HomeMy WebLinkAbout065-360-039COMPLAINT TO INSPECTOR
0 /y b
1'�
65-36-39
Les er N.Q Q p C%
> /4 Del Oro Dr., lot 166, SDO#3, Maga.
4ontr: Hess Backhoe Serv., Paradise
Permit #6931-79P,E(util.,MH)
GAS ��#9
SUPPORT STRUCTURE REQ . /V,P
COMPACTION TEST REQ,
Cro" 0�6�5-36-39
Cont,rr . Paradise Modular Concepts
P\ rmit##7057-79MHT,....-
Issued ,����% —
65-36-39
contr- Sierra Mobile Service, Para.
Pexomit #3488-8QB(new covered decks/MH
65-34�)
JIM MAGANA
14826 Del Oro, Magalia ContR: Sierra Mobile
Permit#1899-89B,E(new cabana)MH
PERMIT NO. 1899-89B,E
PERMIT EXPIRES
OWNER .TIM MAGANA
CONTR. Sierra Mobile Ser
ASSESSOR PARCEL 65-86-39
LOCATION 14826 net Oro, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
-
Signature
/-✓�
= OK
0. = Not OK ® '
• = Not Readyable MOBILE H®MES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- .
-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ P'LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -Bl Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131 Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -131 Date Card -81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances I
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -B1 Date Card -131 Date
Card -B1 Date Card -61 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5` -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -B1 Date
Card -B1 Date Card -131 Date
=uK,
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =
Not Applicable
Not Ready
Date
UNDE OOR (PI s) OK except #'s
Date
FR6MMG (Continued)
U-Zbning-Scks;-Ea 5-F�pe
. Hangers -Post aps-Anchors-Connectors
2 -Fla- Main- Soils-6taPl-FIpL.-GLd.-/'- "-Ftg-Bepthn
st-Rf . les -P .- ru -S g.-R1rrg-
_
- ep.M
ay-Glearance
4AFtg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
s -Baffles
-
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
g
7. Sla ; Steel -Wrapped
lers-FI ..
refllace-f�g-�3t2�7
^ f DDDLa Or1P l' C r4
5 Garage=3rd-story-2-exits
-es - way -Sewer Test
53,-Stairs-Width=headroom=Rise-BurrterrcirM-Fire-Protection
544-Ptywood on Roof Overhang -Attic Vents -Rafter
1 .. ipe; st-Anchors-Regulator-Service Test
-Outriggers
55KSiding-Nailing Veneer
e rg ro u nd
5&-Stucee-Mesh-Ortp ;Be - ss
upprt-Ins.
570lazing Area -Glass Protection -Skylights -Plastic
? �
"-ers�l -Anchor Bolts-Joi - s -Cripples--
589,near Walls; Nailing -Bolts
15. Insulation
5 sula!�Ion-Walls-Clg.
60-4nfiltration-Wal Is-Wndws
Card -B1
Date Card -B1 Date
Card -61
Date Card -B1 Date
Card-B1t�
Dat%j r Card -B1 Date
Card -131
Date Card -131 Date
Date
PLUMBING (PerrW OK except #'s
16. Water Ht. Vent- cess -Combustion Air -Baffle
17. Water Pipe; Test 9Anchors-Nail Protection
Date
FINAL (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttrfgs & Anchors -Nail Protection
19. Shower Pan Ost, First Floor -Tub Access
62.Sweke-Detector
63'�ce` Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & S wer, 2nd Floor -Tub Access
21. Gas Pipe; Size7& Anchors
64.-B om•Exiting
65T_t"FT_rBath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -81
Date Card -61 Date
67.45ta4" Rails.
Card -B1
Date Card -B1 Date
68.-F+repta'ce or Stove; Clearances -Hearth
ec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70.4Ki _Rxt. & Appliance; Grnd. -Air Gap -Cooking Clearance
mac. Receptacles Spacing -Lights & Switches at Doors
71.pIse-Outlets & Receptacles at Kit. Counter
oxes & No. of Conductors -Stapled
72•-d4erage'Fire Door; Swing -Landing -Closer
Romex Installed Close to Edge of Studs & C.J.
73.-r.E--DMt in Garage -Damper
ip. Ground made upw/Mech. Fasteners -Bond Gas & Water
74'Vdh--Mp.;'Vents-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
pliance Circuts in Kitchen &Conductor Size/G.F.I.
75-P}b--,,Elec. & Mech. Equip. Listed for Location
ubfeed Wire Size /I?j ga.ID or AI-A.C. Wire Size / /ga.
Cu or Al
76_. &, � Receptacles in Garage; (G.F.I.)-Romex Protec.
29-Rangg Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
l;�-tnsuIation- Foam- Looked in Attic ❑ Yes
79r•6na'rd-Rails & Deck Construction -Post Caps
30.'SeT 1c`e-Riser Conductors & Ground -Main Disconnect
. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑Yes
31. rgTrrp Clearances Panels-Motors-Mech. Equip.
32. of es Closet Light -Shower Light -Spa Light
09-15ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. 9rttolre Detector
81. 5ri7cco; Brown -Finish
Card -B1
Card -131
Gr,, Date Card -61 Date
(Z -,r, Date 7 -?. Card -B1 Date
82--A-C-Unit; Disconnect, Electrical, Plumbing
83. -Vee s Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water -Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts InsuIati4 & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust ab)bve insulation
-88,:'Ventilation throughout House
36. Condensate Drain Overflow; Size & Grade
plass Protection
37. Furnace -Vent; Ac ss -Comb. Air -Return Air Vent -115 outlet
88--Cbrrections from Previous Inpections
38. Attic Access & Rfaftrm if Furnace in Attic
89.as Test -Meters Tagged; Gas -Electric
90. WateM Sewer Connected -C/O to Grade -HD Approval
Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Dater9y
9 -Roofing Certificate
Card -B1
Date Card -B1 Date
Card -61
(',G Date' 31friCard-61 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -B1 Date
u•-
Card -B1
Date Card -B1 Date
4 Walls s -N ng, S ing raci g -P es -S
Comments at Final:
1 ar'ng Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
- - ub
4 Bader & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
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F..
COUNTY OF BUTTE
'. DEPARTMENT OF PUBLIC WORKS
` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
r` 747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER' PERMIT NO.
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.
l t.� _ D17j PrkA FO2 I%lr G• r7' %(�1. C.( %1. (C
.�oC\�tC{t6J l ��s �Pt_Z�c.�a\1 t(I
W11 } SS
Inspector Date �CI
a«-• ate® `� ®�
co Nr : F BUTTE`':
2
DEPARTMENT OF PUBLIC WORKS : » ,!f
Z ,m Memorial Way, cmm— Phone: m,@e,
« 7County c«!m Dnm.omwHe— Phone: 538-7541
47 E dgl w. Paradise — «/ 872-639 .
.
CORRECTION NOTICE
A routine inspection indicates that the following violations of County ormace
exist kthe above address md-k_m be corrected. Please notify this office
when co_d.n@_ork is completed. Ryou b9 any question Mr @mg& this
_!ter, or need additional explanation, please contact. this office immediately.
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
/f
PE*1_0y/y
ASSE5502, ARCEI, jVst�.9�
•�tJ(6�w`�
Z
BUILDING PERMIT
0�5
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW`DRESSE�LING
)—
CO C(yTCO 'S NAME T L PHONE
CONTRACTOR'S MAILING ADDRE S (' _
�Ca_NSTRMTION
Fireplace
LENDER
U N K N CW,--,
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 56.�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /Z 9 O
Permit fee
a r�
PLUMBING PERMIT
FIIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehomel Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other &)]Permit
Describe work: �.4G-411A _
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soo100v oR LESS OR LESS
AMP
10.00
Main service EA. ADD'L 100 A rP.
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I6`(YI i am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professio Code and my license is in full for a and effect.
No. 3�6 Classification
F-11, 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING oC/zQsgft
OR ADDNS, l ACC. BLDG
NEW CON5TR U TI -OUTLET
NON-RESID BRANCH CIRCUITS
2.50 ea
/POWER APPARATUS fi
ISINGLE OUTLET CIR.
/
Ex. Occup(OUTLETS OR FIXTURES
0@50License
eA .30
FIXED PR
Ex. Occup. OUTLETS (RESID,)EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin 9
15.00
L
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
e 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
perrnl4 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
against said County in cot).secluence of the granting of this permi .
�L
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5' 'deep and demo 'tion or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE
OCCUP.
CONST7
ISCHoo
F oD
R EL
I PD
sSu
This permit is hereby issued under
sions of the B tte Co my Code and/or
work indicat aboV for hich fees
C OR 0 UBLIC
By
i
PERM EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
oat 9
-'�
Receipt No. 1//3Z`?6
WHITE-D.P.W., YELLOW -ASS Es OR, PINK-INSPECTO GOLDENROD-APPL/CANT
COUNTY OF BUTTE - DEPARTMEryNT.OF, PUBLIC 'Vi ORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE+- O.ROV�r E+CALIFORNIA 95965 -TELEPHONE: 916/538-7541
PERMIT APPLICATION, DATA SHEET
Permit No.
OWNER �_ ,46,&)A A. P. No. g! l 2j_w
Proposed Building Use AJl � A2A Building Inspector i i Date 6lJW(�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehom'e installation data including manufacturer's installation
instructions, ..�.0
9. Fees of $—/�
X10. Chico Urban Area fees paid ........................................
11. Park fees paid................................p.....................
���
12. �School District fees aid ................. o .
ti X13. Sanitation approval from �• Health Department ... 6 X! 7189 liL1, Cl,
14. City of Chico plumbing, permit ......................................
15. Plot plan and business license approval from City of
(see City for.other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for re ulred Pre-Inspec. request to
p q . , , ,Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant fi/%Y. )//J� Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit is uance, (C' cl new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maiI—counter by date p
Plans checked by Date Plans approved by Z -S Date —( -�
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO- Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNS �
Plans approved for:
Hold final for:
-N6P�01-- 4-t a
LOCATION AP #
Sewage Disposal V Water Supply
Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other,��
Clearance for addition of r _t,o/J
N'o t e**
SANITARIAN
PARE 5
WORKMAN$ COMP
NAME ADDRESS CITY ZIP AUTHORIZED SIGNATURES LIC, # DATE
GARLAND HOMES
2538 ESPLANADE
CHICO
95926
RON $HUTE.AL ENDEMANO
342821
NO W/C
GARRISON CONSTRUCTION CO_ INC.
P.O. BOX 1718
YUBA CITY
95992
(FRANK GARRISON)
01/01/90
GARSKE ROOFING. RICHARD
KI RO$EANNA CT.
CHICO
95928
.TAN GARSKE
456348
NO WIC
GEORGE, DON C., INC,
P.O. BOX 729
OROVILLE
95965
FRANCINE & JoANN B. GEORGE,RAY ERVIN,ED PORTER.LETA
DROWN,
GEORGE, DON C.. INC.
P.O. BOX 719
OROVILLE
95965
SHARON TIEHM
452266
01/01/90
GEREMIA POOLS, INC.
1327 65TH ST.
SACRAMENTO
95819
MIKE GEREMIA,DAVID DINELLI,DAN VIRATOS,PIERCE HAWLEY,
GEREMIA POOL$. INC.
1327 65TH ST.
SACRAMENTO
95819
LAURA STUBBLEFIELD,BUD STUBBLEFIELD
191966
NO WIC
GINNO & HUFFMAN CONSTRUCTION INC.
2593 HWY 32
CHICO
95926
WAYNE JACOBSON
06/01189
GODMAN'$ CONSTRUCTION
P.O. BOX 8017
CENTRAL VALLEY
96019
(WILLIAM R. & SANDRA L. GODMAN)
08/01189
GOLDEN AWNING
502 GIUSEPPE CT., #5
ROSEVILLE
95678
STEPHEN HUNTER,THOMAS WEBER.GEORGE SHELTON,JAMES HUNTER
GQ.OEN AWNING
502 GIUSEPPE CT.. #5
ROSEVILLE
95678
01101/90
GOLDEN WEST ENTERPRISES
P.O. BOX 1013
MAGALIA
95954
(JOHN CUSEO) -
372268
05/03/90
GORE & SONS, INC.
P.O, BOX 360
DURHAM
95938
10/01189
GORMAN CONSTRUCTION
509 RUBY ST.
LIVERMORE
94550
(ROBBIE GORMAN)LINDA GORMAN
NO W/C
GRAGE ELECTRIC
P.O. BOX 3667
CHICO
95927
(LARRY GRAGE)STEVEN D. GRAGE
1.53279
10/01189
GREEN, DALE L.. INC,
P,O. BOX 375
YUBA CITY
95991
1011189
bRAVISON, THOMAS
pp p/
5966_&t4 CZ
GREEN ENG, CONTR_ FRANK
7727 HWY 70
OROVILLE
95965
V
06/01/89
GREENETZ CONSTRUCTION, DAVID
2385 ELMER AVE.
YUBA CITY
95991
(DAVE GREENETZ)
01101/90
GRIGG, CONSTRUCTION, GARY
1242 W. 4TH ST,
CHICO
95928
(GARY & CAROL GRIGG)
01101/90
GOITON POOL CENTER, INC,
2.305 LARKSPUR LN.
REDDING
96002
EVERTT BROWN,LINDA GRISWOLD.SHEILA MOORE,ROSIE RICHARDSON
GUITON POOL CENTER. INC.
2305 LARKSPUR LN,
REDDING
96002
231577
NO WIC
GUS -GUARD PRODUCTS. INC.
P,U. BOX 1329
ARROYO GRANDE
93420
TOM FERRARA
495648
10/01/84
GUV'$ MOBILE HOMES
P.O. BOX 377
MANTECA
95336
(GUY RICHARDSON JR.,DARRELL D. DOOLEY)
289317
NO W/C
HH CUSTOM BUILDING
2899 PENNINGTON
LIVE OAK
95951
(HOMER L. & SHARON N. NUBER)
01/01/90
HAGBERG CON$TRUCTION,J. LOWELL
1408 HAZEL STREET
GRIDLEY
95948
MIKE STUBBS.DENNI$ BARNEY
381195
07127/89
HANCOCK PETROLEUM ENGINEERING
3320 INDUSTRIAL DR.
YUBA CITY
95991
09/01189
HARDESTY & $ON$, INC.
P.O. BOX 1492
CHICO
95927
DONALD H. BRASHEARS, JR.
07/01189
HARDING JR, CONSTRUCTION, JIM
6230 ODESSA CT.
MAGALIA
95954
EVA LOUISE HARDING
232687
12/31189
HART CONSTRUCTION, MIKE
2591 KENNEDY AVE,
CHIC:O
95926
BOB VANDERLIND<MICHAEL E. HART
354CI57
01/01190
HART REAL ESTATE. GUY
6030 LOWER WYANDOTTE RD.
OROVILLE
95965
(GUY & RUTH HART)GAIL HART-WRIGHT
NO W/C
HEAL. PLUMBING, DANIEL
12206 MERIDIAN RD,
CHICO
95926
DONALD CAR$TENSEN CAr4CCL_ 41I101099
393518�#f�i1-90---
HEATH & COMPANY. W.
3225 LACY ST.
LOS ANGELES
90031
04/01/90
HEAVENLY LANDSCAPE & MAINTENANCE
P.O. BOX 6022
CHICO
95927
(DANNY TULLIUS & RICHARD GUFFY)
11/01189
HEFTY $ME.ET METAL
RT. 1 BOX 1058
ORLAND
95963
01101/9O
HEM$TALK CONSTRUCTION,TODD
55 WHISPERING OAK
OROVILLE
95966
(TODD HEN$TALK)JOHN WHEELER,CHERYL HEMSTALK
438912
NO WIC
HENRY'S TRAILER PULLING
100 SAN JOAQUIN STREET
MODESTO
95351
08/04/89
HI -VOLTAGE WIRE WORKS, INC.
P.O. BOX. 1450
RANCHO CORDOVA
95670
05/15/89
HIGNELL & HIGNELL. INC.
1500 HUMBOLDT AVE„ #1
CHICO
95928
07/01189
HILL CONSTRUCTION
199 E. SHASTA AVE,
CHICO
95926
(ROBERT & JEANINE HILL)CONNIE WEINREICH
09/01189
HILI. REFRIGERATION
5804 E, SLAUSON AVE.
LOS ANGELES
90040
(JEPSON CORP.)
10101189
HILL, RUDY
385 HILLCREST AVE.
OROVILLE
95966
354507
10101189
HI*tE ROOFING CO.
P.O, BOX 355
GERBER
96035
(ROBERT & BETTY HINKLE)
10/01./89
HINNEWINKEL CONSTRUCTION CO..INC,
2654 NEWPORT BLVD., #200
COSTA MESA
92627
STAN WOODWARD
227983
07/01/$9
HOLIDAY POOLS
i.t70 E. LASSEN AVE,
CHICO
95926
(JAMES R. DOUGHERTY)DEAN $CHWARZ,KE.VIN CALLAHAN
HOLIDAY POOLS
1170 E, LASSEN AVE,
C:HICO
95926
532127
01101191+
HOLLAND WOODWORK$, RON
403 BALD ROCK RD.
BERRY CREEK
95916
(CLYDE & CLAUDIA HOLLAND)
03/30/90
HOLLOWAY III, INC.,STERLING P.
1490 CHRISTIAN VALLEY RD.
AUBURN
95603
10/28/89
HOMETRIM
6602 TIKK£R LN.
MAGALIA
95954
(ALAN R. & KATHY L. SKUBA)
07/01/89
HUSSMANN CORPATION
111 EAST WACKER DR,
CHICAGO. IL
60601
04/01/901
INTERMILL CONSTRUCTION
14198 MONTE CALLE LN.
MAGALIA
95954
(SAM M. INTERMILL)
(15/25/90
INTERWEST PROPERTIES CORP,
430 PALORA AVE_ SUITE 1
YUBA CITY
95991
AL LINEKER
NO WIC
J B CONSTRUCTION
1435 W, 5TH ST,
CHICO
95928
(C,HICO WOODCRAFT.JOSEPH B. BAKER)MARY WANZER
430112
NO W/C
4128189 OROVILLE
9
L .
.. r. ?a .�!.� v..•,,. �� r r+ . tiy. .. :tirra k,.� , �p .. .��r, .. ..:yam. N�1��:,.#. ,, ,j ., � '
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number" 3� Building Department No.
School District 10AZA(--;;i City County rb?71 Jurisdiction
Property Owner A4V-,-41A1 .
Project Location/Address—/49-7)(s' T-.- Qor) Mgr,-Ae rA
.Subdivision Lot Number
Residential Development: ,
Sq. Footage -%2'
# of'Living MHI Addition (Group RR
Units
Commercial/Industrial: O Sq. Footage
M"A A4' ; ^^ (Including Exterior
Roofed Areas)
Date
'Iy
(Floor Plans reviewed by School District Personnel)
District iId No. D
gApplicant Name)
(St-reet Add" ess )
(City)
r
School District certifies that
(Phone Number)
State
Zip Coc
has complied with the requirements of Resolution No. r
by ~e payment of $ ��_ representing square feet.
School District Representative ,' / ate"
PAID BY CHECK NO. /17'q—
BANK
)*-BANK NO / / % —
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
1
•
,
t' �''_ -.+..} i_.�-, ! ! :..., • .`.1 �.(: i I, _ f lCO
i (, NQ l r -:--W! KlatCrink Pc WoIt''!'flClll5�I n .?�IC%i�
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r'!
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�m
� 6931-79P,E
PERMIT NO.
PERMIT EXPIRES
Leo Butler
owmsR
comTn. ---- ----'-- ---''" --r-
dise
-- --r-'
LOCATION hu.p
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Temp. Power Pole
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
uERTIFICATE ON OCCUPINCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number Z� ' y i�' S%'for the following location: C%��;�� ✓
Owner
Owner's Address
r
Mobilehome Mfg. Model ✓' Year=.�
Insignia No. { � '.fir` de' �.>� Serial No. wJ`; a
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date 7a"YY By
/f f�
y .
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow -Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70�
7 County Center Drive, Oroville — Phone 534-4541 l�
Skyway and Elliott Road, Paradise — Phone 877-3435
BUILMG OR PROPERTY ADDR
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 tills.
matter, or need additional explanation, please contact this office immediately.
e2seA-f 7-5
Inspector _ Date ��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUI DING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
It Fi wall Sok Piping
fl Para ets 1 Floor
Main Idg. Restro m Finish
2nd)Floor
Fook gs Window
3rd Nor
Stem II Siding
To out
Slab X Roof Sheat ng
Water Pi i
Piers Roofing
Sewer
Garage Fdn. Vents
Fixtures
Footings Garage Vents
Water Htr.
StemwaI I Insulation
Heaters
Slab Prov. for phsicall
Appliances
handica edy
Carport Conformance of ex.
Gas Pi in &Test
Footings structure
Temp. Gas
Slab Final
Sanitation
Patio FIREPL CE
Final
Footings Footing
LECTRI L
Masonr Walls Throat
Rou h
Reinf. Steel Final
Fixtures
Bond Bea FIRE SPRINKLERk
Motors
Framing Test
Water Htr
Stucco Final
Sub an s
Mesh MECHANICAL
Grd. F ult Prot.
ScratA Heat
Servi4e
Bro n Co ng
mp. Pole
FI sh D is
nder round
Int for Lath ntllation
Permanent
D r Closer final
final
MOBILEHOME UTILITIES =' Q- Elec. Service 17
4-9 Elec. Pedestal
Water Piping _ Sewer v
Gas Piping ;
BI E OME INSTALLATION - - - - - - - - - - - Support
Elec. Continuity
Water Piping Drainage
Gas Piping
DATE REMARK,§ OR CORRECTIONS
63
go
C �r
5Z
7% e/) 1-6 4551�,.-,,--
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome locatedwitlyrequired 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 -,--'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 j; -"No
4. Is the mobilehome level? (Sec. 5088) Yes ,--."NO_
5. If more han a single unit, are crossover connections properly installed? (Sec. 5088)
Yes_
.6. Water
A. Is fle ible 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 6,/No-
4
No
C. Backflow - If coach is not State of Ca 'fo 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 V No
B. Does it have minimum 4' per foot slope and is it properly supported? Yes�No
C. 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 Calif#/aroved, 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 mobil home gas line inlet without reduct-ions 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? Yes No_
9. Electrical
A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of
mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_
B. Is there proper clearances around panels? Yes 1140
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 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 the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA k �Zo
Manufacturer and/or Namestyle l.G G %ti/d//-F
Lengthb Width__ /�
Vehicle Serial No. d 3 74/ — 6 6 S1 I
State Identification No. CAO -'L 176, lZ •�
Additional Information or Comments:
v
Owner �a
Mailing Address
Contractor
Mai I i ng Address 3
i
Building Address
COUNTY OF BUTTE — !DEPARTMENT OF PUBLIC WORKS
7 County C€nter Drive — ' Orovil'e, California 95965
Telephone: 534-45417�15 _2�
APPLICATION AND PERMIT
BUILDING j
SQ. FT. I „OCC. I _ BUILDING VALUATION
ele hone No.
J
00,
G�
Telephone No.
o JL,.,
A. P. No.(,,,, /",Zoning & Planning
es ft,-BTio—ir Fire Dept. Fire Zone Use Permit
EQA Parking I Parcel Parcel Ma 60' R/W Im rovement
Plans Declaration P P
Bldg.Recd Parcel oval Pla4e.Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
T 9/01P9_,_ / -7.3 %_ /yy
Single Family ❑ Duplex ❑ Mobil Home V Others ❑
k (, 0
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Diva 3, of the
State of California Business & Professions Code under the name
f:
SA-9
Colt/
License No Classificatio C
❑ 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 Wor n's Compensation.
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.
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
abov -mentioned property for inspection purposes.
X Date 11'1'16 12 Z
Signature of Permitee or ent
Receipt No. ��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LESS
100 AMP OR LESS
Main service EA. ADO'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP. 9i
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
NEW CON5TR. NUL I I -VU I L' I
NON.RESID. BRANCH CIRCUITS
2.50ea
NEW CONSTR.POWER APPARATUS 6�,
NON-RESI(SINGLE SINGLE OUTLET CIR.
1
Ex. Occup(OUTLETS OR FIXTURES)
50 @ 250
AL@1 1a
Ex. Occup ( FIXED APP LNS. OR
• OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
FEE
FEE
Cooling
Ventilation
Hood 2.00
Permit Fee $ $
1 $ 'elvoc3
TOTAL PERMIT FEE $d This permit is hereby issued under the applicable provisions of
the Butt County Code and/or resolutions to do work indicated
above or which fees have been paid.
E R OF PUBLIC WORKS
By Date//
1--6
Building permit expires Date �``�
s
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovilte, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
�g3r�9
authorize representatives of the County of Butte to enter upon the
above-mentione property for inspection purposes.
X Date/X / —v
Signature of Peerrmitee or Agent
-
Receipt No. �--� n%
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.
DIRE OR OF PUBLIC WORKS
Date
uilding permit expires Date A,
BUILDING
Owner '.S /tri
f. L
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor �S �� J,L'iYfJ1 CG-'
Mailing Address f! 06' 3e) g'
Fireplace
Total Valuation
"10j'
14k/ s`C
Telephone No.
),
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee $
��rr
•,� c �L`�� (> c" /-ZAcew�./
PLUMBING No. @ FEE
J,0o �jf /�6
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.� ,� '"�
l"zoning & Panning
Water piping 1.50
Each gas water heater or vent 1.50
44's I
W.rC. Fire Dept.
Sa 1t
Fire Z ne
Use ermit
Gas piping system 1 - 5 outlets 1.50 ,00
EQA
Parking
Plans
ParcelEach
Declaration
Parcel p
60' R/W
Improveme is
additional outlet .30
Building sewer 5.00 IL
Bldg. 4< Recd
Parcel Approval
Pla s Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑
Permit Fee $
=4
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,Q
Main service 600v OR LESS
100 AMP OR LESS 5.00 V
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMR 2.50
Main service OVER 6 O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1,00
NEW CONST. DWELING
OR ADTNS. ( ACCLBLDGS.CCUP. 4) 2¢sgft
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:
fliLf, jz�er/Cc.=
NEW MULTI -OUTLET
NON NEW.
RESID. TS) J2.50eal
( BRANCH CIRCUI
NEWCONSTR. (POWER APPARATUS 6
NON -RESID, SINGLE OUTLET CIR,
Ex. Occup (ouTLE TS OR FIXTIiRES) 25,t I
[B L10C
Ex. Occup.(OUTLETS FIXED APPLNS. OR
Occup OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.30 6'6- 171 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
-. 5
Permit Fee $ 62
$ 515k__1
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
l.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.
*'1-711 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
DI 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
Land Development Fee
$ J,0C
TOTAL PERMIT FEE
$ c�--fy
V,
authorize representatives of the County of Butte to enter upon the
above-mentione property for inspection purposes.
X Date/X / —v
Signature of Peerrmitee or Agent
-
Receipt No. �--� n%
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.
DIRE OR OF PUBLIC WORKS
Date
uilding permit expires Date A,
1
PERMIT NO. 3488-80B
PERMIT EXPIRES � M I YI
OWNER Lester Butler
Sierra.Mobile Service, Paradise
CONTR.
65-36-39
LOCATION (A.P. )
34 Del Oro Dr., lot 166, SDO#3, Magalia
Temp. Power Pol
a
Called PG&,E
Temp. Elec�yS ru
Calle _YP G& E
Temp. G as Serv.
Called PG&E
)B
INALED /-��� A/
(Date)
(Signature)
i
i.
34 Del Oro Dr., lot 166, SDO#3, Magalia
Temp. Power Pol
a
Called PG&,E
Temp. Elec�yS ru
Calle _YP G& E
Temp. G as Serv.
Called PG&E
)B
INALED /-��� A/
(Date)
(Signature)
F
Mesh / L_ MEOHANICAL I Grd. Fault Pr6t.
Brown
Finish
Interior Lath
Door Closer
MOBILEHO
Water Pipi g
OBILEHON
Water Piping
DATE
Cooling
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Ducts
BUILDING BUILDING (Cont'd)
PLUMBIN
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg..
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings
Slab
Prov. forphysically
handica ed
Conformance of ex.
structure ,
Final /z -? /
Appliances
Gas Pip! g & Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
E ECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRI KLERS
Motors
F
Mesh / L_ MEOHANICAL I Grd. Fault Pr6t.
Brown
Finish
Interior Lath
Door Closer
MOBILEHO
Water Pipi g
OBILEHON
Water Piping
DATE
Cooling
Temp. Pole
Ducts
Under roA nd
Ventilation
Penman nt
Final
Final
------------------ Elec- Service
Elec. Pe'estal
Sewer /
Gas Pip�g
=
'ION ---------Support
f -
Elec. Continuity
Drainage
Gas Piping
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AD PERMIT
�j
M ,4 5 :�
ASSESSOR PARCEL NUMBER
S-_ -3 — 9
ZONING
BUILDING PE
OWNER -t-
_. ' L e s•7�,- Bu 7Y8r
TELEPHONE
73 :�s�i
SO. FT. OCC. BUILDING VALUATION
� �-
e 00
'OWNER 'S.,MAI LING ADDRESS
34/ . 0e / (arc DR• %7%a<
M'
.da
CON .RACTO R'S NAME' *
S2 erra /s?o6i'/ Serf/ �e_
TELEPHONE
X77 Gs7o
.?00
CONTRA/''fCTOR'S MAILING ADDRESS
o sTRUS ION LENDER 114
CONSTRUCTIONUNKNOWN
Fireplace
Total Valuation. $
/Z/90,00
LENDER'S MAILING ADDRESS
Permit Fee
$ S;Oa
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking -Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ O0
BUILDING ADDRESS
PLUMB ING.PERMIT
FiIingFee 3.00
QL O
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.-
nBD V Slo V NAME
Is
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 -5 outlet
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehomee Other
SPECIFY
Building sewer
Lawn sprinkler sy
2.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation[] Other EP-'
Describe work: —
%41' o ' d0 '
Permit ee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 10001 OR L 0 AMP ORSLESS
5.00
Main service EA. ADD'L too AMP
2.59r
NEW CONST. / DWELLING OCCUP.&`
OR ADDNS. \ ACC. BLDGS.
I sq ft
CONTRACTORS LICENSE LAW
1 declare nder 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.
iln ?�
License No.���Classification �_4/
❑ 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
NO N.RESID `BRANCH CIRC ITS 2.50 ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CI
Ex. Occup(OUTLETS OR F1 URES 50@25a
BAL@t0¢
Ex. OCCu //FIXED APPL OR
p•IOUTLETS( SID.1 EA. 2.00
Temporary service 10.00
Mobile Home F Ilities
15.00
Misc. Wirin 6.25
Permit Fee $
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.
f vl have placed on file with the County of Butte Building Department
uo 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 e
$
Co actor
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
aga- i y/innsequence�ofthe granting of this permit.
X Date
Signature o plicant — Owner Contractor ❑ Agent
An OSH ermit is required for excavations over 5'0" deep and demolition or construct-
ion of st uctures over 3 stories in height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE
$ c�3`e 00
occuP. GROUP
`'
I TYPE OF CONST.
Y
PARCEL
PD
H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
r
By —
PE XPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date %1I'�'�
�7— /
4•By-
Receipt No. 3 f 32
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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