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Home My WebLink About066-050-022Everett Bisch �// /7 �-7% 70 Tulsa Ct.,t CC#�l, Magalia cocir Sierra' ev.& Const., Magalia t �F Permit #F -' k 063-- 77PjE(Util:j,MH ELEC . 'J GAS - ;SUPPO T TRUCTURE REQ. R}O COMPACTION'TEST REQ. gl6 7- 466-05-22 contr: Parad s-eRModtiilar Concepts, ,Parra.. Permit 1688-77MHI z Issued 66-05-22 Contr : Clemons -Davis MH Sales Permit#5993-80MHI(exist site) Issued 66-05-22.'"i7� E--,Permit#3593-,82 Peter Fox, Magalia B,E(new _pri- g raggf i r .rte- r a . F. i � Fr- PERMIT NO. _ 3593-82B,E PERMIT EXPIRES EVERETT BISCH OWNER CONTR. Peter Fox, Magalia ASSESSOR PARCEL 66-05-22 LOCATION 13858 Tulsa Ct, Magalia _ �i Pay- — zs-17t-4w C,,e j Fj Temp. Power Pole Called PG&E Y. Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E ( JOB FINALED (Date) L%� Signature ...E V=OK 0 Not OK o Not Applicable '= Not Ready MOBILEHOMES - MISCELLANEOUS - Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ i 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports: Windows -Doors- 7. Utility Clearance 7. Elec. . Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except U's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -f31 Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool'Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding: Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card 131 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK 9 Not ApplItable = Not Ready c w RESIDENTIAL (Single and Duplex) Date UND OOR (Plans) OK except N's Date FRAMI Continued 1. oning requirements -Setbacks -Easements 4 ;P06rty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Doors -One 3' -Check Garage -3rd story, 2 exits 3 g., Garage; Soils-St&F- / Ftg. Depth tai ; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51j0oP_1ywqDd on Roof Overhang -Attic Vents -Rafter Outriggers 5--.� SS_t/eemwalls, Main; Steel -Bloc outs -Wrapped -Slab 52 iding-Nailing-Veneer bVtremwalls, Garage; St-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. jp irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date and -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI ate ar -BI Date Date (P ans) OK except N's Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date Date P UMBING (Permit) OK except N's I 57: "S-mo7Frecior _ 14. ater Ht.; Vent -Access -Combustion Air 5 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; or-Ducts-Mech. Protection 15. ter Pipe; Test & Anchors -Nail Protection 16. D._.V.: Test-Fttngs & Anchors -Nail Protection 59t_l3sdLceffw- ting ho r Pan; Test, First Floor -Tub Access 6,I�6'SaTh Fixtures & Tub Access ____17.. _17. 18. Test b & Shower, 2nd Floor -Tub Access c. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pi ;Size &Anchors _ _ ve; Clearances -Hearth Card -BI Date Card -BI Dateixt. 64 ec. Outlets at Wood Panel; Int. & Ext. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6�c.8vrr9 g& Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's - 2Q[/f�1�Jure &Transformer Clearance -Ins. Protection 6Z__Gacaqe-f4rT•Door; Swing -Landing -Closer 6$__A.G Etc 1n Garage -Damper Cieiwg ce-Comb. Air-Connector-P.R. In rage; Above Floor-Mech. Protection 14 21 _ a _eceptacles Spacing -Lights & Switches at Doors 7 ._ Ib., Elec. &Mech. Equip. Listed r 2 . ize Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; .I.) omex Pro 2Sx Installed Close to Edge of Studs & C.J. 24uip. Ground made up w/Mech. Fasteners -Bond Gas & Water � 72, sula ' - m -Looked in Attic ❑Yes -- rcu Ciits in Kitch Conductor Size Gu d Rails &Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - _e -- 26. S_ubteed Wire Size / Cu AI-A.C. Wire Size / / ga. Cu or Al 27. nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, In - laced Neutral Yes ❑No 28. Servi a -Riser Conductors & Ground -Main Disconnect 75, foe Following instld.: Dr'v ❑Yes No; Walks ❑Yes No; Planters ❑Yes 7,_. --Brown-Finish - --- 29. Equip. learances; Panels-Motors-Mech. Equip. Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes set Light -Shower Light - 7 - 'Ve,,-Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------- --------- -- ------ Card B(� _D_ate C /yY�rand-BI Date - -,'- --J.-. �lL C7� - - Card 13 Date Card -BI Date 79-iMe�yrCP€TrDisconnect, Electrical, Plumbing 80. xterior Elec. Trim; G.F.I. Receptacle -Underground n roughout House 82�'UTa protection Date MECHANICAL (Permit) OK except N's 83 _ orrections from Previous Inspections est -Meters Tagged; Gas -Electric - - 31. C. Ducts; Insulation &Support 8 wer Connected -C/O to Grade -HD Approval 32. _ nt-Fan_ Exhaust above Insulation _ 33. Co ensate Drain _& Overflow; Size &Grade _ 34. Furn ce-Vent;_Access-Comb._Air-Return Air Vent -115V outlet g6 gy Compliance Certificate -Other Certificates 35. Attic ccess &Platform -if.-Furnace in Attic - -- -- - - - -- - ------------- Card -BI - Date - Card -BI Date Card -BI Date Card -BI Date Card -B Date Card -BI ate - ' Card -BI Card -BI DateCard-BI Date4. Date Card -BI Date Date F AMI (Plans) OK except N's Comments at Final: - _ Sim Proper Material &Anchors 37. a ,, Studs -Nailing, Spacing & Bracing -Plates -Sound 3840Be 'ng Walls over Girders & Floor -Nailing-- - _ 3 raft Stop in Walls (rat proof) _ rr tops; Furred Ceilings -Stairs -Chases -Tub 41 Bader & Beam -Size & Bearing_ st Caps -Anchors -Connectors 43. Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. e fes or Type A Flue -Fireplace Throat ccess: Size & Romex Protection -Draft Stop -Ins. Baffles 46.+9 i Wi or Exiting Doors -Sill Hgl. & Dimensions__ _ 4Z age Fire Protection Framing ji (NOTE: Anentrymust be made each time you visit jobsite) A. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, orneed additional explanation, 'please contact this office immediately. oo,. I Inspector Q ), _. Date rk, Jj t COUNTY OF BUTTE - DEPARZMENT OF PUBLIC WORKS 7 County Center Drive - Oroville4California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �5 7, AS ESSO PA CEL NUMBER ZONING BUILDING PERMIT OWNEtlff� t ri_ffi TELEPHONE • o - .Z- 7 :, Q, T. OCC. BUILDING VALUATION OWNER'S MAILINGADD22-00 f�%�Y�Gv CONT O� ^S�NAME ilk T LEPHONE 023 ( CONTR TOR'S MAILIN ADDRESS -'Z �`� ` Fireplace CONSTRUCTION LENDER- UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 'S ARCHITECT OR ENGINE R �`y` LICENSE NO. Plan Checking Fee - $ 27 i Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ TJ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 0.00 Water piping Each qas water heater n 5.00 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Gas piping system 1 - 5 outlets 5.00 USE OF STRUCT RE SF ❑ Duplex ❑ Mobi lehome CJOther � -e- 2( SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New] Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work:�°-6 jF ad- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OC \ OR ADDNS. ACC, BLDGS. I 2yz2Sq ft /S r CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Code? a� license is in full ,• rce and effect. License No. � L Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business.and Professions Code for this reason NEW CONSTR.(MULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS .&) NON-RESID, (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES gAL030 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 MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury .(check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. 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 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 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 againstAaA nt )n qD,5equence of the granting of thi rmit. // X gate 'Q tV Signature of Applicant — Owner❑ Contractor [/Agent F-1work 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 $ TOTAL PERMIT FEE $ T occ P. GROUP —� TYPE of CON_PARc�L �_ :/ PD ND SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRE TO F PUBLIC WORKS By ate Q A"K PERMIT EXPIRES Date • V Receipt No. 9 7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t PERMIT NO. 5993-80MHI existing site r. PERMIT EXPIRES— OWNER XPIRES OWNER ` EVE:RETT BISCH CONTR. Beich Mobile Home + . ASSESSOR PARCEL 66—OS,-22 LOCATION 13858 Tulsa Ct, Magalia lot 51 ;t 1 f F ea . a l Temp. Power Pole ' Called PG&E Temp. Elec. Service Called PG&E a Temp. Gas/fService Called PG&E JOB FINALED (Date)./ Signature J = 'OK -0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI ' Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zo equirements-Setbacks- Eas&ments Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Foottng5 pa&WV-Mackyd'Line 2. Soils; Compaction -Structure Stability 3. ragei 161111 4. Elecyjeffy; MH 4-e6r-Crostau4aFs'-BreakoFs--CleaLyices 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Dr&fr, MH �t-FadyFle)aGahnector 5. Elec.; Pool Lighting; 15 volts-GFI 6. WateP-fOM-Teef-RegbaTor-Conppxtor 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Whardnd Sew rr gaffnected-C/made-H9-Jtaproval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. ed 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Ex' Insp.-SRUaK 10. Cert.bdccupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date }0 Card -BI Date Card -BI Date Card -BI Date Card B -I Date & Card -BI Date Card -BI Date Card -BI Date i yt , t 11 J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Opening 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3'-Chet-3rd`sr a , 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Prote ion -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; NailingZBolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -81 Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26, Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes []No; Walks El Yes ❑ No; Planters F-1 Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. 32. A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. _Walls; Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) _ _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE -- -• DEPARTMENT OF PUBLIC WORKS -- -� 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70,x, 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — N 872-�41.� xs7• BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a► ' Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS •7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number ' for the following location: Owner a-1 (l.c ` `s Owner's Address Mobilehome Mfg. Model Year Insignia No. l A % Z • l J / /7, -Serial -No. It is hereby certified for occupancy at the above described location and may be occupied. l` Director of Public Works Date �2/ �� By r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RIT NO. 7 Cou aty Cer?ter DPive - Oruville, Californiag95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r ZONING BUILDING PER to OWNER - TELEPHONE SO. FT. OCC. BUILDINA VALUATION OWNER'S AI LIN MADDRESS G 13 g S g 'ru..e.�. CONTRACTOR'S NAME ucE,lv�rs-oxl�sls M, W S�-Q�- TELEPHONE � CONTRACTOR'S MAILING ADDRESS of93 3 E.sP4E9aAoE r-14 ic-o cr9 . CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (%'3 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I S TM CES// G %Yj PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME i C L / • PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation L�!`}� Other ❑ Describe workT L G -T- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100A OR LESS 100 AMP OR LESS 5.00 7 r Main service EA. ADD'L 100 AMP 2.50 NEW CONSOR ADDNST ( ACCLBLDGS.CCUP.&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �1 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. - 3 S 3 o Z G Classification — b ❑ 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 CO ID R ( MULTI -OU BRANCH CTRCTITS 2.50 ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR• Ex. OCCUP(OUTLETS OR FIXTURES 50@� BAL@10s FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The.permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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�rY .�1cA.._^�,. C) Date 11,Z —�® Signature of Applicant — Owner onrractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ J Occup. GROUP TYPE OF CONST. PARCEL PD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /7--/ Z Receipt No. e-/ V3 Z.J' WHITE-D.P.W., YELLOW -ASSESSOR, PINK=INSPECTOR. GOLDENROD -APPLICANT LCOUNTY OF BUT,tE ' /� DEPARTMENT OF PUBLIC WORKS r.!- —7i-ZOUNTY CENTER DRIVE OROVILLE, CALIF. - 534 -4841, - CERTIFICATE Of OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number' <AS 9 '7 /for the following location: \ Owner Owner's Address Mobilehome Mfg. —5k VJ' 11 x1 e Model a -2s Year =7 Insignia No. 0L5-6 `'f�U`T Serial No. e) 3 47/' 3 It is hereby certified for occupancy at the above described. location and may be occupied. Director of P_ub�lic �W%ork/ss Date 'l i % �� By lifi(f' !7�A,1-1_� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RE YOCATED PERMIT NO.5061-77P,E PERMIT EXPIRES Everett Bisch OWNER CONTR. Sierra Dev.& Const., Magalia i=1LOCATION (A.P. 66-05-22 ) 70 Tuka' Ct., lot 51, CC#1, Magalia 5 x ;a z K p v i Temp. Power Pole Called PG&E Temp. Elec, Serv.—LL 1-7 Called PG&E ? Temp. Gas Serv. — 7 Called PG&E JOB JC V (Date) n / (Signatu Length Width Vehicle Serial No. sta.te Identification No. t AdetL lonal Information or Comments: P • 9. Electrical A. Is service large en.oiigli to provide- adcqL1,1rC amperage to mobilcliome (must equal rating of Tllobilehorie with a, of 100 amp) and other facilitj.e-,, on lot, i.e., water pumps, arag,e, cabana, etc. Yes B. Is then, proper. cl . car , ances around panels? Yes 0 C. Is power supply cord or feeder assembly' properly fused? Yes; No_ D. Is continuity test satisfactory as per the: following proceduje? Y,-s_ZNOI 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, haVE1 been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Conne . C't one I 1!n. -id of a test instrument to the mobilehome groundingconductorand a I y t! l I .._ Corl't_icto-C, ilicluding ne'uLral. pp.L -ie o0jer lead to each TOObiLle"U'lle 6LI t).Ly U 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 I conductors shall beconnectedto the site ser -vice equipment. A further continuity te�-L -,hall then be made between the grounding electrode and the chassis of the .111obilehome. UDO11 satisfactory completion of the�lcctrical tests, the lot or site service. equipment may be approved for energizing. T job card si-ned by health Departmeat for water and sanitation? If everything olzay, sign off card and ta,;-, services. MOBTLEilOML DATA Manufac-turer and/or Nanes.tyle Length Width Vehicle Serial No. sta.te Identification No. t AdetL lonal Information or Comments: ii0}3Ii,C;Ii0%t L IALLA'1'7Oid INSPECTION CHECK LIST 1. Is the mobilehome loc;�Ited x'i required separation from lot lines and buildings and generally conform to plot Man? y(: No 2, Does the mobilehome have requir<id clearances above ground? (Sec. 5085) Yes No 3. Are footin�,s and supports properly sized, spaced, and braced aC er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesk No 4. Is the mobilehome level.? (Sec. 5088) Yesv No - 5. If m e Lhan a single unit, are crossover connections properly installed? (Sec. 5088) Yes S. Water A. Is f e .ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water pi -ing withstand working pressure or 50 lbs. air test? YesVNo_ C. Backflow - If coach i not State of California approved, does station have backflow device. and pressure -relief aloe? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesX No B. Does it have minimum k;" 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 California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mo� i home gas line inlet without reductions other than the mobilehome connector. Yes ,%A No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. -Y. - 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. i C. Are all appliance vents properly installed? Yes 'No SetbUk Forms Main Idg. Foote gs Stemw I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel COUNTY OF BUTTE —. DEPARTMENT OF PUBJLIC WORKS BUILDING INSPECTION RECORD -BUILD;ING BUILDING (Cont'd) PLUMBING Fir all Ski Piping Para ets 1 t Floor Restro m Finish 2n Floor Window Siding Roof Sheat in Roofing Fdn. Vents Garage Vents Insulation Prov. for physical handicaooed Conformance of ex. I 3rd oor To out Water PIDIAn Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL Motors L Mesh MECHANICAL Gird. Fa6lt Prot. Scra h Heati Servl e V- 0 n Coo ng T mp. Pole Finish Dyfts finderground In rior Lath entllation Permanent Ifoor Closer anal Final MOBILEHOME UTILITIES -------------- Elec- Service — '2 XOP,4, Elec. Pedestal ,.— Water Piping -•7 7 Sewer Gas Piping 2/ A/ E OME INSTALLATION - - - - - - - - - - - Support 11—h.*— � Elec. Continuity Water Piping — lip a Drainage _ Gas Piping I (p DATE c REMARKS OR CORRECTIONS N/s A1C (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE_ — DEPARTMENT OF PUBLIC WORKS 7 County Center`Drive — Oroville, California 95965 Telephone: 534-4541 d APPLICATION AND PERMIT f'Po� 7 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ermitee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date//—/ /—/ 77 Building permit expires Date /i-/6 -7f BUILDING Owner L� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contract r Total Valuation Mailing Address Permit Fee Plan Plan Checking Fee &/or Penalty T e one Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 CC / f-- / Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 01 A. P. No. � °- �% S — Zoning & Planning Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements. rovements Lawn sprinkler system 2.00 Bldg. 144errf llec'd ParckArprovol Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 {� �+ Main service 600V OR 0 AMP LOR ESS 5.00 7FFJA AAJ� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home �� Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EP.. ADD•L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBLDGLING OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. (ROWER 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 �- Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. OCCU FIXED APPLNS. OR p•( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N ZlClassiication J Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ermitee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date//—/ /—/ 77 Building permit expires Date /i-/6 -7f COUNTY OF BUTTE . — DEPARTMENT OF PUBLIC WORKS 7 County Cent r•Drive* — Uroville, California 95965 r Telephone: 534-4541 APPLICATION AND PERMIT ,506 �- 7 7 /4 ! 1*0 t, / authorize representatives of the county of butte to enter upon the above-rr�ent'oned property for inspection purposes. X Date Signature of Permitee or Age t Receipt No. 1700 2 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR LIC WORKS By Date Bua ding permit expires Date BUILDING �J�k� Owner � /T At S C SQ. FT. OCC. BUILDING VALUATION Mailing Address `/� Telephone No. Fireplace n Contractor Si e k-rL fi- �(/$ C Q •1 S%`• Total Valuation Mailing Address io d . "7 6 Permit Fee Plan Checking Fee &/or Penalty 0A— ^L1� , S/� hi T I7 one o. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 � ,1� V �u �� Each Trap 1.50 0 7- �-! c ,� `/ Repair drainage or vent piping 1.50 Water piping ..3-30 /Q �,r/ V / Zoning Verif'icafion 0111111 Each gas water heater or vent 1.50 A. P. No. Zan Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F io Fire Dept. Fire Zone Use Permit Building sewer „.S.A9' a EQA Parking Plans Parcel— Declaration Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 B L s ec'd arse Approval Pla pproval Permit Fee $ 3� $ NEW ❑ ADDITION ❑ UTILITIES OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 5.00 �^ 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 51� C �. �INIA,�,d W J 'YI NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 2¢sgft NONNEW-RESID R ( BRANCH CIRCUITS) 2.50ea ppr1 p C'cV' EOR MOBILES NEWC ON ST R. ( POWER SINGLE OUTLETTUS.& NON.RESID. 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: _ �� G%A ►> & 4ic lei/ �i Ex. Occup(OUTLETs OR FIXTURES) BAL@1 Ex. Occup. FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / S License'No.3q/ 13 Classification 1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S $71 1:5D 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 yforWrkmen's Compensation. have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby &L4 'o Avo,~' TOTAL PERMIT FEE 7� authorize representatives of the county of butte to enter upon the above-rr�ent'oned property for inspection purposes. X Date Signature of Permitee or Age t Receipt No. 1700 2 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR LIC WORKS By Date Bua ding permit expires Date COUNTY OF BUTTE — ,DEPARTMENT OF PUBLIC WORKS 7 County Cerft& Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. -��-� Date gna a of Permi tee or Agent t Receipt No. 17 Q V to L ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r BY Date "0v+kHTrt permit expires Date BUILDING Owner 7 el� C Ir �s G /4SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor L J • Total Valuation Mailing Address • (, . �� y® Permit Fee Plan Checking Fee&/or Penalty T I hone $'% —'S 'Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ .[ 70 ! 44,3 H Each Trap 1.50 p 44, f� e9l• Repair drainage or vent piping 1.50 �j Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �p -- �,� "� 2• Zoning 8 Planning Gas piping system 1 - 5 outlets Each additional outlet .30 FeW/ W -C. Sa" 48466 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlans Declaration I Parcel Map 1 60' R/W Improvements Lawn sprinkler system 2.00 B11g--Pfarts c'd I Parcel Approval Plans Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100 S AMP ORLESS 5.00 r_ 77 . Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service Eli. ADD•L 100 AMP 1.00 NEW OR ADDNST ( DWEACCLBLDGS.LING Ccup-6) 20 sq ft NEW CONSTR MULTI -OUTLET NON -RES'.. BRANCH CIRCUITS). 2.50ea NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@F1 09 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License 4991--'/ Classification 2T2 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. VI 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 em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 13 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. -��-� Date gna a of Permi tee or Agent t Receipt No. 17 Q V to L ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r BY Date "0v+kHTrt permit expires Date