdrm_Windo_w_s or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite).
I-
J = OK
'0 = Not OK
= Not Applicable MOBIL:EHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
S C RPORTS,-ETC. (Pl s) OK except H's
1. Zoning Requirements-Setbacks-EasementsZonin
2. Soils; Special MH Support -Sketch
a en s -S - mems __
2. -Foo s; i - Ging-Connectors _ -
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIONAND PERMIT
• i I
A SS ES$O PAl EL NUMBER �
Jay
ZONING
BUILDING PERMO 0 o
OWNER
r /
TELEPHONE
S0. F.T. OCC. BUILDING VALUATION
/
QIJ�
O
OWN 'S AILING ADDRESS
//
0
CONT CTOR'S N ME
ITELEPHON EE
CONTRACTOR'S MAI NG`ADORES
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $ _
Q
LENDER'S MAILING ADDR SS
Permit Fee
$ Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
®PLUMBING
PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
,J Q
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [J Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: ��GC ® fi4/ �G
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
OR L
Main service 1000 AMP ORSLESS
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADONS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
-
E(/ am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No .
����% T Classification �
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2.50 ea
NON.CONSRES BRANCH PIRA ITB
NEW CONST R. ( POWER APPARATUS &1
NON -R ESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETSOR FIXTURES 50 @25C
BAL@IW
Ex. Occup.( FIXED PLNS R
OUTLETS(RESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION' INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
r; nave placed on file with the County of Butte Building Department
v� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again aid County in cc quence of the granting of this permit.
X �'h .� / Die � /f .— ri
�`��� d _.—
Signature of Applicant — Owner Contractor�Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ D/ 0O
OCCu P. GROUP
.� t
TYPE OF CONST.
V A/✓
PARCEL
PD
41/
H
ISSUE
A --
This permit is hereby issued under
Bions of the Butte Count Code and/or
work indicated above for which
DIRE OF PUBLIC
P MIT EXPIRES Date�Z
the applicable toprovi-
resolutions to do
fees have been paid.
WORKS
op
Date
r'.
Receipt No. lboBY
WHITE-D.P.W:. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
I
r'
440-80B
`PERMIT NO.
PERMIT EXPIRES
Blaine Crowther
OWNER
CONTR.
Don Carr, Paradise
65-35-55
LOCATION (A.P. )
1250 Wood Dr., lot 30,, SD0#3, Magalia
•r
1"
"
Temp. Power P.,$le
led
PG&E
TemEle�c�Serv.
Ele
y
d PG&E
'
Temp. Gas Serv.
f
Called PG&E
�7t7
FIaN®ALED 7))J
A
(Date).
�AA/k
p.
(Signal e)
BUI
Setback rX�
Forms
Main Bldg
Footings
Stemwal l
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footingk
Slab
Patio
Footin s
Masonr Walls
Reinf. Steel
Bond Bea
Fra Ing tI
Stucco
Mesh
Scratch
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,
BUILDING INSPECTION OECORD a
ING BUILDING (Cont'd) PLUMBING
Firewall
Soil Pipingil
Parapets
1st Floor'
Restroom Fini
2nd Floor
Windows
3rd Floor
'Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for Dhvsical v
A lian es
of ex
FIREPLACE
Footing
Throat
Final
FIRE PRINKLERS
Test
MEOHANICAL
Brown Cool Ing
Finish Ducts
Interior Lath Ventilation
Door Closer Final
MOBILEHOME UTILITIES =------------- Elec. Service
Water Piping Sewer
WQJILEHOME INST LATION -- - - - - - - - - - - - Support
Water Piping Drainage
DATE REMARKS OR CORRECTIONS
��;;ll
_k L
Er c.
Gas Piping &
Temp. Gas
Sanitation
Final
Motors
Service
Temp. Pole
Final
Elec. Pedestal
Gas Piping
Elec. Continui
Gas Piping
ELECTRICAL
(NOTE: An entry must be made on this form each time you vislt the job site.)
Vrr
. COUNTY OF BUTTE — D9PAR1tti9ENT OF PUBLIC WORKS
7 County Center Drive '-.j Orovflle, California 95965
11 ?' Telephone: 534-4541 DSU
APPLICATION AND PERMIT AA
❑ I am exempt from the Contractors License Laws of the State of California.
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 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 Date
ignature of Permitee or AA/gent C
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heatino
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE is (�
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 F PUBLIC WORKS
By Date - ��/��a.
;d/Xilding permit expires Date L —
BUILDING
Py—
OwnerSQ.
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address
�
Fireplace
Total Valuation
�►
Telephone No.
Permit Fee
tt
Building Address �c�Cs a
.4
1,�
Plan Checking Fee&/or Penalty
pZrQe
Permit Fee $
e
PLUMBING No.1
@ FEE
PERMIT FILING FEE
J$3.00
Each Trap
1.50
!B.
,09L-
Repair drainage or vent piping
1,50
A._P,No. � J — 3.5 — S�_
Z1ning 8 Planning
Water piping
1.50
Each gas water heater or vent
1.50
FSS
* C�.S
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets
1.50
EQ A
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet
.30
wilding sewer
5.00
� �
Bldg. P ns Rec'd
Porcel A roval
Plans Approval
Lawn sprinkler system
2.00
NEW ADDITION ❑ UTILITIES ❑
OTHER ❑
Permit Fee
$
r
i oq—
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
Main service OVER
100 AMPP OR LESS O
25,00
Main service EA. ADD'L 100 AMP
1,00
NEW CONS. DWELING OOR ADDNST ( ACCLBLDGS.CCUP, 4'\
I
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:
4ge=n �/, ty�¢i212
NEW RESID_ BRANCH CIR T
NON-RESID. � BRANCH CIRCUITS)
2.50ea
NEWCONSTR. POWER APPARATUS a
NON -RESID. SINGLE OUTLET CIR,
Ex. FIXTIiRES )
50@�
BAL@tOs
FIED APPLNS. OR
Ex. Occup. OUXTLETS (RESID,) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
yy
License No. 1V,"'Classification P
Misc. Wiring
6.25
❑ I am exempt from the Contractors License Laws of the State of California.
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 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 Date
ignature of Permitee or AA/gent C
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heatino
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE is (�
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 F PUBLIC WORKS
By Date - ��/��a.
;d/Xilding permit expires Date L —