Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
065-360-061
65-36--t(� Bud & Anna Horstman 140 Imperial Way, 1 180 & 181, SDO#3, Magalia f �.y 9112/77 Permit J 3650-77P,E(util.Z� MH) r ELEC. GAS SUP ORT STRUCTURE REQ. A COMPACTION TEST REQ. -71-10 6 5- 3 6--i-�� (11 Contr: John W. Beutl r, Yuba City Permit #4495-77� I � 9//Z/77 Issued 'M/.; 2 )7,7 64-36-61 0-- Permit —Permit #6988-79B(navpri.carport)� 65-36-61 1789-90B GREGG, John & Betty 6450 Imperial Way, Magalia /^ w (covered deck/MH) 65-36-61 3320-91B GREGG, John 6450 Imperial Way, Magalia I cont: Thomas Frech q (carport/mh) a r TO^ Buildina Department FROM: Environmental Health �.. SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for, bedroom mobile home. Other 33 ,/ l� q � ,sa-nitarian Date SEP - 6 1991 ._ .. ...... tt r Z> 77 r _ aanleu i ` 7Z3 -----�._�.— --------- - _ —' _..f_ je4ua,uauoainu3 AjunoD allng ```� -�=_ '� a•__.-_- _V��,4 .-�._. - rte': _.�_._...—..._--_-_ ... ___f_-__. _..-..__-._�. _ -_-. :X n � - -A A- F7 m i i 7-1 I -v j i I -. --L3 CD 1C.6 11 0) RESf -.. 65-36-61 GREGGJohn 3320-91B bon G Imperial Way Ma Thomas Frech galla (carport/mh) JOB FINALE Signature J=OK O = Not OK =Not Ap.pliReady =Not Ready 9Y1 ®® G ff7l MOBI LE HOMES 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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity, Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: ; /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 11�ZqpKg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. D cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn., Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date% Card B- Date Card B-1 Date/ - Card B- Date Card B-1 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-GFI 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable = RESIDENTIALNot Ready (� Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access, Size & Romex Protection -Draft Stop -Ins, Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main, Steel -Bloc kouts-Wrapped 53. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 56. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 59. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF. Gas Pipe, Size -Anchors - yard gas piping: size -test ---------------------------------- Date 11. Water Pipe, Test -Anchor -Regulator -Service Test Card B-1 Date Card B-1 12, Electric; Underground Ext. Steps -Door & Sidelight Protection -Landings 13. Pienums & Ducts, Clearance -Material -Support -Ins. 63. 14. Girders -Sills -Anchor Bolls -Joists -Vents -Cripples In Garage: Above Floor -Ducts -Meth. Protection - ---------------- 15. Access & Ventilation 65. ------------- 16. Insulation Date 67. Card B-1 Date Card B-1 Date Fireplace or Stove: Clearances -Hearth Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Kt.Fixt & Appliance, Grnd.-Air Gap -Cooking Clearance 16. Water Htr., Vent -Access -Combustion Air -Baffle Elec. Outlets & Receptacles at Kit. Counter 17. -------------------------------------- ---------- Water Pipe; Test & Anchor -Nail Protection ------------- 18. --------------- -------------------------------- D.W.V.; Test -Fittings & Anchor -Nail Protection Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. 19. --------------------------------------------- ---- Shower Pan, Test, First Floor -Tub Access 75. - ----- ------------------------------------------ 20. Test Tub & Shower, Second Floor -Tub Access -- - Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 21. ------------------------ -- -- ---- - Gas Pipe, Size & Anchors Date ------------------------- Date Guard Rails & Deck Construction -Post Caps -------------------------------------------- ---- Card B-1 Date Card -B- 1 ----------------------------- ----------------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s --------- - ---------- 22. - 23. 24. 25. 26. 27. 28. 29. 30. 31. 32 33, Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------------- Elec_Receptacles Spacing -Lights & Switches at Doors ----- ----------------------------- Size Boxes & No. of Conductors -Stapled --------------- ---------------------------- Romex Installed Close to Edge of Studs & C.J. ------------------------- Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------------------------- 2 Appliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size ! ga. Cu or Al -A C. Wire Size i ! ga Cu or At ---------------------- Range Circ ! ga. Cu or AI -Oven Circ. i i ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------- Service -Riser Conductors & Ground -Main Disconnect ---------- - ---- - ------ ------------ - Equip Clearances Panels-Motors-Mech. Equip. ---------------------------------------------------------- Clothes Closet Light -Shower Light -Spa Light Smoke Detector ------------------------------- Date Card B-1 Date Card B-1 ------- --- - - - - --------------------------- ---- - ----- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------- 35. Vent Fan Exhaust above insulation ------------ - -- ------------------- - -- - -- - - 36, Condensate Drain & Overflow. Size & Grade --------------- 37 Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet -- - - - - 38 Attic Access & Platform if Furnance in Attic --------------------------------------------- - - - - - Date Card B-1 Date Card B-1 - --- -- -- -- - - --- - ------------ - ----- -------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors -- ---------------- 40 -------------- 40, Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing --- -- ---- - - - --- -- ----------- --- 42. Draft Stop in Walls (rat proof) ------------------------------------------------------ ------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------- -------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Dale FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors ----------------------= 46. -- --- Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access, Size & Romex Protection -Draft Stop -Ins, Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise-Run-Landing-Fire Protection 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. -------------------- Infiltration -Walls -Windows ---------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61.- --- ----------------------------- Ext. Steps -Door & Sidelight Protection -Landings 62. ----------------- Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - ------------ In Garage: Above Floor -Ducts -Meth. Protection - ---------------- 64. -------------- Bedroom Exiting ---------------------------- 65. ------------- ---- G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel, Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69 -E - lec. Outlets at Wood Panel; Int. & Ext. 70 Kt.Fixt & Appliance, Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72 ------------------ Garage Fire Door; Swing -Landing -Closer ------------- Duct in Garage -Damper - --------------------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. ------------------ In Garage, Above Floor -Meth. Protection ---------------- - ----- 75. - ----- ------------------------------------------ Plb., Elec. & Mech. E uiP Listed for Location Equip. 76. -------------------------------------------------- -- - Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 . --------------- - Insulation -Foam -Looked in Attic ❑ Yes 78. 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 80. Following instld.'Drive ElYes ElNo, Walks ❑ Yes ElNo, Planters E)Yes ❑ No ---------------------------------- 81. Stucco Brown -Finish 82, A.C. Unit: Disconnect. Electrical, Plumbing - -- -- ------------------------------------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim, G.F.I. Receptacle -Underground -------------...------ ----------------------- 86 Ventilation Throughout House -- - ----------------- ------------------------------------ 87. Glass Protection --------------------- - 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT PERMIT NO. 3320-91 A /1 ASSESSOR PARCEL NUMBER 65-36-61 ZONING RMH BUILDING PERMIT OWNER ESS TELEPHONE SO. FT. OCC. BUILDING VALUATION 336 CARP 4,368 OWNER'S MAILIINIGVADDDR 873-4759 6450 IMPERIAL WAY MAGALIA CONTRACTOR'S NAME THOMAS FRECH TELEPHONE 877-0482 CONTRACTOR'S MAILING ADDRESS 512 FIR ST PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4,368 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6450 IMPERIAL W MAGALIA Permit fee $105.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 181 SUBDIVISION NAME SIERRA DEL ORO UNIT 3 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other MAU CARPORT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New [N Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declarellinder penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �CCodgge and license is in f I force and effect. License do.�TTh A� A Classification HN ❑ 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 Main service 200A TO 1000A, 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. 1 ACC, BLDGS. / 3.6d q.ft. NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 760 AL_ \\ Ex. Occup. our OUTLETS P(RESID )RE A,1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I 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 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 o Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 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 h mless the County of Butte against all Iiabi ' 'es, judgments, costs, nd exp n es which may in any way accrue ag sa d County in conseque of th g anting of this permit.— X ate Signature o4 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 S Ener Inspection Fee Energy P $ occ Co sr YPE TOTAL FEE $ 1,05. (DO HAz DFEES IMP FLo CDF PARCE PD HD I SUE This permit is hereby issued under the sions of the Butte Coun Code and/or work indic d a ov r which fees F PUBLIC I W�_� By PEFfNff EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 9 -LG -T/ Receipt No. /7-3% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '+f�"'{'� .,.- f'.Jp"."'""' '-""'r`y,4` .,..� 1� :v ww. yt Sys. .,.,,, . ; 4 :-, ... a*;'��', �:^7�w ,r^.ti.. r �`n�JY'".:::x�"'+"c.>; yr �r . i1,• 1-�.,, v , 5. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIV&- OROVVI_CLE„ r ALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.— a� J OWNER 64,050— A. P. No. 65-86 E' % Proposed Building Use CAI/6-ei r _. Building Inspector GS'� Date �'6 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. A<2. 3. 4. 5. 6. 7. 8. 9. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. All items have been submitted . .................................... Plot plans in du lic a/triplicate, si need by preparer of plans...._._...,._ Complete plans in duplicate/triplicate, signed by preparer of plans Complete engineered'p ans and calcs, with wet signature oh p ans . . Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation N instructions....................................................... Fees of $ ........................ Chico Urban Area fees paid ....................................... Parkfees paid .................................................... School District fees paid ............... Sanitation approval from Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) L Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... 27. When you issue the permit, process as follows Telephone Other Mail to owner. Mail to contractor. and hold for pickup at office. Deliver w/inspector. `-�-- I -/ Applicant Dsh.•� .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit ipsua nce: (Circle 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 —ma II—counter by date Plans checked by Date Plans approved by oes Date Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildina Department FROM: Environmental Health SUBa.%CT: Sanitation Clearance WA Owner Location l AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^anal clearance O.R. for: n Water Supply Clearance for bedroom mobile home. Other 7 iia �l ecl MOTE Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / Al 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 / r APPLICATION,AND PERMIT PERMIT N0, n ASSESSOR PARCELNUMBERZO" K/i" BUILDING PERMIT OWNER JONGREGG TELEPHONE 3` S0, FT. OCC. BUILDING VALUATION 36 C,. 3 6 Vi - OWNER'S MAILING ADDRESS 6`y 5-0 1Mo0,CR1L C'_4- 9s9ry CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 1 %�r9�.F1,o/ _ _ 9Sy� CONSTRUCTION LENDER OrSKNOWN Fireplace Total Valuation $ L%3 (. Qb. Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ 6o. ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3c - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 105;-, 00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 L l,� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME lie ( Oreo vN/ r 3 PARCEL MAP Water piping 7.00 Each qas water heater or nt 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other C41reo/tr SPECIFY Gas piping system 1 - 5 utlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fe $ Contrac or ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 1$,50 200A OR LESS _ Main service 20rATO 1000A, 37.50 CONTRACTORS LICENSE LAW I declaunder penalty of perjury (check one): re I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professl0 s Code at rpy license Is In full Orce and effect. License Ao. S 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) ❑ 1, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWC ONST (DWELL9 ING O UP.3.64 sq.ft. OR ADONS. ACG. BLDGS / NEWCONSTIR ULTI.OU LET @ 5.00 NO N.ESID BRANCH IRC ITS _ POWER PARATUS tr\ (SINGLE UTLET CIR• / Ex. Occup(OUTL S OR FIXTURES Ao 76a Ex. Occup. OU F_ETS PRESID IREA.) I 3.00 Temporary se ice 15.00 Mobile Ho Facilities 15.00 Misc. byi ng 15.00 Permi Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I 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 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 Kto 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 PERMI FiIingFee 15.00 Heating Cooling Hood 6.50 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 a to save, indemnify a d keep harmless the County of Butte against all liab iti s, judgments, costs and exp es which may in any way accrue ag 'ns sai County in conseque a of th g anting of this.jpermit j X Date r' Signature of Applicant — Owner LJ 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 Horne Installation Fee $ Energy Inspection Fee $ occ CO ST TYPE TOTAL FEE $ �a5 HAz 0FEEs IMP FLOOD I cDF I PARCEL I PD I HD ISSUE 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. By Date PERMIT EXPIRES Date Receipt No. �f yz 3 'V'S' U!Palu!Jd I L --4v__-___ - ____ __ _ ______ -kT TW !Lin 7B—rT, j -q et em, it 0: ur SE ff,() ful vm D`1s AWE JALA, I U'Ll L —NM -bft@ IV ta GO, frv- -v,,qdcb2 ra NZ VIA Nm Q0 N-**�) L 75 r-7 7!L iz, rz� J7 CIO t7 Z LAN, rz� J7 t7 Z LAN, - RESIDENTIAL . 65-36-61 1789190B (GREG;I John & BetjMalia 6450G�Imperial Way (covered deck/MH) JOB FIPIALED (Date) -- Signature J=OK O=Not OK Not ' = Not Reddyable . MOBILE HORSES ' 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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /' L" ft./ /"LPG MISCELLANEOUS= Date DECKS, OVERS, CARPORTS, GARAGES, Plans OK exce t #'s �1 0 • Requirements -Setbacks -Easements Ze-rootipgs; Soils -Size -Depth -Spacing -Connectors -Steel cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roo hthg-Roofing Steps -Doors -Landings Date- Card B- Date . Card B-1 Date �- and B-1 Date Card B-1 Date POOLS (Plans) OK, xcept #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GF1 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-PaneIboards- fns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Utility Clearance Date Card B-1 Date Card B-1 Date Date _ Card B-1 _ Date Card B-1 MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line_ 3. Gas; MH Test -Demand -Valve -Connector _ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS= Date DECKS, OVERS, CARPORTS, GARAGES, Plans OK exce t #'s �1 0 • Requirements -Setbacks -Easements Ze-rootipgs; Soils -Size -Depth -Spacing -Connectors -Steel cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roo hthg-Roofing Steps -Doors -Landings Date- Card B- Date . Card B-1 Date �- and B-1 Date Card B-1 Date POOLS (Plans) OK, xcept #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GF1 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-PaneIboards- fns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable ' = Not Ready RESIDENTIAL, (Single , & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 1 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows'or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors , 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32, Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.'Drive 0 Yes 0 No; Walks ❑ Yes 11No; Planters O Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1' 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1- _ 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made l/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 • APPLICATION -AND PERMIT PERMIT NO. ASSESSOPV PARCEL NUMBER 6 TONING BUILDING PERMIT OWNER John &Bett GreDa TELEPHONE SO. FT. OCC. BUILDING VAL TI 261 cov 2 610 OWNER'S MAI LIN ADDR 6450 Im r" 1 W OR CONTR AC 'S NAME Th�-h TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3(8.5)0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I 6 S ' �` l Permit fee $ 67,75 PLUMBING PERMITg Filin Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUB DIVISION NAME J PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomepq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ AdditionXX Remodel ❑ Utilities ❑ installation❑ Other ❑ Describe work: 9xi9 coyprPd dPck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. Classification ❑ 1, 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 CONST. ( DWELLING oCCUP.&) OR AODNS. ACC. BLDGS. / 2+/zgsgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CRC ITS 2.50 ea POWER APPAIRATUS d (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES BALL@90 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Jgr7l1 I shall not employ any person in any manner so as to become subject l 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 permit Fee $ f 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. 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 cons quce of the granting of this permit. !�) _ Date / G v Signature a4 A licart — 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 $ Energy Inspection Fee $ OCc CONST TYPE TOTAL FEE 67.75 can P� s�L F P P HD ssu This permit is nereby issued under sions of the Butte County Code and/or work indicated above for hich fees RECT R O UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS f� Date (, , _jZ Receipt No. 66161 WHITE-D.P.W.. YELLOW-A55ESSOR, PiNK-INSPECTOR, GOLDENROD -APPLICANT . (',,f -w ice. µ,��•vtitr.rr•:n:..��.7.;1V�,7„�.�`i�'�;�1"'l �'.:.]...r}.,;<n-.F"�,n„rrw�"i"�"',•rtia,Iv;���4•����t:,.; COUNTY OF BUTTE - DEPARTME �yTO PUBLIC WORKS -BUILDING V:I 7 COUNTY CENT R,DRIVE - OROL2.1, Ai'IFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICk-ON ,DATA SHEET OWNER Proposed Building Use ..v DIVISION Permit No. A. P..No. GS - 3 & – 6 / Building Inspector Date 60 �Z 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 calc`s, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. Sanitation approval from PQ {'a d'S,=e Health Department — 5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to ` Building Inspector (Date) W,21. Contractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 6— 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................ ............... 26. 27. W en ou issue the permit, process as follows ail to owner. Mail to contractor. Telephone. -g-7.3 -`y7S9 and hold for at office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. v V Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to pe mit i suance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items reg;u;ired: �i5 Contractor, designer, owner, was'advised of above required data byiv phone—nail counter by "" ..date Contractor, designer, owner, was advised of above required data by—phone—mall—co ter by date Plans checked by �Y Date A Plans approved by Date– Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - bepartinent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4, I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 5 6_ 6 ZONING /�7)// BUILDING PERMIT OWNER !3-e TELEPHONE SQ. FT. OCC. BUILDING VALUATION 16 o OWNER'S MAILING �ADDRESS OWNER'S CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 S?'% ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2-1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 6 ,� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water h ter _ 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heat or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syste 1 - 5 outlets 5.00 Building sew 5.00 Mobile Hom S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. 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 - GOCCUP. S. oa ADDNST ( DWEACCLLING 2Y20$gft NEW CONSTF ULT.I-OUTLET NON-RESID BRANCH CIRC TS 2.50 ea (POWER APPA rue a SINGLE OUT T CIR. ) Ex Occup( p(oT LE TS R FIXTURES u 500050 520 00 \ Ex. Occup. our LD TPI IRESID IREA.J 2.00 Temporary service 10.00 Mobile Hom Facilities 15.00 Misc. 1Vi.ring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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 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 PERMJT FiIingFee 10.00 Heating Cooling Hood 7Z 3.00 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. 1 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. X Date 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 73 , HAz I CUA PARK SCHL FLD I PAR I PD I HD I ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. %7(J IG/ 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: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Y ASSESSOR PARCEL NUMBER ZONING. /n// BUILDING PERMIT OWNER I �0ti " 3� f� �� TELEPHONE SO. FT. OCC. BUILDING VALUATION �,,v, , 6 / 5) 6 io OWNER'S MAILI1;rG ADDRESS G) s� CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 S-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - 2S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , [�) f� / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 A Each Trap 2.00 P_ Solar or heat pump water h9ldter 20.00 LOT NO. SUBOIVISION NAME PARCEL MAP Water piping 5.00 Each oas water heat or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeX Other SPECIFY Gas piping syste 1 - 5 outlets 5.00 Building sew 5.00 Mobile Ho94 .S I G I W 10.00e (TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other Describe work: _ '�,>O- CIL- Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. 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 NEWCONST. OACCLBLDG OCCUP.OR S. Y2¢sq ft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC TO 2,50 ea POWER APPARXTU9 e (SINGLE OUTIAT CIR. Ex. Occup( FIXTURES 20PDOt eALC 30f Ex.Occup. CUTL TS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Ho Facilities 15.00 Misc. 4Viring 15.00 -F- Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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 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 PERM Filing Fee 10.00 Heating Cooling Hood 3.00 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 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. X Date Signature of Applicant — Owner Contractor ElAgentp 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 $ EnergyInspection Fee $ -occ CONST TYPE [TOTAL FEE $ S /, l HAZ CLIA I PARK I SCHL I FLO PAR PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. WORKS Date Receipt No. (_(. /I / WHITE-O.P.W.. YELLOW-ASSE330R, PINx-INSPECTOR. GOLDENROD -APPLICANT PROPOSAL" �` �. CONTRACT Date' TO C7'� Dear Sir: r.. propose to furnish all materials and perform all labor necessary to complete the following:'-!�-' All of the above work to be completed in a substantial and workmanlike manner according to stand- to the value of per cent ( as the work progresses . %) of all work completed. The entire amount of contract to be paid within days after completion.' Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum men-. tioned in this contract. All agreements must be made in writing. Respectfully ypbmitted, B, jACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work men- tioned in the above proposal, for which agree to pay the amount mentioned in said proposal, -,and according to the terms thereof. N AC= _ t44`'. D e 19 E AIGNER,FORM NO. 55-037 vrt,NrEo IN USA I V !S C) J_ JE Dear Sir: propose to furnish all materials and perform all labor necessary to complete the follow..in8::; _ ..... k1 I/ Q ouxep All of the above work to be completed in a substantial and workmanlike manner according to stand -- ".-I., and practices for the sum of. Dollars (�2,R�ra • vo ) . P memsto be made — ' ' as the work progresses to the value of per cent ( %) of all work completed. The entire amount of contract to be paid within days after completion. Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum men- ' tio,ned in this contract. All agreements must be made in writing. Respectfully bmitted, By V A4 r h ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work men tioned in the above proposal, for which agree to pay the amount mentioned in said proposal,- and according to the terms thereof. AC TE *�• s D e _ 19 fr 1 a x AIGNER FORM NO. Wr M7 PRINTED IN USA. d._ ( ® MEN EM .� - iii mom.�i.. .... 4 . ... �. __ . - ON Alm.T 11!- , atGi!!C!N4 � ME ONE ..... .... ON C ...E. .. M. °- ®KIUWW ' M� .� r PERMIT NO. 6988-7.9B PERMIT EXPIRES (! OWNER H. Horstman CONTR. owner 65-36-61 LOCATION (A.P. ) 140 .Imperial Way, lot 180 & 181, SDO#3 ,Maga. Temp. Power Pol Called PG&E Temp. Elec. Sery Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) LLQ., (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD B ILDING I BUILDING (Cont'd) PLUMI MING Setback J j U •�'�c Forms Main Bldg. Footings Stemwa I I Slab Piers Stemwa I I Slab Carport Footin2yr .3 1. Slab Patio Footings Masonry Walls Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing j — o Water Piping Roofing -- Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final �- �`y Sanitation FIRE "ACE Final Footinq ELE Reinf. Steel Final Fixtures Bond Beam FIRE SPRIN LERS Motors Framing v < o 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 UTILITI S - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS t q Ar 0— 9z) %p(rtq c/i 4 F Of eG� c :v j fSst cQ �,ci ^ Go C a ceole (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive ;'_•Orov%ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date/// /ZI gnature of Permitee or Argent Receipt No. 3 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 r which fees have been paid. RECT OF PUBLIC WORKS B r Date Building permit expires Date BUILDING Owner ©i/Ls� OCC. BUILDING VALUATION Mai I i ng Address / G (� v Telephone No. - 667 pFireplace' Contractor Mailing Address Total Valuation Telephone No. Permit Fee OZ L (9 0 Building Addressr PIanCheckingFee&/or Penalty ,C)a Permit Fee $ , CZ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 15 i¢ G Repair drainage or vent piping 1.50 A. P. No.�� Zoning44e,'ning Water piping 1.50 Each gas water heater or vent 1.50 Fhes d,16' Soon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel ap 60' R/W I Improveme is additional outlet .30 Building sewer 5.00 Bldg. P s Rec'd Parcel pproval PI Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER 1100 O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS.DWELING OR ADDNST ( ACCLBLDGOCCUP. &) 20 sq ft 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 RESID. BRANCH CIRCU NON-RESID, ( BRANCH CIRCUITS) 12.50eal NEW CONSTR. (POWER APPARATUS.&J NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES) 50 @2 BAL @IOC FIXED APPI OR Ex. Occup. (OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $ $ 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 $ G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date/// /ZI gnature of Permitee or Argent Receipt No. 3 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 r which fees have been paid. RECT OF PUBLIC WORKS B r Date Building permit expires Date PERMIT NO. 3650=77P,E PERMIT EXPIRES OWNER Bud & Anna Horstman CONTR. owner LOCATION (A.P. 65-36-13 & 14 140 Imperial Way, lot 180 & 181, SDO#3, Magaha Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FI NA LED (Date) ^ f . 1Q--_ (SiX re) COUNTY OF BUTTE DEPAPAAENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 ERTIFICATE *OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number 7I 7 2 - 7 7 for.the following location: Owner Owner's Address Mobilehome Mfg. �, .� Model Year 7 Insignia No. ^5- '2 -) 1 1 _ 7 SC Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Direct`or)of Public Works Date THIS CERTIFICATE IS VOID WHEN/MOBILEHOME IS RELOCATED Reinf. Steel Final AFixtures Bond Bea FIRE SPRINKLE Motors Framing Test Water Htr. . V Final Sub ane MECHANICAL Grd. F It Prot. Heati Servi Coo ng T mp. Pole D is nder round I erior Lath ntilation Permanent oor Closer inal final MOBILEHOME UTILITIES ------- ------- Elec- Service Elec. Pedestal Water Piping Sewer 7 % Gas Piping OBILEHOMEINSTALLATION ------ --------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r' (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 RECORD k 't. BUILDING BUILDING (Cont'd) PLUMBING Se ack FI wall S '1 Piping Foru Para ets Xt Floor Mai Bldg. RestroV Finish 2n N Floor F tins Window 3rd loor Ste all Sidin To out Slab N, Roof Sheat g Water Pi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handicapped Conformance of ex. V structure V Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio F EP ACE Final Footin s Footing ECTRI L Masonr Walls Throat Rough Reinf. Steel Final AFixtures Bond Bea FIRE SPRINKLE Motors Framing Test Water Htr. . V Final Sub ane MECHANICAL Grd. F It Prot. Heati Servi Coo ng T mp. Pole D is nder round I erior Lath ntilation Permanent oor Closer inal final MOBILEHOME UTILITIES ------- ------- Elec- Service Elec. Pedestal Water Piping Sewer 7 % Gas Piping OBILEHOMEINSTALLATION ------ --------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r' (NOTE: An entry must be made on this form each time you visit the job site.) Li,1:H(XiG Il'dS7'ALL.i'i':Lt)t4 INSPECTION CHECK LIST 1, Is the. mobileh.om�, loc,�!tcd wi.i_h required separation from lot lines and buildings and generally confoLm to plot plan? Yes +�'No 2, Doe:, the mclbll.ehome have required clearances above ground? (Sec.5085) Yes &No 3. Are f.00tirn„s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. .5082 & 5083) Yes �! No 4. Is the mobilehome level.? (Sec. 5088) Yesl�l1o� 5. If moreethan a single unit, are crossover connections properly installed? (Sec. 5088) Yes # No h. Water A. is flex ible connector of adequate size and properly installed (1/2” ID min.)? (Sec. 5566) �1eS I, ---N O B. -.Test - Does water piping withstand working pressure or 50 lbs, air test? Yes �No C. Backfl.ow - 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 p. Does it have minimum ," 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_ Nom/ D. If coach is not State of California approved, does station have required trap and vent? Ye, 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 mobilehome 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? Yes PINo 9. Electrical A Is service large enoogb to provide .adequate amperage to mobilehome (must equal rating of mobilehome with a minhium of 100 amp) and other facili_tlas on lot, i.e., water pumps, garago, cabana, etc. Yest/ No^ li. Is there proper clearances around panels? Yes ✓ No_ C. Is power supply cord or feeder assembly properly fused? Yes (/No_ D. Is continuity test satisfactoryas per the following procedure? Yes O'So _ 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 load of a test instrument to the mobilehome grounding conductor and , ,, ,_ including ' �:upiy l.iiC oti,�'1' .i. F:�.a i.0 e�xC:il iiioi�i.�eiiuirie supply conductor,iliCluultig iLeuLral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, eater line.), including fixtures and appliances, shall be tested for continuity from such oquipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te;t_ shall then be made between the grounding electrode and the chassis of the mobilehome.. Upon satisfactory completion of theelectrical tests, the lot or site service nqui.pment- may be approved for energizing. Ts ,gob card signed by wealth Departmeat for water and sanitation? e l'1. If everything okay, sign off card and tai; services. MOB 1_1, L:TO-i- t'_DATA � Manufacturer and/or Namest:yl.e c .er.gt.h / Width Vehicle Serial No. State Identification No..- ^. d<i i t ional Info,-na t i an or Comments: COUNTY OP�IBUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Qroville, Calitornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner 0 s C SQ. FT. OCC. BUILDING VALUATION Mailing Address " Telephone No. Fireplace Contractor Lj I� " Total Valuation Mailing Address'9 Permit Fee Plan Checking Fee &/or Penalty Tglep� n^e �/ � Permit Fee $ Building Address/* 00�_v �PERMIT PLUMBING No. @ FEE FILING FEE $3.00 Each Trap 1.50 f�Repair f) drainage or vent piping 1.50 Water piping 1.50 d 6 / = I Each gas water heater or vent 1.50 A. P. No. -,3,( ,3 I(� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plan Parcel Declaration Parcel Ma 60' R/W Im ro ements p Lawn sprinkler system 2.00 Bldg. Plo s Recd p. Parcel A proval I PIVs Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' rT %" C`1-'� Main service s00v OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25,00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD`L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. &) 2¢syft OR ADDNS. % ACC. BLDGS. _ NEWCONSTR. MULTI.OUTLET NON (BRANCH CIRCUITS) 2.50ea .RESID. NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR• CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ! Ex. Occup(OUTLETS OR FIXTURES)@251 BAL@1 PLNS OUTLETTSS (RESESI) 2.00 Ex. Occup. (FIXED (. ORD.) EA Temporary service 10.00 Mobile Home Facilities 15.00 �y License No�t�qp� 07 !�ry t d Classification �- 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑PI certify that in the performance of the work for which this ermit is' IssuedI 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 relatinq to buildinq construction, and hereby 3 � TOTAL PERMIT FEE $ . authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - Date Signature Permitee orAgent 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. DIR -TOR OF UBLIC WORKS % By Date permit expires Date - COUNTY OF'i3UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0�oville, California 95965 - Tel ephlne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —Date al gnatu a of Permitee'or/Agent Receipt No.�/�`T 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 aid. DIRECTOR 0 PU LIC WORKS By ®Date�� 7 wilding permit expires Date �`�' 1 47 BUILDING Owner �4/ SQ. FT. OCC. BUILDING VALUATION Mailing Address G Tel hone No. ' Q 7 Fireplace Contract/r Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penal ty Telephone Na. Permit Fee Building Address % ��2�.! / / PLUMBING No. FEE PERMIT FILING FEE' $3.. 00 Each Trap 1.50 G / (� Repair drainage or vent piping 1.50 Water piping Zoning 4erification OnlJf Each gas water heater or vent 1.50 A. P. No. Zoni4g,, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F sSa C. �n Fire Dept. Fire Zone Use Permit Building sewer —5.ge- ao EQA Parking rcel Plans Declaration Parcel p 60' R/W Im Improvements p Lawn sprinkler system 2.00 o/� -r / Ydg. Plans Recd Parc.pproval Plans royal Permit Fee $ U Y C NEW ❑ ADDITION ❑ UTILITIES O OTHER E]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OD - Main service 600V OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 �O Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 s- 0^,Q Fl. iV1INIIAUM V ,500 NEW CONST. DWELLING OCCUR. & OR ADDNS. ( ACC. BLDGS. ) 20sgft UTLET NONNEW-RESID.R ( BRANCH CIRCUITS) 2.50ea pprA,f R EOR MOB R NEW CONST. (POWER APPARATUS .&) NON RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) aA@L @1 t Ex. Occup.( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Od License No. Classification 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ERI 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 P rmit 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 PE MIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —Date al gnatu a of Permitee'or/Agent Receipt No.�/�`T 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 aid. DIRECTOR 0 PU LIC WORKS By ®Date�� 7 wilding permit expires Date �`�' 1 47