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HomeMy WebLinkAbout066-060-024• ,-6 6-06-24 Alfred McNamee ! entura Dr . lot3 1 4, PP��1, Maga. 3 contr. araaise Modular Conc`., Para. R, Permit 9-80P,E(util. km) ELEC GAS SUPPORT STRUCTURE R 7 COMPACTION TEST' REQ. �1 i 66-0 ' 24'',, Permit 2841-8 . "I (f o 2. 9-8Q� ' CONTR: P Mod.Conceptsarase ISSU - — - 00 66-06-24 ' contra Sierra Mobile Serv.,•Paradise 1 3 Permit #3565�-8,0 cprppDp 7441k contr:•Paradise Modailar Conc., Para. 1 Permit 368,2-8OB(, ewdeck/MH) • i (��� o �� �'PERMIT N0. 3682-80B • .. ,' f PERMIT EXPIRES OWNER Alfred McNamee GONTR. Paradise Modular Conc., Paradise LOCATION (A.P. 66-06-24 20 Ventura Dr.,lot 134, PPCC#l, Magalia Is Temp. Power Po Called PG&E Temp. Elec. S r� Called PG&E Temp. GasZerv. Called PG&E LED (Date) (Signatur COUNTY OF BUTTE — DEPARTMENT, OF PUBLIC WORKS `:. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback _ FI'rewall Soil Piping Forms ; Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi i Piers Roofing Sewer- Garage ewerGara a Fdn. Vents Fixtures Footings Garage Vents Water Htr. ; Stemwall Insulation Heaters Slab Prov. for physically Appliances' handica ed Carport Conformance of ex. Gas Piping Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings 0 49 Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIFkE SPRINKLERS Motors Framing^ Test Water Htr. Stucco Final Subpanels MeshME HANICAL Grd. Fault 3,1rot. Scratch Heating Service Brown Cooling Temp. Pol Finish Ducts Under roun� Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity \ Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /Ian / 144W 9 D J Ll N . (NOTE: An entry must be mane on this form each time you visit the job site.) 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 acid should be corrected. Please notify this office when Corr ion of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. Inspect% Date /11 COUNTY OF BUTTE - DE-P.ART.MENT OF PUBLIC WORKS 7County Center, DOvew Oroville, Ca;ifocrlia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT F! / SOR PAARRCE NUMBER ZO IN / BUILDIN P M o R00 SQ. FT. OCC. UILDINGVALUATION 8 1 00 OWN 'S MAILING ADDRESS N='S NAME o N TELEPHONE y / TRACTOR'S M (LING ADDRESS CONSTRUCTION LEN ER 1_�1174 UNKNOWN Fireplace Total Valuation (� $ rJ Q LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENG NEER LICENSE NO. Plan Checking Fee $ c7 Penalty $ ARCHITECT OR NGINEER'S MAILING ADDRESS Permit fee $ , Q 0 BUILDING DDRES PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME G PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — �� k�S— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR L Main service ioo AMP ORSLESS 5.00 Main service EA. AOD'L too AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS.CCUP.&) 20sgft CONTRACTORS LICENSE LAW I declare ugdw penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi n d an my license is in fu force nd effect. jy�(., � � / License N v �/ 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 -OUT LET NON•RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTF POWER APPARATUS &++ NON•RESID. (SINGLE OUTLET CIR.1 50 @ 25c Ex. Occup(ouTLETs OR FIXTURES BAL@tOZ FIXED TS (RES. OR Ex. Occup. OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation _+ permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgm ts, costs, and expenses which may in any way accrue aga) t said Cou ty in onsequenc of the granting of this per it. Date / Signatu of pplicant — Owner Contractor ❑ Agent n OS A pe it is required for excavations over 5'0" deep and demolition or construct- ion ures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ -= occuP. GROUP M- A I T PE OF CONST. VV PARCEL PO ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R F PUBLIC BY PER E IRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date �- y2'b i Z?— (� Receipt No. _ L��9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '7 PERMIT NO. 3565-80B J PERMIT EXPIRES _7// 78/ �_ OWNER Alfred McNamee tr Sierra Mobile• Serv.& Supply, Para. CONTR. 66-06-24 LOCATION (A.P. 20 Ventura Dr., lot 134, PPCC#l, Magalia z 4 ' r x s 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB / FINALED (Date .Ci ( ignature (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION.RECORD lt BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipi g Forms Parapets 1st Flo r Main Bldg. ,• _ - - Restroom Finish 2nd FICDr Footings Windows 3rd Flo r Stemwall - Siding To out Slab Roof Sheathing Water Pip n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport —Footings Prov. for physically , handicaped Conformance of ex. structure A liances Gas Piping &Test Temp. Gas Slab Final ) ty Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam F E SPRINKLERS Motors Framing so- Test Water Htr. Stucco Final Subpanels Mesh AECHANICAL Grd. Fault Arot. Scratch Heating Service Brown Cooling Temp. Pol Finish Ducts Under rou d Interior Lath Ventilation Pennanen Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT PERMIT NO. .A ASSESSOR•'PARCEL NUMBER —Q� —0Z Z0, G - BUILDING PE I OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Q� Wee, DO OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE 7'� �s7o C'O.NTRAC TOR'S MAILING ADDRESS CONSTRUCTION L NDER _ UNKNOWN Altmv -C {'' Fireplace Total Valuation�9 $ LENDER'S MAILING ADDRESS - Permit Fee $ , pd A HITECT OR ENGINEE �� LICENSE o. `S'E Plan Checking Fee $ QQ Penalty $ ARCHITECT-OR� CG ENGINEER'S MAILING AD RESS J- i G�✓�L/ S Permit fee $ &4/, BUILDING ADDRESS - PLUMBING PERMIT Filing Fee '3.00 �,14 / do e�' "- Q �Q Each Trap 2.00 Repair drainage or vent piping. 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome 9Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK NewZr Addition[] Remodel❑ Utilities❑ Instal lation❑ Other Describe work:X.? X SD @Gt/�Oor� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OR CONS. DWELING ADONST ( ACCLBL GS.CC UP.&� 20 sq ft CONTRACTORS LICENSE LAW I declare rider 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. y License No.gNC /Z�� Classification �°-GI ❑ 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, UL'-OULET 2.50 ea NO N.RESID BRANTCH CITRC ITS NEW CONSTR ( POWER APPARATUS &I NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50 @251 BAL@1 FIXED-APPLNS. OR _ Ex. Occup. (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE I declare, under penalty of perjury (check one): F-1Thepermit is for $100.00 (valuation) or less. VI 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. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabilit' dgments, costs, and expenses which may in any way accrue a d ty inconsequence of the granting of this permit. % %� Date 7 —10011L'� Signator Ap lioant - Owner ❑ Contractor ❑ Agent ❑ An OS permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 377stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 34.06 OCCV. GROUP "' l TYPE of CONST. PARCEL V PD HD - ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE7 OF PUBLIC By P,061T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ?—/7-Z2 %��/� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. 2019-80P,E PERMIT EXPIRES ,:OWNER Alfred McNamee 'CONTR.— Paradise Modular Conc., Paradise G 66-06-24 "LOCATION (A.P. ) P 20 Venture Dr., lot 134, PPCC#l.,%Magia . i j x, Temp. ower Pole Ca ed PG&E Temp Elec. Serv. 1G lied PG&E Te p. Gas Serv. t ailed PG&E JOB FINALED 1.1t (Date) �' (Signal re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD +. A BUILDING / A, BUILDING (Cont'd) h PLUMBING / Seyack / I Fkewall /1 Soh Ploina / maip tsiog• Rest om Finish 2nd Xloor F tins Windo 3rd F Nor % Ste wall Siding To out � Slab Roof Shefting Water PI in Piers Roofing X Sewer Garage X Fdn. Vents X Fixtures Footings Stemwal I Garage Vents Insulation X Water Htr. Heaters Slab Carport Footings Slab Prov. for phsica% handicap ed Conformance of ex. structure Final Appliances Gas Piping &Test Temp. as Sanitation Patio IRE ACE Final Footings Footing LECTRICA Masonry WallsI Throat Rough Reinf. StelffFinal Elec. Continuity a cn...a� Motors Mestif MECHANICAL X Grd. Ault Prot. Scr tch eat Sery ce B wn o Ing tD/cts emp. Pole nigh I rior Lath entllation —nderground Permanent )Final Lor Closer anal MOBILEHOME WTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping 3 Sr0 T-/",,- Sewer Gas Piping —"— E QMrt INSTALL TION - - - - - - - 77- - - - - - Support v Elec. Continuity a Water Piping s , J -z 0 ® Drainag n ZS 'o ai Gas Pipinq.- DATE REMARKS OR CORRECTIONS v 6%�� Cu c"/,o 7e"" Aus o v l P 0 17 (NOTE: An entry must be made on this form each time you visit the job site.) 44 /;f!7 � Electrical A. Is service large enough to. provide-adegv-ate amperage- to' mobilehome (Must -=equal rating, of, mobilehome with a minimum of 1 amp) and other facilities on.lot, i.e., water pumps, garage,'cabina, etc:? Yes 4,1NO_ B. Is there proper clearances around panels? Yes/ `No_ LIs.power supply cord or feeder assembly properly fused? Yes'� No D. Is continuity test satisfactory as per the following.procedure? Yes �No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. :Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. -All non-current, carrying metal parts of the mobilehome (aluminum siding,.gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be -made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of.theelectrical tests, the lot or site service equipment may be approved for.,energizing. 10. Is job card signed by Health Department for water and sanitation? rfJ� 11. IF everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_Width Vehicle Serial No. State Identification No. % 3 Additional Information or AComments: Okoh- fart O,qptlzacf .foo A, Coa c� ,V®,-" - is y 4T / f�-s ��zo✓,%Jsd �tvt,2w/ , -C CIP s `� s A�,r- Gr`keE MOBILEHOME INSTALLATION INSPECTION ..CHECK LIST 0—Is the mobilehome located with equired separation from lot linesand buiid ings and generally conform to plot plan? Yes No_ Does the mobilehome have required`clearances above ground? (Sec.5085) Yes 1--` No Are footings and supports properly sized, spaced, and braced asper proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No /.G Is the mobilehome level? (Sec. 5088) Yes ✓ No 04/t If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No_ Water _ A. Is flee connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes > No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L- �No (�. Bach - If coach is not State of California approved, does station have backflow device and %s U_ valve? Yes_ No Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes• %110 B. Does it have minimum 'k" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running.3-ga ns of water through each fixture including washing machine standpipe?,.Yes No �: If cows not State of 'California approved, does station have required trap and vent? �K Yes �7-'— Gas P' i g and Gas Vents A. ctor - Is mobilehome connected t the gas supply with an approved 3/4" minimum m ehome connector not more than ft. long? Note: All piping is to be at least as a g as the mobilehome gas line et without reductions other than the mobilehome connector. Yes_ No'\_ B. Test OK as per followin ro dure? Yes_ No 1. Open all appliance coAqdctor valves. 2. Shut off appliance b me and pilot valves. 3. Air test with�man meter to O"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 .) calibrat d in tenth pound increments. Test for 10 min. without drop. 4. Connect gasRleter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE_ DEPARTMENT OF PUBLIC WORKS 695~Ole ander'Avenue, Chico �= `.Phone_343-4211 , Ext. 70 7 County Cehier Drive, OfOVllle- - `Phone 534-4541 Skyway and Elliott Road, Pa aaidiise.' 5• ®'Phone 877-343 rC®RRECTIO. �d YC{ bTBCE 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. 'X Cam �'D �2 N�.! � G Oo�2 c./�•�,Vd o� Co O vI%ZL54 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 Cal'ifbrAia; Administrative Code, Title 25, Chapter 5, under permit number —for the following location: Owner v �s •r Owner's Address Mobilehome Mfg r t r Model Year 1 Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works QI VOID WHEN MOBILEHOME IS RELOCATED . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Codnty Center Drive - Qroville, California 95965 /y `• -� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 40, ignature of Permitee oir.1gent Receipt No. 3 % y Y 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 aboveor which fees have been paid. �� ,,PIR!-s9R OFfUBLIC WORKS Dates Building permit expires Date &_ I �� BUILDING Owner C SQ. FT. OCC. BUILDING LUATI Mailing Address Telephone No. Contractor a;Q.,d".. "J&43 Mailing Address Fireplace Total Valuation --'- TI ephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee 0 U-& n -t W OA PLUMBING No. @ FEE Po T. / j% C C d j PERMIT FILING FEE $3.00 Each Trap 1.50 4L w Repair drainage or vent piping 1.50 A. P. No. - 7" in( &-fanning Water piping /0 Each gas water heater or vent 1.50 Fees // Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet 30 wilding sewer -•� / ` Bldg P ec'd Parcel roval Plans Approval Lawn sprinkler system 2.00 p y NEW ❑ ADDITION ❑ UTILITIES OTHER _ w Permit Fee $ 3� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LE Main service SS 100 AMP OR LESS 5.00 �-�/ Single Family E]Duplex ❑ Mobil Home LTJ Others ❑ Main service EA. AOD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.CCUP. 4� 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State alifornia BUSlness & Professions Code under the name Sty NEW RESID_ BRANCH CIR T NON.RESID. BRANCH(MULTI -0 CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. EX. OCcUP{OUTLETS OR FIXTIIRESI 50 25 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ Q TOTAL PERMIT FEE $ '� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 40, ignature of Permitee oir.1gent Receipt No. 3 % y Y 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 aboveor which fees have been paid. �� ,,PIR!-s9R OFfUBLIC WORKS Dates Building permit expires Date &_ I �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT y0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT ASS O PARCEL N BER zp BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' A LING ADDRESS TR ACTO 'S NA AA u/L TELEPHONE % S C NR I�C T11QrR'S MA6 I DSD R)ESS CONSTRUCTION LEN7RfUNKNOWN Fireplace Total Valuation $ LENDER'S MAILING 1CDDRESS - IY14. Permit Fee $ ARCHITECT ORNGIt ER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS' CPO PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. 3 SUBDIVISION NAME <:'_�C / PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5,outlets USEOCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe wo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP OR1 OR LESS5.00 Main service EA. ADD'L teo AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC, BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0--1-am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professigps Code and my license is in fulorce and effect. License No,290' ' 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 CO ID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR &) so @ zsc Ex. OCCup(OUTLETS OR FIXTURES BAL@tom FIXED APPLNS, OR EX. QCCUp.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance.or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 �st said County in nsequence o the granting of this permit. /b D X Date Si atur f Applicant — Owner Contractor Agent In OSH' permit is required for excavations over 5'0" deep and demolition or construct- i n ofstr ctures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $Q OCCUP, GROUP I TYPE 777F7 PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work n 'cated above for which IRE OF P BLIC PERMIT EXPI ES .Date the applicable provi- resolutions to do fees have been paid. WORKS y` ,— s- Receipt No. 3 ;L /Datev WHITED. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT