HomeMy WebLinkAbout066-190-015y 66-19-15
D. D. •Shifflet'
3 rake Ct., lot 171, CC#3, Magalia
cont Fuller Construction, Magalia
Pe"r`mit• 7-76P,E(ii1':
ELEC. . ��
GAS �.0 7(0 �✓� -s
-SUPPORT STRUCTURE Q. yD
COMPACTION TEST`= -REQ. - A10
19-15'
contr':1#;56-76MHI
o mus, Chico
PermitIssued/� %(p
;pe 6-D_e
zt - �1i545-78 . ( ew r
Permit #2139_79g(new6ope
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� cai�cfli � �— � a�1
i
PERMIT NO. 5287-76P,E
PERMIT EXPIRES
OWNER D. D. Shifflet
CONTR. Fuller Construction Co., Magalia
LOCATION (A.P. 66-19-15
30 Drake Ct., lot 171, CC#3, Magalia
ye
i.
Gi
!J
I,
1,
Temp. Pow Pole
k. Calle G&E
ec. Serv., —73
C ed PG&E �e l d1wf1
t Te ,Gas Serv.
i' Called PG&E '
JOB ,
FINALED
(Da e) ,
(Signature)
y '
COUNTY OF
BUTTE — DEPARTMENT OF PUBLIC
WORKS
BUILDING INSPECTION RECORD
BUILDING
F
BUILDING Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets .
1st Floor
Main Bldg.
Restroom Finish j
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal I
Insulation
Heaters
Slab
Prov. for physically
Appliances
Carport
handicapped
Gas Piping & Test
Conformance of ex.
Footings
structure
Temp. Gas
Slab
Final —
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
' Masonry Walls `v
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINIALERS
Motors
Fr ming
Test
Water Htr.
Stucco t"a
Final
Subpanels
i- 'Mesh iu
MECHA CAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown ' K;
Cooling
Temp..Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent N
Door Closer
Final
Final —
DATE
REMARKS OR CORRECTIONS
o - 76' IVO
CJ—( —;76
1`
(NOTE: An entry must be made on this form each time you visit the job site.)
C i�iNTY )F 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 % .•t' -'79 for the, following location:
Owner
Owner's Address '-` -�•
Mobilehome Mfg. Model Years
Insignia No. 4 ���..% /n'� :fir' - Serial No.
It is hereby certified for occupancy at the above described location and
may. be occupied.
Director of Public Works
Date -� `� L3 By �' •.r �-'f =vc T: ,,,_..
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
M0B1i,13110%,TF TI'dN` A1.T.A'I T0P1 TTVSPF(:TTnTV CNFC.K T.l'gT
1. Is the.. mobilehome 'loc;�Itcd w•i.i_h required separation from lot lines and buildings and generall.;
conform to plot plan?. Y,( No
2. Does the im )i-Ichome leave required clearances above ground? (Sec.5085) Yes)( No_
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec'. 5082 &'5083) Ye No
4. Is the mobilehome level.? (Sec. 5088) Yeses No+
5. e than a single unit, are crossover connections properly installed? (Sec. 5088)
No
h: Water
A. Is ;l, xilble 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%
No
C. ackflow, - If'coach is not State of California approved, does station have backflow device
a d pressure -relief valve?'Xes_ No�
7."� Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
aj T�
B. .Does it have minimum ," per foot slope and is it properly supported? Ye 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.' coach is not State of California approved,'does station have required trap and vent?
e. No
8. Gas Piping and. Gas Vents -
A. Connector - Is mobilehome connected to the gas'siipply 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 r
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? Ye- s% No
t
9. Ele.ctrical
A.
Is
service large eno<tgli to provide ::idequar_e amperage to niubildhome (must equal rating of
mobilehome (aitli a ::;inu:um ff 100 amp) and other faciliti_,-!s on lot, i.e., water pumps,
garage,
cabana, ctt.;.? Yes No
B.
Is
them proper clearances around panels? Yes �, No
C.
Is
power supply cord or feeder assembly properly fused? Yes No`
D.
Is
continuity test satisfactory as per the following procedure? Ye o
1.
De -energize electrical wiring system of the mobilehome at the..p estal.
2.
Make sure that rhe 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 lo -.id of a test instrument to the mobilehome, grounding conductor and
UYl�. ti.e GLu.�''i a.GSu eainuuit sii 'l coriluctor, 11iC1iiQ1Ti iieuiYai.
5.
All nor.-ci.irrent, carrying metal parts of -'the mobilehome (aluminum siding, gas line,
w -iter 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 betwe:=.n the grounding electrode and the chassis of the k
1110bilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
T� job card si ned by health Departme_it for hater and sanitation?
ll. If evc_rything okay, sign off card and ta; services.
MOB TL i;?0ML DATA
Manufacturer and/for Namestyle
Length 6� Width
Vehicle Serial No.
State Identification N.o. C -le"
r.&I L t ional Information or Comment,;: < Q d' �'`
COUNTY OF BUTTE ' DE, ARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534245 41
APPLICATION AND PERMIT 'dGyj
-- �vl+.vv..n .u., v".a uIG VVUII , — c,u— lV GIIIGI U�./VI1 IIIC
above/meentioned property for inspection purposes. /
X [.[sF Date
Signature of Permitee or Agent
Receipt No. / 7 QL/ 44 J'
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 OAF PUBLIC WORKS '
BYDate9��7/ef' �%�
ilding permit expires Date
BUILDING
Owner D.D. Shifflet
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Fuller Construction Co.
Total Valuation
Mailing Address P.O. Box 453 Ma alfa, Ca. 95954
Permit Fee
Plan Checking Fee &/or Penalty
T$e1eeh_ryeGN68
((;j lJ
Permit Fee
$
Building Address C.C. 3 Lot 171 Drake Court
PLUMBING
No.
I @
FEE
PERMIT FILING FEE X $3.00
Ma alfa Ca. 96954
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping X }
le, 00
Zoning Verifieafio
Each gas water heater or vent 1.50
A. P. "'� �'# ��
T —
Zoning a
Gas piping system 1 - 5 outlets
j<
ach additional outlet t .30
Fees C. Sa i i n
Fire Dept.
Fire Zone
Use Permit
Building sewer
Q
EQA Parking
Plans
Parcel
Declaration
rce 60' R/W
Improv
p ovements
Lawn sprinkler system 2.00
Plan R c'd
Parcel Approval
Plan pproval
Permit Fee
$
13z?
$ ^�
NEW >L] ADDITION ❑ UTILITIES ® OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE X $3.00
.(�
Main service eoov OR LESS X 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service O 0 AMP VER OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
s,1'
NO SQA FT. MINIMUM
NO
NEW CONST.
OR ADDNS. ( A/CCLBLDGS.LING CCUP. &)
22sgft
NEW
NON.R ESI D R 1 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:
Fuller Construction Co.
Ex. Occup(OUTLETS OR FIXTURES)50 @250
BAL@101
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities X 15.00
License No28977 SClassification A
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
-2240
$ � 3 iL
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 an
p p y 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 $
$
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
TOTAL PERMIT FEE
�^
$
-- �vl+.vv..n .u., v".a uIG VVUII , — c,u— lV GIIIGI U�./VI1 IIIC
above/meentioned property for inspection purposes. /
X [.[sF Date
Signature of Permitee or Agent
Receipt No. / 7 QL/ 44 J'
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 OAF PUBLIC WORKS '
BYDate9��7/ef' �%�
ilding permit expires Date
COUNTY OF BUTTE 'DEPAR'l-MENT OF PUBLIC WORKS
7 County Center Drive • — Oreville, 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.
X lli7i! t] Z� ete-_7pate le -11-7'4
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pin -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/IkJBLIC WORKS
BY Date /1' - /(1_Z4
ilding permit expires Date ' Iy_ 7 7
BUILDING
OwnerSQ.
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor J19Total
Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
--
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
G j
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N ' /
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
90,ykt'lon
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
I Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
s I
9 .1
Parcel proval
PI pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 610V OR too AMP OR LESS
5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
,.
NEW CONST.
OR ADONS. ( ACCLBLDGDWELING OCCUP. &) 20sgft
NFW CONSTR.IMULTI.OUTLET
NON.RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONSTR./POWER APPARATUS &
NON -RES ID. \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
le of:
Ex. Occup(OUTLETS OR FIXTURES) BAL2510
Ex. Occu FIXED APPLNS. OR
p• 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 $
$
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.
FIR 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 $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee 1$
$
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
TOTAL PERMIT FEE
...
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X lli7i! t] Z� ete-_7pate le -11-7'4
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pin -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/IkJBLIC WORKS
BY Date /1' - /(1_Z4
ilding permit expires Date ' Iy_ 7 7
BUTTE COUNTY DEPARTMENT'OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes No
(If yes, furnish permit number "°? F7— %lo ) OR
Is the site an existing.site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will„the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes -f= No
(If no, clarify. )
5. What is the mobilehome electrical rating? ---------------------- Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? -------------142 Amps
8. Is there any other electric load to be served by the mobilehome
site service? ----------------------------------------------------
(If yes, identify the load and size:
Yes./ / No /
(Amps)
9. What is themobilehome site gas pipe size? ------- ------- _O`
10. What is -the type of gas service? ----------------- Natural / / LPG
11. What is the gas pipe length from meter or tank to. the mobilehome? (ft.)
�,
12. .What is the mobilehome gas demand?--------------�- � --;- � �,:--- � A(�BTLT
(This information not required if pipe length less than 6 ft). on natural gas
or less than ', v& -ft, on LPG.)
p F
MOBILEHOME SUPPORT DATA
Mobilehome Mfr.. Setup Model No. Year 1745
Width %- (ft.) Length. (ft:)-.Expando 'Size . ft.x ft.
(Draw support details below) .
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets. (if not .on file with the- County of Butte).
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED v�/�
Sin le ..,..
. . ...... : Footings (check.one)
/ .1. Wood :either
pressure treated or
Center Center Support
.._.. fdn::grade.:
Support Footing Sizes
Locations (in.)
2 -.-.:Concrete pad.
3. .Other, :specify
in. in. in.
Supports (check one)
/ 1. Concrete block
to A P<Ixia
2. Concrete piers
:itn .
......
3. Steel piers
...................... .........
c / 4 Other, specify j
. .. TypicaSupport
'
x FootingSize
in. �.n.
. f -J1'n
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED v�/�
k hall Ee s ft.- from the
The
SetEac s t. from the
side property line and 50 f
ne of the road, permitting itting a maxi -
but entirely,
mum of a 2 ft. eave overhang.
out of all easements.
I t�w�' dt!:z,
A ti
permit Cz
Insto/76f.wile re
10
oft mobil eh►for
aM locati(��hh
< Septic system
to.,be as'per�O
Butte County Health/ Dept. Re
V.
B 3 V.
quirements. N
i -
FDrL 11000,
N
PR
AGE -
r
LO
C—
KC,
-V
<
chis set of Olans MASM MUST be
cept op the job at all times�-and it is unlawful to
< -Y
LO wTp- • CANT
I Z:�, J� A
p:� make ,!any cha/nges orAlvrations on same without
mdilt�n perinisson from the Department of Public
6U'
-OING•
VWA%, Cootiof Butte.
/NOTE V F- D
-L--�All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality presa41tud for the Specified use in the
Uniform Buildirm
_16 Plumbing & Mechanical Codes and
the- National Electrical Cocift
PAAT
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home.
PARADISE PINES P.O.A.
ARCHITECTURAL CONTR91. COWAITTEE
NAME 20 •
TRACT.
DATE -'2
APPROVED
By
allaz C -
APP FOR (LOOT t:! ONLY
CLEVAVONS MUS -4 sts ;�vuDwjT7EO POOR
rO STWUmAL Appvowa-
0
0
I
gA
25- }PERMIT NO. 1545-78B
t
j PERMIT EXPIRES '
OWNER David Shifflet
CONTR. owner
_ LOCATION (A.P. 66-19-15 )
i, 30 Drake Ct., lot 171, CC#3, Magalia
�l
t
Temp. Power Pole_
Called PG&E
Temp. Elec. Serv.—
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING • BUILDING'(Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
'Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
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 UTILITIES -----------------
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
1 EHOME 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 visit the job site.)
COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS
1, 7 County Center Drive 2 Oroville, California 95965 �/�'%oP
Telgphone:.534-4541 /
APPLICATION AND PERMIT
autnonce representatives or the county o1 tsutie to enter upon ine
above-mentioned property for ilispection purposes.
x Date
Sig U o Per t e d/Abe
n
t
i�eipt No. �� v
e-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 Gi " -
wilding permit expires Date L/ _6 ' 7
BUILDING
Owner if j isl
SQ. FT. OCC. B ILDING VALUATION
ff
Mai ling Address / f) 0 in A
S61j I.6�+i 44- 3 / Q
i7 (,
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation %
Telephone No.
Permit Fee 10—
Building Address 0
Plan Checking Fee &/or Penalty
Permit Fee
(j
Q 7/ CC 3
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. [ �J
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
W,GI M, o
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parki Parcel
Plans Declaration
Parcel Map R/W
Improvem nts
Each additional outlet .30
Building sewer 5.00
Bldg. �Rec'd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 2.50
- , ^
IF
Main service OVER eoov 25.00
100 AMP OR LESS
Main service// EA. ADD'L 100 AMP 1.00
NEW OR ADDNST l ACCDWELBLDGS.LINGCCUP. Y� 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
T
NEW CONSTR /BRANCH CIRCUITS
NON-RESID `BRANCH CIRCUITS) 2.50ea
NEW CONSTR POWER APPARATUS.6
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIiRES 5 :70)
IXED APLNS
Ex. Occup.(OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
14 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
permit is issued I shall not employ any person in any manner
FoI certify that in the performance of the work for which this
as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL N0.1 @ FEEPERMIT
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$
autnonce representatives or the county o1 tsutie to enter upon ine
above-mentioned property for ilispection purposes.
x Date
Sig U o Per t e d/Abe
n
t
i�eipt No. �� v
e-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 Gi " -
wilding permit expires Date L/ _6 ' 7
' \81
• •it t
•
"2139--.79B-•
<<; PEEjA1T
NO.
.
PERMIT EXPIRES��
David 'Shifflet
�OWNER
CONTR.
owner
66-09-15
LOCATION (A.P. )
30 Drake Ct., lot 171, PPCC#3, M.tlia
1�
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I
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.
Temp. Power P- e
Called PG&E
Temp. Elec. erv.
CalledG&E
Temp. G;s Serv.
Calbed PG&E
p
YFIALED
j
7
•
(Date)
(Signature
COUNTY OF BUTTE — DEPARTMENT OF`PUBLIC WORKS
BUILDING INSPECTION. RECORD,
-
-'BUILDING
BUILD NG (Cont'd)
PLU ING
Setback iFirewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.'
Restroom Finis
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
To out
/
Slab
Roof -SheathlAo
Water Piping%
Piers
Roofing
Sewer
Gara a
Fdn. Vend
Fixtures %
Footin s
StemwaI l
Garage Vents
insulation
Water Htr. `
Heaters
Slab
Carport
Footings
handicar pehysically
Conformance of a
structure
Appliances
Gas Piping & test
Temp. Gas
Slab
Final 9/TU-A
Sanitation
Patio
FIREPL CE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Retnf. Steel
Final
Fixtures
Bond Bea
FIRES RINKLERS
Motors
Framing
Test
Water Hir.
Stucco
Final
Sub a els
Mesh
ECHANICAL•
Grd. tault Prot.
Scratch 7
Heatino
Sery ce
Brown
Cooling
emp. Pole
Finish
Ducts
Anderground
Interior Lath
Ventilation
Permanent
Door Closer
Final
anal
MOBILEHOMEUT ITIES------------
----Elec. Se ice
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILE OME NSTALLATION - - - - - - - - - - - - Sup rt
Elec. Continuity
Water Piping
D ainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(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 �1
Telephone: 534-4541 iC �—
APPLICATION AND PERMIT
autnorize represenintives or ine uuunry o1 twtte to enter upon the
above-mentioned property for inspection purposes.
c
ZZ Date aWYN
Ignature of Pe a or A qoYnt
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.
DIRECT -OR OF PLBLIC WORKS
By -104 L ��/( Date
Building permit expires Date -
f
BUILDING Ir
Owner v s°a
SQ. FT. OCC. BUILDING VALUATION
iv 5776 „ 02
Mailing Address 0 � `
•
�g
Telephone No.
�b
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee "
Building Address 0PlanChecking
Fee &/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
`, 7 �l •
Repair drainage or vent piping 1.50
A. P. No. 6 1,19
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FVs I
Wte,
t S ton Fire Dept.
FI re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
I provements
Each additional outlet .30
Building sewer 5.00
Bldg. P s Rec'd
Parcel A oval
tans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service eoov OR LESS
100 AMP OR LESS S.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 100 100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING OC cup. 7e\ 20sq ft
OR ADDNS. ACC. BLDGS. ii
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CON STR MULTI.OUTL T
-RE 1 BRANCH CIRCUITS 12.50ea
..NON
NEW CONST R. (POWER APPARATUS fi
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES 5 L�
FIXED APPLNS. 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 $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ b C
autnorize represenintives or ine uuunry o1 twtte to enter upon the
above-mentioned property for inspection purposes.
c
ZZ Date aWYN
Ignature of Pe a or A qoYnt
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.
DIRECT -OR OF PLBLIC WORKS
By -104 L ��/( Date
Building permit expires Date -
f